Pain Problems Research Articles

Female teleworkers with pain have the highest presenteeism, where its primary contributing variable was not those of musculoskeletal disability.

Presenteeism, among desk workers with pain can be affected by musculoskeletal disabilities (MSDs), working styles, and gender. In this study, teleworkers were defined as those who teleworked >70% of the time at home, while others were defined as non-full teleworkers. This study aimed to (1) compare the magnitude of presenteeism among four groups: male and female teleworkers with pain and male and female non-full teleworkers with pain, and (2) create a regression model of presenteeism with 66 independent biopsychosocial variables for each group. Data were collected through an anonymous online survey. Presenteeism was evaluated using the work functioning impairment scale. The 66 independent biopsychosocial variables included four disability measures, namely, stiff neck/shoulders, low back pain, and upper or lower limb problems, along with other factors relevant to presenteeism in previous studies, such as age, body mass index, comorbidities, work-related variables, pain catastrophizing, and various psychological distress measures. Data from 1068 male non-full teleworkers, 1,043 female non-full teleworkers, 282 male teleworkers, and 307 female teleworkers were analyzed. Presenteeism was the highest among female teleworkers with pain. Furthermore, in all models, overall psychological distress, rather than the four MSD measures, was the primary contributing factor for presenteeism.

Diagnosis of Celiac Disease in a Patient with Isolated Refractory Dyspepsia and GERD: A Case Report

Celiac disease is a chronic autoimmune illness that develops in genetically susceptible persons who consume gluten that causes damage to the small intestine. The average global prevalence of CD is between 0.5 and 1%, despite regional variations in the disease's frequency. In this report, we present a 34-year-old patient with a complaint of epigastric pain and burning with a history of nausea and vomiting. She complained of severe gastric pain, bloating, discomfort, burning, and digestive problems. Endoscopy and colonoscopy were performed due to her lower abdominal pain and it showed that the asymptomatic with isolated dyspepsia patient was diagnosed with celiac disease. Every six months, anti-TCG, IgG, and IgA levels were monitored and they improved at the same time that the patient's symptoms did. Endoscopy must be performed in young patients, who have no signs of celiac disease and have a positive laboratory test.

Socioeconomic inequalities in health problems in the first two years of life: Pelotas (Brazil) birth cohort, 2015.

Brazil is characterized by an unfinished agenda of health inequalities, which impact health problems in the childhood. This study aimed to evaluate the socioeconomic inequalities of health problems in the early childhood. This is a prospective study, using data from the birth cohort carried out in the city of Pelotas (Rio Grande do Sul State, Brazil) in 2015. The outcomes were health problems presented at 12 and 24 months: cough, breathing difficulty, diarrhea, ear pain, pneumonia, urinary infection, hospitalization, and other health problems. Socioeconomic inequalities were measured applying the slope index of inequality (SII) and the concentration index (CIX), with wealth index and maternal schooling being the socioeconomic variables. The inequalities in the number of health problems were evaluated by Poisson regression. The perinatal sample comprised 4,275 children. At 12 months approximately 74% of the children presented 1 or more health problems, while at 24 months, approximately 44% presented 2 or more health problems. For all period, the mean number of health problems was 2.9 (standard deviation = 2.0). Higher frequencies were observed for children belonging to the poorest income quintile and with lower maternal education, except for 1 or more health problems at 24 months. The greatest absolute and relative inequality was observed for 2 or more health problems at 12 months (SII: -0.23, 95%CI: -0.29; -0.18 and CIX: -0.19, 95%CI: -0.25; -0.14). There is an opposite dose-response relation for the risk of accumulation of health problems according to maternal schooling (1.07, 95%CI: 1.04; 1.09) and wealth categories (1.03, 95%CI: 1.01; 1.04), in the full adjusted models. The study confirms inequalities due to health problems in Brazilian children, especially in the first year of life.

Prevalence of Gram positive bacteria in the affected individuals of Otitis media with effusion from the indigenous population of Southern Punjab, Pakistan: first report.

