Sample records for pain complaints prevalence

  1. Multiple pain complaints in amputees.

    PubMed Central

    Lindesay, J E

    1985-01-01

    A group of amputees complaining of longstanding phantom pain was compared with another comparable group of non-complainers. It was found that those with phantom pain made significantly more complaints of other painful conditions, both related and unrelated to the amputation; they were also more depressed. It is suggested that this association is due to a lowered pain tolerance in the group with phantom pain complaints, and that depression is one factor contributing to this lowered tolerance. PMID:3999080

  2. Catastrophic Thinking About Pain is Independently Associated with Pain Severity, Disability, and Somatic Complaints in School Children and Children with Chronic Pain

    Microsoft Academic Search

    Tine Vervoort; Liesbet Goubert; Christopher Eccleston; Patricia Bijttebier; Geert Crombez

    2006-01-01

    complaints. Results In both studies, pain catastrophizing significantly accounted for the variance of pain, disability, and somatic complaints, beyond the effects of age, sex, and NA. Furthermore, pain catastrophizing significantly mediated the relationship between NA and somatic complaints in both studies and between NA and functional disability in study 1. Conclusions Results suggest the importance of assessing for pain catastrophizing

  3. Physical therapists versus nurses in a rehabilitation hospital: comparing prevalence of work-related musculoskeletal complaints and working conditions.

    PubMed

    Alperovitch-Najenson, D; Treger, I; Kalichman, L

    2014-01-01

    The objective of this study was to investigate the prevalence and work avoidance of work-related musculoskeletal complaints and to compare patient handling tasks and psychosocial factors of physical therapists (PTs) and nurses in a rehabilitation hospital. Cross-sectional observational study was carried out using questionnaires relating to basic demographics, prevalence of musculoskeletal morbidity, workload, and job satisfaction. Comparing 26 PTs and 54 nurses, all females, lower back pain was significantly more prevalent in PTs, even after adjusting for the confounding demographic factors; PTs performed full and partial manual patient transfer, as well as trunk bending and walking assistance more frequently than the nurses and were significantly more satisfied. Unique physical load could be the main factor for the high prevalence of lower back pain in PTs. They should urgently initiate a "no-lift policy" in treatment. PMID:23930794

  4. Chronic pain in Australia: a prevalence study

    Microsoft Academic Search

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

    2001-01-01

    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

  5. PREVALENCE OF NON-SPECIFIC SELF-REPORTED BACK PAIN AMONG ADOLESCENTS AT HAIL TERRITORY-KSA

    Microsoft Academic Search

    Walaa Sayed Mohammad; Walaa Mohamed El-Sais

    2013-01-01

    Objective: Back pain (BP) is a common complaint adolescent in many countries. Its prevalence is not yet verified in Saudi Arabia. The objectives of this study were to investigate prevalence of non- specific BP among adolescents in Hail territory; and to detect the potential risk factors implicated in its development. Method: A cross-sectional population of 1000 students aged 12 to

  6. Bullying Victimization Prevalence and Its Effects on Psychosomatic Complaints: Can Sense of Coherence Make a Difference?

    ERIC Educational Resources Information Center

    García-Moya, Irene; Suominen, Sakari; Moreno, Carmen

    2014-01-01

    Background: The aim of this study was to examine the prevalence of bullying victimization and its impact on physical and psychological complaints in a representative sample of adolescents and to explore the role of sense of coherence (SOC) in victimization prevalence and consequences. Methods: A representative sample of Spanish adolescents (N =…

  7. A comparative study on the prevalence of musculoskeletal complaints among musicians and non-musicians

    PubMed Central

    2013-01-01

    Background Research comparing the frequency of musculoskeletal complaints between musicians and non-musicians is scarce. The aim of this study was to compare the prevalence of musculoskeletal complaints between musicians and non-musicians. Methods A cross-sectional study in 3215 students from three music academies (n?=?345) and one medical school (n?=?2870) in The Netherlands was performed, using an electronic questionnaire. The questionnaire included socio-demographic characteristics, use of music instruments and the occurrence of musculoskeletal complaints in six body regions. Questions were related to musculoskeletal complaints over the last twelve months and at the time of the questionnaire. Chi-square, t-tests and Kruskal-Wallis tests were used for comparison between the two groups. The association between musculoskeletal complaints and possible predictors was analyzed using a logistic and Poisson regression. Results Eighty-seven music academy students and 503 medical students returned the questionnaire, of which respectively eighty-three and 494 were included in the study. Seventy-four music academy students (89.2%) reported one or more musculoskeletal complaints during the last twelve months, compared to 384 (77.9%) medical students (p?=?0.019). Moreover 52 music academy students (62.7%) and 211 medical students (42.7%) reported current musculoskeletal complaints (p?=?0.001). The Odds ratio (OR) for the development of musculoskeletal complaints during the last twelve months in music academy students versus medical students is 2.33 (95% CI 1.61–3.05, p?=?0.022). The OR at the time of the questionnaire is 2.25 (95% CI 1.77–2.73, p?=?0.001). The total number of complaints have been modeled by employing a Poisson regression; the results show that non-musicians have on average less complaints than musicians (p?=?0.01). The adjusted means are 2.90 (95% CI 2.18–3.63) and 1.83 (95% CI 1.63–2.04) respectively for musicians and non-musicians. Regarding the localization of complaints, music academy students reported more complaints concerning the right hand, wrists, left elbow, shoulders, neck, jaw and mouth in contrast to medical students. Conclusions Musculoskeletal complaints are significantly more common among musicians compared to non-musicians, mainly due to a higher number of upper extremity complaints. PMID:23289849

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

    Microsoft Academic Search

    Sara N Davison

    2003-01-01

    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

  9. [Facets of patient complaints: pain, suffering, and the importance of consideration].

    PubMed

    Gagnon, Eric

    2005-01-01

    Patient complaints, as it has often been recognized, serve to express multiple and varied experiences and needs. A number of options for filing complaints and a variety of ways for doing so have arisen recently, among which are ethics committees, support groups, palliative care units, and complaint examination committees. Today patients have many occasions for expressing their experiences, talking about distressing incidents, and making their needs known. Three orally related experiences are examined here, both from the viewpoint of the patient and in light of their cultural meanings: pain, suffering, and the importance of consideration. These are three expectations of care providers, but also three experiences that dispose patients to rethink their individuality and their relationships with others, to take stock of their pasts, and to reflect on who they are and who they want to become. The experience of illness has thus become pivotal in the process of constructing individual identity. PMID:15985209

  10. Chest Pain as a presenting complaint in patients with acute myocardial infarction (AMI)

    PubMed Central

    Malik, Muhammad Ajmal; Alam Khan, Shahzad; Safdar, Sohail; Taseer, Ijaz-Ul-Haque

    2013-01-01

    Objective: To study various characteristics of chest pain in acute myocardial infarction patients. Methodology: A total of 331 patients of AMI admitted at Cardiology unit Nishtar Hospital Multan and Chaudhry Pervez Elahi Institute of Cardiology Multan, irrespective of the age and gender, were included in this study. The study duration was one year starting from June 2011 to June 2012. Non-probability purposive sampling technique was used in this descriptive study. Informed consent to participate in this study was taken. Data were entered and analyzed using SPSS-11. Results: A total number of 331 patients with AMI were included in the study. Mean age was 54.99±11.25 years with minimum age 20 years and maximum age 90 years. It included 264(79.8%) male and 67(20.2%) female patients with male to female ratio of 3.9:1. Out of these 331 patients 308 (93.1%) patients reported chest pain as the presenting complaint. Remaining 23(6.9%) presented with clinical features other than chest pain. There were 127(38.4%) patients with pre-cordial chest pain, 115(34.7%) had retrosternal chest pain, 58(17.5%) were having epigastric pain. Severe chest pain was seen in 281(84.9%) patients while 26(7.9%) had only mild chest discomfort. Radiation of the pain to shoulder, neck and jaw was seen in 75 (22.7%) patients. In 42(12.7%) patients, pain radiated to both sides of chest. Another 55(16.6%) patients had pain radiation to chest, shoulder, upper arm and ulnar side of left forearm. Chest pain radiation to interscapular region along with both sides of chest was present in 10(3.0%) patients. In 11(3.3%) patients’ pain radiated only to left side of chest. Pain persisting for >20 minutes was reported by 298 (90%) patients while only 10(3.1%) had pain persisting for <20 minutes. Conclusion: There is considerable overlap in chest pain of cardiac as well as non cardiac causes. However, vigilant evaluation of characteristics of chest pain in history taking may help to overcome this dilemma. Severe and prolonged precordial chest pain in a male patient between the age of 41-70 years, with pain radiation to left shoulder, neck and jaw is highly suggestive of AMI. PMID:24353577

  11. Increased multiple sclerosis relapses related to lower prevalence of pain.

    PubMed

    Silva, José Vinícius Martins da; Oliveira, Beatriz Fátima Alves de; Nascimento, Osvaldo José Moreira do; Farinhas, João Gabriel Dib; Cavaliere, Maria Graziella; Cal, Henrique de Sá Rodrigues; Matta, André Palma da Cunha

    2015-07-01

    Objective The study aims to investigate the presence of pain amongst multiple sclerosis (MS) patients. Method One hundred MS patients responded to questionnaires evaluating neuropathic and nociceptive pain, depression and anxiety. Statistical analysis was performed using the Mann-Whitney U, Chi-Square and two-tailed Fisher's exact tests and multivariate logistic regression. Results Women had a statistically higher prevalence of pain (p = 0.037), and chances of having pain after the age of 50 reduced. Women with pain had a statistically significant lower number of relapses (p = 0.003), restricting analysis to those patients with more than one relapse. After the second relapse, each relapse reduced the chance of having pain by 46%. Presence of pain was independent of Expanded Disability Status Scale (EDSS) anxiety, and depression. Conclusion Our findings suggest a strong inverse association between relapses and pain indicating a possible protective role of focal inflammation in the control of pain. PMID:26200054

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

    Microsoft Academic Search

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

    2001-01-01

    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

  13. Pain Assessment

    Microsoft Academic Search

    Frank Andrasik; Carla Rime

    In adults, pain is one of the most common physical complaints. For example, a comprehensive review of available epidemiological\\u000a studies yielded a median point prevalence of chronic benign pain of 15% in adults, with individual study values ranging from\\u000a 2–40% (Verhaak, Kerssens, Dekker, Sorbi, & Bensing, 1998). Unfortunately, pain is not limited to the adult years, as estimates\\u000a of pain

  14. Pain prevalence and trajectories following pediatric spinal fusion surgery

    PubMed Central

    Sieberg, Christine B.; Simons, Laura E.; Edelstein, Mark R.; DeAngelis, Maria R.; Pielech, Melissa; Sethna, Navil; Hresko, M. Timothy

    2013-01-01

    Factors contributing to pain following surgery are poorly understood with previous research largely focused on adults. With approximately 6 million children undergoing surgery each year8, there is a need to study pediatric persistent postsurgical pain. The present study includes patients with adolescent idiopathic scoliosis undergoing spinal fusion surgery enrolled in a prospective, multi-centered registry examining post-surgical outcomes. The Scoliosis Research Society Questionnaire- Version 30, which includes pain, activity, mental health, and self-image subscales, was administered to 190 patients prior to surgery and at 1 and 2 years post-surgery. A subset (n=77) completed 5-year post-surgery data. Pain prevalence at each time point and longitudinal trajectories of pain outcomes derived from SAS PROC TRAJ were examined using ANOVAs and post-hoc pairwise analyses across groups. Thirty-five percent of patients reported pain in the moderate-severe range prior to surgery. One year postoperative, 11% reported pain in this range while 15% reported pain at two years post-surgery. At five years post-surgery, 15% of patients reported pain in the moderate to severe range. Among the five empirically-derived pain trajectories, there were significant differences on self-image, mental health, and age. Identifying predictors of poor long-term outcomes in children with postsurgical pain may prevent the development of chronic pain into adulthood. PMID:24290449

  15. Back pain prevalence correlated with adolescent backpack use

    Microsoft Academic Search

    Jessica Johnson; Cathleen King

    2003-01-01

    Background and purpose. Few studies have researched the relationship between adolescent back pain and backpack use. Hence, the purpose of this study was to determine if there is a relationship between the point-prevalence of back pain and backpack wearing in adolescence.\\u000aMethods. After obtaining parental consent, 169 subjects ages 11-14 were assessed using a questionnaire that gathered information on the

  16. Prevalence of Chronic Axial Pain, Inflammatory Back Pain, and Spondyloarthritis in Diagnosed Psoriasis

    PubMed Central

    Thom, Nicole; Ritchlin, Christopher T.; Zhang, Xiao; Reveille, John; Weisman, Michael H.

    2015-01-01

    Objective To provide prevalence estimates for inflammatory back pain (IBP) and spondyloarthritis (SpA) in those subjects with psoriasis using 2009–2010 National Health and Nutrition Examination Survey (NHANES) data. Methods In the NHANES 2009–2010 sample set, 6,684 persons ages 20–69 years were screened for participation, and 5,103 answered questions regarding onset of back pain, location of pain, and functional limitations. Data set assembly and statistical analysis were performed using SASTM and SUDAAN software. SEs were estimated by Taylor series linearization. The equality of the prevalence estimates for selected variables was tested (univariately) at an alpha level of 0.05 using 2-sided Student’s t-test with appropriate degrees of freedom. Results A total of 148 persons had self-reported medically diagnosed psoriasis. The psoriasis group versus the nonpsoriasis group had a significantly higher prevalence of axial pain using the 3-month duration criterion (31.1% versus 18.9%; P = 0.04) and alternating buttock pain (7.2% versus 2.4%; P = 0.03) and more frequently met IBP criteria from Berlin criteria 7b and 8a (P = 0.04 and 0.02, respectively). The prevalence of SpA was significantly higher in the psoriasis group versus the nonpsoriasis group when using Amor or European Spondyloarthritis Study Group criteria (14.3% versus 1.5%; P < 0.001). Sudden onset of axial pain was significantly higher in the psoriasis group (23.3% versus 13.0%; P = 0.01). Conclusion There is a higher prevalence of lower axial pain, IBP, SpA, and alternating buttock pain associated with a prior diagnosis of psoriasis. These data may influence the way psoriasis patients are approached in primary care and specialty clinics. PMID:25469666

  17. Prevalence of medication overuse headache in an interdisciplinary pain clinic

    PubMed Central

    2013-01-01

    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. PMID:23565761

  18. Prevalence of Neuropathic Pain in Radiotherapy Oncology Units

    SciTech Connect

    Manas, Ana [Servicio de Oncologia Radioterapica, Hospital Universitario La Paz, Madrid (Spain); Monroy, Jose Luis [Servicio de Oncologia Radioterapica, Hospital Universitario de la Ribera, Valencia (Spain); Ramos, Avelino Alia [Servicio de Oncologia Radioterapica, Hospital Txagorritxu, Vitoria-Alava (Spain); Cano, Carmen [Servicio de Oncologia Radioterapica, Hospital de Torrecardenas, Almeria (Spain); Lopez-Gomez, Vanessa, E-mail: Vanessa.LopezGomez@pfizer.com [Medical Unit, Pfizer Espana, Alcobendas (Spain); Masramon, Xavier [Department of Biometrics, European Biometrics Institute, Barcelona (Spain); Perez, Maria [Medical Unit, Pfizer Espana, Alcobendas (Spain)

    2011-10-01

    Purpose: Neuropathic pain (NP) in cancer patients severely impacts quality of life. Radiotherapy (RT) may cause NP, and at the same time, cancer patients visit RT units for pain relief. NP prevalence at these sites and current analgesic treatment should be assessed to improve management. Methods and Materials: This epidemiological, prospective, multicenter study was undertaken to assess NP prevalence, according to Douleur Neuropathique 4 questions questtionaire (DN4) test results, and analgesic management in cancer pain patients visiting RT oncologic units. Secondary analyses assessed NP etiology and pain intensity (using the Brief Pain Inventory-Short Form) and impact (using the Hospital Anxiety and Depression Scale (HADS), Medical Outcomes Study [MOS] for Sleep, and the Health Survey Short Form-12). Results: A total of 1,098 patients with any kind of pain were registered. NP prevalence was 31.1% (95% confidence interval, 28.4%--33.9%); 291 NP patients (mean age, 62.2 {+-}12.5 years and 57.7% men) were eligible for study; 49% of patients were overweight. The most frequent tumors were those of breast and lung, and stage IIIB was the most common cancer stage. The tumors caused 75% of NP cases. Anxiety, sleepiness, and depression were common. At 8 weeks, pain intensity and interference with daily activities decreased significantly for 50.8% of responders. Depression and anxiety (p < 0.0001) scores on the Physical Component Summary and Mental Component Summary measures (p < 0.0001) and all MOS-Sleep subscales, except for snoring, improved significantly. The percentage of satisfied patients increased from 13.8% to 87.4% (p < 0.0001) with the current analgesic treatment, which meant a 1.2- and 6-fold increase (p < 0.0001) in narcotic analgesics and anticonvulsants, respectively, compared to previous treatment. Conclusions: NP is highly prevalent at RT oncology units, with sleepiness, anxiety, and depression as frequent comorbidities. There is a need to improve management of NP with increased use of more specific NP-targeting drugs.

  19. Pain prevalence and its determinants after spinal cord injury: a systematic review.

    PubMed

    van Gorp, S; Kessels, A G; Joosten, E A; van Kleef, M; Patijn, J

    2015-01-01

    Pain prevalence studies are important as they illustrate the magnitude of pain problems in a certain patient population, such as patients living with a spinal cord injury (SCI). Strikingly, reported pain prevalence rates in SCI patients are found to vary greatly, while determinants for the differences between pain prevalence reports remain unclear. We here aim to identify determinants for the differences (heterogeneity) in pain prevalence reports through a systematic review of all SCI pain prevalence reporting studies. Literature search was done using Medline, Cumulative Index to Nursing and Allied Health Literature, ISI Web of Knowledge and Embase. Data abstraction was performed while blinded and was followed by meta-(regression)-analyses. We identified 82 studies. Study design-related determinants of SCI pain prevalence reports were pain definition strictness (mild, moderate or high), primary study goal (pain study or not), data source (retrospective or not), and in a limited number of cases response/attrition rates. While correcting for these items, population characteristics correlating with pain prevalence rates were both proportion of patients with a depression and average time after injury (positive correlations). Between-study heterogeneity may remain even after the identification/correction of above-mentioned causes of heterogeneity.Pain after SCI does seem to relate to the duration of the injury and depression, yet major causes of bias in reported pain prevalence are found to be related to the primary study goal (pain study or not), choice of pain definition and the use of retrospective data. PMID:24824334

  20. Somatic Complaints and Psychopathology in Children and Adolescents: Stomach Aches, Musculoskeletal Pains, and Headaches

    Microsoft Academic Search

    HELEN LINK EGGER; E. JANE COSTELLO; ALAATTIN ERKANLI; ADRIAN ANGOLD

    1999-01-01

    ObjectiveTo examine the associations of somatic complaints with DSM-III-R-defined depression, anxiety disorders, conduct disorder, oppositional defiant disorder, and attention-deficit hyperactivity disorder in a population-based sample of children and adolescents.

