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1

9. Painful shoulder complaints.  

PubMed

Painful shoulder complaints have a high incidence and prevalence. The etiology is not always clear. Clinical history and the active and passive motion examination of the shoulder are the cornerstones of the diagnostic process. Three shoulder tests are important for the examination of shoulder complaints: shoulder abduction, shoulder external rotation, and horizontal shoulder adduction. These tests can guide the examiner to the correct diagnosis. Based on this diagnosis, in most cases, primarily a conservative treatment with nonsteroidal anti-inflammatory drugs possibly in combination with manual and/or exercise therapy can be started. When conservative treatment fails, injection with local anesthetics and corticosteroids can be considered. In the case of frozen shoulder, a continuous cervical epidural infusion of local anesthetic and small doses of opioids or a pulsed radiofrequency treatment of the nervus suprascapularis can be considered. PMID:20456651

Huygen, Frank; Patijn, Jacob; Rohof, Olav; Lataster, Arno; Mekhail, Nagy; van Kleef, Maarten; Van Zundert, Jan

2010-04-27

2

An epidemiological comparison of pain complaints in the general population of Catalonia (Spain)  

Microsoft Academic Search

Epidemiological studies help to establish the health status in a country and allow a better allocation of economic resources. This survey estimated pain prevalence in Catalonia (Spain), analysed its relationship with demographic variables and evaluated pain-associated disabilities. The study was carried out in 1964 adults via phone interviews asking about any pain complaint they experienced in the last 6 months,

Antònia Bassols; Fèlix Bosch; Mercedes Campillo; Montserrat Cañellas; Josep-Eladi Baños

1999-01-01

3

The prevalence of and risk factors for neck pain in Hong Kong Chinese  

Microsoft Academic Search

Background Neck pain has been found to be a prevalent musculoskeletal complaint among Caucasians living in Europe and North America. The prevalence of and risk factors for this condition have not been studied among Chinese living in urbanised cities. The objective of this study was to describe the prevalence of and risk factors for neck pain in Hong Kong Chinese.

E. M. C. Lau; A. Sham; K. C. Wong

2010-01-01

4

Prevalence of Thumb Pain in Physical Therapists Practicing Spinal Manipulative Therapy  

Microsoft Academic Search

Thumb pain is a common complaint of physical therapists. The purpose of this study was to investigate the prevalence, presentation, and techniques associated with aggravation of thumb pain in physical therapists practicing spinal manipulative therapy and the management strategies used to deal with pain. A survey was sent to members of Musculoskeletal Physiotherapy Australia. Data were collected from subjects who

Anne Wajon; Louise Ada

2003-01-01

5

Chest Pain Associated With Cocaine: An Assessment of Prevalence in Suburban and Urban Emergency Departments  

Microsoft Academic Search

Study objective: Chest pain and myocardial infarction following the use of cocaine have been well documented. We assessed the prevalence of cocaine use in patients who presented to the emergency department with chest pain of possibly ischemic origin. Design: During times of research assistant availability, consecutive adults with the chief complaint of chest pain unexplained by trauma or radiographic abnormality

Judd E Hollander; Knox H Todd; Gary Green; Katherine L Heilpern; David J Karras; Adam J Singer; Gerard X Brogan; Joseph P Funk; Judy B Strahan

1995-01-01

6

Back pain and leg complaints that revealed non-small cell carcinoma: a case study  

PubMed Central

Objective The purpose of this case study is to describe the clinical presentation of a patient with a chief complaint of low back and leg pain with no prior diagnosis of lung cancer. Clinical Features A 48-year-old man with a history of back pain presented to a chiropractic office with a complaint of low back and left leg pain. Intervention and Outcome Abnormal examination and radiographic findings were discovered. The patient was immediately referred to the pulmonologist for co-management. Through the use of advanced imaging and biopsy, stage 4 lung cancer was diagnosed. Conclusion Low back pain recurrence in an established patient should constitute a reevaluation of the problem. The cause cannot be assumed to be musculoskeletal in origin even though this may have been the case with the initial complaint. Metastatic disease should be considered with any type of recurrent low back pain.

Crisp, Casey A.; Pierce, Angela N.

2011-01-01

7

Evaluating the Validity of Pain Complaints in Personal Injury Cases: Assessment Approaches of Forensic and Pain Specialists  

Microsoft Academic Search

Psychologists active in conducting evaluations in personal injury cases should expect to see clients with complaints of physical pain. The purpose of this article is to inform practitioners about the assessment approaches used by experienced forensic and pain specialists to assess for malingering in these cases. We first examine specialists' use of symptom validity\\/malingering instruments in a hypothetical emotional injury

Marcus T. Boccaccini; Jennifer L. Boothby; Lorraine Y. Overduin

2006-01-01

8

Incidence and prevalence of complaints of the neck and upper extremity in general practice  

PubMed Central

Objective: To study the incidence and prevalence of neck and upper extremity musculoskeletal complaints in Dutch general practice. Methods: Data were obtained from the second Dutch national survey of general practice. In all, 195 general practitioners (GPs) from 104 practices across the Netherlands recorded all contacts with patients during 12 consecutive months. Incidence densities and consultation rates were calculated. Results: The total number of contacts during the registration period of one year was 1 524 470. The most commonly reported complaint was neck symptoms (incidence 23.1 per 1000 person-years), followed by shoulder symptoms (incidence 19.0 per 1000 person-years). Sixty six GP consultations per 1000 person-years were attributable to a new complaint or new episode of complaint of the neck or upper extremity (incidence density). In all, the GPs were consulted 147 times per 1000 registered persons for complaints of the neck or upper extremity. For most complaints the incidence densities and consultation rates were higher for women than for men. Conclusions: Neck and upper extremity symptoms are common in Dutch general practice. The GP is consulted approximately seven times each week for a complaint relating to the neck or upper extremity; of these, three are new complaints or new episodes. Attention should be paid to training GPs to deal with neck and upper limb complaints, and to research on the prognosis and treatment of these common complaints in primary care.

Bot, S; van der Waal, J M; Terwee, C; van der Windt, D A W M; Schellevis, F; Bouter, L; Dekker, J

2005-01-01

9

Prevalence of cold-related complaints, symptoms and injuries in the general population: the FINRISK 2002 cold substudy  

NASA Astrophysics Data System (ADS)

The prevalence of cold-related complaints and symptoms in the general population has remained unknown. As part of the nationwide FINRISK 2002 health survey performed in Finland, 8,723 people aged 25 64 years filled in a questionnaire asking about the number of hours spent weekly in cold air, their sensations during cold exposure, cold-related complaints, symptoms of diseases, and degradation of performance. Cold thermal sensations at +5°C to -5°C were reported by 35% of men and 46% of women. Almost all subjects reported at least some cold-related complaints, most commonly musculoskeletal pain (men 30%, women 27%), followed by respiratory (25% / 29%), white finger (15% / 18%) and episodic peripheral circulation symptoms (12% / 15%). Decreased mental or physical performance in cold was reported by 75% of men and 70% of women, most commonly impairing manual dexterity and tactile sense. With declining temperature, the first symptom to emerge was pain in the elbow or the forearm (at -3°C), followed by increased excretion of mucus from the lungs (-5°C), while most other symptoms appeared only at lower temperatures of -15°C to -20°C. Most symptoms showed little or no association with the weekly duration of exposure, with the exception of cold-induced pain at most sites. Although, in general, Finns are well adapted to the cold climate, the high prevalence of cold-related complaints poses a challenge to the health care system in terms of decreased performance and the possibility that such symptoms predict more serious health effects, such as increased mortality.

Raatikka, Veli-Pekka; Rytkönen, Mika; Näyhä, Simo; Hassi, Juhani

2007-05-01

10

[Cognitive complaints in people with human immunodeficiency virus in Spain: prevalence and related variables.  

PubMed

BACKGROUND AND OBJECTIVE: Cognitive complaints have been scarcely studied in people with HIV in Spain. The aim of this research was to know the prevalence of cognitive complaints in HIV-infected people, as well as its potential relationships with demographic, clinical and psychological variables, in the era of combination antiretroviral therapies. PATIENTS AND METHOD: Observational multicenter study developed in 4 hospitals and 10 NGOs, in which 791 people with HIV in Spain participated. A self-reported questionnaire was used to evaluate demographic and clinical variables, and an assessment of cognitive complaints, emotional status and quality of life variables was also included. Descriptive and inferential tests were used for statistical analyses. RESULTS: Almost half of the sample (49.8%) referred cognitive complaints, in 72.1% of them an association with interference on daily living activities was found. Memory and attention were the areas most prevalently perceived as affected. The existence of cognitive complaints correlated with a longer HIV infection, lower CD4+ cell count, undetectable viral load and worse quality of life. A discriminant analysis determined that depression, anxiety, older age, living with no partner and low education level allowed to classify optimally HIV-infected people with cognitive complaints. CONCLUSIONS: Self-reported cognitive complaints are frequent in people infected with HIV in the current era of combination antiretroviral therapies. This fact is related to emotional disturbances and poor quality of life, but also to impaired immunological and virological status. PMID:23756116

Muñoz-Moreno, José A; Fuster-Ruiz de Apodaca, Maria J; Fumaz, Carmina R; Ferrer, Maria J; Molero, Fernando; Jaen, Angels; Clotet, Bonaventura; Dalmau, David

2013-06-01

11

Pain complaints in patients with fibromyalgia versus chronic fatigue syndrome  

Microsoft Academic Search

Individuals with fibromyalgia (FM) and\\/or chronic fatigue syndrome (CFS) report arthralgias and myalgias. However, only persons\\u000a with FM alone exhibit abnormal pain responses to mild levels of stimulation, or allodynia. We identify the abnormalities in\\u000a the neuroendocrine axes that are common to FM and CFS as well as the abnormalities in central neuropeptide levels and functional\\u000a brain activity that differentiate

Laurence A. Bradley; Nancy L. McKendree-Smith; Graciela S. Alarcón

2000-01-01

12

Children's Pain Threat Appraisal and Catastrophizing Moderate the Impact of Parent Verbal Behavior on Children's Symptom Complaints  

PubMed Central

Objective ?We tested the hypothesis that pain threat appraisal and catastrophizing by children with functional abdominal pain (FAP) will moderate the relation between parent verbal behavior and children’s symptom complaints following experimentally induced visceral discomfort.?Methods ?Thirty-three pediatric patients with FAP and their parents participated. Children completed measures of pain threat appraisal and catastrophizing. Weeks later they completed the Water Load Symptom Provocation Test to induce visceral discomfort. Spontaneous parent–child interactions during child discomfort were audiotaped and coded for content.?Results ?Parent symptom-related talk was associated with more child symptom complaints and parent non-symptom-related talk with fewer child complaints. The relation between symptom talk and complaints was greater for children with high catastrophizing. Non-symptom talk was associated with fewer complaints for children with high threat appraisals.?Conclusions ?Child characteristics should be considered in research on the relation between parent behavior and children’s symptom complaints.

Blount, Ronald L.; Walker, Lynn S.

2011-01-01

13

Chronic pain in Australia: a prevalence study  

Microsoft Academic Search

This study reports chronic pain prevalence in a randomly selected sample of the adult Australian population. Data were collected by Computer-Assisted Telephone Interview (CATI) using randomly generated telephone numbers and a two-stage stratified sample design. Chronic pain was defined as pain experienced every day for three months in the six months prior to interview. There were 17,543 completed interviews (response

Fiona M. Blyth; Lyn M. March; Alan J. M. Brnabic; Louisa R. Jorm; Margaret Williamson; Michael J. Cousins

2001-01-01

14

Parent attention versus distraction: Impact on symptom complaints by children with and without chronic functional abdominal pain  

PubMed Central

The objective of this study was to assess the impact of parent attention and distraction on symptom complaints by children with and without chronic functional abdominal pain. The water load symptom provocation task was used to induce visceral discomfort in pediatric patients with abdominal pain (N = 104) and well children (N = 119), ages 8–16 years. Parents were randomly assigned and trained to interact with their children according to one of three conditions: Attention, Distraction, or No Instruction. Children's symptom complaints and parents’ responses were audiotaped and coded. Children completed a self-report measure of gastrointestinal (GI) symptoms before and after interacting with their parents. Parents’ and children's perceptions of their interaction were assessed. Compared to the No Instruction condition, symptom complaints by pain patients and well children nearly doubled in the Attention condition and were reduced by half in the Distraction condition. The effect of attention on symptom complaints was greater for female pain patients than for male patients or well children. Findings for self-report GI symptoms were similar to those for audiotaped symptom complaints. Both pain patients and well children in the Distraction condition rated parents as making them feel better compared to ratings for the Attention condition. Parents of pain patients rated distraction as having greater potential negative impact on their children than attention. Parents’ responses to children's symptom complaints can significantly increase or decrease those complaints. Girls with functional abdominal pain are particularly vulnerable to the symptom-reinforcing effects of parental attention.

Walker, Lynn S.; Williams, Sara E.; Smith, Craig A.; Garber, Judy; Van Slyke, Deborah A.; Lipani, Tricia A.

2011-01-01

15

Parent attention versus distraction: impact on symptom complaints by children with and without chronic functional abdominal pain.  

PubMed

The objective of this study was to assess the impact of parent attention and distraction on symptom complaints by children with and without chronic functional abdominal pain. The water load symptom provocation task was used to induce visceral discomfort in pediatric patients with abdominal pain (N=104) and well children (N=119), ages 8-16 years. Parents were randomly assigned and trained to interact with their children according to one of three conditions: Attention, Distraction, or No Instruction. Children's symptom complaints and parents' responses were audiotaped and coded. Children completed a self-report measure of gastrointestinal (GI) symptoms before and after interacting with their parents. Parents' and children's perceptions of their interaction were assessed. Compared to the No Instruction condition, symptom complaints by pain patients and well children nearly doubled in the Attention condition and were reduced by half in the Distraction condition. The effect of attention on symptom complaints was greater for female pain patients than for male patients or well children. Findings for self-report GI symptoms were similar to those for audiotaped symptom complaints. Both pain patients and well children in the Distraction condition rated parents as making them feel better compared to ratings for the Attention condition. Parents of pain patients rated distraction as having greater potential negative impact on their children than attention. Parents' responses to children's symptom complaints can significantly increase or decrease those complaints. Girls with functional abdominal pain are particularly vulnerable to the symptom-reinforcing effects of parental attention. PMID:16495006

Walker, Lynn S; Williams, Sara E; Smith, Craig A; Garber, Judy; Van Slyke, Deborah A; Lipani, Tricia A

2006-02-21

16

The cross- ethnic variations in the prevalence of headache and other somatic complaints among adolescents in Northern Israel  

PubMed Central

Background Headache is the most common cause for chronic or recurrent pain in childhood and adolescence. Chronic pain may have a long-term effect on adolescents. It might contribute to functional limitations, such as poor school attendance, and it may adversely affect development of healthy social relationships. The aim of our study was to examine the cross- ethnic variation in the prevalence of headache in a non- clinical sample of adolescents in Northern Israel and to learn about its association to other somatic complaints. Methods A self-administered, anonymous questionnaire was presented to 2,088 tenth grade students attending 19 high-schools in Northern Israel (all the public high schools within two districts). Participants were Jews and Arabs, the latter including Muslim, Christians, and Druze, aged 15 to 16. Parental and student consent was obtained from all participants. The study was approved by the IRB of our institution. Results All 2088 questionnaires were returned although only 2019 were usable and analyzed. Arab adolescents comprised 55% (1117) of the analyzed sample and Jews 45% (902), 56% of participants were girls. Of the Arab participants, 18.6% reported having frequent headaches (girls 25.3%, boys 9.1%, P<0.0001) much less than their Jewish peers (P<0.0001) among whom 27.9% reported having frequent headaches (girls 35.6%, boys 19% P<0.0001). Other somatic complaints such as abdominal pain, palpitations, disordered sleep and fatigue were more frequent in adolescents (Jews and Arabs, girls and boys) who suffered from headaches than in their peers who did not report having headaches (P<0.0001), the same pattern observed in the Jewish and the Arab group. Conclusions Headache is a frequent complaint among adolescents in Northern Israel. Jewish adolescents reported having headaches more frequently than their Arab peers. Those who suffered from frequent headaches also reported having significantly more other somatic complaints than adolescents without headaches. Girls had more somatic complaints then boys in the two ethnic groups.

2013-01-01

17

Cervical Cord Compressive Myelopathy in a Man With a Primary Complaint of Knee Pain  

PubMed Central

Background: Diagnosing patients with cervical cord compressive myelopathy in a timely manner can be challenging due to varying clinical presentations, the absence of pathognomonic findings, and symptoms that are usually insidious in nature. Objective: To describe the clinical course of a patient with primary complaint of left medial knee pain that was nonresponsive to surgical and conservative measures; the patient was subsequently diagnosed with cervical cord compressive myelopathy. Design: Case report. Subject: A 63-year-old man with a primary complaint of left medial knee pain. Findings: Physical examination of the left knee was normal except for slight palpable tenderness over the medial joint line. During treatment, he noted loss of balance during activities of daily living. Reassessment revealed bilateral upper extremity hyperreflexia, bilateral Babinski reflex, and positive bilateral Hoffman reflex. Magnetic resonance imaging of the cervical spine demonstrated moderately severe spinal stenosis at the C3-C4, C5-C6, and C6-C7 levels. After C3-C7 laminoplasty for cervical cord compressive myelopathy, he reported substantial improvement of his left medial knee. Three years later, he had no complaint of knee pain. Conclusion: Appropriate diagnosis and treatment of cervical cord compressive myelopathy may avoid unnecessary diagnostic imaging, medical evaluations, invasive procedures, and potential neurologic complications.

Ross, Michael D; Elliott, Ryan

2010-01-01

18

Medically unexplained pain complaints are associated with underlying unrecognized mood disorders in primary care  

Microsoft Academic Search

BACKGROUND: Patients with chronic pain frequently display comorbid depression, but the impact of this concurrence is often underestimated and mistreated. The aim of this study was to determine the prevalence of unrecognized major depression and other mood disorders and comorbid unexplained chronic pain in primary care settings and to explore the associated factors. Also, to compare the use of health

Luis Agüera; Inmaculada Failde; Jorge A Cervilla; Paula Díaz-Fernández; Juan Antonio Mico

2010-01-01

19

Preoperative affective distress and somatic complaints predict persistent pain after postmastectomy breast reconstruction  

Microsoft Academic Search

Persistent pain is a common but undesirable outcome of breast cancer surgery. With the increasing popularity of breast reconstruction\\u000a after mastectomy for breast cancer, researchers have recently directed attention to the prevalence of intractable pain due\\u000a to reconstructive surgery. However, available studies that examine factors associated with the development of postreconstruction\\u000a pain are limited to clinical investigations that have been

R. S. Roth; J. C. Lowery; J. Davis; E. G. Wilkins

2007-01-01

20

Prevalence of Musculoskeletal Pain and Statin Use  

PubMed Central

Background Muscle effects are the most common reported adverse effects of 3-hydroxy-3-methylglutaryl coenzyme A inhibitors (statins). However, in placebo-controlled trials the incidence of muscle pain is most often similar for placebo and active control groups. Objective We sought to evaluate whether statin use was associated with a higher prevalence of musculoskeletal pain in a nationally representative sample. Methods Cross-sectional analysis using data from the National Health and Nutrition Examination Survey (NHANES) 1999–2002. Participants were 3,580 adults ?40 years without arthritis who were interviewed at home and examined in a mobile examination center. Participants were asked about sociodemographic characteristics, health conditions, medication use, and musculoskeletal pain. Height, weight, blood pressure, ankle brachial index, and cholesterol were measured. Measurements and Main Results Prevalence and adjusted odds ratios (OR) of any musculoskeletal pain and musculoskeletal pain in 4 different anatomical regions (neck/upper back, upper extremities, lower back, and lower extremities) by statin use during the last 30 days. Among statin users (n?=?402), 22.0% (95%CI 18.0–26.7%) reported musculoskeletal pain in at least 1 anatomical region during the last 30 days, compared with 16.7% (95%CI 15.1–18.4%) of those who did not use a statin. Compared to persons who did not use statins, those who used statins had multivariable-adjusted odds ratios (95%CI; p value) of 1.50 (1.07–2.11; p?=?.01) for any musculoskeletal pain, 1.59 (1.04–2.44, p?=?.03) for lower back pain, and1.50 (1.02–2.22, p?=?.03) for lower extremity pain. Conclusion Musculoskeletal pain is common in adults ?40 years without arthritis. In this nationally representative sample, statin users were significantly more likely to report musculoskeletal pain.

Davis, Roger B.; Leveille, Suzanne G.; Mittleman, Murray A.; Mukamal, Kenneth J.

2008-01-01

21

Prevalence of diabetes mellitus, hypertension and cardiac complaints in a follow-up study of a Dutch PCOS population  

Microsoft Academic Search

The aim of this study was to investigate the prevalence of diabetes mellitus, hypertension and cardiac complaints in a Dutch population with polycystic ovarian syndrome (PCOS) and to compare the results with the prevalence of these conditions in the Dutch female population, as retrieved from the Netherlands Health Interview Survey of Statistics Netherlands. A total of 346 PCOS patients were

M. W. Elting; T. J. M. Korsen; P. D. Bezemer; J. Schoemaker

2001-01-01

22

The Prevalence of Pain in Patients Attending Sarcoma Outpatient Clinics  

PubMed Central

The prevalence of pain in patients with sarcoma is not well documented. We investigated this in outpatients at a tertiary cancer referral centre, assessing the adequacy of pain control and for risk factors leading to higher prevalence and severity of pain. 149 patients were surveyed. Patients with pain within the previous 7 days completed pain assessment tools (BPI, S-LANSS, PMI). 53% of patients had pain within the previous 7 days, and 25% had significant pain. Of those with pain, 63% was inadequately controlled and neuropathic pain was identified in 36%. Age, gender, tumour type, and the type of cancer treatment were not significant predictors of the prevalence or severity of the pain. Based on our results, patients with sarcoma should be actively screened for pain and have regular reviews of their analgesic requirements.

Kuo, P. Y.; Yen, J. T. C.; Parker, G. M.; Chapman, S.; Kandikattu, S.; Sohanpal, I.; Barbachano, Y.; Williams, J. E.

2011-01-01

23

The prevalence of pain in patients attending sarcoma outpatient clinics.  

PubMed

The prevalence of pain in patients with sarcoma is not well documented. We investigated this in outpatients at a tertiary cancer referral centre, assessing the adequacy of pain control and for risk factors leading to higher prevalence and severity of pain. 149 patients were surveyed. Patients with pain within the previous 7 days completed pain assessment tools (BPI, S-LANSS, PMI). 53% of patients had pain within the previous 7 days, and 25% had significant pain. Of those with pain, 63% was inadequately controlled and neuropathic pain was identified in 36%. Age, gender, tumour type, and the type of cancer treatment were not significant predictors of the prevalence or severity of the pain. Based on our results, patients with sarcoma should be actively screened for pain and have regular reviews of their analgesic requirements. PMID:21647362

Kuo, P Y; Yen, J T C; Parker, G M; Chapman, S; Kandikattu, S; Sohanpal, I; Barbachano, Y; Williams, J E

2011-05-05

24

Prevalence of sleep disturbance and its relationship to pain in adults with chronic pain  

Microsoft Academic Search

The study examined the prevalence and relationship between sleep disturbance and chronic pain. Research questions were: (1) What is the prevalence of sleep disturbance in adults with chronic pain, and how does this prevalence compare with healthy and insomniac adults? (2) What is the relationship between sleep disturbance and chronic pain? (3) What is the relationship of patient characteristics to

Tracy Ann Call-Schmidt; Stephanie J Richardson

2003-01-01

25

Pain in hemodialysis patients: prevalence, cause, severity, and management  

Microsoft Academic Search

Background: There is growing evidence that dialysis patients have a high burden of symptoms, including pain. However, the prevalence, cause, severity, and management of pain in dialysis patients have not been described. Methods: This prospective cohort study of 205 Canadian hemodialysis (HD) patients describes the prevalence, cause, severity, and management of pain in this population. A chart review for demographic

Sara N Davison

2003-01-01

26

Subjective memory complaints in the elderly: Prevalence and influence of temporal orientation, depression and quality of life in a population-based study in the city of Madrid  

Microsoft Academic Search

Objectives: It is still a matter of debate whether variables such as education, sex, age, personality and others underlie subjective memory complaints (SMC). Our objectives are to study: the prevalence of memory complaints in the city of Madrid, the distribution of complaints in the population according to socio-demographic variables and the related variables like cognitive performance, quality of life, perceived

Pedro Montejo; Mercedes Montenegro; Miguel A. Fernández; Fernando Maestú

2011-01-01

27

Prevalence of facet joint pain in chronic spinal pain of cervical, thoracic, and lumbar regions  

Microsoft Academic Search

BACKGROUND: Facet joints are a clinically important source of chronic cervical, thoracic, and lumbar spine pain. The purpose of this study was to systematically evaluate the prevalence of facet joint pain by spinal region in patients with chronic spine pain referred to an interventional pain management practice. METHODS: Five hundred consecutive patients with chronic, non-specific spine pain were evaluated. The

Laxmaiah Manchikanti; Mark V Boswell; Vijay Singh; Vidyasagar Pampati; Kim S Damron; Carla D Beyer

2004-01-01

28

Pain prevalence and pain relief in trauma patients in the Accident & Emergency department  

Microsoft Academic Search

BACKGROUND: Acute pain in the A&E department (ED) has been described as a problem, however insight into the problem for trauma patients is lacking. OBJECTIVE: This study describes the prevalence of pain, the pain intensity and the effect of conventional pain treatment in trauma patients in the ED. METHODS: In a prospective cohort study of 450 trauma patients, pain was

S. A. A. Berben; T. H. J. M. Meijs; R. T. M. van Dongen; A. B. van Vugt; L. C. M. Vloet; J. J. Mintjes-de Groot; T. van Achterberg

2008-01-01

29

High Prevalence of Low Vitamin D and Musculoskeletal Complaints in Women with Breast Cancer  

PubMed Central

Background and aims Reduced vitamin D levels may play a significant role in the development of fractures and musculoskeletal pains reported in patients on aromatase inhibitors (AIs) for breast cancer. In this study, we evaluated the vitamin D status in postmenopausal women with non-metastatic breast cancer who were about to start AI therapy. Methods This study was conducted on community dwelling postmenopausal subjects, aged 35–80 years, with early non-metastatic breast cancer (up to stage IIIA), who were about to start therapy using third generation AIs. Symptoms of joint and muscle pains were obtained using a modified Leuven menopausal questionnaire. 25-hydroxyvitamin D [25(OH)D] was evaluated by radioimmunoassy while bone mineral density (BMD) of the lumbar spine and the proximal femur by dual energy X-ray absorptiometry (DXA) Results Of the 145 participants (mean age = 60.96 ± 0.88 years), 63/145 (43.5%) had baseline levels of 25(OH)D of < 20 ng/ml (deficient), 50/145 (34.5%) had levels between 20–29 ng/ml (insufficient), and only 32/145 (22%) had > 30 ng/ml (sufficient); thus, 113/145 (78%) had low 25(OH)D levels (i.e. < 30ng/ml). Arthralgias and myalgias were found in 61.3% and 43% of patients, respectively; and of those, 83.3% and 88.1% had 25(OH)D of < 30ng/ml, respectively. Conclusions Prevalence of vitamin D deficiency is high in breast cancer women and this may increase the risk of bone loss and fractures in those who are going to start AIs. Moreover, musculoskeletal pains are common in breast cancer women, even before the initiation of AIs and in association with low vitamin D in the majority. Future studies may be needed to establish the contribution of low vitamin D, if any, on the prevalence of musculoskeletal pains in women on AIs.

Napoli, N; Vattikuti, S; Ma, C; Rastelli, A; Rayani, A; Donepudi, R; Asadfard, M; Yarramaneni, J; Ellis, M; Armamento-Villareal, R

2013-01-01

30

The Immediate Effects of Thoracic Spine and Rib Manipulation on Subjects with Primary Complaints of Shoulder Pain  

PubMed Central

Shoulder pain is a common orthopedic condition seen by physical therapists, with many potential contributing factors and proposed treatments. Although manual physical therapy interventions for the cervicothoracic spine and ribs have been investigated for this patient population, the specific effects of these treatments have not been reported. The purpose of this investigational study is to report the immediate effects of thoracic spine and rib manipulation in patients with primary complaints of shoulder pain. Using a test-retest design, 21 subjects with shoulder pain were treated during a single treatment session with high-velocity thrust manipulation to the thoracic spine or upper ribs. Post-treatment effects demonstrated a 51% (32mm) reduction in shoulder pain, a corresponding increase in shoulder range of motion (30°-38°), and a mean patient-perceived global rating of change of 4.2 (median 5). These immediate post-treatment results suggest that thoracic and rib manipulative therapy is associated with improved shoulder pain and motion in patients with shoulder pain, and further these interventions support the concept of a regional interdependence between the thoracic spine, upper ribs, and shoulder.

Strunce, Joseph B.; Walker, Michael J.; Boyles, Robert E.; Young, Brian A.

2009-01-01

31

Attentional deficits in fibromyalgia and its relationships with pain, emotional distress and sleep dysfunction complaints  

Microsoft Academic Search

Cognitive complaints are common among subjects with fibromyalgia (FM). Yet, few studies have been able to document these deficits with cognitive tasks. A main limitation of existing studies is that attention has been broadly defined and the tasks used to measure attention are not designed to cover all the main components of the attentional system. Research on attention has identified

E. Miró; J. Lupiáñez; E. Hita; M. P. Martínez; A. I. Sánchez; G. Buela-Casal

2011-01-01

32

Pain Prevalence Study in a Large Canadian Teaching Hospital. Round 2: Lessons Learned?  

Microsoft Academic Search

Pain prevalence is an important indicator of quality patient care, representing a basis upon which improvement efforts may be developed. Based on results of an original pain prevalence survey at our institution in 2006, a follow-up prevalence study was conducted in November 2007. Pain and its interference with patients’ activities, patient satisfaction with pain management efforts, prescribing practice, and perceived

Jason Sawyer; Lynn Haslam; Pat Daines; Kalli Stilos

2010-01-01

33

Somatic Complaints in Childhood Functional Abdominal Pain Are Associated With Functional Gastrointestinal Disorders in Adolescence and Adulthood  

PubMed Central

Objectives Nongastrointestinal (non-GI) somatic complaints are common in children and adults with functional gastrointestinal disorders (FGIDs). The aim of the present study was to determine whether non-GI somatic complaints in children with functional abdominal pain (FAP) were associated with FGIDs in adolescence and young adulthood. Patients and Methods In a prospective clinic-based study, children and adolescents (ages 8–16 years) with FAP (n = 188) and well controls (n = 61) completed a validated measure of somatic symptoms. Participants were assessed 4 to 15 years later (as older adolescents and young adults) for presence of current FGIDs as defined by the Rome III criteria. Results Of the 188 youths with pediatric FAP, 35.6% met criteria for FGIDs at follow-up. Initial levels of non-GI somatic symptoms were significantly higher in pediatric FAP participants who subsequently met criteria for FGIDs at follow-up compared with controls and pediatric FAP participants who did not meet criteria for FGIDs at follow-up. Conclusions The association of non-GI somatic symptoms with FAP in children may identify a group that is at risk for FGIDs later in life.

Dengler-Crish, Christine M.; Horst, Sara N.; Walker, Lynn S.

2011-01-01

34

Prevalence of medication overuse headache in an interdisciplinary pain clinic  

PubMed Central

Background Medication overuse headache (MOH) has been recognized as an important problem in headache patients although the pathophysiological mechanisms remain unclear. The diagnosis of MOH is based on clinical characteristics defined by the International Headache Society. The aim was the evaluation of the diagnostic criteria of MOH in a mixed population of chronic pain patients to gain information about the prevalence and possible associations with MOH. Methods Data of all patients referred to the interdisciplinary pain clinic at the University Hospital of Zurich between September 2005 and December 2007 were retrospectively analyzed. Demographic data (age, sex, history of migration), as well as data about duration of pain disease, category of pain disease (neurological, psychiatric, rheumatologic, other), use of medication, history of trauma, and comorbidity of depression and anxiety have been collected. Results Totally 178 of 187 consecutive chronic pain patients were included in the study. A total of 138 patients (78%) used analgesics on 15 or more days per month. Chronic headache was more prevalent among patients with analgesic overuse (39.8%) than without analgesic overuse (18%). The prevalence of MOH was 29%. The odds ratio (OR) for a patient with medication overuse to have chronic headache was 13.1 if he had a history of primary headache, compared to a patient without a primary headache syndrome. Furthermore, history of headache (OR 2.5, CI [1.13;5.44]), history of migration (OR 2.9, CI [1.31;6.32]) and comorbid depression (OR 3.5, CI [1.46;8.52]) were associated with overuse of acute medication, in general. Conclusions Primary headaches have a high risk for chronification in patients overusing analgesics for other pain disorders. Whereas history of headache, history of migration and comorbidity of depression are independentely associated with analgesic overuse in this group of patients.

2013-01-01

35

Prevalence and tracking of back pain from childhood to adolescence  

PubMed Central

Background It is generally acknowledged that back pain (BP) is a common condition already in childhood. However, the development until early adulthood is not well understood and, in particular, not the individual tracking pattern. The objectives of this paper are to show the prevalence estimates of BP, low back pain (LBP), mid back pain (MBP), neck pain (NP), and care-seeking because of BP at three different ages (9, 13 and15 years) and how the BP reporting tracks over these age groups over three consecutive surveys. Methods A longitudinal cohort study was carried out from the years of 1997 till 2005, collecting interview data from children who were sampled to be representative of Danish schoolchildren. BP was defined overall and specifically in the three spinal regions as having reported pain within the past month. The prevalence estimates and the various patterns of BP reporting over time are presented as percentages. Results Of the 771 children sampled, 62%, 57%, and 58% participated in the three back surveys and 34% participated in all three. The prevalence estimates for children at the ages of 9, 13, and 15, respectively, were for BP 33%, 28%, and 48%; for LBP 4%, 22%, and 36%; for MBP 20%, 13%, and 35%; and for NP 10%, 7%, and 15%. Seeking care for BP increased from 6% and 8% at the two youngest ages to 34% at the oldest. Only 7% of the children who participated in all three surveys reported BP each time and 30% of these always reported no pain. The patterns of development differed for the three spinal regions and between genders. Status at the previous survey predicted status at the next survey, so that those who had pain before were more likely to report pain again and vice versa. This was most pronounced for care-seeking. Conclusion It was confirmed that BP starts early in life, but the patterns of onset and development over time vary for different parts of the spine and between genders. Because of these differences, it is recommended to report on BP in youngsters separately for the three spinal regions, and to differentiate in the analyses between the genders and age groups. Although only a small minority reported BP at two or all three surveys, tracking of BP (particularly NP) and care seeking was noted from one survey to the other. On the positive side, individuals without BP at a previous survey were likely to remain pain free at the subsequent survey.

2011-01-01

36

Prevalence of Low Back Pain among Physical Therapists in Kuwait  

Microsoft Academic Search

Objective: To determine the life and point prevalence rates and study the characteristics of work-related and non-work-related low back pain (LBP) among physical therapists in Kuwait and its effect on their regular activities. Subjects and Methods: A specially designed self-administered questionnaire was distributed to 143 physical therapists in Kuwait. The questionnaire included demographic data, history and characteristics of LBP before

Dia Shehab; Khalid Al-Jarallah; Mohamed A. A. Moussa; Nihad Adham

2003-01-01

37

Prevalence of complaints of arm, neck and shoulder among computer office workers and psychometric evaluation of a risk factor questionnaire  

Microsoft Academic Search

BACKGROUND: Complaints of Arm Neck and Shoulder (CANS) represent a wide range of complaints, which can differ in severity from mild, periodic symptoms to severe, chronic and debilitating conditions. They are thought to be associated with both physical and psychosocial risk factors. The measurement and identification of the various risk factors for these complaints is an important step towards recognizing

Shahla Eltayeb; J Bart Staal; Janneke Kennes; Petra HG Lamberts; Rob A de Bie

2007-01-01

38

Back pain prevalence in nursing personnel: measurement issues.  

PubMed

1. The problem of work related musculoskeletal disorders of the low back in nursing personnel has been well documented in the literature by cross sectional studies showing high prevalence rates in licensed nurses and nursing aides. However, it is difficult to compare findings among these studies because of the use of nonstandardized symptom surveys, variations in case definitions, and other methodological inconsistencies. 2. Measuring the change in current back pain prevalence yields more timely information about the effectiveness of an ergonomic intervention than assessing injury incidence rates, because of the high percent of nursing staff members who work in pain but delay filing workers' compensation claims. 3. As employers attempt to reduce manual handling injuries, occupational health nurses may be called upon to survey workers for musculoskeletal symptom prevalence and document the effectiveness of ergonomic interventions. Before using or developing any musculoskeletal disorder symptom survey for workplace surveillance or research, occupational health nurses should determine whether the survey has adequate reliability, validity, responsiveness, and practicality. PMID:14979616

Menzel, Nancy N

2004-02-01

39

Prevalence of widespread pain and associations with work status: a population study  

Microsoft Academic Search

BACKGROUND: This population study based on a representative sample from a Swedish county investigates the prevalence, duration, and determinants of widespread pain (WSP) in the population using two constructs and estimates how WSP affects work status. In addition, this study investigates the prevalence of widespread pain and its relationship to pain intensity, gender, age, income, work status, citizenship, civil status,

Björn Gerdle; Jonas Björk; Lars Cöster; KG Henriksson; Chris Henriksson; Ann Bengtsson

2008-01-01

40

Prevalence of chronic pain seven years following limb threatening lower extremity trauma  

Microsoft Academic Search

Although the etiology of chronic pain following trauma is not well understood, numerous retrospective studies have shown that a significant proportion of chronic pain patients have a history of traumatic injury. The present analysis examines the prevalence and early predictors of chronic pain in a cohort of prospectively followed severe lower extremity trauma patients. Chronic pain was measured using the

Renan C. Castillo; Ellen J. MacKenzie; Stephen T. Wegener; Michael J. Bosse

2006-01-01

41

Pediatric Pain Prevalence and Parents' Attitudes at a Cancer Hospital in Jordan  

Microsoft Academic Search

There has been little research on implementation of pediatric pain programs. These studies are part of a project to develop such a program for the King Hussein Cancer Centre in Jordan. Study 1 captured information on pain prevalence in 35 children using chart reviews and parent\\/child interviews to establish baseline pain burden. Forty-seven percent of children had pain at the

Paula A. Forgeron; G. Allen Finley; Maha Arnaout

2006-01-01

42

Prevalence and Characteristics of Breakthrough Pain in Cancer Patients Admitted to a Hospice  

Microsoft Academic Search

A prospective survey was undertaken to determine the prevalence and characteristics of breakthrough pain in cancer patients admitted to a hospice. Of 414 consecutive admissions, 33 patients were confused or too unwell to take part and 136 were pain-free. The remaining 245 reported 404 pains (range 1–5 per patient); of these patients, 218 (89%) had breakthrough pain and identified 361

Giovambattista Zeppetella; Catherine A O'Doherty; Silke Collins

2000-01-01

43

Prevalence of pain and dysfunction in the cervical and thoracic spine in persons with and without lateral elbow pain  

Microsoft Academic Search

The purpose of this study was to survey the prevalence of pain in the cervical and thoracic spine (C2–T7) in persons with and without lateral elbow pain. Thirty-one subjects with lateral elbow pain and 31 healthy controls participated in the study. The assessment comprised a pain drawing, provocation tests of the cervical and thoracic spine, a neurodynamic test of the

K. M. Berglund; B. H. Persson; E. Denison

2008-01-01

44

The prevalence of pain at pressure areas and pressure ulcers in hospitalised patients  

PubMed Central

Background Patients with pressure ulcers (PUs) report that pain is their most distressing symptom, but there are few PU pain prevalence studies. We sought to estimate the prevalence of unattributed pressure area related pain (UPAR pain) which was defined as pain, soreness or discomfort reported by patients, on an “at risk” or PU skin site, reported at a patient level. Methods We undertook pain prevalence surveys in 2 large UK teaching hospital NHS Trusts (6 hospitals) and a district general hospital NHS Trust (3 hospitals) during their routine annual PU prevalence audits. The hospitals provide secondary and tertiary care beds in acute and elective surgery, trauma and orthopaedics, burns, medicine, elderly medicine, oncology and rehabilitation. Anonymised individual patient data were recorded by the ward nurse and PU prevalence team. The analysis of this prevalence survey included data summaries; no inferential statistical testing was planned or undertaken. Percentages were calculated using the total number of patients from the relevant population as the denominator (i.e. including all patients with missing data for that variable). Results A total of 3,397 patients in 9 acute hospitals were included in routine PU prevalence audits and, of these, 2010 (59.2%) patients participated in the pain prevalence study. UPAR pain prevalence was 16.3% (327/2010). 1769 patients had no PUs and of these 223 patients reported UPAR pain, a prevalence of 12.6%. Of the 241 people with pressure ulcers, 104 patients reported pain, a UPAR pain prevalence of 43.2% (104/241). Conclusion One in six people in acute hospitals experience UPAR pain on ‘at risk’ or PU skin sites; one in every 8 people without PUs and, more than 2 out of every five people with PUs. The results provide a clear indication that all patients should be asked if they have pain at pressure areas even when they do not have a PU.

2013-01-01

45

Persistent pain after joint replacement: Prevalence, sensory qualities, and postoperative determinants  

Microsoft Academic Search

Persistent postsurgical pain is a prevalent but underacknowledged condition. The aim of this study was to assess the prevalence, sensory qualities, and postoperative determinants of persistent pain at 3 to 4years after total knee replacement (TKR) and total hip replacement (THR). Patients completed a questionnaire with included the Western Ontario and McMaster Universities Index of Osteoarthritis (WOMAC) Pain Scale, PainDetect

Vikki Wylde; Sarah Hewlett; Ian D. Learmonth; Paul Dieppe

2011-01-01

46

Prevalence of Pain Among Residents in Japanese Nursing Homes: A Descriptive Study  

Microsoft Academic Search

It is often observed that pain causes substantial problems for nursing home residents. However, there has been little research about the prevalence of pain for nursing home residents in Japan. This study aimed to examine the prevalence of pain in older adults living in nursing homes in Japan by using self-reporting and the Abbey Pain Scale–Japanese version (APS-J) and to

Yukari Takai; Noriko Yamamoto-Mitani; Yumi Chiba; Yuri Nishikawa; Yuichi Sugai; Kunihiko Hayashi

47

Prevalence of pain in the Spanish population: telephone survey in 5000 homes  

Microsoft Academic Search

Pain has become the most common accompanying symptom in patients seeking medical advice, and it is one of the main issues in public health. In Spain, there are no reliable data about the impact of pain in general population. The aim of the study was to estimate the prevalence of acute and chronic pain in the Spanish general population. An

E. Català; E. Reig; M. Artés; L. Aliaga; J. S. López; J. L. Segú

2002-01-01

48

The prevalence and characteristics of back pain among school children in New Zealand  

Microsoft Academic Search

A cross-sectional survey among 245 children was conducted to establish the prevalence and characteristics of back pain in school children aged 11–14 years. A self-complete questionnaire was used to ascertain demographic details, pain prevalence, psychosocial parameters, school and leisure activities and family characteristics. In the last month, 58% of children had experienced spinal pain. In total, 31% of children reported

Fiona C. Trevelyan; Stephen J. Legg

2010-01-01

49

Work-related complaints of arm, neck and shoulder among computer office workers in an Asian country: prevalence and validation of a risk-factor questionnaire  

PubMed Central

Background Complaints of arm, neck and/or shoulders (CANS) affects millions of computer office workers. However its prevalence and associated risk factors in developing countries are yet to be investigated, due to non availability of validated assessment tools for these countries. We evaluated the 1-year prevalence of CANS among computer office workers in Sri Lanka and tested the psychometric properties of a translated risk factor questionnaire. Methods Computer office workers at a telecommunication company in Sri Lankan received the Sinhalese version of the validated Maastricht Upper Extremity Questionnaire (MUEQ). The 94 items in the questionnaire covers demographic characteristics, CANS and evaluates potential risk factors for CANS in six domains. Forward and backward translation of the MUEQ was done by two independent bi-lingual translators. One-year prevalence of CANS and psychometric properties of the Sinhalese questionnaire were investigated. Results Response rate was 97.7% (n = 440). Males were 42.7%. Mean age was 38.2 ± 9.5 years. One-year prevalence of CANS was 63.6% (mild-53.7% and severe-10%). The highest incidences were for neck (36.1%) and shoulder (34.3%) complaints. Two factors for each domain in the scale were identified by exploratory factor analysis (i.e. work-area, computer-position, incorrect body posture, bad-habits, skills and abilities, decision-making, time-management, work-overload, work-breaks, variation in work, work-environment and social-support). Calculation of internal consistency (Cronbach's alpha 0.43-0.82) and cross-validation provided evidence of reliability and lack of redundancy of items. Conclusion One year prevalence of CANS in the study population corresponds strongly with prevalence in developed countries. Translated version of the MUEQ has satisfactory psychometric properties for it to be used to assess work-related risk factors for development of CANS among Sri Lankan computer office workers.

