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[Erector spinae plane block for a pediatric patient undergoing thoracotomy]. [小儿开胸手术患者的竖脊平面阻滞]。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.14744/agri.2019.59219
Mustafa Duran, Volkan Alparslan, Hadi Ufuk Yörükoğlu, Can Aksu, Alparslan Kuş

We aimed to share our experience with erector spina plan block for postoperative analgesia after hydatid cyst operation in a six-year-old girl. Erector spina plan block is a new interfasial block defined by Forero in 2016. It has been reported that it can be used effectively in many different indications. Ultrasound guided erector spina plan block is a method that can be applied for postoperative analgesia after thoracotomy.

我们的目的是分享我们的经验,竖脊肌计划阻滞后,包虫囊肿手术后镇痛的六岁女孩。Erector spine plan block是Forero在2016年定义的一种新的界面block。据报道,它可以有效地用于许多不同的适应症。超声引导直立器脊柱平面阻滞是一种可用于开胸术后镇痛的方法。
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引用次数: 0
Orphan muscle of elbow pain: A cite to anconeus' myofascial trigger point. 肘关节疼痛的孤肌:肘关节痛的肌筋膜触发点。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.14744/agri.2021.54514
Fatih Bağcıer, Ozan Volkan Yurdakul, Erkan Özduran
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引用次数: 0
Physical activity and health anxiety in people with and without spinal pain during the COVID-19 lockdown: A comparison study. 在COVID-19封锁期间,有和没有脊柱疼痛的人的身体活动和健康焦虑:一项比较研究。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.14744/agri.2021.90692
Gamze Yalçınkaya, Müge Kırmızı, Yeşim Salık Şengül

Objectives: In the coronavirus disease 2019 (COVID-19) pandemic, physical inactivity and health anxiety which are common risk factors for musculoskeletal pain have become widespread due to strict precautions and isolation. Thus, we aimed to com-pare physical activity, health anxiety, and spinal pain history in people experiencing and not experiencing spinal pain during the COVID-19 lockdown.

Methods: This study was designed as a case-control study. Assessments including the Nordic Musculoskeletal Questionnaire (NMQ), the International Physical Activity Questionnaire-Short Form, and the Short Health Anxiety Inventory were performed through an online questionnaire using Google forms during the COVID-19 lockdown. We reached 494 volunteers, and 348 were eliminated by the exclusion criteria. One hundred and fifty-six participants were classified as the spinal pain group (n=70) and the asymptomatic group (n=86) based on the NMQ.

Results: The total amount of physical activity was less in the spinal pain group than the asymptomatic group (p<0.05). The spi-nal pain group had higher levels of health anxiety than the asymptomatic group (p<0.05). Further, the percentage of people who experienced spinal pain in the past year was higher in the spinal pain group (p<0.05).

Conclusion: People experiencing spinal pain during the COVID-19 lockdown were physically less active and more concerned about their health. These results may be useful to improve the management of spinal pain during the lockdown or possible pandemic wave scenarios.

目的:在2019冠状病毒病(COVID-19)大流行中,由于严格的预防和隔离,缺乏身体活动和健康焦虑是肌肉骨骼疼痛的常见危险因素。因此,我们的目的是比较在COVID-19封锁期间经历和没有经历脊柱疼痛的人的身体活动、健康焦虑和脊柱疼痛史。方法:本研究采用病例-对照研究。在COVID-19封锁期间,通过使用谷歌表格的在线问卷进行了评估,包括北欧肌肉骨骼问卷(NMQ)、国际体育活动问卷-短表和健康焦虑短表。我们找到了494名志愿者,其中348人被排除在外。156名参与者根据NMQ分为脊柱疼痛组(n=70)和无症状组(n=86)。结果:脊柱疼痛组的身体活动总量少于无症状组(结论:在COVID-19封锁期间,脊柱疼痛患者的身体活动较少,更关心自己的健康。这些结果可能有助于在封锁或可能的大流行浪潮情景下改善脊柱疼痛的管理。
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引用次数: 0
Ultrasound-guided multisite transversus abdominis plane block for the treatment of scar-caused neuropathic pain in a child. 超声引导下多部位经腹平面阻滞治疗儿童瘢痕性神经性疼痛。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.14744/agri.2021.69926
Coşkun Araz, Zeynep Kayhan, Tuğba Acer Demir
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引用次数: 0
Spinal transient ischemic attack: Rare and treatable cause of transient weakness with radicular pain. 脊髓短暂性脑缺血发作:一过性无力伴神经根性疼痛的罕见且可治疗的病因。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.14744/agri.2020.68889
Ferda İlgen Uslu, Hilmi Uysal