  1. Prevalence of chronic benign pain disorder among adults: a review of the literature

    Microsoft Academic Search

    PETER F. M. VERHAAK; JAN J. KERSSENS; Joost Dekker; MARJOLIJN J. SORBI; JOZIEN M. BENSING

    1998-01-01

    In this review epidemiological studies concerning chronic benign pain among adults are discussed. To this end, studies focusing on chronic pain, reporting prevalences at a population or primary health care level, including subjects aged between 18 and 75 years have been collected and analyzed. Focus of analysis was on research methods, definitions of chronic benign pain used, and reported prevalences.

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

    Microsoft Academic Search

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

    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

  3. Non-specific musculoskeletal pain in preadolescents. Prevalence and 1-year persistence

    Microsoft Academic Search

    Marja Mikkelsson; Jouko J Salminen; Hannu Kautiainen

    1997-01-01

    A 1-year follow-up study of 1756 third- and fifth-grade schoolchildren was conducted with a structured pain questionnaire to assess the prevalence and persistence of self-reported musculoskeletal pain symptoms and disability caused by pain. At follow-up, 1626 (92.7%) children participated in the study. Pain at least once a week persisted in 270 (52.4%) of the 564 children who reported musculoskeletal pain

  4. Back Pain in Poland and Germany: A Survey of Prevalence and Association with Demographic Characters

    PubMed Central

    Henn, Lea; Schier, Katarzyna; Brian, Tamara; Hardt, Jochen

    2014-01-01

    Background. Back pain is the most common form of pain and leads to high costs in all medical care systems. Objective. The present study examines the prevalence of back pain and its associations with some basic demographics. Methods. Two samples from Poland and Germany (about n = 500 each) were examined via Internet regarding back pain, gender, age, and body mass index (BMI). Results. Back pain is more common in women than in men (risk ratio about 1.7), and a high BMI constitutes an additional risk factor. Age was not related to back pain prevalence. Conclusion. Congruent results in two countries based on the same measure of back pain lead to the assumption that much of the variety found in estimates of back pain are due to inconsistent assessment. For future research, a definition of common criteria on how to assess back pain would be an asset. PMID:25093187

  5. Prevalence of musculoskeletal pain and associated factors in the Quebec working population

    Microsoft Academic Search

    Isabelle Leroux; Clermont E. Dionne; Renée Bourbonnais; Chantal Brisson

    2005-01-01

    Background: While the determinants of musculoskeletal pain are numerous, few studies conducted among workers have taken into account, altogether, physical factors, psychosocial factors (personal and work-related) and individual characteristics. Objectives: To estimate the 1-year prevalence of musculoskeletal pain in the Quebec working population by gender and anatomical site, and to determine which factors are associated with these prevalence figures. Methods:

  6. Prevalence of nonmusculoskeletal complaints in chiropractic practice: Report from a practice based research program

    Microsoft Academic Search

    Cheryl Hawk; Cynthia R. Long; Karen T. Boulanger

    2001-01-01

    Objective: To identify patient and practice characteristics that might contribute to people's seeking chiropractic care for nonmusculoskeletal complaints.Design: This was a cross-sectional study conducted through the methods of practice-based research.Setting: Data were collected in 1998-1999 in chiropractic offices in the United States, Canada, and Australia; data were managed by a practice-based research office operating in a chiropractic research center.Population: The

  7. Prevalence and treatment of pain in adults admitted to Italian hospitals

    Microsoft Academic Search

    Marco Visentin; Elisabetta Zanolin; Leonardo Trentin; Samantha Sartori; Roberto de Marco

    2005-01-01

    Background: Very few studies have been conducted on the presence and control of pain in Italian hospitals.Aims: The present study estimates pain prevalence and therapy in Italian hospitalised patients.Methods: In the autumn of 2000, a survey was taken on 4523 inpatients throughout Italy. All eligible patients were given a questionnaire with two Numerical Rating Scales (NRS) concerning their pain intensity

  8. Prevalence of cocaine use among patients attending the emergency department with chest pain

    Microsoft Academic Search

    Tanya Maric; Sally OConnor; Noel Pollock; Zul Mirza; John Henry

    2010-01-01

    IntroductionCocaine is the only drug to show a rise in misuse between 1996 and 2007 in England and Wales. It can cause chest pain and myocardial infarction. This study assessed the prevalence of cocaine use in patients presenting with chest pain, and determined the association between cocaine use and chest pain.MethodsPatients presenting with chest pain had a urine sample collected

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

    Microsoft Academic Search

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

    2006-01-01

    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

  10. Prevalence and Correlates of Low Back Pain in Primary Care: What Are the Contributing Factors in a Rapidly Developing Country

    PubMed Central

    Dafeeah, Elnour Elnaeim; Alnaqbi, Khalid

    2014-01-01

    Study Design Cross-sectional. Purpose The purpose of the study was to determine the prevalence of low back pain (LBP) in the primary care setting with emphasis on the socio-demographic contributing factors and impact of LBP on lifestyle habits. Overview of Literature LBP is one of the most common medical conditions seen in the Primary Health Care Clinic. Methods A representative sample of 2,600 patients were approached and 1,829 subjects agreed to participate in this study (70.0%). Data on socio-demographic characteristics, life style habits and type of treatment were collected through a questionnaire. Results The prevalence of LBP in the study sample was 56.5% (95% confidence interval, 54.2-58.8). LBP was more prevalent among women (53.9%) compared to men (46.1%). There was significant difference between male and female patients of LBP in terms of ethnicity (p<0.001), marital status (p=0.010), occupation (p<0.001), monthly household income (p=0.004), and cigarette/sheesha smokers (p<0.001). The percentages of different aspects of functional disabilities were statistically significantly higher among females compared to male patients with LBP. Almost a quarter of female patients with LBP (26%) and 18% male patients with LBP reported pain in the arms and legs (p=0.002). In addition, gastrointestinal complaints such as abdominal pain and food intolerance were significantly higher among female patients with LBP as compared to males (31% vs. 24.6%, p=0.018; and 25% vs. 18%, p=0.008, respectively). Complaints about headache and fainting were also significantly higher among female patients as compared to male LBP patients (43% vs. 36%, p=0.029; and 26% vs. 20%, p=0.016, respectively). The multivariate logistic regression revealed that being female, prolonged standing, prolonged sitting, heavy weight lifting, weakness in the legs, regular exercise, and cigarette/sheesh a smoking had a significant effect on the presence of LBP. Conclusions LBP is highly prevalent among both genders and in older age. Also, weakness in the legs, smoking, prolonged standing and sitting had a significant effect on LBP. Furthermore, the current study findings support the fact that LBP continues to be an important clinical, social and economic, burden and a public health problem affecting the population of the entire world. PMID:24967035

  11. Anxiety and Somatic Complaints in Children with Recurrent Abdominal Pain and Anxiety Disorders

    PubMed Central

    Dunn, Madeleine J.; Compas, Bruce E.

    2009-01-01

    Objective?To compare anxiety symptoms and disorders in children and adolescents with recurrent abdominal pain (RAP), anxiety disorders, and healthy control children.?Methods?Twenty-one children with RAP (nine males, mean age = 11.05) were compared to 21 children with anxiety disorders (11 males, mean age = 12.29), and 21 children without pain or anxiety (nine males, mean age = 11.57) using diagnostic interviews and continuous measures of anxiety and other internalizing symptoms.?Results?Sixty-seven percent of children with RAP met criteria for an anxiety disorder. Children with RAP were higher than well children but not significantly different from children with anxiety on total internalizing and anxiety symptoms.?Conclusions?RAP and anxiety are closely related. Further understanding between these disorders is essential to understanding the development and progression of RAP, and to inform the prevention and treatment of the disorder. PMID:18577541

  12. Implications for Physical Activity in the Population With Low Back Pain

    Microsoft Academic Search

    William J. Hanney; Morey J. Kolber; Kristina S. Beekhuizen

    2009-01-01

    Low back pain is considered the most prevalent pain complaint affecting the general population, with a reported lifetime prevalence of up to 75%. It is a recognized societal problem from both a disablement and economic perspective, with costs exceeding that of coronary artery disease, respiratory infections, and diabetes. The traditional concept of low back pain having a favorable natural history

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

    Microsoft Academic Search

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

    2007-01-01

    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

  14. Prevalence of oral pain and barriers to use of emergency oral care facilities among adult Tanzanians

    Microsoft Academic Search

    Emil Namakuka Kikwilu; Joyce Rose Masalu; Febronia Kokulengya Kahabuka; Ahadieli Raphael Senkoro

    2008-01-01

    BACKGROUND: Oral pain has been the major cause of the attendances in the dental clinics in Tanzania. Some patients postpone seeing the dentist for as long as two to five days. This study determines the prevalence of oral pain and barriers to use of emergency oral care in Tanzania. METHODS: Questionnaire data were collected from 1,759 adult respondents aged 18

  15. The nature and prevalence of chronic pain in homeless persons: an observational study

    PubMed Central

    Wheeler, Daniel W

    2013-01-01

    Background: Homeless people are known to suffer disproportionately with health problems that reduce physical functioning and quality of life, and shorten life expectancy. They suffer from a wide range of diseases that are known to be painful, but little information is available about the nature and prevalence of chronic pain in this vulnerable group. This study aimed to estimate the prevalence of chronic pain among homeless people, and to examine its location, effect on activities of daily living, and relationship with alcohol and drugs. Methods: We conducted face-to-face interviews with users of homeless shelters in four major cities in the United Kingdom, in the winters of 2009-11. Participants completed the Brief Pain Inventory, Short Form McGill Pain questionnaire, Leeds Assessment of Neuropathic Symptoms and Signs, and detailed their intake of prescribed and unprescribed medications and alcohol. We also recorded each participant’s reasons for homelessness, and whether they slept rough or in shelters. Findings: Of 168 shelter users approached, 150 (89.3%) participated: 93 participants (63%) reported experiencing pain lasting longer than three months; the mean duration of pain experienced was 82.2 months. The lower limbs were most frequently affected. Opioids appeared to afford a degree of analgesia for some, but whilst many reported symptoms suggestive of neuropathic pain, very few were taking anti-neuropathic drugs. Interpretation: The prevalence of chronic pain in the homeless appears to be substantially higher than the general population, is poorly controlled, and adversely affects general activity, walking and sleeping. It is hard to discern whether chronic pain is a cause or effect of homelessness, or both. Pain is a symptom, but in this challenging group it might not always be possible to treat the underlying cause. Exploring the diagnosis and treatment of neuropathic pain may offer a means of improving the quality of these vulnerable people’s lives. PMID:24555079

  16. Prevalence of low back pain in the community: implications for service provision in Bradford, UK.

    PubMed Central

    Hillman, M; Wright, A; Rajaratnam, G; Tennant, A; Chamberlain, M A

    1996-01-01

    STUDY OBJECTIVE: To assist a purchasing district in the planning of services for low back pain by assessing the prevalence of symptoms and the current involvement of primary, secondary, and complementary care in the treatment of low back pain. In the light of these findings, to assess further the potential impact of a new system of open access to physical therapy, as recommended by the British Clinical Standards Advisory Group (CSAG). DESIGN: A two-stage cross sectional survey approach using postal questionnaires. SUBJECTS: Altogether 1437 men and 1747 women aged 25-64 years, randomly selected from the family health services association register in Bradford. MAIN RESULTS: An annual incidence of 4.7% for low back pain was found, with lifetime, 12 month period, and point prevalences of 59%, 39%, and 19% respectively. Over a one year period, 50.3% of episodes were acute (< 2 weeks), 21% were subacute (2 weeks-3 months), and 26% were chronic (over 3 months) in duration. Altogether 17.8% of the population in this age range experienced referred pain, numbness, or tingling, and 6.4% took time off work as a result of low back pain. In the same year, 20% of the population in the same age range consulted no-one about their pain, 13.7% were treated at the primary care level, 4% received secondary care, and 3% visited a complementary therapist. One fifth of those who did not consult a professional experienced severe pain during episodes. Prevalence estimates indicate that an emphasis on early intervention and primary care management of simple low back pain as recommended by the CSAG could generate a 131% surge in demand for physical therapy. CONCLUSIONS: Local prevalence estimates may allow purchasers to estimate the potential effects of a shift in management policy for low back pain and to highlight areas of unmet need in terms of resources and patient education. PMID:8935469

  17. The Prevalence of Lumbar Spine Facet Joint Osteoarthritis and Its Association with Low Back Pain in Selected Korean Populations

    PubMed Central

    Vaccaro, Alexander R.; Lee, Sangwook; Lee, Jaekun; Chang, Hojin

    2014-01-01

    Background This study was to evaluate the association of lumbar spine facet joint osteoarthritis (LSFJOA) identified by multi-detector computed tomography (MDCT) with age and low back pain (LBP) in an adult community-based population in Korea. Methods A sample of 472 participants (age range, 20 to 84 years) who underwent MDCT imaging for abdominal or urological lesions, not for chief complaints of LBP, were included in this study. LSFJOA based on MDCT findings was characterized using four grades of osteoarthritis of the facet joints. The prevalence of LSFJOA according to age group (below 40 years, 40-49 years, 50-59 years, 60-69 years, and above 70 years), gender, and spinal level was analyzed using chi-square tests and the association between LBP and LSFJOA adjusting for age, gender, and spine level was analyzed using multiple binary logistic regression test. Results Eighty-three study subjects (17.58%) had LSFJOA (grade ? 2). The prevalence of LSFJOA was not associated with gender (p = 0.092). The prevalence of LSFJOA increased with age (p = 0.015). The highest prevalence of LSFJOA was observed at L4-5 in men (p = 0.001) and at L5-S1 in women (p = 0.003), and at L5-S1 in the overall population (p = 0.000). LSFJOA was not associated with LBP in men (p = 0.093) but was associated with LBP in women (p = 0.003), especially at L3-4 (p = 0.018) and L5-S1 (p = 0.026). Conclusions The prevalence of LSFJOA based on the computed tomography imaging was 17.58% in the adult community Korean population. The prevalence of LSFJOA increased with age, and the highest prevalence was noted at L5-S1. LSFJOA was not associated with LBP at any spinal level and age except at L3-4 and L5-S1 in women. PMID:25436061

  18. Chronic Pain in the Japanese Community—Prevalence, Characteristics and Impact on Quality of Life

    PubMed Central

    Inoue, Shinsuke; Kobayashi, Fumio; Nishihara, Makoto; Arai, Young-Chang P.; Ikemoto, Tatsunori; Kawai, Takashi; Inoue, Masayuki; Hasegawa, Tomomi; Ushida, Takahiro

    2015-01-01

    Background Chronic pain is recognized as a public health problem that affects the general population physically, psychologically, and socially. However, there is little knowledge about the associated factors of chronic pain, such as the influence of weather, family structure, daily exercise, and work status. Objectives This survey had three aims: 1) to estimate the prevalence of chronic pain in Japan, 2) to analyze these associated factors, and 3) to evaluate the social burden due to chronic pain. Methods We conducted a cross-sectional postal survey in a sample of 6000 adults aged ?20 years. The response rate was 43.8%. Results The mean age of the respondents was 57.7 years (range 20–99 years); 39.3% met the criteria for chronic pain (lasting ?3 months). Approximately a quarter of the respondents reported that their chronic pain was adversely influenced by bad weather and also oncoming bad weather. Risk factors for chronic pain, as determined by a logistic regression model, included being an older female, being unemployed, living alone, and no daily exercise. Individuals with chronic pain showed significantly lower quality of life and significantly higher psychological distress scores than those without chronic pain. The mean annual duration of absence from work of working-age respondents was 9.6 days (range 1–365 days). Conclusions Our findings revealed that high prevalence and severity of chronic pain, associated factors, and significant impact on quality of life in the adult Japanese population. A detailed understanding of factors associated with chronic pain is essential for establishing a management strategy for primary care. PMID:26076135

  19. Back pain prevalence in US industry and estimates of lost workdays.

    PubMed Central

    Guo, H R; Tanaka, S; Halperin, W E; Cameron, L L

    1999-01-01

    OBJECTIVES: Back pain is the most common reason for filing workers' compensation claims and often causes lost workdays. Data from the 1988 National Health Interview Survey were analyzed to identify high-risk industries and to estimate the prevalence of work-related back pain and number of workdays lost. METHODS: Analyses included 30074 respondents who worked during the 12 months before the interview. A case patient was defined as a respondent who had back pain every day for a week or more during that period. RESULTS: The prevalence of lost-workday back pain was 4.6%, and individuals with work-related cases lost 101.8 million workdays owing to back pain. Male and female case patients lost about the same number of workdays. Industries in high-risk categories were also identified for future research and intervention, including those seldom studied. CONCLUSIONS: This study provides statistically reliable national estimates of the prevalence of back pain among workers and the enormous effect of this condition on American industry in terms of lost workdays. PMID:10394311

  20. The prevalence of pain and pain interference in a general population of older adults: cross-sectional findings from the North Staffordshire Osteoarthritis Project (NorStOP)

    Microsoft Academic Search

    Elaine Thomas; George Peat; Lindsey Harris; Ross Wilkie; Peter R Croft

    2004-01-01

    Although pain is experienced at all ages, there is uncertainty about the pattern of its occurrence in older people. We have investigated the prevalence of three aspects of self-reported pain—occurrence of any recent pain, number and location of pain sites, and interference with daily life—to determine their association with age in older people. A cross-sectional postal survey of all adults

  1. Prevalence and characteristics of neuropathic pain in leprosy patients treated years ago

    PubMed Central

    Ramos, José Manuel; Alonso-Castañeda, Beatriz; Eshetu, Dejene; Lemma, Deriba; Reyes, Francisco; Belinchón, Isabel; Górgolas, Miguel

    2014-01-01

    The aim of this study was to determine the prevalence of neuropathic pain, now recognized as another late complication of leprosy, and its characteristics among leprosy patients. A cross-sectional study was carried out of people treated for leprosy up to at least 5 years ago in a rural area of Ethiopia. Seventy-four patients were interviewed using the Neuropathic Pain Symptom Inventory (NPSI) questionnaire. In total, 78.9% of the patients were female with a mean age of 42.9. The mean time from initial diagnosis to the time of the study was 28.0 years, and 73.0% of patients were diagnosed over 20 years ago. Fifty-two (70.3%) reported having symptoms suggestive of neuropathic pain and the majority described the pain as burning (88.5%), electric (80.8%), stabbing (76.9%), cutting (76.9%), tingling (65.4%), squeezing (57.7%), and/or pressure (53.8%). The pain caused a severe or moderate impact on daily life in 75% and 57.7% of cases, respectively, and 92.3% suffered from disrupted sleep. Eighty percent of patients with pain (42/52) took some medication for pain relief. Neuropathic pain is common in patients treated for leprosy and in more than half of them, it causes disruption in their daily life and sleep, limiting their quality of life even more. PMID:24892791

  2. Pain, Work-related Characteristics, and Psychosocial Factors among Computer Workers at a University Center

    PubMed Central

    Mainenti, Míriam Raquel Meira; Felicio, Lilian Ramiro; Rodrigues, Érika de Carvalho; Ribeiro da Silva, Dalila Terrinha; Vigário dos Santos, Patrícia

