Pain Felt Research Articles

EDUKASI LATIHAN UNTUK NYERI PUNGGUNG BAWAH PADA LANSIA DI RW 17 POSLANSIA MOJOSONGO SOLO

Reduced functional ability followed by decreased physical activity has a relationship with age and gender. men and women are at the same risk, ranging from reduced muscle strength to endurance. One disorder that is a common health problem in the world and affects almost the entire elderly population is low back pain. Low back pain is pain felt in the lower back area, not a disease or diagnosis for a disease but is a term for pain felt in the affected body area with various variations in the duration of pain. The purpose of this counseling activity is to provide knowledge about low back pain and exercise education to reduce pain intensity. The activity method used is counseling using leaflets with low back pain material and exercise education. The main targets were members and cadres of the elderly posyandu in RW 17 Mojosongo Solo. The result of this counseling is an increase in public understanding and knowledge about low back pain and exercises to reduce this pain. This proves that the counseling method using leaflets is quite effective. It can be seen from the results of the pre-test and post-test participants who showed an average increase of 45%.

Deep Neck Infection: A Case Series

Background: Deep neck abscess is a collection of pus (pus) in the potential space between the fascia of the deep neck due to spread from various sources of infection, such as teeth, mouth, throat, paranasal sinuses, ears and neck. Various spaces can be a place for deep neck abscesses including the submandibular, peritonsillar, parapharyngeal, retropharyngeal, submental, parotid, anterior visceral, carotid, and masseter spaces. Inflammation or damage to chronic problem teeth can lead to complications of deep neck abscesses. The main complaint that causes sufferers to come to the hospital is dysphagia, which is difficulty swallowing due to the pain felt by the patient. These complaints can also be accompanied by trismus, stridor caused by tracheal compression, to airway obstruction. Purpose: To determine the progressivity of deep neck abscess so that it can provide medical management until operative incision and drainage. Case report: We report 5 cases of deep neck abscess with management according to the progress of each case. Conclusion: The most common cause or etiology that can lead to deep neck abscess is toothache. Management of deep neck abscess, starting with the administration of empirical antibiotics which is the first step to reduce the infection of bacteria that produce beta lactamase. In deep neck abscess, medical therapy can be given in the form of an antibiotic combination of ceftriaxone with metronidazole, or meropenem with metronidazole as well as surgery in the form of incision and drainage. Treatment can be chosen based on the presence or absence of warning signs and signs of complications. Incision and drainage is performed when complaints do not improve after administration of antibiotics, multiple abscesses and airway obstruction that threatens the patient's life.

Fat Emboli with Thrombocytopenia in A Patient Undergoing Operation for A 1/3 Medial Humerus Oblique Fracture

Fat embolism is a clinical syndrome characterized by the systemic spread of fat emboli which often occurs due to fractures in long bones. We report a 29 year old man with a diagnosis of a fracture of the medial third of the right humerus accompanied by thrombocytopenia which could be one of the clinical manifestations of pulmonary embolism. A 29 year old man came to the emergency room at RAA Soewondo Pati Regional Hospital with complaints of pain in his right hand 2 hours before entering the hospital. The patient felt pain after falling and slipping at home. Physical examination revealed tachycardia and tachypnea. Humeral x-ray revealed discontinuity in the medial 1/3 of the right humerus. The patient then underwent treatment for the fracture and the day after a routine blood test was carried out. Routine blood tests revealed thrombocytopenia.Fat embolism is a dangerous complication of long bone fractures. Often this fat embolism is not recognized until the patient shows symptoms in several systems, especially the respiratory system such as respiratory distress and neurological system disorders ranging from motor disorders to seizures. Apart from that, fat embolism can also disrupt the coagulation system so that thrombocytopenia can occur. In this patient there was tachypnea and thrombocytopenia which could be early symptoms of fat embolism. Fat embolism is a complication of long bone fractures that is rare but dangerous if not properly recognized. Immediate management of fractures and collaboration with anesthesiologists and internists are important to prevent fat embolism.

Uncommon bilateral orbital lesion in leukemic patient: is it cutis leukemia, celullitis or both?

