Douleurs最新文献

{"title":"Expert patient, nurse, psychologist: Crossing our view to build and run a pain workshop together","authors":"","doi":"10.1016/j.douler.2024.06.004","DOIUrl":"10.1016/j.douler.2024.06.004","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122561","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":"Cognizance of chronic orofacial pain among dental practitioners in Mysuru, India","authors":"","doi":"10.1016/j.douler.2024.04.009","DOIUrl":"10.1016/j.douler.2024.04.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Orofacial pain, often known as OFP, is a distinct set of dental diseases that focuses on persistent pain that is not caused by tooth decay and that affects the face and oral cavity, including the jaws. This study was aimed at exploring the comprehension of the diagnosis and management of chronic orofacial pain among general dental practitioners.</p></div><div><h3>Methodology</h3><p>To collect data from Mysuru, India's dentists, a standardized Google Form questionnaire created by researchers was administered.</p></div><div><h3>Results</h3><p>A total of 214 dentists, 95 men (44.4%) and 119 women (55.6%), with a mean (SD) age of 28.62 (6.76) and a mean (SD) practice history of 5.43 (4.40), filled out the surveys. Overall, knowledge was found to have a substantial and indirect association with age (<em>r</em> <!-->=<!--> <!-->−0.20, <em>P</em> <!-->=<!--> <!-->0.003). An indirect correlation between knowledge level and professional experience was found to be non-significant (<em>r</em> <!-->=<!--> <!-->−0.08, <em>P</em> <!-->=<!--> <!-->0.2).</p></div><div><h3>Conclusion</h3><p>The findings demonstrated that general dental practitioners lacked sufficient knowledge in deciphering persistent orofacial pain and suggested greater emphasis on OFP courses in dentistry school in order to prepare future dentists, as well as continued dental education programs for practicing dentists.</p></div><div><h3>Introduction</h3><p>La douleur orofaciale, souvent appelée OFP, est un ensemble distinct de maladies dentaires qui se concentrent sur une douleur persistante qui n’est pas causée par la carie dentaire et qui affecte le visage et la cavité buccale, y compris les mâchoires. Cette étude visait à explorer la compréhension du diagnostic et de la prise en charge de la douleur orofaciale chronique chez les dentistes généralistes.</p></div><div><h3>Méthodologie</h3><p>Pour recueillir des données auprès des dentistes de Mysuru, en Inde, les chercheurs ont administré un questionnaire Google Form standardisé.</p></div><div><h3>Résultats</h3><p>Au total, 214 dentistes, 95 hommes (44,4 %) et 119 femmes (55,6 %), avec un âge moyen (SD) de 28,62 (6,76) et des antécédents professionnels moyens (SD) de 5,43 (4,40), ont répondu aux enquêtes. Il a été constaté que les connaissances globales avaient une association substantielle et indirecte avec l’âge (<em>r</em> <!-->=<!--> <!-->−0,20, <em>p</em> <!-->=<!--> <!-->0,003). Une corrélation indirecte entre le niveau des connaissances et l’expérience professionnelle s’est révélée non significative (<em>r</em> <!-->=<!--> <!-->−0,08, <em>p</em> <!-->=<!--> <!-->0,2).</p></div><div><h3>Conclusion</h3><p>Les résultats ont démontré que les dentistes généralistes manquaient de connaissances suffisantes pour déchiffrer la douleur orofaciale persistante et ont suggéré de mettre davantage l’accent sur les cours d’OFP dans les écoles de médecine dentaire afin de préparer les futurs dentistes, ainsi que sur les pro","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840528","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":"Douleur cancéreuse","authors":"","doi":"10.1016/j.douler.2024.07.005","DOIUrl":"10.1016/j.douler.2024.07.005","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122558","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":"Neurochirurgie de la douleur ? Questions posées au Docteur Selma Hamdi","authors":"","doi":"10.1016/j.douler.2024.07.001","DOIUrl":"10.1016/j.douler.2024.07.001","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122562","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":"Issue Contents","authors":"","doi":"10.1016/S1624-5687(24)00117-3","DOIUrl":"10.1016/S1624-5687(24)00117-3","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1624568724001173/pdfft?md5=b07cd65839152b0e422b1329b9361020&pid=1-s2.0-S1624568724001173-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122656","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":"Le syndrome douloureux post-mastectomie","authors":"","doi":"10.1016/j.douler.2024.06.002","DOIUrl":"10.1016/j.douler.2024.06.002","url":null,"abstract":"<div><p>Le syndrome douloureux post-mastectomie présente plusieurs définitions. Selon l’IASP, il s’agit d’une douleur chronique concernant la partie antérieure du thorax, le creux axillaire et/ou la moitié supérieure du bas survenant après une mastectomie et persistante plus de 3 mois après la chirurgie. La prévalence se situerait aux alentours de 35 % toutes douleurs confondues et 20 % pour les douleurs modérées à sévères. Les principaux facteurs de risque comprennent les lésions des nerfs du thorax et du creux axillaire (lésion directe, compression par hématome ou cicatrice), la réalisation d’un curage axillaire et une prise en charge inadéquate de la douleur en postopératoire. Plusieurs thérapeutiques ont montré leur efficacité sans qu’il ne soit possible de définir une stratégie unique : lipomodelage, excision du névrome, transplantation de ganglions lymphatiques, bloc paravertébral, radiofréquence, injection de corticoïdes, laser à haute intensité, antidépresseurs, gabapentine, capsaïcine, kinésithérapie, thérapie cognitive. Une mauvaise prise en charge de la douleur au cours des 72<!