Articles de revues : « Pain in old age »

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Roy, Ranjan. « Old Age, Pain, and Loss ». Topics in Geriatric Rehabilitation 16, n^o 3 (mars 2001) : 66–76. http://dx.doi.org/10.1097/00013614-200103000-00009.

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Hardy, Paul AJ. « Pain management in old age ». Reviews in Clinical Gerontology 5, n^o 3 (août 1995) : 259–73. http://dx.doi.org/10.1017/s0959259800004317.

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Scott, Robert B. « Chronic Pain in Old Age ». Clinical Journal of Pain 11, n^o 3 (septembre 1995) : 248. http://dx.doi.org/10.1097/00002508-199509000-00016.

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Schiller, D., M. Gschwendtner et R. Schofl. « Does old age cause abdominal pain ? » Gut 58, n^o 4 (18 mars 2009) : 500. http://dx.doi.org/10.1136/gut.2008.166975.

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Sutherland, Stephani. « Endocannabinoids mediate age-old pain suppression ». Drug Discovery Today 10, n^o 18 (septembre 2005) : 1209–10. http://dx.doi.org/10.1016/s1359-6446(05)03602-0.

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Brattberg, Gunilla, Marti G. Parker et Mats Thorslund. « A Longitudinal Study of Pain : Reported Pain from Middle Age to Old Age ». Clinical Journal of Pain 13, n^o 2 (juin 1997) : 144–49. http://dx.doi.org/10.1097/00002508-199706000-00008.

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Hardy, Paul A. J. « Pain management in old age : an update ». Reviews in Clinical Gerontology 10, n^o 4 (novembre 2000) : 341–47. http://dx.doi.org/10.1017/s0959259800010443.

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A previous review dealt with the management of chronic pain in old age and attempted to provide an up-to-date account of management at that time. The present review will try to avoid going over the same ground but will discuss more recent developments in pain medicine, with an emphasis on those aspects relevant to the management of older patients.

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Balfour, Andrew. « The couple in old age ». Psychoanalysis and Psychotherapy in China 5, n^o 1 (20 juin 2022) : 80–92. http://dx.doi.org/10.33212/ppc.v5n1.2022.80.

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With longer life, many people reach ages that were rarely achieved even a generation ago. But psychology and psychoanalysis have not fully engaged with the travails of old age. This article describes the difficulties many couples and individuals have facing the loss of physical and mental health in old age. By examining three clinical cases, it explores the difficulties couples have facing their inevitable losses, the particular difficulties for a couple when one partner has dementia, and the pain of an elderly patient facing the inevitability of her own death whilst full of regret for a compromised marriage and loss of opportunities in her life. The article describes how psychotherapy for couples and individuals lessens the sense of being alone and inscribes a sense of "being accompanied" externally and internally that soothes the pain of loss.

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Jones, R. M. « Anaesthesia in old age ». Anaesthesia 44, n^o 5 (mai 1989) : 377–78. http://dx.doi.org/10.1111/j.1365-2044.1989.tb11329.x.

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Craddock, Anita. « Old Age is New ». Journal of Vascular Access Devices 6, n^o 1 (janvier 2001) : 1–12. http://dx.doi.org/10.1016/s1083-0081(01)70641-3.

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Singh, Dr Priyanka. « Dual Left Ventricular Outflow Tract Obstruction Presenting in Old Age ». Journal of Medical Science And clinical Research 11, n^o 09 (30 septembre 2023) : 01–03. http://dx.doi.org/10.18535/jmscr/v11i9.01.

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Hypertrophic obstructive cardiomyopathy with Rheumatic heart disease, severe aortic stenosis and severe mitral stenosis is an uncommon presentation. Diagnosis ofdual left ventricular outflow tract obstructive physiology, caused by severe symptomatic obstructive hypertrophic cardiomyopathy and concomitant moderate or severe aortic stenosis is of paramount importance for management. (myectomy and aortic valve replacement). Our case, is a 67 years old hypertensive male presented with complain of chest pain, diffuse, radiating to left arm, associated with sweating and also with history of loss of consciousness.

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Mitchell, Sarah J., Sarah N. Hilmer et Andrew J. McLachlan. « Clinical pharmacology of analgesics in old age and frailty ». Reviews in Clinical Gerontology 19, n^o 2 (mai 2009) : 103–18. http://dx.doi.org/10.1017/s0959259809990232.

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SummaryThere is a high prevalence of pain in older people. Optimal assessment and management of pain in this population is challenging. The pharmacokinetics and pharmacodynamics of analgesic medications are affected by ageing and frailty, as well as by intercurrent medical conditions and their treatments. This review describes what is currently understood about the impacts of old age and frailty on the clinical pharmacology of commonly used analgesics, to provide a rational basis for the use of these medicines. In view of the wide age-related inter-individual variability in pharmacokinetics and pharmacodynamics of analgesic medications, monitoring of clinical response and adverse effects is essential to optimize pain control in older people.

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Alvarado García, Alejandra María, et Ángela María Salazar Maya. « Learning to live with chronic pain in old age ». Salud Uninorte 34, n^o 2 (15 février 2019) : 349–62. http://dx.doi.org/10.14482/sun.34.2.618.97.

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de C. Williams, Amanda C. « Chronic pain in old age : An integrated biopsychosocial perspective ». Journal of Psychosomatic Research 39, n^o 8 (novembre 1995) : 1049–50. http://dx.doi.org/10.1016/0022-3999(95)90055-1.

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Hartvigsen, Jan, Kaare Christensen, Henrik Frederiksen et Hans Christian Pedersen. « Genetic and Environmental Contributions to Back Pain in Old Age ». Spine 29, n^o 8 (avril 2004) : 897–901. http://dx.doi.org/10.1097/00007632-200404150-00015.

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Lo, Raymond SK, et Jean Woo. « Palliative care in old age ». Reviews in Clinical Gerontology 11, n^o 2 (mai 2001) : 149–57. http://dx.doi.org/10.1017/s095925980101125x.

