Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

125 cases of suspected ectopic pregnancy and proven ectopic pregnancy admitted in S.M.R. and Lady Elgin Hospital, Jabalpur, India from 1963-1965 received complete clinical examination, with particular attention given to history, mode of presentation, symptoms and signs present per abdomen and on bimanual examination. Past history of patient was obtained, particularly history and treatment of sterility, pelvic inflammation or any abdominal operation performed. The following investigations were performed: 1) hemogram, total and differential count, erythrocyte sedimentation rate, and V.D.R.L. tests; 2) urine examination; 3) culdocentesis; 4) histopathological examination of the specimen obtained at operation; and 5) dilation and curettage in a few cases. Patients were followed with special reference to recurrence of ectopic pregnancy and future gestation. There was variation in the incidence of ectopic pregnancy during the 3 years -- 40 in 1963, 50 in 1964, and 35 in 1965. The variation occurred with the rise and fall of total number of deliveries in the hospital. Pain in abdomen, vaginal bleeding, and amenorrhea were the most frequent symptoms. Of the procedures used as an aid to diagnosing or confirming the diagnosis, culdocentesis was performed in 77 cases with promising results. On follow-up, conception occurred in 8 cases, intrauterine in 5, and repeat ectopic pregnancy in 3. The factors responsible for low mortality were specialist service, early diagnosis, quick treatment, the facilities of blood transfusion, and use of antibiotics. 31 of the patients were left sterilized after surgery.
 ...
PMID:Ectopic pregnancy: 125 cases. 1215 55

There are 97 remedies listed, including 11 veterinary ones. These numbers include several that are duplicates. The commonest types of medicament are salves or ointments, of which there are ten, but these ten do not include ointments for specific complaints such as haemorrhoids or scurvy. The most frequently found cures are for the itch (10), rheumatism (5), gravel (4), pain (4), and piles (3), all the others having only one or two entries. They were intended to treat 39 human complaints and 9 animal ones. In addition there were formulae for killing lice, making rat poison, and preparing damson wine! The number of different medicaments that were used in the recipes was relatively small, but more than were to be found in the smaller sizes of domestic medicine cabinet. In 1820 Reece's Traveller's Dispensary that was flat and would fit in the pocket of a carriage, only contained ten drugs plus court plaster, lint, scales and weights with a book of directions and cost L3.10s.0d. (L3.50). The Lady's Dispensary which contained twenty medicines, including two pills, with some dispensing equipment and a book of directions cost L5.10s.0d. (L5.50). In all, he listed twenty different cabinets and a sea medicine chest ranging in price from L3.10s.0d. to L32.10s.0d. They included ones suitable for the family, country clergymen, and travellers on the continent and in the tropics. In 1862 Savory and Moore stocked a range of sixty-seven different medicine chests and cases in rosewood, mahogany, walnut, boxwood and leather that were fitted with 'modern appliances and conveniences adapted for the requirements of families, clergymen, officers, owners of yachts, and travellers.' Unfortunately no prices are quoted. I think that we can safely assume that the treatment received at the hands of Evan Jones was likely to be rather rough and ready when compared to the ministrations of a physician, surgeon, clergyman or local 'Lady Bountiful', but, nevertheless, must have been of great value to those who could not afford professional treatment.
 ...
PMID:Some notes on an early nineteenth century manuscript medical receipt book. 1289 73

