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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The authors studied the effects of acupuncture and pentazocine on post-operative respiratory function and pain management on patients hysterectomized by means of a subumbilical midline incision. The acupunctural technique consisted of GB-26, St-36, Sp-6 and auricular Shen-Men bilateral electrostimulation for 40 minutes. The analgesic effect of acupuncture was equivalent to that of 30 mg pentazocine, yet the most important effect of acupuncture consisted in a net increase of vital capacity during the period of acupuncture analgesia that lasted for 3-4 hr after stimulation; contrariwise, pentazocine did not cause any vital capacity increment and vital capacity remained at the levels observed prior to narcotic administration.
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PMID:Comparison study between acupuncture and pentazocine analgesic and respiratory post-operative effects. 705 22

Modern sockets for lower limb amputees utilize total contact and distribute some weight on the stump end. Its tolerance to bear weight varies but is better after joint disarticulation, however, systematic measures have been missing. Different levels, indications, shapes etc. were analysed with 102 measurements in 69 patients. The maximal-end-weight-bearing of the stump measured on a scale was much lower after transmedullar amputations than after disarticulations. Men had a mean tolerance more than 15 kg but women less than 10 kg. There was a positive correlation to body weight. Diabetics tolerated significantly more end-bearing and patients with phantom pain more than patients with stump pain. Within each category of stumps the range of maximal end-weight-bearing was large. Among all below-knee amputees the tolerance was between 2 to 55 kg or 3 to 79 per cent of body weight. Pointed stumps statistically tolerated about as much as rounded ones and the variability of contact surface was not measured as its sensitivity to pain must be unevenly distributed. It is concluded that this simplified method is helpful to analyse pain and to modify end-weight-bearing more individually.
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PMID:Measurement of maximal end-weight-bearing in lower limb amputees. 715 10

88 patients with "soft" and "hard" methods of suicide attempts are compared and described. The results show several differences between both groups of patients: (1) In the choice of a "soft" method painlessness played a superior role. Patients who had chosen a "hard" method were far less sensitive to pain, or the experience of pain had extensively faded. (2) Men with "hard" methods seemed to be more needy than men with "soft" methods. (3) Men and women of the "hard" group (preponderantly wrist cutters) showed a stronger and earlier beginning of conflict denial than patients of the "soft" group. Therefore, immediate crisis intervention seems to be especially indicated. (4) Attention should be drawn to the countertransfferance reactions of helpers in contact with patients who had employed different methods of suicide attempts.
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PMID:[Phenomenology and psychodynamics of patients with so-called "hard" and "soft" methods of suicide. A comparison]. 725 48

A new electric stimulation pain assessment technique using the Tursky electrode and a non-parametric analysis of subjects ratings was found sensitive to aspirin, morphine and opiate antagonists in a series of double-blind cross-over trials in normal adults. Stable individual differences in pain sensitivity (off medication) were maintained on two testing sessions 7 months apart. Older individuals were less pain sensitive than younger individuals. Men were more insensitive than women under age 30. Together, these results suggest the empiric usefulness of this pain measurement technique.
Pain 1981 Jun
PMID:Opiate pharmacology and individual differences. I. Psychophysical pain measurements. 727 22

Our objective was to determine the extent to which lower urinary tract symptoms affect the general health status of men and contribute to the decision to undergo surgery. A cross-sectional population survey using postal questionnaires was conducted in the North West Thames health region, followed by a prospective cohort study of men undergoing prostatectomy (North West Thames and Oxford regions). The subjects in the first survey were 221 men aged 55 and over with previously reported mild, moderate or severe urinary symptoms; subjects in the second study were 388 men undergoing prostatectomy. Main outcome measures were self-reported symptom severity, bothersomeness and general health status (Nottingham Health Profile, Part 1). The response rate among eligible responders in the population survey was 85.7%. Increasing symptom severity was associated with worsening NHP scores for energy, emotional reactions, sleep and physical mobility (p < 0.01). Increasing bothersomeness of symptoms was associated with emotional reactions, sleep and pain (p < 0.05). Men undergoing surgery reported worse health status than men in the population with the same severity of symptoms as regards emotional reactions, energy and pain. For a given level of symptom severity, the impact of those symptoms on aspects of a man's general health status may be the determinant of seeking and undergoing surgery. Greater understanding of the factors that affect a man's response to his symptoms is needed in interpreting the decision to seek and accept treatment.
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PMID:The impact of lower urinary tract symptoms on general health status and on the use of prostatectomy. 755 Jan 82

The number of osteoporotic fractures is rising in men and women, because of the demographic trend towards an aging population and an increase in the age-specific incidence of fractures. Although previous studies have examined the morbidity following hip fractures in women, there is little information on the sequelae of vertebral crush fractures in men. We have therefore collected data on loss of height, kyphosis, peripheral fractures and functional status in 63 men with symptomatic vertebral fractures. Loss of height was documented in 49% of the men, while kyphosis was present in 54%. A past history of 50 non-vertebral fractures was obtained in 27 patients (43%), involving the ribs (17), lower arm (13) and femoral neck (4). Each patient then completed the Nottingham Health Profile (NHP), which gives information on perceived health. Men with vertebral crush fractures had higher scores for all six domains of the NHP when compared with age-matched and more elderly control subjects, implying greater morbidity. This was particularly marked for the energy, pain and mobility domains of the NHP. We conclude that there is considerable morbidity associated with vertebral crush fractures in men, which should be assessed in any trial of therapeutic intervention. This study suggests that the NHP may be a useful instrument in this regard.
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PMID:The sequelae of vertebral crush fractures in men. 800 46

