Journal of Dental Anesthesia and Pain Medicine最新文献

{"title":"Assessment of Maternal Mortality Rate and Associated Risk Factors at Tertiary Hospitals in Burundi (2020-2021): A retrospective Cohort Study","authors":"","doi":"10.33140/japm.08.05.05","DOIUrl":"https://doi.org/10.33140/japm.08.05.05","url":null,"abstract":"Background: Burundi continues to struggle with maternal mortality (MM). Early risk factor identification is crucial for thorough intervention measures to be developed to prevent pregnancy-related problems. Objective: To investigate maternal mortality rate (MMR) and identify its associated risk factors among women aged 15 to 49 years at four tertiary hospitals in Burundi. Methods: We collected data describing all pregnancies from January 2020 to December 2021 among women enrolled in Centre Hospital-University of Kamenge (CHUK), Military Hospital of Kamenge (MHK), Prince Regent Charles Hospital (PRCH), and Clinical Hospital Prince Louis Rwagasore (CHPLR) referral hospitals. We reported the proportion of mothers who died per pregnancy and the MMR. Multivariate regression models were used to determine the maternal, pregnancy-related, delivery, and postpartum factors that were associated with maternal death. Results: There were 31,968 deliveries in total in CHUK, MHK, PRCH, and CHPLR referral hospitals, 125 of which resulted in maternal fatalities. The total live births were 31,067, yielding an MMR of 402/100,000 live births. Our findings suggest significant associations between MMR and direct and indirect causes of maternal death, (F (8, 116) = 2.18, p < .05); haemorrhage and uterine rupture, where p was less than 0.05; community-level characteristics, (F (7, 117) = 9.91, p < .05); and type of delay, (F (3, 121) = 2.76, p < .05). Whereas, second delay was significantly associated with MMR, with p = 0.005. Conclusion: Reducing maternal fatalities in CHUK, MHK, PRCH, and CHPLR requires the implementation of ANC programs on the management of obstetric problems.","PeriodicalId":15634,"journal":{"name":"Journal of Dental Anesthesia and Pain Medicine","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135667230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Unusual Case of Huge Cervical Fibroid with Tubercular Aortic Nodes in Case of Aortic Occlusion","authors":"","doi":"10.33140/japm.08.05.04","DOIUrl":"https://doi.org/10.33140/japm.08.05.04","url":null,"abstract":"We report a 29-year-old female who had coexistence of huge cervical fibroid with aortic nodes of tubercular origin with aortic occlusion due to chronic thrombus of lower abdominal aorta.","PeriodicalId":15634,"journal":{"name":"Journal of Dental Anesthesia and Pain Medicine","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135043586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychopathological Characteristics in Patients with Digestive Problems: A Comparative Analysis with a Healthy Control Group","authors":"","doi":"10.33140/japm.08.05.03","DOIUrl":"https://doi.org/10.33140/japm.08.05.03","url":null,"abstract":"Introduction: This study aimed to compare the psychopathological characteristics of patients with digestive (gastrointestinal) problems with those of a healthy control group. Methods: A total of 70 patients with gastrointestinal issues were referred to the gastroenterology department, and 70 healthy individuals were included in the study. Both groups completed the 90-question mental health questionnaire (SCL-90-R). Results: The results demonstrated significantly higher average scores in the patients' group across various scales, including depression, aggression, somatization, sensitivity in social relationships, obsession, anxiety, phobia, and psychotic symptoms. Overall, the group with digestive problems exhibited more symptoms associated with these eight mental disorders than the healthy control group. However, there were no notable differences between the two groups, except for the presence of paranoid ideations as a distinguishing characteristic. Conclusions: This research unequivocally establishes a strong association between gastrointestinal issues and mental well-being, highlighting the influence of digestive system functioning on mental health. These findings contribute to a deeper understanding of the psychopathological aspects related to gastrointestinal conditions.","PeriodicalId":15634,"journal":{"name":"Journal of Dental Anesthesia and Pain Medicine","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134945868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Patients’ Advocacy Groups to Reduce Headache Pain in the European Union: from the Italian Case History to the European Migraine Action Plan","authors":"","doi":"10.33140/japm.08.05.02","DOIUrl":"https://doi.org/10.33140/japm.08.05.02","url":null,"abstract":"From the “patients’ right to avoid unnecessary suffering and pain” to the “Charter of Rights of the Cephalalgic Patient”, over the years the role of the civic &amp; patients’ organisations to reduce headache pain in the European