Pain Felt Research Articles

Effectiveness of Virtual Reality in Reducing Perceived Pain and Anxiety Among Patients Within a Hospital System: Protocol for a Mixed Methods Study.

Within hospital systems, diverse subsets of patients are subject to minimally invasive procedures that provide therapeutic relief and necessary health data that are often perceived as anxiogenic or painful. These feelings are particularly relevant to patients experiencing procedures where they are conscious and not sedated or placed under general anesthesia that renders them incapacitated. Pharmacologic pain management and topical anesthetic creams are used to manage these feelings; however, distraction-based methods can provide nonpharmacologic means to modify the painful experience and discomfort often associated with these procedures. Recent studies support distraction as a useful method for reducing anxiety and pain and as a result, improving patient experience. Virtual reality (VR) is an emerging technology that provides an immersive user experience and can operate through a distraction-based method to reduce the negative or painful experience often related to procedures where the patient is conscious. Given the possible short-term and long-term outcomes of poorly managed pain and enduring among patients, health care professionals are challenged to improve patient well-being during medically essential procedures. The purpose of this pilot project is to assess the efficacy of using VR as a distraction-based intervention for anxiety or pain management compared to other nonpharmacologic interventions in a variety of hospital settings, specifically in patients undergoing lumbar puncture procedures and bone marrow biopsies at the oncology ward, patients receiving nerve block for a broken bone at an anesthesia or surgical center, patients undergoing a cleaning at a dental clinic, patients conscious during an ablation procedure at a cardiology clinic, and patients awake during a kidney biopsy at a nephrology clinic. This will provide the framework for additional studies in other health care settings. In a single visit, patients eligible for the study will complete brief preprocedural and postprocedural questionnaires about their perceived fear, anxiety, and pain levels. During the procedure, research assistants will place a VR headset on the patient and the patient will undergo a VR experience to distract from any pain felt from the procedure. Participants' vitals, including blood pressure, heart rate, and rate of respiration, will also be recorded before, during, and after the procedure. The study is already underway, and results support a decrease in perceived pain by 1.00 and a decrease in perceived anxiety by 0.3 compared to the control group (on a 10-point Likert scale). Among the VR intervention group, the average rating for comfort was 4.35 out of 5. This study will provide greater insight into how patients' perception of anxiety and pain could potentially be altered. Furthermore, metrics related to the operational efficiency of providing a VR intervention compared to a control will provide insight into the feasibility and integration of such technologies in routine practice. DERR1-10.2196/52649.

Investigating the relevance of precordial pain and anguish for mental health

Investigating the relevance of precordial pain and anguish for mental health

Clinical manifestations of I-131 induced salivary gland dysfunction in patients with thyroid carcinoma

Aim: To carry out a retrospective analysis of the frequency and severity of clinical signs of radioiodine (131I)-induced damage to the salivary glands in the early and long-term post-radiation periods, and identify risk factors for their occurrence in patients with differentiated thyroid carcinomas. Methods: A total of 330 patients underwent thyroidectomy with dissection of lymphatic nodes. One month after surgery, all the patients received radioiodine therapy. The dose and number of courses varied depending on the stage and morphological type of the tumor. In the late post-radiation period, the patients were surveyed with the use of a standard questionnaire, which allowed retrospective assessment of the nature and severity of symptoms of radiationinduced damage, as well as the time of their onset/subsidence. Results: Radiation-induced sialoadenitis of the salivary glands was observed in 51.2% of patients treated with 131I. The main symptoms included pain and discomfort in the salivary glands (51.2% of patients), swelling (48.8%), transient or permanent dry mouth (38%), and distortion of taste (38%). There were statistically significant correlations between the presence and severity of the main clinical symptoms of salivary gland irradiation. A significant relationship (r = 0.91, p < 0.001) was found between swelling of the salivary glands and the feeling of pain or discomfort, which was indicative of inflammation and retention of saliva. Conclusion: The main factors influencing the formation of chronic radiation-induced sialoadenitis and the severity of the inflammatory process included the tumor stage, the total dose of radiopharmaceuticals, and the duration following radioiodine therapy.