2011-01-01

50

Prevalence and Characteristics of Breakthrough Pain in Opioid-Treated Patients With Chronic Noncancer Pain  

Microsoft Academic Search

Breakthrough pain is well-characterized in cancer patients but not in patients with chronic noncancer pain. We recruited 228 patients with diverse types of chronic noncancer pain from 9 pain programs and administered a telephone questionnaire with a breakthrough pain assessment algorithm originally designed for cancer patients. All patients had controlled baseline pain, and 168 (74%) experienced severe to excruciating breakthrough

Russell K. Portenoy; Daniel S. Bennett; Richard Rauck; Steven Simon; Donald Taylor; Michael Brennan; Steven Shoemaker

2006-01-01

51

Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence  

Microsoft Academic Search

Pregnancy-related lumbopelvic pain has puzzled medicine for a long time. The present systematic review focuses on terminology, clinical presentation, and prevalence. Numerous terms are used, as if they indicated one and the same entity. We propose “pregnancy-related pelvic girdle pain (PPP)”, and “pregnancy-related low back pain (PLBP)”, present evidence that the two add up to “lumbopelvic pain”, and show that

W. H. Wu; O. G. Meijer; K. Uegaki; J. M. A. Mens; J. H. van Dieën; P. I. J. M. Wuisman; H. C. Östgaard

2004-01-01

52

Prevalence of pain in public hospital: correlation between patients and caregivers  

Microsoft Academic Search

The prevalence of patients suffering pain in hospital is high. This situation is censured during congresses on the study\\u000a and treatment of pain, which highlight how little consideration the problem is given. Our study, which measured exactly how\\u000a far pain is underestimated and inappropriately treated, took place as part of the project “Towards a Pain-Free Hospital” in\\u000a San Bortolo Hospital,

Leonardo Trentin; Marco Visentin; Roberto de Marco; Elisabetta Zandolin

2001-01-01

53

Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment  

Microsoft Academic Search

This large scale computer-assisted telephone survey was undertaken to explore the prevalence, severity, treatment and impact of chronic pain in 15 European countries and Israel. Screening interviews identified respondents aged ?18 years with chronic pain for in-depth interviews. 19% of 46,394 respondents willing to participate (refusal rate 46%) had suffered pain for ?6 months, had experienced pain in the last

Harald Breivik; Beverly Collett; Vittorio Ventafridda; Rob Cohen; Derek Gallacher

2006-01-01

54

The Prevalence of low back pain in Africa: a systematic review  

Microsoft Academic Search

BACKGROUND: Low back pain (LBP) is the most prevalent musculoskeletal condition and one the most common causes of disability in the developed nations. Anecdotally, there is a general assumption that LBP prevalence in Africa is comparatively lower than in developed countries. The aim of this review was to systematically appraise the published prevalence studies conducted on the African continent to

Quinette A Louw; Linzette D Morris; Karen Grimmer-Somers

2007-01-01

55

A Pilot Study of the Prevalence of Leg Pain Among Women with Endometriosis  

PubMed Central

Radiating leg pain is a common symptom presenting in manual therapy practices. Although this symptom has been reported as a complication of endometriosis, its prevalence and characteristics have not been studied. We surveyed members of a national endometriosis support group with endometriosis using a self-administered, mailed questionnaire. The main outcome measures were the prevalence and characteristics of leg pain. Of 94 respondents, leg pain was reported by 48 women (51%), and was bilateral in 59% of these symptomatic women. The likelihood of experiencing leg pain was related to weight gain since age 18, age, and height. The most common treatments tried included exercise, over-the-counter medications, and massage therapy, all with variable results. These data support leg pain as a prevalent complication of endometriosis, and that the disease may affect multiple peripheral nerves. Manual therapists should remain aware to this possible etiology for radiating pain.

Missmer, Stacey A.; Bove, Geoffrey M.

2011-01-01

56

Central pain in multiple sclerosis – prevalence and clinical characteristics  

Microsoft Academic Search

Pain is more common in multiple sclerosis (MS) than has previously been recognised. In the present study we have investigated the occurrence of central pain (CP) in MS and defined its characteristics. Questionnaires were sent to all 429 patients with definite MS in the patient register at our neurology department. All admitting to pain were interviewed and offered an extended

A. Österberg; J. Boivie; K.-Å. Thuomas

2005-01-01

57

The prevalence of neuropathic pain: Clinical evaluation compared with screening tools in a community population  

PubMed Central

Background Neuropathic pain is reported to be common based on studies from specialty centers and survey studies. However, few prevalence estimates have been completed in a community population using clinical evaluation. Objective To develop an estimate of the prevalence of neuropathic pain in community dwelling adults. Methods Data from a mailed survey (n=3575 community respondents), telephone interview (n=905), and a clinical examination (n=205) were linked to estimate the population prevalence of neuropathic pain. Using the clinical examination as the “gold” standard, estimates from several screening tools were developed and adjusted to the Olmsted County, Minnesota adult population. Results The estimated community prevalence of neuropathic pain from the clinical examination (gold standard) was 9.8%. Most other estimates were lower, including a 3.0% population prevalence using the Berger criteria and 8.8% using the S-LANSS. Only the prevalence rate based on self-report of nerve pain was higher (12.4%). Overlap among the groups each tool identified as having “neuropathic predominant pain” was only modest and the groups had significantly different rates of depressive symptoms, anxiety, limited functional ability and use of complementary and alternative medicine (CAM). Conclusions The estimated rates and personal characteristics of community residents with “neuropathic pain” varies widely depending on the tools used to identify neuropathic pain. None of the screening tools compared well to clinical evaluation. The differences in the groups identified by alternative screening methods become of major importance when reporting neuropathic pain epidemiology, studying therapies for neuropathic pain or attempting to translate neuropathic pain research into clinical practice.

Yawn, Barbara P.; Wollan, Peter C.; Weingarten, Toby N.; Watson, James C.; Hooten, W. Michael; Melton, L. Joseph

2010-01-01

58

Prevalence and aetiology of neuropathic pain in cancer patients: a systematic review.  

PubMed

Pain in cancer patients remains common and is often associated with insufficient prescribing of targeted analgesia. An explanation for undertreatment could be the failure to identify neuropathic pain mechanisms, which require additional prescribing strategies. We wanted to identify the prevalence of neuropathic mechanisms in patients with cancer pain to highlight the need for detailed assessment and to support the development of an international classification system for cancer pain. We searched for studies that included adult and teenage patients (age above 12 years), with active cancer and who reported pain, and in which a clinical assessment of their pain had been made. We found 22 eligible studies that reported on 13,683 patients. Clinical assessment methods varied, and only 14 studies reported confirmatory testing for either sensory abnormality or diagnostic lesion to corroborate a diagnosis of neuropathic pain. We calculated that the prevalence of patients with neuropathic pain (95% confidence interval) varied from a conservative estimate of 19% (9.4% to 28.4%) to a liberal estimate of 39.1% (28.9% to 49.5%) when patients with mixed pain were included. The prevalence of pain with a neuropathic mechanism (95% confidence interval) ranged from a conservative estimate of 18.7% (15.3% to 22.1%) to a liberal estimate of 21.4% (15.2% to 27.6%) of all recorded cancer pains. The proportion of pain caused by cancer treatment was higher in neuropathic pain compared with all types of cancer pain. A standardised approach or taxonomy used for assessing neuropathic pain in patients with cancer is needed to improve treatment outcomes. PMID:22115921

Bennett, Michael I; Rayment, Clare; Hjermstad, Marianne; Aass, Nina; Caraceni, Augusto; Kaasa, Stein

2011-11-23

59

Breakthrough Cancer Pain: Review of Prevalence, Characteristics and Management  

PubMed Central

Breakthrough pain has been associated with a reduced likelihood of adequate pain control. Despite the large and variable incidence of this phenomenon due to varied definitions of this type of pain, only a few studies have been conducted to assess and effectively treat breakthrough pain though the importance of managing breakthrough pain has been acknowledged by all. A large number of drugs from various classes and novel methods of administration like nasal and transmucosal buccal route, as in the case of fentanyl, have been used in these studies to manage this type of pain. A drug is needed with a quick onset of action and optimal duration that matches the characteristics of breakthrough pain. Some steps have been taken in earlier studies which used nasal formulation of fentanyl as it was found to achieve adequate and quick pain relief. However, further studies are required to confirm this so that in the future we can have as effective protocols for managing breakthrough pain as we have today for managing persistent pain as given by the World Health Organization.

Mishra, Seema; Bhatnagar, Sushma; Chaudhary, Prakash; Rana, Shiv Pratap Singh

2009-01-01

60

Gender Differences in the Incidence and Prevalence of Patellofemoral Pain Syndrome.  

National Technical Information Service (NTIS)

The purpose of this investigation was to determine the association between gender and the prevalence and incidence of patellofemoral pain syndrome (PFPS). One thousand five hundred and twenty-five participants from the United States Naval Academy (USNA) w...

D. A. Padua K. Guskiewicz M. C. Boling S. Pyne S. W. Marshall

2009-01-01

61

Patellar maltracking is prevalent among patellofemoral pain subjects with patella alta: an upright, weightbearing MRI study.  

PubMed

The purpose of this study is to determine if patellar maltracking is more prevalent among patellofemoral (PF) pain subjects with patella alta compared to subjects with normal patella height. We imaged 37 PF pain and 15 pain free subjects in an open-configuration magnetic resonance imaging scanner while they stood in a weightbearing posture. We measured patella height using the Caton-Deschamps, Blackburne-Peel, Insall-Salvati, Modified Insall-Salvati, and Patellotrochlear indices, and classified the subjects into patella alta and normal patella height groups. We measured patella tilt and bisect offset from oblique-axial plane images, and classified the subjects into maltracking and normal tracking groups. Patellar maltracking was more prevalent among PF pain subjects with patella alta compared to PF pain subjects with normal patella height (two-tailed Fisher's exact test, p<0.050). Using the Caton-Deschamps index, 67% (8/12) of PF pain subjects with patella alta were maltrackers, whereas only 16% (4/25) of PF pain subjects with normal patella height were maltrackers. Patellofemoral pain subjects classified as maltrackers displayed a greater patella height compared to the pain free and PF pain subjects classified as normal trackers (two-tailed unpaired t-tests with Bonferroni correction, p<0.017). This study adds to our understanding of PF pain in two ways-(1) we demonstrate that patellar maltracking is more prevalent in PF pain subjects with patella alta compared to subjects with normal patella height; and (2) we show greater patella height in PF pain subjects compared to pain free subjects using four indices commonly used in clinics. PMID:23165335

Pal, Saikat; Besier, Thor F; Beaupre, Gary S; Fredericson, Michael; Delp, Scott L; Gold, Garry E

2012-11-19

62

Prevalence and correlates of pain and pain treatment in a Western kenya referral hospital.  

PubMed

Abstract Background: Pain is often inadequately evaluated and treated in sub-Saharan Africa (SSA). Objective: We sought to assess pain levels and pain treatment in 400 hospitalized patients at a national referral hospital in western Kenya, and to identify factors associated with pain and pain treatment. Design: Using face-validated Kiswahili versions of two single-item pain assessment tools, the Numerical Rating Scale (NRS) and the Faces Pain Scale-Revised (FPS-R), we determined patients' pain levels. Additional data collected included patient demographics, prescribed analgesics, and administered analgesics. We calculated mean pain ratings and pain management index (PMI) scores. Results: Averaged between the NRS and FPS-R, 80.5% of patients endorsed a nonzero level of pain and 30% of patients reported moderate to severe pain. Older patients, patients with HIV, and cancer patients had higher pain ratings. Sixty-six percent of patients had been prescribed analgesics at some point during their hospitalization, the majority of which were nonopioids. A majority of patients (66%) had undertreated pain (negative scores on the PMI). Conclusion: This study shows that hospitalized patients in Kenya are experiencing pain and that this pain is often undertreated. PMID:24032753

Huang, Kristin T L; Owino, Claudio; Gramelspacher, Gregory P; Monahan, Patrick O; Tabbey, Rebeka; Hagembe, Mildred; Strother, Robert M; Njuguna, Festus; Vreeman, Rachel C

2013-09-13

63

High prevalence of shoulder girdle muscles with myofascial trigger points in patients with shoulder pain  

Microsoft Academic Search

Background  Shoulder pain is reported to be highly prevalent and tends to be recurrent or persistent despite medical treatment. The pathophysiological\\u000a mechanisms of shoulder pain are poorly understood. Furthermore, there is little evidence supporting the effectiveness of current\\u000a treatment protocols. Although myofascial trigger points (MTrPs) are rarely mentioned in relation to shoulder pain, they may\\u000a present an alternative underlying mechanism, which

Carel Bron; Jan Dommerholt; Boudewijn Stegenga; Michel Wensing; Rob AB Oostendorp

2011-01-01

64

Prevalence of widespread pain and associations with work status: a population study  

PubMed Central

Background This population study based on a representative sample from a Swedish county investigates the prevalence, duration, and determinants of widespread pain (WSP) in the population using two constructs and estimates how WSP affects work status. In addition, this study investigates the prevalence of widespread pain and its relationship to pain intensity, gender, age, income, work status, citizenship, civil status, urban residence, and health care seeking. Methods A cross-sectional survey using a postal questionnaire was sent to a representative sample (n = 9952) of the target population (284,073 people, 18–74 years) in a county (Östergötland) in the southern Sweden. The questionnaire was mailed and followed by two postal reminders when necessary. Results The participation rate was 76.7% (n = 7637); the non-participants were on the average younger, earned less money, and male. Women had higher prevalences of pain in 10 different predetermined anatomical regions. WSP was generally chronic (90–94%) and depending on definition of WSP the prevalence varied between 4.8–7.4% in the population. Women had significantly higher prevalence of WSP than men and the age effect appeared to be stronger in women than in men. WSP was a significant negative factor – together with age 50–64 years, low annual income, and non-Nordic citizen – for work status in the community and in the group with chronic pain. Chronic pain but not the spreading of pain was related to health care seeking in the population. Conclusion This study confirms earlier studies that report high prevalences of widespread pain in the population and especially among females and with increasing age. Widespread pain is associated with prominent effects on work status.

Gerdle, Bjorn; Bjork, Jonas; Coster, Lars; Henriksson, KG; Henriksson, Chris; Bengtsson, Ann

2008-01-01

65

Over-indebtedness and its association with the prevalence of back pain  

PubMed Central

Background Over-indebtedness is an increasing phenomenon worldwide. Massive financial strain, as found in over-indebted persons, might influence the occurrence of back pain. In this explorative study we examined the prevalence of back pain in over-indebted persons in Germany for the first time ever and compared it to the prevalence of back pain in the German general population. Methods A cross sectional study comprising 949 participants (52.6% women) was conducted to collect data on the point prevalence of back pain in an over-indebted collective. A representative sample of the German general population (N = 8318, 53.4% women) was used as non-indebted reference group. Results The point prevalence of back pain was 80% in the over-indebted collective, compared to 20% in the general population. The influence of socioeconomic factors on the prevalence of back pain differed partially between the general population and the over-indebted collective. Being over-indebted was identified as an independent effect modifier and was associated with an eleven times increased probability to suffer from back pain (aOR: 10.92, 95%CI: 8.96 - 13.46). Conclusion Until now, only little is known about the effects of intense financial strain like over-indebtedness on health. Our study suggests that over-indebted persons represent a risk group for back pain and that it might be sensible to take financial strain into account when taking a medical history on back pain. Over-indebtedness and private bankruptcy is of increasing importance in industrialized countries, therefore more research on the subject seems to be necessary.

2009-01-01

66

Third occipital nerve headache: a prevalence study  

Microsoft Academic Search

A consecutive series of 100 patients was studied to determine the prevalence of third occipital nerve headache in patients with chronic neck pain (> three months in duration) after whiplash. Seventy one patients complained of headache associated with their neck pain. Headache was the dominant complaint of 40 patients, but was only a secondary problem for the other 31. Each

S M Lord; L Barnsley; B J Wallis; N Bogduk

1994-01-01

67

Short sleep duration, complaints of vital exhaustion and perceived stress are prevalent among pregnant women with mood and anxiety disorders  

PubMed Central

Background Psychiatric disorders have been associated with sleep disorders in men and non-pregnant women, but little is known about sleep complaints and disorders among pregnant women with psychiatric disorders. Methods A cohort of 1,332 women was interviewed during early pregnancy. We ascertained psychiatric diagnosis status and collect information about sleep duration, daytime sleepiness, vital exhaustion and perceived stress. Logistic regression procedures were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs). Results Approximately 5.1% of the cohort (n=68) reported having a physician-diagnosis of mood or anxiety disorder before interview. Compared with women without a psychiatric diagnosis, the multivariable-adjusted OR (95% CI) for short sleep duration in early pregnancy (?6 hours) were 1.95 (1.03-3.69). The corresponding OR (95%CI) for long sleep duration (?9 hours) during early pregnancy was 1.13 (0.63-2.03). Women with psychiatric disorders had an increased risk of vital exhaustion (OR=2.41; 95%CI 1.46-4.00) and elevated perceived stress (OR=3.33; 95%CI 1.89-5.88). Observed associations were more pronounced among overweight/obese women. Conclusions Women with a psychiatric disorder were more likely to report short sleep durations, vital exhaustion and elevated perceived stress. Prospective studies are needed to more thoroughly explore factors that mediate the apparent mood/anxiety-sleep comorbidity among pregnant women.

2012-01-01

68

Prevalence of peripheral neuropathy and painful peripheral neuropathy in Turkish diabetic patients.  

PubMed

The aim of this study was to determine the prevalence of diabetic peripheral neuropathy (DPN) and neuropathic pain in diabetic patients attending university outpatient clinics in Turkey. In this multicenter cross-sectional study, neurologic examinations and nerve conduction studies along with clinical diabetic neuropathy score, and Leeds Assessment of Neuropathic Symptoms and Signs pain scale were performed on 1,113 patients (46.2% male) from 14 centers. Prevalence of DPN determined only by clinical examination was 40.4% and increased to 62.2%, by combining nerve conduction studies with clinical examination. According to Leeds Assessment of Neuropathic Symptoms and Signs scores, neuropathic pain prevalence was 16.0% in those who reported pain. Poor glycemic control, retinopathy, microalbuminuria, hyperlipidemia, diabetic foot, and foot amputation were more commonly observed in patients with DPN. Clinical DPN affected 40.4% of diabetic patients, and neuropathic pain prevalence in diabetic patient population was 14.0%. Clinical examinations and nerve conduction studies are important components for early detection and accurate diagnosis of DPN and painful DPN. PMID:21221008

Erbas, Tomris; Ertas, Mustafa; Yucel, Aysen; Keskinaslan, Abdulkadir; Senocak, Mustafa

2011-02-01

69

Occupations associated with a high risk of self-reported back pain: representative outcomes of a back pain prevalence study in the Federal Republic of Germany  

Microsoft Academic Search

Given the increasing medical and economic implications of back pain, occupation-specific prevalence data may provide important pointers for preventive programmes targeted at promoting preventive behaviour and improving conditions. The National German Health Survey is the first study to provide the basis for a representative nationwide analysis of back pain prevalence by occupational category. The net sample comprises a total of

Sven Schneider; Slawomira Lipinski; Marcus Schiltenwolf

2006-01-01

70

Prevalence of low back pain and lumbar spine degenerative disorders. Questionnaire survey and clinical-radiological analysis of a representative Hungarian population  

PubMed Central

A cross-sectional epidemiological study via personal interviews was performed regarding low back pain and its related clinical aspects in a Hungarian sample of 10,000 people. Joining the international campaign of the “Bone and Joint Decade”, our aim was to give data on low back pain prevalence and to explore the underlying possible clinical conditions in a Central European adult and adolescent population. Ten thousand people aged 14–65, selected randomly by the Hungarian central office of statistics from three counties of the south-western Hungarian region, were surveyed using a special questionnaire focusing on low back pain and other degenerative spinal symptoms. People with low back pain complaints and written consent were asked to participate in a further clinical investigation, where radiological and clinical assessment was performed. A total of 4,389 persons (44.1%) reported low back pain in the last month at the time of the survey. Work absenteeism due to low back pain affected 2,140 persons (21.5%). A total of 292 people (2.9%) had already undergone spinal surgery. Upon request 682 people came for a clinical follow-up, where thorough physical examination and radiological analysis was performed and results were statistically interpreted. The Oswestry disability index (ODI) in the examined group of patients averaged 35.1%; radiological degenerative signs were observed in 392/682 (57.5%). Individuals with signs of radiological degeneration had a statistically significant higher ODI value, age, and a higher, yet not significantly increased BMI value than radiographically negative patients (p?prevalence was found in individuals with radiographic signs of spinal degeneration. Details of the survey and clinical investigations are discussed.

Koroknai, Gabriella; Acs, Barnabas; Than, Peter; Illes, Tamas

2009-01-01

71

Pain and disability following fusion for idiopathic adolescent scoliosis: prevalence and associated factors  

PubMed Central

Study design:?Retrospective prognostic study. Objectives:?To describe the prevalence of pain following fusion for adolescent idiopathic scoliosis and to identify factors associated with pain and disability. Methods:?From 126 consecutive patients surgically treated for scoliosis between 1997 and 2007, 104 (82.5%) completed SRS-22 and ODI questionnaires at a last follow-up (mean, 4.8 years; range 1–11.2 years). Prevalence of pain and disability were determined from SRS questions 1 and 9 respectively, with “any” pain or decrease in activity considered clinically significant. SRS Pain Domain Scores (PDS) were also evaluated. Results:?Most participants reported “no pain” (38.5%) or “mild pain” (30.8%) and 72.1% of participants reported a current work/school activity level of 100% normal. An association between instrument type and the presence of any pain in the previous 6 months was noted (P?=?.022). Instrument type was the only factor that was significantly associated with the PDS (P?=?.0052). Conclusions:?The high percentage of patients reporting no pain or mild pain may suggest overall success of the procedures. Although an association between instrument type and pain was seen, unmeasured factors that contributed to the decision of what instrument to use may confound the relationship. From these data a causal inference cannot be made. Final class of evidence-prognosis Study design Prospective Cohort Retrospective Cohort • Case control Case series Methods Patients at similar point in course of treatment • F/U ? 85% Similarity of treatment protocols for patient groups Patients followed up long enough for outcomes to occur • Control for extraneous risk factors •* Overall class of evidence III The definiton of the different classes of evidence is available on page 55. *Potentially confounding factors were systematically explored and considered for stratified analysis as appropriate.

Bas, Teresa; Franco, Nuria; Bas, Paloma; Bas, Jose Luis

2012-01-01

72

Prevalence, co-occurrence, and predictive factors for musculoskeletal pain among shellfish gatherers.  

PubMed

The aims of this study are to determine prevalence and co-occurrence of musculoskeletal pain (MSP) among shellfish gatherers and its consequences for the use of medicine, health care, and sickness leave and to investigate predictive factors (sociodemographic, lifestyle, comorbidity) of MSP in five anatomical areas (neck/shoulder/higher back, lower back, elbow/wrist/hand, hip/knee, and leg/ankle/foot). Nine hundred twenty-nine shellfish gatherers (94% women) voluntarily took part in a physiotherapy workshop. A self-administered questionnaire was used to assess MSP and its consequences. Regression models were performed to determine the factors predicting the presence of MSP. The two most frequently self-reported forms of MSP were neck pain (70.9%) and lower back pain (65.5%). Sixty-four percent of respondents reported contact with their family doctor during the last 12 months due to MSP, and most subjects (88.1%) reported MSP in two or more locations. Hip/knee pain was associated with leg/ankle/foot pain (crude odds ratio?=?3.14). Logistic regression analysis showed that being female and young is associated with lumbar pain, and being older is associated with pain in all areas of the lower limbs. The number of pain sites a person reported significantly predicted the presence of pain in all the anatomical areas studied. Prevalence of MSP and musculoskeletal comorbidity were high. The study shows that the presence of pain reported in one body area is highly dependent on the total number of painful areas. These findings are consistent with those of similar studies. PMID:21796349

Rodríguez-Romero, Beatriz; Pita-Fernández, Salvador; Raposo-Vidal, Isabel; Seoane-Pillado, Teresa

2011-07-28

73

Neck/shoulder pain and low back pain among school teachers in China, prevalence and risk factors  

PubMed Central

Background School teachers represent an occupational group among which there appears to be a high prevalence of neck and/or shoulder pain (NSP) and low back pain (LBP). Epidemiological data on NSP and LBP in Chinese teachers are limited. The aim of this study was to investigate the prevalence of and risk factors for NSP and LBP among primary, secondary and high school teachers. Methods In a cross-sectional study of teachers from 7 schools, information on participant demographics, work characteristics, occupational factors and musculoskeletal symptoms and pain were collected. Results Among 893 teachers, the prevalence of NSP and LBP was 48.7% and 45.6% respectively. There was significant association between the level and prevalence of NSP and LBP among teachers in different schools. The prevalence of NSP among female teachers was much higher than that for males. Self-reported NSP was associated with physical exercise (OR 0.55, 95% CI 0.35 to 0.86), prolonged standing (1.74, 1.03 to 2.95), sitting (1.76, 1.23 to 2.52) and static posture (2.25, 1.56 to 3.24), and uncomfortable back support (1.77, 1.23 to 2.55). LBP was more consistently associated with twisting posture (1.93, 1.30 to 2.87), uncomfortable back support (1.62, 1.13 to 2.32) and prolonged sitting (1.42, 1.00 to 2.02) and static posture (1.60, 1.11 to 2.31). Conclusions NSP and LBP are common among teachers. There were strong associations with different individual, ergonomic, and occupational factors.

2012-01-01

74

Cost-of-illness of neck pain in The Netherlands in 1996  

Microsoft Academic Search

The prevalence of neck pain in the general population ranges from 10 to 15%. The complaints can result in substantial medical consumption, absenteeism from work and disability. In this study we investigated the costs of neck pain in the Netherlands in 1996 to assess the financial burden to society. The study was based on prevalence data. Data sources included national

Jeroen A. J Borghouts; Bart W Koes; Hindrik Vondeling; Lex M Bouter

1999-01-01

75

Prevalence of depression in patients with chest pain and non-obstructive coronary artery disease.  

PubMed

Many studies have demonstrated the prevalence of depression in patients with coronary artery disease (CAD), but few have examined this relation in those with chest pain who do not have obstructive CAD on angiography. The aim of this study was to compare the prevalence of depression amongst patients with chest pain in the presence or absence of obstructive CAD and a healthy control group without chest pain. This prospectively designed, observational cohort study used 2 independent data sets: (1) The Queen Elizabeth Hospital Coronary Angiogram Database (n = 1,144), consisting of 819 patients with obstructive CAD and 325 patients with nonobstructive CAD (NoCAD), all of whom had chest pain and (2) the North West Adelaide Health Study (NWAHS; n = 3,168), a population-based biomedical cohort, from which patients with chest pain were excluded. The presence of depression was determined by a previously validated method using the Short Form 36. The prevalence of depression differed among the 3 groups, with 63% in those with NoCAD, 53% in those with CAD, and only 24% in the healthy NWAHS cohort. Analysis of the angiography cohort revealed age, gender, antidepressant medication, previous myocardial infarction, previous airway disease, Short Form 36 physical summary score, Seattle Angina Questionnaire physical limitation score, and NoCAD on angiography to be independent predictors of depression. In conclusion, these findings highlight the importance of screening for depression in patients with NoCAD. PMID:23711812

Wheeler, Alexis; Schrader, Geoffrey; Tucker, Graeme; Adams, Robert; Tavella, Rosanna; Beltrame, John F

2013-05-24

76

The prevalence of neck pain in the world population: a systematic critical review of the literature  

Microsoft Academic Search

The objective of this study was to determine the prevalence of neck pain (NP) in the world population and to identify areas of methodological variation between studies. A systematic search was conducted in five databases (MEDLINE, EMBASE, CINAHL, OSH-ROM, and PsycINFO), followed by a screening of reference lists of relevant papers. Included papers were extracted for information and each paper

René Fejer; Kirsten Ohm Kyvik; Jan Hartvigsen

2006-01-01

77

Prevalence and Psychiatric Correlates of Pain Interference Among Men and Women in the General Population1  

PubMed Central

Objective To examine gender differences in the associations of levels of pain interference and psychiatric disorders among a nationally representative sample of adult men and women. Method Chi-square tests and multinomial logistic regression analyses were performed on data obtained from the National Epidemiologic Survey on Alcohol and Related Conditions from 42,750 adult respondents (48% men; 52% women), who were categorized according to three levels of pain interference (i.e., no or low pain interference [NPI], moderate pain interference [MPI], severe pain interference [SPI]). Results Female respondents in comparison to male respondents were more likely to exhibit moderate (p < 0.001) or severe pain interference (p < 0.001). Levels of pain interference were associated with past-year Axis I and lifetime Axis II psychiatric disorders in both male and female respondents (p < 0.05), with the largest odds typically observed in association with moderate or severe pain interference. A stronger relationship between MPI and alcohol abuse or dependence (OR = 1.61, p < 0.05) was observed in male participants as compared to female ones, while a stronger relationship between SPI and drug abuse or dependence (OR = 0.57, p < 0.05) was observed in female respondents as compared to male ones. Conclusions Levels of pain interference are associated with the prevalence of Axis I and Axis II psychiatric disorders in both men and women. Differences in the patterns of co-occurring substance-related disorders between levels of pain interference in male and female respondents indicate the importance of considering gender-related factors associated with levels of pain interference in developing improved mental health prevention and treatment strategies.

Barry, Declan T.; Pilver, Corey; Potenza, Marc N.; Desai, Rani A.

2011-01-01

78

Chronic pain in adults with an intellectual disability: Prevalence, impact, and health service use based on caregiver report  

Microsoft Academic Search

This study examined chronic pain in adults with an intellectual disability (ID), in terms of its prevalence, impact on physical and psychological functioning, and treatments used. Questionnaires were distributed to 2378 primary caregivers (caregivers) of community-dwelling adults with an ID. The questionnaires were used to gather data on demographics, general health, nature of pain, impact of pain, treatment, and health-related

Maria Walsh; Todd G. Morrison; Brian E. McGuire

2011-01-01

79

Urine drug testing of chronic pain patients. IV. prevalence of gabapentin and pregabalin.  

PubMed

Gabapentin and pregabalin are well established for the treatment of seizures and neuropathic pain. Both drugs are eliminated primarily unchanged by renal excretion. As part of an ongoing research program to improve and expand drug testing methods for compliance monitoring of pain patients, the prevalence and concentrations of gabapentin and pregabalin in urine specimens from chronic pain patients were determined by a validated liquid chromatography-tandem mass spectrometry assay. The study was approved by an Institutional Review Board. A total of 57,542 urine specimens from 231 pain clinics located in 19 states were analyzed over the period of November 24, 2009, through May 2010. The limit of quantitation (LOQ) and upper LOQ of the assays for both drugs were 2.5 and 1000 ?g/mL, respectively. Gabapentin was identified in 7013 specimens (12.2% prevalence), and pregabalin was identified in 4799 patients (8.3% prevalence). Generally, gabapentin concentrations were more than twofold higher than pregabalin, consistent with their relative potencies. Interestingly, both drugs were found in specimens from 249 patients, likely representing switching of prescriptions by the prescriber. PMID:21740692

Heltsley, Rebecca; Depriest, Anne; Black, David L; Robert, Tim; Caplan, Yale H; Cone, Edward J

2011-07-01

80

Neuropathic Pain and Psychological Morbidity in Patients with Treated Leprosy: A Cross-Sectional Prevalence Study in Mumbai  

Microsoft Academic Search

BackgroundNeuropathic pain has been little studied in leprosy. We assessed the prevalence and clinical characteristics of neuropathic pain and the validity of the Douleur Neuropathique 4 questionnaire as a screening tool for neuropathic pain in patients with treated leprosy. The association of neuropathic pain with psychological morbidity was also evaluated.Methodology\\/Principal FindingsAdult patients who had completed multi-drug therapy for leprosy were

Estrella Lasry-Levy; Aki Hietaharju; Vivek Pai; Ramaswamy Ganapati; Andrew S. C. Rice; Maija Haanpää; Diana N. J. Lockwood

2011-01-01

81

Gender differences in the incidence and prevalence of patellofemoral pain syndrome  

PubMed Central

The purpose of this investigation was to determine the association between gender and the prevalence and incidence of patellofemoral pain syndrome (PFPS). One thousand five hundred and twenty-five participants from the United States Naval Academy (USNA) were followed for up to 2.5 years for the development of PFPS. Physicians and certified athletic trainers documented the cases of PFPS. PFPS was defined as retropatellar pain during at least two of the following activities: ascending/descending stairs, hopping/jogging, prolonged sitting, kneeling, and squatting, negative findings on examination of knee ligament, menisci, bursa, and synovial plica, and pain on palpation of either the patellar facets or femoral condyles. Poisson and logistic regressions were performed to determine the association between gender and the incidence and prevalence of PFPS, respectively. The incidence rate for PFPS was 22/1000 person-years. Females were 2.23 times (95% CI: 1.19, 4.20) more likely to develop PFPS compared with males. While not statistically significant, the prevalence of PFPS at study enrollment tended to be higher in females (15%) than in males (12%) (P50.09). Females at the USNA are significantly more likely to develop PFPS than males. Additionally, at the time of admission to the academy, the prevalence of PFPS was not significantly different between genders.

Boling, M.; Padua, D.; Marshall, S.; Guskiewicz, K.; Pyne, S.; Beutler, A.

2010-01-01

82

The postmastectomy pain syndrome: an epidemiological study on the prevalence of chronic pain after surgery for breast cancer  

PubMed Central

The prevalence of the postmastectomy pain syndrome (PMPS) and its clinical characteristics was assessed in a group of patients who had undergone surgery for breast cancer at the Department of Surgery, Odense University Hospital, within the period of 1 May 2003 to 30 April 2004. The study included 258 patients and a reference group of 774 women. A questionnaire was mailed to the patients 1½ year after surgery and to the women in the reference group. The PMPS was defined as pain located in the area of the surgery or ipsilateral arm, present at least 4 days per week and with an average intensity of at least 3 on a numeric rating scale from 0 to 10. The prevalence of PMPS was found to be 23.9%. The odds ratio of developing PMPS was 2.88 (95% confidence interval 1.84–4.51). Significant risk factors were as follows: having undergone breast surgery earlier (OR 8.12), tumour located in the upper lateral quarter (OR 6.48) and young age (OR 1.04). This study shows that, although recent advances in the diagnostic and surgical procedures have reduced the frequency of the more invasive surgical procedures, there still is a considerable risk of developing PMPS after treatment of breast cancer.

Vilholm, O J; Cold, S; Rasmussen, L; Sindrup, S H

2008-01-01

83

Prevalence and pattern of radiographic hand osteoarthritis and association with pain and disability (the Rotterdam study)  

Microsoft Academic Search

OBJECTIVE: To investigate the prevalence and pattern of radiographic\\u000a osteoarthritis (ROA) of the hand joints and its association with self\\u000a reported hand pain and disability. METHODS: Baseline data on a population\\u000a based study (age >\\/=55 years) were used (n = 3906). Hand ROA was defined\\u000a as the presence of Kellgren-Lawrence grade >\\/=2 radiological changes in\\u000a two of three groups of

S. Dahaghin; S. M. Bierma-Zeinstra; A. Z. Ginai; H. A. P. Pols; J. M. W. Hazes; B. W. Koes

2005-01-01

84

The population prevalence of foot and ankle pain in middle and old age: A systematic review  

Microsoft Academic Search

A systematic review and meta-analysis of population-based epidemiological studies was undertaken to determine the prevalence of foot and ankle pain in middle and old age. Searches were conducted in the following electronic databases from inception to October 2010: PubMed, EMBASE, AMED, CINAHL, Cochrane, PEDro, and SportDiscus. Full-text English language articles were included if they used population sample frames, cross-sectional design

Martin J. Thomas; Edward Roddy; Weiya Zhang; Hylton B. Menz; Marian T. Hannan; George M. Peat

2011-01-01

85

Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC 3-study  

Microsoft Academic Search

The objective of this paper was to present estimates on the prevalence of musculoskeletal pain of five different anatomical areas and ten anatomical sites, and their consequences and risk groups in the general Dutch population. Cross-sectional data from a population-based study of a sex-age stratified sample of Dutch inhabitants of 25 years and older were used. With a postal questionnaire

H. S. J. Picavet; J. S. A. G. Schouten

2003-01-01

86

Prevalence of low back pain and associated occupational factors among Chinese coal miners  

PubMed Central

Background Very few studies have evaluated the association between occupational factors and low back pain (LBP) among miners. The epidemiological data on LBP in Chinese miners are limited. The aim of this study was to measure the prevalence of low back pain in Chinese coal miners and to investigate the role of occupational factors. Methods A cross-sectional survey was conducted to examine 1573 coal miners in northern China. The prevalence of LBP over a 12-month period was assessed using the Nordic Musculoskeletal Questionnaire. Odds ratios were calculated to examine the association between the prevalence of LBP over a 12-month period and occupational factors using logistic regression. Results Among the coal miners, 64.9% self-reported LBP in a 12-month period. Occupational factors associated with LBP were identified, including tasks with a high degree of repetitiveness (OR 1.3, 95%CI 1.0-1.6), tasks characterized by a high level of physical demand (OR 1.4, 95% CI 1.1-1.8), posture requiring extreme bending (OR 1.6, 95% CI 1.2-1.7) and insufficient recovery time (OR 1.4, 95% CI 1.0-1.8). Conclusion Low back pain is common among Chinese miners. There were strong associations with occupational factors.

2012-01-01

87

Breakthrough cancer pain: prevalence and characteristics in patients in Catalonia, Spain.  

PubMed

Breakthrough pain (BTP), a transitory exacerbation of pain superimposed on a background of persistent, usually adequately controlled pain, has been reported to occur in 50% to 75% of cancer patients. However, a 23% prevalence of BTP was recently reported in a study of Spanish patients with advanced cancers, showing probably a low detection rate of this clinical problem. The purpose of the present study was to determine the prevalence of BTP among oncology patients managed by palliative care teams in Catalonia, Spain, and to characterize the frequency, intensity, and treatment of BTP episodes. Sixty-two teams studied 397 patients on a predetermined index day. BTP was reported by 163 (41%) patients, with a total of 244 episodes (mean 1.5 episodes/patient/day). Mean (SD) intensity of BTP episodes was 7.3 (2.0), compared with 2.9 (2.7) for persistent pain (both 0-10 scales). Morphine was used to treat 52% of BTP episodes, while 25% were untreated. These findings indicate that BTP remains underrecognized and undertreated in Spain. PMID:12183094

Gómez-Batiste, Xavier; Madrid, Federico; Moreno, Francisco; Gracia, Albert; Trelis, Jordi; Nabal, Maria; Alcalde, Ramón; Planas, Josep; Camell, Helena

2002-07-01

88

PREVALENCE OF ANTERIOR KNEE PAIN IN 18-35 YEAR-OLD FEMALES  

PubMed Central

Purpose/Background: Anterior knee pain (AKP), also known as patellofemoral pain syndrome (PFPS), is believed to be common in young, active females. A prevalence rate of 25% has been commonly cited in the literature. However, this rate may be more anecdotal than empirical. The purpose of this study was to estimate the prevalence of AKP in females 18 to 35 years of age. Methods: Three cohorts of females, totaling 724 participants between 18 and 35 years of age participated in this study. The mean age of participants was 24.17 years (SD: 2.34), mean height was 165.10 cm (SD: 7.26), mean weight was 65.46 kg (SD: 14.10), and mean BMI was 23.95 kg/m2 (SD: 4.86). Participants completed the Anterior Knee Pain Questionnaire (AKPQ), a functional outcome tool developed to document symptoms of AKP and progress in patients during rehabilitation. Results: The mean score on the AKPQ for the left lower extremity was 93.38 (SD: 10.00) and 93.16 (SD: 11.37) for the right lower extremity. Using a cutoff score of 83 on the AKPQ, 85 of 724 subjects were classified as having AKP in the left lower extremity for a prevalence of 12% (95% CI = 9%-14%) while 94 subjects were classified with AKP in the right lower extremity for a prevalence of 13% (95% CI = 11%-15%). Conclusion: The estimated prevalence of AKP in this sample of 18–35 year old females of 12–13% is much less than the commonly cited value of 25%. The results may provide a better representation of subjects with AKP. Level of Evidence: 3

Curtis Bay, R.

2012-01-01

89

Prevalence of low back pain in children and adolescents: a meta-analysis  

PubMed Central

Background Low back pain (LBP) is common in children and adolescents, and it is becoming a public health concern. In recent years there has been a considerable increase in research studies that examine the prevalence of LBP in this population, but studies exhibit great variability in the prevalence rates reported. The purpose of this research was to examine, by means of a meta-analytic investigation, the prevalence rates of LBP in children and adolescents. Methods Studies were located from computerized databases (ISI Web of Knowledge, MedLine, PEDro, IME, LILACS, and CINAHL) and other sources. The search period extended to April 2011. To be included in the meta-analysis, studies had to report a prevalence rate (whether point, period or lifetime prevalence) of LBP in children and/or adolescents (? 18 years old). Two independent researchers coded the moderator variables of the studies, and extracted the prevalence rates. Separate meta-analyses were carried out for the different types of prevalence in order to avoid dependence problems. In each meta-analysis, a random-effects model was assumed to carry out the statistical analyses. Results A total of 59 articles fulfilled the selection criteria. The mean point prevalence obtained from 10 studies was 0.120 (95% CI: 0.09 and 0.159). The mean period prevalence at 12 months obtained from 13 studies was 0.336 (95% CI: 0.269 and 0.410), whereas the mean period prevalence at one week obtained from six studies was 0.177 (95% CI: 0.124 and 0.247). The mean lifetime prevalence obtained from 30 studies was 0.399 (95% CI: 0.342 and 0.459). Lifetime prevalence exhibited a positive, statistically significant relationship with the mean age of the participants in the samples and with the publication year of the studies. Conclusions The most recent studies showed higher prevalence rates than the oldest ones, and studies with a better methodology exhibited higher lifetime prevalence rates than studies that were methodologically poor. Future studies should report more information regarding the definition of LBP and there is a need to improve the methodological quality of studies.

2013-01-01

90

The Prevalence of low back pain in Africa: a systematic review  

PubMed Central

Background Low back pain (LBP) is the most prevalent musculoskeletal condition and one the most common causes of disability in the developed nations. Anecdotally, there is a general assumption that LBP prevalence in Africa is comparatively lower than in developed countries. The aim of this review was to systematically appraise the published prevalence studies conducted on the African continent to establish the prevalence of LBP in Africa. Methods A comprehensive search was conducted in April 2006. The following databases PEDro, Psychinfo, Science Direct, SportsDiscus, PubMed, CINAHL, Biblioline Pro-African Wide NiPAD and SA ePublications were individually searched using specifically developed search strategies for epidemiological research conducted on LBP amongst the African population. Two reviewers independently evaluated the methodological quality of the studies reviewed. Results A total of 27 eligible epidemiological studies were included in this review. The majority of the studies (63%) were conducted in South Africa (37%) and Nigeria (26%). The most common population group involved workers (48%), while scholars comprised 15% of the population. 67% of the studies were found to be methodologically sound, and the LBP prevalence of these were analyzed. The mean LBP point prevalence among the adolescents was 12% and among adults was 32%. The average one year prevalence of LBP among adolescents was 33% and among adults was 50%. The average lifetime prevalence of LBP among the adolescents was 36% and among adults was 62%. Conclusion The findings support the global burden of disease of LBP, in addition to suggesting that LBP prevalence among Africans is rising and is of concern. Further research into the most effective strategies to prevent and manage LBP in Africa is warranted.

