Biography:

Ali El Deeb has completed his MD from Tanta University and Post-doctoral studies from Tanta University, Faculty of Medicine. He is the Supervisor of Physical Medicine, Rheumatology and Rehabilitation in new Tanta University Hospital. He is also a Reviewer for Tanta Medical Journal. He has published many papers in the reputed. 

Abstract:

Myofascial pain syndrome (MPS) is a disorder which has become a topic over the past two decades and now. 10 patients (9 female and 1 male) complaining of unilateral MPS were injected with botulinum toxin type A (BTX-A) in masseter and temporalis muscles extra orally under electromyographic guidance (EMG), since they are the primary muscles responsible for pain in ear region and temporal headache, respectively, which cause limitation of mandibular movement and development of MPS. EMG evaluations of the results together with clinical one were taken at baseline before injection, after 1, 2, 3 and 6 months following the last injection. The study revealed that BTX-A reduced the severity of symptoms and improve functional abilities for patients with MPS and these extend beyond its muscle relaxing effects

Biography:

Nteleki Bahle has completed his BTech Degree from the University of Johannesburg. He is currently employed in the Department of Health as a Practicing Podiatrist in Pretoria, South Africa and has published research both nationally and internationally. He has enrolled at the University of Pretoria for pursuing his Master’s in Public Health. 

Abstract:

The nature of chronic diabetic limb ulcerations makes them generally difficult to manage and resolve. Management of diabetic ulcers is extremely challenging and commonly requires a multi-disciplinary approach. Phototherapy, or low level laser therapy (LLLT), is a therapeutic treatment modality which has been found to enhance the wound healing characteristics in previous studies. This study aimed to establish whether the application of phototherapy and podiatric interventions improves the rate of wound healing in chronic diabetic foot ulcers. A single-blinded randomized placebo-controlled design were utilized to study chronic lower limb ulcers affecting patients with type II DM. Ulcers are divided into 3 groups: Group 1 was treated with podiatric management and placebo phototherapy; Group 2 was treated similarly but with the addition of phototherapy to the ulcer/s at 3 joules per square centimeter (J/cm²) and; Group 3 was treated similarly but in addition to laser treatment of the ulcer/s, phototherapy was also applied to the regional lymphatic nodes. Six patients, with a mean age of 65 years, were treated. Ulcers responded equally well to podiatric treatment protocols, while those exposed to phototherapy showed no adverse side-effects. 25% of ulcers in group 1, and 40% of ulcers in both Groups 2 and 3 resolved completely. The rate of resolution varied from 12 days to 90 days. It is apparent that, this modality may have a beneficiary affect in decreasing the patient’s levels secondary complications, improving wound regeneration and patients quality of life. 

Biography:

Hichem Khenioui is a specialist practising at the Physical Medicine and Rehabilitation Department of Saint Philibert Hospital and teaching at the Catholic University of Lille. He is an expert on Spasticity Management and Orthopedic Disorders. Pain management is one of his center of interest, in particular, the use of botulinum toxin injection on neuropathic pain.

Abstract:

Background: Botulinum toxin is a proven and widely used treatment for numerous conditions characterized by excessive muscular contractions. Recent studies have assessed the analgesic effect of botulinum toxin in joint pain and started to unravel its mechanisms.

Literature Search Methodology: We searched the international literature via the Medline database using the term “intra-articular botulinum toxin injection” combined with any of the following terms: “knee”, “ankle”, “shoulder”, “osteoarthritis”, and “adhesive capsulitis of the shoulder”.

Results: Of 16 selected articles about intra-articular botulinum toxin injections, 7 were randomized controlled trials done in patients with osteoarthritis, adhesive capsulitis of the shoulder, or chronic pain after joint replacement surgery. Proof of anti-nociceptive effects was obtained in some of these indications and the safety and tolerance profile was satisfactory. The studies were heterogeneous. The comparator was usually a glucocorticoid or a placebo; a single study used hyaluronic acid. Pain intensity was the primary outcome measure.

Discussion & Conclusion: The number of randomized trials and sample sizes are too small to provide a satisfactory level of scientific evidence or statistical power. Unanswered issues include the effective dosage and the optimal dilution and injection modalities of botulinum toxin.

Biography:

Ana Howarth is currently pursuing her PhD in Behavioral Medicine, specializing in Chronic Pain Management at St. George’s University of London. Her prior degree, an MSc in Health Psychology, focused on lower back pain and she has previous research experience in health outcomes research specifically with patient reported outcomes. Her most recent publication is the protocol for a pilot study of a randomized controlled trial, evaluating a brief mindfulness intervention for those with chronic pain.