Successful Root Canal Re-treatment of the Second Mandibular Premolar with type III of Vertucci Classification

Knowledge of the root canal system plays a significant role in avoiding the failure of root canal treatment. Premolar teeth may have several anatomical variations in their root canal system. A dentist must understand these root canal systems and their variation to conduct the appropriate treatment. The mandibular second premolar usually consists of a single root with a single root canal. The incidence of lower premolars with two or more root canals varied between 1.2% and 34%. This study aims to evaluate the success of root canal re-treatment of mandibular second premolars with type III Vertucci’s Classification. Case report: A 28-year-old woman visited our dental hospital with a pain sensation in her lower left premolar tooth. The subjective examination revealed that she had experienced pulp capping and root canal treatment last year. However, she felt pain and uncomfortable feeling on that treated tooth. A radiograph examination showed a radiopaque area from the crown edge to half of the root. The radiolucent area from the half tooth to the apical region showed root canal branching. The diagnosis for this tooth was previously treated teeth, asymptomatic apical periodontitis with type III of Vertucci’s Classification. Root Canal Treatment was done using crown down preparation technique and obturation with warm vertical condensation followed by class II composite resin composite as a temporary filling. Results showed that after three months of evaluation, the retreated-tooth condition kept showing good condition without any complaints, pain, or clinical abnormalities, suggesting it could function properly.

Medical Applications and Distribution of Borneol during the Joseon Period.

Borneol(yongnoe) was a fragrance and medicinal ingredient with unique efficacy. However, it could be produced only in tropical Southeast Asia and obtained only through international trade. In addition, camphor(jangnoe) with similar material properties was developed and distributed as an inexpensive replacement for borneol, although the processing method is different from that of borneol. Even in Joseon Korea, borneol and camphor were recognized as separate medicines, and efforts were made to obtain a high-quality borneol. Borneol and camphor have a unique effect of relieving inflammation, pain and heavy feeling, so it could be widely applied to symptoms in various diseases. During the Joseon period, borneol was a rare item that could only be obtained through foreign trade, and it was also used for perfumes and insect repellents, but most widely used as medicine. There are many records of actually prescribing borneol to the royal family, and many medicines containing borneol and its effective symptoms were also recorded in the medical books. Borneol was able to spread widely in Joseon society thanks to the practice of distributing 'nabyak' to court officials every year in the twelfth month of the lunar calendar. Since nabyak was used as a household medicine that was stored and used when necessary, pills containing borneol that could be applied to various symptoms were suitable for this purpose. Despite considerable medical demand, borneol was one of the important 'dangyakjae', the Chinese medicines imported to Joseon. During the Joseon period, borneol was imported through China and Japan, but genuine borneol was difficult to obtain, so it was often presented to Joseon as gifts of envoy trade. It is thought that camphor was also imported, but it is not well mentioned in official records or medical books reflecting national demand. Perhaps this is thought to be because the government prioritized securing better quality borneol rather than campher. In the early 17th century, due to the instability of the envoy's route to the Ming Dynasty, Joseon had to import borneol only through the sea. As a result, there were problems with the supply and quality of borneol, and national interest in Japanese borneol temporarily increased. However, as the relationship with the Qing Dynasty stabilized, a system was established to import national borneol demand through the annual envoy trade. Naeuiwon, the medical center for the royal family is in charge of securing and prescribing Chinese medicines, but the cost was covered by the silver paid by Hojo, the ministry of finance of Joseon Dynasty. Since the amount of Chinese medicines used in the preparation of nabyak was not small, the financial burden of importing enough medicines including borneol increased. The purveyors for government played a role in supplying Chinese medicines to the government. Their appearance shows that private merchants were actively involved in the trade of Chinese medicines including borneol. The formation of the medicinal market by private merchants' activities greatly contributed to the widespread expansion of the applications and distribution of borneol.

