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>

scholarly journals Determinants of vision function related quality of life of patients undergoing unilateral cataract surgical services in charitable hospitals in India: a multicentre prospective cohort study

2018 ◽  
Vol 5 (3) ◽  
pp. 1138
Author(s):  
Elizabeth Kurian ◽  
Pankaj Vishwakarma ◽  
Jaikumar Deenadayalan ◽  
Amit Mondal ◽  
Dhanaji Ranpise ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Visual Function ◽  
Psychosocial Impact ◽  
General Function ◽  
Post Surgery ◽  
Multiple Classification Analysis ◽  
Prospective Longitudinal

Background: Cataract is the leading cause of avoidable blindness in developing world, including India. The objective of this study is to measure the changes in quality of life (VRQoL) after cataract surgery and identify the predictors of an improvement in these outcomes.Methods: A multi-center prospective, longitudinal cohort study was conducted. At baseline patients aged ≥18 years with first-eye cataract were interviewed about VRQoL. Six months’ later participants were re-interviewed at their residences. Multiple classification analysis (MCA) was performed to assess the variation in the intensities of mean change scores for general function, psychosocial impact and visual function with select factors.Results: The six-month follow-up rate was 87.3%. There was a significant improvement in visual acuity and VRQoL post-surgery. The mean general function, psychosocial impact and visual function scores were 34.6 (SD 10.9), 10.5 (SD 3.7) and 8.4 (SD 2.2) in the baseline and 15 (SD 5.5), 5 (SD 2.2) and 4.4 (SD 1.6) in the follow-up assessments, respectively. In MCA, patients prescribed spectacles post-surgery (β 0.137) and those from rural backgrounds (β 0.137) had the most impact on general function. Patients with complete follow-up visits had a relatively higher effect on the psychosocial impact (β 0.084) whereas patients from rural background and men had the most impact on the visual function scores (β 0.102 and 0.076) respectively.Conclusions:Cataract surgery is associated with meaningful improvements in VRQoL in general. The determinants of better VFQoL include regular and complete patient follow-up visits and prescription and provision of spectacles post-surgery.  

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

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 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 Ralstonia infection in cystic fibrosis

2017 ◽  
Vol 145 (13) ◽  
pp. 2864-2872 ◽  
Author(s):  
H. D. GREEN ◽  
R. BRIGHT-THOMAS ◽  
D. T. KENNA ◽  
J. F. TURTON ◽  
N. WOODFORD ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Lung Function ◽  
Gel Electrophoresis ◽  
Chronic Infection ◽  
Pulsed Field Gel Electrophoresis ◽  
Cross Infection ◽  
Lung Function Decline ◽  
Longitudinal Observational Study ◽  
Prospective Longitudinal

SummaryThis study aimed to determine prevalence of Ralstonia spp. in cystic fibrosis patients, look for any evidence of cross infection and to describe clinical outcomes for patients infected by Ralstonia spp. Prevalence of Ralstonia spp. was calculated annually from 2008 to 2016. Pulsed-field gel electrophoresis was performed on ⩾1 sample from patients with an isolation of Ralstonia spp. between 2008 and 2016. A prospective, longitudinal observational study of adult patients was performed with 12 months follow-up from recruitment. Prevalence of Ralstonia spp. rose from 0·6% in 2008 to 2·4% in 2016. In total 12 out of 14 (86%) patients with ⩾1 isolation of Ralstonia spp. developed chronic infection. A pair and a group of three unrelated patients with epidemiological connections shared strains of Ralstonia mannitolilytica. Lung function of Ralstonia spp. infected patients was moderately to severely impaired. Prevalence of Ralstonia spp. is low but increasing. The risk of a patient developing chronic Ralstonia spp. infection following first acquisition is high and cross-infection may be possible. Whether Ralstonia spp. infection causes increased pulmonary exacerbation frequency and lung function decline needs to be evaluated in larger prospective studies.

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 Longitudinal Growth Differentiation Factor 15 (GDF15) and Long-term Intraocular Pressure Fluctuation in Glaucoma: A Pilot Study

2021 ◽  
Author(s):  
Jonathan B. Lin ◽  
Arsham Sheybani ◽  
Andrea Santeford ◽  
Rajendra S. Apte
Keyword(s):  
Intraocular Pressure ◽  
Pilot Study ◽  
Open Angle Glaucoma ◽  
Glaucoma Surgery ◽  
Fold Change ◽  
Growth Differentiation Factor 15 ◽  
Post Surgery ◽  
Differentiation Factor ◽  
Prospective Longitudinal

Purpose: Growth Differentiation Factor 15 (GDF15) was previously identified as a molecular marker of retinal ganglion cell stress in rodent models of glaucoma and was elevated in the aqueous humor (AH) of patients with primary open-angle glaucoma as a possible risk factor for glaucoma progression. The purpose of this study was to determine whether changes in the AH GDF15 levels were associated with intraocular pressure (IOP) changes in eyes undergoing glaucoma surgery. Methods: Here, we performed a prospective, longitudinal pilot study in nine patients to determine whether changes in AH GDF15 levels from surgery to post-surgery follow-up were associated with IOP fluctuation. An initial AH sample was taken from the peripheral corneal paracentesis during planned glaucoma surgery, and a second sample was taken during an outpatient follow-up visit, approximately six months later. Results: There was a statistically significant correlation between GDF15 fold change and IOP standard deviation (r = 0.87, P = 0.003), IOP range (r = 0.87, P = 0.003), and maximum IOP (r = 0.86, P = 0.003). There was no correlation between the GDF15 fold change and baseline IOP (r = 0.50, P = 0.17), final IOP (r = 0.038, P = 0.92), or mean IOP (r = 0.40, P = 0.28). Conclusion: Our findings in this pilot study suggest that longitudinal changes in AH GDF15 may be associated with IOP fluctuation during the postoperative period. Further studies are necessary to corroborate these findings in a larger patient population and to explore the possibility that AH GDF15 may be used not only to improve treatment algorithms but also as a surrogate endpoint in clinical trials.

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