Introduction : Acute Myeloblastic Leukemia can infiltrate any parts of the body including the orbit and periocular area. This article was aimed to report uncommon sign of cutis leukemia representing as orbital cellulitis.
 Case Illustration : Male, 35 yo with chief complained progressive lesion in his bilateral upper and lower eyelid since 4 days before admission. He felt pain and stingy sensation around lesion. There was history of toothache. He was diagnosed with acute myeloblastic leukemia since 2 month before. Ophthalmology examination showed his visual acuity was 6/6 in both eyes with good ocular motility.His bilateral upper and lower eyelid were edematous and spasm with multiple vesicles, papule and pustule. Conjunctival injection was found in both eyes. The reminder of ophthalmology examination was unremarkable. There were other hyperemic nodules in left mandibulae and right mastoid bone. Laboratory examination showed increased leukocyte, procalcitonin and C-Reactive Protein level. Orbital CT scan revealed edema in cutis and subcutis area in both superior and inferior bilateral palpebra. Board spectrum and anaerobe antibiotic along with steroid were administered intravenously. Biopsy was performed. After two weeks medication, lesion around both palpebra was decreased. Unfortunately, because of his poor systemic condition, he was readministered to our hospital and hospitalized in ICU. He was passed away after 8 days of hospitalization.
 Discussion : Male patient is more likely to develop orbital infiltration of leukemia, and it necessitates significant morbidity and mortality condition.
 Conclusion : Leukemia with orbital invasion should bring more awareness from both ophthalmologist and hematooncologist as it indicates more mortality and morbidity.

Recurrent Candida Parapsilopsis Corneal Ulcer cum Hypopion: A Case Report

Introduction : Candida is common in tropical and subtropical climes estimated for 20-60% of all culture-positive corneal infection. Over the past two-decades, candida parapsilosis has become a common opportunistic fungal pathogen.
 Case Illustration : A-60-years-old-man, came with redness and pain in the left eye since one month ago after working at field. In the left eye, visual acuity was hand movement, palpebra was spasm and oedema, conjunctiva was hyperaemia, hazy, feathery edge and fluorescein test were positive in paracentral corneal 6x7 mm and hypopyon in anterior chamber. KOH staining revealed yeast, corneal scrapping revealed candida parapsilopsis, and antifungal sensitive to fluconazole. Fluconazole intravenous 200mg 2-times-a-day, moxifloxacin eyedrop loading dose, fluconazole eyedrop fortified every-one- hour, atropine 1% eyedrop 2-times-a-day, artificial tears eyedrop every-one-hour was administered.In the fifth-day, hypopyon was improved, and patient was discharged. Tenth-days after, patient felt pain and hypopyon raised 4mm. Debridement in the ulcer, and therapy was continued. Two weeks later, hypopyon was less than 1 mm, and pain was relieved.
 Discussion : There was clinically improvement using antifungal therapy. Recurrent hypopyon was happen, and mechanical debridement in the ulcer was administered. In four-times within two-weeks, hypopyon was improved. Although, initial treatment was antibiotics until microbiological confirmation, antifungal therapy, combined with mechanical eradication of fungal filaments could be administered for fungal corneal ulcer.
 Conclusion : In this case, combination of antifungal therapy with mechanical debridement could be the right choice to treat candida parapsilopsis corneal ulcer. Better outcomes can be achieved and complications can be avoided with appropriate diagnosis and efficient therapy.

Evaluation of the Effect of Polybutester and Polypropylene Sutures on Complications after Impacted Lower Third Molar Surgery

Complications that can occur in the postoperative period of impacted lower third molar extraction are factors that have an impact on the daily routine of patients. This study aimed to evaluate the efficacy of polybutester and polypropylene sutures on postoperative complications after impacted lower third molar surgery. Two different suture materials were used in the 35 patients with bilateral impacted lower third molars included in the study: polybutester sutures in group 1 and polypropylene sutures in group 2. Measurements were taken to evaluate swelling and trismus before surgery and on the 2nd and 7th days after surgery, and pain was evaluated using a visual analogue scale (VAS), which patients were asked to complete after surgery. Wound healing, suture-related injury and suture-related discomfort in patients were also evaluated. The pain and suture-related discomfort felt on the side where the polybutester suture was used was less on the second postoperative day than on the side where the polypropylene suture was used. These results support the use of polybutester sutures in impacted third molar surgery.