Louw, Quinette A; Morris, Linzette D; Grimmer-Somers, Karen

2007-01-01

91

The prevalence of interstitial cystitis in gynecologic patients with pelvic pain, as detected by intravesical potassium sensitivity  

Microsoft Academic Search

Objective: The purpose of this study was to determine the prevalence of interstitial cystitis in a large number of gynecologic patients with pelvic pain versus control subjects, as indicated by a positive result on a potassium sensitivity test. Study Design: Gynecologists at four US medical centers administered the potassium sensitivity test to consecutive unselected patients with pelvic pain and control

C. Lowell Parsons; Jeffrey Dell; Edward J. Stanford; Michael Bullen; Bruce S. Kahn; John J. Willems

2002-01-01

92

Pain in hospitalized children: A prospective cross-sectional survey of pain prevalence, intensity, assessment and management in a Canadian pediatric teaching hospital  

PubMed Central

BACKGROUND: Pain is under-recognised and undertreated. Although standards now exist for pain management, it is not known if this has improved care of hospitalized children. OBJECTIVES: To benchmark pain prevalence, pain intensity, pain assessment documentation and pharmacological treatment of pain. The aim was to highlight areas of good practice, identify areas for improvement and inform development of hospital standards, education, future audits and the research agenda. METHODS: The present prospective cross-sectional survey of all medical and surgical inpatient units took place on a single day at the Hospital for Sick Children (Toronto, Ontario), a Canadian tertiary and quaternary pediatric hospital. A structured, verbally administered questionnaire was used to obtain information on patient demographics, pain before admission, pain intensity during admission and pain treatment. Charts were reviewed to establish frequency of documented pain assessment, the pain assessment tool used and analgesics given. Subgroup analysis was included for age, sex, visible minority or fluency in English, medical versus surgical services and acute pain service input. RESULTS AND CONCLUSIONS: Two hundred forty-one (83%) of the 290 inpatients or their carergivers were interviewed. It was found that 27% of patients usually had pain before admission, and 77% experienced pain during admission. Of these, 23% had moderate or severe pain at interview and 64% had moderate or severe pain sometime in the previous 24 h. Analgesics were largely intermittent and single-agent, although 90% of patients found these helpful. Fifty-eight per cent of those with pain received analgesics in the preceding 24 h but only 25% received regular analgesia. Only 27% of children had any pain score documented in the preceding 24 h. It was concluded that pain was infrequently assessed, yet occurred commonly across all age groups and services and was often moderate or severe. Although effective, analgesic therapy was largely single-agent and intermittent. Widespread dissemination of results to all professional groups has resulted in the development of a continuous quality assurance program for pain at the Hospital for Sick Children. A re-audit is planned to evaluate changes resulting from the new comprehensive pain strategies.

Taylor, Elsa M; Boyer, Kristina; Campbell, Fiona A

2008-01-01

93

Prevalence, co-occurrence, and predictive factors for musculoskeletal pain among shellfish gatherers  

Microsoft Academic Search

The aims of this study are to determine prevalence and co-occurrence of musculoskeletal pain (MSP) among shellfish gatherers\\u000a and its consequences for the use of medicine, health care, and sickness leave and to investigate predictive factors (sociodemographic,\\u000a lifestyle, comorbidity) of MSP in five anatomical areas (neck\\/shoulder\\/higher back, lower back, elbow\\/wrist\\/hand, hip\\/knee,\\u000a and leg\\/ankle\\/foot). Nine hundred twenty-nine shellfish gatherers (94% women)

Beatriz Rodríguez-Romero; Salvador Pita-Fernández; Isabel Raposo-Vidal; Teresa Seoane-Pillado

94

The impact on sleep of a multidisciplinary cognitive behavioural pain management programme: a pilot study  

Microsoft Academic Search

BACKGROUND: Reduced sleep quality is a common complaint among patients with chronic pain, with 50-80% of patients reporting sleep disturbance. Improvements in pain and quality of life measures have been achieved using a multidisciplinary cognitive behavioural therapy pain management programme (CBT-PMP) that aims to recondition attitudes to pain, and improve patients' self-management of their condition. Despite its high prevalence in

Jennifer M Cunningham; Catherine Blake; Camillus K Power; Declan O’Keeffe; Valerie Kelly; Sheila Horan; Orla Spencer; Brona M Fullen

2011-01-01

95

A closer look at hand and wrist complaints.  

PubMed

Hand or wrist pain is a common complaint in primary care. This pain can be very disabling and can significantly impair a person's quality of life. With the appropriate clinical knowledge and skills, nurse practitioners can effectively evaluate, diagnose, and treat many of the common hand and wrist complaints seen in primary care. PMID:23416341

Zychowicz, Michael E

2013-03-10

96

Prevalence and Characteristics of Painful Diabetic Neuropathy in a Large Community-Based Diabetic Population in the U.K.  

PubMed Central

OBJECTIVE To assess, in the general diabetic population, 1) the prevalence of painful neuropathic symptoms; 2) the relationship between symptoms and clinical severity of neuropathy; and 3) the role of diabetes type, sex, and ethnicity in painful neuropathy. RESEARCH DESIGN AND METHODS Observational study of a large cohort of diabetic patients receiving community-based health care in northwest England (n = 15,692). Painful diabetic neuropathy (PDN) was assessed using neuropathy symptom score (NSS) and neuropathy disability score (NDS). RESULTS Prevalence of painful symptoms (NSS ?5) and PDN (NSS ?5 and NDS ?3) was 34 and 21%, respectively. Painful symptoms occurred in 26% of patients without neuropathy (NDS ?2) and 60% of patients with severe neuropathy (NDS >8). Adjusted risk of painful neuropathic symptoms in type 2 diabetes was double that of type 1 diabetes (odds ratio [OR] = 2.1 [95% CI 1.7–2.4], P < 0.001) and not affected by severity of neuropathy, insulin use, foot deformities, smoking, or alcohol. Women had 50% increased adjusted risk of painful symptoms compared with men (OR = 1.5 [1.4–1.6], P < 0.0001). Despite less neuropathy in South Asians (14%) than Europeans (22%) and African Caribbeans (21%) (P < 0.0001), painful symptoms were greater in South Asians (38 vs. 34 vs. 32%, P < 0.0001). South Asians without neuropathy maintained a 50% increased risk of painful neuropathy symptoms compared with other ethnic groups (P < 0.0001). CONCLUSIONS One-third of all community-based diabetic patients have painful neuropathy symptoms, regardless of their neuropathic deficit. PDN was more prevalent in patients with type 2 diabetes, women, and people of South Asian origin. This highlights a significant morbidity due to painful neuropathy and identifies key groups who warrant screening for PDN.

Abbott, Caroline A.; Malik, Rayaz A.; van Ross, Ernest R.E.; Kulkarni, Jai; Boulton, Andrew J.M.

2011-01-01

97

Breakthrough pain in malignant and non-malignant diseases: a review of prevalence, characteristics and mechanisms  

Microsoft Academic Search

Breakthrough pain or transient worsening of pain in patients with an ongoing steady pain is a well known feature in cancer pain patients, but it is also seen in non-malignant pain conditions with involvement of nerves, muscles, bones or viscera. Continuous and intermittent pain seems to be a general feature of these different pain conditions, and this raises the possibility

Kristina B. Svendsen; Steen Andersen; Sigurdur Arnason; Staffan Arnér; Harald Breivik; Tarja Heiskanen; Eija Kalso; Ulf E. Kongsgaard; Per Sjogren; Peter Strang; Flemming W. Bach; Troels S. Jensen

2005-01-01

98

Expected Prevalence From the Differential Diagnosis of Anterior Knee Pain in Adolescent Female Athletes During Preparticipation Screening  

PubMed Central

Context Anterior knee pain is a common disorder in female athletes with an undefined cause. The relative prevalence of specific patellofemoral disorders associated with anterior knee pain in adolescent females remains undetermined. Objective To determine the prevalence of specific patellofemoral disorders obtained using the differential diagnosis of anterior knee pain in adolescent female athletes during preparticipation screening. Design Descriptive epidemiology study. Setting Preparticipation screening evaluations at a county public school district in Kentucky. Patients or Other Participants A total of 419 unique middle and high school–aged female athletes. Main Outcome Measure(s) Participants were evaluated by physicians for anterior knee pain over 3 consecutive basketball seasons. Given the longitudinal nature of this study, some participants were tested longitudinally over multiple years. Results Over the course of 3 basketball seasons, 688 patient evaluations were performed. Of these, 183 (26.6%) were positive for anterior knee pain. A statistically significant difference was noted in the prevalence of anterior knee pain by school level, with 34.4% (n = 67) in high school–aged athletes versus 23.5% (n = 116) in middle school–aged athletes (P < .05). In the 1376 knees evaluated, patellofemoral dysfunction was the most common diagnosis, with an overall prevalence of 7.3% (n = 100). The only diagnosis shown to be statistically different between age levels was Sinding-Larsen-Johansson disease or patellar tendinopathy, with 38 cases (9.7%) in high school–aged and 31 (3.1%) in middle school–aged athletes (P < .05). Conclusions Anterior knee pain was present in 26.6% of the adolescent female athletes screened over 3 years. Symptoms of anterior knee pain likely persist after middle school–aged onset and reach peak prevalence during the high school years.

Barber Foss, Kim D.; Myer, Gregory D.; Chen, Stephen S.; Hewett, Timothy E.

2012-01-01

99

The association between prevalent neck pain and health-related quality of life: a cross-sectional analysis  

PubMed Central

The aim of this study was to examine the association between grades of neck pain severity and health-related quality of life (HRQoL), using a population-based, cross-sectional mailed survey. The literature suggests that physical and mental HRQoL is worse for individuals with neck pain compared to those without neck pain. However, the strength of the association varies across studies. Discrepancies in study results may be attributed to the use of different definitions and measures of neck pain and differences in the selection of covariates used as control variables in the analyses. The Saskatchewan Health and Back Pain Survey was mailed to 2,184 randomly selected Saskatchewan adults of whom 1,131 returned the questionnaire. Neck pain was measured with the Chronic Pain Questionnaire and categorized into four increasing grades of severity. We measured HRQoL with the SF-36 Health Survey and computed the physical and mental component summary scores. We built separate multiple linear regression models to examine the association between grades of neck pain and physical and mental summary scores while controlling for sociodemographic, general health and comorbidity covariates. Our crude analysis suggests that a gradient exists between the severity of neck pain and HRQoL. Compared to individuals without neck pain, those with Grades III–IV neck pain have significantly lower physical (mean difference = ?13.9/100; 95% CI = ?16.4, ?11.3) and mental (mean difference = ?10.8/100; 95% CI = ?13.6, ?8.1) HRQoL. Controlling for covariates greatly reduced the strength of association between neck pain and physical HRQoL and accounted for the observed association between neck pain and mental HRQoL. In the comorbidity model, the strength of association between Grades III–IV neck pain and PCS decreased by more than 50% (mean difference = ?4.5/100; 95% CI = ?6.9, ?2.0). In the final PCS model, Grades III–IV neck pain coefficients changed only slightly from the comorbidity model (mean difference = ?4.4/100; 95% CI = ?6.9, ?1.9). This suggests that comorbid conditions account for most of the association between neck pain and PCS score. It was concluded that prevalent neck pain is weakly associated with physical HRQoL, and that it is not associated with mental HRQoL. Our cross-sectional analysis suggests that most of the observed association between prevalent neck pain and HRQoL is attributable to comorbidities.

Cote, Pierre; Cassidy, J. David; Carroll, Linda

2008-01-01

100

Prevalence of painful bladder syndrome\\/interstitial cystitis-like symptoms in women: a population-based study in Korea  

Microsoft Academic Search

Objective  Despite growing clinical interest in painful bladder syndrome\\/interstitial cystitis (PBS\\/IC, also known as bladder pain syndrome),\\u000a estimating its prevalence is difficult because of its variable presentation and the lack of clear diagnostic criteria. In\\u000a this study, we estimated the prevalence of PBS\\/IC-like urinary symptoms in adult women in the general population of South\\u000a Korea.\\u000a \\u000a \\u000a \\u000a \\u000a Methods  A population-based cross-sectional telephone survey was

Jin Ho Choe; Hwancheol Son; Yun Seob Song; Joon Chul Kim; Jeong Zoo Lee; Kyu-Sung Lee

2011-01-01

101

Prevalence of neuropathic pain among patients with chronic low-back pain in the Arabian Gulf Region assessed using the leeds assessment of neuropathic symptoms and signs pain scale.  

PubMed

This prospective, multicentre, epidemiological study was designed to assess the prevalence of neuropathic pain among adults with chronic low-back pain (LBP) in the Arabian Gulf region. A total of 1134 patients recruited from the outpatient medical setting were assessed using the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) Pain Scale. A LANSS Pain Scale score ? 12 was used to differentiate between patients with a neuropathic contribution to their pain and those with nociceptive pain only. Using this criterion, 628 patients (55%) were classified as having neuropathic pain. Factors associated with neuropathic pain included advanced age, female gender and diabetes with or without hypertension. It was concluded that neuropathic pain is a major contributor to chronic LBP in the Gulf region, and that the LANSS Pain Scale is a practical and rapidly administered screening test for distinguishing the relative contributions of neuropathic and nociceptive pain in patients with chronic LBP that resulted in the use of a more appropriate treatment. PMID:21227019

El Sissi, W; Arnaout, A; Chaarani, M W; Fouad, M; El Assuity, W; Zalzala, M; Dershaby, Y E L; Youseif, E

2010-01-01

102

Prevalence and determinants of one month hand pain and hand related disability in the elderly (Rotterdam study)  

PubMed Central

Objective: To study the prevalence of hand pain and hand disability in an open population, and the contribution of their potential determinants. Methods: Baseline data were used from 7983 participants in the Rotterdam study (a population based study in people aged ?55 years). A home interview was used to determine the presence of hand pain during the previous month, rheumatoid arthritis, osteoarthritis in any joint, diabetes, stroke, thyroid disease, neck/shoulder pain, gout, history of fracture in the past five years, and Parkinson's disease, as well as age, sex, and occupation. Hand disability was defined as the mean score of eight questions related to hand function. Body mass index was measured and hand x rays were taken. Results: The one month period prevalence of hand pain was 16.9%. The prevalence of hand disability was 13.6%. In univariate analysis for hand pain, rheumatoid arthritis had the highest explained variance (R2) and odds ratio. For hand disability, aging showed the highest explained variance and Parkinson's disease had the highest odds ratio. All determinants together showed an explained variance of 19.8% for hand pain and 25.2% for hand disability. In multivariate analysis, positive radiographic hand osteoarthritis was a poor explanation for hand pain (R2 = 0.5%) or hand disability (R2 = 0). Conclusions: The contribution of available potential determinants in this study was about 20% for hand pain and 25% for hand disability in an unselected population of elderly people. Thus a greater part of hand pain/hand disability remains unexplained.

Dahaghin, S; Bierma-Zeinstra, S; Reijman, M; Pols, H; Hazes, J; Koes, B

2005-01-01

103

Prevalence of and risk factors for different measures of low back pain among female nursing aides in Taiwanese nursing homes  

Microsoft Academic Search

BACKGROUND: Although low back pain (LBP) among nursing staff, especially in nursing aides (NAs), has been a major health problem around the world, there is limited information on its prevalence in Taiwan. In addition, various measurements have been used to determine LBP; understanding the risk factors for each measurement of LBP is essential for prevention. This study aimed to assess

Chao-Kang Feng; Mei-Lien Chen; I-Fang Mao

2007-01-01

104

Population based study of noncardiac chest pain in southern Chinese: Prevalence, psychosocial factors and health care utilization  

Microsoft Academic Search

AIM: Population-based assessment of noncardiac chest pain (NCCP) is lacking. The aim of this study was to evaluate the prevalence, psychosocial factors and health seeking behaviour of NCCP in southern Chinese. METHODS: A total of 2 209 ethnic Hong Kong Chinese households were recruited to participate in a telephone survey to study the epidemiology of NCCP using the Rose angina

Wai Man Wong; Kwok Fai Lam; Cecilia Cheng; Harry Hua-Xiang Xia; Kam Chuen Lai; Wayne H. C. Hu; Jia Qing Huang; Cindy L. K. Lam; Chi Kuen Chan; Annie O. O. Chan; Shiu Kum Lam; Benjamin Chun-Yu Wong

2004-01-01

105

A School-Based Survey of Recurrent Non-Specific Low-Back Pain Prevalence and Consequences in Children  

ERIC Educational Resources Information Center

The aim of this investigation was to provide evidence of the prevalence and consequences of recurrent low-back pain in children from Northwest England. A cross-sectional survey was conducted involving a standardized questionnaire with established reliability and validity. A cross-sectional sample of 500 boys (n = 249) and girls (n = 251) aged…

Jones, M. A.; Stratton, G.; Reilly, T.; Unnithan, V. B.

2004-01-01

106

Low back pain and sciatica prevalence and intensity reported in a Mediterranean country: ordinal logistic regression analysis.  

PubMed

The objective of this retrospective cross-sectional study was to estimate the 6-month prevalence and severity of low back pain and sciatica in a representative sample of an adult Mediterranean population. The study group comprised a sample of 674 adults aged 20 years or older from a mainly (74.8%) urban population. Information regarding low back pain and sciatica prevalence and severity and its related aspects, as well as socioeconomic and demographic characteristics, was collected by personal interviews with a validated questionnaire. The association between the intensity of low back pain and sciatica with several sociodemographic parameters was tested using ordered univariate and multivariate logistic regression analysis.A total of 266 (39.5%) patients reported low back pain and 166 (24.6%) reported sciatica during the previous 6-month period. A woman living in a Mediterranean country reported low back pain of increased severity if she was a married housewife aged older than 65 years who was a smoker and suffered from depression. More severe sciatic pain was reported by working married women older than 65 years who were smokers. PMID:23218636

Korovessis, Panagiotis; Repantis, Thomas; Zacharatos, Spyros; Baikousis, Andreas

2012-12-01

107

Discrepancy between prevalence and perceived effectiveness of treatment methods in myofascial pain syndrome: Results of a cross-sectional, nationwide survey  

Microsoft Academic Search

BACKGROUND: Myofascial pain is a common dysfunction with a lifetime prevalence affecting up to 85% of the general population. Current guidelines for the management of myofascial pain are not available. In this study we investigated how physicians on the basis of prescription behaviour evaluate the effectiveness of treatment options in their management of myofascial pain. METHODS: We conducted a cross-sectional,

Johannes Fleckenstein; Daniela Zaps; Linda J Rüger; Lukas Lehmeyer; Florentina Freiberg; Philip M Lang; Dominik Irnich

2010-01-01

108

Prevalence and impact of chronic widespread pain in the Bangladeshi and White populations of Tower Hamlets, East London.  

PubMed

The prevalence and impact of chronic pain differ between ethnic groups. We report a study of the comparative prevalence and impact of chronic pain in Bangladeshi, British Bangladeshi and White British/Irish people. We posted a short questionnaire to a random sample of 4,480 patients registered with 16 general practices in the London Borough of Tower Hamlets and conducted a longer questionnaire with patients in the waiting areas at those practices. We distinguished between Bangladeshi participants who were born in the UK or had arrived in the UK at the age of 14 or under (British Bangladeshi) and those who arrived in UK at the age of over 14 (Bangladeshi). We obtained 1,223/4,480 (27 %) responses to the short survey and 600/637 (94 %) to the long survey. From the former, the prevalence of chronic pain in the White, British Bangladeshi and Bangladeshi groups was 55, 54 and 72 %, respectively. The corresponding figures from the long survey were 49, 45 and 70 %. Chronic widespread pain was commoner in the Bangladeshi (16 %) than in the White (10 %) or British Bangladeshi (9 %) groups. People with chronic pain experienced poorer quality of life (odds ratio for scoring best possible health vs. good health (or good vs. poor health) 5.6 (95 % confidence interval 3.4 to 9.8)), but we found no evidence of differences between ethnic groups in the impact of chronic pain on the quality of life. Chronic pain is commoner and, of greater severity, in Bangladeshis than in Whites. On most measures in this study, British Bangladeshis resembled the Whites more than the Bangladeshis. PMID:23719834

Choudhury, Yasmin; Bremner, Stephen A; Ali, Anwara; Eldridge, Sandra; Griffiths, Chris J; Hussain, Iqbal; Parsons, Suzanne; Rahman, Anisur; Underwood, Martin

2013-05-30

109

High prevalence of chronic pelvic pain in women in Ribeir?o Preto, Brazil and direct association with abdominal surgery  

PubMed Central

INTRODUCTION: Chronic pelvic pain is a disease that directly affects the social and professional lives of women. OBJECTIVE: To estimate the prevalence of this clinical condition and to identify independent factors associated with it in women living in Ribeirão Preto, Brazil. METHODS: A one-year cross-sectional study was conducted in a population sample of 1,278 women over the age of 14 years. The target population was predominantly composed of women who are treated by the public health system. The questionnaire was administered by interviewers who were not linked to the city health care programs. The prevalence of the morbidity was estimated. First, we identified the significant variables associated with pelvic pain (p<0.10) and then we attributed values of 0 or 1 to the absence or presence of these variables. Logistic regression analysis was used to identify and estimate the simultaneous impact of the independent variables. The results were expressed by odds ratio and their 95% confidence interval with p<0.05. RESULTS: The disease was found in 11.5% (147/1,278) of the sample. The independent predictors were dyspareunia, previous abdominal surgery, depression, dysmenorrhea, anxiety, current sexual activity, low back pain, constipation, urinary symptoms, and low educational level. CONCLUSION: The prevalence of chronic pelvic pain in Ribeirão Preto is high and is associated with conditions that can usually be prevented, controlled, or resolved by improvement of public health policies and public education.

de Oliveira Goncalves da Silva, Gabriela Pagano; do Nascimento, Anderson Luis; Michelazzo, Daniela; Junior, Fernando Filardi Alves; Rocha, Marcelo Gondim; Rosa-e-Silva, Julio Cesar; Candido-dos-Reis, Francisco Jose; Nogueira, Antonio Alberto; Poli-Neto, Omero Benedicto

2011-01-01

110

Psychiatric disorders in children and adolescents presenting with unexplained chronic pain: what is the prevalence and clinical relevancy?  

PubMed Central

The prevalence of psychiatric disorders among children with unexplained chronic pain (UCP) is high in unselected populations and pain clinics, yet the clinical relevance of these disorders in children referred for unexplained pain is not known. This study assessed the prevalence of clinically relevant psychiatric disorders and their predictors in children referred to a children’s hospital for UCP. Psychiatry morbidity was assessed in 134 children, aged 8–17 years, using the Diagnostic Interview Schedule for Children–parent version (DISC-P) and the Semi-structured Clinical Interview for Children and Adolescents (SCICA). Clinical relevance was determined using a maladjustment criterion of 61 or lower on the Children’s Global Assessment Scale (CGAS). Pain parameters were measured with standardized questionnaires. Results were analysed by logistic regression. According to the DISC-P, 21% of the children had clinically relevant psychiatric disorders, predominantly anxiety disorders (18%). According to the SCICA, 28% of the children had clinically relevant psychiatric disorders, consisting of anxiety, affective, and disruptive disorders (12, 19, and 9%, respectively). Headache (compared to musculoskeletal pain) was an independent clinical predictor of psychiatric morbidity (OR = 3.10; 95% CI 1.07–8.92, p = 0.04/adjusted OR 2.99; 95% CI 1.02–8.74, p = 0.04). In conclusion, clinically relevant psychiatric disorders are common among children and adolescents referred for UCP. Adding a child psychiatrist assessment, treatable affective and disruptive disorders become identifiable. Children with an additional risk are those presenting with headache.

Konijnenberg, Antoinette Y.; van der Hoeven, Joost; Kimpen, Jan L. L.; Buitelaar, Jan K.; van Engeland, Herman; de Graeff-Meeder, Elisabeth R.

2010-01-01

111

Cardiovascular risk factors associated with the metabolic syndrome are more prevalent in people reporting chronic pain: Results from a cross-sectional general population study.  

PubMed

To explore whether chronic pain is associated with cardiovascular risk factors and identify whether increased distribution or intensity of pain is associated with cardiovascular risk, participants in Generation Scotland: The Scottish Family Health study completed pain questionnaires recording the following: presence of chronic pain, distribution of pain, and intensity of chronic pain. Blood pressure, lipids, blood glucose, smoking history, waist-hip ratio, and body mass index were recorded; Framingham 10-year coronary heart disease (CHD) risk scores were calculated and a diagnosis of metabolic syndrome derived. Associations between chronic pain and cardiovascular risk were explored. Of 13,328 participants, 1100 (8.3%) had high CHD risk. Chronic pain was reported by 5209 (39%), 1294 (9.7%) reported widespread chronic pain, and 707 (5.3%) reported high-intensity chronic pain. In age- and gender-adjusted analyses, chronic pain was associated with elevated CHD risk scores (odds ratio 1.11, 95% confidence interval 1.01-1.23) and the metabolic syndrome (odds ratio 1.42, 95% confidence interval 1.24-1.62). Multivariate analyses identified dyslipidaemia, age, gender, smoking, obesity, and high waist-hip ratio as independently associated with chronic pain. Within the chronic pain subgroup, widespread pain did not confer any additional cardiovascular disease risk. However, cardiovascular disease risk factors contributing to metabolic syndrome were more prevalent in those reporting high-intensity chronic pain. This large population-based study has demonstrated that chronic pain, and in particular high-intensity chronic pain, is associated with an increased prevalence of cardiovascular risk factors and metabolic syndrome. The 10-year CHD risk score and metabolic syndrome correlate well with increased pain intensity, but not with widespread pain. PMID:23707277

Goodson, Nicola J; Smith, Blair H; Hocking, Lynne J; McGilchrist, Mark M; Dominiczak, Anna F; Morris, Andrew; Porteous, David J; Goebel, Andreas

2013-05-07

112

Oral fluid drug testing of chronic pain patients. I. Positive prevalence rates of licit and illicit drugs.  

PubMed

Oral fluid compliance monitoring of chronic pain patients is an analytical challenge because of the limited specimen volume and the number of drugs that require detection. This study evaluated oral fluid for monitoring pain patients and compared results to urine studies of similar populations. Oral fluid specimens were analyzed from 6441 pain patients from 231 pain clinics in 20 states. Specimens were screened with 14 ELISA assays and non-negative specimens were confirmed by LC-MS-MS for 40 licit and illicit drugs and metabolites. There was an 83.9% positive screening rate (n=5401) of which 98.7% (n=5329) were confirmed at ? LOQ concentrations for at least one analyte. The prevalence of confirmed positive drug groups was as follows: opiates > oxycodone > benzodiazepines > methadone ? carisoprodol > fentanyl > cannabinoids ? tramadol > cocaine > amphetamines ? propoxyphene ? buprenorphine > barbiturates > methamphetamine. Approximately 11.5% of the study population of pain patients apparently used one or more illicit drugs (cannabis, cocaine, methamphetamine and/or MDMA). Overall, the pattern of licit and illicit drugs and metabolites observed in oral fluid paralleled results reported earlier for urine, indicating that oral fluid is a viable option for use in compliance monitoring programs of chronic pain patients. PMID:22004671

Heltsley, Rebecca; DePriest, Anne; Black, David L; Robert, Tim; Marshall, Lucas; Meadors, Viola M; Caplan, Yale H; Cone, Edward J

2011-10-01

113

Cancer-related pain: a pan-European survey of prevalence, treatment, and patient attitudes  

Microsoft Academic Search

Background: The European Pain in Cancer survey sought to increase understanding of cancer-related pain and treatment across Europe. Patients and methods: Patients with all stages of cancer participated in a two-phase telephone survey conducted in 11 European countries and Israel in 2006-2007. The survey screened for patients experiencing pain at least weekly, then randomly selected adult patients with pain of

H. Breivik; N. Cherny; B. Collett; F. de Conno; M. Filbet; A. J. Foubert; R. Cohen; L. Dow

2009-01-01

114

Prevalence and characteristics of pain in early and late stages of ALS.  

PubMed

The purpose of this study was to compare pain frequency in early and late stages of ALS and to describe the relationship between pain intensity and functional status. Sixty-four patients in different stages of ALS were asked to complete the Neuropathic Pain Scale and to draw the localization of their pain on a body cartoon. The Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) and Forced Vital Capacity (FVC) values were obtained from the medical record. A ?(2) correlation was used to compare the proportion of patients with pain in different stages of ALS. Correlation coefficient was used to describe the relationship between pain intensity and functional status (ALSFRS-R). Pain was reported by about half the patients. Using FVC values, patients were subdivided into early, intermediate and late stage of the disease. There was a negative correlation between pain intensity and functional status. There was no statistically significant difference in the presence of pain among patients in the different stages of ALS. In conclusion, our study showed that pain is common in ALS patients. Although pain intensity did correlate negatively with functional status, as expected, we were surprised to find that pain was also present in the early stages of the disease. PMID:23286754

Rivera, Itza; Ajroud-Driss, Senda; Casey, Pat; Heller, Scott; Allen, Jeffrey; Siddique, Teepu; Sufit, Robert

2013-01-04

115

The prevalence and incidence of musculoskeletal symptoms among hospital physicians: a systematic review  

PubMed Central

Objective Physicians are exposed to a range of work-related risk factors that may result in occupational diseases. This systematic review aims at shedding light on the prevalence and incidence of musculoskeletal complaints among hospital physicians. Methods A systematic literature search was performed in Pubmed and EMBASE (1990–2010), and methodological quality criteria were applied. A search was done for musculoskeletal complaints. Results Five medium-quality studies and three high-quality studies were included in this review. The definitions and assessment used in the studies for musculoskeletal complaints were different. In short, the frequently reported prevalence for hand and wrist pain was 8–33 and 0%, 17% for shoulder pain, and 9–28% for neck pain. Moreover, the annual prevalence of low back pain was between 33 and 68%. Interpretation The limited number of studies makes it difficult to draw conclusions, and the results should be intepreted with care. In conclusion, musculoskeletal complaints may be work-related complaints in hospital physicians, which need future attention.

Oude Hengel, Karen M.; Visser, Bart

2010-01-01

116

Prevalence of and Risk Factors for Low Back Pain among Staffs in Schools for Physically and Mentally Handicapped Children  

Microsoft Academic Search

The objective of this study is to clarify the prevalence of and risk factors for low back pain (LBP) in schools for physically and mentally handicapped children. This study design is a cross-sectional study. The subjects included were 1,869 staff members from 19 prefectural schools for children in Shizuoka Prefecture, Japan, which included schools for the blind, deaf-mutes, physically handicapped,

Shigeki MUTO; Takashi MUTO; Akihiko SEO; Tsutomu YOSHIDA; Kazushi TAODA; Misuzu WATANABE

2006-01-01

117

Prevalence of pain-free weeks in chiropractic subjects with low back pain - a longitudinal study using data gathered with text messages  

PubMed Central

Introduction The use of automated text messages has made it possible to identify different courses of low back pain (LBP), and it has been observed that pain often fluctuates and that absolute recovery is rather rare. The purpose of this study was to describe the prevalence of pain-free weeks and pain-free periods in subjects with non-specific LBP treated by chiropractors, and to compare subjects from two different countries in these aspects. Methods Data were obtained from two practice-based multicentre prospective outcome studies, one Danish and one Swedish, involving subjects being treated by chiropractors for non-specific LBP. Over 18 weeks, subjects answered a weekly automated text message question on the number of days in the past week that they had experienced bothersome LBP, i.e. a number between 0 and 7. The number of weeks in a row without any LBP at all ("zero weeks") as well as the maximum number of zero weeks in a row was determined for each individual. Comparisons were made between the two study samples. Estimates are presented as percentages with 95% confidence intervals. Results In the Danish and the Swedish populations respectively, 93/110 (85%) and 233/262 (89%) of the subjects were eligible for analysis. In both groups, zero weeks were rather rare and were most commonly (in 40% of the zero weeks) reported as a single isolated week. The prevalence of pain free periods, i.e. reporting a maximum of 0, 1 or 2, or 3-6 zero weeks in a row, were similar in the two populations (20-31%). Smaller percentages were reported for ? 7 zero weeks in a row. There were no significant differences between the two study groups. Conclusion It was uncommon that chiropractic subjects treated for non-specific LBP experienced an entire week without any LBP at all over 18 weeks. When this occurred, it was most commonly reported for brief periods only. Hence, recovery in the sense that patients become absolutely pain free is rare, even in a primary care population.

2011-01-01

118

High Prevalence of Hypertension and Other Cardiometabolic Risk Factors in US- and Caribbean-Born Blacks with Chest Pain Syndromes  

PubMed Central

Background Caribbean-born blacks (CBB) have been reported to have lower coronary artery disease mortality rates than US-born blacks (UBB). We assessed whether CBB have a lower prevalence of cardiometabolic risk factors compared to UBB. Methods Non-Hispanic blacks (n = 275) hospitalized for chest pain who were prospectively enrolled in our Cardiovascular Outcomes Research Group (CORG) study provided clinical and demographic data. Results The study cohort comprised 45% (n = 125) UBB with a mean age of 61 ± 16 years and 55% (n = 150) CBB with a mean age of 63 ± 11 years. Myocardial infarction was diagnosed in 33% of UBB and 36% of CBB. CBB had a lower rate of previous myocardial infarction (14 vs. 24%; p = 0.04). They also smoked less (16 vs. 35%; p = 0.001) and were less likely to have first-degree relatives with coronary artery disease (24 vs. 41%; p = 0.018). However, they had a similarly high prevalence of hypertension (99 vs. 98%; p = 0.99), diabetes (58 vs. 48%; p = 0.11), dyslipidemia (53 vs. 42%; p = 0.08), and obesity (34 vs. 40%; p = 0.29) as UBB. Conclusion A very high prevalence of hypertension exists in non-Hispanic blacks hospitalized for chest pain. CBB and UBB have a similar prevalence of cardiometabolic profile in our study population. Besides smoking, other factors contributing to lower CHD mortality reported for CBB need to be further explored.

Bamimore, Ayotunde; Olafiranye, Oladipupo; Demede, Melaku; Zizi, Ferdinand; Browne, Ruth; Brown, Cinton; McFarlane, Samy I.; Jean-Louis, Girardin

2012-01-01

119

Persistent pain after total knee or hip arthroplasty: differential study of prevalence, nature, and impact  

PubMed Central

This study compares the incidence, nature, and impact of persistent post-surgical pain after total knee arthroplasty (TKA) and total hip arthroplasty (THA) and investigates differences between these procedures, with the focus on potential presurgical and post-surgical issues that could be related to the distinct persistent post-surgical pain outcomes between these two groups. A consecutive sample of 92 patients was assessed prospectively 24 hours before, 48 hours, and 4–6 months after surgery. The data show that TKA patients had a higher likelihood of developing persistent post-surgical pain, of reporting higher pain levels, and of using more neuropathic descriptors when classifying their pain. In addition, TKA patients more often reported interference from pain on functional domains, including general activity, walking ability, and normal work. Demographic factors, like gender and age, along with presurgical clinical factors like disease onset, existence of medical comorbidities, and other pain problems, may have contributed to these differences, whereas baseline psychologic factors and functionality levels did not seem to exert an influence. Heightened acute post-surgical pain experience among TKA patients could also be related to distinct outcomes for persistent post-surgical pain. Future prospective studies should therefore collect TKA and THA samples wherein patients are homogeneous for demographic and presurgical clinical issues. Overall, these findings contribute to a small but growing body of literature documenting persistent post-surgical pain after major arthroplasty, conducted in different countries and across different health care settings.

Pinto, Patricia R; McIntyre, Teresa; Ferrero, Ramon; Araujo-Soares, Vera; Almeida, Armando

2013-01-01

120

Persistent pain after total knee or hip arthroplasty: differential study of prevalence, nature, and impact.  

PubMed

This study compares the incidence, nature, and impact of persistent post-surgical pain after total knee arthroplasty (TKA) and total hip arthroplasty (THA) and investigates differences between these procedures, with the focus on potential presurgical and post-surgical issues that could be related to the distinct persistent post-surgical pain outcomes between these two groups. A consecutive sample of 92 patients was assessed prospectively 24 hours before, 48 hours, and 4-6 months after surgery. The data show that TKA patients had a higher likelihood of developing persistent post-surgical pain, of reporting higher pain levels, and of using more neuropathic descriptors when classifying their pain. In addition, TKA patients more often reported interference from pain on functional domains, including general activity, walking ability, and normal work. Demographic factors, like gender and age, along with presurgical clinical factors like disease onset, existence of medical comorbidities, and other pain problems, may have contributed to these differences, whereas baseline psychologic factors and functionality levels did not seem to exert an influence. Heightened acute post-surgical pain experience among TKA patients could also be related to distinct outcomes for persistent post-surgical pain. Future prospective studies should therefore collect TKA and THA samples wherein patients are homogeneous for demographic and presurgical clinical issues. Overall, these findings contribute to a small but growing body of literature documenting persistent post-surgical pain after major arthroplasty, conducted in different countries and across different health care settings. PMID:24072977

Pinto, Patrícia R; McIntyre, Teresa; Ferrero, Ramón; Araújo-Soares, Vera; Almeida, Armando

2013-09-11

121

?diyopatik Parkinson Hastali?i'nda A?rinin Klinik Özellikleri ve Morbid ve Premorbid A?ri Prevalansi Clinical Properties of Pain and Prevalence of Morbid and Premorbid Pain in Idiopathic Parkinson's disease  

Microsoft Academic Search

SUMMARY Pain causes more disability than motor symptoms in many patients with idiopathic Parkinson's disease (IPD). In this study we tried to analyze the prevalence, demographic and clinical properties of pain as a symptom which is frequently encountered in IPD. In our study, 93 patients with IPD were evaluated with Hoehn-Yahr Scale, Unified Parkinson's Disease Rating Scale (UPDRS) , Brief

Feriha ÖZER

122

The prevalence of chronic chest and leg pain following cardiac surgery: a historical cohort study  

Microsoft Academic Search

Chronic pain after surgery is recognised as an important post-operative complication; recent studies have shown up to 30% of patients reporting persistent pain following mastectomy and inguinal hernia repair. No large-scale studies have investigated the epidemiology of chronic pain at two operative sites following coronary artery bypass grafting (CABG). This paper reports the follow-up of a cohort of 1348 patients

J Bruce; N Drury; A. S Poobalan; R. R Jeffrey; W. C. S Smith; W. A Chambers

2003-01-01

123

Prevalence, clinical characteristics, and mortality among patients with myocardial infarction presenting without chest pain  

Microsoft Academic Search

CONTEXT: Although chest pain is widely considered a key symptom in the diagnosis of myocardial infarction (MI), not all patients with MI present with chest pain. The extent to which this phenomenon occurs is largely unknown.\\u000aOBJECTIVES: To determine the frequency with which patients with MI present without chest pain and to examine their subsequent management and outcome.\\u000aDESIGN: Prospective

John G. Canto; Michael G. Shlipak; William J. Rogers; Judith A. Malmgren; Paul D. Frederick; Costas T. Lambrew; Joseph P. Ornato; Hal V. Barron; Catarina I. Kiefe

2000-01-01

124

Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender - a cross-sectional school study in Northern Sweden  

PubMed Central

Background Negative trends in adolescent mental and subjective health are a challenge to public health work in Sweden and worldwide. Self-reported mental and subjective health complaints such as pain, sleeping problems, anxiety, and various stress-related problems seem to have increased over time among older adolescents, especially girls. The aim of this study has therefore been to investigate perceived stress, mental and subjective health complaints among older adolescents in Northern Sweden. Methods Data were derived from a cross-sectional school-based survey with a sample consisting of 16–18?year olds (n?=?1027), boys and girls, in the first two years of upper secondary school, from different vocational and academic programmes in three public upper secondary schools in a university town in northern Sweden. Prevalence of perceived stress, subjective health complaints, general self-rated health, anxiety, and depression were measured using a questionnaire, including the Hospital Anxiety and Depression Scale (HADS). Results A large proportion of both girls and boys reported health complaints and perceived stress. There was a clear gender difference: two to three times as many girls as boys reported subjective health complaints, such as headache, tiredness and sleeping difficulties and musculoskeletal pain, as well as sadness and anxiety. High pressure and demands from school were experienced by 63.6% of girls and 38.5% of boys. Perceived stress in the form of pressure and demands correlated strongly with reported health complaints (r?=?0.71) and anxiety (r?=?0.71). Conclusions The results indicate that mental and subjective health complaints are prevalent during adolescence, especially in girls, and furthermore, that perceived stress and demands may be important explanatory factors. Future studies should pay attention to the balance between gender-related demands, perceived control and social support, particularly in the school environment, in order to prevent negative strain and stress-related ill-health. The gender gap in subjective adolescent health needs to be further explored.

2012-01-01

125

Epidemiology of musculoskeletal pain in primary care  

PubMed Central

Aims: (1) To determine the proportion of children evaluated for musculoskeletal pain in a paediatric primary care clinic over a three year period; (2) to describe the number of office visits due to musculoskeletal pain; (3) to categorise the more common presenting complaints; and (4) to characterise the aetiology of musculoskeletal pain in a paediatric primary care clinic. Methods: Retrospective chart review of all children ?3 and <15 years of age evaluated in an urban paediatric primary care clinic in Madrid between 1 January 1997 and 31 December 1999. Results: (1) A total of 317 children were evaluated for musculoskeletal pain throughout the study. The prevalence of musculoskeletal pain increased as children grew older, from 2.4–5.7% at age 3 to 27.5–36% at age 14. Regression analysis showed that age (OR 1.20) and gender (OR 0.75) were associated with MSP. (2) Musculoskeletal pain was reported in 397 of 6500 office visits (6.1%; 95% CI 5.5 to 6.7%). (3) Arthralgias and soft tissue pain represented 65% of the presenting musculoskeletal complaints. (4) Trauma was the most common aetiology, responsible for 44% of all musculoskeletal pain related office visits. Mechanical/overuse pathology (23.9%) and osteochondroses (10.3%) represented the second and third leading aetiologies. Conclusions: Musculoskeletal pain is a common presenting complaint in primary care. The number of children presenting with musculoskeletal pain increases as they grow older, being particularly frequent among the adolescent population. The spectrum of aetiologies involved is limited, to the extent that three are responsible for almost 80% of cases.

De Inocencio, J

2004-01-01

126

The Prevalence of and Risk Factors for Neck Pain and Upper Limb Pain among Secondary School Teachers in Hong Kong  

Microsoft Academic Search

Objective: To investigate the prevalence and occupational risk factors of neck and upper limb disorders among secondary school teachers.\\u000a Methods: One hundred secondary schools in Hong Kong were randomly chosen. Every full-time teacher received a questionnaire and a letter\\u000a describing the purpose of the study. Questionnaires were collected 1 to 3 weeks later. Results: Among 3,100 secondary school teachers, the

Thomas T. W. Chiu; Peggo K. W. Lam

2007-01-01

127

Prevalence of chronic pain among Libyan adults in Derna City: a pilot study to assess the reliability, linguistic validity, and feasibility of using an Arabic version of the structured telephone interviews questionnaire on chronic pain.  

PubMed

There are few studies estimating the prevalence of chronic pain in countries from the Middle East. We translated the Structured Telephone Interviews Questionnaire on Chronic Pain from English into Arabic and assessed its reliability and linguistic validity before using it in a telephone survey in Libya to gather preliminary prevalence data for chronic pain. Intraclass correlations for scaled items were high, and there were no differences in answers to nominal items between the first and second completions of the questionnaire. One hundred and 4 individuals participated in a telephone survey. The prevalence of chronic pain was 25.0% (95% CI, 16.7% to 33.3%) and 50.0% (95% CI: 30.8% to 69.2) of the participants with chronic pain scored ? 12 on the Arabic S-LANSS. Mean ± SD duration of pain was 2.8 ± 1.2 years, and pain was more frequent in women (P = 0.02). 53.8% of participants had taken prescription medication for their pain, and 76.9% had used nondrug methods of treatment including traditional Libyan methods such as Kamara, a local herbal concoction. Eighty percent believed that their doctor would rather treat their illness than their pain, and 35% reported that their doctor did not think that their pain was a problem. Some participants complained that the questionnaire was too long with a mean ± SD call duration of 20 ± 5.4 minutes. We conclude that the Arabic Structured Telephone Interviews Questionnaire on Chronic Pain was reliable and linguistically valid and could be used in a large-scale telephone survey on the Libyan population. Our preliminary estimate of prevalence should be considered with caution because of the small sample size. PMID:22978448

Elzahaf, Raga A; Tashani, Osama A; Johnson, Mark I

2012-09-17

128

Urine drug testing of chronic pain patients. V. Prevalence of propoxyphene following its withdrawal from the United States market.  