    2014-01-01

    [Purpose] Complaint of pain is common in computer workers, encouraging the investigation of pain-related workplace factors. This study investigated the relationship among work-related characteristics, psychosocial factors, and pain among computer workers from a university center. [Subjects and Methods] Fifteen subjects (median age, 32.0?years; interquartile range, 26.8–34.5?years) were subjected to measurement of bioelectrical impedance; photogrammetry; workplace measurements; and pain complaint, quality of life, and motivation questionnaires. [Results] The low back was the most prevalent region of complaint (76.9%). The number of body regions for which subjects complained of pain was greater in the no rest breaks group, which also presented higher prevalences of neck (62.5%) and low back (100%) pain. There were also observed associations between neck complaint and quality of life; neck complaint and head protrusion; wrist complaint and shoulder angle; and use of a chair back and thoracic pain. [Conclusion] Complaint of pain was associated with no short rest breaks, no use of a chair back, poor quality of life, high head protrusion, and shoulder angle while using the mouse of a computer. PMID:24764635

  3. Increase of chronic low back pain prevalence in a medium-sized city of southern Brazil

    PubMed Central

    2013-01-01

    Background Chronic low back pain (CLBP) is a highly disabling morbidity with high social, economic and individual effects. Demographic, occupational and behavioral changes that took place in Brazil over the last decade are related with an increasing burden of chronic conditions. Despite these changes, comparison studies on CLBP prevalence and associated factors, over time are scarce in the literature in general, and unknown in Brazil. The present study compared the CLBP prevalence in a medium sized city in Brazil between the years 2002 and 2010 and examined factors associated with prevalence in 2010. Methods Two cross-sectional studies with similar methodology were conducted in a medium-sized city in southern Brazil, in 2002 and 2010. 3182 individuals were interviewed in the first study and 2732 in the second one, all adults aged twenty years or more. Those who reported pain for seven weeks or more in the last three months in the lumbar region where considered cases of CLBP. Results The CLBP prevalence increased from 4.2% to 9.6% in 8 years. In most of the studied subgroups the CLBP prevalence has at least doubled and the increase was even larger among younger individuals with more years of education and higher economic status. Conclusions Increase in CLBP prevalence is worrisome because it is a condition responsible for substantial social impact, besides being an important source of demand for health services. PMID:23634830

  4. Prevalence and management of back pain in adolescent idiopathic scoliosis patients: A retrospective study

    PubMed Central

    Théroux, Jean; Le May, Sylvie; Fortin, Carole; Labelle, Hubert

    2015-01-01

    BACKGROUND: Back pain (BP) has often been associated with adolescent idiopathic scoliosis (AIS), which is a three-dimensional deviation of the vertebral column. In adolescents, chronic pain appears to be a predictor of health care utilization and has a negative impact on physical, psychological and family well-being. In this population, BP tends to be persistent and may be a predictor of BP in adulthood. OBJECTIVE: To document the prevalence and management of BP in AIS patients. METHODS: A retrospective chart review of AIS patients who were referred to Sainte-Justine University Teaching Hospital (Montreal, Quebec) from 2006 to 2011 was conducted. RESULTS: A total of 310 randomly selected charts were reviewed. Nearly one-half of the patients (47.3%) mentioned that they experienced BP, most commonly in the lumbar (19.7%) and thoracic regions (7.7%). The type of BP was documented in only 36% (n=112) of the charts. Pain intensity was specified in only 21% (n=65) of the charts. In approximately 80% (n=248) of the charts, no pain management treatment plan was documented. CONCLUSIONS: The prevalence of BP was moderately high among the present sample of adolescents with AIS. An improved system for documenting BP assessment, type, treatment plan and treatment effectiveness would improve pain management for these patients. PMID:25831076

  5. The prevalence of myofacial pain dysfunction syndrome in a lower socio-economic group in Zimbabwe.

    PubMed

    Khan, A A

    1990-06-01

    The prevalence of myofacial pain dysfunction syndrome (MPDS) was investigated in Zimbabwe. The study was carried out at Government dental centres, where most of the patients seen were local indigenous Zimbabweans belonging to the lower and lower middle socio-economic group which forms more than 80 per cent of the population of the country. There was a very low prevalence in this group unlike the results of similar studies in more developed countries. Nervous tensions, stress and strains associated with a faster pace of life and often cited in the aetiology of MPDS could be the attributing factor. PMID:2379094

  6. Prevalence of and risk factors for persistent postoperative nonanginal pain after cardiac surgery: a 2-year prospective multicentre study

    PubMed Central

    Choinière, Manon; Watt-Watson, Judy; Victor, J. Charles; Baskett, Roger J.F.; Bussières, Jean S.; Carrier, Michel; Cogan, Jennifer; Costello, Judy; Feindel, Christopher; Guertin, Marie-Claude; Racine, Mélanie; Taillefer, Marie-Christine

    2014-01-01

    Background: Persistent postoperative pain continues to be an underrecognized complication. We examined the prevalence of and risk factors for this type of pain after cardiac surgery. Methods: We enrolled patients scheduled for coronary artery bypass grafting or valve replacement, or both, from Feb. 8, 2005, to Sept. 1, 2009. Validated measures were used to assess (a) preoperative anxiety and depression, tendency to catastrophize in the face of pain, health-related quality of life and presence of persistent pain; (b) pain intensity and interference in the first postoperative week; and (c) presence and intensity of persistent postoperative pain at 3, 6, 12 and 24 months after surgery. The primary outcome was the presence of persistent postoperative pain during 24 months of follow-up. Results: A total of 1247 patients completed the preoperative assessment. Follow-up retention rates at 3 and 24 months were 84% and 78%, respectively. The prevalence of persistent postoperative pain decreased significantly over time, from 40.1% at 3 months to 22.1% at 6 months, 16.5% at 12 months and 9.5% at 24 months; the pain was rated as moderate to severe in 3.6% at 24 months. Acute postoperative pain predicted both the presence and severity of persistent postoperative pain. The more intense the pain during the first week after surgery and the more it interfered with functioning, the more likely the patients were to report persistent postoperative pain. Pre-existing persistent pain and increased preoperative anxiety also predicted the presence of persistent postoperative pain. Interpretation: Persistent postoperative pain of nonanginal origin after cardiac surgery affected a substantial proportion of the study population. Future research is needed to determine whether interventions to modify certain risk factors, such as preoperative anxiety and the severity of pain before and immediately after surgery, may help to minimize or prevent persistent postoperative pain. PMID:24566643

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

    Microsoft Academic Search

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

    2003-01-01

    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

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

    PubMed Central

    2013-01-01

    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. PMID:23351394

  9. Complaints booklet and Complaints form

    E-print Network

    Birmingham, University of

    and complaints let us know when we get it wrong. Student Accommodation aim to resolve complaints amicably, following Stage 2, you should follow the University's Students' Complaints Procedure or other appropriate for the Management of Student Housing The University of Birmingham is a member of the Universities UK Code

  10. A community-based survey of fibromyalgia-like pain complaints following the World Trade Center terrorist attacks

    Microsoft Academic Search

    Karen G Raphael; Benjamin H Natelson; Malvin N Janal; Sangeetha Nayak

    2002-01-01

    A purported pathogenic mechanism for the development of fibromyalgia, a medically unexplained syndrome involving widespread pain, is stress and associated psychiatric disorder. The major stressor of recent World Trade Center terrorist attacks provides a natural experiment for evaluating this mechanism. This study sought to determine whether symptoms consistent with fibromyalgia increased post-September 11 and whether exposure to specific terrorism-related events

  11. Work related complaints of neck, shoulder and arm among computer office workers: a cross-sectional evaluation of prevalence and risk factors in a developing country

    PubMed Central

    2011-01-01

    Background Complaints of arms, neck and shoulders (CANS) is common among computer office workers. We evaluated an aetiological model with physical/psychosocial risk-factors. Methods We invited 2,500 computer office workers for the study. Data on prevalence and risk-factors of CANS were collected by validated Maastricht-Upper-extremity-Questionnaire. Workstations were evaluated by Occupational Safety and Health Administration (OSHA) Visual-Display-Terminal workstation-checklist. Participants' knowledge and awareness was evaluated by a set of expert-validated questions. A binary logistic regression analysis investigated relationships/correlations between risk-factors and symptoms. Results Sample size was 2,210. Mean age 30.8 ± 8.1 years, 50.8% were males. The 1-year prevalence of CANS was 56.9%, commonest region of complaint was forearm/hand (42.6%), followed by neck (36.7%) and shoulder/arm (32.0%). In those with CANS, 22.7% had taken treatment from a health care professional, only in 1.1% seeking medical advice an occupation-related injury had been suspected/diagnosed. In addition 9.3% reported CANS-related absenteeism from work, while 15.4% reported CANS causing disruption of normal activities. A majority of evaluated workstations in all participants (88.4%,) and in those with CANS (91.9%) had OSHA non-compliant workstations. In the binary logistic regression analyses female gender, daily computer usage, incorrect body posture, bad work-habits, work overload, poor social support and poor ergonomic knowledge were associated with CANS and its' severity In a multiple logistic regression analysis controlling for age, gender and duration of occupation, incorrect body posture, bad work-habits and daily computer usage were significant independent predictors of CANS Conclusions The prevalence of work-related CANS among computer office workers in Sri Lanka, a developing, South Asian country is high and comparable to prevalence in developed countries. Work-related physical factors, psychosocial factors and lack of awareness were all important associations of CANS and effective preventive strategies need to address all three areas. PMID:21816073

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

    Microsoft Academic Search

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

    2011-01-01

    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

  13. Urine drug testing of chronic pain patients. II. Prevalence patterns of prescription opiates and metabolites.

    PubMed

    Heltsley, Rebecca; Zichterman, Anne; Black, David L; Cawthon, Beverly; Robert, Tim; Moser, Frank; Caplan, Yale H; Cone, Edward J

    2010-01-01

    This study of 20,089 urine specimens from chronic pain patients provided a unique opportunity to evaluate the prevalence of prescription opiates and metabolites, assess the usefulness of inclusion of normetabolites in the test panel, and compare opiate and oxycodone screening results to liquid chromatography with tandem mass spectrometry (LC-MS-MS) results. All specimens were screened by an opiate [enzyme-linked immunosorbent assay (ELISA), 100 ng/mL] and oxycodone assay [ELISA, 100 ng/mL or enzyme immunoassay (EIA), 50 ng/mL] and simultaneously tested by LC-MS-MS [limit of quantitation (LOQ) = 50 ng/mL] for 10 opiate analytes (codeine, norcodeine, morphine, hydrocodone, dihydrocodeine, norhydrocodone, hydromorphone, oxycodone, noroxycodone, and oxymorphone). Approximately two-thirds of the specimens were positive for one or more opiate analytes. The number of analytes detected in each specimen varied from 1 to 8 with 3 (34.8%) being most prevalent. Hydrocodone and oxycodone (in combination with metabolites) were most prevalent followed by morphine. Norcodeine was only infrequently detected whereas the prevalence of norhydrocodone and noroxycodone was approximately equal to the prevalence of the parent drug. A substantial number of specimens were identified that contained norhydrocodone (n = 943) or noroxycodone (n = 702) but not the parent drug, thereby establishing their interpretative value as biomarkers of parent drug use. Comparison of the two oxycodone screening assays revealed that the oxycodone ELISA had broader cross-reactivity with opiate analytes, and the oxycodone EIA was more specific for oxycodone. Specimens containing only norhydrocodone were best detected with the opiate ELISA whereas noroxycodone (only) specimens were best detected by the oxycodone EIA. PMID:20109300

  14. Prevalence of restless legs syndrome in somatoform pain disorder and its effect on quality of life

    PubMed Central

    Chatterjee, Seshadri Sekhar; Mitra, Sayantanava; Guha, Prathama; Chakraborty, Kaustav

    2015-01-01

    Background: Persistent somatoform pain disorder (SPD) is a condition in which the patient suffers from persistent, severe and distressing pain; and from associated physical and psychological distress. While presence of restless leg syndrome (RLS) in SPD is understudied, their association might have an impact on general well-being and quality of life (QoL) in SPD. Aims and Objectives: Present study aimed at evaluating the prevalence of RLS in SPD patients attending outpatient department services at a tertiary care institute in eastern India. Materials and Methods: Two hundred and forty consecutive patients with SPD were screened initially and after applying appropriate inclusion and exclusion criteria, 192 subjects (male = 85, female = 107) were included in the study. Severity of RLS was assessed using a questionnaire of the International Restless Legs Syndrome Study Group and QoL was measured on QoL Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF). Results: Revealed a 28% prevalence of RLS is in patients with SPD, which is much higher than its estimated population prevalence. A larger proportion of those with RLS had continuous course of SPD, longer duration of SPD, and higher daytime sleepiness. They also had poorer scores on Q-LES-Q-SF, indicating a poorer QoL overall. Discussion and Conclusion: This is the first report, to the best of our knowledge, on this aspect from India. While this association between RLS and SPD may have biological explanation based on abnormal monoaminergic neurotransmission system, the findings call for more vigilant approach to SPD patients in order to improve their QoL and add to their well-being. PMID:25883472

  15. Prevalence of self-reported skin complaints and avoidance of common daily life consumer products in selected European Regions.

    PubMed

    Naldi, Luigi; Cazzaniga, Simone; Gonçalo, Margarida; Diepgen, Thomas; Bruze, Magnus; Elsner, Peter; Coenraads, Peter J; Svensson, Åke; Bertuccio, Paola; Ofenloch, Robert

    2014-02-01

    IMPORTANCE Skin disorders are common in the general population, and they may be associated with significant disability. The use of daily skin products may affect the appearance and severity of skin conditions. OBJECTIVES To assess the prevalence of reported itchy rash lasting longer than 3 days among the general population and to evaluate lifetime avoidance of different types of consumer products because of skin problems. DESIGN, SETTING, AND PARTICIPANTS The European Dermato-Epidemiology Network (EDEN) Fragrance Study comprised a large descriptive epidemiological survey of the general population conducted in 6 European regions from August 20, 2008, to October 10, 2011. Participants were a random sample of individuals aged 18 to 74 years, based on electoral precincts. The participants were interviewed using a standardized questionnaire. EXPOSURES Lifetime exposure to products of common use was considered, including toiletry items that remained on the skin or were rinsed off and household and functional items. MAIN OUTCOMES AND MEASURES The 1-month, 1-year, and lifetime age-standardized prevalence rates of itchy rash that lasted longer than 3 days. RESULTS In total, 12?377 individuals (53.9% female; median age, 43 years) were interviewed. The overall prevalences of itchy rash were 19.3% (95% CI, 18.6%-20.0%) during the month preceding the interview, 31.8% (95% CI, 31.0%-32.6%) during the preceding year, and 51.7% (95% CI, 50.8%-52.6%) over a lifetime. In addition, the percentage of individuals who reported avoidance of any product varied from 37.0% for products intended to be left on the skin to 17.7% for household or functional products. CONCLUSIONS AND RELEVANCE Our findings confirmed the magnitude of skin problems among the general population reported in other surveys. Although itchy rash is a nonspecific manifestation, it may be considered in epidemiological surveys to reflect a constellation of skin conditions and to summarize the burden of these conditions on general health. PMID:24369385

  16. The Prevalence and Occurrence of Diabetic Foot Ulcer Pain and Its Impact on Health-Related Quality of Life

    Microsoft Academic Search

    Lis Ribu; Tone Rustøen; Kåre Birkeland; Berit Rokne Hanestad; Steven M. Paul; Christine Miaskowski

    2006-01-01

    This study describes the prevalence and occurrence of diabetic foot ulcer (DFU) pain and the impact of DFU pain on health-related quality of life (HRQL) using generic and disease specific instruments. Data were obtained from 127 patients with DFU who were recruited from 6 hospital-based diabetic outpatient clinics. HRQL was measured using the Medical Outcome Study–Short Form (SF-36) and the

  17. Untying chronic pain: prevalence and societal burden of chronic pain stages in the general population - a cross-sectional survey

    PubMed Central

    2014-01-01

    Background Chronic pain is a major public health problem. The impact of stages of chronic pain adjusted for disease load on societal burden has not been assessed in population surveys. Methods A cross-sectional survey with 4360 people aged???14 years representative of the German population was conducted. Measures obtained included demographic variables, presence of chronic pain (based on the definition of the International Association for the Study of Pain), chronic pain stages (by chronic pain grade questionnaire), disease load (by self-reported comorbidity questionnaire) and societal burden (by self-reported number of doctor visits, nights spent in hospital and days of sick leave/disability in the previous 12 months, and by current unemployment). Associations between chronic pain stages with societal burden, adjusted for demographic variables and disease load, were tested by Poisson and logistic regression analyses. Results 2508 responses were received. 19.4% (95% CI 16.8% to 22.0%) of participants met the criteria of chronic non-disabling non-malignant pain. 7.4% (95% CI 5.0% to 9.9%) met criteria for chronic disabling non-malignant pain. Compared with no chronic pain, the rate ratio (RR) of days with sick leave/disability was 1.6 for non-disabling pain and 6.4 for disabling pain. After adjusting for age and disease load, the RRs increased to 1.8 and 6.8. The RR of doctor visits was 2.5 for non-disabling pain and 4.5 for disabling pain if compared with no chronic pain. After adjusting for age and disease load, the RR fell to 1.7 and 2.6. The RR of days in hospital was 2.7 for non-disabling pain and 11.7 for disabling pain if compared with no chronic pain. After adjusting for age and disease load, the RR fell to 1.5 and 4.0. Unemployment was predicted by lower educational level (Odds Ratio OR 3.27 [95% CI 1.70-6.29]), disabling pain (OR 3.30 [95% CI 1.76-6.21]) and disease load (OR 1.70 [95% CI 1.41-2.05]). Conclusion Chronic pain stages, but also disease load and societal inequalities contributed to societal burden. Pain measurements in epidemiology research of chronic pain should include chronic pain grades and disease load. PMID:24725286

  18. Prevalence and severity of pain in cancer patients in an outpatient palliative care setting in Saudi Arabia

    PubMed Central

    Al-Zahrani, Omar; Eldali, Abdelmoneim; Al-Shahri, Mohammad Zafir

    2014-01-01

    Background: The prevalence and severity of cancer pain in the outpatient palliative care (PC) setting have not been explored previously in Saudi Arabia (SA). Exploration of this basic information may help in evaluating pain severity in patients new to PC as compared to those with previous PC exposure. Objective: This paper aims to determine the prevalence and severity of cancer pain among new and follow-up patients attending a PC outpatient clinic. Methods: In a PC outpatient setting in a major tertiary hospital in SA, we interviewed adult patients with cancer during their attendance to the clinic. Patients were requested to score the severity of their pain on a 0 to 10 numerical scale. Results: A total of 124 patients were interviewed, of whom 73 (59%) were females. The majority of patients (82.3%) had metastatic disease. The most common cancers were breast (27.4%) and head and neck (15.3%). The majority of patients (85.5%) reported pain, with a median intensity score of 5 and a mean of 4.6. Of those who reported pain, 54 (51%) scored above 4. The mean pain score did not differ between groups of patients according to various characteristics such as age, sex, performance status, type of cancer or encounter type. Conclusion: Pain is a prevalent symptom in new and follow-up cancer patients seen in a PC outpatient setting in SA. Further research on a larger scale is needed to evaluate the magnitude of the problem more comprehensively with emphasis on detailed pain assessment and exploration of the adopted management approaches. PMID:25320691