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What is palliative medicine?In 1987, the Royal College of Physicians recognized palliative medicine as a specialty, defining it as ‘the study and management of patients with far-advanced disease for whom the prognosis is limited and the focus of care is quality of life’. In 1990, the World Health Organization added its definition, ‘the active and total care of a person whose condition is not responsive to curative therapy’. The aim of palliative medicine is to control pain and other physical symptoms, together with integration of psychological, social, spiritual care and support. The ultimate goal is to help patients to achieve their best quality of life. Palliative medicine places emphasis on a holistic approach, offering care and support not just for patients but also for their families. Palliative medicine hence requires an interdisciplinary team approach. With the co-ordinated efforts of all disciplines (such as doctors, nurses, therapists, social workers, clinical psychologists, dieticians, pastoral care workers and volunteers), patients can be supported in living their remaining lives as actively as possible, and families can be assisted in coping with illness, death and bereavement. Palliative care neither intends to postpone death nor does so, but affirms life and regards dying as a normal process. When a patient faces an incurable illness, it is incumbent on the palliative care team to provide the best treatment and care, adding life to days when days cannot be added to life.

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Gagliese, Lucy. « Book Review : Chronic Pain in Old Age : An Integrated Biopsychosocial Perspective ». Canadian Journal of Psychiatry 40, n^o 10 (décembre 1995) : 632–33. http://dx.doi.org/10.1177/070674379504001013.

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García-Esquinas, Esther, Isabel Rodríguez-Sánchez, Rosario Ortolá, Esther Lopez-Garcia, Francisco Félix Caballero, Leocadio Rodríguez-Mañas, José R. Banegas et Fernando Rodríguez-Artalejo. « Gender Differences in Pain Risk in Old Age : Magnitude and Contributors ». Mayo Clinic Proceedings 94, n^o 9 (septembre 2019) : 1707–17. http://dx.doi.org/10.1016/j.mayocp.2019.03.034.

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Hartvigsen, Jan, Hans Christian Pedersen, Henrik Frederiksen et Kaare Christensen. « Small Effect of Genetic Factors on Neck Pain in Old Age ». Spine 30, n^o 2 (janvier 2005) : 206–8. http://dx.doi.org/10.1097/01.brs.0000150481.84048.08.

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Duke Han, S., Aron S. Buchman, Konstantinos Arfanakis, Debra A. Fleischman et David A. Bennett. « Functional connectivity networks associated with chronic musculoskeletal pain in old age ». International Journal of Geriatric Psychiatry 28, n^o 8 (5 novembre 2012) : 858–67. http://dx.doi.org/10.1002/gps.3898.

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Telegan, V. O., et D. A. Shkurupiy. « CLINICAL CHARACTERISTICS OF POSTOPERATIVE ANALGESIA IN ELDERLY AND OLD PATIENTS ». Актуальні проблеми сучасної медицини : Вісник Української медичної стоматологічної академії 19, n^o 2 (19 juillet 2019) : 78–82. http://dx.doi.org/10.31718/2077-1096.19.2.78.

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Nearly 13% of the elderly and old population experience psychosomatic pain that is not regarded as a response to irritants. Diagnosis and treatment of the postoperative pain in old and elderly patients may be complicated by chronic pain or somatic diseases. The aim of this work was to study clinical characteristics of the postoperative pain in old and elderly patients. Materials and methods. This study based on analysis of 99 cases of the perioperative period. Patients were divided into groups by age: the 1st group included individuals aged 18-59 years, the 2nd group included individuals over 60 years. The influence of age, type of anesthesia and postoperative analgesia on the character and severity of pain was determined by questioning and clinical comparison. The Visual Analogue Scale and the McGill questionnaire were used to assess the pain intensity. Results and their discussion: the elderly patients demonstrated higher scores of the affective component to surgical intervention; moreover, the direct relationship between the affective and evaluative components and the indirect correlation of the sensitive component of pain with age was found out. There have been established the significant direct links between postoperative pain and its components in elderly people with the level of pain before surgery, intrathecal anaesthesia, and vascular surgery. Conclusions: in the elderly, in contrast to the younger individuals, the level of postoperative pain is more pronounced. The initial level of pre-operative pain in these patients definitely influences the level of postoperative pain. Simultaneously, the postoperative pain in the elderly is due to the greater lability of all the components of pain, with the prevalence of affective and evaluative components. The persistence of pain in the postoperative period is typical for elderly people who underwent vascular interventions and intrathecal anaesthesia. In the context of the conventional tactics of postoperative pain relief in the elderly people, the strength and the characteristics of the pain are more significantly intense relatively to those in younger patients that require an improvement in the tactics of pain management.

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Kang, H., H. J. Park, J. Choi et J. W. Lee. « Comparison of the hemodynamic changes between old age and very old age(≥85) in the cemented bipolar hemiarthroplasty under spinal anesthesia ». European Journal of Anaesthesiology 31 (juin 2014) : 261. http://dx.doi.org/10.1097/00003643-201406001-00754.

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Bradley, Natalie. « Too old to sedate : How old is too old ? » Dental Update 48, n^o 2 (2 février 2021) : 106–13. http://dx.doi.org/10.12968/denu.2021.48.2.106.

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The UK population is ageing with over a quarter of people predicted to be over 65 by 2040. People are retaining their teeth into old age, often having experienced complex restorative dental work over the years. The increasing complexity of dental treatment that older people require will create challenges for those who provide care for this population, including dental treatment under sedation or general anaesthesia. This article discusses the medical, dental and social considerations that need to be taken into account when planning dental care for older patients under sedation or general anaesthesia. CPD/Clinical Relevance: Dentists who provide sedation must be able to appropriately assess and manage their older patients safely if considering this method of pain and anxiety control for dental treatment.

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Sandhu, Satpal S., et Jasleen Sandhu. « Orthodontic pain : an interaction between age and sex in early and middle adolescence ». Angle Orthodontist 83, n^o 6 (24 mai 2013) : 966–72. http://dx.doi.org/10.2319/030113-174.1.