Predictors of Running-Related Injury Among Recreational Runners: A Prospective Cohort Study of the Role of Perfectionism, Mental Toughness, and Passion in Running.

The health benefits associated with recreational running are challenged by the occurrence of running-related injuries (RRIs). Effective preventive measures require knowledge of sport injury etiology. Psychological factors such as perfectionism, mental toughness, and passion are believed to predispose to sports injury by influencing training behaviors, motivation to run, and suppression of feelings of fatigue and pain. Yet their association with RRIs are understudied. Perfectionism, mental toughness, and passion predict an increased risk of RRIs in recreational runners. Prospective cohort study. Level 3. A total of 143 recreational runners (age 34.9 ± 13.9 years, 37% women) with a response rate of 76.5% answered an online questionnaire about their characteristics, running behaviors, and psychological variables (perfectionism, mental toughness, and running passion) as well as a sports injury survey. Then, as a primary outcome, RRIs were recorded biweekly for 6 months. The incidence of injuries was expressed as RRI per 1000 hours of running. The association between predictive factors and RRIs was estimated using logistic regression. The incidence of RRIs during follow-up was 5.16 per 1000 hours of running. The knee was the location injured most often (26.4%), followed by the foot (18.9%) and lower leg (13.2%). Higher obsessive passion (OP) for running (odds ratio [OR], 1.11; 95% CI, 1.04-1.20) and perfectionistic concerns (OR, 1.22; CI,1.05-1.41) were associated with a greater risk of RRIs, as were previous injury (OR, 2.49; CI,1.10-5.70), weekly running distance (OR,1.10; CI, 1.03-1.16), and both supinated (OR, 4.51; CI, 1.11-18.30) and pronated (OR, 3.55; CI, 1.29-9.80) foot type. Following a running schedule (OR, 0.24; CI, 0.09-0.66) was associated with a lower risk of RRIs. History of previous RRI, pronated and supinated foot type, weekly running distance, perfectionistic concerns, and OP increased RRI risk in recreational runners. Following a running schedule was a protective factor. Multiple factors, including runners' psychological characteristics, predict RRIs. These findings can inform the development of injury risk management strategies.

The The Effect of Benson Relaxation on the Chest Pain Scale of Unstable Angina Pectoris (UAP) Patients in the HCU Ward of Bali Royal General Hospital

ABSTRACT
 Unstable angina pectoris has a typical chest pain complaint caused by a blockage of the coronary arteries which cause oxygen cannot be supplied to the myocardial cells resulting in anaerobic metabolism causing an accumulation of lactic acid which causes chest pain. One of the non-pharmacological therapies as supportive therapy can help the performance of gold standard therapy to reduce pain felt by Benson relaxation patients. The purpose of this study was to determine the effect of benson relaxation.This study used a quasy experimental design with a pre-post test design with control group design. This study involved 30 respondents, namely 15 respondents in the intervention group who were given Benson medication and relaxation and 15 respondents in the control group who were given medication only using a purposive sampling technique and measuring instruments used the Visual Analogue Scale before and after the intervention.The results showed that the pain scale in the intervention group before being given Benson relaxation was mostly moderate pain (60%), in the control group (73.3%) experienced moderate pain. The pain scale in the intervention group after being given Benson relaxation was mostly mild pain (93.3%), whereas in the control group (73.3%) experienced moderate pain. There was an effect of Benson's relaxation on the chest pain scale of Unstable Angina Pectoris patients with a p value = 0.001 <0.05. It is recommended that giving Benson relaxation be used as a standard for non-pharmacological pain management for patients with unstable angina pectoris.

EEG evidence for racial ingroup bias in collective empathy for pain.