Otitis media with effusion (OME) is a type of otitis media (OM) characterized by the presence of fluid behind intact tympanic membrane and is one of the most common diseases of early childhood. It is an infectious disease associated with the presence of many pathogenic bacteria in the middle ear of affected individuals. This study was aimed to determine the prevalence of Gram-positive bacteria from the middle ear of OME patients in the population of Southern Punjab, Pakistan. The incidence of OME under comprehensive healthcare setting was investigated in patients who consulted at the department of ear, throat and nose, Bahawal Victoria Hospital (BVH), Bahawalpur, from December, 2019 to May, 2021. Ear swabs were taken from affected and normal individuals. After culturing bacteria from the ear swabs, microscopic analysis and biochemical tests were performed to characterize the cultured Gram-positive bacteria. Out of 352 patients examined, 109 (30.9%) patients had OME. Age of the participants ranged from 14 to 50 years; individuals between the ages of 14 and 22 years had the highest infection rates, while individuals between 40 and 50 years had the lowest rate of infection. Tympanic membrane perforation, fever, cough, sore throat, ear pain and hearing problem showed association with symptoms of OME. Microscopic analysis and biochemical characterization showed the presence of streptococci and staphylococci in all the studied samples. The most frequently isolated bacteria were Streptococcus pneumoniae, Streptococcus pyogenes, and Staphylococcus aureus with percentage of 53.3%, 20% and 13.3% respectively. Enterococcus faecalis (6.6%) and Staphylococcus epidermidis (6.6%) were also identified in the studied samples. This study will help in the better medical administration of OME affected individuals.

«Я буду свидетельствовать о том, что помню»: роман Я.М. Рымкевича «Умшлагплац»

The article analyses the novel Umschlagplatz (1988) by a significant Polish writer and literary critic, J.M. Rymkiewicz, which deals with a twice iconic space (Warsaw’s Umschlagplatz — pars pro toto of the Holocaust and the painful problem of Polish- Jewish relations during and after the Second World War). The article aims to determine the novel’s place in the ongoing debate in Polish society about Polish complicity in the Holocaust since the second half of the 1980s. The analysis of the complex text construction covers the relationship between poetics and the problem of testimony, the modality of fiction. Generated by an acute sense of the blatant non-presence of the space of the Jewish tragedy in Polish historical consciousness as a place of memory, guilt, and shame, Rymkiewicz’s novel appears as a postulate of commemoration and empathy addressed to Polish society, a call for recognition and comprehension of the traumatic past. Umschlagplatz was a significant artistic and ethical step in preparation for working through the Holocaust-related Polish trauma, complicated by the persistence of the heroic-romantic self-identification of Polish society.

Therapeutic Analysis of Bay Leaf Decoction as an Intervention of Acute Pain Nursing Problems With Hypertension

Health problems can arise at a stage according to family development, one of which is the development of elderly families. A problem that often arises in the elderly is Hypertension. Medical management of hypertension, one of which is medicinal and non-medical, namely herbal medicine with bay leaf decoction. Prevention of hypertension one is by means of complementary therapy, namely bay leaf decoction. This study aimed to analyze bay leaf decoction therapy in hypertensive clients with acute pain nursing problems at the stage of development of elderly families. The research method used is descriptive, the implementation of research by providing bay leaf decoction therapy for 3 days drunk morning and evening. The results of acute pain problems were resolved before the patient's TD therapy was 170/100 mmHg, and after bay leaf decoction therapy, the patient's TD became 150/80 mmHg. The patient's pain also decreased from a scale of 6 to a scale of 3. It can be concluded that there is a hypertension-related influence on the elderly with pain problems with bay leaf decoction therapy