  19. Ergonomic intervention, workplace exercises and musculoskeletal complaints: a comparative study

    PubMed Central

    Mehrparvar, Amir Houshang; Heydari, Mohammad; Mirmohammadi, Seyyed Jalil; Mostaghaci, Mehrdad; Davari, Mohammad Hossein; Taheri, Mahmoud

    2014-01-01

    Background: Musculoskeletal disorders are among the most prevalent occupational disorders in different jobs such as office work. Some interventions such as ergonomic modifications and workplace exercises are introduced as the methods for alleviating these disorders. In this study we compared the effect of ergonomic modifications and workplace exercises on musculoskeletal pain and discomfort in a group of office workers. Methods: In an interventional study on office workers, the effect of two interventions was compared. Ergonomic modification consisted of correcting the arrangement of workstation and changing some equipment; workplace exercises included stretching exercises focusing on neck, shoulders, low back, and hand and wrist. Musculoskeletal complaints were assessed and compared before and after 1 month interventions. Results: The frequency of musculoskeletal complaints was high before the study. Both interventions significantly reduced complaints in a similar manner except for low back pain which was reduced in exercise group more than the other group. Conclusion: In this study we found a beneficial short-term effect for both ergonomic modifications and stretching work-place exercises on reducing musculoskeletal pain in office workers. PMID:25405134

  20. Pain in cognitively impaired nursing home patients.

    PubMed

    Ferrell, B A; Ferrell, B R; Rivera, L

    1995-11-01

    Pain is an understudied problem in frail elderly patients, especially those with cognitive impairment, delirium, or dementia. The focus of this study was to describe the pain experienced by patients in skilled nursing homes, which have a high prevalence of cognitive impairment. A random sample of 325 subjects was selected from ten community skilled nursing homes. Subjects underwent a cross-sectional interview and chart review for the prevalence of pain complaints, etiology, and pain management strategies. Pain was assessed using the McGill Pain Questionnaire and four unidimensional scales previously utilized in younger adults. Thirty-three percent (33%) of subjects were excluded because they were either comatose (21%), non-English speaking (3.7%), temporarily away (sick in hospital) (4.3%), or refused to participate (3.7%). Of 217 subjects in the final analysis, the mean age was 84.9 years, 85% were women, and most were dependent in all activities of daily living. Subjects demonstrated substantial cognitive impairment (mean Folstein Mini-Mental State exam score was 12.1 +/- 7.9), typically having deficits in memory, orientation, and visual spatial skills. Sixty-two percent reported pain complaints, mostly related to musculoskeletal and neuropathic causes. Pain was not consistently documented in records, and pain management strategies appeared to be limited in scope and only partially successful in controlling pain. None of the four unidimensional pain-intensity scales studied in this investigation had a higher completion rate than the Present Pain Intensity Scale of the McGill Pain Questionnaire (65% completion rate). However, 83% of subjects who had pain could complete at least one of the scales. We conclude that cognitive impairment among elderly nursing home residents present a substantial barrier to pain assessment and management. Nonetheless, most patients with mild to moderate cognitive impairment can be assessed using at least one of the available bedside assessment scales. PMID:8594119

  1. Severely disabling chronic pain in young adults: prevalence from a population-based postal survey in North Staffordshire

    Microsoft Academic Search

    Christian Mallen; George Peat; Elaine Thomas; Peter Croft

    2005-01-01

    BACKGROUND: Severely disabling chronic pain in the adult population is strongly associated with a range of negative health consequences for individuals and high health care costs, yet its prevalence in young adults is less clear. METHODS: All adults aged 18–25 years old registered with three general practices in North Staffordshire were invited to complete a postal questionnaire containing questions on

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

    Microsoft Academic Search

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

    2007-01-01

    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

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

    Microsoft Academic Search

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

    2010-01-01

    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,

  4. Symptoms during cancer pain treatment following WHO-guidelines: a longitudinal follow-up study of symptom prevalence, severity and etiology

    Microsoft Academic Search

    Thomas Meuser; Christian Pietruck; Lukas Radbruch; Petra Stute; Klaus A Lehmann; Stefan Grond

    2001-01-01

    Most patients with advanced cancer develop diverse symptoms that can limit the efficacy of pain treatment and undermine their quality of life. The present study surveys symptom prevalence, etiology and severity in 593 cancer patients treated by a pain service. Non-opioid analgesics, opioids and adjuvants were administered following the WHO-guidelines for cancer pain relief. Other symptoms were systematically treated by

  5. The prevalence of autoantibodies in complex regional pain syndrome type I.

    PubMed

    Dirckx, Maaike; Schreurs, Marco W J; de Mos, Marissa; Stronks, Dirk L; Huygen, Frank J P M

    2015-01-01

    Autoimmunity has been suggested as one of the pathophysiologic mechanisms that may underlie complex regional pain syndrome (CRPS). Screening for antinuclear antibodies (ANA) is one of the diagnostic tests, which is usually performed if a person is suspected to have a systemic autoimmune disease. Antineuronal antibodies are autoantibodies directed against antigens in the central and/or peripheral nervous system. The aim of this study was to compare the prevalence of these antibodies in CRPS patients with the normal values of those antibodies in the healthy population. Twenty seven (33%) of the 82 CRPS patients of whom serum was available showed a positive ANA test. This prevalence is significantly higher than in the general population. Six patients (7.3%) showed a positive result for typical antineuronal antibodies. This proportion, however, does not deviate from that in the general population. Our findings suggest that autoantibodies may be associated with the pathophysiology of CRPS, at least in a subset of patients. Further research is needed into defining this subset and into the role of autoantibodies in the pathogenesis of CRPS. PMID:25741131

  6. [Prevalence of upper abdominal complaints and their effect on the quality of life and utilization of medical resources. Swiss Primary Care Group].

    PubMed

    Giger, M; Brignoli, R

    1998-05-30

    The authors present the results obtained in Switzerland, as part of an international survey (DIGEST), on 3 months' prevalence of upper digestive symptoms (UDS) and their influence on quality of life and consumption of medical services. 514 randomized adults from the general population in 8 different cities were interviewed. In these interviews data were recorded concerning demographic and socio economic aspects, quality of life, severity and frequency of UDS, consultations and medication. The sub-population with relevant UDS (i.e. UDS at least once a week and/or of moderate to severe degree) was compared with the rest of the population interviewed. 19% of the interviewees reported relevant UDS; of these, two thirds were women. No differences were found between people with and without UDS as far as education, professional activities, consumption of alcohol or smoking are concerned. The most frequent symptoms reported were fullness, bloating and nausea. However, daily activities were most impaired by nausea, epigastric pain and heartburn. Interviewees with UDS more frequently reported "life events" in the preceding year (48% vs 33%). Interviewees with UDS also more frequently reported back pain (7% vs 2%) and migraine (10% vs 6%). Furthermore, more interviewees with UDS reported sick leave (11% vs 3%); they also had a poorer life quality score (74 vs 89, PGWBI), reported more medical visits (50% vs 19%) and consumed more medication, both prescribed (65% vs 25%) and non-prescribed (OTC: 70% vs 31%). PMID:9653825

  7. Prevalence and individual risk factors associated with clinical lumbar instability in rice farmers with low back pain

    PubMed Central

    Puntumetakul, Rungthip; Yodchaisarn, Wantanee; Emasithi, Alongkot; Keawduangdee, Petcharat; Chatchawan, Uraiwan; Yamauchi, Junichiro

    2015-01-01

    Introduction Clinical lumbar instability (CLI) is one of the subgroups of chronic non-specific low back pain. Thai rice farmers often have poor sustained postures during a rice planting process and start their farming at an early age. However, individual associated factors of CLI are not known and have rarely been diagnosed in low back pain. This study aimed to determine the prevalence and individual associated factors of CLI in Thai rice farmers. Methods A cross-sectional survey was conducted among 323 Thai rice farmers in a rural area of Khon Kaen province, Thailand. Face-to-face interviews were conducted using the 13-item Delphi criteria questionnaire, after which an objective examination was performed using aberrant movement sign, painful catch sign, and prone instability test to obtain information. Individual factors such as sex, body mass index, waist-hip ratio, smoking, and number of years of farming experience, were recorded during the face-to-face interview. Results The prevalence of CLI in Thai rice farmers calculated by the method described in this study was 13% (age 44±10 years). Number of years of farming experience was found to be significantly correlated with the prevalence of CLI (adjusted odds ratio =2.02, 95% confidence interval =1.03–3.98, P<0.05). Conclusion This study provides prevalence of CLI in Thai rice farmers. Those with long-term farming experience of at least 30 years have a greater risk of CLI. PMID:25565778

  8. Relationship between Comorbid Health Problems and Musculoskeletal Disorders Resulting in Musculoskeletal Complaints and Musculoskeletal Sickness Absence among Employees in Korea

    PubMed Central

    Baek, Ji Hye; Kim, Young Sun; Yi, Kwan Hyung

    2015-01-01

    Background To investigate the relationship between musculoskeletal disorders and comorbid health problems, including depression/anxiety disorder, insomnia/sleep disorder, fatigue, and injury by accident, and to determine whether certain physical and psychological factors reduce comorbid health problems. Methods In total, 29,711 employees were selected from respondents of the Third Korean Working Conditions Survey and categorized into two groups: Musculoskeletal Complaints or Musculoskeletal Sickness Absence. Four self-reported health indicators (overall fatigue, depression/anxiety, insomnia/sleep disorder, and injury by accident) were selected as outcomes, based on their high prevalence in Korea. We used multiple logistic regression analysis to determine the relationship between comorbid health problems, musculoskeletal complaints, and sickness absence. Results The prevalence of musculoskeletal complaints and musculoskeletal sickness absence due to muscular pain was 32.26% and 0.59%, respectively. Compared to the reference group, depression/anxiety disorder and overall fatigue were 5.2–6.1 times more prevalent in the Musculoskeletal Complaints Group and insomnia/sleep disorder and injury by accident were 7.6–11.0 times more prevalent in the Sickness Absence Group. When adjusted for individual and work-related physical factors, prevalence of all four comorbid health problems were slightly decreased in both groups. Conclusion Increases in overall fatigue and depression/anxiety disorder were observed in the Musculoskeletal Complaints Group, while increases in insomnia/sleep disorder and injury by accident were observed in the Sickness Absence Group. For management of musculoskeletal complaints and sickness absence in the workplace, differences in health problems between employees with musculoskeletal complaints and those with sickness absence as well as the physical and psychological risk factors should be considered. PMID:26106512

  9. Thoracic spine pain in the general population: Prevalence, incidence and associated factors in children, adolescents and adults. A systematic review

    PubMed Central

    Briggs, Andrew M; Smith, Anne J; Straker, Leon M; Bragge, Peter

    2009-01-01

    Background Thoracic spine pain (TSP) is experienced across the lifespan by healthy individuals and is a common presentation in primary healthcare clinical practice. However, the epidemiological characteristics of TSP are not well documented compared to neck and low back pain. A rigorous evaluation of the prevalence, incidence, correlates and risk factors needs to be undertaken in order for epidemiologic data to be meaningfully used to develop evidence-based prevention and treatment recommendations for TSP. Methods A systematic review method was followed to report the evidence describing prevalence, incidence, associated factors and risk factors for TSP among the general population. Nine electronic databases were systematically searched to identify studies that reported either prevalence, incidence, associated factors (cross-sectional study) or risk factors (prospective study) for TSP in healthy children, adolescents or adults. Studies were evaluated for level of evidence and method quality. Results Of the 1389 studies identified in the literature, 33 met the inclusion criteria for this systematic review. The mean (SD) quality score (out of 15) for the included studies was 10.5 (2.0). TSP prevalence data ranged from 4.0–72.0% (point), 0.5–51.4% (7-day), 1.4–34.8% (1-month), 4.8–7.0% (3-month), 3.5–34.8% (1-year) and 15.6–19.5% (lifetime). TSP prevalence varied according to the operational definition of TSP. Prevalence for any TSP ranged from 0.5–23.0%, 15.8–34.8%, 15.0–27.5% and 12.0–31.2% for 7-day, 1-month, 1-year and lifetime periods, respectively. TSP associated with backpack use varied from 6.0–72.0% and 22.9–51.4% for point and 7-day periods, respectively. TSP interfering with school or leisure ranged from 3.5–9.7% for 1-year prevalence. Generally, studies reported a higher prevalence for TSP in child and adolescent populations, and particularly for females. The 1 month, 6 month, 1 year and 25 year incidences were 0–0.9%, 10.3%, 3.8–35.3% and 9.8% respectively. TSP was significantly associated with: concurrent musculoskeletal pain; growth and physical; lifestyle and social; backpack; postural; psychological; and environmental factors. Risk factors identified for TSP in adolescents included age (being older) and poorer mental health. Conclusion TSP is a common condition in the general population. While there is some evidence for biopsychosocial associations it is limited and further prospectively designed research is required to inform prevention and management strategies. PMID:19563667

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

    PubMed Central

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

    2013-01-01

    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

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

    Microsoft Academic Search

    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

    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

  12. PAIN SCALES (ATTACHMENT A)

    E-print Network

    Oliver, Douglas L.

    back and forth, tense Arched, rigid or jerking CRY No cry (awake or asleep) Moans or whimpers; occasional complaint Crying steadily, screams or sobs, frequent complaints CONSOLABILITY Content, relaxed for Scoring Post-operative Pain in Young Children (1997) Pediatric Nursing. 23(3): 293-297. #12;PAIN SCALES

  13. 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

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

    2013-06-01

    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

  14. Pain

    MedlinePLUS

    ... that may be adding to your pain l deep breathing exercises —helps you to relax l guided ... Independence Ave SW, Room 712E Washington, DC 20201 web site: www.womenshealth.gov/faq/ carpal.htm www. ...

  15. Restless legs syndrome and pain disorders: what's in common?

    PubMed

    Goulart, Leonardo Ierardi; Delgado Rodrigues, Raimundo Nonato; Prieto Peres, Mario Fernando

    2014-11-01

    Between 10 % and 30 % of the population report chronic pain. More than half of these also have sleep complaints. From considering these data, it can be inferred there is a significant overlapping between these conditions. Restless Legs Syndrome/Willis-Ekbom Disease (RLS/WED) is characterized by complaints of an "urge to move" frequently associated with dysesthesias. From that perspective, these sensations can also have painful characteristics. By the same token, the presence of comorbid diseases as predicted by a higher prevalence RLS/WED, have many of them with pain as an important complaint. Pain is a multidimensional response involving several levels of expression ranging from somatosensory to emotional. The potential shared mechanisms between RLS/WED and pain may involve sleep deprivation/fragmentation effect, inducing an increase in markers of inflammation and reduction in pain thresholds. These are modulated by several different settings of neurotransmitters with a huge participation of monoaminergic dysfunctional circuits. A thorough comprehension of these mechanisms is of utmost importance for the correct approach and treatment choices. PMID:25249423

  16. Prevalence of radiographic lumbar spondylosis and its association with low back pain in elderly subjects of population-based cohorts: the ROAD study

    Microsoft Academic Search

    S Muraki; H Oka; T Akune; A Mabuchi; Y En-yo; M Yoshida; A Saika; T Suzuki; H Yoshida; H Ishibashi; S Yamamoto; K Nakamura; H Kawaguchi; N Yoshimura

    2009-01-01

    Objectives:Although lumbar spondylosis is a major cause of low back pain and disability in elderly people, few epidemiological studies have been performed. The prevalence of radiographic lumbar spondylosis was investigated in a large-scale population study and the association with low back pain was examined.Methods:From a nationwide cohort study (Research on Osteoarthritis Against Disability; ROAD), 2288 participants aged ?60 years (818

  17. Prevalence of illicit drug use in patients without controlled substance abuse in interventional pain management.

    PubMed

    Manchikanti, Laxmaiah; Pampati, Vidyasagar; Damron, Kim S; Beyer, Carla D; Barnhill, Renee C

    2003-04-01

    Drug abuse with illicit drugs and licit drugs has been increasing steadily over the past decade. A recent National Household Survey on Drug Abuse found statistically significant increases between 2000 and 2001 in the use of multiple drugs, including marijuana, cocaine, and non-medical use of pain relievers and tranquilizers. Prescription controlled substance abuse is a major issue in chronic pain management. Various means suggested to avoid or monitor abuse in patients in treatment include urine/serum drug screening whenever requested, along with other precautions including one prescribing physician and one designated pharmacy, etc. Based on the present evidence, physicians assume that patients adhering to controlled substance agreements and without obvious dependency behavior do not abuse either illicit or licit drugs. Thus, it is accepted that there is no necessity to perform routine urine/drug testing in this specific group of the patient population. One hundred patients undergoing interventional pain management and receiving controlled substances were randomly selected for evaluation of illicit drug abuse by urine drug testing. They were selected from a total of 250 patients who were identified as non-abusers of prescription drugs. Results showed that illicit drug abuse in patients without history of controlled substance abuse was seen in 16 patients. Thirteen of the 16 patients tested positive for marijuana and 3 patients tested positive for cocaine. Only one patient tested positive for a combined use of both marijuana and cocaine. This study showed that, in an interventional pain management setting, there is significant use of illicit drugs (16%) with 13% use of marijuana and 3% use of cocaine in patients who are considered as non-abusers of prescription controlled substances and those who are adherent to controlled substance agreements. However, if cocaine is considered as a hardcore drug in contrast to marijuana, abuse of hardcore illicit drugs is only 3%. PMID:16883377

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

    PubMed Central

    2012-01-01

    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. PMID:23158724

  19. The role of ergonomic training interventions on decreasing neck and shoulders pain among workers of an Iranian automobile factory: a randomized trial study

    PubMed Central

    Aghilinejad, Mashallah; Kabir-Mokamelkhah, Elahe; Labbafinejad, Yasser; Bahrami-Ahmadi, Amir; Hosseini, Hamid Reza

    2015-01-01

    Background: Ergonomic training had been implemented for prevention or reduction of neck and shoulder complaints among workers. The purpose of the present study was to assess the role of ergonomic training intervention on decreasing the prevalence of neck and shoulder complaints among workers of an automobile factory. Methods: Within the present randomized clinical trial, the role of three ergonomic training methods on the prevalence of neck and shoulders pain among 503 workers of an automobile factory (Response rate: 94.23%) was assessed. The eligible workers were randomly allocated into the following three interventional (pamphlet, lecture, workshop) groups and one control group. The Nordic questionnaire was used to assess the prevalence of neck and shoulder complaints. We followed and assessed the prevalence of neck and shoulders complaints among the study employees before and one year after the intervention. We used chi-square and Mann-Whitney tests to compare the prevalence of neck and shoulder complaints between the trial and control groups. A two-tailed P-value less than or equal to 0.05 was considered statistically significant. Results: The prevalence of neck and shoulders complaints among the study employees at the recent week (p= 0.002) and year (p= 0.02) had been significantly decreased in the study employees after participating in the study workshop. The prevalence of neck and shoulders complaints at the recent week and year did not significantly changed in the study employees after receiving the pamphlet and lecture as ergonomic trainings. Conclusion: Workshop as an ergonomic training method had an effective and powerful role on decreasing the prevalence of neck and shoulders complaints among workers. PMID:26034743

  20. Imaging of Anterior Knee Pain

    Microsoft Academic Search

    Stephen R. Christian; M. Bret Anderson; Ronald Workman; William F. Conway; Thomas L. Pope

