The objective of this study was to analyze the structure for the management of pain in patients with AIDS in a reference hospital in Fortaleza, Brazil. This is a descriptive study with a qualitative approach, developed in 2010. Twenty interviews were performed with health care professionals (physicians and nurses), and analyzed according to the methodology of content analysis. Data were organiz...

INTRODUCTION Increasing demand for public healthcare and access to specialist care has become a major concern. Characterising the referral pattern to a national centre's cardiology specialist outpatient clinics (SOCs) and the diagnostic outcomes may be useful in formulating referral guidelines to contain rising demand. MATERIALS AND METHODS A prospective observational followup study was condu...

Purpose: Neck pain is the fourth leading cause of global disability, with its prevalence exceeding 30%. Consequently, physiotherapists assess a significant number patients neck pain. However, some conditions, such as vertebral artery dissection, are known to masquerade musculoskeletal and require immediate medical referral. Usual management could exacerbate their condition life-threatening outc...

Abstract Diagnostic uncertainty in patients presenting with right iliac fossa (RIF) pain to the Emergency Department (ED) is well established and multifactorial, leading challenges selecting most appropriate specialty for initial referral. This study investigates local practice, which will form basis RIF pathway development. Methods We collected prospective data over one month presentations our...

Chest pain is common, and tends to be overinvestigated. Patients with normal coronary anatomy have a low mortality, but remain significantly incapacitated. We discuss ways of improving the management of such patients. An early diagnosis of a non-cardiac cause of pain should be made, ideally by the general practitioner, taking account of risk factors for cardiac as well as psychological disorder...

To examine the type and effectiveness of various strategies used by Royal Australian Air Force (RAAF) fast jet (FJ) aircrew in self-referral and management of flight-related neck pain, a 6-section, 18-question survey tool was distributed to 86 eligible RAAF aircrew. Selective results from the sections evaluating aircrew demographics, incidence of flight-related neck pain, and the self-referral ...

INTRODUCTION This study was designed to evaluate incidence and characteristics of acute referred orofacial pain caused by a posterior single tooth pulpitis in an Iranian population. METHODS In this cross-sectional study, 3,150 patients (1,400 males and 1,750 females) with pain in the orofacial region were evaluated via clinical and radiographic examination to determine their pain source. Pati...

Musculoskeletal pain is common across all populations and costly in terms of impact on the individual and, more generally, on society. In most health-care systems, the first person to see the patient with a musculoskeletal problem such as back pain is the general practitioner, and access to other professionals such as physiotherapists, chiropractors, or osteopaths is still either largely contro...

A woman in her 60s with insulin-dependent type 1 diabetes since childhood was referred as an outpatient for urological assessment because of recurrent lower urinary tract infections and macroscopic haematuria. She had suffered an episode of spasmodic back pain five days before the referral in question was issued, but no back pain since this episode. She had not had fever, and her general condit...

BACKGROUND As physical therapy gradually evolves into a more autonomous profession, physicians continue to play a major role in the clinical practice of physical therapists, particularly as a source of patient referral. The analysis of physicians' referrals to physical therapy may be a practical and effective way to study the relationship between physicians and physical therapists. OBJECTIVES...