Reflection of Dalit Aesthetics and Consciousness in Prakash Nepali's Andho Samāj

This article explores the aesthetic features and values and consciousness in Prakash Nepali's Andho Samāj. The concept of Dalit aesthetics developed in literature includes the various characteristics and issues of Dalits. It embeds many facets of Dalits and their problems connected to caste, culture, economy and society. Nepali’s Andho Samāj elevates diverse problems and complications of Dalits including inter-caste relation, caste system, poverty and cultural practices in the society. In the novel, major Dalit characters try to revolt against the socio-cultural and economic difficulties and barriers through social intermingling and assimilation. They seek the freedom from all forms of restriction, prohibition and difficulties of caste and culture; and, plead for equality, justice and dignity of Dalits. However, the characters such as Hari and Sandhya encounter with suppression, insult and discrimination from the parents, family members and society themselves; and, they are compelled to commit suicide together. Hence, the novel portrays the pain, anger, sufferings and other numerous problems and also resistance, protest and revolt linked to caste, culture, gender and varna system which are considered as aesthetic features and norms of Dalit literature. For that, the researcher applies the concept of Dalit aesthetics and consciousness as theoretical tool and also employs the qualitative approach with explorative methods.

Secretome Therapy, Potential Treatment for Rotator Cuff Tear: A Case Study

Introduction: Rotator cuff tears (RCTs) are the most frequent pathologies within the shoulder girdle, and this injury is the most commonly diseased tendons in the human body. RCTs can cause pain and weakness in the shoulder. A 42-year-old woman had right shoulder pain and arm lift problems for almost a year. Ultrasonography revealed a full-thickness Supraspinatus tear. The patient underwent an Ultrasound-guided supraspinatus tendon injection of 2 ml umbilical cord Mesenchymal Stem Cell (MSC) secretome.
 Methods: This is a case report analyzing the role of secretome therapy in rotator cuff tear potential treatment. The study was conducted at RSCM Hospital.
 Results: At the one-week follow-up, the patient's Shoulder Pain and Disability Index (SPADI) score decreased from 56,9% to 48,5%, her pain scale reduced from 8 to 6, and her shoulder Active Range of Motion (AROM) improved. After a month, there was an improvement in her shoulder AROM. However, the ultrasound shows no significant improvement in the supraspinatus tear structure after the secretome injection.
 Conclusion: Secretome has a potential effect on reducing pain and improving functional outcomes in rotator cuff tears. These findings raise the prospect of secretome as a potential regenerative therapy for rotator cuff tears.
 Keywords: mesenchymal stem cells conditioned-medium, rotator cuff tear, secretome, supraspinatus tear.

Knowledge on cause, clinical manifestation and treatment for fibromyalgia among medical doctors: A worldwide survey.

Hench introduced the fibromyalgia syndrome almost 50 years ago. In the meantime, the prevalence has increased, the clinical criteria have changed and the way we explain (chronic) pain has altered. In the current study, we conducted a worldwide survey in which we investigate whether medical doctors are familiar with the American College of Rheumatology (ACR) criteria for fibromyalgia and, if so, whether these medical doctors adhere to the clinical guidelines following evidence-based treatments. In total, 286 medical doctors from 43 countries spread over 6 continents filled out the survey. In most of the countries, the diagnosis fibromyalgia was used. Only 10% adhere to the ACR criteria, widespread pain (44%), unrefreshed sleep (24%), fatigue (20%) and cognitive problems (8%) were most used diagnostic criteria. Of the respondents, 94 (32%) mentioned that the cause is unknown or idiopathic, but also a wide variety of other causes was mentioned. More than 70 different treatment options were provided, of which 24% of the responses were classified as according to the clinical guidelines. From this study, we conclude that many medical doctors do not follow the ACR criteria; the majority has an inappropriate knowledge of causes for fibromyalgia and that a minority of treatment advice adhere to the guidelines.

Stunting dan Malnutrisi Penyebab Kelainan Email Gigi Anak dan Early Childhood Caries (ECC): Komprehensif Review