    2006-01-01

    nterior knee pain (AKP) is a common complaint in primary care and orthopedic clinics. In fact, in the sports medicine clinic, up to 25% of patients with knee complaints have symptoms of anterior knee pain (1). Adolescent females and other young individuals are at particular risk for AKP. In these individuals, symptoms are usually related to increased use, fre- quently

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

    PubMed

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

    2010-05-01

    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

  2. Pain in cognitively impaired older persons.

    PubMed

    Parmelee, P A

    1996-08-01

    To summarize, there has been shamefully little empirical research directly examining the prevalence and correlates of pain among cognitively impaired older people. Even less is known about techniques for assessing and managing pain in this group. Existing evidence suggests that cognitively impaired older persons may voice fewer complaints about pain, but there is no reason to believe that they are in fact at less risk of pain than their cognitively intact age-mates. Rather, for whatever reason, persons with cognitively deficits appear to be less inclined to report pain than are intact elders of similar health status. This reporting difference may account at least in part for the fact that pain is less likely to be treated aggressively among cognitively impaired individuals. Unfortunately, knowing the reason for this state of affairs does not mitigate its implication: cognitive deficits place frail older persons at risk of unnecessary pain simply because it is not properly identified. Data reviewed in this chapter suggest that accurate assessment of pain in cognitively impaired older persons, far from being impossible, may actually be only slightly more demanding than it is in intact individuals. Even among markedly impaired elders, self-reports should certainly be taken as valid indicators; early evidence suggests promising avenues for developing reliable, clear-cut guidelines for the nonverbal assessment of pain in very severely demented individuals. As the nation grows older and medical care advances, a growing proportion of individuals can expect to live well into their eighth and even ninth decades. Unfortunately, with this extended life span comes increased likelihood of both cognitive impairment and pain. Thus, expansion of our repertoire of techniques for assessing and managing pain among cognitively impaired older persons must be a central priority for research on pain in late life. PMID:8853940

  3. The prevalence, impact and cost of chronic non-cancer pain in Irish primary schoolchildren (PRIME-C): protocol for a longitudinal school-based survey

    PubMed Central

    O'Higgins, Siobhán; Doherty, Edel; NicGabhainn, Saoirse; Murphy, Andrew; Hogan, Michael; O'Neill, Ciaran; McGuire, Brian E

    2015-01-01

    Introduction Previous research has indicated that pain influences children's daily lives, resulting in absence from school, sleep problems, poor school performance and problems with social activities. Our study aims to characterise the nature, extent, impact and cost of chronic pain among Irish children. Methods and analysis Using cluster-systematic random sampling, primary schools will be invited to participate and 6000 5–12-year-olds asked to complete questionnaires in school classrooms, at time points 1?year apart. Questionnaires will use internationally valid psychometric measures to assess a range of quality of life factors and chronic pain indicators among children, with corresponding parental/primary caregiver questions, which will be completed at home. Data will also be gathered on the cost of chronic pain. Space will be given for comments on how pain impacts on participants’ lives and possible coping mechanisms. Ethics and dissemination Ethical approval has been granted by the Research Ethics Committee, National University of Ireland, Galway. Dissemination of results will be via journal articles and conference presentations on the various aspects of the study (ie, prevalence, impact and economic cost of chronic pain among 5–12-year-olds living in Ireland). PMID:25976764

  4. Persistent of Neck/Shoulder Pain among Computer Office Workers with Specific Attention to Pain Expectation, Somatization Tendency, and Beliefs

    PubMed Central

    Sadeghian, Farideh; Raei, Mehdi; Amiri, Mohammad

    2014-01-01

    Background: Neck and shoulder pains are the prevalent complaints among computer office workers. The purpose of this study was to assess the relationship of somatization tendency, expectation of pain, mental health and beliefs about causation of pain with persistence of neck/shoulder pains among computer office workers. Methods: This research is a kind of prospective cohort study with 1-year follow-up. It has done among all eligible computer office workers of Shahroud universities (n = 182) in 2008-2009 and 1-year later. Data were collected using the Cultural and Psychosocial Influences on Disability questionnaire. Multiple logistic regression analysis was used to analyze the data through SPSS (P < 0.05). Results: At the baseline 100 (54.9%) of participants reported neck/shoulder pains and at follow-up 34.3% of them reported persistence pains. Significant relationships were found between persistence of neck/shoulder pains and negative expectation about pain in next 1-year P = 0.002, (odds ratio [OR] =8.3, 95% confidence interval [CI]: 2.1-32.9) and somatization tendency P = 0.01, (OR = 6.5, 95% CI: 1.6-27.4). Conclusions: Pain expectation and somatization tendency recognized as associated risk factors of persistent neck/shoulder pain among computer operators. This confirmed some other similar studies on work-related musculoskeletal disorders in Europe countries in recent years. PMID:25317301

  5. Dental public healthThe prevalence and impact of dental pain in 8-year-old school children in Harrow, England

    Microsoft Academic Search

    M A Shepherd; P Nadanovsky; A Sheiham

    1999-01-01

    Objective To assess the prevalence, severity and impact of dental pain.Design Cross-sectional survey.Setting Schools in the London Borough of Harrow, England, in the summer term of 1995.Subjects and methods The base population were all 2,300 8-year-old school children in Harrow. A cluster sampling of schools based on quotas from all postcode areas in Harrow was used. Data were collected through

  6. Selection related to musculoskeletal complaints among employees.

    PubMed Central

    de Zwart, B C; Broersen, J P; van der Beek, A J; Frings-Dresen, M H; Van Dijk, F J

    1997-01-01

    OBJECTIVES: To (a) describe differences in the outcome of cross sectional and longitudinal analysis on musculoskeletal complaints relative to age and work demands, and (b) to assess the entrance and drop out selection on musculoskeletal complaints among groups of employees relative to age and work demands. METHODS: A study population was selected on the basis of questionnaire data from periodical occupational health surveys of almost 45,000 employees collected between 1982 and 1993. From all companies within this data base that participated twice in company wide surveys four years apart, male employees were selected, and stratified for age and work demands. There were several populations: follow up (participation in both surveys); drop out (participation only in the first survey); entrance (participation only at the second survey); and two cross sectional populations (all participants at each survey). Prevalences of back complaints and turnover rates were analysed. RESULTS: Reported back complaints in the cross sectional analysis declined over the oldest age groups in heavy physical work versus a small increase in the longitudinal analysis. The age group 50-9 and back complaints were identified as predictors at the first survey for not participating at the second survey. Neither age nor work demands at the first survey indicated drop out among those employees with back complaints at the first survey. The effects of entrance selection on estimated prevalences were small. CONCLUSIONS: The results indicate that musculoskeletal disorders lead to selection out of work, affecting the validity of both cross sectional and longitudinal epidemiological studies. In future studies analyses of turnover figures on musculoskeletal complaints relative to work demands and age are recommended. PMID:9538352

  7. [The prevalence of low back pain and its relationship with household jobs and other factors in a group of women in a rural area in Manisa].

    PubMed

    Erbay Dündar, Pinar; Cengiz Ozyurt, Beyhan; Ozmen, Dilek

    2006-10-01

    The aims of this cross-sectional study were to determine the prevalence of low back pain and to evaluate the effects of household jobs on low back pain in women living in a rural setting in Manisa. Study population is consisted of 302 women and cluster sampling is performed according to percentage of health center district populations. Participation ratio of this study was 89.1%. Univariete and multivariete risk approach in 95% confidence interval and t test were performed in data analysis. Brief Disability Questionnaire was applied to the study group. Life time and point prevalence of low back pain were determined 79.2% and 34.9% of the study group. Low back pain risk in 95 % CI was higher in wrong posture during ironing, heavy load lifting, overweight/obesity and disability 2.2 (1.1- 4.5), 4.5 (2.1-9.2), 3.8 (1.7-8.3) and 9.2 (4.3-19.7) times respectively. For preventive health measures it is necessary to apply ergonomic working conditions and to give appropriate postural habits to women. PMID:17457714

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

    PubMed Central

    2013-01-01

    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?

  9. Neuropathic Pain Components in Patients with Lumbar Spinal Stenosis

    PubMed Central

    An, Howard S; Moon, Seong Hwan; Lee, Hwan Mo; Suh, Seung Woo; Chen, Ding; Jeon, Jin Ho

    2015-01-01

    Purpose To determine the prevalence and characteristics of neuropathic pain (NP) in patients with lumbar spinal stenosis (LSS) according to subgroup analysis of symptoms. Materials and Methods We prospectively enrolled subjects with LSS (n=86) who were scheduled to undergo spinal surgery. The patients were divided into two groups according to a chief complaint of radicular pain or neurogenic claudication. We measured patient's pain score using the visual analog scale (VAS), Oswestry Disability Index (ODI) and Leads Assessment of Neuropathic Symptoms and Signs (LANSS). According to LANSS value, the prevalence of NP component pain in patients with LSS was assessed. Statistical analysis was performed to find the relationship between LANSS scores and the other scores. Results From our sample of 86 patients, 31 (36.0%) had a NP component, with 24 (63.4%) in the radicular pain group having NP. However, only seven patients (15.6%) in the neurogenic claudication group had NP. The LANSS pain score was not significantly correlated with VAS scores for back pain, but did correlate with VAS scores for leg pain (R=0.73, p<0.001) and with ODI back pain scores (R=0.54, p<0.01). Conclusion One-third of the patients with LSS had a NP component. The presence of radicular pain correlated strongly with NP. The severity of leg pain and ODI score were also closely related to a NP component. This data may prove useful to understanding the pain characteristics of LSS and in better designing clinical trials for NP treatment in patients with LSS. PMID:26069129

  10. Pain perception in major depression depends on pain modality

    Microsoft Academic Search

    Karl-Jürgen Bär; Stanislaw Brehm; Michael Karl Boettger; Silke Boettger; Gerd Wagner; Heinrich Sauer

    2005-01-01

    One frequently described feature of depression is an increased vulnerability to pain complaints, and chronic pain is frequently accompanied by symptoms of depression. In contrast to this, a decreased sensitivity to experimental pain has been described in major depression. The physiological basis of this phenomenon is yet elusive. We investigated 30 patients suffering from a major depressive disorder and matched

  11. Scrotal pain: Evaluation and management

    PubMed Central

    Gordhan, Chirag G

    2015-01-01

    Scrotal pain is a common complaint in a urological practice. Its diagnosis can prove challenging in both acute and chronic forms and requires a thorough and complete history and physical examination. This article discusses the evaluation and management of several entities of scrotal pain, including testicular torsion, epididymitis, postvasectomy pain, varicocele, and chronic orchialgia. PMID:25598931

  12. Scrotal pain: evaluation and management.

    PubMed

    Gordhan, Chirag G; Sadeghi-Nejad, Hossein

    2015-01-01

    Scrotal pain is a common complaint in a urological practice. Its diagnosis can prove challenging in both acute and chronic forms and requires a thorough and complete history and physical examination. This article discusses the evaluation and management of several entities of scrotal pain, including testicular torsion, epididymitis, postvasectomy pain, varicocele, and chronic orchialgia. PMID:25598931

  13. Complaints and Diagnoses of Emergency Department Patients in the Netherlands: A Comparative Study of Integrated Primary and Emergency Care

    PubMed Central

    Thijssen, Wendy A. M. H.; van Miero, Elske; Willekens, Maartje; Rebel, Jasper; Sandel, Maro H.; Giesen, Paul; Wensing, Michel

    2015-01-01

    Objective In the Netherlands, an increasing number of emergency departments (EDs) and general practitioner cooperatives collaborate by creating one Emergency-Care-Access-Point (ECAP). This has resulted in fewer patients at ECAP EDs. The objective of this study was to explore differences in patient characteristics, presented complaints and ED discharge diagnoses between EDs with an ECAP and EDs without an ECAP. Methods A retrospective observational study was performed with 1800 consecutive patient records sampled from six EDs spread over the Netherlands in 2013. We extracted data on time and date of presentation, sex, age, presenting complaint, discharge diagnosis, origin and follow up. Results At ECAP EDs, the mean age was 47.8 years (95%CI 46.1-49.4) compared to 41.3 (95%CI 39.7-42.9). Compared to non-ECAP EDs, more patients were referred by medical professionals (74.7% versus 46.8%), more patients received hospital admission (45.2% versus 29.0%) and fewer patients received GP follow-up (4.1% versus 16.9%). There was no significant difference in presenting complaints between ECAP and non-ECAP EDs. Most prevalent complaints were trauma (25.7% versus 29.7%), abdominal pain (12.1% versus 10.9%) and general symptoms (7.8% versus 4.8%). The most prevalent ED diagnoses significantly differed with fractures and dislocations (10.8%), sprains and strains (10.4%) and respiratory infections (6.8%) at ECAP EDs versus fractures and dislocations (10.7%), wounds (9.3%) and sprains and strains (8.9%) at non-ECAP EDs. Conclusion Compared to non-ECAP EDs, patients at ECAP EDs were older, medical professionals referred more patients and more patients received a hospital admission. We found some small differences in discharge diagnoses between ECAP EDs compared to non-ECAP EDs, but no difference in presented complaints. PMID:26131564

  14. Investigation of the relationship between carrying school bags (handbags and backpacks) and the prevalence of musculoskeletal pains among 12-15 year old students in Shiraz.

    PubMed

    Arghavani, Farshad; Zamanian, Zahra; Ghanbary, Ali; Hassanzadeh, Jafar

    2014-04-01

    Inappropriate school bags put students at risk of musculoskeletal problems and early fatigue. Heavy bags can change the body posture and the musculoskeletal system must react appropriately in order to compensate for this stress. It is recommended that the weight of a school bag must not be more than 10% of the student's body weight and the weight must be placed on both shoulders. The present study aimed to identify the risk factors associated with musculoskeletal disorders by comparing the prevalence of musculoskeletal pains among the students. The present descriptive, cross-sectional study was conducted in different educational districts of Shiraz. The study samples were selected using cluster sampling method. In this study, 800 students marked their painful areas on body maps and the SPSS statistical software (v. 11.5) was used to analyze the data. The results showed that among the students who used backpacks, 48.9% carried the weight on both shoulders, 40.4% carried the weight on their right shoulders, and 10.6% used their left shoulders. Besides, 68.02% of the students carrying handbags often used their right shoulders, while 31.98% used their left shoulders. The study results showed that similar to other countries, Iranian students also mostly made use of backpacks. Moreover, the musculoskeletal pains were most prevalent in the shoulders, which is in line with many other studies conducted on the issue. PMID:25911845

  15. Internet Fraud Complaint Center

    NSDL National Science Digital Library

    The Internet Fraud Complaint Center was created by Federal Bureau of Investigation (FBI) and the National White Collar Crime Center (NW3C) to "combat the growing problem of fraud occurring over the Internet by providing a vehicle for victims around the country to report incidents of fraud online." The IFCC allows cooperation between private citizens and law enforcement agencies in order to track and prosecute fraudulent Internet practices. Users provide details on specific cases of Internet fraud, and each complaint is carefully reviewed and referred to a law enforcement or regulatory agency for further investigation. Along with the complaint form, the site also contains basic information about the IFCC. Two valuable resources, Internet Fraud Statistics and the Flow Chart of the Complaint Data Path, will be added soon.

  16. Prevalence of hyperactive digastric muscles during swallowing as measured by electromyography in patients with myofascial pain dysfunction syndrome.

    PubMed

    Goldstein, L B; Last, F C; Salerno, V M

    1997-01-01

    One purpose of this clinical study is to establish a relationship between the hyper activity of the digastric muscles and predisposition of an individual to MPDS (myofacial pain dysfunction syndrome). If a population predisposed to MPD could be identified by an early diagnosis, intervention and treatment could eliminate potential pain in adulthood. Secondly, can the employment of electromyography to aid in the diagnosis of patients with MPD be helpful in establishing a program of prevention and treatment? Thirty-one patients, male and female, were randomly selected from among those routinely diagnosed as having myofascial pain dysfunction syndrome by the dental staff at the Long Island Center for Craniofacial Pain. Eighteen patients who did not experience any symptoms of facial pain comprised the control group in the study. This study demonstrated that the average trace readings which indicate the activity of the digastric muscles, as measured by the electromyogram from patients experiencing facial pain were significantly higher than those from patients without pain symptoms. In every instance, the correlation between facial pain and abnormal swallow patterns which are a cause of hyperactivity of the digastrics was confirmed. PMID:9610292

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

    PubMed Central

    K?dra, Agnieszka; Czaprowski, Dariusz

    2013-01-01

    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. PMID:23984375

  18. Vulvovaginal candida in a young sexually active population: prevalence and association with oro-genital sex and frequent pain at intercourse

    PubMed Central

    Rylander, E; Berglund, A; Krassny, C; Petrini, B

    2004-01-01

    Objective: To study the prevalence of vulvovaginal candida among sexually active adolescents. To determine past and present symptoms, including pain at intercourse and potential behavioural risk factors associated with vulvovaginal candidiasis. Methods: At an adolescent centre, 219 sexually active women who underwent genital examination, also completed a questionnaire on a history of genital symptoms and infections, sexual and hygiene habits, and the use of contraceptives. Symptoms and clinical signs were registered. Vaginal samples were analysed for candida species and urine for Chlamydia trachomatis. Results: Candida culture was positive in 42% of the women and only 15% were asymptomatic. A history of recurrent candidiasis was given by 22%. Frequent pain at intercourse was reported by 24% and frequent oro-genital sex by 42% of the women. Frequent pain at intercourse was significantly associated with both the growth of candida and a history of recurrent candidiasis. Oro-genital sex was an independent risk factor for the growth of candida. Conclusion: In sexually active adolescents, who underwent genital examination, candida cultures were positive in 42%. The habit of frequent oro-genital sex was associated with the growth of candida. Pain at intercourse was associated with the growth of candida and recurrent candidiasis. PMID:14755037

  19. Clinical use of opioids for cancer pain

    Microsoft Academic Search

    Dermot R. Fitzgibbon

    2007-01-01

    Successful management of pain in the cancer patient requires careful assessment of the components of the pain complaint and\\u000a accurate diagnosis of the cause of pain. Symptomatic management of pain involves pharmacotherapeutic strategies that focus\\u000a on opioid use. Factors influencing the choice of opioid in patients with cancer pain include the severity of pain, the presence\\u000a of coexisting disease, response

  20. 46 CFR 502.64 - Answer to complaint; counter-complaint.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...2010-10-01 2010-10-01 false Answer to complaint; counter-complaint...Pleadings; Motions; Replies § 502.64 Answer to complaint; counter-complaint...Respondent shall file with the Commission an answer to the complaint and shall...

  1. 46 CFR 502.64 - Answer to complaint; counter-complaint.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...2012-10-01 2012-10-01 false Answer to complaint; counter-complaint...Pleadings; Motions; Replies § 502.64 Answer to complaint; counter-complaint...Respondent shall file with the Commission an answer to the complaint and shall...

  2. 46 CFR 502.64 - Answer to complaint; counter-complaint.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...2011-10-01 2011-10-01 false Answer to complaint; counter-complaint...Pleadings; Motions; Replies § 502.64 Answer to complaint; counter-complaint...Respondent shall file with the Commission an answer to the complaint and shall...

