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1.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (4): 2323-2328
em Inglês | IMEMR | ID: emr-190625

RESUMO

Background: Pain assessment in ICU patients turns out to be a daily challenge for the attending teams, particularly in those patients who are intubated endotracheally; on mechanical ventilation or analgosedated as such patients are unable to self-assess existence and intensity of pain. Guidelines to identify pain in these patients are crucial for physicians for effective management


Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1994, through March 2017. The following search terms were used: pain management in ICU, pain in ICU, pain assessment by behavior, pain assessment in intubated patients


Aim: Our aim in this study was to understand how to assess and manage pain in an intensive care unit patient, particularly those patients who are unable to self-report or assess


Conclusion: Physical clues given by comatose or intubated patients in critical care unit must be used as a method to identify existence of pain, and must be managed effectively to decrease discomfort and prevent short and long term adverse effects

2.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (6): 2640-2646
em Inglês | IMEMR | ID: emr-190675

RESUMO

Introduction: Diagnosis of schizophrenia is largely a clinical assessment of a group of signs and symptoms. There are various factors that can be a cause or a risk factor for creating this disorder; some preventable and some non-preventable. The treatment options are diverse and are continuously being studied in order to enhance results and minimize adverse effect of various forms of therapy


Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1987, through March 2017. The following search terms were used: schizophrenia, etiology of schizophrenia, pathophysiology, clinical features, and treatment of schizophrenia


Aim: Our aim in this study was to understand the etiology, pathophysiology, and study various lines and advancement in management of schizophrenia


Conclusion: In the recent years, many treatment options are emerging where newer drugs and their combination with or without non-pharmacological therapy have shown promising results. More studies must be done to implement advanced regimens for treatment of schizophrenia

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