Background: Childhood dental health is a vital component of overall well-being, with Early Childhood Caries (ECC) and defect enamel being major concerns. This article explores the intricate connection between stunting, malnutrition, and the development of defect enamel and ECC in children. Methods: Narrative review use Pubmed and Google Scholar databases with article inclusion criteria, namely research articles and reviews that discuss the relationship between enamel defects and malnutrition and ECC with malnutrition Results: Childhood malnutrition, characterized by inadequate intake of essential nutrients, poses a significant global health challenge. Stunting, a manifestation of chronic malnutrition, adversely affects physical growth and cognitive development in children. However, the link between malnutrition and dental health has not received adequate attention. This article examines the mechanisms through which malnutrition, specifically stunting, can contribute to the development of defective enamel in children. Nutritional deficiencies, particularly in calcium, vitamin D, and fluoride, are identified as key culprits in compromising enamel formation and strength. Weakening of the enamel leaves teeth vulnerable to dental caries, including ECC, which can lead to pain and long-term oral health problems. The complex relationship between malnutrition, stunting, defect enamel, and ECC calls for multifaceted solutions. Conclusion: This article highlights the importance of holistic public health initiatives, which encompass nutritional education for caregivers and improved access to dental care services for at-risk children. Interdisciplinary collaboration among healthcare professionals is emphasized to address the synergistic nature of these interconnected health challenges.

Effectiveness of Kinesio Video and Pelvik Roxing Exercise Video on Reducing Back Pain of Third Trimester Pregnant Women

Background: Back pain in pregnant women is a common problem that is often experienced during pregnancy, especially in the third trimester. Back pain in pregnant women not only interferes with the mother's quality of life, but can also affect fetal well-being and the delivery process. In an effort to address the problem of back pain in pregnant women, various physical therapy methods have been developed. Two methods that have gained attention are Kinesio techniques and Pelvic Roxing Exercises.
 Method: This research is a quantitative research with a pre-experimental study that uses a one group pretest-posttest design with no control group. The sample of this study was third trimester pregnant women at PMB Latifah and PMB Zainab Jambi City as many as 60 pregnant women. The sampling technique used purposive sampling technique. This research instrument is a questionnaire. Data were analyzed using the mann whitney test.
 Results: The results showed that in the Kinesia Taping therapy group it was known that before being given Kinesio Taping treatment, the scale of back pain felt by respondents was 67% feeling moderate pain and 33% feeling severe pain controlled. After being given Kinesio Taping, the pain scale felt by respondents was 57% feeling mild pain and 43% feeling moderate pain. In the Pelvic Roxing Exercise therapy group, it is known that before being given Pelvic Roxing Exercise therapy, the scale of back pain felt by respondents is 9% feeling mild pain, 70% moderate pain and 21% severe pain controlled. After being given Pelvic Roxing Exercise therapy, the scale of back pain felt by respondents was 77% mild pain and 235 moderate pain. The results of the mann whitney test obtained p-value = 0.041, p-value <0.05 so that there is a significant difference between the results after kinesio taping and pelvic roxing exercise interventions
 Conclusion: Based on the results of the study, it can be concluded that there are differences in the scale of back pain in third trimester pregnant women before being given kinesio taping therapy and pelvic roxing exercise with after being given kinesio taping therapy and pelvic roxing exercise.

The Prevalence and Risk Factors of Low Back Pain Among Healthcare Workers in Asia

Intorduction: Low Back Pain is a musculoskeletal disorder and not a disease. Among healthcare workers (HCw), this is the disorder they experience most often, and knowledge about the prevalence of of low back pain (LBP) and its risk factors among healthcare workers is important to determine appropriate training for them The purpose of this study was to identify the magnitude of low back pain (LBP) problems in HCw as well as to determine which risk factors are determinants. Method: This study used a systematic review via meta-analysis guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: Through a search of 13 articles from several countries in Asia, which analyzed 5753 respondents (1080 or 18.8% were males and 4673 or 81.2% were females), the average prevalence of LBP was 58.1%. This value was calculated without estimating the time span of its occurrence. If this range was calculated, of the 11 articles that calculated the lifetime incidence of LBP, the average was 60%. The risk factors were manual patient removal, heavy object lifting, sex, age, stress, type of work, workplace environment, and work duration. Conclusion: This study found a high prevalence, and there are still many risk factors for LBP that require special attention. Healthcare workers are advised to pay attention to ergonomics and working behavior, while hospital leaders are advised to conduct training on the risk factors of LBP.

