cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14325764.v1
title: Recommendations for the use of opioids in Brazil: Part III. Use in special situations (postoperative pain, musculoskeletal pain, neuropathic pain, gestation and lactation)

description: BACKGROUND AND OBJECTIVES: The use of opioids as first and second line agents to adequately treat pain requires systematization in different clinical syndromes which course with acute pain. This study aimed at discussing recommendations for the use of opioids in acute postoperative pain, neuropathic pain, musculoskeletal pain and pain during gestation and lactation.CONTENTS: This review has addressed the use of opioids in frequent chronic and acute painful syndromes, in gestation and lactation, discussing indications, drugs used, doses, risks, complications and recommendations.CONCLUSION: Opioids for acute postoperative pain have been broadly studied and are established for minor medium and major surgeries. Recommendations for the use of opioids in neuropathic and musculoskeletal pain are restricted to second line treatment and require further discussions. Few studies have investigated the interaction of opioids with physiologic changes typical of gestation and the repercussions of the use of such agents to treat acute and chronic pain in the short and long term.
DOI: 10.6084/m9.figshare.14325765
title: Analysis of 230 women with chronic pelvic pain assisted at a public hospital

description: BACKGROUND AND OBJECTIVES:Chronic pelvic pain is prevalent, presents difficult treatment and has been poorly investigated. The objective of this study was to analyze 230 patients from the chronic pelvic pain ambulatory of Hospital das Clínicas, Federal University of Goiás.METHODS:Cross-sectional and intervention study, from 2007-2011.RESULTS:Mean age was 38.3±10.0 years. Most women were mulatto, married/cohabitating, attended elementary school, financially dependent, had an income of up to five minimum wages, normal body mass index, up to three children and sexual activity. Almost 30% had abortions, 15.8%, physical abuse and 11%, sexual abuse. Previous surgeries were common. Most had normal bowel and bladder function. Pain lasted over 16 days/month; it worsened in perimenstrual period and started, on average, 6.7 years before. In over 70% of cases there was a coincident event with the onset of pain, and conflict and/or trauma were the most commonly reported. Physical examination and ultrasound were normal in most of these women. Adhesion and/or endometriosis were found in almost 2/3 of 41 laparoscopies performed. There was an average reduction of 39.2% of the pain scale (3.1/7.9) with various adopted treatments (drugs, psychotherapy and laparoscopy) p&lt;0.001. History of sexual abuse and abortion was associated with less pain reduction.CONCLUSION:This study adds epidemiological and clinical information on women with chronic pelvic pain in Brazil. Clinical and psychotherapeutic treatments induced significant reduction of the pain scale between the first and last visit of patients. Laparoscopy did not potentiate the reduction of pain.
DOI: 10.6084/m9.figshare.14325765.v1
title: Analysis of 230 women with chronic pelvic pain assisted at a public hospital

description: BACKGROUND AND OBJECTIVES:Chronic pelvic pain is prevalent, presents difficult treatment and has been poorly investigated. The objective of this study was to analyze 230 patients from the chronic pelvic pain ambulatory of Hospital das Clínicas, Federal University of Goiás.METHODS:Cross-sectional and intervention study, from 2007-2011.RESULTS:Mean age was 38.3±10.0 years. Most women were mulatto, married/cohabitating, attended elementary school, financially dependent, had an income of up to five minimum wages, normal body mass index, up to three children and sexual activity. Almost 30% had abortions, 15.8%, physical abuse and 11%, sexual abuse. Previous surgeries were common. Most had normal bowel and bladder function. Pain lasted over 16 days/month; it worsened in perimenstrual period and started, on average, 6.7 years before. In over 70% of cases there was a coincident event with the onset of pain, and conflict and/or trauma were the most commonly reported. Physical examination and ultrasound were normal in most of these women. Adhesion and/or endometriosis were found in almost 2/3 of 41 laparoscopies performed. There was an average reduction of 39.2% of the pain scale (3.1/7.9) with various adopted treatments (drugs, psychotherapy and laparoscopy) p&lt;0.001. History of sexual abuse and abortion was associated with less pain reduction.CONCLUSION:This study adds epidemiological and clinical information on women with chronic pelvic pain in Brazil. Clinical and psychotherapeutic treatments induced significant reduction of the pain scale between the first and last visit of patients. Laparoscopy did not potentiate the reduction of pain.
DOI: 10.6084/m9.figshare.14325767.v1
title: Pain in patients undergoing appendectomy

