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Pain, Opioids, and Confusion After Arthroplasty in Older Adults
submitted by nec 23 minutes ago - Topic: Health
Postoperative confusion is a common complication in older adults, particularly after total joint replacement (arthroplasty). Confusion after surgery can result in slower mobility progression, longer hospital stay, and increased patient distress. Postoperative pain has been shown to be a risk factor related to confusion; however, there is limited evidence regarding pain level, medication use, an...



Nerve Blocks for Initial Pain Management of Femoral Fractures in Children
submitted by nec 23 minutes ago - Topic: Health
REVIEW QUESTION:What are the effects of nerve blocks (regional femoral anesthesia) on initial pain management in children with femoral fractures receiving prehospital or in-hospital emergency care, with or without systemic analgesia?

A Population-Based Survey of Lumbar Surgery Beliefs in the United States
submitted by nec 23 minutes ago - Topic: Health
Studies have shown that lumbar surgery (LS) outcomes may be influenced by perception. However, the perceptions of the general population regarding LS are not known. Therefore, the purpose of this study was to investigate the general population's perceptions regarding LS. SUBJECTS:This study included 262 participants (mean age: 46.1 years; 125 males and 137 females) from the Las Vegas (NV) metro...

The Traditional Method of Oral As-Needed Pain Medication Delivery Compared to an Oral Patient-Controlled Analgesia Device Following Total Knee Arthroplasty
submitted by nec 23 minutes ago - Topic: Health
As-needed (PRN) oral pain medication is an essential part of multimodal pain therapy. Medication delivery is often delayed because of multiple demands upon nursing time in a busy postoperative nursing unit. Postoperative pain control was compared using either the manual delivery of PRN oral pain medication or a bedside oral patient-controlled analgesia device. Thirty patients in each group comp...

Plantar Fasciitis: What Is the Diagnosis and Treatment?
submitted by nec 23 minutes ago - Topic: Health
Foot pain, specifically plantar heel pain, is a common complaint among patients in a podiatric or orthopaedic office setting but may be seen in primary care offices, urgent care centers, or emergency departments as well. There are numerous causes for heel pain, but plantar fasciitis is the most frequent cause. The diagnosis of plantar fasciitis is generally made clinically, but there are many d...



Evaluation of Discharge Telephone Calls Following Total Joint Replacement Surgery
submitted by nec 24 minutes ago - Topic: Health
The average length of stay for patients undergoing total joint replacement surgery at a large teaching hospital is 3 days. This requires a comprehensive discharge education plan. The purpose of this prospective quality improvement project was to evaluate patients' understanding of postoperative care at home, screen for postoperative complications, and identify inconsistencies or gaps in dischar...

Pointe du nez hyper-projetée
submitted by oltowill9999 24 minutes ago - Topic: Health
L’hyper-projection de la pointe du nez constitue un motif fréquent de consultation et un problème souvent difficile à corriger. L’analyse préopératoire du chirurgien sera primordiale afin de déjouer les pièges. En particulier, il devra évaluer la capacité de rétraction de la peau du nez. Si celle ci est modérée, le recul de la pointe devra l’être également afin d’éviter u...


Un cas de « jambe-banque » pour le sauvetage d’un membre inférieur
submitted by oltowill9999 24 minutes ago - Topic: Health
Nous rapportons un cas clinique inhabituel de « jambe-banque » pour la reconstruction du membre inférieur avec le membre controlatéral amputé. Ce concept du « doigt-banque » a été décrit par Foucher et al. en 1980 pour la chirurgie de la main traumatisée. Le patient âgé de 34ans, victime d’un grave accident d’ULM, présentait un polytraumatisme avec des fractures ouvertes ...

N-Tetradecylcarbamyl Lipopeptides as Novel Agonists for Toll-like Receptor 2
submitted by miow 24 minutes ago - Topic: Agriculture
New analogues (UPam) of triacylated lipopeptide Pam3CysSK4, a popular agonist of Toll-like receptor 2 (TLR2), were designed making use of the cocrystal structure of a TLR2 heterodimer (with TLR1) with Pam3CysSK4. Twenty-two UPam derivatives that feature an N-tetradecylcarbamyl chain to mimic the native N-palmitoyl moiety and various small amino acids residues at the penultimate N-terminal posit...


Effect of Helicobacter pylori Eradication on Metachronous Gastric Cancer after Endoscopic Resection of Gastric Tumors: A Meta-Analysis
submitted by aloisso3110 27 minutes ago - Topic: Health
Although endoscopic resection is widely accepted as the curative treatment modality for early gastric cancer, secondary metachronous cancer may subsequently develop in the residual gastric mucosa. The preventive effect of Helicobacter pylori eradication on the development of metachronous gastric cancer in such cases remains controversial. The aim of this study was to determine the effect of H....

De la couveuse au cocon : la prématurité compliquée
submitted by rhena 35 minutes ago - Topic: Health
Cette vignette clinique a été présentée dans le cadre des journées annuelles du Cercle de documentation et d’information pour la rééducation des infirmes moteurs cérébraux, dont le thème était diagnostic et prise en charge précoce de l’enfant. Cet enfant est né prématurément avec une maladie rénale rare nécessitant des soins importants et quotidiens, il a développé des l...


Against obedience: Hannah Arendt's overlooked challenge to social-psychological explanations of mass atrocity
submitted by kothylc234 35 minutes ago - Topic: Health
This article explores the theoretical underpinnings and implications of a situationist social psychology of mass atrocity through a re-examination of Hannah Arendt’s work. The perception of a convergence between the views of Arendt, Stanley Milgram, and certain Holocaust historians inspired the situationist argument that ordinary people become mass murderers because they find themselves i...

Optimal cutoff of the waist-to-hip ratio for detecting cardiovascular risk factors among Han adults in Xinjiang
submitted by pioci 37 minutes ago - Topic: Health
The optimal cutoff of the waist-to-hip ratio (WHR) among Han adults in Xinjiang, which is located in the center of Asia, is unknown. We aimed to examine the relationship between different WHRs and cardiovascular risk factors among Han adults in Xinjiang, and determine the optimal cutoff of the WHR. The Cardiovascular Risk Survey was conducted from October 2007 to March 2010. A total of 14618 re...

Prevalence of cardiovascular health risk behaviors in a remote rural community of Sindhuli district, Nepal
submitted by pioci 37 minutes ago - Topic: Health
Cardiovascular disease (CVD) is emerging as a public health menace among low and middle income countries. It has particularly affected the poorest. However, there is paucity of information about CVD risk factors profile among Nepalese rural communities where the majority of people live in poverty. Therefore, this study aimed to identify the prevalence of cardiovascular health risk behaviors in ...

The Alberta Heart Failure Etiology and Analysis Research Team (HEART) study
submitted by pioci 37 minutes ago - Topic: Health
Nationally, symptomatic heart failure affects 1.5-2% of Canadians, incurs $3 billion in hospital costs annually and the global burden is expected to double in the next 1-2 decades. The current one-year mortality rate after diagnosis of heart failure remains high at >25%. Consequently, new therapeutic strategies need to be developed for this debilitating condition. The objective of the Alberta H...