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ABSTRACT Objective: To investigate the age and sex interaction effect on orthodontic pain in adolescence during the initial phase of fixed orthodontic treatment. Materials and Methods: Three hundred participants (mean age 13.85 ± 1.98 years; 152 female, 148 male) met all inclusion criteria and enrolled in the study designed as 2 × 2 factorial trial with two levels each for age (11–14 years; 14–17 years) and sex (male; female). A 0.16-inch superelastic NiTi wire was used in a 0.022-inch slot (Roth's prescription) preadjusted edgewise appliance for initial leveling and alignment of mandibular anterior dentition. The follow-up period was 7 days. Pain was assessed by using 100 mm visual analog scale for one baseline and nine follow-up repeated measurements at prespecified time points. Data were analyzed by using generalized linear mixed effect model analysis. Results: Three participants were lost to follow-up, and 17 participants were not considered for analysis due to incomplete or improperly completed questionnaire. Therefore, 280 participants (mean age 13.96 ± 2.01 years; 138 female, 142 male) were analyzed for results. Results showed that age and sex interaction had statistically significant effect on pain (F = 3.56; P = .0151; df 3/218). In the 11–14 year age group, there was no significant difference for pain between male and female. In the 14–17 year age group, girls reported significantly greater pain compared to 14- to 17 year-old boys (t = 2.76; P = .0209). Pain reported by 14- to 17-year-old girls was also significantly greater compared to 11- to 14-year-old boys (t = 2.91; P = .0206). Conclusions: Age and sex interaction has significant effect on orthodontic pain during adolescence, and 14- to 17-year-old girls experienced maximum pain.

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Noroozian, Maryam, Shima Raeesi, Rezvan Hashemi, Leila Khedmat et Zahra Vahabi. « Pain : The Neglect Issue in Old People's Life ». Open Access Macedonian Journal of Medical Sciences 6, n^o 9 (20 septembre 2018) : 1773–78. http://dx.doi.org/10.3889/oamjms.2018.335.

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BACKGROUND: As the elderly population increases dramatically, the chronic age-related disease should be noted. In the elderly, chronic pain is a common health problem. METHODS: This search was performed in 3 databases (PubMed, Google Scholar, Embase). We have reviewed articles related to pain management in the elderly. RESULT: The prevalence of pain in people aged above 60 is twice that in younger people. Pain is estimated to be 45-85 per cent in the elderly. Pain is not a part of the ageing process, but many older people can experience it. Perception of pain can be affected by environmental, emotional, cultural and cognitive factors. Pain in the elderly often remains untreated and misdiagnosed. CONCLUSION: Pain management in elderly needs different approach because of unreported pain in this population, and usually they have multiple problems and comorbidities that complicate evaluation and treatment.

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Neupane, Subas, Prakash K.C, Saila Kyrönlahti et Clas-Håkan Nygård. « O-072 TRAJECTORIES OF MUSCULOSKELETAL PAIN FROM MIDLIFE TO OLD AGE : A MULTICOHORT, LONGITUDINAL STUDY ». Occupational Medicine 74, Supplement_1 (1 juillet 2024) : 0. http://dx.doi.org/10.1093/occmed/kqae023.0593.

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Abstract Introduction This study aimed to study the developmental patterns of musculoskeletal pain from working life to old age. We also studied the associations of lifestyle factors with trajectories of musculoskeletal pain. Methods Data from four independent cohort studies from Finland (FLAME), the UK (ELSA), Norway (MUST), and the USA (HRS) were used. Analysis was based on the participants who were employed or those looking for jobs at baseline. Musculoskeletal pain was defined as pain in one or more body parts of the musculoskeletal system (yes/no). Latent class growth modeling (LCGM) was applied to identify trajectories of the number of pain sites. The association of the trajectories of musculoskeletal pain with baseline lifestyle factors was studied using multinomial logistic regression models. Results Three class trajectories of musculoskeletal were found from midlife to old age in all cohorts. Overall, 12% of people were in the high trajectory group in ELSA, 14% in MUST, 19% in HRS, and 23% in FLAME. Discussion The pooled estimate shows that smoking was associated with a high trajectory of musculoskeletal pain (OR 1.44, 95% CI 1.12-1.75), while physical activity and alcohol intake had no significant association with high musculoskeletal pain. Conclusion A substantial proportion of people have more than one site of pain consistently from working life to old age. Lifestyle-related factors play an important role in the development of MSP. Lifestyle interventions may reduce the impact of MSP which should be started already at working age when major non-communicable diseases and permanent disability are still very rare.

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Makwana, Gautam. « THE OLD AGE AND DEATH – THE DEEPEST CRITICAL THOUGHT ». VIDYA - A JOURNAL OF GUJARAT UNIVERSITY 2, n^o 2 (14 septembre 2023) : 160–65. http://dx.doi.org/10.47413/vidya.v2i2.231.

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The elderly were shielded by the depersonalization of medicine brought on by individualism and competitiveness. As they get closer to the end of their lives, older patients frequently need to make peace with themselves and acknowledge their accomplishments and shortcomings. Medical professionals should therefore be considerate while speaking with patients and providing them with information. The terror of the elderly is not death itself, but rather their current state of abandonment. Death denial and terror are nonsensical because life is only given with the condition that it will end one day. In this context, the objectives of medical care are to accompany and lessen pain, not necessarily to provide therapies that attempt to extend biological life. Today's world has undergone significant changes as a result of the denial of death, which directly affect how those who are terminally ill are cared for. There has also been a significant change in how terminally ill persons pass away. This essay offers a succinct history of death as well as a look at some of the religious teachings on pain and death. It also talks on how the medicalization of death stops the dying person from communicating with their surroundings, paying off debts, forgiving and receiving forgiveness, and being fully himself in the short time they have left. This essay concludes that the correct function for a doctor to play is to ‘listen’ to what the patient needs. By doing this, the doctor's profession will become a more magnificent, decent, humane, and ennobling activity.

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Ravakhah, Keyvan. « Nobody Dies of Old Age Any More ? » Journal of Palliative Medicine 14, n^o 4 (avril 2011) : 386. http://dx.doi.org/10.1089/jpm.2010.0469.

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Ferreira, Christiana, Isabel Rezende, Arminda Guilherme et Inês Lopes. « Allergen-specific subcutaneous immunotherapy–pain evaluation in pediatric age ». Allergologia et Immunopathologia 49, n^o 1 (2 janvier 2021) : 58–61. http://dx.doi.org/10.15586/aei.v49i1.17.