Application Of Pbm-Nir Therapy For Postpartum Mother's Discomfort In Maternity Nursing Care

Normal post partum is post partum discomfort due to uterine involution. Uterine involution in patients can cause pain in the uterus called afterpains. Discomfort caused by uterine involution requires various treatments to minimize the pain felt by the mother so that the mother's comfort can return. This can be overcome with non-pharmacological pain management strategies through innovative near infrared phototherapy or near infrared photobiomodulation (PBM NIR). The aim of this research is to analyze the results of implementing pain management with non-pharmacological PBM NIR therapy in normal post-partum mothers with post-partum discomfort nursing problems. Case study that focuses on the implementation of non-pharmacological nursing pain management techniques with PBM NIR therapy. The case study subjects were 3 normal post-partum maternal patients with the same problem, namely post-partum discomfort in the obstetrics room at the Muhammadiyah Hospital in Palembang. The results of the study showed that the implementation of non-pharmacological pain management techniques with PBM NIR therapy had an effective effect on dealing with post-partum discomfort with complaints of decreased discomfort, decreased moaning, and strong uterine contractions. Implementation of pain management can improve the comfort status of normal postpartum mothers. This study makes an important contribution to understanding of the role of nonpharmacological techniques in postpartum pain management, as well as highlighting the importance of implementing innovative therapies for labor, as well as highlighting the importance of implementing innovative therapies to improve the quality of care in postpartum mothers.

Do Parents Dental Neglect and Anxiety Affect Their Children s Dental Neglect and Anxiety

Aim: Dental neglect is an obstacle to obtaining the necessary dental care in protecting and maintaining basic oral health. Dental anxiety can cause difficulties in behavior management, maintenance of dental treatments, and poor oral hygiene. In this study, it was aimed to examine the relationship between dental neglect and anxiety levels of both parents and their children. Material and Methods: 220 people including 110 parents and 110 children were included in the study. The Dental Neglect Scale (DNS), Modified Dental Anxiety Scale (MDAS), and Visual Analogue Scale (VAS) were used for parents. In addition, the Dental Neglect Scale (DNS), the Faces version of the Modified Child Dental Anxiety Scale (MCDASf), and the Wong Baker Faces Pain Rating Scale (WBFS) were applied to children. The statistical analysis was performed using Spearman Correlation test and Mann Whitney-U test. Results: In the study, a positive correlation was found between parent’s and children's neglect scores (r=0.261; p=0.006). Likewise, a positive correlation was observed between the DMFT and anxiety scores of the children (r=0.237; p= 0.013). In addition, it was observed that there was a statistical correlation between the level of pain felt at the last dental treatment and anxiety in children (r=0.316; p=0.001). Conclusion: It was observed that the dental neglect of the children of parents who neglected their own oral health increased. It is thought that informing parents about the importance of oral health and the consequences of dental neglect will have positive effects on their children's oral health.

Prevalence study of musculoskeletal disorders among bank workers

Background: A formal worker is anyone who works for a business entity that has been registered at a government office. Those who work in the formal sector are identical to office work, with long duration of work, tend to be in a static position, and there are repetitive movements, thereby increasing the potential of musculoskeletal disorders (MSD). This can interfere with work productivity and work outcomes expected of formal sector workers. Methods: This study was a descriptive-analytic study with a cross-sectional approach with purposive sampling technique. Data was collected in June 2022 using a personal data questionnaire and the Nordic body map (NBM) questionnaire. Descriptive analysis was performed on the data using IBM SPSS 26 software. Results: Musculoskeletal complaints were found in the upper neck 8.8%, lower neck 6.8%, left shoulder 6.8%, right shoulder 5.4%, back 7.3% and waist 8.3%. Twelve people experienced moderate pain in the waist, 7 people experienced pain in the upper neck, and 2 people experienced very painful feeling in the waist. There were 35 respondents have a low MSD risk level 87.5% and 5 respondents have a moderate MSD risk level 12.5%. Conclusion: The respondents mostly had complaints around the upper neck, lower neck, left shoulder, right shoulder, back, and waist. There were risks of MSD in formal sector workers of risk of the MSD complaints experienced is predominantly low. The ergonomics approach can be applied to respondents with a higher level of risk. Keywords: Formal worker, musculoskeletal disorder, nordic body map, posture

Effectiveness Of Clittoria Ternatea And Zingibers Officinale Concoction On The Reduction Of Dysmenorrhea In Adolescent Girls