Transient ischemic attack (TIA) of spinal cord (SC) is very rare and characterized by sudden onset of paralysis, sensory loss, back pain. We present a patient with acute painful paraplegia and symptoms resolved within a few hours. We identified 10 patients in literature search. Five of them were male, the mean age of patients was 53.8. Paraparesis/pleji was present in all. Only two patients did not have radicular pain. Vascular risk factors were hypertension in five patients, smoking in five and diabetes mel-litus in one. TIA period ranged from 1 min to 24 h. The most common etiology was aortic dissection (n=6). Four patients had aortic thrombosis. Six patients were treated with medical and surgical methods; other four were treated with only medically. SC ischemia and aortic diseases should be kept in mind in short term/persistent acute spinal syndromes with pain.

脊髓短暂性脑缺血发作(TIA)是非常罕见的,其特征是突然发作的麻痹,感觉丧失,背部疼痛。我们提出一个病人急性疼痛截瘫和症状在几个小时内解决。我们通过文献检索确定了10例患者。其中男性5例,平均年龄53.8岁。Paraparesis/pleji出现在所有。只有2例患者没有神经根性疼痛。血管危险因素为高血压5例,吸烟5例,糖尿病1例。TIA持续时间为1分钟至24小时,最常见的病因为主动脉夹层(n=6)。4例患者有主动脉血栓。6例患者采用内科和外科方法治疗;另外四人只接受了医学治疗。在伴有疼痛的短期/持续性急性脊柱综合征中,应注意SC缺血和主动脉疾病。
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引用次数: 0
Attitude changes toward chronic pain management of pain physicians in Turkey during the COVID-19 pandemic. 2019冠状病毒病大流行期间土耳其疼痛医生对慢性疼痛管理态度的变化
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.14744/agri.2019.01878
Gülçin Gazioğlu Türkyılmaz, Şebnem Rumeli

Objectives: The coronavirus disease 2019 (COVID-19) pandemic has led to a decrease or interruption of outpatient and elective interventional procedures of patients with chronic pain worldwide. This study aims to investigate the attitude changes of pain physicians in Turkey in the treatment of chronic pain patients and the compliance of these changes with the published guidelines.

Methods: A total of 113 pain physicians were sent an online questionnaire forms to be completed voluntarily.

Results: The questionnaire was completed by 61% (n=69) of the total physicians to whom it was sent to. The rate of physicians who did not request the COVID-19 polymerase chain reaction test from their patients before any interventional procedure was 48% (n=33). The rate of physicians who ignored the immunosuppressive effect and while prescribing opioids and did not reduce the opioid dose was 42% (n=29). The rate of physicians who did not reduce the corticosteroid dose they used in their interventional procedures was 61% (n=42). It was determined that 49.1% (n=28) of physicians who applied facet joint medial branch radiofrequency denervation (RFD) during the pandemic period decreased the number of diagnostic blocks they ap-plied compared to the pre-pandemic period. It was found that 51% (n=24) of the physicians who applied genicular nerve RFD during this period did not perform any diagnostic blocks.

Conclusion: It was found that the majority of physicians did not change their preferences in the dose and/or type of opioid and corticosteroid drugs, but they tended to reduce the number of diagnostic blocks they applied before facet joint medial branch/genicular RFD procedures.