  3. Complaint behaviour of Malaysian consumers

    Microsoft Academic Search

    Nelson Oly Ndubisi; Tam Yin Ling

    2006-01-01

    Purpose – To examine the post dissatisfaction behaviour of Malaysian consumers vis-à-vis their complaint behaviour and defection. Specifically, the relationship between public complaint behaviour (i.e. complaining to the organization), private complaint behaviour (complaining to family members and friends without a word to the organisation) and customer defection were considered. The research also investigates the moderating effect of gender and income

  4. Effects of bariatric surgery for knee complaints in (morbidly) obese adult patients: a systematic review.

    PubMed

    Groen, V A; van de Graaf, V A; Scholtes, V A B; Sprague, S; van Wagensveld, B A; Poolman, R W

    2015-02-01

    Obesity is a major risk factor for the development of knee osteoarthritis, and over the past 30 years the prevalence of obesity has more than doubled. In an advanced-stage knee osteoarthritis is treated with total knee arthroplasty, and the demand for primary total knee arthroplasties is expected to grow exponentially. However, total knee arthroplasty in obese patients is associated with more complications, longer hospital stay and higher costs. We aimed to determine the effects of bariatric surgery on knee complaints in (morbidly) obese (body mass index >30?kg?m(-2) ) adult patients. The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, TRIP, BIOSIS-Previews and reference lists of retrieved publications were systematically searched from earliest available up to 20 April?2014 for any English, German, French and Dutch studies. There was no restriction on study design. We included studies on the effect of surgically induced weight reduction on knee complaints in (morbidly) obese adult patients, with a minimal follow-up of 3 months. Studies on the effects of lipectomy or liposuction and studies in which patients had already received a total knee arthroplasty were excluded. Thirteen studies were included in this systematic review with a total of 3,837 patients. Although different assessment tools were used, an overall significant improvement in knee pain was seen in 73% out of the used assessments. All studies measuring intensity of knee pain, knee physical function and knee stiffness showed a significant improvement after bariatric surgery. The quality of evidence was very low or too low for most of the included studies and moderate for one study. Bariatric surgery with subsequent marked weight loss is likely to improve knee pain, physical function and stiffness in (morbidly) obese adult patients. However, with the current available evidence, there is need for high-quality studies. PMID:25487972

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

    Microsoft Academic Search

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

    2004-01-01

    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

  6. Review of posttraumatic stress disorder and chronic pain: the path to integrated care.

    PubMed

    Gibson, Carri-Ann

    2012-01-01

    With the large number of Veterans experiencing posttraumatic stress disorder (PTSD) and chronic pain, the purpose of this article is to review the prevalence of PTSD and chronic pain, the theoretical models that explain the maintenance of both conditions, and the challenges faced by providers and families who care for these patients. The Department of Veterans Affairs (VA)/Department of Defense (DOD) VA/DOD Clinical Practice Guideline for Management of Post-Traumatic Stress with special attention to chronic pain is presented. Limited scientific evidence supports specific care and treatment of PTSD and chronic pain, and this challenges providers to investigate and research potential treatment options. Integrated care models designed for working with these patients are reviewed, including a focus on the techniques and strategies to address not only PTSD and chronic pain, but other conditions, including substance dependence and depression. A specific focus on headaches, back pain, and neuropathic pain follows, including treatment recommendations such as pharmacological, psychotherapeutic, and complementary approaches, given the high rates of these pain complaints for Veterans in PTSD clinical programs. Integrated care is presented as a viable solution and approach that challenges clinicians and researchers to develop innovative, scientifically based therapeutics and treatments to enhance the recovery and quality of life for Veterans with PTSD and chronic pain. PMID:23015584

  7. Surgical options for patients with shoulder pain

    Microsoft Academic Search

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

    2010-01-01

    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

  8. Pathways Underlying Somatic Complaints in Children and Adolescents Who Are Deaf or Hard of Hearing

    ERIC Educational Resources Information Center

    Kouwenberg, Maartje; Rieffe, Carolien; Theunissen, Stephanie C. P. M.; Oosterveld, Paul

    2012-01-01

    Frequent somatic complaints are not only a problem in themselves but also related to other difficulties. So far, no conclusive findings have been reported about the prevalence of and factors underlying these complaints in children and adolescents who are deaf or hard of hearing (DHH). Such information would be valuable for prevention and…

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

    Microsoft Academic Search

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

    1996-01-01

    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

  10. Unexplained physical complaints.

    PubMed

    Garralda, M Elena

    2010-04-01

    Unexplained physical complaints are common in children, and form the basis for childhood somatization (the manifestation of distress through somatic symptoms) and somatoform disorders. Emotional symptoms and anxiety disorders are often comorbid with both unexplained physical symptoms and somatoform disorders. Risk factors include stress sensibility and probably biologic vulnerability in the child, mood and somatization disorders in the family, parental overinvolvement, and possibly limited psychological "mindedness" in relation to physical symptoms. The best evidence of efficacy is for family behavioral cognitive treatments, but for especially severe cases a multidisciplinary, carefully coordinated approach has been found to be clinically helpful. PMID:20478496

  11. Unexplained physical complaints.

    PubMed

    Garralda, M Elena

    2011-08-01

    Unexplained physical complaints are common in children and form the basis for childhood somatization (the manifestation of distress through somatic symptoms) and somatoform disorders. Emotional symptoms and anxiety disorders are often comorbid with both unexplained physical symptoms and somatoform disorders. Risk factors include stress sensibility and probably biologic vulnerability in the child, mood and somatization disorders in the family, parental overinvolvement, and possibly limited psychological "mindedness" in relation to physical symptoms. The best evidence of efficacy is for family behavioral cognitive treatments, but for especially severe cases a multidisciplinary, carefully coordinated approach has been found to be clinically helpful. PMID:21855708

  12. Psychological factors in pelvic\\/urogenital pain: the influence of site of pain versus sex

    Microsoft Academic Search

    Leslie J Heinberg; Betty J Fisher; Ursula Wesselmann; Jeffrey Reed; Jennifer A Haythornthwaite

    2004-01-01

    Chronic pelvic pain (CPP), a fairly common gynecological complaint in women, has been associated with multiple psychological sequelae, including depression and somatization. Previous work has compared these patients to gynecological controls and women with headache, but has failed to include male comparison groups with a comparable site of chronic pain. In order to test possible sex and pain site differences,

  13. Prevalence of narcotic bowel syndrome in opioid abusers in iran.

    PubMed

    Ahmadi, Bizhan; Arab, Peyman; Zahedi, Mohammad Javad; Shafieipour, Sara; Drossman, Douglas A; Banivaheb, Ghodseyeh

    2014-10-01

    BACKGROUND In spite of the increasing trend in opioid abusers worldwide, the prevalence of narcotic bowel syndrome (NBS) is undetermined. We aimed to estimate the prevalence of NBS and other opioid bowel dysfunction (OBD) in opioid abusers in Kerman, southeast Iran. According to the best of our knowledge, this is the first study to assess the prevalence of NBS in opioid abusers. METHODS By referring to addiction treatment centers in Kerman city and in a cross-sectional study, 577 subjects with opium or opioid subtracts abuse were included in our study. A validated questionnaire was used for OBD assessment and diagnosis of NBS was made according to both the presence of chronic abdominal pain despite increasing the opioid dose and ruling out other causes of abdominal pain. SPSS software version 16 was used for data analysis. p value<0.05 was considered as statistically significant. RESULTS Constipation, regurgitation, and heartburn were the most gastrointestinal complaints that were found in 132(22.9%), 123(21.3%) and 91(15.8%) subjects, respectively. Only 16(2.8%) participants fulfilled all the NBS criteria. Simultaneous use of non-narcotic sedative drugs increased the risk of NBS significantly (the odds ratio 3:1 and p=0.049). CONCLUSION NBS is not rare among opioid abusers and should be considered as a cause of chronic abdominal pain in this group. PMID:25349684

  14. Use of Airport Noise Complaint Files to Improve Understanding of Community Response to Aircraft Noise

    NASA Technical Reports Server (NTRS)

    Fidell, Sanford; Howe, Richard

    1998-01-01

    This study assessed the feasibility of using complaint information archived by modem airport monitoring systems to conduct quantitative analyses of the causes of aircraft noise complaints and their relationship to noise- induced annoyance. It was found that all computer-based airport monitoring systems provide at least rudimentary tools for performing data base searches by complainant name, address, date, time of day, and types of aircraft and complaints. Analyses of such information can provide useful information about longstanding concerns, such as the extent to which complaint rates are driven by objectively measurable aspects of aircraft operations; the degree to which changes in complaint rates can be predicted prior to implementation of noise mitigation measures; and the degree to which aircraft complaint information can be used to simplify and otherwise improve prediction of the prevalence of noise-induced annoyance in communities.

  15. Complaints against an EMS system.

    PubMed

    Colwell, Christopher B; Pons, Peter T; Pi, Randy

    2003-11-01

    Complaints against Emergency Medical Services (EMS) agencies represent a concerning and potentially time-consuming problem for all involved in the delivery of prehospital emergency medical care. The objective of this study was to identify the source of complaints against an EMS system to help focus quality and performance improvement and customer service efforts. We conducted a retrospective review of complaints filed against a busy urban EMS agency over a 6-year period. All complaints were included, totaled by season and by year, and categorized by originator and nature of the complaint. A total of 286 complaints were registered during the 6-year period, with an average of 48 per year and 9.3 per 10,000 responses. The most common originators of complaints were patients (53%) followed by medical personnel (19%) and family members or friends (12%). Rude behavior accounted for 23% of the complaints registered, followed by technical skills (20%), transport problems (18%), and loss of belongings (13%). The identification of areas of dissatisfaction will allow focused quality and performance improvement programs directed at customer service and risk management. PMID:14654181

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

    Microsoft Academic Search

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

    2006-01-01

    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

  17. 47 CFR 8.12 - Formal complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...complaints. 8.12 Section 8.12 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.12 Formal complaints. Any person may file a formal complaint alleging a violation of the rules in this...

  18. 47 CFR 8.12 - Formal complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...complaints. 8.12 Section 8.12 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.12 Formal complaints. Any person may file a formal complaint alleging a violation of the rules in this...

  19. 47 CFR 8.12 - Formal Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...Complaints. 8.12 Section 8.12 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.12 Formal Complaints. Any person may file a formal complaint alleging a violation of the rules in this...

  20. 47 CFR 8.12 - Formal complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...complaints. 8.12 Section 8.12 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.12 Formal complaints. Any person may file a formal complaint alleging a violation of the rules in this...

  1. 32 CFR 776.78 - Informal complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...SUPERVISION OF THE JUDGE ADVOCATE GENERAL Complaint Processing Procedures § 776.78 Informal complaints. Informal, anonymous, or “hot line” type complaints alleging professional misconduct must be referred to appropriate authority (such as...

  2. 32 CFR 776.78 - Informal complaints.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...SUPERVISION OF THE JUDGE ADVOCATE GENERAL Complaint Processing Procedures § 776.78 Informal complaints. Informal, anonymous, or “hot line” type complaints alleging professional misconduct must be referred to appropriate authority (such as...

  3. 32 CFR 776.78 - Informal complaints.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...SUPERVISION OF THE JUDGE ADVOCATE GENERAL Complaint Processing Procedures § 776.78 Informal complaints. Informal, anonymous, or “hot line” type complaints alleging professional misconduct must be referred to appropriate authority (such as...

  4. 32 CFR 776.78 - Informal complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...SUPERVISION OF THE JUDGE ADVOCATE GENERAL Complaint Processing Procedures § 776.78 Informal complaints. Informal, anonymous, or “hot line” type complaints alleging professional misconduct must be referred to appropriate authority (such as...

  5. 32 CFR 776.78 - Informal complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...SUPERVISION OF THE JUDGE ADVOCATE GENERAL Complaint Processing Procedures § 776.78 Informal complaints. Informal, anonymous, or “hot line” type complaints alleging professional misconduct must be referred to appropriate authority (such as...

  6. 10 CFR 4.332 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...Complaints. 4.332 Section 4.332 Energy NUCLEAR REGULATORY...and Enforcement Procedures § 4.332 Complaints. ...to have a representative at all stages of the complaint procedures. (4) Notifying the...

  7. 10 CFR 4.332 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...Complaints. 4.332 Section 4.332 Energy NUCLEAR REGULATORY...and Enforcement Procedures § 4.332 Complaints. ...to have a representative at all stages of the complaint procedures. (4) Notifying the...

  8. Prevalence of musculoskeletal disorders in dentists

    Microsoft Academic Search

    Evangelos C Alexopoulos; Ioanna-Christina Stathi; Fotini Charizani

    2004-01-01

    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%)

  9. Alexithymia and anxiety in female chronic pain patients

    Microsoft Academic Search

    Feryal Cam Celikel; Omer Saatcioglu

    2006-01-01

    OBJECTIVES: Alexithymia is highly prevalent among chronic pain patients. Pain is a remarkable cause for high levels of chronic anxiety. The purpose of this study was to investigate the prevalence of alexithymia and to determine anxiety levels among DSM-IV somatoform pain disorder (chronic pain) female patients and to examine the relationship between alexithymia and the self-reporting of pain. METHODS: Thirty

  10. Customer complaint behaviour towards hotel restaurant services

    Microsoft Academic Search

    Vincent C. S. Heung; Terry Lam

    2003-01-01

    The area of customer complaint behaviour has received considerable attention from hotel managers as dissatisfied customers engage in a variety of complaint actions that could ruin the reputation of a hotel. This study examined Chinese customer complaint behaviour towards Hong Kong hotel restaurant services. The main objectives were to identify complaint patterns and the relationships between customers’ demographic backgrounds such

  11. Chronic Low Back Pain in Young Korean Urban Males: The Life-Time Prevalence and Its Impact on Health Related Quality of Life

    PubMed Central

    Shim, Jae-Hyun; Yoon, Sang-Young; Lee, Chang-Hoon; Doh, Jae-Won; Bae, Hack-Gun

    2014-01-01

    Objective We assessed the life-time prevalence (LTP) of chronic low back pain (LBP) in young Korean males. We also evaluated the relationship between lumbar spinal lesions and their health related quality-of-life (HRQOL). Methods A cross-sectional, self-reported survey was conducted in Korean males (aged 19-year-old) who underwent physical examinations for the conscript. We examined 3331 examinees in November 2014. We included 2411 subjects, who accepted to participate this study without any comorbidities. We interviewed using simple binary questions for their LBP experience and chronicity. HRQOL was assessed by Short-Form Health-Survey-36 (SF-36) in chronic LBP and healthy control groups. Radiological assessment was performed in chronic LBP group to determine whether there were any pathological causes of their symptoms. Results The LTP of chronic LBP was 13.4%. Most (71.7%) of them didn't have any lumbar spinal lesions (i.e., non-specific chronic LBP). The SF-36 subscale and summary scores were significantly lower in subjects with chronic LBP. Between specific and non-specific chronic LBP group, all physical and mental subscale scores were significantly lower in specific chronic LBP group, except mental health (MH) subscale score. In MH subscale and mental component summary score, statistical significant differences didn't appear between two groups (p=0.154, 0.126). Conclusion In Korean males 19 years of age, the LTP of chronic LBP was 13.4%, and more than two-thirds were non-specific chronic LBP. Chronic LBP had a significant impact on HRQOL. The presence of lumbar spinal pathoanatomical lesions affected mainly on the physical aspect of HRQOL. It influenced little on the mental health. PMID:25628807

  12. Chronic pain management in the active-duty military

    NASA Astrophysics Data System (ADS)

    Jamison, David; Cohen, Steven P.

    2012-06-01

    As in the general population, chronic pain is a prevalent and burdensome affliction in active-duty military personnel. Painful conditions in military members can be categorized broadly in terms of whether they arise directly from combat injuries (gunshot, fragmentation wound, blast impact) or whether they result from non-combat injuries (sprains, herniated discs, motor vehicle accidents). Both combat-related and non-combat-related causes of pain can further be classified as either acute or chronic. Here we discuss the state of pain management as it relates to the military population in both deployed and non-deployed settings. The term non-battle injury (NBI) is commonly used to refer to those conditions not directly associated with the combat actions of war. In the history of warfare, NBI have far outstripped battle-related injuries in terms not only of morbidity, but also mortality. It was not until improvements in health care and field medicine were applied in World War I that battle-related deaths finally outnumbered those attributed to disease and pestilence. However, NBI have been the leading cause of morbidity and hospital admission in every major conflict since the Korean War. Pain remains a leading cause of presentation to military medical facilities, both in and out of theater. The absence of pain services is associated with a low return-to-duty rate among the deployed population. The most common pain complaints involve the low-back and neck, and studies have suggested that earlier treatment is associated with more significant improvement and a higher return to duty rate. It is recognized that military medicine is often at the forefront of medical innovation, and that many fields of medicine have reaped benefit from the conduct of war.

  13. Insomnia complaints in patients evaluated for obstructive sleep apnea

    Microsoft Academic Search

    Suzanne B. Krell; Vishesh K. Kapur

    2005-01-01

    Obstructive sleep apnea (OSA) and insomnia are among the most common sleep diagnoses encountered in the sleep clinic population,\\u000a however little is known about potential interactions or associations between the two disorders. This retrospective, cross-sectional\\u000a study was designed to determine the prevalence of insomnia complaints in patients undergoing evaluation for OSA and to ascertain\\u000a which clinical and polysomnographic features are

  14. Paramedic assessment of pain in the cognitively impaired adult patient

    Microsoft Academic Search

    Bill Lord

    2009-01-01

    BACKGROUND: Paramedics are often a first point of contact for people experiencing pain in the community. Wherever possible the patient's self report of pain should be sought to guide the assessment and management of this complaint. Communication difficulty or disability such as cognitive impairment associated with dementia may limit the patient's ability to report their pain experience, and this has

  15. Gender-Associated Differences in Emergency Department Pain Management

    Microsoft Academic Search

    Kathleen A Raftery; Rebecca Smith-Coggins; Alice HM Chen

    1995-01-01

    Study objective: To determine whether patient or provider gender is associated with the number, type, and strength of medications received by emergency department patients with headache, neck pain, or back pain. Design: Prospective cohort study. Setting: Stanford University Hospital ED. Participants: Patients 18 years and older who arrived at the ED with a chief complaint of headache, neck pain, or

  16. Knee complaints vary with age and gender in the adult population. Population-based reference data for the Knee injury and Osteoarthritis Outcome Score (KOOS)

    Microsoft Academic Search

    Przemyslaw T Paradowski; Stefan Bergman; Anne Sundén-Lundius; L Stefan Lohmander; Ewa M Roos

    2006-01-01

    BACKGROUND: Self-reported knee complaints may vary with age and gender. Reference data from the adult population would help to better interpret the outcome of interventions due to knee complaints. The objectives of the present study were to describe the variation of self-reported knee pain, function and quality of life with age and gender in the adult population and to establish

  17. Is acupuncture effective for the treatment of chronic pain? A systematic review

    Microsoft Academic Search

    Jeanette Ezzo; Brian Berman; Victoria A Hadhazy; Alejandro R Jadad; Lixing Lao; Betsy B Singh

    2000-01-01

    Pain is the major complaint of the estimated one million U.S. consumers who use acupuncture each year. Although acupuncture is widely available in chronic pain clinics, the effectiveness of acupuncture for chronic pain remains in question. Our aim was to assess the effectiveness of acupuncture as a treatment for chronic pain within the context of the methodological quality of the

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

    Microsoft Academic Search

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

    2009-01-01

    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

  19. 47 CFR 1.1404 - Complaint.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Grants by Random Selection Pole Attachment Complaint Procedures § 1.1404 ...rates, terms and conditions for pole attachments. The complaint shall include a statement...be accompanied by a copy of the pole attachment agreement, if any, between the...

