These results suggest that dexmedetomidine provides analgesia, adequate sedation and surgical comfort without adverse effects for patients undergoing functional endoscopic sinus surgery under local anaesthesia.
Objectives: To investigate health anxiety and depressive symptoms in patients with fibromyalgia syndrome (FMS). Methods: Patients with FMS and healthy control subjects were recruited. All participants completed the Health Anxiety Inventory Short Form (HAI-SF) and Beck Depression Inventory (BDI). Pain was assessed in patients with FMS using the Fibromyalgia Impact Questionnaire (FIQ) and Visual Analogue Scale (VAS). Results: This study involved 95 patients with FMS (15 male) and 95 healthy controls (17 male). Mean AE SD HAI-SF and BDI scores were significantly higher in patients with FMS ¼ than in controls¼. HAI-SF scores were 23.50 AE 10.78 and 9.38 AE 4.24 respectively; BDI scores were 18.64 AE 10.11 and 6.21 AE 4.05 respectively. There were highly significant correlations between FIQ and HAI-SF, FIQ and BDI, and HAI-SF and BDI. Conclusions: Patients with FMS had significantly higher HAI-SF and BDI scores than healthy controls. Psychiatric support is essential for patients with FMS. Treatment should include biological, psychological and social approaches.
[Purpose] To compare outcomes of anterior cruciate ligament (ACL) reconstruction after
open kinetic chain (OKC) exercises and closed kinetic chain (CKC) exercises. [Subjects and
Methods] The subjects comprised 11 female and 47 male patients who are randomly divided
into two groups: which performed a CKC exercise program Group I and Group II which
performed an OKC exercise program. Pain intensity was evaluated using visual analogue
scale (VAS). Knee flexion was evaluated using a universal goniometer, and thigh
circumference measurements were taken with a tape measure at baseline and at 3 months and
6 months after the treatment. Lysholm scores were used to assess knee function. [Results]
There were no significant differences between the two groups at baseline. Within each
group, VAS values and knee flexion were improved after the surgery. These improvements
were significantly higher in the CKC group than in the OKC group. There were increases in
thigh circumference difference at the 3 and 6 month assessments post-surgery. A greater
improvement in the Lysholm score was observed in the CKC group at 6 months. [Conclusion]
The CKC exercise program was more effective than OKC in improving the knee functions of
patients with ACL reconstruction.
Purpose.To compare the efficacy of autologous blood injection versus corticosteroid injection for lateral epicondylitis. Methods. 21 men and 59 women (mean age, 45.2 years) presenting with lateral epicondylitis were randomised to receive either autologous blood injection (2 ml of autologous venous blood mixed with 1 ml of 2% prilocaine hydrochloride) or corticosteroid injection (1 ml of 40 mg methylprednisolone acetate mixed with 1 ml of 2% prilocaine hydrochloride) given by a single physician. Patients were assessed before (day 0) and after (days 15, 30, and 90) treatment for elbow pain (using a visual analogue scale [VAS]), function (using the patient-rated tennis elbow evaluation [PRTEE] questionnaire), and grip strength (using a hydraulic hand dynamometer). Patients were followed up at 6 months by telephone to assess elbow pain using the VAS. Results. No complications (infection, skin atrophy, neurovascular damage, or tendon rupture) were
Wedge resection of nail matrix has a considerably high recurrence rate. Furthermore, narrowing of the nail plate is a disadvantage of this procedure. All patients should be informed about the possibility of recurrence and disfigurement in their toenails (narrow nail plate). Particularly, female patients who care about the cosmesis may be dissatisfied with this surgical technique.
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