98%
921
2 minutes
20
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1056/NEJMcps0903869 | DOI Listing |
Pain
September 2025
Centre for Pain Research, University of Bath, Bath, United Kingdom.
One-fifth of adults who receive a total knee replacement (TKR) go on to develop chronic pain. The behavioural approach taken to find a solution to pain may vary from assimilative (pursuit of analgesia) to accommodative (acceptance of pain insolubility and adoption of alternative goals). A total of 313 patients participated in a trial of an enhanced care pathway for TKR reported pain at 3 months after surgery.
View Article and Find Full Text PDFJAACAP Open
September 2025
Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York.
Objective: The bidirectional relationships between family functioning and adolescent depressive and anxiety disorders have been documented. However, categorical diagnostic criteria for these disorders often mask the high variability of symptom severity across individuals sharing the same diagnoses. Accounting for such heterogeneity, this study examined the associations between domains of family functioning and depression, anxiety, and anhedonia symptoms from the adolescent perspective using a dimensional approach.
View Article and Find Full Text PDFArch Esp Urol
August 2025
Department of Urology II, European Interbalkan Medical Center, 55535 Thessaloniki, Greece.
The literature on the exact incidence of equipment failure during urological surgery is rather heterogeneous. Although failure rates are unacceptably high in other surgical disciplines, more compelling evidence is needed in urology. The present study provides case examples to illustrate several instances of urological instrument malfunction encountered in daily surgical practice, from the field of endourology to the newer robotic systems.
View Article and Find Full Text PDFMedicine (Baltimore)
September 2025
Department of Critical Care Medicine, Nantong First People's Hospital, Nantong, Jiangsu Province, China.
Background: This study investigates the clinical value of a structured team approach incorporating shared decision-making in managing critically ill pregnant patients within an obstetrics intensive care unit (ICU).
Methods: A randomized controlled trial was conducted with 100 critically ill pregnant women admitted to our hospital's obstetrics ICU between January 2023 and December 2024. Participants were allocated via random number table to either the control group receiving conventional multidisciplinary resuscitation care (n = 50) or the observation group receiving the structured team model with shared decision-making (n = 50).
Semin Vasc Surg
September 2025
University of Wisconsin, 600 Highland Ave Madison, WI 53792.
Vascular surgeons are often responsible for navigating treatment decisions when caring for older adults. Care for these patients is informed by the surgeon's assessment of the patient's decision-making capacity, use of advance care planning, and understanding of futility. Having difficult conversations with patients and their families is supported by strategies that promote empathic communication and shared decision making with older adults with serious illness due to, and associated with, vascular disease.
View Article and Find Full Text PDF