Union is increased: this research article explores the experiences of individuals affected by migraines and headaches, highlighting challenges, rights, and the need for improved healthcare support. Based on an extensive civic survey conducted at the national level by the Italian NGO Cittadinanzattiva, the study reveals the profound impact of headaches on people's lives, emphasising the lack of disability recognition and difficulties in accessing quality care. Through compelling testimonies, the article underscores the emotional, psychological, and physical burden of these conditions, and describes an innovative artificial intelligence-based tool called “EMI”. Together with many actors, since decades Cittadinanzattiva has been engaged in the fight against chronic pain for decades, both at the national and European levels. In this regard, what attention will the new MEPs (Members of the European Parliament) and the new leadership of the EU Commission DG Santé (Directorate-General for Health and Food Safety) dedicate to this issue in the wake of the upcoming European elections in 2024? From various quarters, there is a call for a European Migraine Action Plan aimed at finally placing this issue on the agenda of European political institutions, promoting a more inclusive and patient-centered vision within the European healthcare landscape, where the pain of those suffering from migraines and headaches is no longer invisible or unheard.","PeriodicalId":15634,"journal":{"name":"Journal of Dental Anesthesia and Pain Medicine","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135487967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building MODFLOW Model in ModelMuse GUI For Bari Doab","authors":"","doi":"10.33140/japm.08.05.01","DOIUrl":"https://doi.org/10.33140/japm.08.05.01","url":null,"abstract":"This steady state groundwater model was developed in ModelMuse GUI developed by USGS, for irrigated areas of Bari Doab with an area of 2.95657 Mha (million hectares) GCA (gross command area). Under this study, the data of depth to watertable in all canal commands of Bari Doab was also collected and analyzed. Canal water supplies have recharged the aquifer and created a groundwater resource in the command areas. Continued abstraction and extensive exploitation of groundwater have resulted in the depletion of the ground watertable especially in fresh groundwater areas. Although there is clear evidence of groundwater over exploitation, in the form of falling watertables, even then, hundreds of new wells are being installed every year without knowing the sustainability of the aquifer for meeting this increased demand. For this purpose, ModelMuse GUI (graphical user interface), which is downloadable without any fee, was used for building MODFLOW model for Bari Doab, which can be used for different scenario simulations such as climate change and re-allocation. Model was calibrated and graphs were prepared in Excel. According to the calibration results, farmers are pumping 50 to 60 % higher than canal and rainfall recharge to groundwater.","PeriodicalId":15634,"journal":{"name":"Journal of Dental Anesthesia and Pain Medicine","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134971543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is the gold standard of the dental anxiety scale?","authors":"Seong In Chi","doi":"10.17245/jdapm.2023.23.4.193","DOIUrl":"https://doi.org/10.17245/jdapm.2023.23.4.193","url":null,"abstract":"<p><p>It is important to understand patients' anxiety and fear about dental treatment. A patient's anxiety can be quantified through a self-report questionnaire, and many related scales have been developed. In this review, I tried to find out which scale is most suitable for the patient's dental anxiety and fear evaluation by examining the contents of previously developed scales and comparing the strengths and weaknesses of each scale.</p>","PeriodicalId":15634,"journal":{"name":"Journal of Dental Anesthesia and Pain Medicine","volume":"23 4","pages":"193-212"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f8/63/jdapm-23-193.PMC10407447.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10026905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative evaluation of photobiomodulation therapy at 660 and 810 nm wavelengths on the soft tissue local anesthesia reversal in pediatric dentistry: an in-vivo study.","authors":"Ankita Annu,&nbsp;Sujatha Paranna,&nbsp;Anil T Patil,&nbsp;Sandhyarani B,&nbsp;Adhithi Prakash,&nbsp;Renuka Rajesh Bhurke","doi":"10.17245/jdapm.2023.23.4.229","DOIUrl":"https://doi.org/10.17245/jdapm.2023.23.4.229","url":null,"abstract":"<p><strong>Background: </strong>Local anesthesia has been reliably used to control pain during dental procedures and is important in pediatric dentistry. However, children occasionally complain of prolonged numbness after dental treatment, leading to several problems. Studies conducted to reverse the effect of local anesthesia using phentolamine mesylate and photobiomodulation therapy (PBM) are encouraging but limited. PBM is a type of light therapy that utilizes visible and near-infrared non-ionizing electromagnetic spectral light sources. Hence, this study used this modality to compare the reversal of local anesthesia at two different wavelengths. This study compared the effect of PBM at 660 and 810 nm wavelengths on the reversal of soft tissue local anesthesia using a diode LASER in pediatric dentistry.