Articles: pain-management.
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Radiofrequency thermocoagulation of genicular nerves is an effective treatment for chronic pain due to knee osteoarthritis. The procedure can be performed under fluoroscopic or ultrasonographic guidance. ⋯ The final position of the needle tip in radiofrequency thermocoagulation of genicular nerves can exist at the one-third anterior of the bone shaft, without a need for further advancing the needle to the posterior portion. Although performed more distally compared to fluoroscopy guidance, ultrasound-guided genicular nerve radiofrequency thermocoagulation still provides effective analgesia.
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Chronic rhinosinusitis (CRS) is an inflammatory disease of the nose and paranasal sinuses, with a prevalence of approximately 1% to 7%. It is defined by the presence of at least two cardinal symptoms (nasal blockage, obstruction, or congestion; anterior or posterior nasal drainage; facial pain or pressure; and hyposmia) for at least three consecutive months, with objective findings on imaging or nasal endoscopy. CRS can result in significant patient costs and lower quality of life due to severe fatigue, depression, and sometimes reduced cognitive function. ⋯ Optimal maintenance therapy can help alleviate exacerbations. Patients with refractory CRS that is not responsive to first-line treatment and patients with alarm symptoms should be referred to an otolaryngologist for further evaluation and consideration of surgical management. Identifying patients who have CRS with nasal polyps or comorbid conditions such as atopic dermatitis, asthma, or eosinophilic esophagitis is especially important to ensure they are referred to a specialist for consideration of biologic therapy.
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The American Society for Pain Management Nursing (ASPMN) began as a nursing-focused pain organization in 1990 and has experienced fluctuations in membership over time. According to the literature, membership to many professional organizations, including ASPMN, are waning. New member recruitment and retention is crucial for maintaining viability and financial strength of an organization. ⋯ Many professional organizations continue to struggle to recruit and retain members. While there were no material incentives, the focus group or individual interviews promoted collegiality, reinforced knowledge about ASPMN member benefits, and provided a platform to dialog about how the organization can grow while addressing member needs. Findings from this study may benefit ASPMN and other organizations by providing insight into what attracts and maintains new members, creating a platform to learn about members, and ideally, identifying new ways of engagement and initiatives.