Dysmenorrhea or menstrual pain is abdominal pain originating from uterine abdominal cramps, occurring during menstruation due to sloughing of the endometrial layer. The prevalence of dysmenorrhea varies widely in various countries, ranging from 16-91%; the incidence in Indonesia ranges from 45-95%, while in the Special Region of Yogyakarta, as much as 52%, and in Sleman district, as much as 88.64%. The purpose of the study was to determine the effectiveness of steeping butterfly pea (Clitoria Ternatea) and ginger concoction(Zingibers Officinale) on reducing menstrual pain (dysmenorrhea) in adolescent girls. The research method used was Quasi Experiment Two Group Pretest-Posttest design. The subjects in this study were 90 respondents who experienced menstrual pain and met the criteria. Data analysis using the Wilcoxon test and Mann-Whitney test. The results of this study showed that the average menstrual pain before being given butterfly pea brew was 5.97. After being given Butterfly Pea Brew, the average menstrual pain was 0.51 with a P-Value 0.000 less than 0.05, meaning that there was a difference in menstrual pain felt before and after being given Butterfly Pea Brew. The mean value of menstrual pain before being given a ginger concoction is 6.02. After being given a ginger concoction, it decreased to 0.44 with a P-Value of 0.000 less than 0.05, meaning that there is a difference in menstrual pain felt before and after a ginger concoction. This study concludes that butterfly pea brew and ginger concoction effectively reduce menstrual pain (dysmenorrhea).

Thermal contrast enhancement predicts paradoxical heat sensation

Paradoxical Heat Sensation (PHS) is the remarkable feeling of warmth or heat pain while the skin is cooling. Despite its initial documentation over 100 years ago, a unified explanation for this perplexing experience remains elusive. Here we apply contrast enhancement principles, known for their instrumental role in understanding visual illusions, to the domain of thermosensation. Contrast enhancement describes the amplification of two contrasting visual features, such as the enhanced perception of an edge between a light and dark bar. In thermosensation, this encompasses an enhancement of the difference between sequential warming and cooling of the skin, and is defined as the normalised difference between successive temporal warm and cold temperatures. Remarkably, thermal contrast predicts the occurrence of PHS. Our findings reveal compelling evidence supporting the role of thermal contrast in the generation of PHS, shedding light on its underlying mechanism and offering a framework for broader encoding principles in thermosensation and pain.

The Impact of Different Anterior Cruciate Ligament Status on Unicompartmental Knee Arthroplasty: Short Term Clinical and Functional Results

Purpose: Purpose of this study is to compare the short-term results of unicompartmental knee arthroplasty applied stable knees regardless of the condition of the ACL and the application of unicompartmental knee arthroplasty and ACL reconstruction combined surgery applied to ACL deficient cases with anterior instability and to identify the condition and function of the ACL for success in this surgery. Patients and Methods: 80 out of the 105 patients who were operated in 2013-2015 and came for follow-up were included in the study and the patients were divided into four groups. The VAS pain score, KSS Score, WOMAC score, OKS questionnaires and joint range of motion measurements were conducted pre-operatively and post-operatively. One leg standing test, joint position sense measurement, and isokinetic muscle strength test were performed in post-operative controls. Results: There was no statistically significant difference between the demographic data and follow-up of the groups (p˃0.05). While there was a statistically significant difference in knee flexion between Group 2-Group 4 and Group 3-Group 4 in the pre-operative period, no difference was found in the post-operative period (p˃0.05). While there was no difference among the groups, knee joint range of motion in direction of extension declined in a statistically significant way in all four groups (p˂0.05). Pain felt postoperatively was the most in Group 1 and the least in Group 3. A statistically significant difference was found between Group 1 and Group 3 in the test performed with the eyes closed (p˂0.05). Conclusion: The presence of a functional anterior cruciate ligament is expected to make a positive contribution to surgical results especially in young patients with high activity expectation. Whether the patient’s ACL rupture is primary or secondary and his/her activity expectation should be effective in the choice of a surgical method.