--> <!-->heures postopératoires multiplie par 5 le risque de développer une douleur chronique. Les techniques d’analgésie locorégionale ont montré leur efficacité dans la maîtrise de la douleur postopératoire. D’autres thérapies semblent également prometteuses en périopératoires (association prégabaline orale et esketamine notamment). Dans tous les cas, il est à privilégier une approche multidisciplinaire, plus efficace qu’un traitement médical standard.</p></div><div><p>Post-mastectomy pain syndrome has several definitions. According to the IASP, this is chronic pain concerning the anterior part of the chest, the axillary crease and/or the upper half of the arm occurring after a mastectomy and persistent more than 3 months after surgery. The prevalence would be around 35% all pain combined and 20% for moderate to severe pain. The main risk factors include damage to the nerves of the chest and axillary cavity (direct injury, compression by hematoma or scar), the implementation of axillary lymph node dissection and inadequate management of pain postoperatively. Several therapeutics have shown their effectiveness without it being possible to define a single strategy: lipomodeling, neuroma excision, lymph node transplantation, paravertebral block, radiofrequency, corticosteroid injection, high intensity laser, antidepressant, gabapentin, capsaicin, physiotherapy, cognitive therapy. Poor pain management during the postoperative 72<!--> <!-->hours increases the risk of developing chronic pain by 5. Regional analgesia (RA) techniques have shown their efficacy in controlling postoperative pain. Others therapies seem promising in perioperative as well (oral pregabalin and esketamine in particular). In all cases, a multidisciplinary approach is preferred, more effective than standard medical treatment.</p></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122554","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":"Douleur et soins palliatifs : généralités","authors":"","doi":"10.1016/j.douler.2024.07.006","DOIUrl":"10.1016/j.douler.2024.07.006","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122556","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":"Douleurs rebelles et réfractaires en soins palliatifs","authors":"","doi":"10.1016/j.douler.2024.07.004","DOIUrl":"10.1016/j.douler.2024.07.004","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122559","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":"Place de la toxine botulique A dans la prise en charge thérapeutique des douleurs orofaciales myofasciales chroniques : à propos d’un cas clinique","authors":"","doi":"10.1016/j.douler.2024.05.001","DOIUrl":"10.1016/j.douler.2024.05.001","url":null,"abstract":"<div><p>La toxine botulique A est une neurotoxine synthétisée par une bactérie anaérobie : <em>Clostridium botulinum</em>. L’injection de cette substance dans les muscles masticateurs permet de rétablir une fonction musculaire équilibrée, une cinétique mandibulaire normale et une diminution des surcharges au niveau des articulations temporomandibulaires. Plusieurs études effectuées auprès de patients atteints de douleurs orofaciales myofasciales chroniques révèlent une diminution significative de la symptomatologie douloureuse et une amélioration de la qualité de vie suite à l’injection de cette toxine. À travers une revue récente de la littérature et la présentation d’un cas clinique, nous discuterons de l’intérêt et de la place de cette substance, dans la prise en charge thérapeutique des douleurs orofaciales myofasciales chroniques.</p></div><div><p>Botulinum toxin A is a neurotoxin synthesized by an anaerobic bacterium: <em>Clostridium botulinum</em>. Injection of this substance into the masticatory muscles restores balanced muscle function, and normal mandibular kinetics and reduces overloading of the temporomandibular joints. Several studies performed on patients suffering from chronic orofacial myofascial pain reveal a significant reduction in pain symptoms and an improvement in quality of life following the injection of this toxin. Through a recent review of the literature and the presentation of a clinical case, we will discuss the interest and place of this substance in the therapeutic management of chronic orofacial myofascial pain.</p></div>","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141692867","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":"Douleur procédurale, induite par les soins","authors":"","doi":"10.1016/j.douler.2024.07.002","DOIUrl":"10.1016/j.douler.2024.07.002","url":null,"abstract":"","PeriodicalId":53699,"journal":{"name":"Douleurs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122560","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}