</p><p><strong>Method: </strong>Informed consent and assent were obtained, and the participants were then divided randomly into three groups of 20 children each: control group-without LASER irradiation, LASER irradiation at 660 nm, and LASER irradiation at 810 nm. Sixty children aged 4-8 years with deciduous mandibular molars indicated for pulp therapy were administered an inferior alveolar nerve block. After 45 min of injection, a duration that was similar to the approximate duration of treatment, they were exposed to 660- and 810-nm LASER irradiation according to their groups until reversal of local anesthesia was achieved. The control group did not undergo LASER irradiation. The reversal of the soft tissue local anesthetic effect was evaluated using palpation and pin prick tests every 15 min, and the LASER irradiation cycle continued until reversal of the soft tissue local anesthesia was achieved.</p><p><strong>Results: </strong>A significant reduction of 55.5 min (27.6%) in the mean soft tissue local anesthesia reversal time was observed after the application of 810 nm wavelength PBM and 69 min (34.7%) after 660 nm wavelength LASER irradiation.</p><p><strong>Conclusion: </strong>PBM with a 660 nm wavelength was more effective in reducing the mean soft tissue local anesthesia reversal duration, and thus can be used as a reversal agent for soft tissue local anesthesia in pediatric dentistry.</p>","PeriodicalId":15634,"journal":{"name":"Journal of Dental Anesthesia and Pain Medicine","volume":"23 4","pages":"229-236"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/f0/jdapm-23-229.PMC10407450.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10325893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing general anesthesia for low invasive dental procedures while maintaining spontaneous respiration with low concentration remifentanil: a cross-sectional study.","authors":"Daijiro Ogumi,&nbsp;Shota Abe,&nbsp;Hikaru Sato,&nbsp;Fumihiko Suzuki,&nbsp;Hiroyoshi Kawaai,&nbsp;Shinya Yamazaki","doi":"10.17245/jdapm.2023.23.4.221","DOIUrl":"https://doi.org/10.17245/jdapm.2023.23.4.221","url":null,"abstract":"<p><strong>Background: </strong>We assessed the relationship between patient age and remifentanil dosing rate in patients managed under general anesthesia with spontaneous breathing using low-dose remifentanil in sevoflurane.</p><p><strong>Methods: </strong>The participants were patients with an American Society of Anesthesiologists Physical Status of 1 or 2 maintained under general anesthesia with low-dose remifentanil in 1.5-2.0% sevoflurane. The infusion rate of remifentanil was adjusted so that the spontaneous respiratory rate was half the rate prior to the induction of anesthesia, and γ^H (µg/kg/min) was defined as the infusion rate of remifentanil under stable conditions where the respiratory rate was half the rate prior to the induction of anesthesia for ≥ 15 minutes. The relationship between γ^H and patient age was analyzed statistically by Spearman's correlation analysis.</p><p><strong>Results: </strong>During dental treatment under general anesthesia using low-dose remifentanil in sevoflurane, a significant correlation was detected between γ^H and patient age. The regression line of y = -0.00079 x + 0.066 (y-axis; γ^H, x-axis; patient's age) was provided. The values of γ^H provide 0.064 µg/kg/min at 2 years and 0.0186 µg/kg/min at 60 years. Therefore, as age increases, the dosing rate exhibits a declining trend. Furthermore, in the dosing rate of remifentanil when the patient's respiratory rate was reduced by half from the preanesthetic respiratory rate, the dosing rate provided was around 0.88 mL/h in all ages if the remifentanil was diluted as 0.1 mg/mL. EtCO₂ showed 51.0 ± 5.7 mmHg, and SpO₂ was controlled within the normal range by this method. In addition, all dental treatments were performed without major problems, such as awakening and body movement during general anesthesia, and the post-anesthetic recovery process was stable.</p><p><strong>Conclusion: </strong>General anesthesia with spontaneous breathing provides various advantages, and the present method is appropriate for minimally invasive procedures.</p>","PeriodicalId":15634,"journal":{"name":"Journal of Dental Anesthesia and Pain Medicine","volume":"23 4","pages":"221-228"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/41/e2/jdapm-23-221.PMC10407452.