Freeze-dried aqueous extracts (AEs, 0.1-1g/kg body wt., p.o.) obtained from entire or selected parts of Stachytarpheta cayennensis were tested for their effects on gastric secretion, gastric motility, inflammation and pain in rodents, with the purpose of validating the plant's ethnomedical uses. The AE-Total, AE-Flowers and AE-Leaves but not AE-Stems inhibited the gastric acid secretion in pylorus-ligated rats with varying potency. Purification of AEs yielded the semipurifed fractions EtFs rich in iridoids. All the EtFs with exception of EtF-Stems inhibited gastric acid secretion of pylorus ligated mice. While AE-Total stimulated the intestinal transit of mice by 43%, AE-Leaves delayed it by 38%. These effects on intestinal transit were not observed when the EtFs were tested. Only AE-Leaves and AE-Flowers altered the gastric emptying of semisolids, increasing it by 45% and 69%, respectively. These results indicate that the compounds related to inhibition of gastric acid secretion and gastrointestinal motility are different. The AE-Total reduced abdominal writhing induced by acetic acid potently (ED50 value = 700 mg/kg, p. o.) without altering the writhes induced by acetylcholine. Attempts to identify the mechanism of analgesia were unsuccessful since the AE-Total did not show analgesic effects when tested in different models of pain such as formalin and capsaicin or the tail-flick test. Pretreatment of animals with AE-Total did not show antiinflammatory activity in any of the acute (paw edema induced by carrageenin, dextran or histamine, pleurisy induced by carrageenin and capsaicin-induced mouse ear edema) or chronic (air pouch) models used. No toxic signs were observed after administration of the different extracts up to 2 g/kg body wt., p.o. Collectively, the results confirmed folk information indicating presence of analgesic, mild laxative and potent inhibition of gastric secretion activities in the aqueous extracts of S. cayennensis. The results do not, however confirm the folk use of the plant as an antiinflammatory medicine.
 ...
PMID:Pharmacological study of Stachytarpheta cayennensis Vahl in rodents. 1563 75

The present study was designed to evaluate whether nitroglycerin administration preceding the injection of technetium-99m labelled metroxy-isobutyl-isonitryl ((99m)Tc-sestamibi), improves the detection of myocardial perfusion defect reversibility. Moreover, we assessed whether myocardium kinetics improved after the percutaneous transluminar coronary angioplasty (PTCA) study. The study population consisted of 12 patients, 8 males and 4 females, 48-73 years old (mean age: 60.41 years) with chronic stable angina, resting wall dyskinesia, and >/=50% stenosis or occlusion of at least one coronary artery, who were scheduled to undergo PTCA. A gamma-camera gated single photon emission tomography myocardial perfusion scintiscan was performed as a baseline study with (99m)Tc-sestamibi (GSPET-B) and another similar scintiscan after nitrate augmentation (GSPET-N) before PTCA and two to six months after PTCA (GSPET-R), to assess the extent of perfusion defects, contraction abnormalities and myocardial viability. Cedars QGS software was used for semi quantitative assessment and sum perfusion scores were calculated for each study. According to our results from the 174 hypoperfused segments studied by GSPET-B, 137 segments had tracer activity <50%. From the 137 segments with tracer activity of <50% only 51 (37%) remained unaltered after PTCA. Twenty-six of them (51%) were described as nonviable after the GSPET-N study and the remaining 25 were defined as viable. Our study demonstrated significant perfusion improvement after nitrate augmentation (mean sum perfusion score decreased from 34+/-9 in the baseline study (SBS) to 23+/-11 in the GSPECT-N study (SNS), P=0.04. There was no significant difference between SNS and mean sum perfusion score after revascularisation (SRS), 23+/-11 and 24+/-13 respectively (P=0.833). The specificity, sensitivity and accuracy of the perfusion improvement after PTCA, were calculated as: 52%, 85% and 76% respectively. The low specificity in our study could be due to performing GSPET-R in some patients, six months after PTCA; during this time restenoses may occur. Two of our patients whose perfusion and myocardial wall motion kinetics had worsened and also had clinical symptoms of pain and fatigue, were considered to have developed restenosis. In the present study, myocardial wall motion kinetics showed non-significant improvement of global ejection fraction (EF). EF increased from 43.9%+/-3.3% to 48.9% after nitrate augmentation (P=0.262) and to 47.2%+/-6.4% after revascularization (P=0.091). Myocardial wall motion hypokinesia showed significant improvement of severity scores in the GSPET-N study, as well as after PTCA revascularization (P<0.01). It is concluded that GSPET-N (99m)Tc-sestamibi imaging significantly improves the detection of defect reversibility. On the basis of our results, it appears appropriate to recommend GSPET-N (99m)Tc-sestamibi imaging only in patients with perfusion defects and tracer activity of <50%. In such cases it is recommended to perform GSPET not only for perfusion but also for a myocardial wall motion kinetic study. The follow up study to evaluate the result of PTCA is recommended to be performed within 2 months after PTCA, before restenosis may occur and 6 months after PTCA if restenosis is suspected.
Hell J Nucl Med
PMID:Assessment of myocardial viability with (99m)Tc-sestamibi -gated SPET images in patients undergoing percutaneous transluminar coronary angioplasty. 1588 54