  20. 47 CFR 1.1404 - Complaint.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Grants by Random Selection Pole Attachment Complaint Procedures § 1.1404 ...rates, terms and conditions for pole attachments. The complaint shall include a statement...be accompanied by a copy of the pole attachment agreement, if any, between the...

  1. 47 CFR 1.1404 - Complaint.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Grants by Random Selection Pole Attachment Complaint Procedures § 1.1404 ...rates, terms and conditions for pole attachments. The complaint shall include a statement...be accompanied by a copy of the pole attachment agreement, if any, between the...

  2. 48 CFR 408.711 - Quality complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...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...

  3. 47 CFR 1.1404 - Complaint.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...GENERAL PRACTICE AND PROCEDURE Pole Attachment Complaint Procedures § 1.1404 ...rates, terms and conditions for pole attachments. The complaint shall include a statement...be accompanied by a copy of the pole attachment agreement, if any, between the...

  4. 10 CFR 4.332 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...2011-01-01 2011-01-01 false Complaints. 4.332 Section 4.332 Energy NUCLEAR REGULATORY COMMISSION NONDISCRIMINATION...Investigation, Conciliation, and Enforcement Procedures § 4.332 Complaints. (a) Any person,...

  5. 10 CFR 4.332 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...2014-01-01 2014-01-01 false Complaints. 4.332 Section 4.332 Energy NUCLEAR REGULATORY COMMISSION NONDISCRIMINATION...Investigation, Conciliation, and Enforcement Procedures § 4.332 Complaints. (a) Any person,...

  6. 10 CFR 4.332 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...2010-01-01 2010-01-01 false Complaints. 4.332 Section 4.332 Energy NUCLEAR REGULATORY COMMISSION NONDISCRIMINATION...Investigation, Conciliation, and Enforcement Procedures § 4.332 Complaints. (a) Any person,...

  7. 21 CFR 1271.320 - Complaint file.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...TISSUE-BASED PRODUCTS Current Good Tissue Practice § 1271.320 Complaint...review, evaluation, and documentation of complaints as defined in...relating to core current good tissue practice (CGTP) requirements,...

  8. 21 CFR 1271.320 - Complaint file.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...TISSUE-BASED PRODUCTS Current Good Tissue Practice § 1271.320 Complaint...review, evaluation, and documentation of complaints as defined in...relating to core current good tissue practice (CGTP) requirements,...

  9. 21 CFR 1271.320 - Complaint file.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...TISSUE-BASED PRODUCTS Current Good Tissue Practice § 1271.320 Complaint...review, evaluation, and documentation of complaints as defined in...relating to core current good tissue practice (CGTP) requirements,...

  10. 21 CFR 1271.320 - Complaint file.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...TISSUE-BASED PRODUCTS Current Good Tissue Practice § 1271.320 Complaint...review, evaluation, and documentation of complaints as defined in...relating to core current good tissue practice (CGTP) requirements,...

  11. 21 CFR 1271.320 - Complaint file.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...TISSUE-BASED PRODUCTS Current Good Tissue Practice § 1271.320 Complaint...review, evaluation, and documentation of complaints as defined in...relating to core current good tissue practice (CGTP) requirements,...

  12. 5 CFR 185.107 - Complaint.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...2010-01-01 2010-01-01 false Complaint. 185.107 Section 185.107 Administrative Personnel OFFICE OF PERSONNEL...SERVICE REGULATIONS PROGRAM FRAUD CIVIL REMEDIES § 185.107 Complaint. (a) On or after the...

  13. 45 CFR 617.9 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM NSF § 617.9 Complaints. (a) Any...behalf of others, may file a complaint with NSF, alleging discrimination prohibited...discrimination. However, for good cause shown, NSF may extend this time limit....

  14. 45 CFR 617.9 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM NSF § 617.9 Complaints. (a) Any...behalf of others, may file a complaint with NSF, alleging discrimination prohibited...discrimination. However, for good cause shown, NSF may extend this time limit....

  15. 45 CFR 617.9 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM NSF § 617.9 Complaints. (a) Any...behalf of others, may file a complaint with NSF, alleging discrimination prohibited...discrimination. However, for good cause shown, NSF may extend this time limit....

  16. 45 CFR 617.9 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM NSF § 617.9 Complaints. (a) Any...behalf of others, may file a complaint with NSF, alleging discrimination prohibited...discrimination. However, for good cause shown, NSF may extend this time limit....

  17. 45 CFR 617.9 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM NSF § 617.9 Complaints. (a) Any...behalf of others, may file a complaint with NSF, alleging discrimination prohibited...discrimination. However, for good cause shown, NSF may extend this time limit....

  18. 20 CFR 658.412 - Complaint resolution.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...LABOR ADMINISTRATIVE PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System State Agency Js Complaint...resolved when: (1) The complainant indicates satisfaction with the outcome, or (2) The...

  19. Pain intensity, pain interference and characteristics of spinal cord injury

    PubMed Central

    Ullrich, PM; Jensen, MP; Loeser, JD; Cardenas, DD

    2009-01-01

    Study Design Postal survey. Objectives To examine if the intensity of pain in persons with spinal cord injury (SCI) varied as a function of pain site, and to identify the patient and SCI characteristics associated with pain location, pain intensity and pain interference in a sample of persons with SCI. Setting Community sample, United States. Methods A postal survey including measures of pain intensity, pain interference, other pain, demographic and medical characteristics was completed by 238 adults with SCI. Results Average pain intensity was moderate and pain was common across the body. Demographic and medical variables, including SCI level, were generally not associated with pain prevalence, intensity and interference. However, persons with higher level injuries were more likely to report upper extremity pain than persons with paraplegic injuries. The lower body was the location of the highest pain ratings. Conclusion Persons with SCI tend to experience high pain intensity over multiple body locations. Lower body pain was as common as upper extremity pain, but tended to be more intense. PMID:18283293

  20. 14 CFR 302.404 - Formal complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...Any person may make a formal complaint to the...requirements. Every formal complaint shall conform...the form and filing of documents. The filing of a... (e) Service. A formal complaint, and any amendments...the person filing such documents upon each party...

  1. 32 CFR 724.815 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Complaints. A complaint is any correspondence in which it is alleged that a decisional document issued by the NDRB or the SRA contains a specifically indentified violation of 32 CFR part 70 or any references thereto. Complaints will be reviewed pursuant...

  2. 32 CFR 724.815 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Complaints. A complaint is any correspondence in which it is alleged that a decisional document issued by the NDRB or the SRA contains a specifically indentified violation of 32 CFR part 70 or any references thereto. Complaints will be reviewed pursuant...

  3. 32 CFR 724.815 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Complaints. A complaint is any correspondence in which it is alleged that a decisional document issued by the NDRB or the SRA contains a specifically indentified violation of 32 CFR part 70 or any references thereto. Complaints will be reviewed pursuant...

  4. 32 CFR 724.815 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Complaints. A complaint is any correspondence in which it is alleged that a decisional document issued by the NDRB or the SRA contains a specifically indentified violation of 32 CFR part 70 or any references thereto. Complaints will be reviewed pursuant...

  5. 32 CFR 724.815 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Complaints. A complaint is any correspondence in which it is alleged that a decisional document issued by the NDRB or the SRA contains a specifically indentified violation of 32 CFR part 70 or any references thereto. Complaints will be reviewed pursuant...

  6. Posterior Hip Pain in an Athletic Population

    PubMed Central

    Frank, Rachel M.; Slabaugh, Mark A.; Grumet, Robert C.; Virkus, Walter W.; Bush-Joseph, Charles A.; Nho, Shane J.

    2010-01-01

    Context: Posterior hip pain is a relatively uncommon but increasingly recognized complaint in the orthopaedic community. Patient complaints and presentations are often vague or nonspecific, making diagnosis and subsequent treatment decisions difficult. The purposes of this article are to review the anatomy and pathophysiology related to posterior hip pain in the athletic patient population. Evidence Acquisition: Data were collected through a thorough review of the literature via a MEDLINE search of all relevant articles between 1980 and 2010. Results: Many patients who complain of posterior hip pain actually have pain referred from another part of the body—notably, the lumbar spine or sacroiliac joint. Treatment options for posterior hip pain are typically nonoperative; however, surgery is warranted in some cases. Conclusions: Recent advancements in the understanding of hip anatomy, pathophysiology, and treatment options have enabled physicians to better diagnosis athletic hip injuries and select patients for appropriate treatment. PMID:23015944

  7. High prevalence of neck, shoulder and back pain among nursing graduates warrants preventive strategies during the degree and into working life.

    PubMed

    Yassi, Annalee

    2015-04-01

    Implications for practice and research: Physical, organisational and social aspects of work significantly contribute to musculoskeletal pain in nurses, along with nonoccupational contextual and personal factors. Measures to prevent neck, shoulder and back pain in nurses should be implemented for nurses from the very beginning of their training programmes, while modifications to overtime work and physical loads should be seriously considered. Preventive measures targeting overtime work, physical workload and psychosocial factors need investigating further. PMID:25121936

  8. Pain in older adults.

    PubMed

    Miller, Lois L; Talerico, Karen Amann

    2002-01-01

    This chapter reviews 80 published research reports of pain and pain problems in older adults by nurse researchers and researchers from other disciplines. Reports were identified through searches of MEDLINE and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) using the search terms pain, older adult, aged and pain, and dementia. Reports were included if published between 1985 to 2001, if conducted on samples age 60 or older, if conducted by nurses or relevant to nursing research, and if published in English. Descriptive, qualitative, correlational, longitudinal, and intervention studies were included. Key findings include the following: pain is widely prevalent in older adult populations; few studies have included minority groups; under-identification and undertreatment of pain in older adults is a consistent interpretation of research findings; pain intensity rating scales are as valid and reliable in older populations as in younger populations; current observational methods of assessing pain in cognitively impaired older adults must be used with caution; nursing intervention studies demonstrate the beneficial effects of education and interventions aimed at improved pain assessment. The main recommendations are: careful attention should be given to the conceptualization and definition of pain; examination of pain should include physiological, motivational, cognitive, and affective factors; studies evaluating undertreatment of pain should include measures of pain self-report; standardized pain measures should be used; studies of persons over the age of 85 and studies of ethnic minorities are needed; more attention should be given to nursing intervention studies and should include both pharmacological and nonpharmacological, psychosocial interventions. PMID:12092519

  9. 47 CFR 1.718 - Unsatisfied informal complaints; formal complaints relating back to the filing dates of informal...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...complaints; formal complaints relating back to the filing dates of informal complaints...complaints; formal complaints relating back to the filing dates of informal complaints...721. Such filing will be deemed to relate back to the filing date of the informal...

  10. Prevalence and factors associated with fibromyalgia in Mexican patients with systemic lupus erythematosus.

    PubMed

    Valencia-Flores, M; Cardiel, M H; Santiago, V; Resendiz, M; Castaño, V A; Negrete, O; Rosenberg, C; García-Ramos, G; Alcocer, J; Alarcón-Segovia, D

    2004-01-01

    In total, 189 consecutive women diagnosed with SLE were evaluated using the ACR 1990 criteria for fibromyalgia. Patients were classified into three subgroups. The fibromyalgia group (FM) included patients experiencing pain on palpation in at least 11 of the 18 tender points examined, as well as having a history of widespread pain for at least three months. Patients who were noted to have pain in fewer than four quadrants with less than 11 of 18 tender points were considered to have regional pain (RP). All patients who did not meet criteria for either FM or RP were classified as having no pain (NP). Measurement of SLE disease activity, sleep complaints, depression, fatigue severity and health status were performed. Only 18 of the SLE patients (9.5%) (95% CI 5.3-14%) fulfilled the ACR criteria for the classification of FM. Of the patients, 106 (56.1%) fulfilled criteria for RP and had a number of tender points of 5.4 +/- 3.4, and the rest of the patients (34.4%) had no tenderness at specific tender point sites. Age, body mass index, educational level and disease duration were comparable between the groups. FM and RP groups had different patterns of symptoms prevalence, with dysmenorrhea being more distinctive for FM. Sleep disturbances were more severe in the FM than in the RP group. Daytime complaints such as sleepiness, fatigue and depression were similar for RP and FM groups, but patients with FM reported more disability. Fibromyalgia is not common in Mexican patients with SLE and has a different pattern of symptoms in RP and NP patients. These data add evidence that ethnicity can play an important role in FM manifestations. PMID:14870911

  11. Managing Pain in Inflammatory Bowel Disease

    PubMed Central

    Jones, R. Carter W.; Wallace, Mark S.

    2011-01-01

    Pain is a common complaint in inflammatory bowel disease, and it has significant consequences for patients' quality of life. A thorough evaluation to determine the source of patients' pain should include clinical, laboratory, radiologic, and endoscopic assessments as indicated. Differentiating among active inflammation, secondary complications, and functional pain can be complicated. Even when all active disease is adequately treated, clinicians are often left with the difficulty of managing chronic pain. This paper will review the benefits and limitations of several commonly used treatments and promising future therapies. A suggested treatment algorithm will provide some guidance in this challenging area of inflammatory bowel disease management. PMID:22298998

  12. Pain in cancer survivors.

    PubMed

    Glare, Paul A; Davies, Pamela S; Finlay, Esmé; Gulati, Amitabh; Lemanne, Dawn; Moryl, Natalie; Oeffinger, Kevin C; Paice, Judith A; Stubblefield, Michael D; Syrjala, Karen L

    2014-06-01

    Pain is a common problem in cancer survivors, especially in the first few years after treatment. In the longer term, approximately 5% to 10% of survivors have chronic severe pain that interferes with functioning. The prevalence is much higher in certain subpopulations, such as breast cancer survivors. All cancer treatment modalities have the potential to cause pain. Currently, the approach to managing pain in cancer survivors is similar to that for chronic cancer-related pain, pharmacotherapy being the principal treatment modality. Although it may be appropriate to continue strong opioids in survivors with moderate to severe pain, most pain problems in cancer survivors will not require them. Moreover, because more than 40% of cancer survivors now live longer than 10 years, there is growing concern about the long-term adverse effects of opioids and the risks of misuse, abuse, and overdose in the nonpatient population. As with chronic nonmalignant pain, multimodal interventions that incorporate nonpharmacologic therapies should be part of the treatment strategy for pain in cancer survivors, prescribed with the aim of restoring functionality, not just providing comfort. For patients with complex pain issues, multidisciplinary programs should be used, if available. New or worsening pain in a cancer survivor must be evaluated to determine whether the cause is recurrent disease or a second malignancy. This article focuses on patients with a history of cancer who are beyond the acute diagnosis and treatment phase and on common treatment-related pain etiologies. The benefits and harms of the various pharmacologic and nonpharmacologic options for pain management in this setting are reviewed. PMID:24799477

  13. Pain in Cancer Survivors

    PubMed Central

    Glare, Paul A.; Davies, Pamela S.; Finlay, Esmé; Gulati, Amitabh; Lemanne, Dawn; Moryl, Natalie; Oeffinger, Kevin C.; Paice, Judith A.; Stubblefield, Michael D.; Syrjala, Karen L.

    2014-01-01

    Pain is a common problem in cancer survivors, especially in the first few years after treatment. In the longer term, approximately 5% to 10% of survivors have chronic severe pain that interferes with functioning. The prevalence is much higher in certain subpopulations, such as breast cancer survivors. All cancer treatment modalities have the potential to cause pain. Currently, the approach to managing pain in cancer survivors is similar to that for chronic cancer-related pain, pharmacotherapy being the principal treatment modality. Although it may be appropriate to continue strong opioids in survivors with moderate to severe pain, most pain problems in cancer survivors will not require them. Moreover, because more than 40% of cancer survivors now live longer than 10 years, there is growing concern about the long-term adverse effects of opioids and the risks of misuse, abuse, and overdose in the nonpatient population. As with chronic nonmalignant pain, multimodal interventions that incorporate nonpharmacologic therapies should be part of the treatment strategy for pain in cancer survivors, prescribed with the aim of restoring functionality, not just providing comfort. For patients with complex pain issues, multidisciplinary programs should be used, if available. New or worsening pain in a cancer survivor must be evaluated to determine whether the cause is recurrent disease or a second malignancy. This article focuses on patients with a history of cancer who are beyond the acute diagnosis and treatment phase and on common treatment-related pain etiologies. The benefits and harms of the various pharmacologic and nonpharmacologic options for pain management in this setting are reviewed. PMID:24799477

  14. Work activities and musculoskeletal complaints among preschool workers.

    PubMed

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

    1995-12-01

    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

  15. Neuropathic pain in cancer.

    PubMed

    Goyal, Alka; Bhatnagar, Sushma

    2014-01-01

    Unrelieved neuropathic pain continues to be a substantial health problem in a cancer patient arises either due to disease itself or its treatment. Review of literature showed that neuropathic pain has high prevalence rate, greater severity and analgesic requirement with worse quality of life. Underreporting by patient and under treatment by physician is an important causative factor of indefinite persistence of neuropathic pain. Careful history taking, elaborated physical examination, patient's self report and diagnostic tools with high sensitivity and specificity are needed for accurate assessment of neuropathic pain. Neuropathic cancer pain is difficult to treat and also shows poor response to opioids so in this situation alternate a treatment strategy that also includes psycosocial and spiritual counseling with yoga and meditation exercises under the palliative care framework should be practiced. To find out the burden and estimation of resource generation of this widely recognized problem, accurate establishment of incidence, prevalence, severity, and effectiveness of treatment is quite mandatory. Complex phenomenon of neuropathic pain abolishes establishment of early diagnosis and accurate etiology of this symptom, emphasizes the need of sensitive and reliable clinical grading scale, international classification system and validated diagnostic tools that correspond with clinical assessment. Multiple studies towards this direction has been culminated and some are still going on, though the data and literature is very scant and require further research for the complete evaluation of neuropathic pain. PMID:25841479

  16. The Quebec complaint examination system: stakeholder perspectives on the purpose and intake of complaints.

    PubMed

    Clément, Michèle; Gagnon, Eric

    2006-03-01

    Québec's complaint examination system has devoted considerable effort to supporting dissatisfied users who may wish to register complaints. It is open to question, however, whether this level of effort has, in fact, aided users in filing their complaints, and whether, once filed, the intake and processing of complaints has been rigorous and fair. Has the intake and handling of complaints at least improved? This is the question we shall attempt to answer here by presenting the results of our study concerning the impact of the Complaint Assistance and Support Centers (CAAPs) on the intake of complaints. The results show that the Québec complaint examination system and its Complaint Assistance and Support Centers help make complaints more admissible and ensure that each complaint is examined. However, the system is also hindered by differences and conflicting interpretations among the various stakeholders regarding the legitimacy of complaints, respect for users' rights, and the mission of the system. Although complaint examination systems seek to encourage users to express their points of view, users' voices are still only partly audible. PMID:17137019

  17. [Repetitive work and psychosomatic complaints].