PubMed

Propoxyphene is an opioid analgesic that was surrounded by controversy concerning its safety and efficacy during its lifespan in the US market. Propoxyphene was withdrawn in November of 2010 from the US market and is still being detected one year post-withdrawal in urine specimens from the pain management population. In this study, the prevalence of propoxyphene was determined in a total of 417,914 urine specimens collected from 630 clinics involved in pain management located in 24 states during the period of January 1, 2010, through December 31, 2011. Propoxyphene and norpropoxyphene were measured in urine by a validated liquid chromatography-tandem mass spectrometry procedure with a lower limit of quantitation of 50 ng/mL. The positivity rate for propoxyphene prevalence declined sharply between November and December of 2010 and further declined at a gradual rate, ending in a prevalence of 0.27% (one out of every 370 specimens, n = 25,658) for the month of December 2011. The presented data provide evidence of the dramatic decline in the use of propoxyphene products since their removal from the medical market, and may be beneficial to US urine drug testing programs determining the need for continual monitoring of propoxyphene levels. PMID:23129731

Puet, Brandi; DePriest, Anne; Knight, Julie; Heltsley, Rebecca; Black, David L; Caplan, Yale H; Cone, Edward J

2012-11-05

129

EULAR report on the use of ultrasonography in painful knee osteoarthritis. Part 1: Prevalence of inflammation in osteoarthritis  

PubMed Central

Objectives: To assess the prevalence of inflammation in subjects with chronic painful knee osteoarthritis (OA), as determined by the presence of synovitis or joint effusion at ultrasonography (US); and to evaluate the correlation between synovitis, effusion, and clinical parameters. Methods: A cross sectional, multicentre, European study was conducted under the umbrella of EULAR-ESCISIT. Subjects had primary chronic knee OA (ACR criteria) with pain during physical activity ?30 mm for at least 48 hours. Clinical parameters were collected by a rheumatologist and an US examination of the painful knee was performed by a radiologist or rheumatologist within 72 hours of the clinical examination. Ultrasonographic synovitis was defined as synovial thickness ?4 mm and diffuse or nodular appearance, and a joint effusion was defined as effusion depth ?4 mm. Results: 600 patients with painful knee OA were analysed. At US 16 (2.7%) had synovitis alone, 85 (14.2%) had both synovitis and effusion, 177 (29.5%) had joint effusion alone, and 322 (53.7%) had no inflammation according to the definitions employed. Multivariate analysis showed that inflammation seen by US correlated statistically with advanced radiographic disease (Kellgren-Lawrence grade ?3; odds ratio (OR) = 2.20 and 1.91 for synovitis and joint effusion, respectively), and with clinical signs and symptoms suggestive of an inflammatory "flare", such as joint effusion on clinical examination (OR = 1.97 and 2.70 for synovitis and joint effusion, respectively) or sudden aggravation of knee pain (OR = 1.77 for joint effusion). Conclusion: US can detect synovial inflammation and effusion in painful knee OA, which correlate significantly with knee synovitis, effusion, and clinical parameters suggestive of an inflammatory "flare".

D'Agostino, M; Conaghan, P; Le Bars, M; Baron, G; Grassi, W; Martin-Mola, E; Wakefield, R; Brasseur, J; So, A; Backhaus, M; Malaise, M; Burmester, G; Schmidely, N; Ravaud, P; Dougados, M; Emery, P

2005-01-01

130

Complaints against Nursing Homes: Comparing Two Sources of Complaint Information and Predictors of Complaints  

ERIC Educational Resources Information Center

|Purpose of the Study: Two consumer-derived measures of nursing home quality that have been underutilized by researchers are consumer complaints to the state certification agency between inspections and complaints to the Long-Term Care Ombudsman Program. This article describes these complaints, considers facility-level predictors of complaints,…

Troyer, Jennifer L.; Sause, Wendy L.

2011-01-01

131

Prevalence of Neck and Back Pain amongst Aircrew at the Extremes of Anthropometric Measurements.  

National Technical Information Service (NTIS)

Back and neck pain are a significant cause of morbidity among helicopter aircrew. The majority of studies evaluating the influence of anthropometry are limited to body mass index and stature. Nine anthropometric parameters were measured and a survey was i...

A. J. Hathaway J. M. Cox K. Clayborne P. L. Walters

2012-01-01

132

The impact of pain on quality of life and the unmet needs of pain management: results from pain sufferers and physicians participating in an Internet survey.  

PubMed

Pain is one of the most common medical complaints, but despite its prevalence, many individuals still suffer with unrelieved or undertreated pain. This marketing research survey was designed to determine the physical, psychological, and economic impact pain has on the lives of individuals suffering with pain and to identify the unmet needs of patients who have taken opioid medications to treat their pain. In addition, the survey sought to address the challenges physicians face when treating patients with pain. Pain sufferers were recruited through e-mail invitation to an Internet survey; 173,854 invitations were sent out, 22,018 people responded (12.7%), and 606 met the criteria for inclusion in the survey as pain sufferers. Of these, 359 people had moderate to moderately severe chronic pain and 247 people had moderate to moderately severe acute pain. Additionally, physicians currently treating pain were recruited through e-mail and postal mail invitations and 492 met eligibility criteria: 241 specialists (orthopedic or general surgeons, pain specialists or anesthesiologists), 125 primary care, and 126 emergency medicine physicians. Results of this survey supported what many physicians observe in their practice and hear from their patients, that pain has a negative impact on daily activities in the majority of pain sufferers. Many chronic pain sufferers reported that pain had deleterious effects on their mental health, employment status, sleep, and personal relationships. The impact of pain on patient quality of life and the unmet needs in pain management were recognized by the majority of physicians surveyed, with inadequate pain control, end-of-dose pain, and side effects associated with increased dosing reported as negative factors influencing their choice of pain medication. In conclusion, effective communication between physicians and patients is encouraged to not only improve overall pain management but also to establish shared treatment goals with functional outcomes. PMID:18645331

McCarberg, Bill H; Nicholson, Bruce D; Todd, Knox H; Palmer, Trish; Penles, Leslie

133

Prevalence and impact of musculoskeletal pain in Japanese gastrointestinal endoscopists: A controlled study  

PubMed Central

AIM: To examine the frequency and prevention of musculoskeletal pain in Japanese gastrointestinal endoscopists and non-endoscopist physicians. METHODS: Questionnaires were sent to 275 endoscopists and 173 non-endoscopists working in Hiroshima University Hospital and its affiliated hospitals. RESULTS: The completed questionnaires were returned by 190 (69%) endoscopists and 120 (69%) non-endoscopists. The frequency of pain in the hand and wrist, and especially the left thumb, was significantly higher in endoscopists than in non-endoscopists (17% vs 6%, P = 0.004). Using multivariate analysis, the only significant factor associated with this pain was the age of the endoscopist (odds ratio 2.77, 95% confidence interval, 1.23-6.71, P = 0.018). Interestingly, endoscopists had made significantly fewer modifications to their endoscopic practices than non-endoscopists (12% vs 33%, P < 0.0001) to prevent pain. CONCLUSION: Pain in the hand and wrist may be endoscopy-related. However, endoscopists made little modifications in practice to prevent such pain. More attention to prevention appears necessary.

Kuwabara, Takayasu; Urabe, Yuji; Hiyama, Toru; Tanaka, Shinji; Shimomura, Takako; Oko, Shiro; Yoshihara, Masaharu; Chayama, Kazuaki

2011-01-01

134

[Wrist pain].  

PubMed

Acute or chronic wrist pain is a relatively frequent complaint that may involve all age groups. The pain may be of osseous, articular, periarticular, neurologic, vascular origin, or be referred from the cervical spine, shoulder or elbow. The diagnosis should be oriented by a precise history and clinical examination. More specialised exams will be required according to clinical findings. Psychosocial and environmental influences need to be taken into consideration. PMID:17233497

Sadowski, M; Della Santa, D

2006-12-20

135

The Prevalence of Pain in Pediatric Human Immunodeficiency Virus\\/Acquired Immunodeficiency Syndrome as Reported by Participants in the Pediatric Late Outcomes Study (PACTG 219)  

Microsoft Academic Search

Objectives. As the life expectancy of children with human immunodeficiency virus (HIV)\\/ac- quired immunodeficiency syndrome (AIDS) increases, quality-of-life outcomes are of increasing concern. The prevalence of pain in adults with AIDS ranges from 40% to 60%, depending on stage of illness. There is limited research concerning pain in HIV-infected children and youth. Design. The General Health Assessment for Children was

Denise M. Gaughan; Michael D. Hughes; George R. Seage; Peter A. Selwyn; Vincent J. Carey; Steven L. Gortmaker; James M. Oleske

2010-01-01

136

49 CFR 821.55 - Complaint, answer to complaint, motions and discovery.  

Code of Federal Regulations, 2012 CFR

...Complaint, answer to complaint, motions and discovery. 821.55 Section 821.55 Transportation...Complaint, answer to complaint, motions and discovery. (a) Complaint. In proceedings...upon just and reasonable terms. (d) Discovery. Discovery is authorized in...

2012-10-01

137

49 CFR 821.55 - Complaint, answer to complaint, motions and discovery.  

Code of Federal Regulations, 2011 CFR

...Complaint, answer to complaint, motions and discovery. 821.55 Section 821.55 Transportation...Complaint, answer to complaint, motions and discovery. (a) Complaint. In proceedings...upon just and reasonable terms. (d) Discovery. Discovery is authorized in...

2011-10-01

138

The prevalence and management of low back pain across adulthood: results from a population-based cross-sectional study (the MUSICIAN study)  

Microsoft Academic Search

The aim of the current study was to determine: the prevalence of low back pain (LBP) and associated disability; the frequency of consultation to general practice; whether there were differences in management by age. We conducted a cross-sectional population study in Aberdeen city and Cheshire County, UK. Participants were 15,272 persons aged 25years and older. The 1-month period prevalence of

Gary J. Macfarlane; Marcus Beasley; Elizabeth A. Jones; Gordon J. Prescott; Rachael Docking; Philip Keeley; John McBeth; Gareth T. Jones

139

Foot pain in rheumatoid arthritis prevalence, risk factors and management: an epidemiological study  

Microsoft Academic Search

Foot involvement is a major feature of rheumatoid arthritis (RA). Most epidemiological studies of the RA foot report radiological\\u000a changes and results of clinical examination. This study aimed to determine the prevalence of foot symptoms, frequency of foot\\u000a assessment and access to foot care from the perspective of people with RA. A questionnaire was sent to 1,040 people with RA

Simon J. Otter; Kevin Lucas; Kate Springett; Ann Moore; Kevin Davies; Liz Cheek; Adam Young; Karen Walker-Bone

2010-01-01

140

Myofascial Pain  

Microsoft Academic Search

\\u000a \\u000a \\u000a \\u000a \\u000a \\u000a • \\u000a \\u000a \\u000a Myofascial pain should be considered in patients with localized pain complaints without arthritic or neuropathic features.\\u000a \\u000a \\u000a \\u000a • \\u000a \\u000a \\u000a Myofascial pain syndrome should not be diagnosed in patients with no physical findings. Myofascial pain requires the presence\\u000a of a taut band and muscular trigger points.\\u000a \\u000a \\u000a \\u000a \\u000a • \\u000a \\u000a \\u000a Active trigger points refer pain in predictable patterns.\\u000a \\u000a \\u000a \\u000a • \\u000a \\u000a \\u000a Treatment of myofascial pain focuses on

Dawn A. Marcus

141

Prevalence of pain and association with psychiatric symptom severity in perinatally HIV-infected children as compared to controls living in HIV-affected households  

PubMed Central

This cross-sectional study evaluated the prevalence of pain and psychiatric symptoms in perinatally HIV-infected children at entry into P1055, a multicenter investigation of the prevalence and severity of psychiatric symptoms in HIV-infected children. Subjects 6–17 years of age and their primary caregivers were recruited from 29 International Maternal Pediatric Adolescent AIDS Clinical Trials sites in the USA and Puerto Rico. A total of 576 children (320 HIV+ and 256 HIV? children) were enrolled from June 2005 to September 2006. Subject self-reports of pain were measured by the Wong–Baker visual analog scale and Short-Form McGill Pain Questionnaire. Symptomatology for anxiety, depression, and dysthymia was assessed through Symptom Inventory instruments. Caregiver's assessment of their child's pain and psychiatric symptomatology was similarly measured. Logistic regression models were used to evaluate predictors of pain. We found that a higher proportion of HIV-infected than uninfected subjects reported pain in the last two months (41% vs 32%, p=0.04), last two weeks (28% vs 19%, p=0.02), and lasting more than one week (20% vs 11%, p=0.03). Among HIV-infected youth, females (OR=1.53, p=0.09), White race (OR=2.15, p=0.04), and Centers for Disease Control (CDC) Class C (OR=1.83, p=0.04) were significantly more likely to report pain. For all subjects, only 52% of caregivers recognized their child's pain and just 22% were aware that pain affected their child's daily activities. The odds of reported pain in HIV+ increased with higher symptom severity for generalized anxiety (OR=1.14, p=0.03), major depression (OR=1.15, p=0.03), and dysthymia (OR=1.18, p=0.01). This study underscores the importance of queries concerning pain and emotional stressors in the care of HIV+ and uninfected children exposed to HIV+ individuals. The discordance between patient and caregiver reports of pain and its impact on activities of daily living highlights that pain in children is under-recognized and therefore potentially under-treated.

Serchuck, Leslie K.; Williams, Paige L.; Nachman, Sharon; Gadow, Kenneth D.; Chernoff, Miriam; Schwartz, Lynnae

2011-01-01

142

Prevalence of pain and association with psychiatric symptom severity in perinatally HIV-infected children as compared to controls living in HIV-affected households.  

PubMed

This cross-sectional study evaluated the prevalence of pain and psychiatric symptoms in perinatally HIV-infected children at entry into P1055, a multicenter investigation of the prevalence and severity of psychiatric symptoms in HIV-infected children. Subjects 6-17 years of age and their primary caregivers were recruited from 29 International Maternal Pediatric Adolescent AIDS Clinical Trials sites in the USA and Puerto Rico. A total of 576 children (320 HIV and 256 HIV- children) were enrolled from June 2005 to September 2006. Subject self-reports of pain were measured by the Wong-Baker visual analog scale and Short-Form McGill Pain Questionnaire. Symptomatology for anxiety, depression, and dysthymia was assessed through Symptom Inventory instruments. Caregiver's assessment of their child's pain and psychiatric symptomatology was similarly measured. Logistic regression models were used to evaluate predictors of pain. We found that a higher proportion of HIV-infected than uninfected subjects reported pain in the last two months (41% vs 32%, p=0.04), last two weeks (28% vs 19%, p=0.02), and lasting more than one week (20% vs 11%, p=0.03). Among HIV-infected youth, females (OR=1.53, p=0.09), White race (OR=2.15, p=0.04), and Centers for Disease Control (CDC) Class C (OR=1.83, p=0.04) were significantly more likely to report pain. For all subjects, only 52% of caregivers recognized their child's pain and just 22% were aware that pain affected their child's daily activities. The odds of reported pain in HIV increased with higher symptom severity for generalized anxiety (OR=1.14, p=0.03), major depression (OR=1.15, p=0.03), and dysthymia (OR=1.18, p=0.01). This study underscores the importance of queries concerning pain and emotional stressors in the care of HIV and uninfected children exposed to HIV individuals. The discordance between patient and caregiver reports of pain and its impact on activities of daily living highlights that pain in children is under-recognized and therefore potentially under-treated. PMID:20401767

Serchuck, Leslie K; Williams, Paige L; Nachman, Sharon; Gadow, Kenneth D; Chernoff, Miriam; Schwartz, Lynnae

2010-05-01

143

School-Related Stress, School Support, and Somatic Complaints: A General Population Study.  

ERIC Educational Resources Information Center

|Examined relationship between school-related stress, social support, and somatic complaints among Norwegian adolescents. Found that students with high levels of school-related stress had a higher odds ratio for weekly headache, abdominal pain, backache, dizziness, and coexisting somatic complaints. For social support, associations were weaker,…

Torsheim, Torbjorn; Wold, Bente

2001-01-01

144

20 CFR 658.412 - Complaint resolution.  

Code of Federal Regulations, 2013 CFR

...Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR...ADMINISTRATIVE PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System State Agency Js Complaint System § 658.412 Complaint...

2013-04-01

145

7 CFR 400.722 - Consumer complaints.  

Code of Federal Regulations, 2010 CFR

...2009-01-01 2009-01-01 false Consumer complaints. 400.722 Section 400.722 Agriculture...and Premium Reduction Plans § 400.722 Consumer complaints. Consumer complaints regarding an approved insurance...

2009-01-01

146

Prevalence of joint-related pain in the extremities and spine in five groups of top athletes  

Microsoft Academic Search

Purpose  Joint-related pain conditions from the spine and extremities are common among top athletes. The frequency of back pain has,\\u000a however, been studied in more detail, and the frequency of low-back pain in top athletes in different high-load sports has\\u000a been reported to be as high as 85%. Sport-related pain from different joints in the extremities is, however, infrequently\\u000a reported on

Pall Jonasson; Klas Halldin; Jon Karlsson; Olof Thoreson; Jonas Hvannberg; Leif Swärd; Adad Baranto

147

Memory Complaint, Memory Performance, and Psychiatric Diagnosis: A Community Study  

Microsoft Academic Search

This study examined the prevalence of memory complaint and poor memory performance on brief screening measures within a community sample of 810 adults. All individuals received an extensive household interview and a clinical psychiatric evaluation. Overall, 22% indicated that they currently had trouble with their memory. This percentage increased with age, rising to 43% for those 65 to 74 years

Susan Spear Bassett; Marshal F. Folstein

1993-01-01

148

Prevalence and impact on quality of life of peripheral neuropathy with or without neuropathic pain in type 1 and type 2 diabetic patients attending hospital outpatients clinics  

Microsoft Academic Search

AimsDiabetic polyneuropathy (DPN) without or with neuropathic pain (DPN-P) is one of the most frequent complications of diabetes. To better delineate their respective prevalences, we conducted a cross-sectional study that included 1111 patients (767 type 2 and 344 type 1 diabetic patients) followed up in diabetic outpatients clinics. The association of DPN and DPN-P with other diabetic complications, the impact on

K. Van Acker; D. Bouhassira; D. De Bacquer; S. Weiss; K. Matthys; H. Raemen; C. Mathieu; I. M. Colin

2009-01-01

149

Low back pain and lumbago-sciatica in nurses and a reference group of clerks: results of a comparative prevalence study in Germany  

Microsoft Academic Search

Objectives. To gain more conclusive evidence on the question of work-related low-back disorders in German nurses, a comprehensive study with several methodological approaches was performed. Methods. As part of this project, a cross-sectional study on working conditions and prevalence of low back pain, a sample of 3,332 nurses and 1,720 clerks as reference group was investigated by a questionnaire. In

Friedrich Hofmann; Ulrich Stössel; Martina Michaelis; Matthias Nübling; Achim Siegel

2002-01-01

150

Prevalence of Prescription Opioid-Use Disorder Among Chronic Pain Patients: Comparison of the DSM5 vs. DSM4 Diagnostic Criteria  

Microsoft Academic Search

The authors estimated the prevalence of lifetime prescription opioid-use disorder among outpatients on opioid therapy using criteria from both versions 4 and 5 of the Diagnostic and Statistical Manual of Mental Disorders (DSM). Using electronic records from a large health care system, a random sample of outpatients undergoing long-term opioid therapy for non-cancer pain was identified and 705 participants completed

Joseph A. Boscarino; Margaret R. Rukstalis; Stuart N. Hoffman; John J. Han; Porat M. Erlich; Stephen Ross; Glenn S. Gerhard; Walter F. Stewart

2011-01-01

151

48 CFR 22.808 - Complaints.  

Code of Federal Regulations, 2012 CFR

...FEDERAL ACQUISITION REGULATION SOCIOECONOMIC PROGRAMS APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS Equal Employment Opportunity 22.808 Complaints. Complaints received by the contracting officer alleging violation of...

2012-10-01

152

48 CFR 22.808 - Complaints.  

Code of Federal Regulations, 2011 CFR

...FEDERAL ACQUISITION REGULATION SOCIOECONOMIC PROGRAMS APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS Equal Employment Opportunity 22.808 Complaints. Complaints received by the contracting officer alleging violation of...

2011-10-01

153

Prevalence and factors associated with neck, shoulder and low back pains among medical students in a Malaysian Medical College  

PubMed Central

Background The main purpose of the study was to assess the prevalence, body distributions and factors associated with musculoskeletal pain (MSP) among medical students in a private Malaysian medical college. Method This cross-sectional study was conducted among 232 medical students in a private medical college using an online questionnaire. The questionnaire was a modified Standardized Nordic Questionnaire focused on neck, shoulder and low back pain in the past week and the past year. Results Two hundred and thirty two medical students responded to the questionnaire out of 642. Mean age was 20.7?±?2.1 years. The majority were female (62.9%), Malay (80.6%) and in the preclinical years (72%). One hundred and six (45.7%) of all students had at least one site of MSP in the past week and 151 (65.1%) had at least one site of MSP in the past year. MSP in the past week was associated significantly with the academic year, (OR 2.0, 95% CI 1.15-3.67, P?=?0.015), history of trauma (OR 2.6, 95% CI 1.2-5.3, P?=?0.011), family history of MSP (OR 2.1, 95% CI 1.1-3.9, P?=?0.023) and Body Mass Index (BMI) (P?=?0.028). MSP in the past year was significantly associated with computer use (P?=?0.027), daily hours of computer use (median?±?IQR (5.0 ±3.0), history of trauma (OR 7.5, 95% CI 2.24-2.56, P?

2013-01-01

154

Determinants of the clinical course of musculoskeletal complaints in general practice: design of a cohort study  

PubMed Central

Background Musculoskeletal complaints are frequent and have large consequences for public health. Information about the prognosis after presentation in general practice is far from complete. Knowledge about determinants of the clinical course of musculoskeletal complaints is essential for management decisions and to inform patients about their prognosis. The purpose of this study is to provide information about the prognosis of musculoskeletal complaints other than low back pain by studying the course of these complaints in general practice and to identify determinants of this course. Methods Patients of 18 years and older, who present in general practice with a new episode of a musculoskeletal complaint of the neck, shoulder, elbow, wrist, hand, arm, hip, knee, ankle or foot, are recruited by their general practitioner (GP). Participants will receive complaint-specific questionnaires by mail at baseline and after 3, 6, 12 and 18 months. The following putative determinants of the course of the complaints will be investigated: sociodemographic characteristics, characteristics of the complaint, psychosocial job characteristics, physical workload, physical activity during leisure time, pain coping, mood, kinesiophobia, social support, optimism. The primary outcomes are perceived recovery, pain, functional status, sick leave and overall quality of life.

van der Waal, Johanna M; Bot, Sandra DM; Terwee, Caroline B; van der Windt, Danielle AWM; Bouter, Lex M; Dekker, Joost

2003-01-01

155

Sleep complaints and restless legs syndrome in adult type 2 diabetics  

Microsoft Academic Search

Objective: To determine the prevalence and characteristics of sleep complaints and restless legs syndrome (RLS) in type 2 adult diabetics. To test the hypothesis that sleep complaints are more common among adult diabetics.Background: Restless legs syndrome is a common disorder and is a cause of insomnia and daytime somnolence. An association between RLS and diabetes mellitus has been hypothesized but

R. P Skomro; S Ludwig; E Salamon; M. H Kryger

2001-01-01

156

Work related risk factors for musculoskeletal complaints in the nursing profession: results of a questionnaire survey  

Microsoft Academic Search

OBJECTIVES: To determine the prevalence of musculoskeletal complaints of the back, arms or neck, and legs among nurses, and to investigate the relation between these complaints and various work related and personal variables. METHODS: A questionnaire survey was carried out in four nursing homes in The Netherlands. RESULTS: The response was 95% and resulted in 846 completed questionnaires. It was

J A Engels; J W van der Gulden; T F Senden; B van't Hof

1996-01-01

157

Pediatric heel pain.  

PubMed

Heel pain is a common complaint among young children and adolescents. It has many causes, including trauma, overuse injuries, and tumors, and therefore a thorough clinical examination is warranted. This article outlines some common causes of pediatric heel pain. PMID:24075133

Joseph, Alison M; Labib, Irene K

2013-08-13

158

Pain in orthodontics  

Microsoft Academic Search

This literature review focuses on previous studies of pain and pain perception in dentistry with special emphasis on orthodontic treatment. The prevalence of pain and background factors such as age, gender and culture\\/society, in addition to pain physiology and the influence of concomitant emotional and cognitive factors, is examined. Pain during orthodontic tooth movement is reported from the point of

Marianne Bergius; Stavros Kiliaridis; Ulf Berggren

2000-01-01

159

Assessing the Prevalence of Recurrent Neck and Shoulder Pain in Korean High School Male Students: A Cross-sectional Observational Study  

PubMed Central

Background Neck and shoulder pain (NSP) is fairly common in adolescents, which is associated with a high prevalence of NSP found during adulthood as well; therefore, its significance during adolescence should not be underestimated. We surveyed the prevalence of recurrent NSP, lifestyle, and risk factors in Korean high school students, and examined the influence of recurrent NSP on the quality of life. Methods Nine hundred thirty one male students (16-19 years old) from two academic high schools in Seoul were included in this study. The survey consisted of a questionnaire to assess the prevalence of recurrent NSP, with questions regarding having an occurrence more than once a week, characteristics of NSP, activity and lifestyle of the students, and the risk factors for recurrent NSP. A 36-item Short Form questionnaire was also examined. Results We found that 44.3% of the high school students surveyed had recurrent NSP (more than once a week) and the overall prevalence of NSP was 79.1%. The average sitting time was 10.2 ± 2.7 h/day. 59.0% did not sit straight, 14.7% used assisting devices during reading, and 11.9% answered that they stretched regularly. Found from their self assessed health, frequent fatigue and frequent depressed mood presented significant associations with the higher prevalence of recurrent NSP. Conclusions Korean high school students had a high prevalence of recurrent NSP. Clinical attention is needed for the prevention and resolution of recurrent NSP found in high school students.

Koh, Min Jung; Woo, Young Sun; Kang, Sung Hyun; Park, Sang Hoon; Chun, Hye Jung; Park, Eun Jung

2012-01-01

160

Prevalence of the chronic prostatitis/chronic pelvic pain syndrome among 40-69-year-old men residing in a temperate climate.  

PubMed

Abstract Objective. The aim of this study was to describe the prevalence of the chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) among middle-aged men in a region with a temperate climate, i.e. a community in western Sweden. Material and methods. Men aged 40-69 years who, on the basis of postal invitation, volunteered to participate in a study regarding erectile dysfunction as a risk factor for cardiovascular disease, were asked also to complete the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI). Results. In total, 459 of 900 men responded to the invitation. CP/CPPS-like symptoms, i.e. perineal and/or ejaculatory pain and an NIH-CPSI pain score of 4 or greater, were reported by 23 men (5%). More severe symptoms, with a pain score of at least 8 and perineal and/or ejaculatory pain, were reported by 15 men (3.3%). Conclusions. In this cross-sectional population-based study 5% had NIH-CPSI scores suggestive of CP/CPPS, which is in the lower range compared with studies from other regions, refuting the idea that CP/CPPS should be more common in regions with a temperate climate. PMID:23311441

Hedelin, Hans; Johannisson, Henrik; Welin, Lennart

2013-01-14

161

Physical inactivity is associated with chronic musculoskeletal complaints 11 years later: results from the Nord-Tr?ndelag Health Study  

PubMed Central

Background Physical inactivity is associated with several diseases, but studies evaluating the association between chronic musculoskeletal complaints (MSCs) and physical exercise have shown conflicting results. The aim of this large-scale prospective population-based study was to investigate the association between self-reported physical exercise at baseline and the prevalence of chronic musculoskeletal complaints (MSCs) 11 years later. Methods The results are based upon two consecutive public health studies conducted within the county of Nord-Trøndelag, Norway (The HUNT studies). A total of 39,520 (83%) out of 47,556 adults who participated in HUNT 1 and HUNT 2 responded to questions about physical exercise at baseline in 1984–86, and to questions about musculoskeletal complaints 11 years later (1995–97). Chronic MSCs was defined as MSCs ? 3 months during the past year, and chronic widespread MSCs such as pain ? 15 days during the last month from the axial region, above the waist, and below the waist. Associations were assessed using multiple logistic regression, estimating prevalence odds ratio (OR) with 95% confidence intervals (CIs). All the final analyses were adjusted for age, gender, body mass index, smoking and education level. Results At follow-up 20,223 (51%) reported chronic MSCs, and among these 2,318 (5.9%) reported chronic widespread MSCs. Individuals who exercised at baseline were less likely to report chronic MSCs 11 years later (OR 0.91, 95% CI 0.85–0.97) than inactive persons. Among individuals who exercised more than three times per week, chronic widespread MSCs were 28% less common (OR 0.72, 95% CI 0.59–0.88) compared to inactive individuals. Conclusion In this large-scale population-based study, physical exercise was associated with lower prevalence of chronic MSCs, in particular chronic widespread MSCs. Future studies should try to clarify whether chronic MSCs are a cause or a consequence of inactivity.

Holth, Helene Sulutvedt; Werpen, Hanne Kine Buchardt; Zwart, John-Anker; Hagen, Knut

2008-01-01

162

Licensing Board Complaints in Child Custody Practice  

Microsoft Academic Search

This study explored licensing board complaints among psychologists (N = 117) involved in child custody practice. Findings indicated that a high number of participants (63%) had been subject to licensing board complaints. However, of those complaint cases described, only a small number resulted in disciplinary action. Participants identified warning signs for possible complaints along with risk management strategies they utilized.

James N. Bow; Michael C. Gottlieb; Jeffrey C. Siegel; Gretchen S. Noble

2010-01-01

163

The prevalence and management of low back pain across adulthood: results from a population-based cross-sectional study (the MUSICIAN study).  

PubMed

The aim of the current study was to determine: the prevalence of low back pain (LBP) and associated disability; the frequency of consultation to general practice; whether there were differences in management by age. We conducted a cross-sectional population study in Aberdeen city and Cheshire County, UK. Participants were 15,272 persons aged 25 years and older. The 1-month period prevalence of LBP was 28.5%. It peaked at age 41-50 years, but at ages over 80 years was reported by 1 in 4 persons. Older persons were more likely to consult, and the prevalence of severe LBP continued to increase with age. Management by general practitioners differed by age of the patient. Older persons (> 70 vs ? 40 years) were more likely to only have been prescribed painkillers (odds ratio [OR] 1.74, 95% confidence interval [CI] 1.28-2.35) or only pain killers with other medications (OR 1.45, 95% CI 1.07-1.98). They were less likely to be prescribed physiotherapy or exercise (OR 0.63, 95% CI 0.46-0.85) or to be referred to a specialist (OR 0.77, 95% CI 0.57-1.04). Older persons were more likely to have previously received exercise therapy for pain, were less likely to be enthusiastic about receiving it now (P<0.0001), and were less likely to think it would result in improved symptoms (P<0.0001). It is important that older persons, who have the highest prevalence of LBP with disability and are most likely to consult, are receiving optimal pharmacological and nonpharmacological management. PMID:21978663

Macfarlane, Gary J; Beasley, Marcus; Jones, Elizabeth A; Prescott, Gordon J; Docking, Rachael; Keeley, Philip; McBeth, John; Jones, Gareth T

2011-10-05

164

Prediction of post-traumatic complaints after mild traumatic brain injury: early symptoms and biochemical markers  

PubMed Central

Objectives: To identify parameters at first presentation after mild traumatic brain injury (MTBI) that are predictive of the severity of post-traumatic complaints (PTC) after six months. Early recognition of patients with MTBI who are at risk of developing PTC would be useful because early follow up at the outpatient clinic may help to reduce the severity of these complaints in the long run. Methods: The presence of symptoms in the emergency room (ER) (headache, dizziness, nausea, vomiting, and neck pain) and biochemical markers (neurone specific enolase and S-100B) in serum were assessed as possible predictive variables for the severity of PTC. Outcome variables were the severity of 16 PTC six months after the trauma. Result: After six months, the severity of most complaints had declined to pretrauma levels but medians for headache, dizziness, and drowsiness were still increased. In a series of 79 patients, 22 (28%) reported one or more PTC after six months. After adjustment for baseline variables, an at least twofold increased severity of all PTC subgroups was reported by those patients reporting headache, dizziness, or nausea in the ER. A twofold increased severity of "cognitive" and "vegetative" PTC was also found in those with increased concentrations of biochemical serum markers at first presentation. The prevalence of full recovery after six months increased from 50% in patients with three symptoms to 78% in those with no symptoms in the ER. Inclusion of biochemical markers showed that all 10 patients with no symptoms in the ER and normal markers recovered fully. Conclusions: The presence of headache, dizziness, or nausea in the ER after MTBI is strongly associated with the severity of most PTC after six months. Identifying MTBI patients in the ER without headache, dizziness, nausea, or increased serum marker concentrations may be a promising strategy for predicting a good outcome.

de Kruijk, J R; Leffers, P; Menheere, P; Meerhoff, S; Rutten, J; Twijnstra, A

2002-01-01

165

Impact of musculoskeletal co-morbidity of neck and upper extremities on healthcare utilisation and sickness absence for low back pain  

PubMed Central

Aims: To describe the presence of musculoskeletal co-morbidity of the neck and upper extremities among industrial workers with low back pain, and to examine whether it has an impact on healthcare utilisation and sickness absence for low back pain. Methods: A self administered questionnaire was used to collect data from 505 industrial workers (response 86%). Results: The 12 month prevalence of low back pain was 50%. Among subjects with low back pain the 12 month prevalence of musculoskeletal co-morbidity of the neck and upper extremities was 68%. Among workers with low back pain, subjects with high pain intensity or disabling low back pain were more likely to have musculoskeletal co-morbidity. In comparison to the subjects who report back pain only, subjects with co-morbidity showed worse general health and health related quality of life. No impact of upper extremity co-morbidity was found on healthcare utilisation, and sickness absence due to low back pain. Conclusions: This study provides no evidence that musculoskeletal co-morbidity of the neck and upper extremities influences the choice to seek care or take sick leave due to low back pain among industrial manual workers. For occupational health practitioners the finding of a high co-morbidity is important to consider when implementing workplace interventions aimed at the reduction of specific musculoskeletal complaints, since the controls for one musculoskeletal complaint may impact adversely on another musculoskeletal complaint. Researchers who perform low back pain intervention studies using generic health measures, should take into account the impact of musculoskeletal co-morbidity on these measures.

IJzelenberg, W; Burdorf, A

2004-01-01

166

Orthosiphon versus Placebo in Nephrolithiasis with Multiple Chronic Complaints: A Randomized Control Trial  

Microsoft Academic Search

Nephrolithiasis in the communities of Northeast Thailand frequently presents with multiple chronic health complaints, i.e. myofascial pain, back pain, dyspepsia, arthralgia, headache, fatigue, frank paresthesia, dysuria and any of these aggravated by purine-rich food (PRF). We assessed the efficacy of Orthosiphon in treating subjects with at least two active symptoms and negative for urine white blood cells. Subjects were randomly

Amorn Premgamone; Pote Sriboonlue; Srinoi Maskasem; Wattana Ditsataporncharoen; Bungornsri Jindawong

2009-01-01

167

Posterior knee pain  

PubMed Central

Posterior knee pain is a common patient complaint. There are broad differential diagnoses of posterior knee pain ranging from common causes such as injury to the musculotendinous structures to less common causes such as osteochondroma. A precise understanding of knee anatomy, the physical examination, and of the differential diagnosis is needed to accurately evaluate and treat posterior knee pain. This article provides a review of the anatomy and important aspects of the history and physical examination when evaluating posterior knee pain. It concludes by discussing the causes and management of posterior knee pain.

Perret, D.

2010-01-01

168

Intraoral pain disorders.  

PubMed

Dental and oral diseases are common findings in the general population. Pain associated with dental or periodontal disease is the primary reason why most patients seek treatment from providers. Thus, it is essential that all complaints of pain in the mouth and face include ruling out pain of dental origin. However, intraoral pain is not exclusively a result of dental disorders. This review outlines common somatic intraoral pain disorders, which can originate from disease involving one or more broad anatomic areas: the teeth, the surrounding soft tissues (mucogingival, tongue, and salivary glands), and bone. PMID:23809302

Napeñas, Joel J

2013-06-03

169

[Chronic pain management].  

PubMed

Pain is one of the major complaints leading to doctor visits. Therefore basic knowledge of frequent pain diagnoses and possible treatment approaches is essential. Numerous medical and interventional therapeutic options are available for causal or symptomatic treatment of pain. The treatment of neuropathic pain is often difficult and demands special knowledge. Antidepressants like amitriptyline and anticonvulsive drugs are the first choice in these cases. Also interventional approaches are useful, such as spinal cord stimulation for angina pectoris. For the treatment of complex regional pain syndrome and phantom pain the use of mirror feed-back is a new effective method for pain relief. The only way to prevent from development of chronic pain is the early and effective treatment of acute pain. PMID:19688304

Rothstein, D; Zenz, M

2009-09-01

170

The Prevalence of Groin Pain After Metal-on-Metal Total Hip Arthroplasty and Total Hip Resurfacing  

Microsoft Academic Search

Background  Groin pain after total hip arthroplasty (THA) or total hip resurfacing arthroplasty can be troubling for patients and surgeons.\\u000a Potential sources of pain include infection, loosening, metal hypersensitivity, or impingement of bony structures or the iliopsoas\\u000a tendon.\\u000a \\u000a \\u000a \\u000a \\u000a Questions\\/purposes  We compared the rate of groin pain after THA or hip resurfacing using metal-on-metal to those of other bearing surfaces.\\u000a \\u000a \\u000a \\u000a Methods  We identified 347

Robert B. Bartelt; Brandon J. Yuan; Robert T. Trousdale; Rafael J. Sierra

2010-01-01

171

Pain management in polycystic kidney disease  

Microsoft Academic Search

Pain management in polycystic kidney disease. Pain is a common complaint in patients with autosomal-dominant polycystic kidney disease, and a systematic approach is needed to differentiate the etiology of the pain and define an approach to management. A thorough history is the best clue to the multifactorial causes of the pain, superimposed upon an understanding of the complex innervation network

Zahid H. Bajwa; Sanjay Gupta; Carol A. Warfield; Theodore I. Steinman

2001-01-01

172

20 CFR 658.401 - Types of complaints handled by the JS complaint system.  

Code of Federal Regulations, 2013 CFR

...complaints handled by the JS complaint system. 658.401 Section 658...Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT...PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System § 658.401 Types of...

2013-04-01

173

Epidemiology of Back Pain in Children and Youth Aged 10-19 from the Area of the Southeast of Poland  

PubMed Central

Objective. The aim of this work was to define the prevalence of back pain in children and youth aged 10–19 from the southeast of Poland. Material and Methods. The cross-sectional study included 1089 students (547 girls and 542 boys) aged 10–19. The prevalence of back pain, its intensity, location, and situations in which it occurred were assessed with a questionnaire. Results. Among 1089 respondents, 830 (76.2%) admitted that they had experienced back pain at various frequencies within the year preceding the study. Back pain was located mainly in the lumbar segment (74.8%). Mild pains were dominant, which was declared by 44.7% of the respondents. Girls experienced back pain significantly more frequently than boys (52.2% versus 47.8%, P < 0.05). Conclusions. The research revealed that back pain is a common phenomenon. The prevalence of back pain in children and youth living in southeast Poland is similar to the frequency of occurrence of such complaints occurring in peers in other countries. It seems significant to monitor the remaining regions of Poland in order to define the scale of the problem and to look for the risk factors of back pain in children and youth to undertake efficient prophylactic actions.

Kedra, Agnieszka; Czaprowski, Dariusz

2013-01-01

174

Myofascial pain syndrome and fibromyalgia  

Microsoft Academic Search

Myofascial pain syndrome and fibromyalgia represent two of the most common musculoskeletal disorders seen in clinical practice.\\u000a Although evidence is not conclusive, these two syndromes appear to be distinct pathophysiologically. Trigger points represent\\u000a a hallmark of myofascial pain whereas fibromyalgia is characterized by diffuse pain complaints. Characterization of the pain\\u000a with fibromyalgia has been reproducible across patients and mapped out

Richard L. Rauck

1997-01-01

175

Back pain.  

PubMed Central

1. Back pain is very common and can be the result of a wide range of different conditions. A detailed history of the complaint often points towards the cause. Positional backache suggests a mechanical cause, unremitting pain may indicate malignancy or infection especially if accompanied by night sweats, whereas morning stiffness is more often the result of inflammation. 2. Examine the patient lying and standing as outlined. A general examination should also be performed if there is a history of weight loss, night sweats, or if the patient looks ill. 3. The vast majority of cases of backache are mechanical in origin. Plain x-rays are not normally contributory and should be avoided unless there are factors in the history and examination suggestive of infection or malignancy. 4. Patients with backache and sphincter disturbance and/or perineal anaesthesia require immediate hospital admission. 5. Analgesia and bed rest are the mainstays of treatment for acute backache of mechanical origin. Once there has been some improvement, physiotherapy can be beneficial. 6. Chronic back pain is present if the complaint lasts for more than 8 weeks. Investigations should include full blood count, ESR, calcium and alkaline phosphatase. The patient needs to be referred to a rheumatologist or orthopaedic surgeon for further assessment and possible imaging studies. If no cause other than mechanical dysfunction is found the patient should be assessed by a physiotherapist and taught back care.

Beaumont, B.; Paice, E.

1992-01-01

176

48 CFR 408.711 - Quality complaints.  

Code of Federal Regulations, 2012 CFR

...COMPETITION AND ACQUISITION PLANNING REQUIRED SOURCES OF SUPPLIES AND SERVICES Acquisition From Nonprofit Agencies Employing People Who Are Blind or Severely Disabled 408.711 Quality complaints. Prior to attempting to resolve a complaint...

2012-10-01

177

48 CFR 422.1308 - Complaint procedures.  

Code of Federal Regulations, 2012 CFR

...ACQUISITIONS Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans 422.1308 Complaint...forward complaints received about the administration of the Vietnam Era Veterans Readjustment Assistance Act directly to the...

2012-10-01

178

48 CFR 422.1308 - Complaint procedures.  

Code of Federal Regulations, 2011 CFR

...ACQUISITIONS Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans 422.1308 Complaint...forward complaints received about the administration of the Vietnam Era Veterans Readjustment Assistance Act directly to the...

2011-10-01

179

Musculoskeletal Complaints among Italian X-ray Technologists  

Microsoft Academic Search

The aim of this study was to determine the prevalence of musculoskeletal complaints among X-ray technologists and to examine their relationship with physical and psychosocial factors. A cross-sectional study was performed in 2006 among 203 X-ray technologists working in 13 hospitals in the Apulia region of southern Italy. A questionnaire was used to collect data on personal characteristics, physical workload,

Antonio LORUSSO; Stefano BRUNO; Nicola L'ABBATE

2007-01-01

180

Sleep complaints are common in a dialysis unit  

Microsoft Academic Search

Sleep disturbance among uremic patients is reported to be high, but data on the actual prevalence, clinical significance, and causative factors is limited. A sleep questionnaire was distributed to an entire hemodialysis unit of 64 patients. Of the 54 patients who completed the survey, 83.3% had sleep-wake complaints. Disturbed sleep was reported by 28 patients (51.8%), and causes were secondary

Shannon Walker; Adrian Fine; Meir H. Kryger

1995-01-01

181

Course and prognosis of elbow complaints: a cohort study in general practice  

PubMed Central

Objective: To describe the course of new episodes of elbow complaints in general practice, and to identify predictors of short term and long term outcome in terms of pain intensity and functional disability. Methods: 181 patients with elbow complaints filled in questionnaires at baseline and at 3, 6, and 12 months of follow up. Baseline scores of pain and disability, characteristics of the complaint, sociodemographic and psychosocial factors, physical activity, general health, and comorbidity were investigated as possible predictors of outcome. Outcome measures were analysed separately using multiple regression analyses. Results: 13% of the patients reported recovery at the 3 month follow up and 34% at 12 months. Irrespective of outcome and length of follow up, a longer duration of the complaint before consulting the general practitioner, having musculoskeletal comorbidity, and using "retreating" as coping style increased the likelihood of an unfavourable outcome. Less social support was associated with an unfavourable outcome at 3 months, and having a history of elbow complaints and using "worrying" as coping style were associated with an unfavourable outcome at 12 months. The explained variance of the models ranged from 46% to 49%. Conclusions: Recovery of patients with elbow complaints in general practice was poor. Besides characteristic of the complaint, passive coping and less social support were related to a worse prognosis. The results of this study may help general practitioners to provide patients with more accurate information about their prognosis.

Bot, S; van der Waal, J M; Terwee, C; van der Windt, D A W M; Bouter, L; Dekker, J

2005-01-01

182

43 CFR 4.450-4 - Complaints.  

Code of Federal Regulations, 2012 CFR

...complaint. (d) Filing fee. Each complaint must be accompanied by a filing fee of $10 and a deposit of $20 toward reporter's fees. Any complaint which is not accompanied by the required fee and deposit will not be accepted for filing....

2012-10-01

183

43 CFR 4.450-4 - Complaints.  

Code of Federal Regulations, 2011 CFR

...complaint. (d) Filing fee. Each complaint must be accompanied by a filing fee of $10 and a deposit of $20 toward reporter's fees. Any complaint which is not accompanied by the required fee and deposit will not be accepted for filing....