Previous research on racial ingroup bias in empathy for pain focused on neural responses to a single person's suffering. It is unclear whether empathy for simultaneously perceived multiple individuals' pain (denoted as collective empathy in this study) is also sensitive to perceived racial identities of empathy targets. We addressed this issue by recording electroencephalography from Chinese adults who responded to racial identities of 2 × 2 arrays of Asian or White faces in which 4 faces, 1 face, or no face showed painful expressions. Participants reported greater feelings of others' pain and their own unpleasantness when viewing 4 compared to 1 (or no) painful faces. Behavioral responses to racial identities of faces revealed decreased speeds of information acquisition when responding to the face arrays with 4 (vs. 1 or no) painful expressions of Asian (but not White) faces. Moreover, Asian compared to White face arrays with 4 (vs. 1 or no) painful expressions elicited a larger positive neural response at 160-190ms (P2) at the frontal/central electrodes and enhanced alpha synchronizations at 288-1,000ms at the central electrodes. Our findings provide evidence for racial ingroup biases in collective empathy for pain and unravel its relevant neural underpinnings.

ВОССТАНОВЛЕНИЕ ПОСЛЕ ПСИХОЭМОЦИОНАЛЬНЫХ НАРУШЕНИЙ ДЕТЕЙ И ПОДРОСТКОВ В СВЯЗИ С ОНКОПРОЦЕССОМ С ПОМОЩЬЮ ЭЛЕМЕНТОВ АРТ-ТЕРАПИИ

The need to study the influence of art therapy techniques, in particular fairy tale therapy, game therapy, drawing and creativity therapy on the psycho-emotional state of children and adolescents with cancer is obvious due to the prevalence of mental disorders at the stage of hospitalization. Purpose: to analyze the literature to study the impact of art therapy elements on the psycho-emotional state of children and adolescents with cancer during treatment. General information. Children undergoing treatment for cancer often have psycho-emotional disorders such as depression, anxiety and report concerns about hair loss, nausea and fatigue, lower ability to perform physical activities, and expectations of dissatisfaction with life in the future. Negative self-perception of body image leads to low self-esteem and affects the ability to form healthy relationships with peers. Neurocognitive dysfunction (decreased speed of information processing, attention, memory) leads to low academic and professional success, poor self-esteem and behavioral or emotional disorders. Art therapy techniques such as fairy tale therapy, game therapy, drawing and creativity therapy effectively influence the psycho-emotional status of patients, help children get rid of painful feelings and cope with their anxiety, help improve well-being, relieve pain, etc. Psychotherapy provided to cancer patients in childhood in a timely manner will help improve the psycho-emotional state associated with the disease and treatment. The techniques are universal and complement each other if necessary; they can be successfully used in the treatment of many psychological disorders, as well as integrated and combined with other therapeutic approaches (body-oriented approach, music therapy, dance-movement method, etc.).

Crimes of Humanity

Abstract The idea of ‘crimes against humanity’ has been uniquely successful and constitutes an essential part of international criminal law. This article offers a novel explanation for this ideational potency. It is submitted that what we came to call crimes against humanity is, in fact, made possible by uniquely human features. Examining why, nevertheless, the conjunction ‘against’ has been far more dominant than the equally plausible ‘of’, the article reveals a psychological function of international criminal law: Construing mass atrocity as the antipode of humanity allows to escape the painful feeling of cognitive dissonance that arises when confronted with the fact that atrocious events remain an undeniable part of our world. Since using international criminal law as a defence mechanism comes with several undesirable side-effects, the article concludes by calling on the international law community to understand organized mass atrocity both as ‘crimes against humanity’ and as ‘crimes of humanity’.

Comparison of effect of machine muteness to reduce noise anxiety vs regular settings on patient compliance during pan-retinal photocoagulation.

This Quasi Experimental study was conducted at Major Eye Clinic, Gujranwala, from January to December 2022, to study the effect of muting the sound of Argon Laser machine on patient compliance and the pain felt during pan-retinal photocoagulation (PRP). Eighty patients were included in the study with proliferative diabetic retinopathy (PDR), retinal breaks, lattice and myopic fundus degenerations for which PRP was performed. A total of 80 patients were enrolled, who were divided in two groups with 40 patients in each group. Group A patients received muted machine settings, while group B underwent regular PRP. The mean age was 54.6±3.4 years. Sixty-eight (85%) cases were of PDR, 4 (5%) of retinal breaks, 3 (3.75%) of lattice degenerations associated with breaks, and 5 (6.25%) of laser barrage. In group A, 28 (70%) patients had grade 1 and grade 2 pain score, while in group B, 26 (65%) had grade 3 and grade 4 pain score. It was concluded that by eliminating machine sound, noise anxiety can be greatly reduced ensuring better patient cooperation.

