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Intractable muscle pain syndrome, osteomalacia, and axonopathy in long-term use of phenytoin.

Muscle pain syndrome is a complicated situation in that even an extensive work-up may overlook the primary etiology. A patient with multiple medical problems, including a history of partial gastrectomy due to trauma, a below-knee amputation from arteriosclerotic disease, and chronic phenytoin therapy for a seizure disorder, developed intractable, generalized muscle pain, with total dependency in mobility and self care. He was admitted to an acute care hospital and was eventually discharged with a diagnosis of occult malignancy. After being referred to our amputee clinic for prosthetic manageme

Patients with rheumatoid arthritis at high risk for noncompliance with salicylate treatment regimens.

Recent studies indicate the adherence of many patients with rheumatoid arthritis (RA) to their treatment regimens is poor. Management of this problem depends on identification of noncompliant patients, followed by interventions to increase their level of adherence. In this study, 63 patients with RA receiving salicylate drugs completed a questionnaire during an outpatient visit. The questionnaire contained items believed to be predictive of future compliance, including patient self-predictions regarding future compliance, ratings of behavior in similar situations and barriers to compliance, su

Nutritional considerations in rheumatoid arthritis.

Rheumatoid arthritis is a chronic, systemic, inflammatory disorder of unknown etiology. The severity of the disease process adversely affects nutritional status. Articular changes, such as small joint deformities and temporomandibular joint syndrome, alter the ability to self-feed. The inflammatory process may increase metabolic rate. Ingestion, digestion, absorption, and excretion may be compromised by secondary manifestations of the disease. Comprehensive nutrition assessment incorporates evaluation of disease and treatment-specific factors, along with the usual assessment parameters. Abnorm

Occupational Stressors, Working Conditions and Self-Reported Mental Health Among Veterinarians in Germany: An Exploratory Cross-Sectional Survey.

Background/Objectives: Veterinarians are exposed to substantial psychological strain, including burnout, depressive symptoms, and increased suicide risk. Emotional and ethical challenges, such as managing animal suffering, making difficult treatment decisions, and handling conflicts with animal owners, may compound the pressures associated with demanding working conditions. This study aimed to investigate occupational stressors, working conditions, job satisfaction, and self-reported mental health among veterinarians working in Germany. Methods: An exploratory, quantitative, cross-sectional on

Программа оказания помощи пациентам, страдающим множественным склерозом, позволяет повысить уровень знаний и расширить права и возможности людей: предварительное, послеиспытательное многоцентральное исследование.

ЦЕЛЬ: Множественный склероз (МС) связан со сложными потребностями и потребностями, которые требуют ухода с учетом интересов пациентов. Программы для пациентов-экспертов (ЭО) способствуют передаче знаний посредством взаимного обучения, способствуя расширению возможностей пациентов в плане самостоятельного лечения своих заболеваний. На основе предыдущего исследования целевой группы мы разработали программу ЕР для НР, координируемую профессионалами-медиками, для осуществления в различных справочных единицах НР Каталонии (Южная Западная Европа). Цель этого исследования состояла в том, чтобы органи

Совпадение в аннотации оригинала
BACKGROUND: Multiple sclerosis (MS) is associated with complex needs and demands, which require patient-centered care. Expert patient (EP) p … 04) in those with progressive MS. Lifestyle habits remained mostly unchanged, except for medication self-management and diet, whereas visits to nurses and other professionals in MS units significantly decreased. Physical health composite scores in the MS quality of life-54 questionnaire decreased, while the mental health composite scores remained unchanged. Fatig …

A qualitative interview study exploring the psychological health impacts of the SPIN-CHAT program among people with systemic sclerosis at the onset of COVID-19: perceptions of trial participants and research team members.

PURPOSE: Explore trial participants' and research team members' perceptions of the impact of the videoconference-based, supportive care prog … n realized. Results underscore the importance of social support from similar others, structure, and self-management to enhance psychological health during COVID-19. TRIAL REGISTRATION: clinicaltrials.gov (NCT04335279)IMPLICATIONS FOR REHABILITATIONThe videoconference-based, supportive care SPIN-CHAT Program enhanced psychological health amongst individuals affec …

Testing a behavioral intervention to improve adherence to adjuvant endocrine therapy (AET).

Adjuvant endocrine therapy (AET) is used to prevent recurrence and reduce mortality for women with hormone receptor positive breast cancer. Poor adherence to AET is a significant problem and contributes to increased medical costs and mortality. A variety of problematic symptoms associated with AET are related to non-adherence and early discontinuation of treatment. The goal of this study is to test a novel, telephone-based coping skills training that teaches patients adherence skills and techniques for coping with problematic symptoms (CST-AET). Adherence to AET will be assessed in real-time f

Continuous surgical multi-level extrapleural block for video-assisted thoracoscopic surgery: a retrospective study assessing its efficacy as pain relief following lobectomy and wedge resection.

Background: Video-assisted thoracoscopic surgery (VATS) causes less postoperative pain than thoracotomy; however, adequate analgesia remains vital. As part of a multi-modal postoperative analgesia, a continuous surgeon-placed extrapleural block catheter is an option. The aim of this retrospective study was to evaluate the analgesic efficacy of a continuous extrapleural block as part of a multimodal analgesic regimen after VATS in general, and VATS lobectomy and wedge resection in particular. Methods: Case records for patients having undergone VATS surgery and been provided a multi-level contin

Early Detection and Treatment of Subclinical Lymphedema in Patients with Breast Cancer.