2011-10-01

184

Prevalence of exposure to potential CYP450 pharmacokinetic drug-drug interactions among patients with chronic low back pain taking opioids.  

PubMed

Drug-drug interactions (DDIs) have been defined as two or more drugs interacting in such a way that the effectiveness and/or toxicity of one or all drugs are changed. Patients taking more than one drug metabolized through the cytochrome P450 (CYP450) enzyme system, including some, but not all, opioids experience a drug-drug exposure (DDE), which may result in a potentially dangerous DDI. Using a retrospective analysis of a large commercial claims database and a Medicare database, we evaluated DDEs that have the potential to cause DDIs among chronic low back pain (cLBP) patients on long-term opioid analgesia, which metabolizes through the CYP450 enzyme system, concomitant with other CYP450-metabolized drug(s). The overall prevalence of DDEs among cLBP patients was 27%. Women had a higher prevalence of DDEs (30.6% vs. 22% for men). Patients aged 45 to 55 and 56 to 64 years had the highest prevalence of DDEs (30.4% and 29.8%, respectively), followed by patients 34 to 45 years (27.9%). For patients>65 years, the prevalence of DDEs was 23.1%. In general, the prevalence of DDEs was fairly consistent across age ranges in this population. This study suggests that DDEs are common in the cLBP population. When selecting an opioid to treat cLBP, physicians should consider the potential for exposure of these patients to drugs that might unfavorably interact and, for that reason, the use of opioids that do not rely on the CYP450 system as their primary means of metabolism might be worthy of consideration. PMID:20807350

Pergolizzi, Joseph V; Labhsetwar, Sumedha A; Puenpatom, R Amy; Joo, Seongjung; Ben-Joseph, Rami H; Summers, Kent H

2010-08-27

185

Musculoskeletal complaints among Italian X-ray technology students: a cross-sectional questionnaire survey  

Microsoft Academic Search

BACKGROUND: There is a high prevalence of musculoskeletal disorders among healthcare professional students. Although recent studies show musculoskeletal disorders are a common problem among X-ray technologists, there are no data on these disorders among students of this healthcare profession. We have therefore estimated the prevalence of musculoskeletal complaints among a group of X-ray technology students. METHODS: The students (n =

Antonio Lorusso; Luigi Vimercati; Nicola L'Abbate

2010-01-01

186

Effectiveness of behavioural graded activity compared with physiotherapy treatment in chronic neck pain: design of a randomised clinical trial [ISRCTN88733332  

PubMed Central

Background Chronic neck pain is a common complaint in the Netherlands with a point prevalence of 14.3%. Patients with chronic neck pain are often referred to a physiotherapist and, although many treatments are available, it remains unclear which type of treatment is to be preferred. The objective of this article is to present the design of a randomised clinical trial, Ephysion, which examines the clinical and cost effectiveness of behavioural graded activity compared with a physiotherapy treatment for patients with chronic non-specific neck pain. Methods Eligible patients with non-specific neck pain persisting longer than 3 months will be randomly allocated to either the behavioural graded activity programme or to the physiotherapy treatment. The graded activity programme is based on an operant approach, which uses a time-contingent method to increase the patient's activity level. This treatment is compared with physiotherapy treatment using a pain-contingent method. Primary treatment outcome is the patient's global perceived effect concerning recovery from the complaint. Global perceived effect on daily functioning is also explored as primary outcome to establish the impact of treatment on daily activity. Direct and indirect costs will also be assessed. Secondary outcomes include the patient's main complaints, pain intensity, medical consumption, functional status, quality of life, and psychological variables. Recruitment of patients will take place up to the end of the year 2004 and follow-up measurement will continue until end 2005.

Vonk, Frieke; Verhagen, Arianne P; Geilen, Mario; Vos, Cees J; Koes, Bart W

2004-01-01

187

Time to Talk: 4 Things to Know about Spinal Manipulation for Low-Back Pain  

MedlinePLUS

... Things To Know About Spinal Manipulation for Low-Back Pain Back pain is one of the most common health complaints, ... medical doctors with a goal of relieving low-back pain and improving physical functioning. These health professionals perform ...

188

Evaluation of acute abdominal pain.  

PubMed

: Abdominal pain is a common complaint encountered in primary care and in the ED. Varying levels of pain dictate the immediacy of the intervention. Time is vital when making the decision to initiate therapeutic interventions. A comprehensive assessment with physical exam and diagnostic studies is required. PMID:24141550

Saccomano, Scott J; Ferrara, Lucille R

2013-11-10

189

The role of pain anxiety, coping, and pain self-efficacy in rheumatoid arthritis patient functioning  

Microsoft Academic Search

Anxiety about pain is increasingly recognized as one factor contributing to increased pain perception and pain behavior [McCracken, L. M., Faber S. D., & Janeck A. S. (1998) Pain-related anxiety predicts nonspecific physical complaints in persons with chronic pain. Behavior Research and Therapy, 36, 621–630; McCracken L., & Gross R. (1995). The pain anxiety symptoms scale (PASS) and the assessment

Carolyn Strahl; Ronald A Kleinknecht; Dale L Dinnel

2000-01-01

190

Work-related musculoskeletal complaints among workers of Iranian aluminum industries.  

PubMed

In developing countries, musculoskeletal complaints are considered as main cause of occupational complications and disability. Economic burden of these complications more than workers has impact on organization and society in general. In Iranian aluminum industries, workers are directly involved in production process and physical activities such as manual material handling and awkward postures are very common. The present study was performed for assessment of musculoskeletal complaints prevalence among workers of Iranian aluminum industries. Participants in this cross-sectional study were 493 workers of 3 Iranian aluminum industries with random selection. Data of musculoskeletal complaints were gathered by means of the standardized Nordic self-reporting questionnaire. Demographic and work-related data were collected into the checklist. Findings of this study showed that 65.5% of workers in past week and 77.5% of workers in past year had claimed one of the musculoskeletal complaints in their work places. Lumbar, knee(s), and upper back had the most musculoskeletal complaints prevalence in participants. Musculoskeletal complaints in past week and year had significant association with job duration and age in these workers. Musculoskeletal complaints in Iranian aluminum industries happened in high rate. Ergonomic intervention strategies in the workplaces must be the focus for elimination of environmental hazards such as apposition on the time of work and manual handling of heavy loads. PMID:22524650

Aghilinejad, Mashaallah; Javad Mousavi, Seyed Ali; Nouri, Mohammad Kazem; Ahmadi, Amir Bahrami

2012-01-01

191

High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury  

Microsoft Academic Search

Objective. To determine the prevalence of radio- graphic knee osteoarthritis (OA) as well as knee-related symptoms and functional limitations in female soccer players 12 years after an anterior cruciate ligament (ACL) injury. Methods. Female soccer players who sustained an ACL injury 12 years earlier were examined with stan- dardized weight-bearing knee radiography and 2 self- administered patient questionnaires, the Knee

L. S. Lohmander; M. Englund; H. Roos

2004-01-01

192

The Epidemiology of Chronic Pain  

Center for Drug Evaluation (CDER)

Text Version... 11 Page 12. Age-Sex Specific 1-yr. Prevalence: ... Page 22. Age Prevalence (%) Age-Sex Specific Prevalence of 1+ Pain Condition (of 5 investigated) ... More results from www.fda.gov/downloads/drugs/newsevents

193

Surgical options for patients with shoulder pain  

Microsoft Academic Search

Shoulder pain is a common musculoskeletal complaint in the community, which can arise from diverse causes. Regardless of the cause, mild cases can often be effectively treated conservatively, with options including rest, physiotherapy, pain relief and glucocorticoid injections. If conservative strategies fail after a 3–6 month period then surgery might be considered. Generally, the proportion of patients with shoulder pain

Salma Chaudhury; Stephen E. Gwilym; Jane Moser; Andrew J. Carr

2010-01-01

194

Mental and somatic health complaints associated with school bullying between 10th and 12th grade students; results from cross sectional studies in Oslo, Norway  

PubMed Central

Background Bullying is a widespread and serious problem that might influence both mental and psychical well being as well as school performance and social life. The aim of this study was to describe the prevalence of bullying, mental health problems and psychical complaints among 10th and 12th grade students and to analyze the association between bullying, mental health problems and muscle and skeletal complaints. Methods Two cross sectional studies of adolescents living in Oslo, Norway the first conducted in 2001 among 10th grade students (15/16 years old) and the second in 2004 among 12th grade students (18/19 years old). Both surveys were based on self report, were mostly school based and had almost identical questionnaires. There were around 3700 participants in both surveys, but the participation rate was lower in the latter survey (88 versus 80%). The Hopkins Symptoms Check List (HSCL-10) and the Strength and Difficulties Questionnaire (SDQ) were used to measure mental health problems. Results Bullying is decreasing both among boys and girls while the prevalence of internalized mental health problems are increasing from 10th to 12th grade. For muscle and skeletal pain there is a diverging trend between boys and girls, with an increase among girls and a decrease among boys. The highest Odds Ratios, as a measure for the association between bullying, mental health problems and pain, were found for internalized mental health problems at both 10th and 12th grade both for boys and girls. Conclusion Both internalized and externalized mental health problems together with pain seem to be associated with bullying irrespective of school type and gender.

2009-01-01

195

48 CFR 22.1308 - Complaint procedures.  

Code of Federal Regulations, 2012 CFR

... FEDERAL ACQUISITION REGULATION SOCIOECONOMIC PROGRAMS APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS Equal Opportunity for Veterans 22.1308 Complaint procedures. Following agency procedures, the contracting...

2012-10-01

196

Use of Analgesics for Exercise-Associated Pain: Prevalence & Predictors of Use in Recreationally-Trained College-Aged Students.  

PubMed

The objectives of this study were to examine the use of the analgesics for the relief of exercise-associated pain (EAP) and to examine personal and/or exercise characteristics that might potentially predict such use in recreationally-trained college-aged individuals. Recreationally-trained college-aged students (N=263) were invited to complete a self-administered 16-item questionnaire concerning personal exercise habits and analgesic use for EAP. The primary dependent variable was analgesic use for EAP, and additional items sought to characterize patterns and behaviors related to use. Descriptive statistics and frequencies were calculated for all items, and logistic regression was used to evaluate the ability of four variables to predict analgesic use for EAP: gender, length of time performing regular exercise, weekly frequency of aerobic exercise, and weekly frequency of resistance exercise. Approximately 36% of respondents reported analgesic use for EAP, with data indicating acute use for what is generally acute pain. With predictors considered individually, gender was a significant predictor, with females being more likely to use analgesics for EAP (p=0.04). With all predictors considered concurrently, the model did not significantly contribute to the prediction of use in this sample. Potential for misuse was highlighted by a large percentage of users who described themselves as very unlikely to follow label directions and more likely to take a dose exceeding recommendations. In light of research that reports a potential detriment to muscular regeneration when analgesics are consumed with exercise, it is important to be cognizant of the use of these drugs in individuals striving to improve muscular fitness. Coaches and trainers should educate athletes about the associated risks and caution those who may unnecessarily take analgesics. PMID:23542880

Brewer, Christi B; Bentley, John P; Hallam, Jeffrey S; Woodyard, Catherine D; Waddell, Dwight E

2013-03-28

197

47 CFR 7.22 - Formal complaints based on unsatisfied informal complaints.  

Code of Federal Regulations, 2012 CFR

...Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.22 Formal complaints based on unsatisfied informal complaints. A formal...

2012-10-01

198

Pain and Symptom Management  

Microsoft Academic Search

During the last decade, the prevalence of cancer pain and the reality of undertreatment have been well documented in both adults and children. There has been a proliferation of educational and regulatory activity setting an expectation that management of pain is a priority. At the same time, pain has come to the attention of the media, advocacy groups, industry, legislators,

Terry Altilio

2006-01-01

199

Breakthrough Cancer Pain  

Microsoft Academic Search

Breakthrough pain (BTP), a transitory exacerbation of pain superimposed on a background of persistent, usually adequately controlled pain, has been reported to occur in 50% to 75% of cancer patients. However, a 23% prevalence of BTP was recently reported in a study of Spanish patients with advanced cancers, showing probably a low detection rate of this clinical problem. The purpose

Xavier Gómez-Batiste; Federico Madrid; Francisco Moreno; Albert Gracia; Jordi Trelis; Maria Nabal; Ramón Alcalde; Josep Planas; Helena Camell

2002-01-01

200

Musculoskeletal complaints among nurses related to patient handling tasks and psychosocial factors – Based on logbook registrations  

Microsoft Academic Search

The aims were to evaluate the inter-method reliability of a registration sheet for patient handling tasks, to study the day-to-day variation of musculoskeletal complaints (MSC) and to examine whether patient handling tasks and psychosocial factors were associated with MSC.Nurses (n=148) fulfilled logbooks for three consecutive working days followed by a day off. Low back pain (LBP), neck\\/shoulder pain (NSP), knee

D. H. Precht; P. Suadicani; N. E. Ebbehøj

2009-01-01

201

Analyzing Hotel Customers' E-Complaints from an Internet Complaint Forum  

Microsoft Academic Search

Recent web technology advancement has enabled online customers to express their concerns and negative experiences about the hotel services over the Internet. This exploratory study attempts to provide some insights into this recent phenomenon by analyzing self-selected hotel customers' online complaints recorded on a specialized complaint forum, eComplaints.com. A content analysis of those e-Complaints in 18 problem categories revealed that

Charles Changuk Lee; Clark Hu

2005-01-01

202

Interaction between emotions and somatic complaints in children who did or did not seek medical care  

Microsoft Academic Search

This study aimed to investigate how emotional functioning can be linked to health problems in children. Three groups were compared: (1) a clinical group, consisting of children with abdominal pain, attending an out-patient clinic; (2) a group from the general population who had high scores on a self-report somatic complaint list; and (3) a group from the general population who

Carolien Rieffe; Mark Meerum Terwogt; Joop D. Bosch; C. M. Frank Kneepkens; Adriaan C. Douwes; Francine C. Jellesma

2007-01-01

203

Shoulder complaints after neck dissection; is the spinal accessory nerve involved?  

Microsoft Academic Search

The purpose of the current study was to investigate the relation between shoulder morbidity (pain and range of motion), and the function of the spinal accessory nerve after neck dissection. Identifying dysfunction of the nerve gives insight in the mechanisms of post-operative shoulder complaints. In total 112 patients after neck dissection (73 males\\/39 females), mean (SD) age 61 (13) years,

C. P van Wilgen; P. U. Dijkstra; B. F. A. M van der Laan; J. T. Plukker; J. L. N. Roodenburg

2003-01-01

204

Comparison of Preemptive Administration of Ibuprofen Rofecoxib and Placebo in the Attenuation of Postoperative Pain Following Gynecological Surgery.  

National Technical Information Service (NTIS)

One of the chief complaints of patients undergoing surgical procedures continues to be postoperative pain, which leads to increased morbidity and mortality. Preemptive analgesia is inhibition of pain pathways prior to a painful stimulus. Nonsteroidal anti...

E. K. Pulatie T. J. Bryant H. Muniz T. S. Adams J. N. Ernest

2002-01-01

205

Clinical evaluation of tinnitus in patients with sleep bruxism: prevalence and characteristics.  

PubMed

Evaluation of the prevalence and characteristics of tinnitus in a Brazilian series of sleep bruxism patients. In this descriptive study, 100 patients (80 women and 20 men) were selected through the self-report of grinding teeth during sleep, confirmed by room mate or family member. They were evaluated according to a systematized approach: a questionnaire for orofacial pain and the Portuguese version of the Research Diagnostic Criteria for Temporomandibular Disorders. The patients were divided into two groups: group A, 54 patients with complaint of tinnitus and group B, 46 patients without tinnitus complaint. The mean age was 37.85 (13-66 years) and 34.02 years (20-59 years), respectively, for groups A and B (P = 0.1164). There was statistically significant difference between the two groups, with higher prevalence for the group A, in relation to: presence of chronic facial pain (P = 0.0007); number of areas painful to palpation in the masticatory and cervical muscles (P = 0.0032); myofascial pain in the masticatory muscles (P = 0.0003); absence of teeth without prosthetic replacement (P = 0.0145) and indices of depression (P = 0.0234). Structural alterations of the TMJ, like disc displacement and vertical dimension loss did not differ for the two groups. Tinnitus frequency was higher in patients with sleep bruxism and chronic facial pain. Myofascial pain, number of areas painful to palpation in the masticatory and cervical muscles, higher levels of depression and tooth absence without prosthetic replacement were more frequent in the group with tinnitus. PMID:16202044

Camparis, C M; Formigoni, G; Teixeira, M J; de Siqueira, J T T

2005-11-01

206

Chest pain and chest wall deformity.  

PubMed

Chest pain and chest wall deformities are common in children. Although most children with chest pain have a benign diagnosis, some have a serious etiology for pain, so the complaint must be addressed carefully. Unfortunately, there are few prospective studies to evaluate this complaint in children. Serious causes for chest pain are rare, making it difficult to develop clear guidelines for evaluation and management. The child who appears well, has a normal physical examination, and lacks worrisome history deserves reassurance and careful follow-up rather than extensive studies. Multicenter studies are needed to better define this important symptom. PMID:19135581

Gokhale, Janaki; Selbst, Steven M

2009-02-01

207

Complaints Soar over Student-Loan Collections  

ERIC Educational Resources Information Center

|Over the past five years, the number of complaints filed against agencies collecting on behalf of the U.S. Department of Education has grown by 45 percent. The Federal Trade Commission, which oversees the entire industry, received 142,743 complaints involving debt-collection companies last year, though only some involved student loans. Consumer…

Field, Kelly

2012-01-01

208

Comparing objective service failures and subjective complaints  

Microsoft Academic Search

Customer retention and service recovery require accurate information to diagnose and prevent service failures, address customer complaints, and continuously improve service performance. The present research investigates the performance relationships between two sources of marketing information: actual objective service failures and consumer complaints. Data were obtained from two U.S. governmental agencies, the Department of Transportation for airlines and the Interstate Commerce

John Ozment

1996-01-01

209

6 CFR 13.7 - Complaint.  

Code of Federal Regulations, 2012 CFR

...accordance with 31 U.S.C. 3803(b)(1), the Reviewing Official may serve a Complaint on the Defendant, as provided in § 13.8. (b) The Complaint will state: (1) The allegations of liability against the Defendant, including the...

2012-01-01

210

6 CFR 13.7 - Complaint.  

Code of Federal Regulations, 2013 CFR

...accordance with 31 U.S.C. 3803(b)(1), the Reviewing Official may serve a Complaint on the Defendant, as provided in § 13.8. (b) The Complaint will state: (1) The allegations of liability against the Defendant, including the...

2013-01-01

211

Moving Targets: Patients’ Changing Complaints During Psychotherapy  

Microsoft Academic Search

Previous psychotherapy research typically assessed patients’ target complaints before or shortly after the first therapy hour and then reassessed for change and improvement at termination on the same original problems. Authors of even the earliest articles, however, conceptualized target complaints as presenting problems that undergo a process of constant redefinition throughout the course of psychotherapy. Using a standardized assessment procedure

Randall Lehmann Sorenson; Richard L. Gorsuch; Jim Mintz

1985-01-01

212

[Pathophysiology of abdominal pain].  

PubMed

Abdominal pain can be induced by stimulation of visceral nociceptors. Activation of nociceptors usually requires previous sensitization by pathological events, such as inflammation, ischemia or acidosis. Although abdominal pain can obviously be caused by pathology of a visceral structure, clinicians frequently observe that such a pathology explains only part of the pain complaints. Occasionally, there is lack of objective signs of visceral lesions. There is clear evidence that pain states are associated with profound changes of the central processing of the sensory input. The main consequences of such alterations for patients are twofold: 1) a central sensitization, i.e. an increased excitability of the central nervous system; 2) an alteration of the endogenous pain modulation, which under normal conditions inhibits the processing of nociceptive signals in the central nervous system. Both phenomena lead to a spread of pain to other body regions and an amplification of the pain perception. The interactions between visceral pathology and alterations of the central pain processes represent an at least partial explanation for the discrepancy between objective signs of peripheral lesions and severity of the symptoms. Today, both central hypersensitivity and alteration in endogenous pain modulation can be measured in clinical practice. This information can be used to provide the patients with an explanatory model for their pain. Furthermore, first data suggest that alterations in central pain processing may represent negative prognostic factors. A better understanding of the individual pathophysiology may allow in the future the development of individual therapeutic strategies. PMID:21796591

Curatolo, Michele

2011-08-01

213

Failure of physician documentation of sleep complaints in hospitalized patients.  

PubMed Central

Sleep disorders are acknowledged to be common but remain underrecognized by the medical community, often attributed to the failure to question patients about their sleep quality. We examined the prevalence of sleep complaints (insomnia or excessive daytime sleepiness) in a group of general medical patients by administering a questionnaire to hospitalized patients in a Veterans Affairs tertiary care medical center. A total of 222 consecutive adults (215 men, 60 +/- 14 years; body mass index, 24.8 +/- 5.6) completed the questionnaire. Of these, 105 patients (47%) had either insomnia, excessive daytime somnolence, or both; 63 (28%) had excessive daytime somnolence, which was severe in 27 (12%). Of 75 patients (34%) who had insomnia, a third were taking hypnotic medication. Forty patients (18%) had snoring, which was associated with excessive daytime somnolence in 36, whereas 46 patients (21%) had either restless legs or a combination of leg jerks and leg kicking or twitching during sleep, associated with a sleep complaint (insomnia in 32). The medical records were subsequently reviewed to assess the admitting physicians' recognition of these symptoms. No record included mention of any patient symptom related to sleep. We conclude that symptoms related to sleep, some of which may be clinically important, are common, and that none of these complaints appear to be recognized by the physicians of record.

Meissner, H H; Riemer, A; Santiago, S M; Stein, M; Goldman, M D; Williams, A J

1998-01-01

214

Pathophysiology of TMD pain--basic mechanisms and their implications for pharmacotherapy.  

PubMed

This article discusses the pathophysiology of temporomandibular disorders (TMD)-related pain and its treatment with analgesic drugs. Temporomandibular disorders are comprised of a group of conditions that result in temporomandibular joint pain (arthralgia, arthritis) and/or masticatory muscle pain (myofascial TMD). In at least some patients with TMD, a peripheral mechanism contributes to this pain. However, there is often a poor correlation between the severity of TMD-related pain complaints and evidence of definitive tissue pathology. This has led to the concept that pain in some patients with TMD may result from altered central nervous system pain processing and further that this altered pain processing may be attributable to specific genes that are heritable. Psychosocial stressors are also thought to contribute to the development of TMD-related pain, particularly masticatory muscle pain. Finally, substantially more women suffer from TMD than men. Although there are arguably multiple reasons for sex-related differences in the prevalence of TMD, one candidate for the increased occurrence of this disorder in women has been suggested to be the female sex hormone oestrogen. Analgesic drugs are an integral part of the primary treatment for TMD-related pain and dysfunction with more that 90% of treatment recommendations involving use of medications. The most commonly used agents include non-steroidal anti-inflammatory drugs, corticosteroids, muscle relaxants, anxiolytics, opiates and tricyclic antidepressants, however, evidence in support of the effectiveness of these drugs is lacking. Continued research into the pathophysiology of TMD-related pain and the effectiveness of analgesic treatments for this pain is required. PMID:20337865

Cairns, B E

2010-03-10

215

Sleep and Pain  

Microsoft Academic Search

The high prevalence of sleep disturbance in chronic pain conditions is due in part to bi-directional influences in which pain\\u000a disturbs sleep and poor sleep reduces pain thresholds and aggravates pain. Other variables, especially depression and anxiety,\\u000a may mediate this relationship, although supporting data has been equivocal. Trauma exposure and resulting PTSD symptoms have\\u000a not been adequately evaluated in the

Wilfred R. Pigeon; Hyung Park; Michael J. Sateia

216

Work activities and musculoskeletal complaints among preschool workers.  

PubMed

The potential for musculoskeletal trauma among preschool workers has been largely unexplored in the United States. This case report describes an investigation conducted to identify and evaluate possible causes of back and lower extremity pain among 22 workers at a Montessori day care facility. Investigators met with and distributed a questionnaire to school employees, and made measurements of workstation and furniture dimensions. Investigators also recorded the normal work activities of school employees on videotape, and performed a work sampling study to estimate the percentage of time employees spend performing various tasks and in certain postures. Questionnaire results from 18 employees indicated that back pain/discomfort was a common musculoskeletal complaint, reported by 61% of respondents. Neck/shoulder pain, lower extremity pain and hand/wrist pain were reported by 33, 33 and 11% of respondents, respectively. Observation and analysis of work activities indicated that employees spend significant periods of time kneeling, sitting on the floor, squatting, or bending at the waist. Furthermore, staff members who work with smaller children (i.e. six weeks to 18 months of age) performed more lifts and assumed more awkward lower extremity postures than employees who work with older children (3-4 years of age). Analysis of two lifting tasks using the revised NIOSH lifting equation indicated that employees who handle small children may be at increased risk of lifting-related low back pain. Investigators concluded that day care employees at this facility are at increased risk of low back pain and lower extremity (i.e. knee) injury due to work activities that require awkward or heavy lifts, and static working postures. Recommendations for reducing or eliminating these risks by modifying the workplace and changing the organization and methods of work are presented. PMID:15677041

Grant, K A; Habes, D J; Tepper, A L

1995-12-01

217

Prevalence of musculoskeletal disorders in dentists  

Microsoft Academic Search

BACKGROUND: The prevalence of musculoskeletal complaints in dentists is high although relatively few studies had focus in this profession. The aim of this study was to investigate the relations between physical, psychosocial, and individual characteristics and different endpoints of musculoskeletal complaints of low back, neck, shoulders and hand\\/wrist. METHODS: A questionnaire survey was carried out among 430 dentists (response 88%)

Evangelos C Alexopoulos; Ioanna-Christina Stathi; Fotini Charizani

2004-01-01

218

Chronic low back pain: Progress in therapy  

Microsoft Academic Search

Low back pain is a common complaint in the primary care setting. Although most patients with acute low back pain will improve\\u000a with conservative treatment, back pain often recurs, and a subset of patients will progress to chronic and sometimes disabling\\u000a symptoms. A variety of treatments have been used for chronic low back pain; the best evidence supports intensive rehabilitation

Jerry D. Joines

2006-01-01

219

20 CFR 658.426 - Complaints against USES.  

Code of Federal Regulations, 2013 CFR

...Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT...GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System Federal Js Complaint System § 658.426 Complaints...Secretary for Employment and Training, U.S....

2013-04-01

220

29 CFR 1981.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 false Filing of discrimination complaint. 1981.103 Section... PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 6 OF THE...Orders § 1981.103 Filing of discrimination complaint. (a) Who may...

2013-07-01

221

29 CFR 1979.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 false Filing of discrimination complaint. 1979.103 Section... PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 519 OF...Orders § 1979.103 Filing of discrimination complaint. (a) Who may...

2013-07-01

222

47 CFR 1.1406 - Dismissal of complaints.  

Code of Federal Regulations, 2012 CFR

...1406 Section 1.1406 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRACTICE AND PROCEDURE Grants by Random Selection Pole Attachment Complaint Procedures § 1.1406 Dismissal of complaints. (a) The complaint...

2012-10-01

223

49 CFR 1313.10 - Procedures for complaints and discovery.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false Procedures for complaints and discovery. 1313.10 Section 1313.10 Transportation... § 1313.10 Procedures for complaints and discovery. (a) Complaints, discovery petitions, replies, and appeals...

2012-10-01

224

49 CFR 1313.10 - Procedures for complaints and discovery.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 false Procedures for complaints and discovery. 1313.10 Section 1313.10 Transportation... § 1313.10 Procedures for complaints and discovery. (a) Complaints, discovery petitions, replies, and appeals...

2011-10-01

225

12 CFR 227.2 - Consumer complaint procedure.  

Code of Federal Regulations, 2010 CFR

...DECEPTIVE ACTS OR PRACTICES (REGULATION AA) Consumer Complaints § 227.2 Consumer complaint procedure. ...The name and address of the complainant. (2) Consumer complaints should be made toâFederal Reserve...

2009-01-01

226

29 CFR 42.7 - Complaint/directed action logs.  

Code of Federal Regulations, 2010 CFR

...Complaint/directed action logs. 42.7 Section 42.7...Complaint/directed action logs. (a) To facilitate...oversee the operation of a system of coordinated Complaint/Directed Action Logs (logs ). The logs...

2009-07-01

227

29 CFR 42.7 - Complaint/directed action logs.  

Code of Federal Regulations, 2010 CFR

...Complaint/directed action logs. 42.7 Section 42.7...Complaint/directed action logs. (a) To facilitate...oversee the operation of a system of coordinated Complaint/Directed Action Logs (logs ). The logs...

2010-07-01

228

34 CFR 303.432 - Adoption of State complaint procedures.  

Code of Federal Regulations, 2013 CFR

... Education 2 2013-07-01 2013-07-01 false Adoption of State complaint procedures. 303.432 Section 303...Procedural Safeguards State Complaint Procedures § 303.432 Adoption of State complaint procedures. (a) General. Each...

2013-07-01

229

Overtreating Chronic Back Pain: Time to Back Off?  

PubMed Central

Chronic back pain is among the most common patient complaints. Its prevalence and impact have spawned a rapidly expanding range of tests and treatments. Some of these have become widely used for indications that are not well-validated, leading to uncertainty about efficacy and safety, increasing complication rates, and marketing abuses. Recent studies document – over approximately a decade - a 629% increase in Medicare expenditures for epidural steroid injections; a 423% increase in expenditures for opioids for back pain; a 307% increase in the number of lumbar MRIs among Medicare beneficiaries; and a 220% increase in spinal fusion surgery rates. The limited studies available suggest that these increases have not been accompanied by population-level improvements in patient outcomes or disability rates. We suggest a need for a better understanding of the basic science of pain mechanisms; more rigorous and independent trials of many treatments; a stronger regulatory stance toward approval and post-marketing surveillance of new drugs and devices for chronic pain; and a chronic disease model for managing chronic back pain.

Deyo, Richard A.; Mirza, Sohail K.; Turner, Judith A.; Martin, Brook I.

2009-01-01

230

Overtreating chronic back pain: time to back off?  

PubMed

Chronic back pain is among the most common patient complaints. Its prevalence and impact have spawned a rapidly expanding range of tests and treatments. Some of these have become widely used for indications that are not well validated, leading to uncertainty about efficacy and safety, increasing complication rates, and marketing abuses. Recent studies document a 629% increase in Medicare expenditures for epidural steroid injections; a 423% increase in expenditures for opioids for back pain; a 307% increase in the number of lumbar magnetic resonance images among Medicare beneficiaries; and a 220% increase in spinal fusion surgery rates. The limited studies available suggest that these increases have not been accompanied by population-level improvements in patient outcomes or disability rates. We suggest a need for a better understanding of the basic science of pain mechanisms, more rigorous and independent trials of many treatments, a stronger regulatory stance toward approval and post-marketing surveillance of new drugs and devices for chronic pain, and a chronic disease model for managing chronic back pain. PMID:19124635

Deyo, Richard A; Mirza, Sohail K; Turner, Judith A; Martin, Brook I

231

31 CFR 10.63 - Service of complaint; service of other papers; service of evidence in support of complaint...  

Code of Federal Regulations, 2013 CFR

...Service of complaint; service of other papers; service of evidence in support of complaint; filing of papers. 10.63 Section 10.63 Money...Service of complaint; service of other papers; service of evidence in support of...

2013-07-01

232

12 CFR 308.506 - Complaint.  

Code of Federal Regulations, 2013 CFR

... 308.506 Section 308.506 Banks and Banking FEDERAL DEPOSIT INSURANCE CORPORATION PROCEDURE AND RULES OF PRACTICE RULES OF PRACTICE AND PROCEDURE Program Fraud Civil Remedies and Procedures § 308.506 Complaint....

2013-01-01

233

21 CFR 225.115 - Complaint files.  

Code of Federal Regulations, 2013 CFR

...225.115 Section 225.115 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF...MEDICATED FEEDS Records and Reports § 225.115 Complaint files...relative to the drug's efficacy or safety may provide an...

2013-04-01

234

78 FR 52868 - Pole Attachment Complaint Procedures  

Federal Register 2010, 2011, 2012, 2013

...CFR Part 1 [CS Docket No. 97-151; FCC 98-20] Pole Attachment Complaint Procedures AGENCY: Federal Communications Commission...requirements in the sections of regulations concerning pole attachments outlined in the DATES section. DATES: Effective...

2013-08-27

235

48 CFR 8.711 - Quality complaints.  

Code of Federal Regulations, 2012 CFR

...REGULATION ACQUISITION PLANNING REQUIRED SOURCES OF SUPPLIES AND SERVICES Acquisition From Nonprofit Agencies Employing People Who Are Blind or Severely Disabled 8.711 Quality complaints. (a) When the quality of supplies or services...

2012-10-01

236

21 CFR 211.198 - Complaint files.  

Code of Federal Regulations, 2013 CFR

...DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Records and Reports § 211.198 Complaint files. (a) Written procedures describing the...

2013-04-01

237

48 CFR 22.1308 - Complaint procedures.  

Code of Federal Regulations, 2011 CFR

...ACQUISITIONS Equal Opportunity for Veterans 22.1308 Complaint procedures...about the administration of the Act to the Veterans' Employment and Training Service...or area office or through the local Veterans' Employment Representative or...

2011-10-01

238

Responsive Approaches to Consumer Complaints and Remedies.  

National Technical Information Service (NTIS)

The report focuses on key methods by which consumer complaints are received, acknowleged, and handled by individual firms, and policies and procedures are utilized by sellers for the resolution of disputes.

1972-01-01

239

45 CFR 98.93 - Complaints.  

Code of Federal Regulations, 2011 CFR

...HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Monitoring, Non-compliance and Complaints...submitted in writing to the Assistant Secretary for Children and Families, 370 L'Enfant Promenade,...

2011-10-01

240

45 CFR 98.93 - Complaints.  

Code of Federal Regulations, 2012 CFR

...HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Monitoring, Non-compliance and Complaints...submitted in writing to the Assistant Secretary for Children and Families, 370 L'Enfant Promenade,...

2012-10-01

241

28 CFR 76.5 - Complaint.  

Code of Federal Regulations, 2013 CFR

...ASSESSMENT OF CIVIL PENALTIES FOR POSSESSION OF CERTAIN CONTROLLED SUBSTANCES § 76.5 Complaint. (a) If the respondent...of the act or conduct alleged to be in violation of law, the approximate date, place and location of the...

2013-07-01

242

48 CFR 222.1308 - Complaint procedures.  

Code of Federal Regulations, 2012 CFR

...SOCIOECONOMIC PROGRAMS APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans 222.1308 Complaint procedures. The contracting officer shallâ (1)...

2012-10-01

243

Breakthrough pain characteristics and syndromes in patients with cancer pain. An international survey  

Microsoft Academic Search

Breakthrough pain (BKP) is a transitory flare of pain that occurs on a background of relatively well controlled baseline pain. Previous surveys have found that BKP is highly prevalent among patients with cancer pain and predicts more severe pain, pain-related distress and functional impairment, and relatively poor quality of life. An international group of investigators assembled by a task force

Augusto Caraceni; Cinzia Martini; Ernesto Zecca; Russell K Portenoy; M. A. Ashby; G. Hawson; K. A. Jackson; N. Lickiss; N. Muirden; M. Pisasale; D. Moulin; V. N. Schulz; M. A. Rico Pazo; J. A. Serrano; H. S. Andersen; H. T. Henriksen; I. Mejholm; P. M. Sjogren; T. Heiskanen; E. Kalso; P. Pere; R. Poyhia; E. Vuorinen; I. Tigerstedt; P. Ruismaki; M. Bertolino; F. Larue; J. Y. Ranchere; G. Hege-Scheuing; I. Bowdler; F. Helbing; E. Kostner; L. Radbruch; K. Kastrinaki; S. Shah; S. Vijayaram; K. S. Sharma; P. S. Devi; P. N. Jain; P. V. Ramamani; A. Beny; C. Brunelli; M. Maltoni; S. Mercadante; R. Plancarte; S. Schug; P. Engstrand; A. F. Ovalle; X. Wang; M. F. Alves; M. R. Abrunhosa; W. Z. Sun; L. Zhang; A. Gazizov; M. Vaisman; S. Rudoy; M. G. Sancho; P. Vila; J. Trelis; P. Chaudakshetrin; M. L. Koh; R. T. M. van Dongen; A. Vielvoye-Kerkmeer; M. V. Boswell; T. Elliott; E. Hargus; L. Lutz

2004-01-01

244

Pain in elderly people with severe dementia: A systematic review of behavioural pain assessment tools  

Microsoft Academic Search

BACKGROUND: Pain is a common and major problem among nursing home residents. The prevalence of pain in elderly nursing home people is 40–80%, showing that they are at great risk of experiencing pain. Since assessment of pain is an important step towards the treatment of pain, there is a need for manageable, valid and reliable tools to assess pain in

Sandra MG Zwakhalen; Jan PH Hamers; Huda Huijer Abu-Saad; Martijn PF Berger

2006-01-01

245

The association between diabetes mellitus, glucose, and chronic musculoskeletal complaints. Results from the Nord-Tr?ndelag Health Study  

PubMed Central

Background The relationship between diabetes mellitus (DM) and chronic musculoskeletal complaints (MSCs) is unclear. The aim of this study was to investigate the association between DM, non-fasting glucose and chronic MSCs defined as pain and/or stiffness ? 3 months during the past year in the general adult population. Methods The results were based on cross-sectional data from 64,785 men and women (aged ? 20 years) who participated in the Nord-Trøndelag Health Survey, which included 1,940 individuals with known DM. Associations were assessed using multiple logistic regression, estimating prevalence odds ratio (OR) with 95% confidence intervals (CIs). Results High non-fasting glucose was associated with a lower prevalence of chronic MSCs compared to a low glucose level. DM was associated with higher prevalence of chronic MSCs, in particular chronic widespread MSCs. In the multivariate analysis, adjusting for glucose level, BMI, age, gender and physical activity, chronic widespread MSCs was 1.6 times more likely (OR = 1.6, 95% CI 1.2–2.2) among individuals < 60 years of age with DM than among those without DM. The association between chronic widespread MSCs and DM was most evident among the group of individuals aged < 60 years with either type 2 DM or unclassified DM (OR = 1.8, 95% CI 1.3–2.5). Conclusion In this cross-sectional study a high non-fasting glucose was associated with lower prevalence of chronic MSCs. Among individuals with known DM chronic widespread MSCs were more likely.

Hoff, Ole M; Midthjell, Kristian; Zwart, John-Anker; Hagen, Knut

2008-01-01

246

Risk of upper limb complaints due to computer use in older persons: a randomized study  

PubMed Central

Background We studied whether the twelve-month use of a standard computer would induce complaints of upper limb pain or functional limitations in older novice computer users. Methods Participants between 64 and 76 of age were randomly assigned to an Intervention group (n = 62), whose members received a personal computer and fast Internet access at their homes, or a No Intervention control group (n = 61), whose members refrained from computer use during the twelve month study period. Results Difference scores between baseline and twelve months assessments on both complaint (SFS) and functional health scales (SF-36) did not differ between groups (all p > .05). Conclusion Prolonged, self-paced use of a standard computer interface does not put older persons at a risk of upper limb complaints or reduce functional health in older adults.

van Boxtel, Martin PJ; Slegers, Karin; Jolles, Jelle; Ruijgrok, Joop M

2007-01-01

247

Pain after earthquake  

PubMed Central

Introduction On 6 April 2009, at 03:32 local time, an Mw 6.3 earthquake hit the Abruzzi region of central Italy causing widespread damage in the City of L Aquila and its nearby villages. The earthquake caused 308 casualties and over 1,500 injuries, displaced more than 25,000 people and induced significant damage to more than 10,000 buildings in the L'Aquila region. Objectives This observational retrospective study evaluated the prevalence and drug treatment of pain in the five weeks following the L'Aquila earthquake (April 6, 2009). Methods 958 triage documents were analysed for patients pain severity, pain type, and treatment efficacy. Results A third of pain patients reported pain with a prevalence of 34.6%. More than half of pain patients reported severe pain (58.8%). Analgesic agents were limited to available drugs: anti-inflammatory agents, paracetamol, and weak opioids. Reduction in verbal numerical pain scores within the first 24 hours after treatment was achieved with the medications at hand. Pain prevalence and characterization exhibited a biphasic pattern with acute pain syndromes owing to trauma occurring in the first 15 days after the earthquake; traumatic pain then decreased and re-surged at around week five, owing to rebuilding efforts. In the second through fourth week, reports of pain occurred mainly owing to relapses of chronic conditions. Conclusions This study indicates that pain is prevalent during natural disasters, may exhibit a discernible pattern over the weeks following the event, and current drug treatments in this region may be adequate for emergency situations.

2012-01-01

248

Correction of Forearm Malunion Guided by the Preoperative Complaint  

PubMed Central

Diaphyseal malunion of the forearm may cause loss of pronation and supination, a painful distal radioulnar joint, and aesthetic problems. Seventeen patients (10 males, seven females; mean age, 20.6 ± 9.3 years) were operated on because of symptomatic malunion after a pediatric forearm fracture. Six patients had predominant loss of pronation (Group 1), four had predominant loss of supination (Group 2), and seven had a painful distal radioulnar joint (Group 3). An osteotomy of the radius was performed in seven patients and of both forearm bones in 10. All patients were available for clinical and radiologic assessments at a minimum followup of 6 months (mean ± standard deviation, 3.7 ± 2.3 years; range, 0.5–9.9 years). Release of the contracted interosseous membrane frequently was necessary for patients in Groups 1 and 2 to allow for correction and did not result in weakness, instability of the distal radioulnar joint, or synostosis. The overall improvement in range of motion after osteotomies for patients with a supination deficit was much better than in those with a pronation deficit. All patients in Group 3 gained a pain-free and stable distal radioulnar joint and their range of motion was unchanged. Therefore, ability to improve overall range of motion through forearm osteotomies is dependent on the patients’ preoperative complaint. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

Nagy, Ladislav; Jankauskas, Linas

2008-01-01

249

Citizen complaints and environmental regulation of Michigan livestock operations.  

PubMed

Citizen environmental complaints filed against agricultural producers in Michigan were examined to determine farm and community factors influencing citizen complaints and the subsequent response of the farmer. Secondary citizen environmental complaint data were obtained from the Michigan Department of Agriculture from 1998 to 2007 with 1,289 observations. Citizen complaints were grouped into 5 categories: odor, surface water, ground water, combination, and other complaints. Complaints were further classified as nonverified or verified where verified meant that the inspected farm was not complying with relevant generally accepted agricultural and management practices. These data were used to examine how farm characteristics affected the likelihood of a verified complaint. Odor and surface water complaints accounted for 75% of all complaints. A probit regression analysis was used to estimate the probability of a verified complaint as a function of complaint type, farm characteristics, county characteristics, and seasonal factors. Results from the probit regression analysis revealed that larger operations, poultry, and hog farms received more nonverified complaints than other livestock farms. Surface water issues were 17% more likely to be verified complaints compared with odor issues, of which the surface water complaints often originated from sources other than neighbors. In contrast, odor issues were more likely to result from accepted management practices requiring no mitigation. Farms that received a verified citizen complaint were required to mitigate the complaint by implementing corrective practices. A log-level (log Y) regression was used to evaluate how farm characteristics influenced the cost to implement corrective practices on those farms receiving a verified citizen complaint. Costs to implement corrective practices to mitigate verified complaints were greatest for dairy operations and surface water complaints. Corrective practices required to mitigate a surface water complaint were predicted to cost 46% more than an odor complaint with an estimated average cost of $7,442. The most expensive practices were associated with manure incorporation, stream bank fencing, and controlling runoff. PMID:20852077

Hadrich, J C; Wolf, C A

2010-09-17

250

Impact of occupational stress and other psychosocial factors on musculoskeletal pain among Chinese offshore oil installation workers  

PubMed Central

Aims: To explore the relation between psychosocial factors and musculoskeletal pain in Chinese offshore oil installation workers. Methods: Half of all offshore workers (being a representative sample) in a Chinese oil company were invited to complete a self-administered questionnaire providing information on sociodemographic characteristics, occupational stressors, type A behaviour, social support, coping style, health related behaviour, past injuries, and musculoskeletal pain. Factor analysis was used to identify the sources of occupational stress and the domains of type A behaviour and coping style. Logistic regression analyses were used to study the relations between psychosocial factors and musculoskeletal pain in each body region. Results: The prevalence of musculoskeletal pain over the previous 12 months varied between 7.5% for elbow pain and 32% for low back pain; 56% workers had at least one complaint. Significant associations were found between various psychosocial factors and musculoskeletal pain in different body regions after adjusting for potential confounding factors. Occupational stressors, in particular stress from safety, physical environment, and ergonomics, were important predictors of musculoskeletal pain, as was coping by eating behaviour. Conclusions: These observations supported the widely accepted biopsychosocial model of musculoskeletal disorders and suggested that in future studies of work related musculoskeletal disorders, psychosocial factors must be given due consideration.