Subjective pain and reward in a social judgment paradigm

Affective problems such as social anxiety and depression theoretically involve negative cognitive biases that trigger and maintain symptoms during everyday experiences. This study employed a social judgment paradigm to investigate possible biases in expectation of social acceptance, and subjective feelings of pain and reward. Healthy adult participants (N = 120) were told their image had been judged by others. In 120 trials, they were shown photos of the judges and asked to anticipate whether they were liked by them or not, before being shown the judgment. Participants rated their level of pain and reward in each trial. Results indicated that social acceptance was expected less often by participants with higher levels of social anxiety. Self-reported pain was greatest after unexpected rejection. A greater likelihood of the presence of pain and higher self-reported pain were associated with higher levels of social anxiety and depression respectively. Self-reported reward was greatest after expected acceptance, and was not associated with social anxiety or depression. This study provides subjective experience information that has been missing from existing social judgment research. Moreover, these findings suggest that in social situations, those with social anxiety and depression more often expect rejection and experience rejection as more painful, respectively. These biases are potential maintaining factors and may be targets for further research and future intervention development.

The Effect of Using Virtual Reality During Burn Dressing on Pain, Anxiety and Fear Felt in Children: A Randomized Controlled Trial.

This study was conducted to determine the effect of using virtual reality (VR) during burn dressing on the level of fear, anxiety, and pain that children would experience. This randomized controlled trial was conducted in a pretest-posttest design. Randomization of the participants (n = 65) was performed with the block randomization method. Then, 33 children were included in the intervention and 32 children in the control group with simple sequential randomization. The study data were collected using the "Family and Child Personal Information Form," "Physiological Parameters Registration Form," "Wong-Baker Faces Pain Scale," "Children's Fear Scale," and "Children's Anxiety Meter-State." The chi-square test, t-test, Shapiro-Wilk, mean, and percentile distributions were used for the data analysis. After dressing, the physiological parameters of the children who used VR were found to be within normal limits (HR: 108.48 ± 12.43, O2: 98.39 ± 1.14) compared to the children who did not use (HR: 117.38 ± 15.25, O2: 97.81 ± 1.35) (P < .05). After the dressing, children using VR (0.85 ± 1.23) were determined to have less fear than those who did not use them (3.03 ± 1.06), and similarly, children who used VR (2.64 ± 2.73) experienced less anxiety than those who did not use them (5.84 ± 2.26). When the pain levels were evaluated, the VR group (1.79 ± 2.04) was reported to feel less pain compared to the control group (5.50 ± 2.36). The VR used by children aged 5-10 years during burn dressing has been found to affect their physiological parameters and is effective in reducing fear, anxiety, and pain levels.