2019冠状病毒病(COVID-19)大流行导致全球慢性疼痛患者门诊和选择性介入手术减少或中断。本研究旨在调查土耳其疼痛医生在治疗慢性疼痛患者方面的态度变化,以及这些变化对已发布的指南的依从性。方法:对113名疼痛内科医生发放在线问卷,由其自愿填写。结果:61%的受访医师(n=69)完成了问卷。在任何介入手术前未要求患者进行COVID-19聚合酶链反应检测的医生比例为48% (n=33)。忽视免疫抑制作用的医生在开阿片类药物处方时未减少阿片类药物剂量的比例为42% (n=29)。在介入治疗过程中没有减少皮质类固醇剂量的医生占61% (n=42)。经确定,与大流行前相比,49.1% (n=28)的医生在大流行期间应用小关节内侧分支射频去神经控制(RFD)减少了他们应用的诊断块数量。在此期间,51% (n=24)应用膝神经RFD的医生没有进行任何诊断阻滞。结论:发现大多数医生没有改变他们对阿片类药物和皮质类固醇药物的剂量和/或类型的偏好,但他们倾向于减少他们在小关节内侧分支/膝关节RFD手术前应用的诊断块的数量。
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引用次数: 1
The Turkish form of psychometric properties of opioids questionnaire. 土耳其形式的阿片类药物心理测量特性问卷。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.14744/agri.2021.01033
İrem Yılmaz, Neriman Akansel

Objectives: This study was performed to conduct The Psychometric Properties of Nurses' Mental Models About Opioids Ques-tionnaire in the Turkish Language.

Methods: This was a validation study in which the sample consisted of 86 nurses working in surgical clinics and agreed to participate in the study. Data were collected using the data collection form, examining nurses' demographic characteristics (10 items) and the questionnaire (14 items).

Results: In this study, the interclass correlation coefficient was calculated as 0.80. Items' suitability was assessed using the experts' opinions, and the internal consistency was examined considering the Cronbach's alpha value. Cronbach's alpha value ranged from 0.78 to 0.81 for the items in the scale. This value was 0.81 for all 14 items on the scale, and the reliability was found to be high. The questionnaire was entitled 'Nurses' Perception of Administering Opioids'in Turkish, believing that this Turkish title would be suitable.

Conclusion: Nurses' Perception of Administering Opioids was a valid and reliable tool, and the items represented nurses' per-ceptions of administering opioids in Turkish nurses.

目的:研究土耳其语护士阿片类药物心理模型的心理测量特征。方法:本研究是一项验证性研究,样本由86名在外科诊所工作的护士组成,并同意参与研究。采用数据收集表收集数据,调查护士人口学特征(10项)和问卷(14项)。结果:本研究计算出的类间相关系数为0.80。采用专家意见评价项目的适宜性,采用Cronbach’s alpha值检验项目的内部一致性。量表条目的Cronbach α值为0.78 ~ 0.81。量表上所有14个项目的该值均为0.81,信度较高。问卷题目为“护士对阿片类药物管理的看法”,土耳其语,相信这个土耳其标题是合适的。结论:护士对阿片类药物使用的感知是一个有效可靠的工具,项目代表了土耳其护士对阿片类药物使用的感知。
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引用次数: 0
Report on 25 Notalgia paresthetica cases: Clinical features and treatments. 25例感觉异常痛的临床特点及治疗。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.14744/agri.2022.28159
Seide Karasel, Dua Cebeci

Objectives: Notalgia paresthetica (NP) is a neuropathic condition that manifests as a chronic itch on the back. The aim of this retrospective study was to examine the characteristics of patients diagnosed with NP.

Methods: A total of 25 female patients, aged 26-64 years (mean+-10.67 years; median 47.17 years), were studied to determine the spinal or peripheral origin of NP.

Results: On radiological examination, discopathy was observed in 24% of the patients, arthrosis in 32%, and degeneration in 56%. There was no significant relationship found between dermatological symptoms and magnetic resonance imaging posi-tivity (p=0.188). The patients' treatment programs were based on either physical therapy (44%), local injection (28%), exercise therapy (16%), or physical therapy and kinesiotherapy (12%). Subjective measures for pain were validated with an average visual analog scale (VAS), and the 'Douleur Neuropathique 4' (DN4) questionnaire was used to screen for neuropathic pain. The VAS score of the patients before treatment was 7, and after treatment was 2. The mean DN4 score was 7 before treatment and 2 after treatment.

Conclusion: NP is a rare syndrome of unknown etiology. We aim in this study to analyse NP clinical properties and treatment.

