scholarly journals The Effect Of Hyaluronic Acid To Pain Intensity Rated By Face Pain Scale-Revised On Knee Osteoarthritis Patients

2020 ◽  
Vol 2 (1) ◽  
pp. 58-64
Author(s):  
Felicia Putri Hartono ◽  
◽  
Nunung Nugroho ◽  
Endang Isbandiati ◽  
◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Pain Scale ◽  
Face Pain ◽  
Face Pain Scale

Medic Interaction Modes and Hospitalized Children Health

2019 ◽  
Author(s):  
Naveed Shibli ◽  
Miss Shehrish Farooq
Keyword(s):  
Experimental Study ◽  
Health Outcomes ◽  
Block Design ◽  
Pain Scale ◽  
Hospitalized Children ◽  
Face Pain ◽  
Children Health ◽  
Face Pain Scale

<p></p><p>In the present experimental study different interaction ‘modes’ those took place between a psychologist and a child were tested for the role of these towards health recovery of the child? Following were the interaction modes, a) presenting a flower with smile plus inquiring about health, b) offering a blessing plus inquiring about health, c) making an indifferent presence plus inquiring about health with flat tone, d) inquiring about health with providing precautions about prognosis. It was assumed that all modes would differently influence health outcomes? 100 hospitalized children located in child wards of different hospitals with randomized pre-post block design interacted. One each from four interaction modes was used for a group of 25 participants each. Actual ward discharge was compared with anticipatory estimated by each ward in-charge to calculate effect of mode on outcome. Face Pain Scale, The Children Happiness Scale and a Demographic Sheet were also used. Results reflected ‘modes’ relationship with outcomes. More studies would clarify further.</p><br><p></p>

scholarly journals PENGARUH SENAM YOGA TERHADAP NYERI HAID PADA REMAJA PUTRI KELAS X MAN 2 KOTA PROBOLINGGO (Di Madrasah Aliyah Negeri 2 Kota Probolinggo)

2021 ◽  
Vol 2 (2) ◽  
pp. 77-83
Author(s):  
Endah Putri R ◽  
Harnanik Nawangsari
Keyword(s):  
Random Sampling ◽  
Pain Scale ◽  
Spearman Rank ◽  
Face Pain ◽  
Face Pain Scale ◽  
R Value ◽  
Sampling Variable

Masa remaja berhubungan dengan suatu fenomena fisik yang berhubungan dengan pubertas. Pubertas merupakan suatu bagian penting dari masa remaja yang lebih menekankan proses biologis yang mengarah pada kemampuan reproduksi. Pada saat ini perempuan akan mengalami ovulasi dan menstruasi yang terkadang juga disertai nyeri haid (dysmenorrhea). Berdasarkan Studi Pendahuluan yang dilakukan peneliti didapatkan hasil wawancara dari 15 siswi, terdapat 13 siswi yang mengalami dysmenorrhea. Penelitian ini bertujuan untuk mengetahui Pengaruh Senam Yoga terhadap Nyeri Haid pada Remaja Putri Kelas X MAN 2 Kota Probolinggo. Jenis penelitian ini adalah pra eksperimental dengan rancangan one group pretest posttest design. Populasi penelitian ini adalah seluruh siswi kelas X MAN 2 Kota Probolinggo yang berjumlah 172 siswi. Sampel penelitian ini sejumlah 35 siswi dengan tekhnik sampling  Proportional Random Sampling. Variable independent adalah Senam Yoga dan variable dependent adalah Nyeri Haid. Instrumen penelitian menggunakan pengukuran skala nyeri Face Pain Scale – Revised (FPS-R). Pengolahan data menggunakan editing, coding, scoring, tabulating dengan analisa data spearman Rank. Hasil penelitian menunjukkan bahwa sebelum dilakukan senam yoga hampir setengah dari responden mengalami nyeri haid dengan skala 3 (lebih nyeri) dengan jumlah 16 responden (45,7%). Sedangkan setelah dilakukan senam yoga  hampir setengah dari responden mengalami nyeri haid dengan skala 2 (sedikit nyeri) sebanyak  12 responden (34,3%). Uji statistik Spearman rank menunjukan bahwa r value = 0,000 < α (0,05) sehingga H1 diterima.Kesimpulan penelitian ini ada Pengaruh Senam Yoga terhadap Nyeri Haid pada Remaja Putri Kelas X MAN 2 Kota Probolinggo. Kata Kunci : Senam Yoga, Nyeri Haid, Siswi Kelas X

scholarly journals The synovial fluid neuropeptide PACAP may act as a protective factor during disease progression of primary knee osteoarthritis and is increased following hyaluronic acid injection

