conclusions instillation of ropivacaine 0.2% (30 ml) within tubeless pcnl surgery does not have a significant effect on postoperative pain relief and improvement of pef within 6 hours after the operation. results we found no difference in the mean pain severity score between the case and control groups 4 hours (p = 0.332) and 6 hours (p = 0.830) after the operation. the mean pef at baseline was...

BACKGROUND Anticonvulsants are regarded as useful for the treatment of neuropathic pain. In this study, we evaluated the efficacy and occurrence of side effects of lamotrigine (LTG) in comparison with carbamazepine (CBZ), in trigeminal neuralgia (TN) patients. METHODS The study was an interventional and crossover comparison. Twenty-one patients with TN were administered with LTG in comparison...

Acute painful episodes among patients with sickle cell disease may occur in any body part or several sites simultaneously. The reasons for inadequate pain relief for this patient group are complex. Prompt, accurate pain assessment is the cornerstone of effective pain management and a comprehensive, multidisciplinary team strategy is essential, particularly for managing patients with frequent ac...

with the eight sassanians reliefs, naghsh-e rustam in marvdasht is a prominent complex safeguarding a complete collection of the sassanian period. seven of these reliefs have been repeatedly the subject of investigations thanks to their relatively better conditions. the fifth relief, however, has not yet been studied due to their damaged status. it depicts the full-face portrait of a sassanid k...

BACKGROUND Enthesopathies are a common cause of axial pain that is amenable to "minimally invasive" therapy. OBJECTIVE To evaluate the effectiveness of injection therapy for enthesopathies. DESIGN Single blinded, randomized, and cross-over study. METHODS Thirty-five patients diagnosed as having painful enthesopathies as a major pain generator were studied. Of the patients studied, 86% of ...

Background. To assess the impact of surgical relief of left ventricular outflow obstruction on myocardial perfusion abnormalities in patients with obstructive hypertrophic cardiomyopathy, 20 symptomatic patients who underwent a septal myectomy or mitral valve replacement were studied with assessment of myocardial perfusion during exercise by 20UT1 emission computed tomography before and 6 month...

Opioids are the basis for managing cancer-related pain. Pain assessment and management are critical competencies for the clinical care team to improve quality of life for patients with cancer. Knowledge and application of evidence-based practice approaches to cancer pain relief, including the principles of equianalgesic dosing, opioid switching and rotation, and use of coanalgesics, can lead to...

INTRODUCTION Osteoarthritis (OA) pain is a major cause of long-term disability and chronic pain in the adult population. One in five patients does not receive satisfactory pain relief, which reflects the complexity of chronic pain and the current lack of understanding of mechanisms of chronic pain. Recently, duloxetine has demonstrated clinically relevant pain relief, but only in half of treate...