Due to the fact that the existing commercial analgesic drugs are not able to reduce effectively the pain caused by the metastatic bone disease, the use of radiopharmaceuticals with avidity to selectively localize in the metastatic skeletal sites, such as strondium-89 chloride (89Sr-Cl2), rhenium-186-hydroxy ethylene diphosphonate (186Re-HEDP), and samarium-153-ethylene diamine tetramethylene (153Sm-EDTMP), is widely accepted. However this medical application may be dangerous for the occupied personnel and more for general public, if radioactive waste is not properly disposed. In the following article we try to estimate the degree and the significance of that risk. For that reason we discuss the physical properties of these radionuclides and their distribution in the body of the patient. We conclude that 89Sr is not harmful for the physician, the attending personnel or those who live with the patient, because it radiates beta-radiation, while its gamma-radiation is negligeable. The radionuclides 186Re and 153Sm besides beta-radiation, also emit a perceptible amount of gamma-radiation. It has been shown that the exposure to gamma-radiation from these radionuclides of the physician, the attending personnel or those who live with the patient is very low as compared to the internationally accepted radioprotection limits. However the environmental contamination per treatment by either of these three radionuclides is not negligeable in comparison to the national and international accepted limits. Patients that are not in good clinical condition may pose an additional contamination danger to those attending them. For limiting radiocontamination, the annual number of treatments by the above three previous radionuclides, should be considered according to the ALARA principle in relation with the correct handling of these patients, and also considering the fundamentals of radioprotection.
Hell J Nucl Med
PMID:[Radioprotection and environmental pollution by the use of the radionuclides 89Sr, 186Re, and 153Sm for pain palliation in metastatic bone diseases. Related calculations]. 1614 46

Gamma-knife stereotactic radiosurgery offers a broad spectrum armamentarium for the safe treatment of various lesions within the central nervous system. It is widely used for treatment of metastastic brain tumors, non respectable tumours, residual or recurrent benign and malignant tumors as well as for treatment of arteriovenous malformations, functional diseases and pain disorders. It is less invasive than most other surgical methods and also cost effective compared to surgical methods and other radiation treatments.
Hell J Nucl Med
PMID:[Stereotactic radiosurgery in neurosurgery]. 1639 29

In a prospective randomized double-blind study we compared the postoperative recovery and early results of two groups of 30 patients having total knee arthroplasty with minimally invasive techniques using either a mini-subvastus or a modified "quadriceps-sparing" approach. All knees were implanted with the same posterior-stabilized prosthesis (LPS-Flex, Zimmer, Warsaw, IN) by the same surgeon with the same dedicated set of downsized instruments. Epidural anesthesia with the same postoperative analgesia and rehabilitation protocol was used in all patients. Evaluation was performed preoperatively, postoperatively in the first week, and at 1 and 3 months. In five cases in the "quadriceps- sparing" group, the incision was extended a few cm to facilitate exposure. Tourniquet time, estimated blood loss, and postoperative pain were similar in the two groups. Active straight leg raising was achieved half a day earlier, on average, in the mini-subvastus group (1.9 vs 1.4 days). Average maximum active flexion was similar in the two groups at each interval, and reached 117 degrees and 119 degrees at 3 months for the mini-subvastus and "quadriceps-sparing" group, respectively. We believe there was no difference between the mini-subvastus and "quadriceps-sparing" approach in relation to short term recovery or early results.
 ...
PMID:Quadriceps-sparing versus mini-subvastus approach in total knee arthroplasty. 1695 51