Chen, W; Yu, I; Wong, T

2005-01-01

251

Surgeons' experiences of complaints to the Health and Disability Commissioner  

Microsoft Academic Search

Aims To investigate details of patient complaints to the Health and Disability Commissioner about surgeons—to identify factors in the patient-surgeon interaction that might make a complaint more likely, and to consider ways of improving the complaints environment. Methods A questionnaire was developed asking specific questions about surgeons and their practice, number of complaints since 1996 and specific questions about their

Richard Tapper; Laurence Malcolm; Frank Frizelle

252

Moaning, whinging and laughing: the subjective side of complaints  

Microsoft Academic Search

Indirect complaint sequences are examined in a corpus of everyday domestic telephone conversations. The analysis focuses on how a speaker\\/complainer displays and manages their subjective investment in the complaint. Four features are picked out: (1) announcements, in which an upcoming complaint is projected in ways that signal the complainer’s stance or attitude; (2) laughter accompanying the complaint announcement, and its

Derek Edwards

2005-01-01

253

Mindfulness-Based Stress Reduction for Chronic Pain Management  

Microsoft Academic Search

\\u000a Pain is a common complaint in primary care, with chronic pain reported in 20% of visits to general practitioners (McCaffrey\\u000a et al., 2003). Twenty percent of adults suffer from chronic pain, rising to half of those of the older age population (Cousins\\u000a et al., 2004). Chronic pain, defined as “intermittent or continuous pain persisting longer than six months or beyond

Jacqueline Gardner-Nix; Jon Kabat-Zinn

254

Common anorectal conditions: Part I. Symptoms and complaints.  

PubMed

Anorectal symptoms and complaints are common and may be caused by a wide spectrum of conditions. Although most conditions are benign and may be successfully treated by primary care practitioners, a high index of suspicion for colorectal cancer should be maintained, and all patients should be appropriately investigated. Inspection, palpation and anoscopic examination using an Ive's slotted anoscope provide adequate initial assessment. Pruritus ani usually represents a self-perpetuating itch-scratch cycle and is uncommonly due to infection. The history, as well as the physical examination, can distinguish anal pain due to hemorrhoids, fissure, abscess, cancer or proctalgia fugax. The most frequent causes of rectal bleeding are hemorrhoids, fissures and polyps. Diagnoses associated with difficulty in passing stool can range from constipation to fecal incontinence. PMID:11430454

Pfenninger, J L; Zainea, G G

2001-06-15

255

Chapter 4; Arthritis Pain  

Microsoft Academic Search

Arthritic pain is a common and disabling problem for many older adults. There is widespread evidence that despite its prevalance and debilitating effects on the physical, emotional and cognitive status of older adults, arthritic pain remains under-treated in those age 65 and older. This condition significantly and negatively impacts older adults' quality of life and is a critical problem that

Eunkyung Yoon; John B. Doherty

2008-01-01

256

Low back complaints worse, but not more frequent in subjects with congenital lumbosacral malformations: a study on 5000 recruits.  

PubMed

The authors studied the plain radiographs and medical records of 5000 military recruits, mean age 19.1 years (range: 18 to 22), screened in a Turkish Military Hospital in the period November 2008-October 2009. They focused on the incidence of congenital lumbosacral malformations, such as spina bifida occulta and transitional vertebra, trying to find a correlation with subsequent low back complaints. Only 80 out of 748 subjects (10.7%) with low back complaints had one or more malformations, versus 744 out of 4252 subjects (17.5%) without low back complaints. This pleaded against a correlation between malformations and low back disorders. Also the literature is completely divided as to this problem, which means that there is probably no correlation at all. Interestingly, the 80 subjects with low back complaints and malformation estimated their pain level at +/- 4.6 on a Visual Analog Scale for pain, while the 668 with low back complaints but without malformation estimated their pain level at only +/- 2.2 (p = 0.007). At least two other studies led to the same conclusion. This paradox might be due to the fact that congenital malformations concentrate all external stress on the adjacent levels. PMID:23162965

Yavuz, Umut; Bayhan, A Ilhan; Beng, Kubilay; Emrem, Kurtulu?; Uzun, Macit

2012-10-01

257

Prevalence of episiotomy in primiparas, related conditions, and effects of episiotomy on suture materials used, perineal pain, wound healing 3 weeks postpartum, in Turkey: A prospective follow-up study  

PubMed Central

Background: Despite current recommendations against routine use of episiotomy, its incidence is still high in Turkey. The study aimed to identify the prevalence of episiotomy in primiparas, related conditions, and effects of episiotomy on suture materials used, perineal pain, and wound healing 3 weeks postpartum. Materials and Methods: This study was designed as a prospective follow-up study. Data were collected via a questionnaire form between March 2007 and February 2009 in Ayd?n Government Hospital, Turkey. Three hundred ninety-six primiparas were included in the study by convenience sampling. Results: It was determined that 56.3% of the women had episiotomies. The results of the study revealed that the probability of receiving an episiotomy was decreased in women with lack of legal marriage and unplanned pregnancies, and increased in women who had ineffective pushing efforts approximately four times, miscellaneous two times and baby's head circumference 1.27 times. Moreover, the results of the study demonstrated that an episiotomy increased the number of the suture materials used by approximately five-fold, as well as the prevalence of pain on the first postpartum day. On the third postpartum week evaluation, it was determined that the probability of problems with wound healing and experiencing pain was approximately two times higher among women who received episiotomies than those who did not receive episiotomies. Conclusion: The study revealed that episiotomies in primiparas increased the number of suture materials used and the probability of having perineal pain on the first postpartum day, as well as perineal pain and wound-healing problems during the third postpartum week.

Karacam, Zekiye; Ekmen, Hatice; Calis?r, Husniye; Seker, Sibel

2013-01-01

258

22 CFR 18.10 - Service of complaint and other papers.  

Code of Federal Regulations, 2013 CFR

...false Service of complaint and other papers. 18.10 Section 18.10 Foreign...10 Service of complaint and other papers. (a) Complaint. The complaint...person resident abroad. (b) Service of papers other than complaint. Any paper...

2013-04-01

259

Chronic neck pain: How to approach treatment  

Microsoft Academic Search

Chronic neck pain is a common patient complaint. Despite its frequency as a clinical problem, there are few evidence-based\\u000a studies that document efficacy of therapies for neck pain. The treatment of this symptom is based primarily on clinical experience.\\u000a Preventing the development of chronic neck pain can be achieved by modification of the work environment with chairs that encourage\\u000a proper

David G. Borenstein

2007-01-01

260

Chronic Pain in Adolescence: Parental Responses, Adolescent Coping, and their Impact on Adolescent's Pain Behaviors  

PubMed Central

Objectives?The aim of this study was to examine relations among parental responses, adolescent pain coping, and pain behaviors in adolescents with chronic pain.?Methods?This study included 217 adolescents (12–17 years) evaluated at a multidisciplinary pain clinic and their parents. Adolescents completed measures assessing their pain, pain coping responses, functional disability, and somatic symptoms. Parents reported on their responses to their adolescent's pain.?Results?Passive and active coping interacted with parental protective behavior to predict adolescents’ pain behaviors. Contrary to expectations, among adolescents who reported infrequent use of passive or active coping strategies, higher levels of parental protective behavior were associated with higher levels of disability and somatic symptoms.?Discussion?Among adolescents who report infrequent use of passive and active coping responses, parental protective responses to pain may inadvertently promote greater disability and symptom complaints. Parental responses to pain may be an important target to treat adolescent chronic pain.

Claar, Robyn Lewis; Logan, Deirdre L.

2008-01-01

261

Clinical Management of Musculoskeletal Pain Syndromes  

Microsoft Academic Search

\\u000a The child presenting to the general practitioner with complaints of musculoskeletal pain is common and pediatricians need\\u000a to be more knowledgeable of these conditions. It presents a challenge to make the diagnosis without invasive and expensive\\u000a testing. A complete physical exam is essential. Often, simple reassurance, analgesics, physical therapy, and lifestyle changes\\u000a are sufficient for most complaints. More specific knowledge

Lynn M. Rusy

262

Musculoskeletal pain among women of menopausal age in Puebla, Mexico  

Microsoft Academic Search

Worldwide, complaints of musculoskeletal pain are more frequent than complaints of hot flashes amongst women of menopausal\\u000a age. The purpose of this study was to examine musculoskeletal pain among women of menopausal age in the city of Puebla, Mexico.\\u000a An opportunity sample was recruited from public parks and markets, with representation from all social classes (n=755). Mean age was 50.1~years,

Lynnette Leidy Sievert; Susan K. Goode-Null

2005-01-01

263

Patients with local adverse effects from dental alloys: frequency, complaints, symptoms, allergy.  

PubMed

Data on the prevalence of adverse effects from dental cast alloys and on the characteristics of the related patient groups are scarce. Therefore, the aim of the present study was to investigate patients in a defined part of Germany attributing oral complaints or symptoms to dental cast alloys. All dentists in the area of Eastern Bavaria (with 1 million inhabitants) were asked to send corresponding patients to our department during a 3-year period. Out of this collection, patients with complaints or symptoms in the oral cavity were recruited and characterized with regard to number, age and sex distribution, type of subjective complaints and objective intraoral symptoms, and allergy status based on an alloy analysis. Patients reporting to our department with suspected local adverse effects from dental cast alloys represented 0.01% of the population. Thirty-four percent of the patients were 50-59 years old, with females prevailing (76%). A great variety of subjective complaints was reported, which mainly resembles those reported by patients with adverse effects attributed to other dental materials like amalgam or denture base materials. The main objective intraoral symptoms were gingivitis, anomalies of the tongue (lingua plicata, lingua geographica), discoloration of the gingiva, redness of the palate or tongue and lichenoid reactions of the oral mucosa. In not more than 10% of the patients, allergy was diagnosed as contributing to the complaints or symptoms. PMID:11800437

Garhammer, P; Schmalz, G; Hiller, K A; Reitinger, T; Stolz, W

2001-12-01

264

37 CFR 11.34 - Complaint.  

Code of Federal Regulations, 2013 CFR

...respondent; and (5) Be signed by the OED Director. (b) A complaint will...within one year after the date on which the OED Director receives a grievance forming...tolled if the involved practitioner and the OED Director agree in writing to such...

2013-07-01

265

Development of the Subjective Memory Complaints Questionnaire  

Microsoft Academic Search

Aim: We aimed toevaluatethe psychometric properties of the Subjective Memory Complaints Questionnaire (SMCQ). Methods: The reliability of the SMCQ was evaluated by testing its internal consistency and test-retest reliability. Pearson correlation analyses were performed to assess the concurrent validity. Confirmatory factor analysis was used to evaluate the construct validity. Diagnostic ability for dementia was tested with receiver operator characteristic curve

Jong Chul Youn; Ki Woong Kim; Dong Young Lee; Jin Hyeong Jhoo; Seok Bum Lee; Joon Hyuk Park; Eun Ae Choi; Jin Yeong Choe; Ji Woon Jeong; Il Han Choo; Jong Inn Woo

2009-01-01

266

SLEEP COMPLAINTS IN COMMUNITY-LIVING OLDER PERSONS: A MULTIFACTORIAL GERIATRIC SYNDROME  

PubMed Central

Among older persons, sleep complaints in the form of insomnia and daytime drowsiness are highly prevalent and associated with adverse outcomes. The underlying mechanisms are linked to age-related declines in physiology, i.e., normal aging, and age-related increases in disease prevalence, i.e., usual aging. In this monograph, we describe how normal aging leads to less restorative sleep, characterized by reductions in homeostatic and circadian sleep, and to phase advancement of the sleep-wake cycle, characterized by older persons being more alert in the early morning but drowsier in the early evening. We also describe how usual aging leads to sleep complaints through reductions in health status, loss of physical function, and primary sleep disorders. Psychosocial influences are likewise described and their relevance to sleep complaints is discussed. We subsequently incorporate these aging-related changes into a conceptual model that describes sleep complaints as a consequence of multiple and interdependent predisposing, precipitating, and perpetuating factors, akin to a geriatric syndrome. We conclude our discussion by applying our conceptual model to the sleep-related care of an older person with insomnia and daytime drowsiness, and suggest that the diagnostic assessment consider, in addition to primary sleep disorders, multiple domains including medical, physical, cognitive, psychological, and social issues with the intent of developing an overall therapeutic plan and establishing long-term follow-up.

Vaz Fragoso, Carlos A.; Gill, Thomas M.

2009-01-01

267

The role of peer communication in the socialization of adolescents' pain experiences: a qualitative investigation  

Microsoft Academic Search

BACKGROUND: Recurrent pain is a common complaint among adolescents. Children learn to resolve or cope with pain largely through family dynamics, particularly maternal influences. By adolescence, young people possess an array of pain behaviors, the culmination of multiple opportunities for modeling and reinforcement of attitudes and beliefs about pain. Adolescence is a time of increased autonomy characterized by, among other

Jill E Hatchette; Patrick J McGrath; Michael Murray; G Allen Finley

2008-01-01

268

Altered cortical somatosensory processing in chronic stroke: A relationship with post-stroke shoulder pain  

Microsoft Academic Search

Post-stroke shoulder pain (PSSP), traditionally regarded as purely nociceptive pain, is often persistent and the mechanisms underlying the pain complaints are not well understood. This explorative study is the first to address the possible changes in cortical somatosensory processing in patients with PSSP. Cortical potentials were recorded following intracutaneous electrostimulaton in stroke patients with chronic PSSP (n= 6), pain-free stroke

M. Roosink; J. R. Buitenweg; G. J. Renzenbrink; A. C. H. Geurts; M. J. IJzerman

2011-01-01

269

Altered cortical somatosensory processing in chronic stroke: a relationship with post-stroke shoulder pain  

Microsoft Academic Search

Post-stroke shoulder pain (PSSP), traditionally regarded as purely nociceptive pain, is often persistent and the mechanisms underlying the pain complaints are not well understood. This explorative study is the first to address the possible changes in cortical somatosensory processing in patients with PSSP. Cortical potentials were recorded following intracutaneous electrostimulaton in stroke patients with chronic PSSP (n= 6), pain-free stroke

Meyke Roosink; Jan R. Buitenweg; Gerbert J. Renzenbrink; Alexander C. H. Geurts; Maarten J. IJzerman

2011-01-01

270

8 CFR 1003.104 - Filing of complaints; preliminary inquiries; resolutions; referral of complaints.  

Code of Federal Regulations, 2013 CFR

...Notice of Intent to Discipline. (d) Referral of complaints of criminal conduct . If the EOIR disciplinary...if appropriate, to the Inspector General, the Federal Bureau of Investigation, or other law enforcement agency. In...

2013-01-01

271

Pain and Its Treatment in Patients with Cancer in Korea  

Microsoft Academic Search

Substantial pain is experienced by a lot of patients with cancer, and undertreated pain significantly undermines their quality of life. Despite international and national guidelines on cancer pain management, the practical effectiveness of management is still problematic. We did a prospective cross-sectional survey on pain prevalence, pain intensity, its impact on daily activity, and adequacy of pain management in 823

Myung Soo Hyun; Jae Lyun Lee; Kyung Hee Lee; Ki Young Kwon; Hong Suk Song; Ok Bae Kim; Sang Kyun Sohn; Kyu Bo Lee; Hun Mo Rhu; Gun Wook Park; Dong Gun Shin; Jeong Lim Lee

2003-01-01

272

Prevalence of chronic musculoskeletal disorders in elderly Brazilians: a systematic review of the literature  

PubMed Central

Background Population ageing is a worldwide phenomenon that has recently challenged public healthcare systems. The knowledge of the burden of chronic musculoskeletal disorders in elders is still limited, particularly in the developing world. This systematic review aimed to investigate the prevalence of chronic musculoskeletal disorders in elderly Brazilians. Methods A comprehensive literature search was performed in five electronic databases (from inception to January 2012) and completed by additional searches in reference lists. Two review authors independently selected the eligible studies and extracted data on participants’ characteristics and rates of chronic musculoskeletal disorders. One review author extracted methodological quality data. We performed a critical synthesis of the results, which were grouped into the diagnoses “chronic musculoskeletal pain” or “specific musculoskeletal diagnoses”. Results Twenty five studies reporting on a total of 116,091 elderly Brazilians were included. Eight studies (32%) were of high methodological quality. There was a large variation in the measure of prevalence used by individual studies and in their definition of chronic pain. Prevalence estimates reached 86% for chronic musculoskeletal pain in any location. Studies investigating multiple pain sites found the lower limb and the spine to be the most prevalent complaints (50% each). Arthritis and rheumatism (including osteoarthritis) were the most prevalent specific musculoskeletal diagnoses (9% to 40%), followed by herniated disc (6% to 27%). Conclusions Despite the growth of the elderly population worldwide, high-quality research on the burden of chronic musculoskeletal disorders in the elderly is still scarce. Future healthcare research focusing on this age group should be a priority in developing countries since their public healthcare systems are not yet fully prepared to accommodate the needs of an aging population.

2012-01-01

273

Predictors of persistent acute postoperative pain: an opportunity for preventative medicine to reduce the burden of chronic pain  

Microsoft Academic Search

Chronic pain represents a major public health problem. A major precursor of a chronic pain state is persistent acute postoperative pain. Risk factors of developing persistent acute postoperative pain are identified and preventative strategies for implementation are discussed. Epidemiological studies have shown that chronic pain represents a major public health problem.1 The prevalence of chronic pain obtained ranges from 8%-80%

Edward Shipton

274

Recurrent Pain in College Students  

Microsoft Academic Search

The authors investigated the prevalence of recurrent pain in a college student sample. Of the 1,564 students surveyed, 467 (29%) indicated that they had experienced recurrent pain at an intensity that was mostly in the mild-to-moderate range. Students who reported having recurrent pain were significantly older and more depressed than students who did not indicate they suffered from recurrent pain.

Britton W. Brewer; Paul Karoly

1992-01-01

275

46 CFR 502.62 - Complaints and fee.  

Code of Federal Regulations, 2011 CFR

...FEDERAL MARITIME COMMISSION GENERAL AND ADMINISTRATIVE PROVISIONS RULES OF PRACTICE AND PROCEDURE Proceedings; Pleadings; Motions; Replies § 502.62 Complaints and fee. (a) The complaint must be verified and shall contain the name and...

2011-10-01

276

29 CFR 1977.15 - Filing of complaint for discrimination.  

Code of Federal Regulations, 2013 CFR

... false Filing of complaint for discrimination. 1977.15 Section 1977.15...DEPARTMENT OF LABOR (CONTINUED) DISCRIMINATION AGAINST EMPLOYEES EXERCISING RIGHTS...1977.15 Filing of complaint for discrimination. (a) Who may file. A...

2013-07-01

277

40 CFR 7.180 - Mediation of age discrimination complaints.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 false Mediation of age discrimination complaints. 7.180 Section...ENVIRONMENTAL PROTECTION AGENCY Discrimination Prohibited on the Basis of Age § 7.180 Mediation of age discrimination complaints. (a) The...

2013-07-01

278

29 CFR 1984.103 - Filing of retaliation complaint.  

Code of Federal Regulations, 2013 CFR

...Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED...HANDLING OF RETALIATION COMPLAINTS UNDER SECTION 1558 OF THE AFFORDABLE CARE ACT Complaints, Investigations, Findings and...

2013-07-01

279

7 CFR 1924.259 - Handling dwelling construction complaints.  

Code of Federal Regulations, 2013 CFR

...2013-01-01 false Handling dwelling construction complaints. 1924.259 Section...AGRICULTURE PROGRAM REGULATIONS CONSTRUCTION AND REPAIR Complaints and Compensation for Construction Defects § 1924.259 Handling...

2013-01-01

280

32 CFR 1907.04 - Suggestions and complaints.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 false Suggestions and complaints. 1907.04 Section 1907.04 National Defense Other Regulations Relating...TO SEC. 1.8 OF EXECUTIVE ORDER 13526 General § 1907.04 Suggestions and complaints. The...

2013-07-01

281

32 CFR 112.5 - Processing of debt complaints.  

Code of Federal Regulations, 2013 CFR

32 National Defense 1 2013-07-01...false Processing of debt complaints. 112.5 Section 112.5 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE...5 Processing of debt complaints....

2013-07-01

282

Report a Complaint (about a Health Care Organization)  

MedlinePLUS

... Wednesday 3:07 CST, October 9, 2013 Report a Complaint New: Easy-to-read flier about the ... the health care organization’s leadership. When we receive a complaint As an accreditor, The Joint Commission can ...

283

34 CFR 300.507 - Filing a due process complaint.  

Code of Federal Regulations, 2010 CFR

...2010-07-01 false Filing a due process complaint. 300.507 Section...DISABILITIES Procedural Safeguards Due Process Procedures for Parents and Children § 300.507 Filing a due process complaint. (a)...

2010-07-01

284

34 CFR 300.507 - Filing a due process complaint.  

Code of Federal Regulations, 2010 CFR

...2009-07-01 false Filing a due process complaint. 300.507 Section...DISABILITIES Procedural Safeguards Due Process Procedures for Parents and Children § 300.507 Filing a due process complaint. (a)...

2009-07-01

285

45 CFR 672.8 - Answer to the complaint.  

Code of Federal Regulations, 2011 CFR

...Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING PROCEDURES § 672.8 Answer...answer to the complaint with the Hearing Clerk. Any such answer to...complaint must be filed with the Hearing Clerk within twenty...

2011-10-01

286

45 CFR 672.8 - Answer to the complaint.  

Code of Federal Regulations, 2012 CFR

...Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING PROCEDURES § 672.8 Answer...answer to the complaint with the Hearing Clerk. Any such answer to...complaint must be filed with the Hearing Clerk within twenty...

2012-10-01

287

77 FR 37616 - Disclosure of Consumer Complaint Data  

Federal Register 2010, 2011, 2012, 2013

...The general issues raised by narrative field disclosure are also common across...Bureau to withhold credit card complaint narratives pending further analysis exist for complaint narratives involving other products and...

2012-06-22

288

6 CFR 13.8 - Service of Complaint.  

Code of Federal Regulations, 2013 CFR

... 2013-01-01 false Service of Complaint. 13.8 Section 13.8 Domestic Security DEPARTMENT OF HOMELAND SECURITY...OF THE SECRETARY PROGRAM FRAUD CIVIL REMEDIES § 13.8 Service of Complaint. (a) Service of...

2013-01-01

289

6 CFR 13.8 - Service of Complaint.  

Code of Federal Regulations, 2012 CFR

... 2012-01-01 false Service of Complaint. 13.8 Section 13.8 Domestic Security DEPARTMENT OF HOMELAND SECURITY...OF THE SECRETARY PROGRAM FRAUD CIVIL REMEDIES § 13.8 Service of Complaint. (a) Service of...

2012-01-01

290

6 CFR 13.8 - Service of Complaint.  

Code of Federal Regulations, 2010 CFR

... 2009-01-01 false Service of Complaint. 13.8 Section 13.8 Domestic Security DEPARTMENT OF HOMELAND SECURITY...OF THE SECRETARY PROGRAM FRAUD CIVIL REMEDIES § 13.8 Service of Complaint. (a) Service of...

2009-01-01

291

45 CFR 88.2 - Complaint handling and investigating.  

Code of Federal Regulations, 2012 CFR

...POLICIES OR PRACTICES IN VIOLATION OF FEDERAL LAW § 88.2 Complaint handling...Rights (OCR) of the Department of Health and Human Services is designated to receive complaints based on the Federal health care provider conscience...

2012-10-01

292

45 CFR 88.2 - Complaint handling and investigating.  

Code of Federal Regulations, 2011 CFR

...POLICIES OR PRACTICES IN VIOLATION OF FEDERAL LAW § 88.2 Complaint handling...Rights (OCR) of the Department of Health and Human Services is designated to receive complaints based on the Federal health care provider conscience...

2011-10-01

293

34 CFR 300.508 - Due process complaint.  

Code of Federal Regulations, 2010 CFR

...2009-07-01 2009-07-01 false Due process complaint. 300.508 Section 300...DISABILITIES Procedural Safeguards Due Process Procedures for Parents and Children § 300.508 Due process complaint. (a) General....

2009-07-01

294

Unheard voices: complaint patterns of older persons in the health care system  

Microsoft Academic Search

To examine the patterns and prevalence of complaints about health services among older clients of Health Maintenance Organizations\\u000a (HMOs), explore demographic correlates, and compare results with the patterns in the younger population. Primary data were\\u000a collected from the responses of subjects who participated in two national phone surveys, conducted in Israel over a period\\u000a of 2 years. The final sample included

Israel Doron; Iddo Gal; Maya Shavit; Pnina Weisberg-Yosub

2011-01-01

295

Pain experience of the elderly.  

PubMed

Too often, the elderly suffer silently and needlessly with chronic pain. To investigate the pain experience of the elderly living in the community, a descriptive research design was used. The aims of the study were to determine the prevalence of pain in an older population living in the community, to obtain a description of the older adult's pain experience, and to determine strategies used to manage their pain. The results of the study indicated that >90% of the elderly living in the community experienced pain within the past month, with 41% reporting discomforting, distressing, horrible, or excruciating pain. Musculoskeletal pain was found to be the most predominant pain, and inactivity was the most effective strategy used to lessen pain. Pain in the elderly continues to be a challenge which needs to be addressed more effectively by health care providers. Based on the high prevalence of pain experienced by the elderly and the expected demographic shifts in the next two decades, it is imperative to continue research in this area to assure the highest quality of life, as well as maximum functional ability, for the elderly. Health care providers need to understand the multidimensional pain experience that occurs in the daily life of the community-dwelling older adult and the most effective management strategies that can be used to provide pain relief. PMID:22117750

Brown, Sylvia T; Kirkpatrick, Mary K; Swanson, Melvin S; McKenzie, Ila Leigh

2010-07-24

296

Toward vocabulary control for chief complaint.  

PubMed

The chief complaint (CC) is the data element that documents the patient's reason for visiting the emergency department (ED). The need for a CC vocabulary has been acknowledged at national meetings and in multiple publications, but to our knowledge no groups have specifically focused on the requirements and development plans for a CC vocabulary. The national consensus meeting "Towards Vocabulary Control for Chief Complaint" was convened to identify the potential uses for ED CC and to develop the framework for CC vocabulary control. The 10-point consensus recommendations for action were 1) begin to develop a controlled vocabulary for CC, 2) obtain funding, 3) establish an infrastructure, 4) work with standards organizations, 5) address CC vocabulary characteristics for all user communities, 6) create a collection of CC for research, 7) identify the best candidate vocabulary for ED CCs, 8) conduct vocabulary validation studies, 9) establish beta test sites, and 10) plan publicity and marketing for the vocabulary. PMID:18439204

Haas, Stephanie W; Travers, Debbie; Tintinalli, Judith E; Pollock, Daniel; Waller, Anna; Barthell, Edward; Burt, Catharine; Chapman, Wendy; Coonan, Kevin; Kamens, Donald; McClay, James

2008-05-01

297

[Number of complaints in cashiers at workplaces with conventional cash registers and those with barcode reader equipment].  

PubMed

115 cash register operators of supermarkets have been studied. Postural complaints are high, compared to office workers. The results obtained by questionnaire and by a rheumatological examination revealed that most cash register operators complain about pains in the back, in the left shoulder and in the left arm. The cashiers working on laser-scanner-systems have the same complaints, but they have significantly less pains in the right arm and the right hand because the cash register is only used infrequently. It seems to be better if cashiers have to do different tasks in a supermarket because the study shows that cashiers who work at different workplaces have significantly less pains then those who work only at the cash register. PMID:2945343

Hinnen, U; Krueger, H; Läubli, T

1986-01-01

298

Perceived stress and everyday memory complaints among older adult women  

Microsoft Academic Search

Memory complaints among older adults are often influenced by depression and anxiety, but the association of stress to memory complaints has received little attention. We examined the associations of perceived stress, life events, and activity level to everyday memory complaints among healthy older women, while controlling for the influence of depression and anxiety. Participants (N=54) completed self-report questionnaires on memory

Guy G. Potter; Marilyn Hartman; Taeh Ward

2009-01-01

299

The Role of Gender in Reactions to Complaint Handling Activities  

Microsoft Academic Search

This paper explores the nature of complaint satisfaction with particular emphasis on the qualities and behaviours that affect male and female customers during personal complaint handling encounters. An explorative study using the means-end approach and qualitative laddering techniques provides a deeper understanding of attributes of effective customer contact employees. The research indicates that being taken seriously in the complaint encounter

Isabelle Szmigin; Thorsten Gruber; Roediger Voss

300

Managing consumer complaints: differences and similarities among heterogeneous retailers  

Microsoft Academic Search

Purpose – The purpose of this paper is threefold: to examine complaint management among retailers in order to develop a typology of their strategic complaint management system; to develop a profile of each retailer group included in the typology using a set of key relevant variables (e.g. company size, perceived customer dissatisfaction); and to investigate the state of complaint management

Torben Hansen; Ricky Wilke; Judith Zaichkowsky

2010-01-01

301

39 CFR 3030.2 - Scope and nature of complaints.  

Code of Federal Regulations, 2013 CFR

...Service 1 2013-07-01 2013-07-01 false Scope and nature of complaints. 3030.2 Section 3030.2 Postal Service...PERSONNEL RULES FOR COMPLAINTS General § 3030.2 Scope and nature of complaints. Any interested person (including...

2013-07-01

302

Orbitofrontal Gray Matter Relates to Early Morning Awakening: A Neural Correlate of Insomnia Complaints?  

PubMed Central

Sleep complaints increase profoundly with age; prevalence estimates of insomnia in the elderly reach up to 37%. The three major types of nocturnal complaints are difficulties initiating (DIS) and maintaining (DMS) sleep and early morning awakening (EMA), of which the latter appears most characteristic for aging. The neural correlates associated with these complaints have hardly been investigated, hampering the development of rational treatment and prevention. A recent study on structural brain correlates of insomnia showed that overall severity, but not duration, of insomnia complaints is associated with lower gray matter (GM) density in part of the left orbitofrontal cortex (OFC). Following up on this, we investigated, in an independent sample of people not diagnosed with insomnia, whether individual differences in GM density are associated with differences in DIS, DMS, and EMA. Sixty five healthy participants (mean age?=?41?years, range 18–56) filled out questionnaires and underwent structural magnetic resonance imaging. Three compound Z-scores were computed for questionnaire items relating to DIS, DMS, and EMA. Whole-brain voxel-based morphometry was used to investigate their association with GM density. Results show that participants with lower GM density in a region where the left inferior OFC borders the insula report more EMA, but not DIS or DMS. This is the first study to investigate structural brain correlates of specific sleep characteristics that can translate into complaints in insomniacs. The selective association of EMA with orbitofrontal GM density makes our findings particularly relevant to elderly people, where EMA represents the most characteristic complaint. It is hypothesized that low GM density in aforementioned orbitofrontal area affects its role in sensing comfort. An intact ability to evaluate comfort may be crucial to maintain sleep, especially at the end of the night when sleep is vulnerable because homeostatic sleep propensity has dissipated.

Stoffers, Diederick; Moens, Sarah; Benjamins, Jeroen; van Tol, Marie-Jose; Penninx, Brenda W. J. H.; Veltman, Dick J.; Van der Wee, Nic J. A.; Van Someren, Eus J. W.

2012-01-01

303

Sleep habits and complaints of adults in the city of São Paulo, Brazil, in 1987 and 1995  

Microsoft Academic Search

This study compares the prevalence of complaints of insomnia, exces- sive diurnal sleepiness, parasomnias, and sleep habits of the adult population in the city of São Paulo, Brazil, estimated in surveys carried out in 1987 and 1995. Representative samples of 1000 adult residents per survey were interviewed using a validated structured sleep questionnaire, the \\

M. L. N. Pires; A. A. Benedito-Silva; M. T. Mello; S. Del Giglio; C. Pompeia; S. Tufik

2007-01-01

304

Adults with ADHD and Sleep Complaints: A Pilot Study Identifying Sleep-Disordered Breathing Using Polysomnography and Sleep Quality Assessment  

ERIC Educational Resources Information Center

|Objective: ADHD and sleep-disordered breathing are both prevalent in adulthood. Because both conditions may be responsible for similar symptoms of cognitive impairment, the authors investigate whether their presentation may overlap in adults diagnosed with ADHD. Method: Data are collected from six adults with sleep complaints who were diagnosed…

Surman, Craig B. H.; Thomas, Robert J.; Aleardi, Megan; Pagano, Christine; Biederman, Joseph

2006-01-01

305

Shoulder pain  

PubMed Central

Introduction Shoulder pain is a common problem with an estimated prevalence of 4% to 26%. About 1% of adults aged over 45 years consult their GP with a new presentation of shoulder pain every year in the UK. The aetiology of shoulder pain is diverse and includes pathology originating from the neck, glenohumeral joint, acromioclavicular joint, rotator cuff, and other soft tissues around the shoulder girdle. The most common source of shoulder pain is the rotator cuff, accounting for over two-thirds of cases. Methods and outcomes We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of oral drug treatment, topical drug treatment, local injections, non-drug treatment, and surgical treatment? We searched: Medline, Embase, The Cochrane Library, and other important databases up to August 2009 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). Results We found 71 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. Conclusions In this systematic review we present information relating to the effectiveness and safety of the following interventions: acupuncture, arthroscopic subacromial decompression, autologous whole blood injection, corticosteroids (oral, subacromial injection, or intra-articular injection), electrical stimulation, excision of distal clavicle, extracorporeal shock wave therapy, ice, laser treatment, manipulation under anaesthesia, suprascapular nerve block, non-steroidal anti-inflammatory drugs (oral, topical or intra-articular injection), opioid analgesics, paracetamol, physiotherapy (manual treatment, exercises), platelet-rich plasma injection, rotator cuff repair, shoulder arthroplasty, and ultrasound.

2010-01-01

306

Predictive factors of subjective sleep quality and insomnia complaint in patients with stroke: implications for clinical practice.  

PubMed

The complaints regarding sleep problems have not been well identified after a stroke. The aim of this study was to investigate the predictive factors of sleep quality and insomnia complaints in patients with stroke. A total of 70 subjects, 40 patients (57 ± 7 years) and 30 healthy controls (52 ± 6 years) assessed by the Pittsburgh Sleep Quality Index (PSQI) and the Sleep Habits Questionnaire took part in the study. The data were analyzed using the chi-square test, the Student's t-test and logistic regression analysis. On average, the patients showed poor sleep quality (patients: 6.3 ± 3.5; controls: 3.9 ± 2.2; p= 0.002) and insomnia complaint was the most prevalent (patients: 37.5%; controls: 6.7%; p= 0.007). The absence of insomnia complaint (OR= 0.120; 95%CI= 0.017-0.873; p= 0.036) and the decreased latency of sleep (OR= 0.120; 95%CI= 0.017-0.873; p= 0.036) were the protective factors of sleep quality. Female sex (OR= 11.098; 95%CI= 1.167-105.559; p= 0.036) and fragmented sleep (OR= 32.040; 95%CI= 3.236-317.261; p= 0.003) were the risk factors for insomnia complaint. We suggest that complaints of poor sleep quality and insomnia should be given priority assessment during clinical diagnosis of sleep disorders in stroke. PMID:24068099

Da Rocha, Patrícia C; Barroso, Marina T M; Dantas, Ana Amália T S G; Melo, Luciana P; Campos, Tania F

2013-08-28

307

Health complaints in acknowledged and unacknowledged rape victims.  

PubMed

Rape may have physical as well as mental health consequences. Previous studies on health complaints in sexual assault survivors have focused on women who acknowledged their assault as rape. Unacknowledged rape victims do not define their assault as "rape" despite meeting legal definitions. In this study, acknowledged victims, unacknowledged victims, and a control group reported the number of health complaints, the intensity of complaints, and how often they reported these complaints to health professionals. Rape alone, without acknowledgment, was associated with in an increase in the reported number and intensity of health complaints and the frequency at which these complaints are addressed to health professionals. Acknowledgment of rape was associated with an even greater increase in the number and intensity of health complaints. PMID:16564439

Conoscenti, Lauren M; McNally, Richard J

2006-01-01

308

FTC's Top 10 Consumer Fraud Complaints of 2001  

NSDL National Science Digital Library

The Top 10 Consumer Fraud Complaints of 2001 report has recently been released by the Federal Trade Commission (FTC). According to the FTC, identity theft headed the top 10 consumer fraud complaints, accounting for forty-two percent of the 204,000 complaints entered into the FTC's Consumer Sentinel database last year. Howard Beales, Director of the FTC's Bureau of Consumer Protection, stated that "consumers who report their complaints to the FTC are helping law enforcement find and stop rip-off artists." Therefore, if you have been a victim of an egregious consumer violation or misdeed, do no hesitate to call the FTC and report your complaint(s); the complaints in the Consumer Sentinel database are a valuable tool for state and federal consumer protection agencies that investigate and prosecute fraud.

2002-01-01

309

Magnetic resonance imaging findings in low back pain and lower extremity radicular chronic pain  

PubMed Central

Abstract: Background: Low back pain (LBP) is one of the most prevalent complaints among the people worldwide. According to the medical statistics, about 80 percent of people have at least one episode of LBP during their lifetime cause them to visit a physician for treatment. LBP is the most prevalent cause of work disability and its related leaves among people under 45 years old. Numerous studies have been conducted on the connection between clinical signs, patients’ complaints, the level of lumbar disc herniation, and abnormal findings of magnetic resonance imaging (MRI). In many cases, contradictory views have been reported and even in some cases canal stenosis and herniated disc have been reported in patient without clinical sings. The aim of this study was to analyze MRI findings in patients with LBP and radicular chronic pain (RCP) attending Imam Reza Hospital (Kermanshah, Iran). Methods: This cross-sectional study was conducted on 200 patients (100 with LBP and 100 with RCP). Following unsuccessful results of medical treatment for 1 to 48 months, the examination results, demographic information (age, sex, job, etc.) and their complaints along with MRI findings were documented and statistically analyzed. Patients with history of lumbar surgery, infective inflammatory diseases, fractures, tumors, etc were excluded from the study. To determine the significant correlation between qualitative and quantitative variables, the Chi-Square test and the independent t-test were respectively performed using the statistical package of SPSS (Version 12) The P-value of less than 0.05 was considered significant. Results: In the LBP group, patients complained only of posterior and inferior spinal column pain and did not have any pain distribution toward lower limbs or any other signs. However, in the RCP group, in addition to pain distribution towards the lower limbs, they were complaining about muscular myotonia and sensational disorder and 88% also had low back pain. 94 of them were men and 106 were women.106 subjects (80.5%) were urban residents and 39 (19.5%) rural residents. There were 42.5% housewife, 21.5% employee, 15% workers, 9.5% self-employed, and 8.5% were unemployed. In terms of education, 27% were uneducated, 40.5% with incomplete high school diploma, and 32.5% with high school diploma and higher levels of education. 33.5% of patients had the treatment period of one month, while for the rest this period was more than one month to 4 years. Twenty percent did not rest, 52.5% rested up to 3 weeks and 24% rested up to 3 months. In the RCP group, 41% complained of pain in the right leg, 36% in the left leg, and 23% in both legs. However, in the RCP group, 26% had limb paresis, 5% atrophy, 25% some levels of sensational disorders, and 2% had sphincter disorders. MRI findings: Herniated disc in the form of protrusion and extrusion at L4-L5 and L5-S1 spaces were mainly observed in patients with RCP rather than those with LBP. Twenty-six patients (13%) had spondylolisthesis of which 12 (46.2%) were in LBP group and the other 14 patients (53.8) in RCP group. Forty-eight patients (24%) had canal stenosis of which 11 patients were from LBP group and 37 from RCP group. Of these 48 patients, 11 had partial stenosis and 37 had absolute stenosis that were in the RCP group. Conclusions: The most prevalent herniated disc spaces were at the levels of L4-L5 (87%) and S1-S2 (65%). This is because that most of the movements occur in the mobile parts of disc surface and the stresses that are exerted on the mentioned part. Generally, a meaningful correlation between existence of canal stenosis at L4-L5 and L5-S1 levels and the existence of pressure effect on nerve in THECAL SAC and lat recess in patients with RCP was seen; and also a meaningful correlation among muscular myotonia, radicular distribution of limbs’ pain along with compressive effects on the nerve in the lat recess and the thecal sac and spinal canal stenosis were observed. A significant correlation between complaints of RCP in lower limbs and muscular myotonia wi

Saeidiborojeni, Hamid Reza; Shobeiri, Elham; Saeidiborojeni, Sepehr

2012-01-01

310

31 CFR 15.737-13 - Service of complaint and other papers.  

Code of Federal Regulations, 2013 CFR

...false Service of complaint and other papers. 15.737-13 Section 15.737-13...737-13 Service of complaint and other papers. (a) Complaint. ...proof of such service. (b) Service of papers other than complaint. Any paper...

2013-07-01

311

[Helicobacter pylori infection in 755 patients with digestive complaints: Pasteur Institute, Morocco, 1998-2007].  

PubMed

We determined the prevalence of Helicobacter pylori infection in 755 patients with digestive complaints identified from laboratory records at the Pasteur Institute, Morocco from 1998 to 2007. Epidemiological factors and gastrointestinal conditions associated with this infection were also studied. All patients underwent endoscopy and diagnosis was by histology examination. The prevalence of H. pylori infection was 69%. The difference in prevalence between the age group 40-50 years and other age groups was statistically significant; gender had no significant association. H. pylori infection was found in 92% of chronic gastritis cases. The prevalence of H. pylori was significantly higher in the antrum (73%) than in the corpus (21%) and the pylorus (6%). PMID:20799536

Joutei, H A H; Hilali, A; Fechtali, T; Rhallabi, N; Benomar, H

2010-07-01

312

[Use of health insurance data to analyse pain management practices in the nursing-home setting].  

PubMed

Pain is the most common health-related complaint in older persons. International estimations mention up to 80% of nursing home residents suffering from pain. In the meantime, no reliable epidemiological data on pain in nursing home residents are available for Germany, because of restricted access to the nursing-home population. This pilot study aimed to evaluate whether routine data from a German statutory health insurance fund can be used to generate data on pain prevalence and analgesic therapy in nursing home residents. To this end, data of all insured persons of Deutsche BKK who received long-term care insurance benefits for nursing-home care between April and June 2007 were selected anonymously. These data were combined with data on diagnoses and analgesic prescriptions. 3 pain-related diagnoses were selected: R 52 (pain, not elsewhere classified), M 16 (coxarthrosis) and G 53.0 (postherpetic neuralgia) and analysed for corresponding prescriptions. The study sample shows similar characteristics regarding age distribution and care needs in terms of long-term care insurance benefits compared to the official data on nursing-home residents for Germany in 2007. The rate of dementia was within the expected range, too. Therefore, external validity of the sample is assumed. One of the 3 selected diagnoses had been documented in 15% of the sample. About 58% of those received an analgesic prescription. Deficits were discovered regarding the documentation of postherpetic neuralgia, the combination of different analgesics and prescriptions for adjuvant drugs. Prevalence rate and numbers of prescriptions were as frequent as expected. The routine method for this analysis proved to be practicable and reliable. Data quality is deemed sufficient so that the main study will proceed to include a longer period of time and additional data. PMID:20661849

Kopke, K; Fischer, Th; Kölzsch, M; Hofmann, W; Kuhlmey, A; Kreutz, R; Dräger, D

2010-07-26

313

How emergency physicians approach low back pain: Choosing costly options  

Microsoft Academic Search

To determine ways in which emergency physicians approach the diagnosis and treatment of the common presenting complaint of low back pain, responses of emergency physicians to a questionnaire dealing with three hypothetical patients with different types of low back pain were taken from a stratified national random sample of eight medical specialties. For severe acute (with and without sciatica) or

Kenneth C. Elam; Daniel C. Cherkin; Richard A. Deyo

1995-01-01

314

Knee complaints seen in general practice: active sport participants versus non-sport participants  

PubMed Central

Background Since knee complaints are common among athletes and are frequently presented in general practice, it is of interest to investigate the type of knee complaints represented in general practice of athletes in comparison with those of non-athletes. Therefore, the aim of this study is to investigate the differences in type of knee complaints between sport participants, in this study defined as athletes, and non-sport participants, defined as non-athletes, presenting in general practice. Further, differences in the initial policy of the GP, medical consumption, and outcome at one-year follow-up were also investigated. Methods Patients consulting their GP for a new episode of knee complaints were invited to participate in this prospective cohort study. From the total HONEUR knee cohort population (n = 1068) we extracted patients who were athletes (n = 421) or non-athletes (n = 388). Results The results showed that acute distortions of the knee were significantly more diagnosed in athletes than in non-athletes (p = 0.04). Further, more athletes were advised by their GP to 'go easy on the knee' than the non-athletes (p < 0.01), but no differences were found in number of referrals and medication prescribed by the GP. The medical consumption was significantly higher among athletes; however, no significant differences were found between the two groups for recovery at one-year follow-up. Conclusion There are no major differences in the diagnosis and prognosis of knee complaints between athletes and non-athletes presented to the GP. This implies that there are no indications for different treatment strategies applied in both groups. However, athletes are more often advised to 'go easy on the knee' and to rest than non-athletes. Further, there is a trend towards increased medical consumption among athletes while functional disability and pain are lower than among the non-athletes.

van Middelkoop, Marienke; van Linschoten, Robbart; Berger, Marjolein Y; Koes, Bart W; Bierma-Zeinstra, Sita MA

2008-01-01

315

Comprehensive approach to the evaluation of groin pain.  