Pages of Eugenie de Guerin’s “Diary” in the musical embodiment by Darius Milhaud

Statement of the problem. The vocal-instrumental cycle «D’un cahier inédit du journal d’Eugénie de Guérin» (“From the Unpublished Diary by Eugénie de Guérin”) op. 27 (1915) is a work by D. Milhaud that was composed when the composer was twenty-four years old. The literary source attracts attention for the fact that it was written not to demonstrate the literary talent of the poetess, but as a confession of the human soul. Currently, domestic musicology does not have significant experience in researching musical interpretations of works of this type, and the “Diary by Eugénie de Guérin” has never been translated into Ukrainian. The vocal-instrumental cycle of D. Milhaud, created on this poetic basis, has not been systematically analyzed. Therefore, the study of this little-known in Ukraine opus of one of the brightest composers of the “Group of Six” appears as an urgent research task. In addition, a detailed analysis of vocal and instrumental works of the era of modernism will contribute to a deeper immersion in the spiritual world of representatives of this artistic direction, as well as to the expansion of the modern performing repertoire. Objectives, methods, and novelty of the research. The purpose of the study is to systematically analyze the composer’s interpretation of the “poems with music” included in the vocal-instrumental cycle by D. Milhaud. The scientific novelty of it is due to the fact that D. Milhaud’s vocalinstrumental cycle «D’un cahier inédit du journal d’Eugénie de Guérin» op. 27 has not been studied in detail in the national musicology. For the first time it was considered to find out what musical means of expression the composer used to convey the idea declared by the author’s remark «douloureusement» («painful»), which accompanies all the numbers of the work. The work set the task of revealing the specifics of the means of musical expressiveness used by the composer to embody the semantics of poetic images related to the feelings of physical and mental pain that D. Milhaud found in the poetic original source. In the study, for the first time, a linear Ukrainian translation of the verbal text of D. Milhaud’s cycle is provided. Historical and contextual, comparative, systematic and analytical research methods were used. Research results and conclusion. «D’un cahier inédit du journal d’Eugénie de Guérin» is associated with the feeling of pain and sadness, which accompanies all three numbers. Each poem with music gravitates toward a certain tonal sphere. The composer refers to an extended tonality. This principle emphasizes the coloristic function of the musical palette of the work. The cycle reveals a montage type of drama and laconicism of expression. The texture of the vocal-instrumental cycle is polyphonized, especially in the third number, which has fugato features. The harmony is saturated with such intervals as fourth, fifth and tritone. This is associated with images of devastation, pain, mental and physical suffering. The use of fifth that dominates in the musical texture of the work and it is the semantic grain, the key of the intonational dramaturgy, is also served this goal. The vocal part is declamatory and recitative, close to the type of psalmody, the rhythm is complex, directly oriented to poetic versification. D. Milhaud tends to use variable sizes, which is connected with the specific of Eugène de Guérin’s verse technique, The analysis of the musical drama revealed leitintonemes and symbols: the intonemas of the bell sounds, lullaby, destiny, sigh, wheel. The prospects for further research related to the study of D. Milhaud’s vocal and instrumental works of the mature period, comparative analysis with early examples of his work and identification of the peculiarities of the formation of an individual style by the composer.

Self-compassion improves emotion regulation and mental health outcomes: A pilot study of an online self-compassion program for autistic adults.

Self-compassion is when we are aware of our feelings and thoughts, are friendly toward ourselves, and realize everyone feels pain and makes mistakes. Self-compassion is associated with having better mental health and well-being in autistic and non-autistic people. But we do not know if autistic people's self-compassion can be improved through psychoeducation and self-compassion practices. We co-produced an online self-guided self-compassion program based on evidence-based self-compassion practices for autistic adults called the Self-compassion Program for Autistic Adults. This program included live-experiences videos of autistic adults reflecting on their self-compassion and self-critical experiences. This study piloted the program with 39 autistic adults. We wanted to see if these autistic adults' self-compassion, emotion regulation, mental health, and psychological well-being improved after completing this program. We found that the autistic participants' self-compassion, emotion regulation, mental health, and psychological well-being improved significantly after completing the program over 5 weeks. We also found that just over half of the participants reported experiencing negative reactions associated with self-compassion practices. We suggested some clinical implications, including a recommendation for emotion regulation interventions to incorporate self-compassion to help promote access to the affiliative system. In addition, autistic adults who are psychologically vulnerable may need to work with mental health professionals while developing self-compassion to help manage the possible negative reactions associated with some self-compassion practices.