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Background: Allergen-specific immunotherapy is a potentially disease-modifying therapy that is effective for the treatment of patients with allergic diseases. Although the pain caused by the administration of subcutaneous immunotherapy with allergens (SCITA) is considered to be minimal, no studies assessing that pain for the treatment of only pediatric patients have been reported. Objectives: This research aimed to evaluate the pain associated with SCITA for pediatric patients followed at our Immunoallergology Department. Methods: During four consecutive weeks, the nurse who administered the injection completed a questionnaire recording the child’s assessment of the pain associated with SCITA; these questionnaires were randomized before any analyses were done. Two different pain evaluation scales were used, with the choice of scale being determined based on the child’s age: the self-reporting faces scale (score: 0–10; 5 to 8 years old) and the numeric scale (score: 0–10; >8 years old). Demographic and clinical data, as well as any adverse reactions, were documented. Results: We included 46 pediatric patients (mean age: 12.3 ± 2.6 years; 69.5% male), most of whom were suffering from rhinitis/rhinoconjunctivitis and undergoing subcutaneous immunotherapy with mites. Seven local adverse reactions were recorded, and all were mild. Ten patients did not mention any pain associated with SCITA. Of the 36 patients who mentioned some pain, 33 mentioned mild pain (scores between 1 and 3); only three mentioned moderate pain (scores between 4 and 6). For both scales, the median score obtained was 1. The maximum pain reported had a score of 6. No significant differences were observed between different groups of patients. Conclusions: In this study, SCITA was shown to be a mildly painful procedure that is associated with only a few local reactions. Therefore, SCITA should be considered as a safe option for the treatment of most pediatric patients suffering from allergies.

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Ferreira, Christiana, Isabel Rezende, Arminda Guilherme et Inês Lopes. « Allergen-specific subcutaneous immunotherapy–pain evaluation in pediatric age ». Allergologia et Immunopathologia 49, n^o 1 (2 janvier 2021) : 58–61. http://dx.doi.org/10.15586/aei.v49i1.17.

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Background: Allergen-specific immunotherapy is a potentially disease-modifying therapy that is effective for the treatment of patients with allergic diseases. Although the pain caused by the administration of subcutaneous immunotherapy with allergens (SCITA) is considered to be minimal, no studies assessing that pain for the treatment of only pediatric patients have been reported. Objectives: This research aimed to evaluate the pain associated with SCITA for pediatric patients followed at our Immunoallergology Department. Methods: During four consecutive weeks, the nurse who administered the injection completed a questionnaire recording the child’s assessment of the pain associated with SCITA; these questionnaires were randomized before any analyses were done. Two different pain evaluation scales were used, with the choice of scale being determined based on the child’s age: the self-reporting faces scale (score: 0–10; 5 to 8 years old) and the numeric scale (score: 0–10; >8 years old). Demographic and clinical data, as well as any adverse reactions, were documented. Results: We included 46 pediatric patients (mean age: 12.3 ± 2.6 years; 69.5% male), most of whom were suffering from rhinitis/rhinoconjunctivitis and undergoing subcutaneous immunotherapy with mites. Seven local adverse reactions were recorded, and all were mild. Ten patients did not mention any pain associated with SCITA. Of the 36 patients who mentioned some pain, 33 mentioned mild pain (scores between 1 and 3); only three mentioned moderate pain (scores between 4 and 6). For both scales, the median score obtained was 1. The maximum pain reported had a score of 6. No significant differences were observed between different groups of patients. Conclusions: In this study, SCITA was shown to be a mildly painful procedure that is associated with only a few local reactions. Therefore, SCITA should be considered as a safe option for the treatment of most pediatric patients suffering from allergies.

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Telegan, Vladyslav O., Christos Tsagkaris, Sandeep Kumar Singh et Kostiantyn V. Tarasenko. « Subjective Assessments and Serum Cortisol Levels as Risk Factors of Pain Persistence in the Late Postoperative Period in Old and Oldest-Old Patients ». European Journal of Investigation in Health, Psychology and Education 13, n^o 2 (15 février 2023) : 450–59. http://dx.doi.org/10.3390/ejihpe13020034.

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Postoperative pain is one of the most common postoperative complications, resulting in significant burdens and adverse outcomes among patients, notably the frailest ones. Predicting the likelihood of intense postoperative pain can help optimize a patient’s recovery. The aims of this study were to build a prognostic model of pain persistence in elderly and senile patients in the late postoperative period, based on clinical and laboratory parameters of the early postoperative period, and to evaluate the potential for the model’s application. The study included 201 male and female patients who had undergone surgery of any type from September 2019 to August 2020. The patients were divided into three groups: senile patients, elderly patients, and young patients (control group). All of the examined patients were measured for fasting cortisol on the mornings of the first and seventh days following surgery. A statistically significant increase in the probability of pain persistence in the late postoperative period with the increasing age of the patient was found. Age, pain severity scores on the seventh day after surgery, and cortisol concentration in the blood on the first day after surgery, are of prognostic value for the risk of persistence of postoperative-pain syndrome.

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Yeung, Simon S. « Low Back Pain among Personal Care Workers in an Old Age Home ». AAOHN Journal 59, n^o 8 (août 2011) : 345–53. http://dx.doi.org/10.1177/216507991105900803.

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Peat, George, Elaine Thomas, Ross Wilkie et Peter Croft. « Multiple joint pain and lower extremity disability in middle and old age ». Disability and Rehabilitation 28, n^o 24 (janvier 2006) : 1543–49. http://dx.doi.org/10.1080/09638280600646250.

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Topolyanskaya, S. V., N. Yu Milashenko, G. R. Cherepantsev, L. I. Bubman, Yu Yu Vasilyeva, M. A. Korshunova, M. V. Golimbekova et al. « Chronic Pain Syndromes in Old Age and the Role of Substance P in this Pathology ». Comorbidity neurology 1, n^o 1 (mars 2024) : 23–34. http://dx.doi.org/10.62505/3034-185x-2024-1-23-34.

