More studies are indicated to confirm its overall cost-effectiven

More studies are indicated to confirm its overall cost-effectiveness and competitiveness with traditional methods of managing atelectasis.”
“Dental selleck chemicals patients with special needs are people with different systemic diseases,

multiple disorders or severe physical and/or mental disabilities. A Medline search was made, yielding a total of 29 articles that served as the basis for this study, which offers a brief description of the dental intervention protocols in medically compromised patients. Dental treatment in patients with special needs, whether presenting medical problems or disabilities, is sometimes complex. For this reason the hospital should be regarded as the ideal setting for the care of these individuals. Before starting any dental intervention, a correct patient evaluation is needed, based on a correct anamnesis, medical records and interconsultation Selleckchem FK228 reports, and with due assessment of the medical risks involved. The hospital setting offers the advantage of access to electronic medical records and to data referred to any complementary tests that may have been made, and we moreover have the possibility of performing treatments under

general anesthesia. In this context, ambulatory major surgery is the best approach when considering general anesthesia in patients of this kind.”
“Objective. The primary aim of this study was to determine the influence of sex and the interactions between sex and smoking status on the immediate treatment outcomes of patients undergoing multidisciplinary pain treatment.

Design. A retrospective, repeated measures


Setting. Multidisciplinary pain rehabilitation center at a tertiary referral medical center.

Patients. The cohort (N = 1,241) included 928 women and 313 men of whom 313 were current smokers, 294 were former smokers and 634 were never smokers consecutively admitted from Fosbretabulin cost September 2003 through February 2007.

Interventions. A 3-week outpatient multidisciplinary pain rehabilitation program.

Outcome Measures. The Multidimensional Pain Inventory, Short Form-36 Health Status Questionnaire, Center for Epidemiologic Studies-Depression scale, Pain Anxiety Symptom Scale, and Pain Catastrophizing Scale were administered at admission and dismissal.

Results. Women experienced significantly greater improvement in depressive symptoms compared with men (P = 0.023). Smokers experienced significantly greater improvements in depression (P = 0.039), pain catastrophizing (P = 0.010), and anxiety (P = 0.037) compared with former and never smokers. No significant interaction effects between treatment by sex by smoking status were observed. A significant sex by smoking status interaction was observed for daily morphine equivalent dose (mg/d) where male smokers consumed greater quantities of opioids compared with female smokers at program admission (P < 0.001).

Conclusions. The effects of smoking status on the immediate treatment outcomes of multidisciplinary pain treatment are not modified by sex.

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