APPLICATION OF DEEP BREATHING TECHNIQUES IN REDUCING POST SECTIO CAESAREA PAIN

Introduction: This case study is motivated by the increasing number of sectio caesarean deliveries. The number of deliveries using the Sectio Caesarea (SC) method in West Java reached 15.48% of 5,850 people. Problems that arise after sectio caesarea is pain in the incision wound caused by tearing of the tissue. tissue.
 Objective : This case study aims to determine the description of nursing care for Mrs. E P3A2 with acute pain problems in the Postpartum Room of AlIhsan Hospital, West Java Province.
 Method: The case study method in this scientific paper uses the case study method.
 Result: Results after five days of nursing action on Mrs. E with the problem of acute pain can be resolved assisted by non-pharmacological measures. pharmacological deep breath relaxation techniques and the pain scale decreases every day.
 Conclusion: The management of deep breath relaxation techniques was able to reduce the pain scale in Mrs. E P3A2 with acute pain problems. It is recommended to the nursing profession to be directly involved in handling care in post SC patients with acute pain problems.

Clive Staples Lewis, Learning in War-Time, Mere Christianity, The Great Divorce, The Screwtape Letters, The Problem of Pain

Clive Staples Lewis, Learning in War-Time, Mere Christianity, The Great Divorce, The Screwtape Letters, The Problem of Pain

Penerapan Tindakan Terapi Musik Pada Pasien Cedera Kepala Ringan Dengan Masalah Nyeri Akut Di Rumah Sakit Bhayangkara M. Hasan Palembang

Background: Data obtained from the Palembang city health office that the incidence of head injuries in 2018 there were (16.15) patients. Head injury (trauma capitis) is a mechanical injury that directly or indirectly affects the head that results in head wounds, fractures of the bones of the skull, tearing of brain membranes, and damage to brain tissue, as well as resulting in neurological disorders. One of the nonpharmacological therapies that can be given to patients who experience pain in minor head injuries is music therapy. Objectives: to gain real experience and knowledge and to document the application of music therapy to pain scales in nursing care for minor head injuries. Methods: this type of scientific paper uses a descriptive method with a case study approach to explore the problem of nursing care in two patients with minor head injuries. Nursing care was carried out on two patients, which was carried out on June 15 to 17, 2022. Results: from music therapy actions to Mr. A and Mr. D with the first diagnosis of acute pain related to physical injury agents. The results of the evaluation of the first patient, Mr. A, found that the patient experienced a decrease in the pain scale to 3 (mild), before music therapy the pain scale was 5 (moderate), the pain problem was resolved, and the intervention was stopped. For the evaluation, the second patient, Mr. D, obtained a pain scale of 2 (mild), before music therapy the pain scale was 4 (moderate), the pain problem was resolved, and the intervention was stopped. Conclusion: the results of the nursing evaluation on Mr. A and Mr. D problems resolved the intervention was stopped. It can be concluded that music therapy can reduce pain in patients with mild head injuries.

Modern Approaches to MRI Diagnostics of Forefoot Pathology (Literature Review)

Summary. The problem of pain in the forefoot is extremely relevant in the medical and social spheres. Diseases and injuries of the foot account for 6-12% of the total number of all injuries and diseases of the musculoskeletal system. The article is devoted to the main diagnostic capabilities of magnetic resonance imaging (MRI) for pathology of the forefoot, determining the indications for examination of the patient and protocols for examining the foot.

The Problem of Pain in Rheumatology: Variations in Case Definitions Derived From Chronic Pain Phenotyping Algorithms Using Electronic Health Records.