Abstract:

Chronic illness is the leading cause of death in UK and worldwide. Psychological therapies to support self-management have been shown to play an important role in helping those with chronic illness cope; more recently, the therapeutic benefits of mindfulness approaches have become evident for managing depression and other distressing emotions. Brief guided mindfulness interventions, are more convenient than intensive traditional programs requiring regular attendance but have been less explored. This study assessed views on a brief (i.e., 10 minute) mindfulness intervention for those with specific long-term illnesses. Semi-structured interviews and focus groups were conducted with chronic illness patient groups (i.e., chronic obstructive pulmonary disease, chronic pain and cardiovascular disease), designed to capture the acceptability and feasibility of the intervention. The interviews were conducted after use of mindfulness based audio in clinic and, one week later, after use in the patient's own environment. Interviews were recorded, transcribed and analyzed using thematic analysis. In total, a combination of 18 interviews and focus groups were conducted among 14 patients. Recruitment was most successful with chronic pain patients. All patients reported benefits such as feelings of relaxation and improved coping with symptoms. While the wording and content of the audio were generally well received, it was suggested that the length could be increased, as it felt rushed, and that more guidance about the purpose of mindfulness, and when to use it, was needed. A brief mindfulness intervention was well accepted among patients with long-term illness. The intervention may benefit by being lengthened and by offering further guidance on its use.

Biography:

Mansoreh Sadeghi Mojarrad is currently working in Modarres Hospital, Iran. She had completed her Nursing training. Her main research interest is Pain Management.

Abstract:

Management knowledge and using techniques related to it has created changes and deep transformation in community and economic development of countries in the world. Familiar with principles, theories and new concepts of management and using them has caused efficiency and effectiveness of employees and leadership and has guided with foresight. All those who are involved in the group and collective works, somehow will benefit from its user if getting to know the science of management. The success of the performance of a system depends on its management and how to use the available resources and facilities. Health services and treatment institutions will be able increase the power of its work like other organizations, and the efficient use of its facilities and detailed planning of equipment and information only by using special techniques of scientific and applied management. This research has studied some new hypothesis of management and application of them in nursing management as it can identify similarities between the nursing professions with the management carrier. The concept of management has been considered in the health services system in recent years and could solve most of the problems. Hence, we can consider nursing unit as the heart of health care center because it is the only unit that has activities and requires continuous presence throughout the year and it is responsible for organization of affairs. This study has considered the management of nursing and midwifery. It has no hypothesis and the investigated analytical/description method of data has been collected based on library form.

Biography:

Marieke H J van den Beuken-van Everdingen, MD, PhD is trained as an Internist, Consultant of Palliative Care and Pain Specialist for Oncology patients. She completed her dissertation “Symptoms in Patients with Cancer” in 2009. Her research is embedded in the Centre of Expertise in Palliative Care in Maastricht and the University Pain Clinic Maastricht (UPCM), the Netherlands. Het expertise is on Opioids and Management of (Neuropathic) Pain. She guides several PhD students and is the (co-) author of >20 international peer-reviewed publications. She is the Chair of the Centre of Expertise Palliative Care and a member of several national guideline working groups and involved in the national training programmes for palliative care.

Abstract:

Context: Cancer pain has a severe impact on quality of life and is associated with numerous psychosocial responses. Recent studies suggest that treatment of cancer pain has improved during the last decade.

Objectives: The aim of this review was to examine the present status of pain prevalence and pain severity in patients with cancer.

Methods: A systematic search of the literature published between September 2005 and January 2014 was performed using the databases of PubMed, Medline, EMBASE, CINAHL, and Cochrane. Articles in English or Dutch that reported on the prevalence of cancer pain in an adult cancer population were included. Titles and abstracts were screened by two authors independently, after which full texts were evaluated and assessed on methodological quality. Study details and pain characteristics were extracted from the articles with adequate study quality. Prevalence rates were pooled with meta-analysis; meta-regression was performed to explore determinants of pain prevalence.

Results: Out of 4117 titles, 122 studies were selected for the meta-analyses on pain (117 studies, n=63533) and pain severity (52 studies, n=32261). Pain prevalence rates were 39.3% after curative treatment; 55.0% during anti-cancer treatment; 66.4% in advanced, metastatic or terminal disease. Moderate to severe pain (NRS ≥5) was reported by 38.0% of all patients.

Conclusion: Despite increased attention for the assessment and management, pain continues to be a prevalent symptom in patients with cancer. In the upcoming decade we need to overcome barriers towards effective pain treatment and develop and implement interventions to optimally manage pain in patients with cancer.