description: BACKGROUND AND OBJECTIVES:Pain is a subjective manifestation of unpleasant, personal and untransferable experience, produced by tissue injury involving physical and chemical body mechanisms. This study aimed at identifying the presence of acute pain in the postoperative period of appendectomy, at checking pain records, at describing postoperative complications and at comparing pain management and the adequacy of analgesia.METHODS:This is a transversal, descriptive and quantitative study. Sample was made up of 41 patients submitted to appendectomy. A semi-structured interview was carried out with information about use of analgesics, presence of postoperative pain, pain site, consequences of pain and visual analog scale. To evaluate pain management and the quality of analgesia, the Pain Management Index proposed by the World Health Organization was calculated.RESULTS:From total sample, 61% were males, mean age was 34.36±11.64 years, 70.7% were married and all patients have referred pain. In 90.2% of cases there was no pain recording in medical charts. Surgical incision was the major pain site and its primary consequence was impaired physical mobility. As to pain intensity, 22.2% of patients had moderate pain and were inadequately treated according to Pain Management Index.CONCLUSION:There has been considerable inadequacy of analgesia, pain recording in medical charts was scarce and no nursing professional has recorded pain. Surgical incision was major pain complaint site and impaired mobility was the primary complication. Our data bring about the need for investments in health professionals qualification with regard to pain management.
DOI: 10.6084/m9.figshare.14325770
title: Teaching of Nursing interventions as non-pharmacological strategy for pain relief

description: BACKGROUND AND OBJECTIVES:This study is justified by the relevance of highlighting strategies which may be used by the nursing team to contribute to pain management, considering the importance of pain as the fifth vital sign. This study aimed at describing Nursing interventions to be taught as strategies for pain relief, according to Nursing professors’ perception.METHODS:This is a descriptive, exploratory and qualitative study. The scenario was a Nursing Graduation Course and participants were Nursing professors teaching Nursing disciplines. All participants have signed the Free and Informed Consent Term. Data collected by means of semi-structured interviews recorded in audio were afterward organized in categories.RESULTS:From data analysis, the category "Nursing care as non-pharmacological intervention to manage pain" has emerged. Specific Nursing action strategies taught during the course were additional care, such as effective communication, patients’ positioning and mobilization and support with artifacts, added to family monitoring.CONCLUSION:Nursing interventions adopted as non-pharmacological therapies to manage pain were the strategies used by professors during the teaching process.
DOI: 10.6084/m9.figshare.14325770.v1
title: Teaching of Nursing interventions as non-pharmacological strategy for pain relief

description: BACKGROUND AND OBJECTIVES:This study is justified by the relevance of highlighting strategies which may be used by the nursing team to contribute to pain management, considering the importance of pain as the fifth vital sign. This study aimed at describing Nursing interventions to be taught as strategies for pain relief, according to Nursing professors’ perception.METHODS:This is a descriptive, exploratory and qualitative study. The scenario was a Nursing Graduation Course and participants were Nursing professors teaching Nursing disciplines. All participants have signed the Free and Informed Consent Term. Data collected by means of semi-structured interviews recorded in audio were afterward organized in categories.RESULTS:From data analysis, the category "Nursing care as non-pharmacological intervention to manage pain" has emerged. Specific Nursing action strategies taught during the course were additional care, such as effective communication, patients’ positioning and mobilization and support with artifacts, added to family monitoring.CONCLUSION:Nursing interventions adopted as non-pharmacological therapies to manage pain were the strategies used by professors during the teaching process.
DOI: 10.6084/m9.figshare.14325771.v1
title: Pressure pain endurance in women with fibromyalgia

description: BACKGROUND AND OBJECTIVES:Fibromyalgia syndrome is a chronic condition causing spontaneous widespread pain associated with hypersensitivity. This study aimed at investigating the pressure pain endurance in women with fibromyalgia syndrome to determine the range of painful stimulation that an individual with fibromyalgia syndrome can resist acceptably.METHODS:We conducted an observational, descriptive, crosssectional study with 60 subjects (51.23±8 years), who met the American College of Rheumatology/1990 (ACR) criteria for fibromyalgia syndrome, and 42 healthy volunteers (48.33±9 years) as the control group. Algometry was performed to record pressure pain detection threshold and pressure pain tolerance, and fibromyalgia impact questionnaire was used to determine the impact of fibromyalgia syndrome. Pressure pain endurance was calculated as the arithmetic difference between pressure pain tolerance and pressure pain detection threshold.RESULTS:A significant difference in fibromyalgia impact questionnaire (p&lt;0.0001), pressure pain detection threshold, and pressure pain tolerance (p&lt;0.0001) was found between both groups. Furthermore, a significant difference in pressure pain endurance (p&lt;0.0001) for each of the 18 points identified by ACR was noted between both groups, with the highest range of physical stimulation observed in the control group. A correlation between pressure pain endurance and pressure pain detection threshold (r=0.8334; p&lt;0.0001) and pressure pain tolerance (r=0.8387; p&lt; 0.0001) was observed in the fibromyalgia syndrome group.CONCLUSION:Pressure pain endurance of the fibromyalgia syndrome group was extremely lower, when compared with that of healthy controls, and may be used as an additional component to measure the disturbance in pain perception and to determine the range of painful stimulation that an individual with fibromyalgia syndrome can acceptably resist.
DOI: 10.6084/m9.figshare.14325767
title: Pain in patients undergoing appendectomy