2019 ◽  
Vol 25 (4) ◽  
pp. 255-264 ◽  
Author(s):  
Zheng-Ping Sun ◽  
Shao-Peng Wu ◽  
Can-De Liang ◽  
Chuan-Xi Zhao ◽  
Bing-Yin Sun
Keyword(s):  
Hyaluronic Acid ◽  
Synovial Fluid ◽  
Knee Osteoarthritis ◽  
Disease Progression ◽  
Protective Factor ◽  
Oxford Knee Score ◽  
Diagnostic Value ◽  
Pain Scale ◽  
Roc Curve Analysis ◽  
Knee Oa

The correlation of serum and synovial fluid (SF) pituitary adenylate cyclase-activating polypeptide (PACAP) levels with disease progression of primary knee osteoarthritis (OA) was explored. Radiographic severity of OA was determined by Kellgren–Lawrence (K-L) grades. PACAP levels were measured by ELISA before treatment, and 4 and 8 wk following hyaluronic acid (HA) injection. Levels of IL-1β and MMP-3 were also detected. The numeric pain scale (NPS), revised Oxford Knee Score (OKS), and American Knee Society Score (AKSS) were employed to evaluate to symptomatic severity. Receiver-operating-characteristic (ROC) curve analysis was carried out to compare the diagnostic value of PACAP, IL-1β, and MMP-3 for the K-L grade. PACAP concentrations in SF but not serum were significantly lower in OA patients compared with controls. SF PACAP levels were negatively associated with K-L grades and higher NPS as well as worse AKSS and OKS. Further analysis demonstrated that PACAP concentration in SF was negatively correlated with expressions of IL-1β as well as MMP-3 and may act as a marker for radiographic progression along with MMP-3. Last, we found SF PACAP levels exhibited an incremental trend after HA injection. These findings confirmed the crucial role of PACAP deficiency in the development of primary knee OA.

scholarly journals High molecular weight Intraarticular hyaluronic acid for the treatment of knee osteoarthritis: a network meta-analysis

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Charles D. Hummer ◽  
Felix Angst ◽  
Wilson Ngai ◽  
Craig Whittington ◽  
Sophie S. Yoon ◽  
...  
Keyword(s):  
Molecular Weight ◽  
Hyaluronic Acid ◽  
Knee Osteoarthritis ◽  
Treated Patient ◽  
Meta Analysis ◽  
Credible Interval ◽  
Pain Scale ◽  
Womac Pain ◽  
Knee Oa ◽  
Mean Differences

Abstract Background The 2013 American Academy of Orthopaedic Surgeons (AAOS) guidelines made strong recommendations against intraarticular hyaluronic acid (IAHA) for patients with knee osteoarthritis (OA), as evidence supporting improvements in pain did not meet the minimal clinically important improvement (MCII) threshold. However, there may be important distinctions based on IAHA molecular weight (MW). Hence our objective was to evaluate the efficacy of IAHAs in knee OA based on molecular weight. Methods Randomized controlled trials were searched within MEDLINE, Embase, and CENTRAL and selected based on AAOS criteria. A pain measure hierarchy and longest follow-up were used to select one effect size from each trial. Mean differences between interventions were converted to standardized mean differences (SMDs) and incorporated into a random-effects Bayesian network meta-analysis. High MW (HMW) was defined as ≥6000 kDa, and low MW (LMW) as < 750 kDa. Results HMW IAHA was associated with a statistically significant and possibly clinically significant improvement in pain (SMD − 0.57 (95% credible interval [Crl]: − 1.04, − 0.11), exceeding the − 0.50 MCII threshold. LMW IAHA had a lesser, non-significant improvement (− 0.23, 95% Crl: − 0.67, 0.20). Back-transforming SMDs to the WOMAC pain scale indicated a 14.65 (95% CI: 13.93, 15.62) point improvement over IA placebo, substantially better than the 8.3 AAOS MCII threshold. Conclusions Unlike LMW IAHA, HMW IAHA exceeded the MCII threshold for pain relief, suggesting that improvements can be subjectively perceived by the treated patient. Amalgamation of LMW and HMW may have blurred the benefits of IAHA in the past, leading to negative recommendations. Differentiation according to MW offers refined insight for treatment with IAHA.

scholarly journals Efficacy of the Newly Invented Eyelid Clamper in Ultra-Widefield Fundus Imaging