目的:感觉异常痛症(NP)是一种神经性疾病,表现为背部的慢性瘙痒。本回顾性研究的目的是检查诊断为NP的患者的特征。方法:25例女性患者,年龄26 ~ 64岁(平均+-10.67岁;中位年龄47.17岁),以确定NP的脊髓或外周起源。结果:在影像学检查中,24%的患者出现病变,32%的患者出现关节病,56%的患者出现退行性变。皮肤症状与磁共振成像阳性无显著相关性(p=0.188)。患者的治疗方案基于物理治疗(44%)、局部注射(28%)、运动治疗(16%)或物理治疗和运动疗法(12%)。采用平均视觉模拟量表(VAS)对疼痛的主观测量进行验证,并使用“双神经性疼痛4”(DN4)问卷来筛选神经性疼痛。患者治疗前VAS评分为7分,治疗后VAS评分为2分。治疗前平均DN4评分为7分,治疗后平均DN4评分为2分。结论:NP是一种病因不明的罕见综合征。本研究旨在分析NP的临床特点及治疗方法。
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引用次数: 1
The effectiveness of conventional radiofrequency ablation for chronic plantar heel pain due to heel spur. 常规射频消融治疗足跟骨刺引起的慢性足底跟痛的疗效。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.14744/agri.2021.82542
Damla Yürük, İlknur Aykurt Karlıbel, Meliha Kasapoğlu Aksoy

Objectives: The purpose of this study was to investigate the effectiveness of conventional radiofrequency (CRF) ablation treatment on chronic plantar heel pain due to heel spur.

Methods: A total of 20 patients with heel spur who did not respond to conservative treatments were recruited for the study. Under fluoroscopy guidance, CRF was performed to three points at the top, above, and below the heel spur in the longitudinal plane of the foot. Pain intensity, the pressure pain threshold (PPT), and functional status were assessed using a visual analog scale (VAS), pressure algometers, and the Foot Function Index (FFI). All measurements were taken before the procedure, as well as 1, 3, and 6 months following the procedure.

Results: CRF was applied to 20 patients - 16 (80%) females and 4 (20%) males. Their mean age was 51.40+-8.10 years, the mean body mass index was 33.80+-5.47 kg/m2, the mean duration of symptoms was 18.30+-9.02 months, and pes planus was present in 5 patients (25%). A statistically significant decrease was observed in VAS score and PPT and FFI measurements at the 1st, 3rd, and 6th month following CRF compared to before CRF (p<0.001).

Conclusion: CRF is an effective, safe, minimally invasive method to reduce pain severity in patients with chronic heel pain due to heel spur in the short (0-3 months) and intermediate term (3-6 months).

目的:本研究的目的是探讨常规射频(CRF)消融治疗由足跟骨刺引起的慢性足底跟痛的有效性。方法:共招募了20例保守治疗无效的足跟骨刺患者。在透视引导下,对足纵向平面上足跟骨刺上方、上方和下方的三个点进行CRF。采用视觉模拟量表(VAS)、压力测量仪和足部功能指数(FFI)评估疼痛强度、压痛阈值(PPT)和功能状态。所有测量均在手术前以及手术后1、3和6个月进行。结果:CRF应用于20例患者,其中女性16例(80%),男性4例(20%)。平均年龄为51.40+-8.10岁,平均体重指数为33.80+-5.47 kg/m2,平均症状持续时间为18.30+-9.02个月,其中5例(25%)存在扁平足。CRF后第1、3、6个月的VAS评分、PPT、FFI测量值与CRF前比较均有统计学意义的降低(p)。结论:CRF是一种有效、安全、微创的方法,可在短期(0-3个月)和中期(3-6个月)减轻由足跟骨刺引起的慢性跟痛患者的疼痛严重程度。
{"title":"The effectiveness of conventional radiofrequency ablation for chronic plantar heel pain due to heel spur.","authors":"Damla Yürük,&nbsp;İlknur Aykurt Karlıbel,&nbsp;Meliha Kasapoğlu Aksoy","doi":"10.14744/agri.2021.82542","DOIUrl":"https://doi.org/10.14744/agri.2021.82542","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to investigate the effectiveness of conventional radiofrequency (CRF) ablation treatment on chronic plantar heel pain due to heel spur.</p><p><strong>Methods: </strong>A total of 20 patients with heel spur who did not respond to conservative treatments were recruited for the study. Under fluoroscopy guidance, CRF was performed to three points at the top, above, and below the heel spur in the longitudinal plane of the foot. Pain intensity, the pressure pain threshold (PPT), and functional status were assessed using a visual analog scale (VAS), pressure algometers, and the Foot Function Index (FFI). All measurements were taken before the procedure, as well as 1, 3, and 6 months following the procedure.</p><p><strong>Results: </strong>CRF was applied to 20 patients - 16 (80%) females and 4 (20%) males. Their mean age was 51.40+-8.10 years, the mean body mass index was 33.80+-5.47 kg/m2, the mean duration of symptoms was 18.30+-9.02 months, and pes planus was present in 5 patients (25%). A statistically significant decrease was observed in VAS score and PPT and FFI measurements at the 1st, 3rd, and 6th month following CRF compared to before CRF (p<0.001).</p><p><strong>Conclusion: </strong>CRF is an effective, safe, minimally invasive method to reduce pain severity in patients with chronic heel pain due to heel spur in the short (0-3 months) and intermediate term (3-6 months).</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":"34 2","pages":"131-138"},"PeriodicalIF":0.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40515987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Adaptation of the pain management self-efficacy questionnaire into Turkish. 疼痛管理自我效能问卷的土耳其语改编。
IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-04-01 DOI: 10.14744/agri.2022.35902
Aylin Aydın Sayılan, Feride Eşkin Bacaksız, Ezgi Seyhan Ak, Nurşen Kulakaç, John Rey B Macindo