description: BACKGROUND AND OBJECTIVES:Pain is a subjective manifestation of unpleasant, personal and untransferable experience, produced by tissue injury involving physical and chemical body mechanisms. This study aimed at identifying the presence of acute pain in the postoperative period of appendectomy, at checking pain records, at describing postoperative complications and at comparing pain management and the adequacy of analgesia.METHODS:This is a transversal, descriptive and quantitative study. Sample was made up of 41 patients submitted to appendectomy. A semi-structured interview was carried out with information about use of analgesics, presence of postoperative pain, pain site, consequences of pain and visual analog scale. To evaluate pain management and the quality of analgesia, the Pain Management Index proposed by the World Health Organization was calculated.RESULTS:From total sample, 61% were males, mean age was 34.36±11.64 years, 70.7% were married and all patients have referred pain. In 90.2% of cases there was no pain recording in medical charts. Surgical incision was the major pain site and its primary consequence was impaired physical mobility. As to pain intensity, 22.2% of patients had moderate pain and were inadequately treated according to Pain Management Index.CONCLUSION:There has been considerable inadequacy of analgesia, pain recording in medical charts was scarce and no nursing professional has recorded pain. Surgical incision was major pain complaint site and impaired mobility was the primary complication. Our data bring about the need for investments in health professionals qualification with regard to pain management.
DOI: 10.6084/m9.figshare.14325773
title: Physiotherapy in primary dysmenorrhea: literature review

description: BACKGROUND AND OBJECTIVES:Dysmenorrhea is a word derived from the Greek language and means difficult menstrual cycle. It may be classified as primary, leading to poorer quality of life indices of several women. This study aimed at investigating, by means of literature review, the efficacy and accuracy of existing therapies for primary dysmenorrhea, specifically in Physiotherapy.CONTENTS:Narrative literature review by querying electronic databases Medline, Scielo, Lilacs, Cochrane library, PEDro and Pubmed), where articles were selected and analyzed from August 2013 to February 2014. For data collection, materials from 2005 to current literature were included using the following keywords: “dysmenorrhea”, “physiotherapy” and their Portuguese equivalent “dismenorreia” and “fisioterapia”, combining them with the operators AND and OR.CONCLUSION:Studies were found describing the use of thermotherapy, cryotherapy, transcutaneous electric nerve stimulation and connective tissue massage, Pilates and acupuncture with improvement of such women's symptoms. However, it is clear the need for studies regarding physiotherapeutic maneuvers with further methodological rigor.
DOI: 10.6084/m9.figshare.14325774.v1
title: Clinical topographic analysis of neuropathic pain in patients admitted in a center of multidisciplinary treatment

description: BACKGROUND AND OBJECTIVES:Verbal investigation is a critical step of nursing neurological evaluation of neuropathic pain patients, due to its multidimensionality. There are few studies in the literature specifically dealing with this subject. In light of the above, this study aimed at evaluating medical records on clinical topographic characteristics of neuropathic pain reported by patients from a multidisciplinary management center.METHODS:This is a documental, crossover and quantitative study evaluating 50 medical records of patients with established neuropathic pain diagnosis who came for routine consultations between January and June 2014. Data collection form was based on McGill Pain Questionnaire and data regarding age, gender, pain topography and presence of verbal descriptors were analyzed. Data were submitted to statistical analysis and Chi-square test was applied to compare association among variables.RESULTS:There has been prevalence of females (64%), with mean age of 57 years. Most common pain descriptors were from the sensory dimension and were associated to cases where neuropathy affected lower limbs (p=0.006).CONCLUSION:There has been association between topography and pain dimension. Due to the subjectivity and complexity involving neuropathic pain evaluation, it is necessary to understand its clinical manifestations and to prepare the whole multidisciplinary team, especially Nursing, which plays a critical role in verbal investigation of painful patients.
DOI: 10.6084/m9.figshare.14325774
title: Clinical topographic analysis of neuropathic pain in patients admitted in a center of multidisciplinary treatment