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ABSTRACT AIM. To investigate chronic pain syndromes in old age and evaluate the clinical significance of substance P in this pathology. MATERIAL AND METHODS. The study enrolled 68 patients over the age of 75 years with the presence of musculoskeletal pain of any origin for at least 3 months. The mean age of the patients reached 81.9 ± 5.8 years (from 75 to 100 years), most of them were women (85.3%). In this study, the severity of pain was assessed using a visual analogue scale (VAS), and the type of pain was analyzed using questionnaires and scales: DN4, PainDetect, Fibromyalgia Identification Questionnaire (FIRST), Central Sensitization Questionnaire, McGill Pain Questionnaire. The blood concentration of substance P was determined by enzyme immunoassay. RESULTS AND DISCUSSION. The severity of pain syndrome on the VAS scale reached 6.3 ± 2.2 points. The mean scores for DN4 were 3.9 ± 2.1 points, and for PainDetect — 14.7 ± 9.4 points. The mean value of the FIRST questionnaire for diagnosing fibromyalgia was 3.5 ± 1.6 points, and the McGill questionnaire was 69.8 ± 43.7 points. The mean value of the central sensitization scale reached 44.3 ± 16.7 points. Pain syndrome was more severe in women: the mean VAS value in women was 6.4 ± 2.3, in men — 5.1 ± 1.2 points (p = 0.02). The severity of the neuropathic component of the pain syndrome in women was also higher: DN4 scores in women were 4.0 ± 2.1, and in men — 2.9 ± 1.7 points (p = 0.08), and PainDetect — 15.7 ± 9.4 and 8.6 ± 6.4 points, respectively (p = 0.02). The mean values of the screening questionnaire for diagnosing fibromyalgia in women reached 3.7 ± 1.5 points, and in men — 2.7 ± 1.5 points (p = 0.07). In the group of women, the mean McGill questionnaire scores were 74.2 ± 45.2, in men — 45.3 ± 23.6 points (p = 0.006). The mean values of the central sensitization questionnaire for women were: 46.1 ± 16.3, and for men — 34.2 ± 15.5 points (p = 0.03). However, no significant differences in the severity of depression were recorded in women and men: 6.2 ± 2.8 and 5.0 ± 3.4 points, respectively (p = 0.3). The mean concentration of substance P in the study group was 222.6 ± 92.9 pg/ml, varying from 74 to 529 pg/ml. In men, the mean blood concentration of substance P reached 267.1 ± 85.2 pg/ml, in women — 214.2 ± 92.7 pg/ml (p = 0.02). An inverse correlation was registered between the blood concentration of substance P and the age of patients (r = −0.31; p = 0.02). No significant relationships were found between the blood concentration of substance P and the values of all pain questionnaires. Significant correlations were registered between VAS and DN4 (r = 0.29; p = 0.01), PainDetect (r = 0.41; p = 0.004), McGill questionnaire (r = 0.53; p < 0.0001) and central sensitization questionnaire (r = 0.3; p = 0.01). There was no significant correlation between the severity of pain according to VAS and the severity of depression (r = 0.16; p = 0.21). The severity of depression correlated with indicators of DN4 (r = 0.31; p = 0.01), FIRST (r = 0.26; p = 0.03), McGill questionnaire (r = 0.29; p = 0.02) and central sensitization questionnaire (r = 0.5; p < 0.0001). There was a direct correlation between the age of patients and indicators of DN 4 (r = 0.24; p = 0.05) and the central sensitization questionnaire (r = 0.25; p = 0.04). CONCLUSION. The study results suggest the presence of severe chronic pain syndrome of various types in old patients and longlivers. Significant relationships were found between pain indicators assessed using different scales and questionnaires. In this study, no significant correlations were established between the blood concentration of substance P and pain parameters. KEYWORDS: pain, old age, substance P, questionnaires, scales, neuropathic, depression

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Choi, Jun-Ho. « A 71-Year-Old Man with Chronic Epigastric Pain ». Korean Journal of Medicine 98, n^o 1 (1 février 2023) : 40–44. http://dx.doi.org/10.3904/kjm.2023.98.1.40.

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A 71-year-old man presented due to chronic epigastric pain. A computed tomography scan of the abdomen showed a lobulated multilocular cystic lesion in the pancreatic head. Considering the patient’s age and imaging findings, pancreaticoduodenectomy was performed. Pathological examination revealed an intraductal papillary mucinous neoplasm with high-grade dysplasia.

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Lee, Hong S., Kiwon Young, Tae-Hoon Park et Hong Seop Lee. « Arthroscopic Microfracture for Osteochondral Lesions of the Talus in Old Age Patient ». Foot & ; Ankle Orthopaedics 5, n^o 4 (1 octobre 2020) : 2473011420S0031. http://dx.doi.org/10.1177/2473011420s00319.

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Category: Ankle; Arthroscopy Introduction/Purpose: The purpose of the present study was to evaluate the outcomes of arthroscopic microfracture for osteochondral lesions of the talus, in patients of older than 60 years old. Methods: Sixteen patients (16 ankles) with osteochondral lesions of the talus were treated by arthroscopic microfracture from October 2012 to June 2019. As two patients were lost to follow-up, Fourteen patients (14 ankles) participated in the study. There were 6 men (42.9%) and 8 women (57.1%) of average age 67.4years (range 60-77) at the time of surgery. Clinical outcome evaluations were performed using Foot and Ankle Outcome Score (FAOS) and patient’s satisfaction after surgery at a mean follow-up of 50.8 months. Results: Mean FAOS scores improved from SYMPTOM 68.2 points (range 39-86), PAIN 65.1 points (range 36-94), ADL 69.4 points (range 32-99), SPORTS 45.4 points (range 25-80), QOL 47.1 points (range 13-94) preoperatively to SYMPTOM 94.8 points (range 68-100), PAIN 91.1 points (range 48-100), ADL 93.3 points (range 59-100), SPORTS 71.8 points (range 30-100), QOL 79.8 points (range 25-100) at final follow up. Very satisfaction in 4 (29%), Satisfaction in 7 (50%), Fair in 2 (14%), Dissatisfaction in 1 (7%), and reason for dissatisfaction was persistent pain after surgery. Conclusion: Arthroscopic microfracture for osteochondral lesions of the talus is a safe and effective procedure for old age patient.