Prevalence of Plantar fasciitis in academic physical therapists of KMU affiliated Institutes and clinical physical therapists in tertiary care hospitals: A cross sectional study

Background: Plantar fasciitis is the most common cause of heel pain affecting both academic and clinical physical therapists. Risk factors for developing PF are; prolong standing, BMI >40, age, gender and inappropriate footwear. Its symptoms particularly aggravates in the morning while taking few steps. In general, PF is a self-limiting condition because of it resolves quickly. Aims: The aim of this study is to find the prevalence of plantar fasciitis and its association in academic and clinical physical therapists. Methods: This was cross sectional study to explore association of plantar fasciitis between academic and clinical physical therapists. 197 physical therapists were examined for plantar fasciitis by PFPS tool for plantar fasciitis pain. Plantar fasciitis Pain Scale questionnaire was filled by physical therapists for checking plantar fasciitis pain in physical therapists. Results: Individuals of mean age 25-28 were more prone to develop plantar fasciitis. Out of 197, 102 (53%) females and 92 (47%) males were likely to develop plantar fasciitis.28.9% of people with plantar fasciitis felt pain at the bottom of the heel. According to our study; regarding the relation between academic PT's, clinical PT's and VAS, data was gathered from PT's in the institutes and hospitals. The results were analyzed using chi-square test. The results of chi-square test revealed that there is a strong positive correlation (p <0.05) between two variables (p = 0.00). When academic and clinical PT's were associated with VAS, for both the percentage of moderate pain was 58.9% as they are more exposed to weight bearing so, there are more chances of plantar fasciitis development. Conclusion: Plantar fasciitis was mostly found among clinical physical therapists commonly affecting bottom sole area of the foot. Plantar fasciitis was positively associated with age, gender; however, PFPS was not associated with it.

Effect of Guggulu Tiktakam Kashayam in Uterine Fibroid

The most common benign uterine tumours affecting women in reproductive and perimenopausal stages are fibroids or leiomyomas. There is strong evidence that estrogen and progesterone promote the growth of fibroids, despite the fact that their exact aetiology is still unclear. This is because fibroids seldom arise before menarche and retreat after menopause. The most prevalent reason for hysterectomy is fibroids. Menorrhagia, polymenorrhoea, metrorrhagia, intermenstrual bleeding, infertility, repeated abortions, pain and pressure feelings, abdominal lumps, and vaginal discharge are a few of the symptoms they exhibit clinically. In Ayurveda there is no exact correlation for uterine fibroid. Fibroids can be considered as Mamsa Grandhis, one among the Grandhis described by Charaka and Vagbhata. They increase the surface area of the endometrial tissue in the uterus when present, causing excessive bleeding, pressure feelings, dysmenorrhea, and even infertility. Vata-Kapha predominant Tridoshas have a role in the aetiology of the Granthi Roga, necessitating the use of Vata-kaphahara medicines. As Granthi can also be caused by Mandagni, in Granthi chikitsa we can make use of Dravyas that are Deepana pachana. According to Acharya Susrutha, Sopha Chikitsa is included in the Apakwa Granthi chikitsa. In Mamsa granthi chikitsa, Shothagna, Lekhana, Chedhana, and Vatanulomana dravyas may be utilised. Asrigdara chikitsa and Raktapitta chiktsa can be used to treat fibroids when heavy, prolonged menstrual cycles are present. A 38 year old lady was presented with complaints of heavy, prolonged bleeding during menstruation along with lower abdomen pain. On USG she was diagnosed with uterine fibroids. Guggulu tikitakam kashayam was given for 3 months and after follow up symptoms were evaluated. She was relieved from prolonged heavy bleeding during menstruation and lower abdomen pain. From this case report, it is evident that Guggulu tiktakam kashayam is effective in uterine fibroids

Pengaruh Endorphin Massage Terhadap Intensitas Nyeri Punggung Pada Ibu Hamil Trimester III: Systematic Review

