Abstract Background/purpose Chronic postoperative pain is a well-established clinical phenomenon that is associated with adverse outcomes. The incidence of this clinical phenomenon in children, ...however, is not well established. The purpose of this study was to identify the incidence of chronic pain in children after surgery. Methods Following a screening process, a total of 113 children and their parents were enrolled in this cross-sectional study. Data regarding persistence and characteristics of pain after surgery were obtained. Results Approximately 13% of the children, most of whom underwent orthopedic procedures, reported the existence of symptoms of chronic postoperative pain. Most of the children indicated that the pain started immediately after surgery, was localized to the surgery site, and was intermittent. Children reported a median duration of pain of 4.1 months, and approximately half of the children experienced pain most days of the week. Up to 30% of the children reported interference of pain in functioning in areas such as extracurricular activities and sleep. Discussion Given the large number of children at risk for experiencing chronic postoperative pain, preventative efforts are necessary. Large-scale cohort prospective studies are needed to confirm the results of this cross-sectional study.
The topic of patient satisfaction has gained increasing importance over the past decade. Due to the impact of patient satisfaction on health care quality, understanding factors that predict ...satisfaction is vital. The purpose of this review is to examine the literature and identify factors related to patient perioperative satisfaction as well as predictive variables that, if modified, can enhance satisfaction scores of patients undergoing surgery. Our review reports that patient satisfaction scores are affected by modifiable factors such as clinician-patient communication, information provision to patients, and operational function of a hospital. Non-modifiable factors affecting patient satisfaction scores include patient demographics such as gender, age, and education. In order to enhance patient perioperative satisfaction, we suggest that anesthesiologists and surgeons focus their efforts on enhancing their communication skills and providing information that is appropriately tailored to the understanding of their patients. Keywords: Adult patient satisfaction, Perioperative, Review, Clinical communication, Information provision
Welcome to the second issue of JCJP Fortier, Lisa A.
Journal of cartilage & joint preservation,
June 2021, 2021-06-00, 2021-06-01, Letnik:
1, Številka:
2
Journal Article
Aims. The equation of state calculated by Saumon and collaborators has been adopted in most core-accretion simulations of giant-planet formation performed to date. Since some minor errors have been ...found in their original paper, we present revised simulations of giant-planet formation that considers a corrected equation of state. Methods. We employ the same code as Fortier and collaborators in repeating our previous simulations of the formation of Jupiter. Results. Although the general conclusions of Fortier and collaborators remain valid, we obtain significantly lower core masses and shorter formation times in all cases considered. Conclusions. The minor errors in the previously published equation of state have been shown to affect directly the adiabatic gradient and the specific heat, causing an overestimation of both the core masses and formation times.
Highlights ► Used NEURON software to model the passive and active properties of morphologically precise neurons. ► Examined effects of asymmetric voltage attenuation on summation of synaptic ...potentials and on action potential initiation. ► Results showed that the transfer voltages between a pair of dendritic sites were always equal. ► These transfer voltages provided equal contribution to the summation of synaptic currents and to action potential onset. ► The site of action potential onset differed according to input resistance, channel density and synaptic noise.
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