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Schweizer, Hügli, Koella et Jeanneret. « Popliteal entrapment syndrome and age ». Vasa 41, n^o 4 (1 juillet 2012) : 262–68. http://dx.doi.org/10.1024/0301-1526/a000201.

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On the occasion of diagnosing a popliteal entrapment syndrome in a 59-year old man with no cardiovascular risk factors, who developed acute ischemic leg pain during long distance running, we give an overview on this entity with emphasis on patientsage. The different types of the popliteal artery compression syndrome are summarized. The diagnostic and therapeutic approaches are discussed. The most important clinical sign of a popliteal entrapment syndrome is the lack of atherosclerotic risk factors in patients with limited walking distance. Not only in young athletes but also in patients more than 50 years old the popliteal entrapment syndrome has to be taken into account.

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Lücke, Anna Jori, Cornelia Wrzus, Ute Kunzmann, Denis Gerstorf, Martin Katzorreck, Christiane Hoppmann et Oliver Schilling. « BIDIRECTIONAL LINKS OF DAILY SLEEP QUALITY AND DURATION WITH PAIN AND SELF-RATED HEALTH IN OLD AGE ». Innovation in Aging 6, Supplement_1 (1 novembre 2022) : 4–5. http://dx.doi.org/10.1093/geroni/igac059.012.

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Abstract Sleep and physical well-being (e.g., pain, self-rated health) are closely linked, but the temporal ordering, especially regarding day-to-day variations, is not well understood. Furthermore, sleep quality and duration are only moderately correlated and may differ in their association with physical wellbeing. Using data from 123 young-old (66-69 years, 47% women) and 47 old-old adults (84-90 years, 60% women) who rated sleep quality and duration as well as pain and self-rated health on seven consecutive days, we examined bidirectional links between sleep and physical well-being. Supporting our hypotheses, results showed that after longer and better than usual sleep, participants reported better self-rated health; only better sleep quality significantly predicted lower pain. In turn, both lower pain intensity and increased self-rated health predicted better subsequent sleep quality, but not duration. We discuss conceptual and practical implications of our findings.

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Bell, Kristina, Larissa Strath, Chavier Laffitte Nodarse, Pedro Valdes-Hernandez, Roger Fillingim et Yenisel Cruz-Almeida. « DIFFERENCES IN WHITE MATTER MICROSTRUCTURE IN MIDDLE-TO-OLDER AGE ADULTS WITH CHRONIC KNEE PAIN ». Innovation in Aging 7, Supplement_1 (1 décembre 2023) : 1021. http://dx.doi.org/10.1093/geroni/igad104.3282.

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Abstract Abundant research suggests aberrant white matter microstructure in patients with chronic pain as well as in older adults independently, where pain can significantly impact daily function. However, most studies fail to consider pain and aging interactions, particularly in middle and older-age. We aimed to explore differences in white matter microstructure (i.e.,Fractional Anisotropy (FA)) by pain’s impact on daily function (i.e., high (n=60) versus low pain impact (n=111) in middle-(45-59 years old, n=129) versus older adults (60-XX years old, n=77) using diffusion tensor imaging. Participants (n=171) underwent laboratory visits to collect multi-modal pain and neuroimaging measures. We employed a linear mixed model approach to test main effects of pain impact and age groups as well as their interaction with Bonferroni-corrected multiple comparisons. Findings demonstrated a significant pain impact and age interaction on FA (p’s≤0.05) in the left caudal anterior cingulate, left caudal middle frontal, left and right rostral middle frontal and left and right insular regions. Specifically, middle-aged adults with high impact pain had significantly worse brain microstructure across these regions compared to the older adults reporting high impact pain (p’s≤0.05). These findings highlight the need to study pain across the lifespan. Given the higher prevalence of chronic pain in middle-age compared to older age, future studies are urgently needed to test whether interventions in middle-age could halt pain’s impact on brain and function.

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Neupane, Subas, Clas-Håkan Nygård, K. C. Prakash, Mikaela B. von Bonsdorff, Monika E. von Bonsdorff, Jorma Seitsamo, Taina Rantanen, Juhani Ilmarinen et Päivi Leino-Arjas. « Multisite musculoskeletal pain trajectories from midlife to old age : a 28-year follow-up of municipal employees ». Occupational and Environmental Medicine 75, n^o 12 (15 octobre 2018) : 863–70. http://dx.doi.org/10.1136/oemed-2018-105235.

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ObjectivesWe studied the developmental trajectories of multisite musculoskeletal pain (MSP) to learn whether pain in midlife persists to old age, and whether pain trajectories associate with midlife work or lifestyle exposures or retirement from work.MethodsMunicipal employees aged 44–58 years were studied in 1981 (n=6257) with follow-ups in 1985, 1992, 1997 and 2009. Pain in the neck, low back, and upper and lower limbs was assessed in each survey. Trajectories of the number (0–4) of pain sites were defined using growth mixture modelling (n=3093). Workload, lifestyle and morbidity were elicited by questionnaire and retirement from registries. Associations of baseline factors with pain trajectories were assessed by multinomial logistic regression. Cumulative hazard curves for retirement by trajectory group were calculated.ResultsThree trajectories of pain over 28 years emerged: low (25%), moderate (52%) and high-decreasing (23%). In the latter, the number of pain sites first decreased sharply, stabilising to a moderate level after most subjects had retired. The disability pension rate was highest in this trajectory, which associated with high baseline morbidity, particularly musculoskeletal disorder (OR 8.06; 95% CI 5.97 to 10.87). Also high biomechanical exposure (2.86;95% CI 2.16 to 3.78), high job demands (1.79; 95% CI 1.39 to 2.30), high job control (OR 0.70; 95% CI 0.54 to 0.90), body mass index (BMI) ≥25.0 kg/m2 (1.40; 95% CI 1.09 to 1.80) and low leisure-time physical activity (LTPA) (1.39; 95% CI 1.09 to 1.78) at baseline were associated with this trajectory. However, high LTPA and BMI in repeated surveys also associated with the high-decreasing trajectory.ConclusionMSP in midlife often persists to old age. However, high widespreadness of pain may decrease with retirement from work.

