OBJECTIVES. Case presentation and teaching performed at the bedside are declining. Patients' preference between case conference-room is divergent in literature. Residents seem to prefer conference room. The objective of this study was ascertain whether there a difference satisfaction comfort for parents patients hospitalized PICU residents training PICU. METHODS. Every child who had 2 consecutive morning rounds, presence same resident, attending pediatrician, parent, eligible study. began...

Abstract Prematurity is known to affect the development of various neurophysiological systems, including maturation pain and cardiac circuits. The purpose this study was see if numerous painful interventions, experienced soon after birth, counterirritation‐induced analgesia (triggered using cold pressor test) later in life. A total 26 children, between ages 7 11 participated study. Children were divided into three groups, according their birth status (i.e., term‐born, born preterm exposed or...

Fibromyalgia (FM) is a chronic widespread pain condition of unknown origin. Reduced endogenous inhibition could be related to high sensitivity in FM. Associations between conditioned modulation (CPM) and cardiovascular responses have been observed healthy subjects (HS). Because reduced reactivity various stressors has reported FM patients, we investigated relationships CPM response the cold pressor test (CPT) 22 patients 25 HS. was evaluated by comparing intensity produced 120-second heat...

Objective. Slow deep breathing has been proposed as an effective method to decrease pain. However, experimental studies conducted validate this claim have not carried out.

Past studies confirm that patients with fibromyalgia (FM) and irritable bowel syndrome (IBS) show similar pain processing dysfunctions, such as reduced inhibition aberrant autonomic nervous system (ANS) responses. However, FM IBS have rarely been investigated in the same study. The aim of present study, therefore, was to compare descending inhibition, sensitivity, ANS reactivity FM, IBS, healthy controls (HC).Female (n=10), (n=13), HCs (n=10) were exposed multiple cold water (12°C)...

Conditioned pain modulation (CPM) (ie, diffuse noxious inhibitory controls) is characterized by reduced perception of caused intense in a remote body area. The conditioning stimuli used to trigger CPM causes pain, but also important cardiovascular responses. Higher blood pressure has been associated with sensitivity. Descending mechanisms such as could be involved this relationship. We investigated the associations between and responses during cold-pressor test (CPT). Heat threshold...

Objectives . The use of interdisciplinary patient-centered care (PCC) and empathetic behaviour seems to be a promising avenue address chronic pain management, but their in this context suboptimal. Several patient factors can influence the PCC empathy, little is known about impact visibility on these behaviours. objective study was investigate visible physical signs caregiver’s behaviours context. Methods A convenience sample 21 nurses physicians participated descriptive study. empathy were...

Self-reported levels of disability in individuals with low back pain (LBP) have not improved the last decade. A broader perspective and a more comprehensive management framework may improve outcomes. We recently developed validated Low Back Pain Disability Drivers Management (PDDM) model, which aims to identify domains driving guide clinical decisions. The objectives this study were determine applicability PDDM model LBP population feasibility conducting pragmatic trial, as well explore...

Abstract Background The mechanisms of adaptation to tonic pain are not elucidated. We hypothesized that the adaptability is related cardiovascular system. Methods Twenty‐six subjects received over two sessions in a random order: cold (7 ± 0.2 °C) and heat (47.5 0.5 on hand for 5 min. Pain intensity, blood pressure ( BP ), heart rate HR ) were continuously monitored. Results experience during HIT CIT immersion tests exhibited different average time courses, being approximated with linear...

Sedation and/or analgesia are standard of care for pediatric patients during painful intervention or medical imaging requiring immobility. Physician availability is frequently insufficient to allow all procedural sedation. A nurse-led sedation program was created at the Centre Hospitalier Universitaire de Sherbrooke (CHUS) address this problem. Objective. To evaluate effectiveness and safety our program. Methods. retrospective study sedations done over one year performed. Complications were...

Placebo effects are well-known phenomena in medicine and biology. In fact, placebos used as control conditions randomized cross-over clinical trials to validate new treatments. Only recently, however, has it become apparent that the conditioning and/or expectation provided by experience of can influence results trials. It seems combining shams sequences prejudiced conclusions designs. Frighteningly, this bias is always same direction, namely increase risk rejecting potentially valid New...

Preterm birth is associated with painful procedures during the neonatal intensive care unit (NICU) stay. Full-term newborns can also experience pain, following surgery. These have long-lasting consequences. It has been shown that children born preterm show pain responses and cardiac alterations. This study aimed to explore heart rate reactivity in 107 subjects either or full-term who were between 7 25 years old at testing. We evaluated effect of experienced birth, as represented by a longer...

Chronic pain is a complex phenomenon resulting from biological, psychological and social factors, the use of patient-centred care (PCC) appears to be promising avenue for its treatment. Various methods have been used measuring PCC in nurses physicians (caregivers); however, methodological problems raised following observation real clinical encounters or standardized patient simulations. The development new strategies required.To develop validate an scale assessment caregivers, using videos...

Rationale, aims and objectives: Patient-centered care (PCC) is widely acknowledged as a central component of high-quality health it has been associated with many positive outcomes for patients. Although studies support the benefits PCC, style practice may vary from caregiver to another. To measure PCC investigate factors that be related this concept, necessary have rigorous instruments. Thus, aim study was adapt validate French version PPOS (F-PPOS) assessment in both nurses physicians who...

Although we routinely use morphine at our institution, moderate to severe pain often persists for several days after tonsillectomy. Nonsteroidal anti-inflammatory drugs could offer significant relief. Unfortunately, concerns about increased risk of bleeding limit their use. Selective inhibitors cyclooxygenase type 2 (COX-2), such as rofecoxib, which do not affect time, be an interesting option.To evaluate the efficiency and safety "rofecoxib-morphine" versus "acetaminophen-morphine"...

Abstract The antigenic concentrations of alpha‐1‐antitrypsin (α1AT) were measured in 13 patients with cystic fibrosis (CF) and 11 healthy subjects. Serum α1AT was purified by immunoaffinity chromatography the antielastase activity determined measuring molar ratio necessary to inhibit human neutrophil elastase (HNE). association rate constant HNE a timed assay. capacity CF serum form complexes porcine pancreatic studied polyacrylamide gel electrophoresis. Antigenic μmol/L markedly increased...

To evaluate exercise-induced analgesia (EIA) effectiveness in healthy adolescent males and to investigate possible associations between EIA physiological/psychological variables.Twenty-eight (14-17 y) participated this study. was evaluated by comparing perceptions of heat pain stimulations before after an increasing maximal load test on a cycle ergometer (VO2max).Pain intensity for mild strong significantly decreased following physical exercise (mild: = 28.6%; 95% confidence interval,...

The purpose of this study was to identify which averaging methods most accurately measures peak cardiorespiratory fitness (CRF) parameters [peak O2 uptake (VO2), O2pulse and respiratory exchange ratio (RER)] in a sample healthy children adolescents. In cross-sectional multicenter study, we recruited 278 aged 12–17 years. We compared the mean value three CRF using recommended (30-second block average) with alternative such as moving averages or shorter smoothing periods. also assessed for...