Objectives: The aim of this study is to examine the Turkish validity and reliability of the Pain Management Self-Efficacy Ques-tionnaire (PMSEQ).

Methods: The study was carried out descriptively and methodologically between September and December 2018 with 214 nurses and 248 nursing students. The data were collected using the descriptive characteristics form and the PMSEQ.

Results: Cronbach's alpha internal consistency coefficient was 0.90 in the total scale. In repeated measurements to test time reliability, there was no statistically significant difference between the two measurements (t=0.320, p=0.751), and there were a high power and positively highly significant relationship (r=0.997, p<0.001).

Conclusion: Turkish version of the PMSEQ can be used as a valid and reliable scale in assessing the self-efficacy of clinical nurses and nursing students in pain management.

目的:本研究的目的是检验土耳其疼痛管理自我效能问卷(PMSEQ)的效度和信度。方法:于2018年9 - 12月对214名护士和248名护生进行描述性和方法学研究。使用描述性特征表和PMSEQ收集数据。结果:总量表的Cronbach's alpha内部一致性系数为0.90。在重复测量检验时间信度时,两项测量结果差异无统计学意义(t=0.320, p=0.751),存在高幂次正高度显著关系(r=0.997, p)。结论:土耳其版PMSEQ可作为评估临床护士和护生疼痛管理自我效能感的有效、可靠量表。
{"title":"Adaptation of the pain management self-efficacy questionnaire into Turkish.","authors":"Aylin Aydın Sayılan,&nbsp;Feride Eşkin Bacaksız,&nbsp;Ezgi Seyhan Ak,&nbsp;Nurşen Kulakaç,&nbsp;John Rey B Macindo","doi":"10.14744/agri.2022.35902","DOIUrl":"https://doi.org/10.14744/agri.2022.35902","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to examine the Turkish validity and reliability of the Pain Management Self-Efficacy Ques-tionnaire (PMSEQ).</p><p><strong>Methods: </strong>The study was carried out descriptively and methodologically between September and December 2018 with 214 nurses and 248 nursing students. The data were collected using the descriptive characteristics form and the PMSEQ.</p><p><strong>Results: </strong>Cronbach's alpha internal consistency coefficient was 0.90 in the total scale. In repeated measurements to test time reliability, there was no statistically significant difference between the two measurements (t=0.320, p=0.751), and there were a high power and positively highly significant relationship (r=0.997, p<0.001).</p><p><strong>Conclusion: </strong>Turkish version of the PMSEQ can be used as a valid and reliable scale in assessing the self-efficacy of clinical nurses and nursing students in pain management.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":"34 2","pages":"91-99"},"PeriodicalIF":0.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40515982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Agri-The Journal of the Turkish Society of Algology
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