Objective: Back pain is an uncomfortable feeling that pregnant women often experience during the third trimester. The centre of gravity influences the enlargement of the uterus, which stretches outward. Not only that, weakening of the abdominal muscles, changes in body position, and pressure on the back are also influenced by the centre of gravity in the mother's stomach. As a result, the pregnant woman's back will be pulled backwards, and the pregnant woman will arch her neck. This posture causes the lower back to curve and pulls the back muscles, causing pain. Endorphin massage is a massage that stimulates the body to generate endorphin compounds as pain relievers. The research aims to understand and determine the effect of endorphin massage on the intensity of back pain in third-trimester pregnant women. Methods: The method used in this research is the systematic literature review method using the Google Scholar and Research database. The procedure for collecting articles is from quantitative research journals from the last ten years & has a minimum index of Sinta 5. Articles from research journals are searched using the keywords "Endorphin Massage" AND "Pregnant Women". After the article you are looking for matches, the keyword appears; it is then selected again so that five articles are found. Results: Of the five articles, most of them discussed the impact of complementary therapy, significantly endorphin massage, which can minimise back pain felt by pregnant women, and the results showed that there was an influence of endorphin massage on pregnant women in the third trimester. Conclusion: From this literature review research, it can be concluded that endorphin massage influences reducing the intensity of back pain in third-trimester pregnant women

Description of Female Students Skills in Carrying Out Endorphin Massage Techniques to Reduce Menstrual Pain

Introduction: Menstrual pain is pain felt during the menstrual cycle. The prevalence of primary Menstrual pain is generally experienced by adolescent girls aged 17-24 years by 67-90%. Menstrual pain has been identified as the most common menstruation-related cause of short-term school absenteeism among young girls. So menstrual pain in adolescents needs attention and information to provide appropriate treatment both pharmacologically and non-pharmacologically. Pharmacological treatment for menstrual pain can be overcome with analgesic drugs but causes addiction and dangerous side effects. One effective way to prevent menstrual pain is relaxation in the form of hand massage with endorphin massage techniques. This technique increases the release of endorphin and oxytocin hormones which function to reduce pain and based on research results show that the effectiveness of endorphin massage is more effective in reducing pain. Objective: The purpose of this research is to determine the description of female students' skills in carrying out endorphin massage techniques to relieve menstrual pain. Method: This study uses a descriptive research design. The sample in this study was determined using a quota sampling technique, namely as many as 32 respondents who fit the inclusion criteria. Result: The result of the research that respondents were able to carry out more endorphin massage technique, namely 20 people (62.5%), whereas 12 respondents (37.5%) were skilled at performing endorphin massage techniques. Conclusion: Most respondents were able to carry out the endorphin massage technique to reduce menstrual pain. In adolescent girls include menstrual conditions, unbalanced nutritional intake, eating and drinking patterns, non-compliance with Fe tablet consumption and lack of knowledge.

Factors associated with pain sensation in patients with ultrasound-guided prostate biopsy.

TRUS-guided prostate biopsy is a current method used to obtain the histopathological material necessary to make a definitive diagnosis of prostate cancer. To investigate patient-related variables affecting the level of pain felt during prostate biopsy to determine what can be done to minimize pain. The study included 241 patients scheduled for prostate biopsy. Four patients who did not meet the criteria were excluded. Local anesthesia was administered intrarectally 10 minutes before the biopsy to 237 patients, and a conventional 12-core biopsy was performed. The level of pain felt by all patients during the biopsy was measured using the Visual Analog Scale (VAS) score. Pain scores were compared by forming groups according to the selected parameters. The mean age of the 237 included patients was 66.0±7.8 years, the mean serum PSA level was 33.7±197.5 ng/dL, and the mean prostate volume was 33.7±197.5 ml. The mean VAS score was 4.3±1.9. The pain score was higher in patients with positive digital rectal examination findings and lower in patients using 5-alpha reductase inhibitors(5-ARİ). At the same time, no significant difference was found in patients with positive tumor pathology, perineural invasion, alpha-blockers, or combination therapy. Some patient parameters may affect the level of pain felt during TRUS-guided prostate biopsy.