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Petrikas, A. Zh, S. A. Letunovskaya, E. V. Chestnykh, D. V. Medvedev, E. P. Zin'kovskaya, I. O. Larichkin et K. V. Kulikova. « The phenomenon of dental pulp sensitivity in the formation of permanent teeth ». Endodontics Today 18, n^o 4 (3 janvier 2021) : 14–19. http://dx.doi.org/10.36377/1683-2981-2020-18-4-14-19.

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Aim. То carry out a comparative assessment of the change in the pain threshold (in terms of electroodontometry), the X-ray width of the root canal in the apex area and the nature of the pain sensation of the central incisors in children aged 6.5-15 years.Materials and methods. We examined 280 teeth in 280 children from 6.5 to 15 years old (central incisors). Patients are divided by age into 5 groups: 1 - 6.5-7 years old; 2 - 7-8 years old; 3 - 9-10 years old; 4 - 11-12 years old; 5 - 13-15 years old. The patients underwent electroodontometry (EOM), to measure the sensitivity threshold of the studied tooth, the subjective sensations with EOM were assessed, and the width of the apical part of the root canal was determined, according to the data of intraoral sighting radiography.Results. The study studied the process of teething and formation of teeth in dynamics from 6.5 to 15 years in 5 age groups. Changes in electrodontometry (EOM) are significant from 140.38 цА (4.5 years) to 24.38 цА (15 years) - average data. The relationship between age and the width of the root canal in the area of the apex, which is also characterized by a gradual narrowing, has been traced. Pulp pain with EOM becomes clearer and more short-lived with age. The correlation between age and pain threshold is less pronounced (41%) than between age and apical canal width (72%). Conclusions. The main role in the sensitivity of the tooth is played by the A-delta and C nerve fibers of the pulp. The phenomenon of a decrease in the pain sensitivity threshold of permanent teeth during electrodontometry in the process of root formation due to the reaction of C-fibers was established.

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Lücke, Anna Jori, Oliver Schilling et Scott Hofer. « BEHAVIORAL AND SOCIAL IMPACTS ON DAILY VARIABILITY IN HEALTH AND FUNCTIONING IN OLD AND VERY OLD AGE ». Innovation in Aging 6, Supplement_1 (1 novembre 2022) : 4. http://dx.doi.org/10.1093/geroni/igac059.010.

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Abstract In recent years, research has shown that people experience substantial variability in domains such as cognition, health, or social interactions from day-to-day or even moment-to-moment. This variability carries relevant information above and beyond an individual’s mean levels of functioning, revealing, for instance, potential risk factors for healthy aging. Thus, aging research increasingly examined such variations in older adults’ daily lives, aiming to further the understanding of aging processes with insights into short- and long-term predictors of daily health and functioning. In this symposium, we introduce research using repeated daily life assessments from older participants to elucidate behavioral and social impacts on variations in working memory performance, pain and self-rated health, as well as social interaction quality. Luo et al. show that diverse daily activities were linked with higher working memory performance one the same day. Regarding long-term prediction, Schilling et al. found that patterns of alcohol consumption across two decades were only weakly predictive of subsequent short-term variability in daily working memory performance. Turning from cognitive functioning to health, Lücke et al. observed bidirectional links of variations in daily sleep quality with variations in daily pain and health perceptions across several days. Finally, Hülür et al. addressed the role of communication technologies for older persons’ social interactions and found that daily social interaction quality differs with the interaction modalities. Scott Hofer will discuss the implications of the presented findings for our understanding of variability in everyday functioning in old age, considering challenges and opportunities for future research in this field.

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Алексеев, Vladimir Alekseev, Бойченко, Aleksandr Boychenko, Овсянников, Vikotor Ovsyannikov, Алексеева et Natalya Alekseeva. « The activity of lysozyme while the formation of acute somatic pain in old rats ». Vladikavkaz Medico-Biological Bulletin 20, n^o 29 (1 novembre 2014) : 29–31. http://dx.doi.org/10.12737/11813.

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Experiments were conducted on white old non-linear rats. Acute somatic pain (4–5 degree of intensity) was simulated by electrocutaneous stimulation of the receptor zone of the root of the tail. The animals were decapitated and blood sampling was carried out to study the activity of lysozyme by nephelometric method after the acute somatic pain. Acute somatic pain activates system of lysozyme in 1 hour after painful irritation in old rats. Acute somatic pain has high values in 60 min. after acute somatic pain in old age rats.

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Zhou, Xiao, Kazuhiro Imai, Zhuo Chen, Xiaoxuan Liu, Eiji Watanabe et Hongtao Zeng. « The Characteristics of Badminton-Related Pain in Pre-Adolescent and Adolescent Badminton Players ». Children 10, n^o 9 (2 septembre 2023) : 1501. http://dx.doi.org/10.3390/children10091501.

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Body pain, often considered as an early sign of injury in young players, warrants thorough study. This study aimed to examine the distribution of badminton-related pain and prevalence in pre-adolescent and adolescent badminton players. Profiles of badminton-related pain were surveyed using a questionnaire among 366 pre-adolescent and adolescent badminton players aged 7–12 years. The distribution of badminton-related pain was described, and the pain incidence was calculated. Proportions of pain per 1000-training-hour exposures were the main outcome measures. The analysis considered various age groups (7–8, 9–10, and 11–12 years) and years of badminton experience (≤2, 2–3, and > 3 years). In total, 554 cases of badminton-related pain were reported. The ankle was the most common site, followed by knee, plantar, shoulder, and lower back. The overall pain rate per 1000-training-hour exposure was 3.06. The 11–12-year-old group showed the highest pain rate, significantly greater than the 7–8-year-old group and the 9–10-year-old group. Additionally, the prevalence of pain exhibited an increasing trend with age. Finally, regardless of the age groups, participants with 2–3 years of badminton experience had the highest pain rate. These findings might help inform targeted interventions to reduce the high prevalence of pain in various body regions across pre-adolescent and adolescent badminton players.