Safety and Efficacy of Early Cholecystectomy in Acute Biliary Pancreatitis

Objective: This study was done to assess the safety and efficacy of early Cholecystectomy in mild to moderate Acute Biliary pancreatitis in own surgical setup.&#x0D; Methodology: This descriptive study was done in surgical unit 1, Fauji Foundation Hospital Rawalpindi from 1st January 2019 to 31st December 2022. Total 70 patients diagnosed as having mild or moderate acute biliary pancreatitis were included in study. Patients having severe acute biliary pancreatis, multi-organ dysfunction syndrome and pre-existing severe medical co-morbidity were excluded from study. After informed consent early cholecystectomy either laparoscopic or open was performed by senior consultant surgeon within 2-4 days of admission. Post-operatively patient subjective feeling of pain, intravenous analgesia and hospital stay were recorded. Post-operative complications were documented. Data were analyzed on SPSS version 26.&#x0D; Results: The age range was from 28 to 72 years with a mean of 45.2 ± 11.86 years. Majority of patients were of mild severity 44(62.9%), while 26(37.1%) cases were of moderate severity. Laparoscopic cholecystectomy was performed 28(40%) cases and open cholecystectomy was done in 38(54.28%) cases. Post-operative pain numerical scale mean was 4.31 ± 1.55. The duration of requirement of post-operative intravenous analgesia was mean 37.02 ± 18.12 hrs. Mean hospital stay of patients was 5.95 ± 1.39 days. Among post-operative complications, the most frequent was post prandial dyspepsia 10(14.3%) cases followed by surgical site infection 6(8.6%) cases, recurrent pancreatitis 4(5.7%) cases, pseudocyst formation 2(2.9%) cases, lobar pneumonia 1(1.4%) case and recurrent biliary sepsis in 1(1.4%) case.&#x0D; Conclusion: Early cholecystectomy is a safe surgical procedure in mild to moderate biliary pancreatitis. It shortens the course of illness, prevents complications and reduces hospital stay.&#x0D; KEYWORDS: Cholelithiasis, Acute biliary pancreatitis, cholecystectomy, safety, Efficacy.

The Effects of Sex Hormones on Postoperative Pain in Patients with Laparoscopic Cholecystectomy.

There are many factors that affect postoperative pain. This study determines the effect of preoperative sex hormone levels on postoperative pain levels in patients undergoing laparoscopic cholecystectomy. This study included a total of 89 patients who met the study inclusion criteria. The patients were divided into 3 groups based on their sex and pre and postmenopausal periods: male patients (n = 28), postmenopausal female patients (n = 31), and female patients with normal cycles (n = 30). Normal-cycle women were also regrouped based on their follicular and luteal phases. Data were collected using a descriptive characteristics form, a patient follow-up form, and the Visual Analog Scale. Venous blood samples taken from the patients before surgery were used to measure their levels of estradiol (EST), testosterone (TES), and progesterone levels. Male patients had lower pain levels than female patients. The male patients' Visual Analog Scale scores were inversely related and correlated strongly with their TES levels (P < 0.05). However, subgroup analyses suggested that their EST level played a primary role in males and that the EST/TES ratio was determinant in the late postoperative period. In female patients, the EST/progesterone ratio was the most determining factor for the level of pain felt in the postmenopausal period, whereas there was no change in the premenopausal period at different stages of the menstrual cycle. Sex hormones were found to be effective in predicting postoperative pain severity.

Effect of Champakadi Agad in the Management of Shitapitta w.s.r. to Urticaria - A case study

Introduction: Shitapitta is a skin ailment that was first reported in Madhava Nidan which can be correlated to urticaria. It is a disorder characterized by symptoms comparable to Insect and scorpion bite, such as wheals resembling those from a wasp sting, itching, pain, fever, and burning feeling. Champakadi Agad is one of the Ayurveda formulations listed in Chapter 37/71-72 of Ashtanga Hridaya Uttarasthana by Acharya Vagbhata. Agadas are used to cure a variety of toxic conditions. Aims: To study the effect of Champakadi agad for local as well as internal use in case of Shitapitta. Case Report: This article is a case study about a 24 yrs old female patient who came to the OPD of Panchakarma Dept of Dr. D. Y. Patil College and hospital, Pimpri, Pune complaining of itchy skin, raised reddish bumps over the skin along with burning and pricing pain over her both palms and cheeks. She was treated with Champakadi Agad’s Local application for 30 days. Results after 30 days was found satisfactory. With no negative side effects, the therapy methods significantly reduced the disease's indications and symptoms. Discussion:This is a case study based on the management of Shitapitta (Urticaria). This study established the role of Champakadi Agad in the treatment of Shitapitta (Urticaria). Conclusion:The treatment of Shitapitta by Ayurvedic measures has been thoroughly examined and discussed here. Her progression is also shown here, step by step. This case study will encourage further research and aid in the development of an ayurvedic treatment protocol for Shitapitta (Urticaria).

Apprehension of Paraplegia after Undergoing Spinal Anesthesia in the Central Region Population of Saudi Arabia: A Cross-Sectional Study.