The aim of this study was to investigate and compare different case definitions for chronic pain to provide estimates of possible misclassification when researchers are limited by available electronic health record and administrative claims data, allowing for greater precision in case definitions. We compared the prevalence of different case definitions for chronic pain (N = 3042) in patients with autoimmune rheumatic diseases. We estimated the prevalence of chronic pain based on 15 unique combinations of pain scores, diagnostic codes, analgesic medications, and pain interventions. Chronic pain prevalence was lowest in unimodal pain phenotyping algorithms: 15% using analgesic medications, 18% using pain scores, 21% using pain diagnostic codes, and 22% using pain interventions. In comparison, the prevalence using a well-validated phenotyping algorithm was 37%. The prevalence of chronic pain also increased with the increasing number (bimodal to quadrimodal) of phenotyping algorithms that comprised the multimodal phenotyping algorithms. The highest estimated chronic pain prevalence (47%) was the multimodal phenotyping algorithm that combined pain scores, diagnostic codes, analgesic medications, and pain interventions. However, this quadrimodal phenotyping algorithm yielded a 10% overestimation of chronic pain compared to the well-validated algorithm. This is the first empirical study to our knowledge that shows that established common modes of phenotyping chronic pain can lead to substantially varying estimates of the number of patients with chronic pain. These findings can be a reference for biases in case definitions for chronic pain and could be used to estimate the extent of possible misclassifications or corrections in using datasets that cannot include specific data elements.

Management of giving warm compresses to the abdominal wall with pain problems

Warm compress therapy on the abdominal wall has been known as a practical approach to overcoming pain problems. Through increasing local temperature, this therapy can relieve muscle tension, improve blood circulation, and provide pain relief. Qualitative research with a descriptive case study approach. The subjects of this case study used 2 clients with the same diagnosis, the same problem, and the same application of intervention. The results found that the pain felt in both patients, Mrs. R and Mrs. W experienced a significant decrease daily. On day I, Mrs. R, the pain experienced on a scale of 5 and decreased; on day 3, the pain was no longer felt. While Mrs. W on the day I, the pain experienced with skal 4. After compressing warm water on the dining abdomen, the pain felt every day was reduced and disappeared or did not feel pain on day 3 after the implementation. The conclusion of applying warm compress therapy is that this method gives patients greater control in managing their abdominal pain. With a deep understanding of the effectiveness of warm compress therapy, it can be a valuable element in a holistic pain management strategy.

LOW BACK PAIN CAN BE TREATED WITH SIMPLE EXERCISES AT HOME

Activities of daily living are the most common activities that cause low back pain in housewives. 75-85% of the population has suffered from low back pain at least once in their lifetime. This problem recurs and continues with more severe problems. One solution to overcome the problem of low back pain is to provide counseling and demonstration of how to overcome low back pain with simple exercises at home. This community service was conducted on housewives with complaints of low back pain as many as 60 people, then given a lecture on proper activities and exercises to overcome low back pain simply. Evaluation was carried out twice (pretest and posttest) by giving a questionnaire that could reveal the level of knowledge and skills as well as observation and question and answer to assess the knowledge and skills of housewives. The results of the implementation of this community service obtained a level of knowledge of housewives of 91.7% and skills of 90%. This activity was carried out with the team. The participants were very active during the activity with a question and answer session

Progressive Muscle Relaxation Therapy in Hypertensive Elderly with Acute Pain

Hypertension is a major health problem that occurs in the elderly. The prevalence of hypertension increases with ageing. Pain is a problem that can be caused by several conditions, such as hypertension. Progressive muscle relaxation therapy can be used to lower blood pressure. This research aims to determine the application of progressive muscle relaxation therapy in the elderly who experience hypertension with acute pain nursing problems. This research uses a case report method that describes the case of Mrs A, who has acute pain nursing problems at Dahlia room, UPT PSTW Jember. Nursing care is provided comprehensively for three days with a duration of 15 minutes for each meeting. The results were obtained after being given nursing care with progressive muscle relaxation therapy interventions. Namely, there was a decrease in pain levels and complaints of pain with results on the first day pre-intervention blood pressure 150/100 mmHg post-intervention 140/90 mmHg, and pre-intervention pain complaints scale 5 NRS post-intervention 5 NRS. On the fifth day, the results of pre-intervention blood pressure were 140/90 mmHg, post-intervention 130/90 mmHg, and pre-intervention pain complaints 3 NRS, post-intervention 3 NRS. The average blood pressure for five days was pre-intervention 144/98 mmHg, post-intervention 134/90 mmHg, and pre-intervention pain complaints 4.2 NRS post-intervention 3.8 NRS. Progressive muscle relaxation therapy, which is carried out three times with a duration of 15 minutes, can have an effect on reducing blood pressure and reducing acute pain problems.