Rock climbing, whether practiced in nature on cliffs and boulders or indoors on walls made of resin and wood, has grown in popularity in recent years. An estimated five million people participate in "rocking" at least three times a year. Climbing places unique demands on the upper extremity, especially the hands. The flexor tendons and flexor pulleys are prone to sprains and ruptures. Pulley injuries occur in up to 20% of climbers. The A2 pulley of the ring finger is the most frequently injured. Most pulley injuries can be successfully treated with a week of immobilization, followed by a range of motion (ROM) exercises for one week. Isometric training on a finger board can be started once ROM exercises are painless. A return to climbing can be initiated when the climber is able to avoid grip positions that produce pain; however, the closed crimp grip should be avoided at this time. Surgical reconstruction using the technique described by Widstrom is recommended for acute injuries with clinical evidence of bowstringing. Ultrasound and MRI are the current modalities best suited for confirming clinical findings.
 ...
PMID:Hand injuries in rock climbers. 1715 26

Drimys angustifolia Miers. (Winteraceae) is a Brazilian medicinal plant used as analgesic, antiulcer and anti-inflammatory without studies to assure its efficacy and safety Leaf and stem bark extracts were evaluated to determine the antiulcer, analgesic, antiinflammatory and antioxidant activities. Preliminary toxic effects and qualitative phytochemical profile were also performed. The antiulcer activity was detected in both extracts. Administration of the leaf extract at 250 mg/kg inhibited total lesion area by 76.50% (p < 0.01 in ethanol/HCl method), while carbenoxolone at 250 mg/kg reduced lesions by 69.48%. Stem bark extract (250 mg/kg) inhibited lesion by 81.42%, while carbenoxolone by 74.10%. Similar effects were observed in the ethanol-induced ulcer method, but no activity was observed in piroxican model. The effects involve nitric oxide in gastric protection, since the L-NAME treatment reversed the protection given by the extracts. Antioxidant effects suggest an involvement against oxidative stress. In the pain (writhing, tail-flick and hot-plate tests) and inflammation (carrageenan-induced paw edema) models, the extracts did not present any effect. The phytochemical studies demonstrated that both extracts contain flavonoids, saponins, glycosilated triterpenoids, fixed acids, cyanogenic glycosides, quinones, tannins, xanthone and steroidal aglycones. Toxicological studies showed that the extracts are safe at the effective antiulcer doses.
 ...
PMID:Pharmacological and toxicological studies of Drimys angustifolia Miers. (Winteraceae). 1728

Leaf extracts of Ugni molinae Turcz. (Myrtaceae) are used in Chilean folk medicine as analgesic and anti-inflammatory. The antinociceptive effect of dichloromethane (DCM), ethyl acetate (EA) and methanol (ME) leaf extracts was assessed by intraperitoneal, oral and topical administration in writhing, tail flick, and tail formalin tests in mice. The extracts showed a dose-dependent antinociceptive activity in all the assays under different administration routes. The ED(50) values for the different tests for the DCM, EA, ME extract and reference drug (ibuprofen) were as follows. Writhing test in acetic acid (i.p. administration): 0.21, 0.37, 1.37 and 0.85mg/kg, respectively; tail flick test (oral administration): 199, 189, 120 and 45.9mg/kg. The EC(50) values for tail flick test were (topical administration): 2.0, 0.35, 1.4 and 8.2% (w/v), respectively; and the topical analgesic effects were (formalin assay) 75.5, 77.5, 31.6 and 76.5%, respectively. Ugni molinae extracts produce antinociception in chemical and thermal pain models through a mechanism partially linked to either lipooxygenase and/or cyclooxygenase via the arachidonic acid cascade and/or opioid receptors. Flavonoid glycosides and triterpenoids have been isolated from the plant and can be associated with the observed effect. Our results corroborate the analgesic effects of Ugni molinae, and justify its traditional use for treating pain.
 ...
PMID:Analgesic activity of Ugni molinae (murtilla) in mice models of acute pain. 1740 89


<< Previous 1 2 3 4 5 6 7 8 9 10 Next >>