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10026897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative risk evaluation and perioperative management of patients with obstructive sleep apnea: a narrative review.","authors":"Eunhye Bae","doi":"10.17245/jdapm.2023.23.4.179","DOIUrl":"https://doi.org/10.17245/jdapm.2023.23.4.179","url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) is a common sleep-breathing disorder associated with significant comorbidities and perioperative complications. This narrative review is aimed at comprehensively overviewing preoperative risk evaluation and perioperative management strategies for patients with OSA. OSA is characterized by recurrent episodes of upper airway obstruction during sleep leading to hypoxemia and arousal. Anatomical features, such as upper airway narrowing and obesity, contribute to the development of OSA. OSA can be diagnosed based on polysomnography findings, and positive airway pressure therapy is the mainstay of treatment. However, alternative therapies, such as oral appliances or upper airway surgery, can be considered for patients with intolerance. Patients with OSA face perioperative challenges due to difficult airway management, comorbidities, and effects of sedatives and analgesics. Anatomical changes, reduced upper airway muscle tone, and obesity increase the risks of airway obstruction, and difficulties in intubation and mask ventilation. OSA-related comorbidities, such as cardiovascular and respiratory disorders, further increase perioperative risks. Sedatives and opioids can exacerbate respiratory depression and compromise airway patency. Therefore, careful consideration of alternative pain management options is necessary. Although the association between OSA and postoperative mortality remains controversial, concerns exist regarding adverse outcomes in patients with OSA. Understanding the pathophysiology of OSA, implementing appropriate preoperative evaluations, and tailoring perioperative management strategies are vital to ensure patient safety and optimize surgical outcomes.</p>","PeriodicalId":15634,"journal":{"name":"Journal of Dental Anesthesia and Pain Medicine","volume":"23 4","pages":"179-192"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/70/06/jdapm-23-179.PMC10407451.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10026898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posterior superior alveolar nerve block alone in the extraction of upper third molars: a prospective clinical study.","authors":"Swathi Tummalapalli,&nbsp;Ravi Sekhar M,&nbsp;Naga Malleswara Rao Inturi,&nbsp;Venkata Ramana Murthy V,&nbsp;Rama Krishna Suvvari,&nbsp;Lakshmi Prasanna Polamarasetty","doi":"10.17245/jdapm.2023.23.4.213","DOIUrl":"https://doi.org/10.17245/jdapm.2023.23.4.213","url":null,"abstract":"<p><strong>Background: </strong>Third molar extraction is the most commonly performed minor oral surgical procedure in outpatient settings and requires regional anesthesia for pain control. Extraction of the maxillary molars commonly requires both posterior superior alveolar nerve block (PSANB) and greater palatine nerve block (GPNB), depending on the nerve innervations of the subject teeth. We aimed to study the effectiveness of PSANB alone in maxillary third molar (MTM) extraction.</p><p><strong>Methods: </strong>A sample size comprising 100 erupted and semi-erupted MTM was selected and subjected to study for extraction. Under strict aseptic conditions, the patients were subjected to the classical local anesthesia technique of PSANB alone with 2% lignocaine hydrochloride and adrenaline 1:80,000. After a latency period of 10 min, objective assessment of the buccal and palatal mucosa was performed. A numerical rating scale and visual analog scale were used.</p><p><strong>Results: </strong>In the post-latency period of 10 min, the depth of anesthesia obtained in our sample on the buccal side extended from the maxillary tuberosity posteriorly to the mesial of the first premolar (15%), second premolar (41%), and first molar (44%). This inferred that anesthesia was effectively high until the first molars and was less effective further anteriorly due to nerve innervation. The depth of anesthesia on the palatal aspect was up to the first molar (33%), second molar (67%), and lateromedially; 6% of the patients received anesthesia only to the alveolar region, whereas 66% received up to 1.5 cm to the mid-palatal raphe. In 5% of the cases, regional anesthesia was re-administered. An additional 1.8 ml PSANB was required in four patients, and another patient was administered a GPNB in addition to the PSANB during the time of extraction and elevation.</p><p><strong>Conclusion: </strong>The results of our study emphasize that PSANB alone is sufficient for the extraction of MTM in most cases, thereby obviating the need for poorly tolerated palatal injections.</p>","PeriodicalId":15634,"journal":{"name":"Journal of Dental Anesthesia and Pain Medicine","volume":"23 4","pages":"213-220"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cf/3d/jdapm-23-213.PMC10407449.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10325888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}