The aim of the present study was to determine the prevalence of paraplegia-related fear in spinal anesthesia among the general population in the central region of Saudi Arabia. A total of 371 participants were given a pretested, precoded, questionnaire was used to collect data to assess the prevalence of fear of paraplegia in spinal anesthesia. The questionnaire contained questions to assess variables like the extent of fear, causes, gender preponderance, any false information about paraplegia in spinal anesthesia, and complications experienced after receiving spinal anesthesia. It was noted that 80.1% of the respondents were familiar with the term spinal/regional/epidural anesthesia. Forty one point eight percent of the respondents their reference of knowledge about regional anesthesia was family of friends. Thirteen point nine percent of the responses were paralysis, 8.2% of the responses were feeling of pain during the operation, and 7.9% of the responses were nausea or vomiting. The present study revealed that the participants exhibited a certain degree of apprehension stemming from their inadequate understanding and awareness regarding spinal anesthesia.

Pengaruh Penambahan Tens Pada Quadricep Setting Exercise Untuk Mengurangi Nyeri Dan Meningkatkan Aktivitas Fungsional Pada Lansia Pederita Osteoarthritis Genu Di Rumah Sakit Citama

Abstract: Osteoarthritis is a cause of disability in the elderly where its prevalence will increase along with the increasing life expectancy of the global population (Sacitharan, 2019). According to the World Health Organization in 2013, it is estimated that by 2050 people aged over 60 years will account for more than 20% of the world's population, of which 15% have symptoms of Osteoarthritis, while a third experience severe disability, namely being unable to carry out daily activities (Nos et al. , 2020). Impairments that arise include (1) pain felt around the knee joint and pain when bending the knee, (2) weakness of the muscles that drive the knee joint, (3) limited range of motion (LGS) of the knee. The purpose of this study was to determine the effect of adding TENS on Quadricep exercise settings to reduce pain and increase functional activity in elderly people with osteoarthritis genu. The data collection method used a quasi-experimental design with a pre and post design with a control group design. The data collected was tested for normality with Shapiro Wilk. Normal distribution, effect test using paired t-test. The results of the paired t-test obtained a value of p = 0.0001 (p &lt;0.05) in pain and obtained a value of p = 0.0002 (p &lt;0.005) an increase in functional activity in the treatment group I. The treatment group II obtained a value of p = 0.0004 (p &lt;0 .05) in pain and 0.0003 (p&lt;0.05) increased functional activity. The conclusions obtained from this study are 1) Quadricep setting exercise can reduce pain and increase functional activity in elderly people with osteoarthritis genu. 2) The addition of TENS to Quadricep exercise settings can reduce pain and increase functional activity in elderly people with osteoarthritis genu.&#x0D; Keywords: Osteoarthritis knee/knee, Quadricep setting exercise, pain, functional activity

Masson’s tumor of the thoracic spine: A rare cause of slowly progressive paraplegia

Introduction. Intravascular papillary endothelial hyperplasia is an unusual reactive proliferation of endothelial cells around an organized thrombus, which occurs either in a dilated blood vessel, hematoma, or preexisting vascular lesion. These tumors rarely affect the central nervous system. Symptoms depend on the localization of the process itself. Localization in the central nervous system is limited to the intracranial space. Localization in the spinal canal is extremely rare, and only a few clinical cases have been described so far in the literature. Case report. A 67- year-old female patient was examined neurologically initially due to bilateral weakness of the lower extremities, accompanied by a feeling of pain and muscle tension, dominantly in the upper legs, more to the right. The complaints were present a year ago, and before that period, the patient was in a stable state of health. Due to a severe neurological deficit and the need for detailed exploration, the patient was hospitalized. A diagnosis was performed, which showed the localization of the pathological process in the thoracic 5?6 region of the spinal column. Decompression surgery was performed, and with the ex tempore findings metastasis was ruled out. Definitive pathohistological findings proved Masson?s tumor. After the operation, the neurological weakness recovered. Conclusion. Masson?s tumor, although rarely localized in spinal canal, is curable if it is correctly diagnosed and if an adequate therapeutic approach is applied. The initially presented symptoms may resemble numerous neurological or systemic diseases, which requires the clinician to be continuously aware of such rare pathological processes.