The present report describes a nation-wide survey on the incidence, the indications and the efficacy of spinal cord stimulation (SCS), as assessed by the Belgian health authorities. The direct motive for this survey was the rapidly growing expenditures resulting from the increasing use of SCS. Between 1983 and 1992, nearly 700 SCS devices were implanted for a population of less than 10 million inhabitants. The most common indication for SCS was failed back survey (61.4%). Whereas SCS was initially only performed in university teaching hospitals, it is now also widely practised in general hospitals. In 3 studies, the efficacy of SCS was assessed. In a first study, success was defined in terms of resumption of professional activities. After a mean follow-up of more than 1 year, less than 5% of the 147 patients treated with SCS had returned to work. A second study investigated the subjective evaluation of the therapy by the patient. Seventy patients with a mean follow-up of 3.5 years were studied. In 52% of the patients, the effect of SCS was judged as good to very good. Men scored better than women. In addition, the results obtained in the teaching hospitals were significantly better than those obtained in general hospitals. In a third study, the impact of psychiatric screening on patient selection was evaluated. Of the 100 candidates, 36 were withheld from implantation with a SCS device because of psychiatric contra-indications. Patients who had received a positive psychiatric advice showed a significantly better therapeutic outcome than patients for whom the psychiatrist had made reservations.
Pain 1994 Feb
PMID:Spinal cord stimulation in Belgium: a nation-wide survey on the incidence, indications and therapeutic efficacy by the health insurer. 800 10

Medicine is not a science. It is an art that uses science to explore what William Harvey called "nature's closest secrets," that we may better minister to her children. We still need to remove some crackpot theories that have crept in, such as "holism." Even neurosurgery has a few. But we are beginning to humanize the traditional detached indifference and become the doctors we were meant to be. Our patients will be better for it. Society will be better for it. We will be better for it [1320]. In discussing the women's liberation movement in America, Reverend William Sloan Coffin once stated, "The woman who most needs liberating is the woman who lives inside of each man." This, I think, is the great awakening that the increasing influence of female physicians has brought about. Early twentieth century physicians, armed with a new science, became efficient fighters of disease. Disease was the enemy, the cure was the victory, and the patient was too often merely the environment in which the encounter was fought. This is what was taught in medical school and residency. It was necessary to learn the lesson well in order to be protected against the pain of others and to abort any insidious tendency to identify with their misery. Many teachers believed in preventing the enervating perils of "emotional involvement." This is not to say that physicians were unkind to their patients, merely that they kept their distance. Patients were treated with respect and even with a kind of formalized dignity. Physicians were as gentle as they knew how to be. But they were men apart. They towered over the sick as an adult towers over a child. Today something within men is being liberated. To a great extent, I believe that women physicians have been essential in bringing this change to medicine. We now know that physicians are not compromised by allowing themselves to feel some of what their patients feel. They are strengthened by it. A patient's life, the setting of his illness, the rending of his soul, the anguish of his family and the hope for his recovery have all become as much a part of good care as knowledge of the serum sodium and what to do about it. Men have become better nurturers, more empathetic. And the thing that is being liberated from inside men is something that society has always seen as a feminine quality. The peak of the healer's art is in bringing both science and empathy to bear on disease. This is what being a physician should mean.(ABSTRACT TRUNCATED AT 400 WORDS)
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PMID:What's a woman doing in a place like this? 809 Dec 97

While AIDS seizes the headlines, other sexually transmitted diseases (STDs) create devastation of their own. In women STDs can lead to pelvic inflammatory disease, causing lifelong pain, infertility, and ectopic pregnancy, which can kill. Children are born with blinding eye infections. Men are left infertile. People die of advanced stages of syphilis. Furthermore, STDs multiply the transmissibility of HIV, the AIDS virus, as much as ninefold.
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PMID:Population reports. Controlling sexually transmitted diseases. 823 82

A prospective double-masked clinical trial was conducted to determine whether retrobulbar bupivacaine block had an effect on post-operative pain, nausea and intra- and post-operative use of analgesics in retinal detachment surgery performed under general anaesthesia. Thirty-two patients were randomized to have general anaesthesia with or without retrobulbar bupivacaine. Pain score was documented as 0-10 (0 = no pain. 10 = worst pain ever felt). Post-operative pain score was significantly lower in the retrobulbar block group during the first post-operative hours than in the control group. Men complained more about post-operative pain than did women. The patients in the retrobulbar group complained less about nausea. Significantly fewer patients in the retrobulbar group required parenteral pain relief during operation and the first 48 h after.
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PMID:Effects of retrobulbar bupivacaine on post-operative pain and nausea in retinal detachment surgery. 824 89


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