PubMed

Groin pain is often related to hip pathology. As a result, groin pain is a clinical complaint encountered by orthopaedic surgeons. Approximately one in four persons will develop symptomatic hip arthritis before age 85 years. Groin injuries account for approximately 1 in 20 athletic injuries, and groin pain accounts for 1 in 10 patient visits to sports medicine centers. Many athletes with chronic groin pain have multiple coexisting pathologies spanning several disciplines. In treating these patients, the orthopaedic surgeon must consider both musculoskeletal groin disorders and nonorthopaedic conditions that can present as groin pain. A comprehensive history and physical examination can guide the evaluation of groin pain. PMID:23996987

Suarez, Juan C; Ely, Erin E; Mutnal, Amar B; Figueroa, Nathania M; Klika, Alison K; Patel, Preetesh D; Barsoum, Wael K

2013-09-01

316

[Contributions of child psychology to the assessment of pain].  

PubMed

The efficacy of pain management is subordinated to the efficacy of pain assessment. Children are particularly difficult-to-assess patients. In this area, child psychology can contribute to the development of tools and to improving pain assessment. This paper highlights the relevance of studies on dialog in pain assessment situations and the importance of the specificity of both the patient and his pain. Assessing pain and listening to the patient's complaint means meeting the child in his own world. Nonetheless, it is necessary to use and develop assessment tools that are scientifically validated. PMID:19683905

Zabalia, M

2009-08-15

317

Chronic neck pain: how to approach treatment.  

PubMed

Chronic neck pain is a common patient complaint. Despite its frequency as a clinical problem, there are few evidence-based studies that document efficacy of therapies for neck pain. The treatment of this symptom is based primarily on clinical experience. Preventing the development of chronic neck pain can be achieved by modification of the work environment with chairs that encourage proper musculoskeletal movement. The use of neck supports for sleep and active neck exercises together can improve neck pain. Passive therapies, including massage, acupuncture, mechanical traction, and electrotherapy, have limited benefit when measured by clinical trial results. NSAIDs, muscle relaxants, and pure analgesics are the mainstays of therapy. Local injections of anesthetics with or without soluble corticosteroid preparations offer additional pain relief. The purpose of these agents is to diminish pain to facilitate normal neck movement. Surgical therapy with cervical spine fusion is indicated for the rare patient with intractable neck pain resistant to all nonsurgical therapies. PMID:18173978

Borenstein, David G

2007-12-01

318

Identifying neuropathic back and leg pain: a cross-sectional study  

Microsoft Academic Search

Low back pain is a widespread debilitating problem with a lifetime prevalence of 80%, with the underlying pain mechanism unknown in approximately 90% of cases. We used the painDETECT neuropathic pain screening questionnaire to identify likely pain mechanisms in 343 patients with low back pain with or without leg pain in southeastern England referred for physiotherapy. We related the identified

Iain D. Beith; Andrew Kemp; Jonathan Kenyon; Matthew Prout; Thomas J. Chestnut

2011-01-01

319

Antinuclear Antibody, Rheumatoid Factor, and Cyclic-Citrullinated Peptide Tests for Evaluating Musculoskeletal Complaints in Children. Executive Summary. Effective Health Care Program. Comparative Effectiveness Review Number 50.  

National Technical Information Service (NTIS)

Musculoskeletal (MSK) pain is common in children and adolescents, with an estimated prevalence ranging from 2 to 50 percent. MSK pain can affect physical, psychological, and social function and often prompts consultation with a physician. However, MSK pai...

C. Ha D. M. Dryden J. Homik J. E. Ellsworth K. Bond K. O. Wong M. Kirkland

2012-01-01

320

Patient expectations of fair complaint handling in hospitals: empirical data  

PubMed Central

Background A common finding in several studies is patients' dissatisfaction with complaint handling in health care. The reasons why are for the greater part unknown. The key to an answer may be found in a better understanding of patients' expectations. We investigated patients' expectations of complaint handling in hospitals. Methods Subjects were patients who had lodged a complaint at the complaint committees of 74 hospitals in the Netherlands. A total of 424 patients (response 75%) completed a written questionnaire at the start of the complaint procedures. Derived from justice theory, we asked what they expected from fair procedures, fair communication and fair outcome of complaint handling. Results The predominant reason for complainants to lodge a complaint was to prevent the incident from happening again. Complainants expected fair procedures from the complaint committee, in particular an impartial position. This was most important to 87% of the complainants. They also expected to be treated respectfully. Furthermore, they expected the hospital and the professional involved to respond to their complaint. A change in hospital performances was the most wanted outcome of complaint handling, according to 79% of the complainants. They also expected disclosure from the professionals. Professionals should admit a mistake when it had occurred. More complainants (65%) considered it most important to get an explanation than an apology (41%). Only 32% of complainants expected the professional to make an effort to restore the doctor-patient relationship. A minority of complainants (7%) wanted financial compensation. Conclusion Nearly all complainants want to prevent the incident from happening again, not out of pure altruism, but in order to restore their sense of justice. We conclude that complaint handling that does not allow for change is unlikely to meet patients' expectations. Secondly, complaint handling should not be left exclusively to complaint committees, the responses of hospital and professionals are indispensable.

Friele, Roland D; Sluijs, Emmy M

2006-01-01

321

Auditory complaints in scuba divers: an overview.  

PubMed

Pre-1970s, diving was seen as a predominantly male working occupation. Since then it has become a popular hobby, with increasing access to SCUBA diving while on holiday. For a leisure activity, diving puts the auditory system at the risk of a wide variety of complaints. However, there is still insufficient consensus on the frequency of these conditions, which ultimately would require more attention from hearing-healthcare professionals. A literature search of epidemiology studies of eight auditory complaints was conducted, using both individual and large-scale diving studies, with some reference to large-scale non-diving populations . A higher incidence was found for middle ear barotrauma, eustachian tube dysfunction, and alternobaric vertigo with a high correlation among females. Comparing these findings with a non-diving population found no statistically significant difference for hearing loss or tinnitus. Increased awareness of health professionals is required, training, and implementation of the Frenzel technique would help resolve the ambiguities of the Valsalva technique underwater. PMID:23448900

Evens, Rachel A; Bardsley, Barry; C Manchaiah, Vinaya K

2011-10-08

322

Chiropractic complaints and disciplinary cases in Canada  

PubMed Central

This paper retrospectively reviews various complaints and disciplinary cases that have appeared before chiropractic provincial regulatory boards throughout Canada, and have resulted in a significant outcome. This information was compiled by the Disciplinary Records Committee of the Canadian Federation of Chiropractic Regulatory Boards. Annually, the committee recorded the following; jurisdiction, year of disciplinary decision, nature of charge/allegation, specific mitigating factors, findings/outcome, penalties imposed, costs related to proceedings, who costs were attributed to, formal or informal proceeding(s). A total of 99 complaints are reviewed. In addition to demographic analysis of the data, a series of descriptive cases are included. This information is provided for the purpose of examining any parallels that might exist when chiropractic regulatory boards evaluate cases so they might arrive at conclusions in a fair and reasonable manner. Consistency in the application of rules and sanctions is a desirable objective of all chiropractic regulatory boards. While this paper is disseminated for informative purposes, ultimately each provincial regulatory board must exhibit good judgement with respect to case-specific issues.

Toth, E Audrey; Lawson, Douglas M; Nykoliation, Jim W

1998-01-01

323

46 CFR 502.64 - Answer to complaint; counter-complaint.  

Code of Federal Regulations, 2011 CFR

...PROCEDURE Proceedings; Pleadings; Motions; Replies § 502.64 Answer to complaint...reduced under § 502.103, or unless motion is filed to withdraw or dismiss the...after service of an order denying such motion. Such answer shall give notice...

2011-10-01

324

Potential underuse of analgesics for recognized pain in nursing home residents with dementia: A cross-sectional study.  

PubMed

The expression of pain is altered in people with dementia (PWD), increasing the risk of undertreatment in that population. The objective of this study was to determine whether dementia and the absence of pain assessment in the patients' medical chart reduced the probability of analgesic use in a large sample of nursing home (NH) residents. This is a cross-sectional study using data from 6275 residents (mean age 86±8.2years; 73.7% women) from 175 NHs located in France. Information on residents' health status (including dementia and pain assessment) and NHs' structure and organisation were recorded by the NH staff. The NH staff sent to the research team drug prescriptions participants were taking. They were screened for the use of analgesics (dependent variable) and other medications potentially used for pain management. The prevalence of analgesic use was 46.8% (42.3% for PWD and 52% for people with no dementia). A binary logistic regression showed that PWD (odds ratio 0.75; 95% confidence interval 0.66-0.85) and those who had no pain assessment records (odds ratio 0.64; 95% confidence interval 0.53-0.79) had significant lower probabilities of taking analgesics; these results were independent of pain complaints. Results remained fairly unchanged after performing several sensitivity analyses. Our results suggest that improvements are needed in pain management in NHs, particularly for PWD. Implementing systematic evaluations of pain in NHs' routine would contribute to a better management of pain, which can lead to important benefits for residents. PMID:23872102

de Souto Barreto, Philipe; Lapeyre-Mestre, Maryse; Vellas, Bruno; Rolland, Yves

2013-07-18

325

Playing-related musculoskeletal disorders in musicians: a systematic review of incidence and prevalence  

PubMed Central

BACKGROUND: Work-related musculoskeletal disorders cause pain, disability and loss of employment for many workers, including musicians. Although performing arts medicine is a growing field, the health problems of musicians remain under-recognized and under-researched. Therefore, the author undertook a systematic review of published information on the incidence and prevalence of playing-related musculoskeletal disorders (PRMDs) in classical musicians. METHODS: Seven databases were searched for the period 1980 to 1996. The main textbook and performing arts medicine journals were searched manually, as were reference lists of all relevant papers. The author also contacted individuals familiar with the literature of performing arts medicine. Studies were included for review if they reported PRMD incidence or prevalence in classical musicians. Of the 24 studies identified, 18 cross-sectional surveys and cohort studies were reviewed. The author subjectively assessed the studies using criteria modified from an existing evaluation scale and used 4 criteria for data combination. On the basis of prevalence values from the eligible studies, chi 2 tests for heterogeneity were performed. RESULTS: Only one study estimated PRMD incidence. Ten of the 17 prevalence studies were ineligible for data combination, because of low response rates and other methodological problems. In the 7 eligible studies, PRMD point prevalence ranged from 39% to 87% in adult musicians and from 34% to 62% in secondary school music students. The best estimates of PRMD prevalence were derived from the 3 studies that excluded mild complaints; these studies indicated that PRMD prevalence was 39% and 47% in adults and 17% in secondary school music students respectively. Statistical combination of data across studies within each demographic category was not possible. INTERPRETATION: Available data indicate that the prevalence of PRMD in adult classical musicians is comparable to the prevalence of work-related musculoskeletal disorders reported for other occupational groups. Several recommendations for future research are outlined.

Zaza, C

1998-01-01

326

Influence of gender and hemispheric lateralization on heat pain perception in major depression  

Microsoft Academic Search

Increased incidence of clinical pain complaints from patients with major depression, as well as increased experimental pain thresholds have been reported. The basis of this phenomenon remains unclear, as well as its relation to medication, clinical recovery, gender and lateralization of hemispheric function. We aimed to further elucidate heat pain perception in depression applying a testing battery including assessment (on

K. J. Bär; W. Greiner; A. Letsch; R. Köbele; H. Sauer

2003-01-01

327

Xerostomia and salivary flow in patients with orofacial pain compared with controls  

Microsoft Academic Search

ObjectivesPain in the orofacial region is frequently reported by patients in dental and medical offices. Facial pain, headache, masticatory abnormalities and other complaints often become chronic and may be associated with local disturbances, such as xerostomia and teeth abnormalities. The objective of this study was to investigate salivary flow and xerostomia in patients with orofacial pain.

Luciana A. da Silva; Manoel J. Teixeira; Jose T. T. de Siqueira; Silvia R. D. T. de Siqueira

2011-01-01

328

Myofascial Pain Syndrome in Chronic Back Pain Patients  

PubMed Central

Background Myofascial pain syndrome (MPS) is a regional musculoskeletal pain disorder that is caused by myofascial trigger points. The objective of this study was to determine the prevalence of MPS among chronic back pain patients, as well as to identify risk factors and the outcome of this disorder. Methods This was a prospective observational study involving 126 patients who attended the Pain Management Unit for chronic back pain between 1st January 2009 and 31st December 2009. Data examined included demographic features of patients, duration of back pain, muscle(s) involved, primary diagnosis, treatment modality and response to treatment. Results The prevalence of MPS among chronic back pain patients was 63.5% (n = 80). Secondary MPS was more common than primary MPS, making up 81.3% of the total MPS. There was an association between female gender and risk of developing MPS (?2 = 5.38, P = 0.02, O.R. = 2.4). Occupation, body mass index and duration of back pain were not significantly associated with MPS occurrence. Repeated measures analysis showed significant changes (P < 0.001) in Visual Analogue Score (VAS) and Modified Oswestry Disability Score (MODS) with standard management during three consecutive visits at six-month intervals. Conclusions MPS prevalence among chronic back pain patients was significantly high, with female gender being a significant risk factor. With proper diagnosis and expert management, MPS has a favourable outcome.

Nizar, Abd Jalil

2011-01-01

329

The relation of pain to depression among institutionalized aged.  

PubMed

Nursing home and congregate apartment residents (N = 598) were classified on the basis of a DSM-IIIR symptom checklist as suffering possible major, minor, or no depression; they also completed the Geriatric Depression Scale (GDS) and the Profile of Mood States (POMS). Possible major depressives reported more intense pain and a greater number of localized pain complaints than did minor depressives; nondepressed individuals reported the least intense pain and fewest localized complaints. The effect remained strong even when functional disability and health status were controlled statistically. Both pain intensity and number of localized complaints were correlated with GDS and POMS factor scores, but strength and direction of associations varied with level of depression. Item-by-item examination of localized complaints again indicated that more depressed individuals were more likely to report pain, particularly where physicians had identified a physical problem that might account for the pain. Results are compared with previous research on pain among younger individuals. Implications for treatment of depressed elderly are discussed. PMID:1986040

Parmelee, P A; Katz, I R; Lawton, M P

1991-01-01

330

Elbow Pain  

MedlinePLUS

... find it difficult to describe what exactly brings on the pain. Causes Most elbow pain results from overuse injuries. Many sports, hobbies and jobs require repetitive hand, wrist or arm movements. Elbow pain may occasionally ...

331

Neuropathic Pain  

MedlinePLUS

... in Cart : 0 Resource Guide to Chronic Pain Medications & Treatments The Art of Pain Management What We Have Learned Going to the ER Communication Tools Pain Management Programs Videos Resources Glossary FAQs ...

332

Chronic Pain  

MedlinePLUS

... cause. Problems that cause chronic pain include Headache Low back strain Cancer Arthritis Pain from nerve damage Chronic pain usually cannot be cured. But treatments can help. They include medicines, acupuncture, electrical stimulation and surgery. Other treatments include psychotherapy, ...

333

Depression, Pain, and Pain Behavior.  

ERIC Educational Resources Information Center

Examined the degree to which depression predicted pain and pain behavior. The Beck Depression Inventory was administered to 207 low back pain patients. Depression and physical findings were the most important predictors of pain and pain behavior. Depression proved significant even after controlling for important demographic and medical status…

Keefe, Francis J.; And Others

1986-01-01

334

Depression, Pain, and Pain Behavior  

Microsoft Academic Search

This study examined the degree to which depression predicted pain and pain behavior. The Beck Depression Inventory (BDI) was administered to 207 low back pain patients. Observations of pain behaviors during physical examination, ratings of pain, and measures of activity level and medication intake were taken on each patient. Regression analyses revealed that depression and physical findings were the most

Francis J. Keefe; Robert H. Wilkins; Wesley A. Cook; James E. Crisson; Lawrence H. Muhlbaier

1986-01-01

335

Persistent Pain and Well-being: A World Health Organization Study in Primary Care  

Microsoft Academic Search

•,Abstract •,METHODS •,Assessment •,Data Analysis •,RESULTS •,Prevalence of Persistent Pain •,Anatomical,Site •,Persistent Pain and Well-being •,Consistency of Results Across Centers •,COMMENT •,REFERENCES

Oye MBBS; Von Korff; Gregory E. Simon

1998-01-01

336

Pregnancy Related Low Back and Pelvic Pain: a surgical approach  

Microsoft Academic Search

More than half of all pregnant women experience low back and\\/or pelvic pain of whom one-third has severe complaints. In most cases the pelvic pain disap­pears within a few months after delivery, either spontaneously or after con­servative treatment. In a minority of patients the pain persists even after a multidisciplinary rehabilitation program and may cause severe disability. Some patients may

C. M. A. Zwienen

2005-01-01

337

Chest Pain in the Athlete: Differential Diagnosis, Evaluation, and Treatment  

Microsoft Academic Search

\\u000a Chest pain remains one of the most concerning complaints among athletes and active individuals. Fortunately, the vast majority\\u000a of chest pain in this group is benign, noncardiac, and rarely associated with catastrophic manifestations such as sudden death\\u000a [1]. [2] A thorough assessment requires a full understanding of the differential of chest pain, a detailed history designed\\u000a to elicit the nuances

John M. MacKnight; Dilaawar J. Mistry

338

[Impact of surgery and trauma in developing chronic pain].  

PubMed

Surgery and trauma are recognized as important causes of chronic pain. In this manuscript, we analyzed the patients who visited our clinic with posttraumatic or delayed surgical pain complaints between January 2001 and January 2004. Identification and evaluation of pain were done as defined in the taxonomy of IASP. Duration and severity of pain as well as diagnosis and etiology were evaluated as suggested in the taxonomy. Our results showed that 107 out of 2866 patients (4 %) were diagnosed of having chronic pain related to the history of trauma or surgery. The age range of the patients was from 32 to 66 years with an average of 48 years. Male/female ratio was 35/72. The duration of pain varied. 15 % of the patients complained of pain lasting for 1 to 6 months, 67 % complained of pain lasting for 6 to 24 months, and 18 % complained of pain lasting more than 24 months. A significant amount of patients (72 %) complained of very severe pain, 21 % complained of moderate pain, and finally only 7 % complained of mild pain. The diagnosis of pain were as follows: radiculopathy and postlaminectomy pain in 48 %, neuropathic pain in 33 %, phantom pain in 12 %, carpal syndrome in 6 %, and thalamic syndrome in 1 %. Pathogenesis of pain was evaluated to be originating from peripheral nervous system in 56 %, muscle and skeletal system in 43 %, and central nervous system in 1 % of the cases. Additionally, fifty-nine percent of the cases complained of back pain. Long-term (?1 year) and continuous follow up of postoperative and posttraumatic pain during acute course may prevent a significant amount of chronic pain complaints. PMID:15382005

Ozyuvaci, Emine; Altan, Aysel; Karahan, Ali

2004-07-01

339

The Genetic Influence on the Cortical Processing of Experimental Pain and the Moderating Effect of Pain Status  

Microsoft Academic Search

BackgroundResearch suggests that the COMT Val158Met, BDNF Val66Met and OPRM1 A118G polymorphisms moderate the experience of pain. In order to obtain experimental confirmation and extension of findings, cortical processing of experimentally-induced pain was used.MethodA sample of 78 individuals with chronic low back pain complaints and 37 healthy controls underwent EEG registration. Event-Related Potentials were measured in response to electrical nociceptive

Helen Vossen; Gunter Kenis; Bart Rutten; Jim van Os; Hermie Hermens; Richel Lousberg; Mark W. Greenlee

2010-01-01

340

[President George Washington and his oral complaints].  

PubMed

George Washington, the first president of the United States of America, suffered for most of his life from continuous oral pain. Through letters, diaries, and other personal information from this president, much has become known concerning his oral problems and the level of oral healthcare in the United States in the mid and late 18th century. PMID:23050379

Eijkman, M A J

2012-09-01

341

43 CFR 4.450-6 - Answer to complaint.  

Code of Federal Regulations, 2012 CFR

...APPEALS PROCEDURES Special Rules Applicable to Public Land Hearings and Appeals Hearings on Appeals Involving Questions of Fact § 4.450-6 Answer to complaint. Within 30 days after service of the complaint or after the last publication of the...

2012-10-01

342

43 CFR 4.450-6 - Answer to complaint.  

Code of Federal Regulations, 2011 CFR

...APPEALS PROCEDURES Special Rules Applicable to Public Land Hearings and Appeals Hearings on Appeals Involving Questions of Fact § 4.450-6 Answer to complaint. Within 30 days after service of the complaint or after the last publication of the...

2011-10-01

343

47 CFR 6.16 - Informal or formal complaints.  

Code of Federal Regulations, 2012 CFR

... Informal or formal complaints. Sections 6.17 through 6.23 of this subpart shall sunset on October 8, 2013. On October 8, 2013, any person may file either a formal or informal complaint against a manufacturer or provider alleging...

2012-10-01

344

49 CFR 821.33 - Motion to dismiss stale complaint.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Motion to dismiss stale complaint. 821.33...Under 49 U.S.C. 44709 § 821.33 Motion to dismiss stale complaint. ...date of service of the respondent's motion, that good cause existed for the...

2012-10-01

345

49 CFR 821.33 - Motion to dismiss stale complaint.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 2011-10-01 false Motion to dismiss stale complaint. 821.33...Under 49 U.S.C. 44709 § 821.33 Motion to dismiss stale complaint. ...date of service of the respondent's motion, that good cause existed for the...

2011-10-01

346

ENHANCING FAIRNESS AND JUSTICE IN THE ETHICAL COMPLAINT PROCESS  

Microsoft Academic Search

Through requests for anonymous case studies, a Conversation Hour discussion at the 1988 CPA Conference, letters and interviews, the CPA Committee on Ethics identified three main concerns of Canadian psychologists about fairness and justice in the ethical complaint process: inappropriate or vindictive complaints from colleagues, non-compliance with principles of natural justice, and lack of more constructive ways to resolve problems.

JEAN PETTIFOR; CAROLE SINCLAIR

1991-01-01

347

20 CFR 655.405 - Complaints and investigative procedures.  

Code of Federal Regulations, 2012 CFR

...aggrieved person or organization may file a complaint of a violation of the provisions of section 212(m) of the INA (8 U.S.C. 1182(m)) or subpart D or E of this part. No particular form of complaint is required, except...

2012-04-01

348

Monitoring Food Safety by Detecting Patterns in Consumer Complaints  

Microsoft Academic Search

EPFC (Emerging Patterns in Food Complaints) is the analytical component of the Consumer Complaint Monitoring System, designed to help the food safety officials to efficiently and effectively monitor incoming reports of adverse effects of food on its consumers. These reports, collected in a passive surveillance mode, contain multi-dimensional, heterogeneous and sparse snippets of specific information about the consumers' demographics, the

Artur Dubrawski; Kimberly Elenberg; Andrew W. Moore; Maheshkumar Sabhnani

2006-01-01

349

Worries About Modernity Predict Symptom Complaints After Environmental Pesticide Spraying  

Microsoft Academic Search

Objective: Concerns about environmental and technological changes affecting health have been shown to be associated with symptom reports in cross-sectional studies. We aimed to investigate how worries about modernity affecting health, negative affectivity, and prior symptom complaints influence health complaints after environmental spraying in a prospective study. Methods: Two hundred ninety-two residents of West Auckland completed questionnaires measuring recent symptoms,

KEITH J. PETRIE; ELIZABETH A. BROADBENT; NADINE KLEY; R ONA MOSS-MORRIS; ROB HORNE; WINFRIED RIEF

2005-01-01

350

Perceived job demands relate to self-reported health complaints  

Microsoft Academic Search

Background Illness and illness behaviour are important problems in the Dutch workforce. Illness has been associated with job demands, with high demands relating to poorer health. It has not been reported whether subjective health complaints relate to job demands. Aims To investigate whether perceived (physical and mental) workload and specific job demands are associated with self-reported health complaints. Methods Cross-sectional

Corne A. M. Roelen; K. Jeep Schreuder; Petra C. Koopmans; Johan W. Groothoff

351

DOES FAMILY OF ORIGIN FUNCTIONING PREDICT ADULT SOMATIC COMPLAINTS?  

Technology Transfer Automated Retrieval System (TEKTRAN)

It has long been believed that adult somatic complaints are associated with early family dysfunction. Yet few studies have examined this hypothesis in community samples, where medically unexplained symptom complaints are estimated to be very common. Given the potential population-wide impact of subt...

352

Sleep disturbance in orofacial pain patients: pain-related or emotional distress?  

PubMed

Associations between pain, depression, and sleep disturbance have been documented in several chronic pain patient samples. The current study assessed the prevalence and magnitude of sleep disturbance in a sample of 128 orofacial pain patients referred for clinical evaluation and tested linkages between sleep, depression, anxiety, and pain using cross-sectional and longitudinal data. Seventy-seven percent of the patients reported reduced sleep quantity since pain onset. In cross-sectional analyses, reduced sleep quantity was associated with depression and pain. Reduced sleep quality was associated with negative affect. Longitudinally, initial depression and pain predicted sleep at time two and initial pain predicted negative affect. Sleep did not predict pain. Results support the hypothesis that pain, rather than sleep disturbance, increases negative affect across time, whereas negative affect is more a cause of concurrent reduced sleep quality than is pain. The results highlight the importance of assessing for sleep disturbance in orofacial pain patients. PMID:11842861

Riley, J L; Benson, M B; Gremillion, H A; Myers, C D; Robinson, M E; Smith, C L; Waxenberg, L B

2001-04-01

353

Focal brain atrophy in gastric bypass patients with cognitive complaints  

PubMed Central

Recently, we have noticed a series of patients presenting for cognitive complaints after gastric bypass, without any identifiable etiology. We set out to determine whether any focal brain atrophy could account for the complaints. A retrospective case series was performed to identify patients with cognitive complaints following gastric bypass that had a volumetric MRI. Voxel-based morphometry was used to assess patterns of grey matter loss in all 10 patients identified, compared to ten age and gender-matched controls. All patients had undergone Roux-en-Y gastric bypass at a median age of 54 (range: 46–64). Cognitive complaints began at a median age of 57 (52–69). Formal neuropsychometric testing revealed only minor deficits. No nutritional abnormalities were identified. Voxel-based morphometry demonstrated focal thalamic atrophy in the gastric bypass patients when compared to controls. Patients with cognitive complaints after gastric bypass surgery have focal thalamic brain atrophy that could account for the cognitive impairment.

Graff-Radford, Jonathan; Whitwell, Jennifer L.; Trenerry, Max R.; Ahlskog, J. Eric; Jensen, Michael D.; Jack, Clifford R.; Josephs, Keith A.

2012-01-01

354

[Subjective memory complaints, personality and prefrontal symptomatology in young adults].  

PubMed

INTRODUCTION. This work explores two issues related with the appearance of subjective memory complaints in young adults: on the one hand, the possibility of the complaints being a result of attentional and executive deficits and, on the other, whether certain characteristics of the personality favour and modulate the clinical expression of these complaints. SUBJECTS AND METHODS. The Memory Failures of Everyday questionnaire, Spanish version, the Prefrontal Syndromes Inventory and the Revised Temperament and Character Inventory were administered to a sample of 1132 participants (900 from the general population and 232 on treatment for drug addiction). The correlation among the variables of the memory complaints, of prefrontal functioning in daily life and of the dimensions of personality proposed by Cloninger was explored. The causal relationships among the variables were studied using structural methods. RESULTS. A strong correlation was observed between cognitive complaints and prefrontal symptoms, suggesting that the complaints are, in fact, a result of an inadequate management of the attentional and executive functions that favours daily errors. A relationship with a large effect size is also observed between the cognitive complaints and low self-management. This dimension of the personality offers an important predictive capacity regarding the appearance and the intensity of the complaints, either directly or modulated by other dimensions, especially harm avoidance. CONCLUSIONS. The data back the idea that memory complaints are the result of the self-perception of daily faults and errors that are produced at the attentional and executive level -although they are taken as instances of mnemonic oversight- and that the clinical expression of these complaints is modulated by a profile of the personality. PMID:24052439

Pedrero-Perez, E J; Ruiz-Sanchez de Leon, J M

2013-10-01

355

Predictors of Genital Pain in Young Women  

PubMed Central

Despite the high prevalence of genital pain in healthy young adult women, limited research has addressed genital pain during intercourse using contemporary models of multidimensional sexual function. The objectives of this study were threefold: (1) to identify differences in sexual functioning in women who experience genital pain compared to pain free women; (2) to identify predictors of sexual functioning in women with and without genital pain; and (3) to identify predictors of sexual satisfaction in women with and without genital pain. Sexually active female undergraduates (n = 651) were administered the Female Sexual Function Index and the Derogatis Sexual Functioning Inventory. We evaluated the sexual factors that impact the sexual function of women with any pain (including high and low pain groups) versus women with no history of pain. Women with genital pain reported greater rates of sexual dysfunction as compared to pain-free women; however, sexual functioning in the high versus low pain groups was distinguished primarily by vaginal lubrication. Women in the high pain group showed negative correlations between domains of sexual satisfaction and genital pain frequency and intensity that were not found in the low pain group. For pain-free women, intercourse played a strong role in sexual satisfaction, whereas non-intercourse sexual behavior was central to sexual satisfaction in women who reported pain. The evaluation of levels of genital pain may provide insight into the mechanisms underlying the impairment of sexual function, sexual behavior, and sexual satisfaction.

Farmer, Melissa A.; Meston, Cindy M.

2010-01-01

356

Itch and burning pain in women with partial vaginismus with or without vulvar vestibulitis.  

PubMed

Fifty-three women with partial vaginismus with or without vulvar vestibulitis and 27 asymptomatic women estimated sensations of burning pain and itch at 20 standardized moments during a standardized penetration situation, including vaginal muscle contractions. Forty-three women with partial vaginismus (81.1%) reported burning pain, 23 (43.4%) itch, and 22 (41.5%) both complaints, compared to 0% of the asymptomatic women. In 17 of 22 cases, burning pain preceded the appearance of itch and in four cases the two complaints coincided. The median time from the moment when burning pain started until itch appeared was 150 seconds. PMID:17365516

Engman, Maria; Wijma, Klaas; Wijma, Barbro

357

Vicarious pain while observing another in pain: an experimental approach  

PubMed Central

Objective: This study aimed at developing an experimental paradigm to assess vicarious pain experiences. We further explored the putative moderating role of observer's characteristics such as hypervigilance for pain and dispositional empathy. Methods: Two experiments are reported using a similar procedure. Undergraduate students were selected based upon whether they reported vicarious pain in daily life, and categorized into a pain responder group or a comparison group. Participants were presented a series of videos showing hands being pricked whilst receiving occasionally pricking (electrocutaneous) stimuli themselves. In congruent trials, pricking and visual stimuli were applied to the same spatial location. In incongruent trials, pricking and visual stimuli were in the opposite spatial location. Participants were required to report on which location they felt a pricking sensation. Of primary interest was the effect of viewing another in pain upon vicarious pain errors, i.e., the number of trials in which an illusionary sensation was reported. Furthermore, we explored the effect of individual differences in hypervigilance to pain, dispositional empathy and the rubber hand illusion (RHI) upon vicarious pain errors. Results: Results of both experiments indicated that the number of vicarious pain errors was overall low. In line with expectations, the number of vicarious pain errors was higher in the pain responder group than in the comparison group. Self-reported hypervigilance for pain lowered the probability of reporting vicarious pain errors in the pain responder group, but dispositional empathy and the RHI did not. Conclusion: Our paradigm allows measuring vicarious pain experiences in students. However, the prevalence of vicarious experiences of pain is low, and only a small percentage of participants display the phenomenon. It remains however unknown which variables affect its occurrence.

Vandenbroucke, S.; Crombez, G.; Van Ryckeghem, D. M. L.; Brass, M.; Van Damme, S.; Goubert, L.

2013-01-01

358

Cancer Pain  

Microsoft Academic Search

Cancer pain remains undertreated. Pain occurs in over three-quarters of cancer patients and remains one of the most feared\\u000a aspects of this illness despite the excellent therapies that are available. Cancer pain commonly results from tumor compressing\\u000a or invading soft tissue, bone, or nerves or from diagnostic or therapeutic endeavors. Optimal pain management involves determining\\u000a pain intensity, evaluating the etiology

Suzanne A. Nesbit

359

A rare differential diagnosis to occupational neck pain: bilateral stylohyoid syndrome  

Microsoft Academic Search

Chronic neck pain is widely prevalent and a common source of disability in the working-age population. Etiology of chronic neck pain includes neck sprain, mechanical or muscular neck pain, myofascial pain syndrome, postural neck pain as well as pain due to degenerative changes. We report the case of a 42 year old secretary, complaining about a longer history of neck

Gertrud Kirchhoff; Chlodwig Kirchhoff; Sonja Buhmann; Karl-Georg Kanz; Miriam Lenz; Tobias Vogel; Rainer Maria Kichhoff

2006-01-01

360

Prevalence of Snoring and Witnessed Apnea in Taiwanese Adults  

Microsoft Academic Search

Background: Sleep-disordered breathing (SDB) is a prevalent disorder that has a huge impact on the public. It has been proposed that Chinese populations have a higher incidence of SDB than Caucasians due to a narrow cranial base and flat mid-face structure. Few studies have investigated the prevalence of SDB in Taiwan. This study prospectively assesses the complaints of SDB and

Li-Pang Chuang; Shih-Chieh Hsu; Shih-Wei Lin; Wen-Shan Ko; Ning-Hung Chen; Ying-Huang Tsai

361

Work-related physical and psychosocial risk factors for sick leave in patients with neck or upper extremity complaints  

PubMed Central

Objectives To study work-related physical and psychosocial risk factors for sick leave among patients who have visited their general practitioner for neck or upper extremity complaints. Methods Three hundred and forty two patients with neck or upper extremity complaints completed self-report questionnaires at baseline and after 3 months. Cox regression models were used to investigate the association between work-related risk factors and sick leave (i.e., lost days from work due to neck or upper extremity complaints in 3 months). Effect modification by sick leave at baseline, sex, worrying and musculoskeletal co-morbidity was evaluated by adding product terms to the regression models. Results In the subgroup of patients who scored high on the pain copying scale “worrying” the hazard ratio of sick leave was 1.32 (95% CI 1.07–1.62) per 10% increase in heavy physical work. The subgroup of patients who were sitting for long periods of time had a reduced risk of sick leave as compared to patients who did not spend a lot of time sitting, again only in patients who scored high on the pain coping scale “worrying” (adjusted HR = 0.17, 95%-CI 0.04–0.72). Other work-related risk factors were not significantly related to sick leave. Conclusions Heavy physical work increased the risk of sick leave and prolonged sitting reduced the risk of sick leave in a subgroup of patients who worried much about their pain. Additional large longitudinal studies of sufficiently large size among employees with neck or upper extremity complaints are needed to confirm our results.

Terwee, Caroline B.; van der Windt, Danielle A. W. M.; van der Beek, Allard J.; Bouter, Lex M.; Dekker, Joost

2007-01-01

362

Proinflammatory cytokines and glial cells: Their role in neuropathic pain  

Microsoft Academic Search

\\u000a Neuropathic pain, or chronic pain due to nerve injury, is a prevalent condition for which currently there is no effective\\u000a treatment. These neuropathic pain syndromes include deafferentation pain, diabetic, cancer and ischemic neuropathies, phantom\\u000a limb pain, trigeminal neuralgia, postherpetic neuralgias and nerve injury caused by surgery or trauma [1]. Neuropathic pain is not only chronic and intractable, it is debilitating

Joyce A. DeLeo; Raymond W. Colburn

363

Predictors of Genital Pain in Young Women  

Microsoft Academic Search

Despite the high prevalence of genital pain in healthy young adult women, limited research has addressed genital pain during\\u000a intercourse using contemporary models of multidimensional sexual function. The objectives of this study were threefold: (1)\\u000a to identify differences in sexual functioning in women who experience genital pain compared to pain free women; (2) to identify\\u000a predictors of sexual functioning in

Melissa A. Farmer; Cindy M. Meston

2007-01-01

364

Correlates of persistent sleep complaints after traumatic brain injury.  

PubMed

The objective of the study was to examine factors associated with persistent sleep complaint (SC) after traumatic brain injury. The study design consisted of a retrospective chart review case series, with longitudinal follow-up data. Subjects were identified from Georgia Model Brain Injury System with sleep data post-injury. Twenty three (47.9%) had no sleep complaint at either 6 or 12 months post-injury or resolved sleep complaint at 12 months (Without Persistent SC group); 25 (52.1%) maintained a sleep complaint from 6 to 12 months or reported a sleep complaint at 12 months post-injury (With Persistent SC group). Demographic, premorbid and peri-injury characteristics and The Neurobehavioral Functioning Inventory (NFI) scores did not differentiate the two groups. The Without Persistent SC group had a slight improvement from 6 to 12 months post-injury in post-traumatic stress (PTS) symptoms and depression. Significant psychological patterns were identified in those with persistent SC at both 6 and 12 months post-injury, i.e., worse depression and worse PTS symptoms. This trend was apparent at 6 months and became significant at 12 months post-injury. However, subjects with newly emerging sleep complaints at 12 months had similar characteristics as the Without Persistent SC group. The observed psychological patterns associated with persistent sleep complaint in a specific time course after brain injury have important research and clinical implications that merit further study. PMID:23721355

Huang, Wei; Bliwise, Donald L; Johnson, Theodore M; Long, Qi; Kutner, Nancy; Stringer, Anthony Y

2013-05-30

365

Cognitive status in persons with amalgam-related complaints.  

PubMed

Self-reported cognitive symptoms are frequent in persons with amalgam-related complaints, but few studies have focused on their cognitive function. The aim was to examine a symptom profile and whether participants with amalgam-related complaints have cognitive deficits in comparison with control individuals. We drew 342 participants with amalgam-related complaints and 342 one-to-one matched control individuals from a longitudinal population-based study. For 81 of the participants with amalgam-related complaints and controls, data were available approximately five years before the onset of complaints, making a longitudinal analysis possible. All participants were assessed by a self-reported health questionnaire and a comprehensive cognitive test battery. The participants with amalgam-related complaints reported more symptoms, mainly musculoskeletal and neuropsychological, compared with control individuals (p < 0.001). The results revealed no significant difference between the amalgam and control group, either cross-sectionally or longitudinally, for any of the cognitive tests. These results suggest that cognitive decline is not associated with amalgam-related complaints. PMID:20739704

Sundström, A; Bergdahl, J; Nyberg, L; Bergdahl, M; Nilsson, L-G

2010-08-25

366

Cognitive and emotional control of pain and its disruption in chronic pain.  

PubMed

Chronic pain is one of the most prevalent health problems in our modern world, with millions of people debilitated by conditions such as back pain, headache and arthritis. To address this growing problem, many people are turning to mind-body therapies, including meditation, yoga and cognitive behavioural therapy. This article will review the neural mechanisms underlying the modulation of pain by cognitive and emotional states - important components of mind-body therapies. It will also examine the accumulating evidence that chronic pain itself alters brain circuitry, including that involved in endogenous pain control, suggesting that controlling pain becomes increasingly difficult as pain becomes chronic. PMID:23719569

Bushnell, M Catherine; Ceko, Marta; Low, Lucie A

2013-05-30

367

20 CFR 658.420 - Establishment of JS complaint system at the ETA regional office.  

Code of Federal Regulations, 2013 CFR

...Establishment of JS complaint system at the ETA regional office...Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT...PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System Federal Js Complaint...

2013-04-01

368

42 CFR 488.332 - Investigation of complaints of violations and monitoring of compliance.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 2011-10-01 false Investigation of complaints of violations...Care Facilities § 488.332 Investigation of complaints of violations and monitoring of compliance. (a) Investigation of complaints. (1)...

2011-10-01

369

20 CFR 636.6 - Complaints and investigations at the Federal level.  

Code of Federal Regulations, 2012 CFR

...2012-04-01 false Complaints and investigations at the Federal level. 636.6...DEPARTMENT OF LABOR COMPLAINTS, INVESTIGATIONS AND HEARINGS § 636.6 Complaints and investigations at the Federal level. (a)...

2012-04-01

370

20 CFR 658.410 - Establishment of State agency JS complaint system.  

Code of Federal Regulations, 2011 CFR

...agency JS complaint system. 658.410 Section...Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT...GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint...responsible for the management of the JS complaint system....

2013-04-01

371

28 CFR 42.605 - Agency processing of complaints of employment discrimination.  

Code of Federal Regulations, 2013 CFR

...processing of complaints of employment discrimination. 42.605 Section 42.605 ...Procedures for Complaints of Employment Discrimination Filed Against Recipients of Federal...processing of complaints of employment discrimination. (a) Within ten days of...

2013-07-01

372

29 CFR 1691.5 - Agency processing of complaints of employment discrimination.  

Code of Federal Regulations, 2013 CFR

...processing of complaints of employment discrimination. 1691.5 Section 1691.5 ...PROCEDURES FOR COMPLAINTS OF EMPLOYMENT DISCRIMINATION FILED AGAINST RECIPIENTS OF FEDERAL...processing of complaints of employment discrimination. (a) Within ten days of...

2013-07-01

373

31 CFR 8.56 - Service of complaint and other papers.  

Code of Federal Regulations, 2013 CFR

...false Service of complaint and other papers. 8.56 Section 8.56 Money and...56 Service of complaint and other papers. (a) Complaint. ...of service. (b) Service of other papers. Any paper other than the...

2013-07-01

374

13 CFR 142.10 - What is contained in a complaint?  

Code of Federal Regulations, 2012 CFR

...is contained in a complaint? ...Section 142.10 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION...to Issuance of A Complaint § 142.10 What is contained in a...complaint is a written statement giving...

2012-01-01

375

29 CFR 1691.5 - Agency processing of complaints of employment discrimination.  

Code of Federal Regulations, 2010 CFR

...processing of complaints of employment discrimination. 1691.5 Section 1691.5 ...PROCEDURES FOR COMPLAINTS OF EMPLOYMENT DISCRIMINATION FILED AGAINST RECIPIENTS OF FEDERAL...processing of complaints of employment discrimination. (a) Within ten days of...

2009-07-01

376

76 FR 35949 - Agency Information Collection (Civil Rights Discrimination Complaint) Activity Under OMB Review  

Federal Register 2010, 2011, 2012, 2013

...Information Collection (Civil Rights Discrimination Complaint) Activity Under OMB Review...INFORMATION: Title: Civil Rights Discrimination Complaint, VA Form 10-0381. OMB...a formal complaint of the alleged discrimination. An agency may not conduct or...

2011-06-20

377

29 CFR 1691.5 - Agency processing of complaints of employment discrimination.  

Code of Federal Regulations, 2010 CFR

...processing of complaints of employment discrimination. 1691.5 Section 1691.5 ...PROCEDURES FOR COMPLAINTS OF EMPLOYMENT DISCRIMINATION FILED AGAINST RECIPIENTS OF FEDERAL...processing of complaints of employment discrimination. (a) Within ten days of...

2010-07-01

378

28 CFR 42.605 - Agency processing of complaints of employment discrimination.  

Code of Federal Regulations, 2010 CFR

...processing of complaints of employment discrimination. 42.605 Section 42.605 ...Procedures for Complaints of Employment Discrimination Filed Against Recipients of Federal...processing of complaints of employment discrimination. (a) Within ten days of...

2010-07-01

379

76 FR 38743 - Proposed Information Collection (Complaint of Employment Discrimination) Activity: Comment Request  

Federal Register 2010, 2011, 2012, 2013

...Collection (Complaint of Employment Discrimination) Activity: Comment Request AGENCY...process a complaint of employment discrimination. DATES: Written comments and recommendations...Title: Complaint of Employment Discrimination, VA Form 4939. OMB Control...

