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Recently, there has been significant progress in automatic pain assessment based on facial expression analysis. However, the performance of pain assessment remains unsatisfactory, due to a lack of analysis on local pain-related action units and emotional ambiguity. In particular, ambiguous pain expressions complicate the estimation of pain. It is argued that certain facial local regions related to pain should receive more attention while estimating pain intensities. Based on this, we propose a multi-task hybrid Conv-Transformer method for facial pain assessment, which utilizes the self-attention mechanism to explore facial local features related to pain intensities and constructs a multi-task joint optimizing module to mitigate facial emotional ambiguity. In particular, the proposed method modifies the network structure of the vision transformer model to better estimate continuous pain intensities. Meanwhile, a multi-task module is constructed to jointly optimize the classification and the regression tasks of pain assessment, which effectively regularizes the extracted features and facilitates a better fit of the regressed prediction to the given label. Finally, experimental results on the UNBC Pain dataset illustrate that the proposed method performs better with pain assessment compared with state-of-the-art methods.
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http://dx.doi.org/10.1109/JBHI.2025.3533308 | DOI Listing |
JMIR Res Protoc
September 2025
Institute of Higher Education and Research in Healthcare, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.
Background: In pediatric intensive care units, pain, sedation, delirium, and iatrogenic withdrawal syndrome (IWS) must be managed as interrelated conditions. Although clinical practice guidelines (CPGs) exist, new evidence needs to be incorporated, gaps in recommendations addressed, and recommendations adapted to the European context.
Objective: This protocol describes the development of the first patient- and family-informed European guideline for managing pain, sedation, delirium, and IWS by the European Society of Paediatric and Neonatal Intensive Care.
J Telemed Telecare
September 2025
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Türkiye.
IntroductionTo investigate the effectiveness of the remote video-based Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) exercise program in individuals with rheumatoid arthritis (RA) with wrist involvement.MethodsSeventy-three individuals were included in the study. Wrist joint position sense, wrist joint range of motion, wrist pain, wrist morning stiffness, subjective and objective hand function, grip strength, and disease-related health status were assessed at baseline and after 12 weeks.
View Article and Find Full Text PDFJ Int Med Res
September 2025
Department of Anesthesiology, Lishui People's Hospital, China.
ObjectiveThe sedation protocol for flexible fiberoptic bronchoscopy has long been a matter of inconclusiveness. The aim of this study was to evaluate the safety and efficacy of remimazolam combined with alfentanil in flexible fiberoptic bronchoscopy and provide insights for optimizing clinical anesthesia strategies.MethodsThis study was a randomized, single-blind controlled trial.
View Article and Find Full Text PDFPalliat Med Rep
April 2025
Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.
Background: Collaborative methods are necessary to meet patient palliative care (PC) needs because of the inadequate supply of PC specialists.
Objective: This study aimed to conduct a needs assessment and determine primary care, emergency, and hospital physicians' general attitudes about primary PCs, confidence in managing common PC scenarios, and preferences for interaction with specialty PCs.
Design: A sequential mixed-methods study design was used, whereby individual qualitative interviews informed the content of a quantitative survey.
J Exp Orthop
July 2025
Calgary Alberta Canada.
Purpose: To assess the characteristics and effectiveness of low-cost platelet-rich plasma (LC-PRP) for knee osteoarthritis (OA) by evaluating its composition and effect on pain, function, satisfaction, safety and cost-effectiveness.
Methods: Level IV evidence single-arm prospective cohort pilot study of 20 subjects (30 knees total) with mild-to-moderate knee OA. Two LC-PRP injections were performed, 3 weeks apart.