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Tuck, Claire M. « A 54-Year-Old Woman with Degenerative Back Pain ». Acupuncture in Medicine 28, n^o 1 (mars 2010) : 46–48. http://dx.doi.org/10.1136/aim.2009.000687.

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Back pain is a common symptom: up to 70% of UK adults experience this symptom by the age of 60 and most have moderate to severe pain. Back pain accounted for 12% of consultations to traditional acupuncturists in 2001 and is one of the most common reasons for consultation with an acupuncturist. This case report concerns a 54-year-old woman with metastatic breast cancer and degenerative lower back pain, which remained painful despite intensive pharmaceutical management and facet joint injection and was ultimately successfully managed with two 30 min acupuncture treatments 2 weeks apart, using eight points on the BL meridians. Acupuncture treatment using tender points was later trialled for neuropathic pain secondary to local recurrence in her mastectomy scar, however this was unsuccessful and inpatient hospice admission for further intensive pharmaceutical management was required.

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Kaur, Dilpreet, Lavanya Nandan et Sibi Samual. « A COMPARATIVE STUDY TO ASSESS THE EFFECTIVENESS OF WARM WATER THERAPY VERSUS CONTRAST WATER THERAPY ON JOINTS PAIN AMONG ELDERLY PATIENT WITH ARTHRITIS IN SELECTED OLD AGE HOME AT DELHI NCR ». International Journal of Advanced Research 10, n^o 06 (30 juin 2022) : 739–44. http://dx.doi.org/10.21474/ijar01/14944.

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A study was done to assess the effectiveness of warm water therapy versus contrast water therapy on joints pain among elderly patient with arthritis in selected old age home at Delhi NCR. Osteoarthritis (OA) is the most common form of arthritis, affecting nearly 30 million nation wide. A common complaint from patients is pain in the weight-bearing joints such as the hips, knees and spine as well as involvement in the finger joints.hence warm water therapy and contrast water therapy is the best method to treat arthritis. The aims of the study to assess the joint pain among elderly patient with arthritis in selected old age home at Delhi NCR. To evaluate the effectiveness of warm water therapy on joint pain among elderly patient with arthritis in selected old age home at Delhi NCR. To evaluate the effectiveness of contrast water therapy on joint pain among elderly patient with arthritis in selected old age home at Delhi NCR. To compare the effectiveness of warm water therapy versus contrast water therapy on joint pain among elderly patient with arthritis in selected old age home at Delhi NCR. To determine the association between joint pain after receiving warm water therapy with the selected demographic variable. To determine the association between joint pain after receiving contrast water therapy with the selected demographic variable. A quasi experimental- nonequivalent pretest posttest design was adopted and non probability Purposive sampling technique was used to collect the sample from 30 elderly patients with arthritis (15 for warm water therapy and 15 for contrast water therapy) at old age home. Both therapies were administered continuously for 10 days. The data was analyzed and interpreted as per objectives and the research hypothesis stated. Descriptive and inferential statistics were used for data analysis. The Results shows that there was significant difference between mean post test scores of elderly patient with arthritis in warm water therapy and contrast water therapy for joint pain score as obtained unpaired t value was higher than the tabulated value for df at 0.05 level of significance. The fishers exact test value showed that there was a significant association between post test score of elderly patient after receiving the warm water therapy and contrast water therapy with demographic variables as p value obtained is less then at 0.05 level of significance.

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Peat, George, Elaine Thomas, June Handy et Peter Croft. « Social networks and pain interference with daily activities in middle and old age ». Pain 112, n^o 3 (décembre 2004) : 397–405. http://dx.doi.org/10.1016/j.pain.2004.09.029.

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van Dijk, Adam, Patricia A. McGrath, William Pickett et Elizabeth G. VanDenKerkhof. « Pain Prevalence in Nine- to 13-Year-Old School Children ». Pain Research and Management 11, n^o 4 (2006) : 234–40. http://dx.doi.org/10.1155/2006/835327.

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BACKGROUND: Despite significant progress in the epidemiology of chronic pain in adults, major gaps remain in our understanding of the epidemiology of chronic pain in children. In particular, the incidence, prevalence and sensory characteristics of many types of pain in Canadian children are unknown.OBJECTIVES: A study to obtain the lifetime and point prevalence of common acute pains, recurrent pain syndromes and chronic pains was conducted in a cohort of 495 school children, nine to 13 years of age, in eastern Ontario.METHODS: Children reported their pain experiences and described the intensity, affect and duration of the pains experienced over the previous month by completing the Pain Experience Interview –Short Form.RESULTS: The majority of children (96%) experienced some acute pain over the previous month, with headache (78%) being most frequently reported. Lifetime prevalence for certain acute pains differed significantly by sex (P<0.05). Fifty-seven per cent of children reported experiencing at least one recurrent pain, while 6% were identified as having had or currently having chronic pain.DISCUSSION: The prevalence of acute pain in this Canadian cohort is consistent with international estimates of acute pain experiences (ie, headache) and recurrent pain problems (ie, recurring headache, abdominal pain and growing pains). However, 6% of children reported chronic pain. The self-completed Pain Experience Interview – Short Form provides a feasible administration technique for obtaining population estimates of childhood pain, and for conducting longitudinal studies to identify risk and prognostic factors for chronic pain.

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Samygin, Sergey. « THE MEANING OF OLD AGE IN THE CONTEXT OF POSTMODERN SOCIETY ». HUMANITIES OF THE SOUTH OF RUSSIA 11, n^o 3 (29 juillet 2022) : 16–29. http://dx.doi.org/10.18522/2227-8656.2022.3.1.

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Rabenstein, Andrew P., Khaled F. Salhab, Georgios Spentzouris, Vijayapraveena Paruchuri, George Hines, Anthony M. Vintzileos et Scott L. Schubach. « Middle Aortic Syndrome in a Child-Bearing Age Patient ». AORTA 07, n^o 03 (juin 2019) : 087–89. http://dx.doi.org/10.1055/s-0039-1688933.

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AbstractWe report a rare case of a 30-year-old female who had a long-standing history of middle aortic syndrome that was being managed nonsurgically. She presented with hypertension and buttock pain with plans to become pregnant. She underwent an aortoiliac bypass.

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