description: BACKGROUND AND OBJECTIVES:Verbal investigation is a critical step of nursing neurological evaluation of neuropathic pain patients, due to its multidimensionality. There are few studies in the literature specifically dealing with this subject. In light of the above, this study aimed at evaluating medical records on clinical topographic characteristics of neuropathic pain reported by patients from a multidisciplinary management center.METHODS:This is a documental, crossover and quantitative study evaluating 50 medical records of patients with established neuropathic pain diagnosis who came for routine consultations between January and June 2014. Data collection form was based on McGill Pain Questionnaire and data regarding age, gender, pain topography and presence of verbal descriptors were analyzed. Data were submitted to statistical analysis and Chi-square test was applied to compare association among variables.RESULTS:There has been prevalence of females (64%), with mean age of 57 years. Most common pain descriptors were from the sensory dimension and were associated to cases where neuropathy affected lower limbs (p=0.006).CONCLUSION:There has been association between topography and pain dimension. Due to the subjectivity and complexity involving neuropathic pain evaluation, it is necessary to understand its clinical manifestations and to prepare the whole multidisciplinary team, especially Nursing, which plays a critical role in verbal investigation of painful patients.
DOI: 10.6084/m9.figshare.14325771
title: Pressure pain endurance in women with fibromyalgia

description: BACKGROUND AND OBJECTIVES:Fibromyalgia syndrome is a chronic condition causing spontaneous widespread pain associated with hypersensitivity. This study aimed at investigating the pressure pain endurance in women with fibromyalgia syndrome to determine the range of painful stimulation that an individual with fibromyalgia syndrome can resist acceptably.METHODS:We conducted an observational, descriptive, crosssectional study with 60 subjects (51.23±8 years), who met the American College of Rheumatology/1990 (ACR) criteria for fibromyalgia syndrome, and 42 healthy volunteers (48.33±9 years) as the control group. Algometry was performed to record pressure pain detection threshold and pressure pain tolerance, and fibromyalgia impact questionnaire was used to determine the impact of fibromyalgia syndrome. Pressure pain endurance was calculated as the arithmetic difference between pressure pain tolerance and pressure pain detection threshold.RESULTS:A significant difference in fibromyalgia impact questionnaire (p&lt;0.0001), pressure pain detection threshold, and pressure pain tolerance (p&lt;0.0001) was found between both groups. Furthermore, a significant difference in pressure pain endurance (p&lt;0.0001) for each of the 18 points identified by ACR was noted between both groups, with the highest range of physical stimulation observed in the control group. A correlation between pressure pain endurance and pressure pain detection threshold (r=0.8334; p&lt;0.0001) and pressure pain tolerance (r=0.8387; p&lt; 0.0001) was observed in the fibromyalgia syndrome group.CONCLUSION:Pressure pain endurance of the fibromyalgia syndrome group was extremely lower, when compared with that of healthy controls, and may be used as an additional component to measure the disturbance in pain perception and to determine the range of painful stimulation that an individual with fibromyalgia syndrome can acceptably resist.
DOI: 10.6084/m9.figshare.14325777
title: Methods for the assessment of opioid-induced hyperalgesia in the perioperative period

description: BACKGROUND AND OBJECTIVES:Opioid-induced hyperalgesia is a topic not yet fully understood in terms of mechanisms, diagnosis, prevention and treatment. Thus, it seems of great importance to evaluate this phenomenon that negatively affects the treatment of pain. The purpose of this study was to describe what tools to use to evaluate perioperative hyperalgesia.CONTENTS:Several methods have been suggested to evaluate opioid-induced hyperalgesia, such as measure of pain intensity, opioid consumption, and evaluation of secondary hyperalgesia with algometer and Von Frey monofilaments. The measurement of some substances, such as cytokines, glutamate, and dynorphin has also been used.CONCLUSION:There are several ways to evaluate opioidinduced hiperalgesia, easily reproducible tests should be chosen and which have also been described in previous studies.
DOI: 10.6084/m9.figshare.14325780
title: Musculoskeletal pain and ergonomic aspects of dentistry

description: ABSTRACT BACKGROUND AND OBJECTIVES: Dentists are considered professionals highly vulnerable to occupational problems and such injuries are sometimes caused by adopted postures and repetitive efforts during their work. This study aimed at checking the prevalence of musculoskeletal pain and to observe whether the work of dentists acting in both public and private sectors was carried out ergonomically. METHODS: This is a cross-sectional, descriptive and observational study with dentists (n=80). A self-applicable questionnaire was used to check the frequency of musculoskeletal pain and occupational injuries, as well as to record labor activities, practice of physical activity and their frequencies. Professionals were observed while carrying out dental assistance based on recommendations of the document “Adopting a healthy sitting working posture during patient treatment”, which is part of the International Standards Organization standardization 106/SC 6 N 411 from 2006. RESULTS: There has been job-related pain in at least 65.67% of dentists. The number of individuals adopting incorrect and inadequate positions during assistance was high, such as: head rotation (73.13%); spine rotation (47.76%) and legs angle less than 90o (91.04%). Medical leaves related to occupational injuries were found in a greater proportion among public service professionals (64%). CONCLUSION: There has been high prevalence of musculoskeletal pain related to inadequate postures adopted during clinical assistance and to long working hours without pause.