2011-07-01

380

76 FR 56506 - Agency Information Collection (Complaint of Employment Discrimination) Activity Under OMB Review  

Federal Register 2010, 2011, 2012, 2013

...Collection (Complaint of Employment Discrimination) Activity Under OMB Review AGENCY...Title: Complaint of Employment Discrimination, VA Form 4939. OMB Control Number...VA Form 4939 to file complaint of discrimination. An agency may not conduct or...

2011-09-13

381

76 FR 20821 - Proposed Information Collection (Civil Rights Discrimination Complaint); Comment Request  

Federal Register 2010, 2011, 2012, 2013

...Information Collection (Civil Rights Discrimination Complaint); Comment Request AGENCY...process a claimant's civil rights discrimination complaint. DATES: Written comments...technology. Title: Civil Rights Discrimination Complaint, VA Form 10-0381....

2011-04-13

382

78 FR 21149 - Certain Linear Actuators; Notice of Receipt of Complaint; Solicitation of Comments Relating to...  

Federal Register 2010, 2011, 2012, 2013

...COMMISSION [Docket No. 2949] Certain Linear Actuators; Notice of Receipt of Complaint...received a complaint entitled Certain Linear Actuators, DN 2949; the Commission is...United States after importation of certain linear actuators. The complaint names as...

2013-04-09

383

78 FR 25359 - Agency Emergency Information Collection (Principles of Excellence Complaint Intake Questionnaire...  

Federal Register 2010, 2011, 2012, 2013

...Principles of Excellence Complaint Intake Questionnaire) Activities Under OMB--Request...Principles of Excellence Complaint Intake Questionnaire)'' in any correspondence FOR FURTHER...Principles of Excellence Complaint Intake Questionnaire).'' SUPPLEMENTARY...

2013-04-30

384

11 CFR 7.7 - Prohibition against making complaints and investigations public.  

Code of Federal Regulations, 2012 CFR

...making complaints and investigations public. 7.7...making complaints and investigations public. (a...employees are subject to criminal penalties if they...to a complaint or investigation under 2...

2012-01-01

385

Approach to Undifferentiated Chest Pain in the Emergency Department: A Review of Recent Medical Literature and Published Practice Guidelines  

Microsoft Academic Search

Chest pain is the presenting complaint in over 6 million emergency department visits each year. Differentiating acute coronary syndrome (ACS) from other, noncardiac causes of chest pain is imperative in emergency practice. This article reviews the curren t medical evidence and published guidelines for the diagnosis of undifferentiated chest pain. A MEDLINE database search was conducted for relevant English language

ELIN RINGSTROM; JESSICA FREEDMAN

386

Idiopathic Hand and Arm Pain: Delivering Cognitive Behavioral Therapy as Part of a Multidisciplinary Team in a Surgical Practice  

Microsoft Academic Search

Cognitive behavioral therapists may have a unique and growing role in orthopedics departments. In helping patients cope with pain, particularly where there is no specific biomedical treatment or cure, cognitive behavioral practitioners can help prevent, early on, the transition from an acute pain complaint to a costly, disabling, and interfering chronic pain syndrome (CPS; see Singh, M. K., Patel, J.,

Ana-Maria Vranceanu; David Ring; Ronald Kulich; Meijuan Zhao; James Cowan; Steven Safren

2008-01-01

387

Pain-related psychological correlates of pediatric acute post-surgical pain  

PubMed Central

Background Post-surgical pain is prevalent in children, yet is significantly understudied. The goals of this study were to examine gender differences in pain outcomes and pain-related psychological constructs postoperatively and to identify pain-related psychological correlates of acute post-surgical pain (APSP) and predictors of functional disability 2 weeks after hospital discharge. Methods Eighty-three children aged 8–18 (mean 13.8 ± 2.4) years who underwent major orthopedic or general surgery completed pain and pain-related psychological measures 48–72 hours and 2 weeks after surgery. Results Girls reported higher levels of acute postoperative anxiety and pain unpleasantness compared with boys. In addition, pain anxiety was significantly associated with APSP intensity and functional disability 2 weeks after discharge, whereas pain catastrophizing was associated with APSP unpleasantness. Conclusion These results highlight the important role played by pain-related psychological factors in the experience of pediatric APSP by children and adolescents.

Page, M Gabrielle; Stinson, Jennifer; Campbell, Fiona; Isaac, Lisa; Katz, Joel

2012-01-01

388

The who and why of pain: analysis by social class  

Microsoft Academic Search

Physicians with an interest in pain have long suggested that the poor complain more and have a higher prevalence of neuroticism than do higher social groups. This assumption was tested by analysing the pain patterns in 500 consecutive patients attending a pain relief clinic. Results implied that scores for presenting pain, anxiety, and depression were similar to all social groups.

A G Larson; D Marcer

1984-01-01

389

Neuropathic pain in AIDS patients prior to antiretroviral therapy  

Microsoft Academic Search

The human immunodeficiency virus (HIV) has a predilection for nerve tissue; therefore, the peripheral nerves, spinal cord and brain are frequently affected in patients with HIV\\/AIDS, resulting in a high prevalence of neuropathic pain. Neuropathic pain is defined by the International Association for the Study of Pain (IASP) as '… pain initiated or caused by a primary lesion or dysfunction

S A Hitchcock; H P Meyer; E Gwyther

2008-01-01

390

Persistent pain and uncomfortable sensations in persons with multiple sclerosis  

Microsoft Academic Search

The experience of pain has been documented in small studies of individuals with multiple sclerosis (MS). The present study examines the prevalence of persistent pain and uncomfortable sensations among participants in the large North American Research Committee on MS (NARCOMS) Patient Registry. Registrants (10,176) responded to a questionnaire on pain and 7579 reported experiencing some level of pain during the

Olympia Hadjimichael; Robert D. Kerns; Marco A. Rizzo; Gary Cutter; Timothy Vollmer

2007-01-01

391

Characteristics of Methadone Maintenance Patients with Chronic Pain  

Microsoft Academic Search

Chronic pain patients who have limited access to opioids may be redirected to methadone maintenance centers for management of their pain. Unfortunately, little information exists on the incidence and characteristics of methadone maintenance patients with chronic pain. The aim of this study was to survey individuals at methadone maintenance centers in order to determine the prevalence of chronic pain and

Robert N. Jamison; Janice Kauffman; Nathaniel P. Katz

2000-01-01

392

7 CFR 1924.260 - Handling manufactured housing (unit) construction complaints.  

Code of Federal Regulations, 2013 CFR

...Handling manufactured housing (unit) construction complaints. 1924.260 Section...AGRICULTURE PROGRAM REGULATIONS CONSTRUCTION AND REPAIR Complaints and Compensation for Construction Defects § 1924.260 Handling...

2013-01-01

393

Low Back Pain in Port Machinery Operators  

NASA Astrophysics Data System (ADS)

The occurrence of several types of low back pain (LBP) was investigated by a standardized questionnaire in a group of 219 port machinery operators exposed to whole-body vibration (WBV) and postural load and in a control group of 85 maintenance workers employed at the same transport company. The group of port machinery operators included 85 straddle carrier drivers, 88 fork-lift truck drivers, and 46 crane operators. The vector sum of the frequency-weighted r.m.s. acceleration of vibration measured on the seatpan of port vehicles and machines averaged 0.90 m/s2 for fork-lift trucks, 0.48 m/s2 for straddle carriers, 0.53 m/s2 for mobile cranes, and 0.22 m/s2 for overhead cranes. The 12-month prevalence of low back symptoms (LBP, sciatic pain, treated LBP, sick leave due to LBP) was significantly greater in the fork-lift truck drivers than in the controls and the other two groups of port machinery operators. After adjusting for potential confounders, the prevalence of low back symptoms was found to increase with the increase of WBV exposure expressed as duration of exposure (driving years), equivalent vibration magnitude (m/s2), or cumulative vibration exposure (yr m2/s4). An excess risk for lumbar disc herniation was observed in the port machinery operators with prolonged driving experience. In both the controls and the port machinery operators, low back complaints were strongly associated with perceived postural load assessed in terms of frequency and/or duration of awkward postures at work. Multivariate analysis showed that vibration exposure and postural load were independent predictors of LBP. Even though the cross-sectional design of the present study does not permit firm conclusions on the relationship between WBV exposure and low back disorders, the findings of this investigation provide additional epidemiological evidence that seated WBV exposure combined with non-neutral trunk postures, as while driving, is associated with an increased risk of long-term adverse health effects on the lower back. . All rights reserved.

Bovenzi, M.; Pinto, I.; Stacchini, N.

2002-05-01

394

Resident Abuse in Nursing Homes: Resolving Physical Abuse Complaints.  

National Technical Information Service (NTIS)

The second of two reports, this report examines existing processes for resolving physical abuse complaints involving nursing home residents. Findings are the result of 232 interviews with individuals representing 35 states as well as national and Federal ...

L. K. Bostick K. Golladay

1990-01-01

395

47 CFR 7.16 - Informal or formal complaints.  

Code of Federal Regulations, 2012 CFR

...Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.16 Informal or formal complaints. Sections 7.17 through 7.23 of...

2012-10-01

396

47 CFR 7.19 - Answers to informal complaints.  

Code of Federal Regulations, 2012 CFR

...Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.19 Answers to informal complaints. Any manufacturer or provider to whom...

2012-10-01

397

47 CFR 14.43 - Cross-complaints and counterclaims.  

Code of Federal Regulations, 2012 CFR

...Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO ADVANCED COMMUNICATIONS SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Recordkeeping, Consumer Dispute Assistance, and Enforcement § 14.43 Cross-complaints and...

2012-10-01

398

37 CFR 11.36 - Answer to complaint.  

Code of Federal Regulations, 2013 CFR

...the complaint is served on respondent. A copy of the answer, and any exhibits or attachments thereto, shall be served on the OED Director. (c) Content. The respondent shall include in the answer a statement of the facts that...

2013-07-01

399

47 CFR 1.721 - Format and content of complaints.  

Code of Federal Regulations, 2012 CFR

...Tariffs, and Reports Involving Common Carriers Formal Complaints...believed to have firsthand knowledge of the facts alleged with...within any such individual's knowledge; (ii) A description...whether based on personal knowledge or information and...

2012-10-01

400

32 CFR 1900.04 - Suggestions and complaints.  

Code of Federal Regulations, 2013 CFR

...1900.04 National Defense Other Regulations Relating to National Defense CENTRAL INTELLIGENCE AGENCY PUBLIC ACCESS TO CIA RECORDS UNDER THE FREEDOM OF INFORMATION ACT (FOIA) General § 1900.04 Suggestions and complaints. The...

2013-07-01

401

49 CFR 1111.4 - Answers and cross complaints.  

Code of Federal Regulations, 2012 CFR

...of jurisdiction to hear the complaint because the revenue-variable cost percentage generated by the traffic is less than 180...must include the defendant's preliminary estimate of the variable cost of each challenged movement calculated using the...

2012-10-01

402

49 CFR 1111.4 - Answers and cross complaints.  

Code of Federal Regulations, 2011 CFR

...of jurisdiction to hear the complaint because the revenue-variable cost percentage generated by the traffic is less than 180...must include the defendant's preliminary estimate of the variable cost of each challenged movement calculated using the...

2011-10-01

403

32 CFR 513.2 - Administrative procedures for processing complaints.  

Code of Federal Regulations, 2013 CFR

32 National Defense 3 ...Section 513.2 National Defense Department... DEPARTMENT OF THE ARMY AID OF...INDEBTEDNESS OF MILITARY PERSONNEL ...Commander's actions. Upon receipt of a debt complaint, the commander...

2013-07-01

404

32 CFR 806b.4 - Privacy Act complaints.  

Code of Federal Regulations, 2013 CFR

... 2013-07-01 2013-07-01 false Privacy Act complaints. 806b.4 Section 806b...DEPARTMENT OF THE AIR FORCE ADMINISTRATION PRIVACY ACT PROGRAM Overview of the Privacy Act Program § 806b.4 Privacy Act...

2013-07-01

405

30 CFR 291.105 - What must a complaint contain?  

Code of Federal Regulations, 2013 CFR

...SAFETY AND ENVIRONMENTAL ENFORCEMENT, DEPARTMENT OF THE INTERIOR APPEALS OPEN AND NONDISCRIMINATORY ACCESS TO OIL AND GAS PIPELINES UNDER THE OUTER CONTINENTAL SHELF LANDS ACT § 291.105 What must a complaint contain? For purposes...

2013-07-01

406

42 CFR 3.306 - Complaints to the Secretary.  

Code of Federal Regulations, 2012 CFR

...HEALTH AND HUMAN SERVICES GENERAL PROVISIONS PATIENT SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3...a complaint . A person who believes that patient safety work product has been disclosed in...

2012-10-01

407

42 CFR 3.306 - Complaints to the Secretary.  

Code of Federal Regulations, 2011 CFR

...HEALTH AND HUMAN SERVICES GENERAL PROVISIONS PATIENT SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3...a complaint . A person who believes that patient safety work product has been disclosed in...

2011-10-01

408

40 CFR 374.5 - Copy of complaint.  

Code of Federal Regulations, 2011 CFR

...PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS PRIOR NOTICE OF CITIZEN SUITS § 374.5 Copy of complaint. At the time of filing an action under this Act, the plaintiff must provide a...

2011-07-01

409

45 CFR 672.7 - Issuance of complaint.  

Code of Federal Regulations, 2011 CFR

...Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING PROCEDURES § 672.7 Issuance of complaint...Notice of the respondent's right to request a hearing on any material fact contained in the...

2011-10-01

410

45 CFR 672.7 - Issuance of complaint.  

Code of Federal Regulations, 2012 CFR

...Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING PROCEDURES § 672.7 Issuance of complaint...Notice of the respondent's right to request a hearing on any material fact contained in the...

2012-10-01

411

50 CFR 90.14 - Waterfowl depredation complaints; where filed.  

Code of Federal Regulations, 2012 CFR

...SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) MISCELLANEOUS PROVISIONS FEEDING DEPREDATING MIGRATORY WATERFOWL Use of Surplus Grain § 90.14 Waterfowl depredation complaints; where filed. Any person having an interest in crops being...

2012-10-01

412

50 CFR 90.14 - Waterfowl depredation complaints; where filed.  

Code of Federal Regulations, 2011 CFR

...SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) MISCELLANEOUS PROVISIONS FEEDING DEPREDATING MIGRATORY WATERFOWL Use of Surplus Grain § 90.14 Waterfowl depredation complaints; where filed. Any person having an interest in crops being...

2011-10-01

413

29 CFR 1903.11 - Complaints by employees.  

Code of Federal Regulations, 2013 CFR

...Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR INSPECTIONS, CITATIONS AND PROPOSED PENALTIES § 1903.11 Complaints by employees. (a) Any employee or representative of...

2013-07-01

414

Feasibility Study to Improve Handling of Consumer Complaints. Evaluation Report.  

National Technical Information Service (NTIS)

The purpose is to investigate existing federal government programs for resolving consumer complaints, as well as programs conducted by business and voluntary groups, to determine the adequacy of these mechanisms and if needed to recommend alternatives for...

D. King E. Grillo J. Goodman M. Grainer

1975-01-01

415

29 CFR 1982.103 - Filing of retaliation complaints.  

Code of Federal Regulations, 2013 CFR

...AS SECTION 1413 OF THE IMPLEMENTING RECOMMENDATIONS OF THE 9/11 COMMISSION ACT OF 2007, AND THE FEDERAL RAILROAD SAFETY...BY SECTION 1521 OF THE IMPLEMENTING RECOMMENDATIONS OF THE 9/11 COMMISSION ACT OF 2007 Complaints, Investigations,...

2013-07-01

416

18 CFR 385.206 - Complaints (Rule 206).  

Code of Federal Regulations, 2013 CFR

...form of notice shall be on electronic media as specified by the Secretary. ...i) Simplified procedure for small controversies. A simplified procedure for complaints involving small controversies is found in section 385.218 of...

2013-04-01

417

39 CFR 255.6 - Processing of complaints.  

Code of Federal Regulations, 2013 CFR

...disability discrimination in any program or activity of the Postal Service and brought by members of the public. (c) Section 508 complaints, members of the public, employees, and applicants. The procedures of this part shall apply...

2013-07-01

418

29 CFR 1954.20 - Complaints about State program administration.  

Code of Federal Regulations, 2013 CFR

...representative in the Region where the State is located. (b) Any...to the specifications in the State plans, are examples. ...complainant has exhausted applicable State remedies; and (iv) The extent to which the subject matter of the complaint is...

2013-07-01

419

Orofacial Pain  

MedlinePLUS

... Neck, shoulder or back pain Dizziness ?xml:namespace> Sleep disorders ; If you have gone through treatment and still experience orofacial pain, you may have a sleep disorder, such as bruxism, or a sleep-related breathing ...

420

Back Pain  

MedlinePLUS

... Oh, my aching back!", you are not alone. Back pain is one of the most common medical problems, ... 10 people at some point during their lives. Back pain can range from a dull, constant ache to ...

421

Hip Pain  

MedlinePLUS

... 0/1807/0.html. Accessed May 13, 2013. Anderson BC. Evaluation of the adult with hip pain. ... www.uptodate.com/home. Accessed May 13, 2013. Anderson BC. Patient information: Hip pain (Beyond the basics). ...

422

Neck Pain  

MedlinePLUS

... over-the counter medicine, such as acetaminophen or ibuprofen, to relieve pain, and apply heat to the ... an injury. Use anti-inflammatory medicines, such as ibuprofen and aspirin, to relieve pain and discomfort, and ...

423

Phantom pain and phantom sensations in upper limb amputees: an epidemiological study  

Microsoft Academic Search

Phantom pain in subjects with an amputated limb is a well-known problem. However, estimates of the prevalence of phantom pain differ considerably in the literature. Various factors associated with phantom pain have been described including pain before the amputation, gender, dominance, and time elapsed since the amputation. The purposes of this study were to determine prevalence and factors associated with

Carolien M. Kooijman; Pieter U. Dijkstra; Jan H. B. Geertzen; Albert Elzinga; Cees P. van der Schans

2000-01-01

424

Epidemiology of Contact Dermatitis: Prevalence of Sensitization to Different Allergens and Associated Factors  

Microsoft Academic Search

BackgroundIn clinical practice, contact dermatitis is a relatively common skin complaint, whose prevalence has increased in recent years. Study by patch testing is essential for diagnosis of contact sensitization.

Ma. T. Bordel-Gómez; A. Miranda-Romero; J. Castrodeza-Sanz

2010-01-01

425

Cancer Pain  

Microsoft Academic Search

Pain is a significant problem in cancer and there are many barriers to adequate pain control. Cancer-related pain is common\\u000a and has a destructive impact on a patient’s quality of life. Physicians need to understand better the appropriate use of opioid\\u000a and nonopioid analgesics and to consider other therapeutic options when appropriate. This chapter discusses the mechanisms\\u000a of pain underlying

Sebastiano Mercadante

426

Mood improvement reduces memory complaints in depressed patients  

Microsoft Academic Search

Background The aim was to examine associations between memory complaints, cognitive performance and mood in 174 adult, clinically depressed,\\u000a neurologically healthy patients at baseline and during six months of follow-up.\\u000a \\u000a \\u000a Methods Subjective memory disturbance was assessed using the Memory Complaint Questionnaire (MCQ). Levels of cognitive function,\\u000a including memory, were assessed using a battery of neuropsychological tests. Mood and personality traits

Risto Antikainen; Tuomo Hänninen; Kirsi Honkalampi; Jukka Hintikka; Heli Koivumaa-Honkanen; Antti Tanskanen; Heimo Viinamäki

2001-01-01

427

Changes in health complaints after removal of amalgam fillings  

PubMed Central

The aim of the present study was to investigate whether removal of all amalgam fillings was associated with long-term changes in health complaints in a group of patients who attributed subjective health complaints to amalgam fillings. Patients previously examined at the Norwegian Dental Biomaterials Adverse Reaction Unit were included in the study and assigned to a treatment group (n = 20) and a reference group (n = 20). Participants in the treatment group had all amalgam fillings replaced with other restorative materials. Follow-ups took place 3 months, 1 and 3 years after removal of all amalgam fillings. There was no intervention in the reference group. Subjective health complaints were measured by numeric rating scales in both groups. Analysis of covariance was used to compare changes in health complaints over time in the two groups. In the treatment group, there were significant reductions in intra-oral and general health complaints from inclusion into study to the 3-year follow-up. In the reference group, changes in the same period were not significant. Comparisons between the groups showed that reductions in intra-oral and general health complaints in the treatment group were significantly different from the changes in the reference group. The mechanisms behind this remain to be identified. Reduced exposure to dental amalgam, patient-centred treatment and follow-ups, and elimination of worry are factors that may have influenced the results.

Sjursen, T T; Lygre, G B; Dalen, K; Helland, V; Laegreid, T; Svahn, J; Lundekvam, B F; Bjorkman, L

2011-01-01

428

Acupuncture for cancer pain and related symptoms.  

PubMed

Cancer pain is one of most prevalent symptoms in patients with cancer. Acupuncture and related techniques have been suggested for the management of cancer pain. The National Comprehensive Cancer Network guidelines for adult cancer pain recommends acupuncture, as one of several integrative interventions, in conjunction with pharmacologic intervention as needed. This review presents the latest available evidence regarding the use of acupuncture for cancer pain. It also provides "actionable" acupuncture protocols for specific cancer pain conditions and related symptoms in order to provide more clinically relevant solutions for clinicians and cancer patients with pain. These conditions include postoperative cancer pain, postoperative nausea and vomiting, postsurgical gastroparesis syndrome, opioid-induced constipation, opioid-induced pruritus, chemotherapy-induced neuropathy, aromatase inhibitor-associated joint pain, and neck dissection-related pain and dysfunction. PMID:23338773

Lu, Weidong; Rosenthal, David S

2013-03-01

429

7 CFR 15f.6 - What must I say or include in my Section 741 Complaint Request?  

Code of Federal Regulations, 2012 CFR

...UNDER SECTION 741 I Filed a Complaint With USDA Prior to July 1, 1997, How Do I Request That USDA Consider My Complaint Using These Procedures...original complaint, a request in writing that USDA consider the complaint in accordance...

2012-01-01

430

7 CFR 15f.6 - What must I say or include in my Section 741 Complaint Request?  

Code of Federal Regulations, 2013 CFR

...UNDER SECTION 741 I Filed a Complaint With USDA Prior to July 1, 1997, How Do I Request That USDA Consider My Complaint Using These Procedures...original complaint, a request in writing that USDA consider the complaint in accordance...

2013-01-01

431

Imperforate hymen presenting as chronic low back pain.  

PubMed

Imperforate hymen in an adolescent usually presents with cyclic abdominal pain or with pelvic mass associated with primary amenorrhea. We present a 13-year-old girl with chronic lower back pain of 6 months' duration as the only complaint. On physical examination, multiple trigger points were detected in the quadratus lumborum and gluteus medius muscles bilaterally. Abdominal ultrasound revealed hematometrocolpos secondary to an imperforate hymen. Hymenectomy was performed, with complete resolution of the back pain. Myofascial pain syndrome with a viscerosomatic reflex is a possible explanation for the clinical presentation of our patient. PMID:23958769

Domany, Erel; Gilad, Oded; Shwarz, Michael; Vulfsons, Simon; Garty, Ben Zion

2013-08-19

432

Neuropathic orofacial pain patients in need of dental care.  

PubMed

Dental pain is a common complaint among the general population. Most pain is a result of traumatic injury or bacterial infection in pulpal and periapical tissues, and dental practitioners are successful at diagnosing these conditions and providing prompt relief. However, in some cases, patients continue to complain of persistent pain, which may be categorized as neuropathic. These people may avoid or neglect routine dental treatment or interventions to prevent precipitation, perpetuation or exacerbation of their pain condition, and practitioners may have to modify their procedures when managing the dental needs of this unique population. PMID:22985895

Klasser, Gary D; Gremillion, Henry A

2012-01-01

433

Referred knee pain in a young athlete: a case study.  

PubMed

Parapatellar pain is a common complaint in the active adolescent patient population. Patello-femoral pain syndrome, Osgood-Schlatter disease, Sinding-Larsen-Johansson syndrome, patellar tendinitis, and other stress failure conditions are the primary causes of these parapatellar symptoms. Not all cases of knee discomfort are related to knee pathology. This case study discusses hip pathology as a source of referred knee pain in an 8-year-old male athlete. Care must be taken to evaluate all possible sources of both primary and referred pain in all cases. PMID:8148865

Tippett, S R

1994-02-01

434

Pain and Inflammatory Bowel Disease  

PubMed Central

Abdominal pain is a common symptom of inflammatory bowel disease (IBD: Crohn’s disease, ulcerative colitis). Pain may arise from different mechanisms, which can include partial blockage and gut distention as well as severe intestinal inflammation. A majority of patients suffering from acute flares of IBD will experience pain, which will typically improve as disease activity decreases. However, a significant percentage of IBD patients continue experiencing symptoms of pain despite resolving inflammation and achieving what appears to be clinical remission. Current evidence suggests that sensory pathways sensitize during inflammation, leading to persistent changes in afferent neurons and central nervous system pain processing. Such persistent pain is not only a simple result of sensory input. Pain processing and even the activation of sensory pathways is modulated by arousal, emotion, and cognitive factors. Considering the high prevalence of iatrogenic as well as essential neuropsychiatric comorbidities including anxiety and depression in IBD patients, these central modulating factors may significantly contribute to the clinical manifestation of chronic pain. The improved understanding of peripheral and central pain mechanisms is leading to new treatment strategies that view pain as a biopsychosocial problem. Thus, improving the underlying inflammation, decreasing the excitability of sensitized afferent pathways, and altering emotional and/or cognitive functions may be required to more effectively address the difficult and disabling disease manifestations.

Bielefeldt, Klaus; Davis, Brian; Binion, David G.

2010-01-01

435

Chest Pain: Characteristics of Children\\/Adolescents  

Microsoft Academic Search

Chest pain (CP) in children\\/adolescents is a common referral for the pediatric cardiologist. A group of 263 patients (141\\u000a males\\/122 females, mean age = 13.4 years, range = 5–22 years) with the primary complaint of CP underwent evaluation in the\\u000a cardiac stress lab at Children’s Hospital of Wisconsin. Echocardiograms at rest were obtained in 70% of patients with no significant\\u000a cardiac abnormalities identified. Endurance

Michael J. Danduran; Michael G. Earing; David C. Sheridan; Lauren A. Ewalt; Peter C. Frommelt

2008-01-01

436

Catastrophizing and Parental Response to Child Symptom Complaints  

Microsoft Academic Search

This study investigated whether catastrophic thinking about pain by children with functional abdominal pain or by their parents is associated with health outcomes in the child. Participants were 132 parent–child dyads. Child catastrophizing predicted child depression, anxiety, and functional disability. Parents' catastrophizing cognitions about their own pain predicted self-reported protective responses to their children's abdominal pain (responding in ways that

Shelby L. Langer; Joan M. Romano; Rona L. Levy; Lynn S. Walker; William E. Whitehead

2009-01-01

437

Pregnancy-related low back pain  

PubMed Central

Pregnancy related low back pain is a common complaint among pregnant women. It can potentially have a negative impact on their quality of life. The aim of this article is to present a current review of the literature concerning this issue. By using PubMed database and low back pain, pelvic girdle pain, pregnancy as keywords, abstracts and original articles in English investigating the diagnosis treatment of back pain during pregnancy were searched and analyzed Low back pain could present as either a pelvic girdle pain between the posterior iliac crest and the gluteal fold or as a lumbar pain over and around the lumbar spine. The source of the pain should be diagnosed and differentiated early.The appropriate treatment aims to reduce the discomfort and the impact on the pregnant womans quality of life. This article reveals the most common risk factors, as well as treatment methods, which may help to alleviate the pain. Some suggestions for additional research are also discussed.

Katonis, P; Kampouroglou, A; Aggelopoulos, A; Kakavelakis, K; Lykoudis, S; Makrigiannakis, A; Alpantaki, K

2011-01-01

438

Characteristics of complaints resulting in disciplinary actions against Danish GPs  

PubMed Central

Abstract Objective The risk of being disciplined in connection with a complaint case causes distress to most general practitioners. The present study examined the characteristics of complaint cases resulting in disciplinary action. Material and methods The Danish Patients’ Complaints Board's decisions concerning general practice in 2007 were examined. Information on the motives for complaining, as well as patient and general practitioner characteristics, was extracted and the association with case outcome (disciplinary or no disciplinary action) was analysed. Variables included complaint motives, patient gender and age, urgency of illness, cancer diagnosis, healthcare settings (daytime or out-of-hours services), and general practitioner gender and professional seniority. Results Cases where the complaint motives involved a wish for placement of responsibility (OR = 2.35, p = 0.01) or a wish for a review of the general practitioner's competence (OR = 1.95, p = 0.02) were associated with increased odds of the general practitioner being disciplined. The odds of discipline decreased when the complaint was motivated by a feeling of being devalued (OR = 0.39, p = 0.02) or a request for an explanation (OR = 0.46, p = 0.01). With regard to patient and general practitioner characteristics, higher general practitioner professional seniority was associated with increased odds of discipline (OR = 1.97 per 20 additional years of professional seniority, p = 0.01). None of the other characteristics was statistically significantly associated with discipline in the multiple logistic regression model. Conclusion Complaint motives and professional seniority were associated with decision outcomes. Further research is needed on the impact of professional seniority on performance.

2013-01-01

439

Adult Outcomes of Pediatric Recurrent Abdominal Pain: Do They Just Grow Out of It?  

Microsoft Academic Search

Objective. To determine whether medi- cally unexplained recurrent abdominal pain (RAP) in childhood predicts abdominal pain, irritable bowel syn- drome (IBS), other somatic complaints, and psychiatric symptoms and disorders in young adulthood. Methods. A sample of 28 young adults evaluated for RAP between the ages of 6 and 17 years were compared with 28 individually matched former childhood partici- pants

John V. Campo; Carlo Di Lorenzo; Laurel Chiappetta; D. Kathleen Colborn; J. Carlton Gartner; Paul Gaffney; Samuel Kocoshis; David Brent

2001-01-01

440

Muscle fatigue in relation to forearm pain and tenderness among professional computer users  

Microsoft Academic Search

BACKGROUND: To examine the hypothesis that forearm pain with palpation tenderness in computer users is associated with increased extensor muscle fatigue. METHODS: Eighteen persons with pain and moderate to severe palpation tenderness in the extensor muscle group of the right forearm and twenty gender and age matched referents without such complaints were enrolled from the Danish NUDATA study of neck

Gert F Thomsen; Pete W Johnson; Susanne W Svendsen; Ann I Kryger; Jens Peter E Bonde

2007-01-01

441

Latent Variable Analysis of Coping, Anxiety/Depression, and Somatic Symptoms in Adolescents with Chronic Pain  

ERIC Educational Resources Information Center

|Reports of adolescents' coping with recurrent pain, symptoms of anxiety/depression, and somatic complaints were obtained from a sample of 164 adolescents with recurrent abdominal pain and their parents. Confirmatory factor analysis revealed that coping consisted of 3 nonorthogonal factors: Primary Control Engagement Coping (problem solving,…

Compas, Bruce E.; Boyer, Margaret C.; Stanger, Catherine; Colletti, Richard B.; Thomsen, Alexandra H.; Dufton, Lynette M.; Cole, David A.

2006-01-01

442

Duloxetine Does Not Relieve Painful Physical Symptoms in Depression: A Meta-Analysis  

Microsoft Academic Search

Background:Duloxetine inhibits both serotonin and norepinephrine reuptake and is marketed as a treatment for both the core emotional symptoms and painful physical complaints that often accompany depression. Some studies have found that duloxetine is efficacious in treating painful symptoms associated with depression but these findings have been inconsistent. Several narrative review articles have reached positive conclusions about the efficacy of

Glen I. Spielmans

2008-01-01

443

Evaluating and Managing Pediatric Musculoskeletal Pain in Primary Care  

Microsoft Academic Search

\\u000a Musculoskeletal pain is common in pedi-atric populations, reported in up to half of children from community samples, and is\\u000a a frequent presenting complaint in pediatric primary care. Evaluating pedi-atric musculoskeletal pain is complicated by the\\u000a extensive differential diagnosis. Some of the diagnoses require immediate treatment decisions at the primary care level to\\u000a prevent future problems and disability. In this chapter

Mark A. Connelly; Laura E. Schanberg

444

LOW BACK PAIN IN A COMPETITIVE CRICKET ATHLETE  

PubMed Central

Physical therapists treating adolescent and young adult athletes with low back pain complaints should have a high level of clinical suspicion of the possibility for spondylolysis, spondylolisthesis, or developing stress reactions of the pars interarticularis. This case outlines the use of conventional radiography, computerized tomography, and Single photon emission computed tomography (SPECT) in the differential diagnosis for an adolescent cricket athlete with low back pain.

Merlino, Justin; Perisa, Jack

2012-01-01

445

Snake bite: an unusual cause of acute abdominal pain.  

PubMed

Pain abdomen is one of the most commonly encountered complaints in pediatric emergency room. We report a seven-year-old resident of Delhi, who presented with sudden onset abdominal pain for three hours, and later went on to develop neuro-muscular paralysis and respiratory failure. The cause was found to be snake-bite. The child had a stormy course and full recovery. PMID:18057483

Kohli, Utkarsh; Sreedhar, Vijeshu

2007-11-01

446

Assessing recurrent abdominal pain in children.  

PubMed

Recurrent abdominal pain is a frequent complaint of school-aged children. In 5-10 percent of the cases, RAP is the result of organic disease. Specific history and physical assessments are needed to detect organic disease. The assessment tool described in this article is a functional adjunct to a nurse practitioner's evaluation of RAP as well as of other recurrent pain. It provides additional information to identify less obvious organic causes and serves as a basis for involving the patient in development of a treatment plan. PMID:6633981

Gaylord, N; Carson, S

1983-09-01

447

Promoting culturally competent chronic pain management using the clinically relevant continuum model.  

PubMed

This article reviews the culture of biomedicine and current practices in pain management education, which often merge to create a hostile environment for effective chronic pain care. Areas of cultural tensions in chronic pain frequently involve the struggle to achieve credibility regarding one's complaints of pain (or being believed that the pain is real) and complying with pain medication protocols. The clinically relevant continuum model is presented as a framework allowing providers to approach care from an evidence-based, culturally appropriate (patient centered) perspective that takes into account the highest level of evidence available, provider expertise, and patient preferences and values. PMID:21501727

Monsivais, Diane B

2011-06-01

448

The Two-Factor Structure of Sleep Complaints and Its Relation to Depression and Anxiety  

Microsoft Academic Search

Although sleep complaints are common in depression and anxiety, there is little agreement as to how they should be organized and assessed. It is also unclear whether sleep complaints show specificity with certain disorders or whether they are nonspecific symptoms. The authors examined the structure of sleep complaints and the relations of these complaints to depression and anxiety in 3

Erin Koffel; David Watson

2009-01-01

449

Subjective Cognitive Complaints, Affective Distress, and Objective Cognitive Performance in Persian Gulf War Veterans  

Microsoft Academic Search

We examined subjective cognitive complaints, affective distress, and cognitive performance in Persian Gulf veterans who reported illness and cognitive complaints. We predicted a stronger relationship between subjective cognitive complaints and affective distress than between subjective cognitive complaints and objective cognitive performance. This prediction was confirmed in a sample of 100 veterans. The results suggest that cognitive impairment should not be

Laurence M Binder; Daniel Storzbach; W. Kent Anger; Keith A Campbell; Diane S Rohlman

1999-01-01

450

45 CFR 2554.10 - When will the Corporation issue a complaint?  

Code of Federal Regulations, 2011 CFR

...2011-10-01 false When will the Corporation issue a complaint? 2554.10 Section 2554.10...Complaint § 2554.10 When will the Corporation issue a complaint? The Corporation will issue a complaint: (a) If the Attorney...

2011-10-01

451

13 CFR 142.9 - When will SBA issue a complaint?  

Code of Federal Regulations, 2012 CFR

...2012-01-01 2012-01-01 false When will SBA issue a complaint? 142.9 Section 142.9 Business...Issuance of A Complaint § 142.9 When will SBA issue a complaint? SBA will issue a complaint: (a) If the Attorney...

2012-01-01

452

45 CFR 681.6 - When may NSF issue a complaint?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false When may NSF issue a complaint? 681.6 Section 681.6 Public...Issuance of A Complaint § 681.6 When may NSF issue a complaint? NSF may issue a complaint: (a) If the Attorney...

2012-10-01

453

45 CFR 681.6 - When may NSF issue a complaint?  

Code of Federal Regulations, 2011 CFR

...2011-10-01 2011-10-01 false When may NSF issue a complaint? 681.6 Section 681.6 Public...Issuance of A Complaint § 681.6 When may NSF issue a complaint? NSF may issue a complaint: (a) If the Attorney...

2011-10-01

454

45 CFR 2554.10 - When will the Corporation issue a complaint?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false When will the Corporation issue a complaint? 2554.10 Section 2554.10...Complaint § 2554.10 When will the Corporation issue a complaint? The Corporation will issue a complaint: (a) If the Attorney...

2012-10-01

455

Marital Complaints, Demographic Characteristics, and Symptoms of Mental Distress in Divorce.  

ERIC Educational Resources Information Center

|Explored patterns of marital complaints in a sample of 209 divorcing men and women. Used two codes of complaints. Results indicated that marital complaints varied over time and by sex, education, social class, length of marriage, and income. Some complaints were correlated with symptoms of mental health disturbance. (Author/RC)|

Kitson, Gay C.; Sussman, Marvin B.

1982-01-01

456

Pain Genes  

PubMed Central

Pain, which afflicts up to 20% of the population at any time, provides both a massive therapeutic challenge and a route to understanding mechanisms in the nervous system. Specialised sensory neurons (nociceptors) signal the existence of tissue damage to the central nervous system (CNS), where pain is represented in a complex matrix involving many CNS structures. Genetic approaches to investigating pain pathways using model organisms have identified the molecular nature of the transducers, regulatory mechanisms involved in changing neuronal activity, as well as the critical role of immune system cells in driving pain pathways. In man, mapping of human pain mutants as well as twin studies and association studies of altered pain behaviour have identified important regulators of the pain system. In turn, new drug targets for chronic pain treatment have been validated in transgenic mouse studies. Thus, genetic studies of pain pathways have complemented the traditional neuroscience approaches of electrophysiology and pharmacology to give us fresh insights into the molecular basis of pain perception.

Foulkes, Tom; Wood, John N.

2008-01-01

457

Low back pain assessment for the medical acupuncturist  

Microsoft Academic Search

SummaryLow back pain frequently presents to medical acupuncturists, many of whom are general practitioners working in the public sector. Under these circumstances there is often limited time to devote to an initial assessment of a patient’s presenting complaint. This paper presents an assessment process that is aimed at informing management decisions for medical acupuncturists, although much of the process may

Mike Cummings

2004-01-01

458

Neuropathic Pain  

PubMed Central

Neuropathic pain is triggered by lesions to the somatosensory nervous system that alter its structure and function so that pain occurs spontaneously and responses to noxious and innocuous stimuli are pathologically amplified. The pain is an expression of maladaptive plasticity within the nociceptive system, a series of changes that constitute a neural disease state. Multiple alterations distributed widely across the nervous system contribute to complex pain phenotypes. These alterations include ectopic generation of action potentials, facilitation and disinhibition of synaptic transmission, loss of synaptic connectivity and formation of new synaptic circuits, and neuroimmune interactions. Although neural lesions are necessary, they are not sufficient to generate neuropathic pain; genetic polymorphisms, gender, and age all influence the risk of developing persistent pain. Treatment needs to move from merely suppressing symptoms to a disease-modifying strategy aimed at both preventing maladaptive plasticity and reducing intrinsic risk.

Costigan, Michael; Scholz, Joachim; Woolf, Clifford J.

2009-01-01

459

Excessive working hours and health complaints among hospital physicians: a study based on a national sample of hospital physicians in Germany  

PubMed Central

Objectives: To determine correlations between excessively long working hours and subjectively experienced somatic health complaints among hospital physicians. Methods: Quantitative data were collected as part of the survey “Working life, Lifestyle and Health of Hospital Physicians in Germany 2006” using self-reporting questionnaires. The individually experienced health was assessed on the basis of Zerssen’s [1] list of somatic complaints. The indicator of excessively long working hours was defined as 10 or more working hours per working day and 6 or more on-call shifts a month among full-time employees. The net sample consisted of 3295 randomly selected physicians from 515 hospitals. Results: The response rate was 58% (n=1917). Physicians with excessively long working hours (19%) had significantly higher sum score of health complaints (p=0.0001) and significantly increased mental and physical fatigue symptoms (feeling faint, languor, uneasiness, heavy legs, excessive need for sleep, trembling; p=0.0001 to 0.047), mood changes (irritability, brooding; p=0.008 to 0.014), gastrointestinal (nausea, loss of weight; p=0.0001 to 0.014) and heart disorders (lumpy sensation in the throat, chest pain; p=0.0001 to 0.042). When the sum score of health complaints was controlled for selected confounders, being female (B=-3.44, p=0.0001) and having excessively long working hours (B=2.76, p=0.0001) were significantly correlated with health complaints. In a separate gender analysis, being exposed to excessively long working hours remained a significant predictor for health complaints among both females (B=3.78, p=0.001) and males (B=2.28, p=0.004). Conclusions: Excessively long working hours are associated with an increased risk of health complaints. Reducing working hours may be the first step to improving physicians' health.

Rosta, Judith; Gerber, Andreas

2007-01-01

460

Elbow pain  

MedlinePLUS

... common causes of elbow tendinitis are gardening, playing baseball, using a screwdriver, or overusing your wrist and ... involve: Antibiotics Corticosteroid shots Pain medicine Physical therapy Surgery (last resort)

461

A procedure for the assessment of low frequency noise complaints.  

PubMed

The development and application of a procedure for the assessment of low frequency noise (LFN) complaints are described. The development of the assessment method included laboratory tests addressing low frequency hearing threshold and the effect on acceptability of fluctuation, and field measurements complemented with interview-based questionnaires. Environmental health departments then conducted a series of six trials with genuine "live" LFN complaints to test the workability and usefulness of the procedure. The procedure includes guidance notes and a pro-forma report with step-by-step instructions. It does not provide a prescriptive indicator of nuisance but rather gives a systematic procedure to help environmental health practitioners to form their own opinion. Examples of field measurements and application of the procedure are presented. The procedure and examples are likely to be of particular interest to environmental health practitioners involved in the assessment of LFN complaints. PMID:19739727

Moorhouse, Andy T; Waddington, David C; Adams, Mags D

2009-09-01

462

Low Back Pain in Young Athletes  

PubMed Central

Context Low back pain in young athletes is a common complaint and should be taken seriously. It frequently results from a structural injury that requires a high degree of suspicion to diagnose and treat appropriately. Evidence Acquisition A Medline search was conducted from 1996 to May 2008 using the search terms “low back pain in children” and “low back pain in athletes.” Known texts on injuries in young athletes were also reviewed. References in retrieved articles were additionally searched for relevant articles. Sources were included if they contained information regarding diagnosis and treatment of causes of low back pain in children. Results Low back pain is associated with sports involving repetitive extension, flexion, and rotation, such as gymnastics, dance, and soccer. Both acute and overuse injuries occur, although overuse injuries are more common. Young athletes who present with low back pain have a high incidence of structural injuries such as spondylolysis and other injuries to the posterior elements of the spine. Disc-related pathology is much less common. Simple muscle strains are much less likely in this population and should be a diagnosis of exclusion only. Conclusion Young athletes who present with low back pain are more likely to have structural injuries and therefore should be investigated fully. Muscle strain should be a diagnosis of exclusion. Treatment should address flexibility and muscle imbalances. Injuries can be prevented by recognizing and addressing risk factors. Return to sport should be a gradual process once the pain has resolved and the athlete has regained full strength.

Purcell, Laura; Micheli, Lyle

2009-01-01

463

Prevalence of carpal tunnel syndrome in pregnant women.  

PubMed

Carpal tunnel syndrome (CTS) is a frequent complication of pregnancy, with a prevalence reported as high as 62%. The most typical symptoms are numbness and tingling in the thumb, index finger, middle finger, and radial half of the ring finger. Other common manifestations include burning dysesthetic wrist pain, as well as the loss of grip strength and dexterity. Proximal radiation along the volar forearm, medial arm, and shoulder, while not as common, is not unusual. Symptoms are often worse at night and can be exacerbated by forceful activity and extreme wrist positions. It can be diagnosed to a high degree of specificity via history and physical examination. Median nerve