Life ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. 323
Author(s):  
Nobuhiro Ozawa ◽  
Kiwako Mori ◽  
Yusaku Katada ◽  
Kazuo Tsubota ◽  
Toshihide Kurihara
Keyword(s):  
Imaging System ◽  
Pain Scale ◽  
University Hospital ◽  
Fundus Images ◽  
Fundus Imaging ◽  
Face Pain ◽  
Number Of Patients ◽  
Department Of Ophthalmology ◽  
Significant Difference ◽  
Face Pain Scale

Background: Ultra-widefield fundus imaging is widely used for obtaining wide angle images of the retina in one single image. Although it has a potential to obtain a wide area of retinal photographs, images are often obstructed by eyelashes or eye lids. In this study, we used a newly invented eyelid clamper, which can keep an eye open without touching conjunctiva or lid margin, to assess the efficacy in clinical use by comparing with conventional tape fixation. Methods: Ultra-widefield fundus images were captured with an ultra-widefield imaging system in 19 patients who visited to the outpatient clinic of Department of Ophthalmology, Keio University Hospital with the eyelid clamper or a conventional tape fixation. The area of imaged retinas was outlined and quantified with pixels. After obtaining images, patients answered a questionnaire. Results: The average number of pixels in total areas with the eyelid clamper or with tape fixation were 4.31 ± 0.35 and 4.32 ± 0.34 mega pixels, respectively, showing no significant difference between the groups (p = 0.889). The average face pain scale of the eyelid clamper was 1.13 on a scale of 0 to 5. The number of patients who did not feel any pain was nine (47.4%). Conclusions: The eyelid clamper can be applied in clinical setting and can better support obtaining sufficiently wide fundus images compared to a conventional tape fixation.

scholarly journals The Jumping Up (J-Up) Test: Making the Diagnosis of Acute Appendicitis Easier in Children

2019 ◽  
Vol 6 ◽  
pp. 2333794X1988482
Author(s):  
Adelais K. Tzortzopoulou ◽  
Panagiota Giamarelou ◽  
Mariza Tsolia ◽  
Nikolaos Spyridis ◽  
Marina Vakaki ◽  
...  
Keyword(s):  
White Blood Cells ◽  
Pain Scale ◽  
Clinical Test ◽  
Lower Quadrant ◽  
Reactive Protein ◽  
Face Pain ◽  
Face Pain Scale ◽  
Examination Room ◽  
Posttest Probability ◽  
Right Lower Quadrant

We evaluate a new clinical test, jumping up (J-up) test, to diagnose easier appendicitis in children. A total of 407 patients, aged 5 to16 years, with right lower quadrant abdominal pain were asked to jump rising both hands and trying to reach a toy hanging down from the ceiling of the examination room. Bieri pediatric Face Pain Scale was used for recording the pain response. J-up test has sensitivity of 87% and specificity of 70%. A positive J-up test combined with leukocytosis (white blood cells count >12 000/mm3), neutrophilia >75%, neutrophil/lymphocyte >2, and C-reactive protein >5 mg/dL, achieved a posttest probability of appendicitis of 85%. A negative J-up test combined with the aforementioned blood markers within normal range had a posttest probability for non-appendicitis of 92%. J-up test is a reliable clinical test, which could be used even by an inexperienced doctor. Combined with classical blood markers, it could successfully predict which child is in urgent need or not of surgery.

scholarly journals The Effect of a Period of Kinesiotherapy and Reflexology on Pain Intensity and Range of Motion in Elderly Women With Knee Osteoarthritis

2020 ◽  
Vol 6 (2) ◽  
pp. 98-109
Author(s):  
Fatemeh Kiani Dooghabadi ◽  
◽  
Nahid Khoshraftar Yazdi ◽  
Hossein Farzaneh ◽  
◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Range Of Motion ◽  
Elderly Women ◽  
Pain Scale ◽  
Control Group ◽  
Osteoarthritis Of The Knee ◽  
Therapeutic Exercise ◽  
Exercise Protocol ◽  
Rate Of Increase