Is chronic urticaria or urticarial vasculitis a diagnostic dilemma?

Introduction. Urticarial vasculitis (UV) is a rare disease that has two components: clinical manifestations of urticaria and histopathological signs of cutaneous leukocytoclastic vasculitis of small vessels, predominantly involving postcapillary venules. This condition is characterized by chronic or recurrent episodes of urticaria, each element of which lasts more than 24 hours and is accompanied by a feeling of pain and burning. The aim is to reveal the key points of pathogenetic mechanisms, differential diagnosis and therapeutic tactics of UV based on a clinical case. Clinical case. A clinical case of a 17-year-old boy with normocomplementemic UV is described. The patient's main complaint was a long-lasting rash (more than three weeks) with itching. From the anamnesis it is known that the provoking factors for the onset of the disease were an insect bite and the start of taking a new drug, namely vitamin K (two days before the onset of the disease). Throughout this time, the child was examined by various specialists and received treatment. Alternative diagnoses: bacterial folliculitis, viral exanthem, unspecified urticaria. There was no positive effect from the received treatment. The diagnosis of UV was made in the sixth week of the disease using a punch biopsy. Regression of the skin syndrome was achieved using a combination of antihistamine and antileukotriene drugs. Conclusions. Performing a punch biopsy, which is currently the gold standard for diagnosis, allows us to solve the diagnostic dilemma: “UV or chronic urticaria”. Timely diagnosis helps to avoid false diagnoses and, as a result, incorrect treatment of UV. The description of this clinical case is a contribution to the disclosure of this globally complex problem. The research was carried out in accordance with the principles of the Declaration of Helsinki. The informed consent of the child and child's parents was obtained for conducting the research. No conflict of interest was declared by the authors.

STRUVITE CRYSTAL UROLITHIASIS IN A 2 YEAR OLD CASTRATED MALE CAT

Urolithiasis, kidney failure, urinary tract infections are examples of disorders of the urinary tract that often become problems in cats. Urolithiasis is a medical term to describe the presence of stones or crystals known as “urolith” in the urinary tract. Inappropriate composition and feeding methods can cause nutritional imbalances in the cat's body, which can affect the acidity level (pH) of urine, urine volume and urine concentration which can cause the formation of excessive minerals in the urine. The aim of writing this article is to provide information regarding the treatment of crystal urolithiasis in local cats. A male cat named Goblin, has been castrated, has colored hair orange with body weight 5.3 kg, experiencing difficulty urinating since 3 weeks, excreting a small volume of urine, and blood in the urine. On physical examination the cat always curled up and felt pain when palpation was carried out abdominal part. The results of the cat's blood test showed leukocytosis, lymphocytosis, thrombocytopenia, and RDW CV increased and PCT decreased. The results of the cat's urinalysis showed presence of leukocytes +2, Protein +1, pH 8.0, specific gravity 1.030, Calcium +1, Microalbumin +1.Sediment test results also found the presence of deposits of magnesium ammonium phosphate crystal particles (struvite crystals).Results of urine culture examination bacteria were foundStaphylococcus sp. Ultrasound results showed enlargement of the left kidney and deposits of hyperechoic particles (crystals) accompanied by enlargement of the uterine sac. The cat was diagnosed with urolithiasis with a fausta prognosis. The cat was treated by installing a 4Fr/1.3x130mm urinary catheter and flushing using 0.9% physiological NaCl to make it easier for the cat to urinate. The therapy given is the antibiotic ciprofloxacin hcl 5 mg/kg BW s500 mg preparation with a dose of 50 mg/kg BW per oral (PO) administered 2 times a day for seven days, administering the anti-inflammatory dexamethasone 0.5 mg with a dose of 1 mg/kg BW PO and given 2 times a day for four days, and kejibeling herbal medicine 1 tablet times a day for seven days. Cats are also given feed therapy in the form of Royal Canin Urinary S/O for 3 months. Evaluation of the cat's condition improved after therapy for 7 days. There is a need to educate clients regarding cat care, feeding and drinking water. Therefore, the cat's feed in cases must be replaced by providing urinary therapy feed.