Background: Early identification and treatment of subclinical lymphedema may prevent development of advanced stages and its related complications. We aimed to detect subclinical lymphedema and to evaluate the effects of early treatment program on the development of clinical lymphedema, upper extremity functions, and quality of life in patients with subclinical lymphedema. Methods and Results: Twenty-five women who were diagnosed having subclinical lymphedema were enrolled in the study. The patients were informed about lymphedema and its risk factors, and skin care and exercises to prevent the

A large cross-sectional, descriptive study of self-reports after biofield therapy in Japan: demography, symptomology, and circumstances of treatment administration.

BACKGROUND: Practitioners apply biofield therapy in diverse situations; however, most previously published reports investigated its efficacy in a clinical setting with a few expert practitioners administering it. OBJECTIVE: The study intended to determine the factors associated with self-reported symptom change after a single session of Okada Purifying Therapy (OPT), a form of biofield therapy, in various settings and to analyze its optimal therapeutic environments. DESIGN: This cross-sectional study used simple questionnaires. The research team trained 100 instructors of OPT to act as inves

Hypertension and chronic kidney disease: the role of lifestyle modification and medication management.

This article explores the relationship between hypertension and chronic kidney disease (CKD), and examines lifestyle modification and medica … slow the rate of renal function impairment, regardless of the underlying kidney disease. Medication self-management, lifestyle modifications, and factors that contribute to non-adherence should be consistently addressed while maintaining an understanding of personal and cultural beliefs.

Помимо физической функции: воздействие немоторных симптомов на деятельность и участие пользователей инвалидных колясок с множественным склерозом.

Хотя воздействие физических недостатков на повседневную деятельность хорошо задокументировано, меньше известно о влиянии симптомов немоторного действия на деятельность и участие. Цель этого исследования состоит в том, чтобы восполнить этот пробел путем изучения того, каким образом симптомы, не связанные с двигателем, влияют на деятельность и результаты участия пользователей инвалидных колясок с множественным склерозом (МС). Были проанализированы данные, полученные от 89 пользователей инвалидных колясок с использованием НР, собранные в ходе общенационального обследования. Участники закончили ра

Mental Health of Medical Students After Combating the COVID-19 Epidemic: A Cross-sectional Study in Vietnam.

OBJECTIVES: This study was conducted to investigate the prevalence of mental health (MH) symptoms and associated factors among medical students who were engaged in combating the coronavirus disease 2019 (COVID-19) epidemic in 4 provinces/cities of Vietnam. METHODS: A cross-sectional study with 580 participants was conducted at a medical university in Northern Vietnam. MH was assessed using the 21-item Depression, Anxiety, and Stress Scale, which was previously standardized in Vietnam. Data were collected through a structured self-administered questionnaire. Multivariate logistic regression wa

The effect of physical activity on sleep quality in people with diabetes: systematic review and meta-analysis.

BACKGROUND: To revise and critically summarize the available scientific evidence regarding the effect of exercise on sleep quality in people with diabetes. METHODS: Three electronic databases (MEDLINE/PubMed, PEDro Database and Scopus) were searched systematically from their inception until February 2024. The methodological quality of the included studies was assessed using the Physiotherapy Evidence Database and Quality Assessment Tool for Before-After Studies with No Control Group scales. RESULTS: A total of 7 randomized controlled trials and 3 single-arm studies were included. Most of the

[Physical self-concept and health perception in treated for congenital clubfoot].

BACKGROUND: the clubfoot is one of the most common pathologies in pediatric orthopedics. There are few studies of physical self-concept and perception of health in these patients. MATERIAL AND METHODS: observational, descriptive, and cross-sectional study. Population aged 16 to 18 years with the diagnosis of clubfoot. Being a sample of 55 patients, who underwent the SF-36, Laaveg-Ponseti Health Questionnaire, and the Physical Self-Concept Questionnaire. Evaluating physical abilities, physical condition, physical attractiveness. Presence of pain, general health, total function, emotional role,

A pilot evaluation of 'Working Out Dads': promoting father mental health and parental self-efficacy.

AIM: Approximately one in 10 fathers experience mental health difficulties in the early years of parenting, yet there is a dearth of evidence-based interventions to promote fathers' mental health at this time. Therefore, the aims of this study were: (1) to obtain preliminary data on the short-term changes in mental health symptoms and parenting self-efficacy for fathers of young children (aged 0-4 years) participating in Working Out Dads (WOD) and (2) to explore fathers' experiences of participation in WOD. METHOD: The sample consisted of 57 fathers who had at least one child aged between 0 a

Struggling With Adversities of Life: The Role of Forgiveness in Patients Suffering from Fibromyalgia.

OBJECTIVES: We compared the magnitude and direction of associations between forgiveness and pain, mental and physical health, quality of life, and anger in a sample of fibromyalgia syndrome (FM) participants and healthy controls. In addition, we compared FM and controls on mean levels of these variables. MATERIALS AND METHODS: A total of 173 individuals with FM and 81 controls completed this study. FM participants and controls were residents of Germany recruited with the support of the German Fibromyalgia Patient Association and several self-help groups. FM participants and controls were abou

Growing up with confidence: using telehealth to support continence self-care deficits amongst young people with complex needs.

BACKGROUND: Many young people with chronic ill health use technology for self-care activities, but little is known about the use of telehealth amongst those with spina bifida. The limited availability of specialist continence nurses in primary care settings, for this client group in the UK, exacerbates their reliance on parents or carers. OBJECTIVES: 1. Exploring the way in which home-based and technology-enabled clinical interventions affect young people's engagement in continence self-care. 2. Articulating the way in which telehealth impacts on nursing practice and the conduct of remote cli