Objective: The aim of this study was to compare the effect of a period of therapeutic exercise and reflexology on pain intensity and range of motion in elderly women with knee osteoarthritis. Methods: 45 elderly women with osteoarthritis of the knee were purposefully selected and randomly divided into three groups of 15: therapeutic exercise, reflexology and control. The therapeutic exercise and reflexology group practiced therapy and reflexology for 4 weeks and 5 sessions per week. The control group also performed their daily activities. To assess the intensity of pain and the range of motion of the subjectchr('39')s knee, the visual pain scale VAS and goniometer were used in pre-test and post-test, respectively. Data analysis was performed by one-way analysis of variance and Tukeychr('39')s Post Hoc test. Results: The results showed that both types of therapeutic exercise protocol and reflexology have positive and significant effects on reducing pain intensity and increasing range of motion of the knee joint of the subjects (P≤0.05), and the therapeutic exercise protocol compared to the protocol. Reflexology had more significant effects on the rate of increase in range of motion (P=0.001; P=0.001, respectively). Conclusion: Based on the results, the use of both protocols of therapeutic exercise and reflexology is recommended to reduce the severity of pain and increase the range of motion of elderly women with osteoarthritis of the knee. Simultaneous use of these two protocols for treatment and greater effectiveness in this group of patients is recommended

scholarly journals Effectiveness of Hypnoanalgesia in Paediatric Dermatological Surgery

Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1195
Author(s):  
Peláez Pérez Juana María ◽  
Sánchez Casado Marcelino ◽  
Quintana Díaz Manuel ◽  
Benhaiem Jean Marc ◽  
Escribá Alepuz Francisco Javier
Keyword(s):  
Outpatient Surgery ◽  
Pain Scale ◽  
Post Surgery ◽  
Longitudinal Observational Study ◽  
Face Pain ◽  
Face Pain Scale ◽  
Sedation And Analgesia ◽  
Prospective Longitudinal ◽  
Objective Stress

Background and objective. Stress in surgical settings has subtle psychological and physiological repercussions in children. The objective is to evaluate whether hypnosedation is effective in reducing the doses of sedation and analgesia required during the periprocedural period in children undergoing dermatological surgery, without negatively affecting pain and satisfaction. Patients and methods: A prospective, longitudinal, observational study where paediatric patients (aged 5–16 years) scheduled for dermatological surgery were analysed according to whether they received hypnosis or distraction during surgery (both common procedures at the centre). As outcome measurements we used sedation doses (propofol) during surgery and the need for analgesia; pain assessment post-surgery and at 24 h using a visual analogue scale (VAS) or revised face pain scale (FPS-r) (both 0–10) depending on age, as well as patient and guardian satisfaction (on a scale of 0–10). Results: Of the 68 patients eligible during the follow-up period, 65 were included. Of these, 33 were treated with hypnosis and 32 with distraction. Children who underwent hypnosis required less total propofol (45.5 ± 11.8 mg vs. 69.3 ± 16.8 mg; p < 0.001) and metamizole in the immediate postoperative period (34.4% vs. 65.6%; p = 0.018). After 24 h, they required less ibuprofen (9.1% vs. 28.1%; p = 0.048) and paracetamol (48.5% vs. 75.0%; p = 0.028). Mean pain according to VAS or FPS-r at 24 h was 3.1 with hypnosis vs. 4.3 with distraction (p < 0.001). Overall satisfaction was higher in the hypnosis group (8.7 ± 0.1 vs. 8.1 ± 0.2; p = 0.009). Conclusions: Hypnoanalgesia in children undergoing dermatological outpatient surgery could not only reduce sedation and analgesia requirements, but also improve child and guardian(s) satisfaction.

Medic Interaction Modes and Hospitalized Children Health

2019 ◽  
Author(s):  
Naveed Shibli ◽  
Miss Shehrish Farooq
Keyword(s):  
Experimental Study ◽  
Health Outcomes ◽  
Block Design ◽  
Pain Scale ◽  
Hospitalized Children ◽  
Face Pain ◽  
Children Health ◽  
Face Pain Scale

<p></p><p>In the present experimental study different interaction ‘modes’ those took place between a psychologist and a child were tested for the role of these towards health recovery of the child? Following were the interaction modes, a) presenting a flower with smile plus inquiring about health, b) offering a blessing plus inquiring about health, c) making an indifferent presence plus inquiring about health with flat tone, d) inquiring about health with providing precautions about prognosis. It was assumed that all modes would differently influence health outcomes? 100 hospitalized children located in child wards of different hospitals with randomized pre-post block design interacted. One each from four interaction modes was used for a group of 25 participants each. Actual ward discharge was compared with anticipatory estimated by each ward in-charge to calculate effect of mode on outcome. Face Pain Scale, The Children Happiness Scale and a Demographic Sheet were also used. Results reflected ‘modes’ relationship with outcomes. More studies would clarify further.</p><br><p></p>

Sign in / Sign up

Export Citation Format

Share Document