    PubMed

    Liebrich, J; Geiger, L; Rupp, M

    1978-08-01

    200 workers of the Swiss watch industry were examined in an interdisciplinary study on the effect of repetitive work on the wellbeing of the worker. Women doing repetitive work with little autonomy complained more often about psychosomatic problems than the male workers doing non-repetitive work. This difference is interpreted as a difference of sexe rather than one of the work situation. However, there is a significant difference in the complaint about nervosity between women being paid monthly and women who were paid by piece or by hour with a premium. PMID:706840

  18. 47 CFR 7.22 - Formal complaints based on unsatisfied informal complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...complaints. 7.22 Section 7.22 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...

  19. 47 CFR 7.22 - Formal complaints based on unsatisfied informal complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...complaints. 7.22 Section 7.22 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...

  20. 47 CFR 7.22 - Formal complaints based on unsatisfied informal complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...complaints. 7.22 Section 7.22 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...

  1. 47 CFR 7.22 - Formal complaints based on unsatisfied informal complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...complaints. 7.22 Section 7.22 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...

  2. 21 CFR 225.115 - Complaint files.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR MEDICATED FEEDS Records and Reports ...been manufactured in conformity with current good manufacturing practices. These complaints and experiences may...

  3. 21 CFR 225.115 - Complaint files.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR MEDICATED FEEDS Records and Reports ...been manufactured in conformity with current good manufacturing practices. These complaints and experiences may...

  4. 21 CFR 225.115 - Complaint files.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR MEDICATED FEEDS Records and Reports ...been manufactured in conformity with current good manufacturing practices. These complaints and experiences may...

  5. Failure of physician documentation of sleep complaints in hospitalized patients.

    PubMed Central

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

    1998-01-01

    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. PMID:9771152

  6. Risk factors and musculoskeletal complaints in non-specialized nurses, IC nurses, operation room nurses, and X-ray technologists

    Microsoft Academic Search

    Ellen Bos; Boudien Krol; Lex van der Star; Johan Groothoff

    2007-01-01

    Objectives: To gain more insight into the prevalence rates of musculoskeletal complaints of neck-shoulder and low back and to determine\\u000a the relation between physical and psychosocial work-related risk factors and the complaints mentioned in non-specialized nurses,\\u000a operation room nurses, Intensive Care (IC) nurses and X-ray technologists. Methods: The study population consists of 3,169 employees affiliated to eight university hospitals in

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

    PubMed Central

    Zaza, C

    1998-01-01

    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. PMID:9580730

  8. Physical Therapy for Patients with Back Pain

    Microsoft Academic Search

    Roelof WA van der Valk; Joost Dekker; Margriet E van Baar

    1995-01-01

    The aim of this study was to describe the physical therapy diagnosis and treatment in patients with back pain. More specifically, the relationship between the duration of the complaint and the diagnosis and treatment was analysed. Data were used from a representative survey of physical therapeutic practice in the Netherlands. The patients were divided into three groups on the basis

  9. Inguinoscrotal pain resistant to conventional treatment

    PubMed Central

    Jain, Anuj; Agarwal, Anil

    2015-01-01

    Inguinoscrotal pain (ISP) is a common complaint that affects almost all age groups. The etiology may be vascular, neurogenic, visceral, muscular or psychological. Most causes of ISP are benign, but Pott's spine as a cause of ISP, when missed, may lead to serious outcomes. PMID:25624580

  10. Effectiveness of Massage Therapy for Chronic, NonMalignant Pain: A Review

    Microsoft Academic Search

    Jennie C. I. Tsao

    2007-01-01

    Previous reviews of massage therapy for chronic, non-malignant pain have focused on discrete pain conditions. This article aims to provide a broad overview of the literature on the effectiveness of massage for a variety of chronic, non-malignant pain complaints to identify gaps in the research and to inform future clinical trials. Computerized databases were searched for relevant studies including prior

  11. Changes in prevalence of subjective fatigue during 14-day 6° head-down bed rest

    NASA Astrophysics Data System (ADS)

    Hirayanagi, Kaname; Natsuno, Toyoki; Shiozawa, Tomoki; Yamaguchi, Nobuhisa; Watanabe, Yoriko; Suzuki, Satomi; Iwase, Satoshi; Mano, Tadaaki; Yajima, Kazuyoshi

    2009-06-01

    The present study examines the prevalence of subjective fatigue in young healthy males during 14 days of 6° head-down bed rest (HDBR) by using a multidimensional questionnaire. Forty-one subjects completed the Subjective Fatigue Scale questionnaire to assess the fatigue-related complaints and symptoms. The questionnaire is composed of three sections, with 10 items each. The sections measured drowsiness and dullness (Section 1), difficulty in concentration (Section 2), and the projection of physical disintegration (Section 3). The subjects answered simple questions between 1400 and 1700 on 6 measurement days before and during the HDBR period. The prevalence rate of low back pain was markedly high (80.5%) on the second day and more than 50% in the first half of the HDBR period, and any complaints related to either a lack of sleep or a deterioration in the quality of sleep continued until the end of the HDBR period. Our findings may be useful in developing preventive strategies against physical and mental fatigue associated with prolonged HDBR, horizontal bed rest, and microgravity environments.

  12. Cancer pain management at home (II): does age influence attitudes towards pain and analgesia?

    Microsoft Academic Search

    S. José Closs; J. Chatwin; Michael I. Bennett

    2009-01-01

    Goals of work  Older patients experience a higher prevalence of pain, including cancer pain, than other age groups and tend to receive poorer\\u000a pain management. The reasons for unnecessary suffering resulting from pain among older patients are not well understood. This\\u000a study aimed to identify barriers to cancer pain management for older patients living at home and to compare these with

  13. Chest pain

    MedlinePLUS

    ... pain that may feel like tightness, heavy pressure, squeezing, or crushing pain. The pain may spread to ... Call 911 if: You have sudden crushing, squeezing, tightening, or ... or between your shoulder blades. You have nausea, dizziness, ...

  14. UNIVERSITY OF BATH STUDENT COMPLAINTS PROCEDURE

    E-print Network

    Burton, Geoffrey R.

    APPENDIX 1 UNIVERSITY OF BATH STUDENT COMPLAINTS PROCEDURE Introduction 1.1 The University welcomes of ensuring the University provides the highest possible academic and service standards. Students should feel stage process the University has adopted for dealing with students' complaints, which is intended

  15. 24 CFR 107.35 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...Complaints. (a) The Assistant Secretary for FH&EO, or designee, shall conduct such...extended by the Assistant Secretary for FH&EO. Complaints must be signed by...the Director of the Office of Regional FH&EO shall determine whether the...

  16. 24 CFR 107.35 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...Complaints. (a) The Assistant Secretary for FH&EO, or designee, shall conduct such...extended by the Assistant Secretary for FH&EO. Complaints must be signed by...the Director of the Office of Regional FH&EO shall determine whether the...

  17. 24 CFR 107.35 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...Complaints. (a) The Assistant Secretary for FH&EO, or designee, shall conduct such...extended by the Assistant Secretary for FH&EO. Complaints must be signed by...the Director of the Office of Regional FH&EO shall determine whether the...

  18. 24 CFR 107.35 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...Complaints. (a) The Assistant Secretary for FH&EO, or designee, shall conduct such...extended by the Assistant Secretary for FH&EO. Complaints must be signed by...the Director of the Office of Regional FH&EO shall determine whether the...

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

    Microsoft Academic Search

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

    2006-01-01

    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

  20. 24 CFR 3282.403 - Consumer complaint and information referral.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...2014-04-01 2014-04-01 false Consumer complaint and information referral...PROCEDURAL AND ENFORCEMENT REGULATIONS Consumer Complaint Handling and Remedial Actions § 3282.403 Consumer complaint and information...

  1. 24 CFR 3282.403 - Consumer complaint and information referral.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...2010-04-01 2010-04-01 false Consumer complaint and information referral...PROCEDURAL AND ENFORCEMENT REGULATIONS Consumer Complaint Handling and Remedial Actions § 3282.403 Consumer complaint and information...

  2. 24 CFR 3282.403 - Consumer complaint and information referral.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...2013-04-01 2013-04-01 false Consumer complaint and information referral...PROCEDURAL AND ENFORCEMENT REGULATIONS Consumer Complaint Handling and Remedial Actions § 3282.403 Consumer complaint and information...

  3. 24 CFR 3282.403 - Consumer complaint and information referral.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...2011-04-01 2011-04-01 false Consumer complaint and information referral...PROCEDURAL AND ENFORCEMENT REGULATIONS Consumer Complaint Handling and Remedial Actions § 3282.403 Consumer complaint and information...

  4. 24 CFR 3282.403 - Consumer complaint and information referral.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...2012-04-01 2012-04-01 false Consumer complaint and information referral...PROCEDURAL AND ENFORCEMENT REGULATIONS Consumer Complaint Handling and Remedial Actions § 3282.403 Consumer complaint and information...

  5. 37 CFR 4.1 - Complaints regarding invention promoters.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...2011-07-01 false Complaints regarding invention promoters. 4.1 Section 4.1 ...COMMERCE GENERAL COMPLAINTS REGARDING INVENTION PROMOTERS § 4.1 Complaints regarding invention promoters. These regulations...

  6. 37 CFR 4.1 - Complaints regarding invention promoters.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...2010-07-01 false Complaints regarding invention promoters. 4.1 Section 4.1 ...COMMERCE GENERAL COMPLAINTS REGARDING INVENTION PROMOTERS § 4.1 Complaints regarding invention promoters. These regulations...

  7. Predictors of Genital Pain in Young Women

    PubMed Central

    Farmer, Melissa A.; Meston, Cindy M.

    2010-01-01

    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. PMID:17674182

  8. Pregnancy Related Low Back and Pelvic Pain: a surgical approach

    Microsoft Academic Search

    C. M. A. Zwienen

    2005-01-01

    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

  9. Common Chronic Pain Conditions in Developed and Developing Countries: Gender and Age Differences and Comorbidity With Depression-Anxiety Disorders

    Microsoft Academic Search

    Adley Tsang; Michael Von Korff; Sing Lee; Jordi Alonso; Elie Karam; Matthias C. Angermeyer; Guilherme Luiz Guimaraes Borges; Evelyn J. Bromet; Giovanni de Girolamo; Ron de Graaf; Oye Gureje; Jean-Pierre Lepine; Josep Maria Haro; Daphna Levinson; Mark A. Oakley Browne; Jose Posada-Villa; Soraya Seedat; Makoto Watanabe

    2008-01-01

    Although there is a growing body of research concerning the prevalence and correlates of chronic pain conditions and their association with mental disorders, cross-national research on age and gender differences is limited. The present study reports the prevalence by age and gender of common chronic pain conditions (headache, back or neck pain, arthritis or joint pain, and other chronic pain)

  10. Postural Compensations and Subjective Complaints Due to Backpack Loads and Wear Time in Schoolchildren Aged 8 to 11

    Microsoft Academic Search

    Frances E Kistner

    2011-01-01

    Backpacks are used by more than 90% of schoolchildren worldwide and over 40 million students in the United States on a regular basis. The carriage of loaded backpacks is associated with kinematic and physiological changes, as well as complaints of neck and back pain. Since a history of backpain in childhood is the strongest predictor of having musculoskeletal discomfort and

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

    PubMed Central

    Bushnell, M. Catherine; ?eko, Marta; Low, Lucie A.

    2015-01-01

    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

  12. Neuronal correlates in the modulation of placebo analgesia in experimentally-induced esophageal pain: A 3T-fMRI study

    Microsoft Academic Search

    Hsueh-Chieh Lu; Jen-Chuen Hsieh; Ching-Liang Lu; David M. Niddam; Yu-Te Wu; Tzu-Chen Yeh; Chou-Ming Cheng; Full-Young Chang; Shou-Dong Lee

    2010-01-01

    Visceral pain\\/discomfort is the cardinal complaints and treatment targets for functional gastrointestinal disorders (FGID). However, effective treatment for such pain is limited and often associated with high placebo effects. The mechanisms of placebo effects in visceral pain are unclear. We used functional neuroimaging to study the central representations of the placebo effect and its anticipation during esophageal pain in healthy

  13. The ethical leadership challenge for effective resolution of patient and family complaints and grievances: proven methods and models.

    PubMed

    Piper, Llewellyn E; Tallman, Erin

    2015-01-01

    Health care leaders and managers face the ethical leadership challenge in ensuring effective resolution of patient and family complaints and grievances. In today's society of increasing discontent about safety, quality, cost, and satisfaction, patient complaints and grievances are becoming more prevalent. Under the mandates of the Patient Protection and Affordable Care Act for transparency of quality and patient satisfaction scores and to be compliant with the standards from the Centers for Medicare & Medicaid Services and The Joint Commission, it is imperative that leadership ensure an ethical culture for effective resolution of patient and family complaints and grievances. This article addresses this ethical leadership challenge by providing a systematic approach with proven methods and models for effective resolution of complaints and grievances and thereby improving satisfaction, quality, safety, and cost. PMID:25627856

  14. 10 CFR 1040.89-5 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...Complaints may be submitted to Field Civil Rights Officers located in DOE's...to the Director, Office of Civil Rights and Diversity, Forrestal Building, 1000 Independence Avenue...b) The Director, Office of Civil Rights and Diversity,...

  15. 10 CFR 1040.89-5 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...Complaints may be submitted to Field Civil Rights Officers located in DOE's...to the Director, Office of Civil Rights and Diversity, Forrestal Building, 1000 Independence Avenue...b) The Director, Office of Civil Rights and Diversity,...

  16. 29 CFR 1614.204 - Class complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...practice adversely affecting the class as well as the specific action or matter affecting the class agent. (2) The complaint...agency or the Commission may find class-wide discrimination and order remedial action for any policy or...

  17. 12 CFR 268.204 - Class complaints.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...practice adversely affecting the class as well as the specific action or matter affecting the class agent. (2) The complaint...Board or the Commission may find class-wide discrimination and order remedial action for any policy or...

  18. 12 CFR 268.204 - Class complaints.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...practice adversely affecting the class as well as the specific action or matter affecting the class agent. (2) The complaint...Board or the Commission may find class-wide discrimination and order remedial action for any policy or...

  19. 12 CFR 268.204 - Class complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...practice adversely affecting the class as well as the specific action or matter affecting the class agent. (2) The complaint...Board or the Commission may find class-wide discrimination and order remedial action for any policy or...

  20. 29 CFR 1614.204 - Class complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...practice adversely affecting the class as well as the specific action or matter affecting the class agent. (2) The complaint...agency or the Commission may find class-wide discrimination and order remedial action for any policy or...

  1. 29 CFR 1614.204 - Class complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...practice adversely affecting the class as well as the specific action or matter affecting the class agent. (2) The complaint...agency or the Commission may find class-wide discrimination and order remedial action for any policy or...

  2. 12 CFR 268.204 - Class complaints.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...practice adversely affecting the class as well as the specific action or matter affecting the class agent. (2) The complaint...Board or the Commission may find class-wide discrimination and order remedial action for any policy or...

  3. 29 CFR 1614.204 - Class complaints.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...practice adversely affecting the class as well as the specific action or matter affecting the class agent. (2) The complaint must...action: The agency shall notify class members of the final action and relief awarded, if any,...

  4. 12 CFR 268.204 - Class complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...practice adversely affecting the class as well as the specific action or matter affecting the class agent. (2) The complaint...Board or the Commission may find class-wide discrimination and order remedial action for any policy or...

  5. 29 CFR 1614.204 - Class complaints.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...practice adversely affecting the class as well as the specific action or matter affecting the class agent. (2) The complaint must...action: The agency shall notify class members of the final action and relief awarded, if any,...

  6. 48 CFR 222.1308 - Complaint procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...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 shall— (1)...

  7. 48 CFR 222.1308 - Complaint procedures.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...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 shall— (1)...

  8. 78 FR 52868 - Pole Attachment Complaint Procedures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ...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...

  9. 7 CFR 250.22 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...AGRICULTURE GENERAL REGULATIONS AND POLICIES-FOOD DISTRIBUTION DONATION OF FOODS FOR USE IN THE UNITED STATES, ITS TERRITORIES...complaints received in connection with the distribution or use of donated foods. Irregularities which are disclosed...

  10. 7 CFR 271.6 - Complaint procedure.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM GENERAL INFORMATION AND DEFINITIONS § 271.6 Complaint...

  11. Citizen complaints and environmental regulation of Michigan livestock operations.

    PubMed

    Hadrich, J C; Wolf, C A

    2011-01-01

    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

  12. Bedbug complaints among public housing residents-New York City, 2010-2011.

    PubMed

    Gounder, Prabhu; Ralph, Nancy; Maroko, Andrew; Thorpe, Lorna

    2014-12-01

    Few studies have evaluated population-level risk factors for having a bedbug infestation. We describe characteristics associated with bedbug complaints among New York City Housing Authority (NYCHA) residents. Unique households receiving bedbug extermination services in response to a complaint during January 1, 2010 to December 31, 2011 were identified from NYCHA's central facilities work order database. We examined associations between household characteristics and having a bedbug complaint using a generalized estimating equation Poisson regression model, accounting for clustering by housing development. Of the 176,327 NYCHA households, 11,660 (6.6 %) registered a bedbug complaint during 2010-2011. Bedbug complaints were independently associated with households having five or more children versus no children (prevalence ratio [PR]?=?2.0), five or more adults versus one adult (PR?=?1.6), a head of household (HOH) with impaired mobility (PR?=?1.3), a household member receiving public assistance (PR?=?1.2), a household income below poverty level (PR?=?1.1), and a female HOH (PR?=?1.1). Infestations were less likely to be reported by households with employed members (PR?=?0.9), and an HOH aged 30-44 years (PR?=?0.9) or 45-61 years (PR?=?0.9), compared with an HOH aged 18-29 years. These results indicate that bedbug control efforts in public housing should be targeted toward households with low income and high occupancy. PMID:24549436

  13. Complaint Behaviors of the Millennial Generation

    E-print Network

    Philmon, Brittany Diane

    2011-02-22

    COMPLAINT BEHAVIORS OF THE MILLENNIAL GENERATION A Thesis by BRITTANY DIANE PHILMON Submitted to the Office of Graduate Studies of Texas A&M University in partial fulfillment of the requirements for the degree of MASTER... OF SCIENCE December 2009 Major Subject: Recreation, Park, and Tourism Sciences COMPLAINT BEHAVIORS OF THE MILLENNIAL GENERATION A Thesis by BRITTANY DIANE PHILMON Submitted to the Office of Graduate Studies of Texas A...

  14. The management of risk. Part 4: Resolving complaints.

    PubMed

    Collier, Andrew

    2014-06-01

    Patient complaints invariably cause concern and distress. Whilst prevention should be the primary objective, this is not always possible. This final article in the series describes strategies for the management and resolution of complaints, as well as the advantages of good complaint handling. Clinical Relevance: Early and efficient resolution of complaints will reduce stress to all members of the dental team. PMID:25073223

  15. The prevalence of gastroesophageal reflux disease among hospital employees.

    PubMed

    Ercelep, O B; Caglar, E; Dobrucali, A

    2014-07-01

    Quantitative estimate of the actual prevalence of the gastroesophageal reflux disease (GERD) is difficult to obtain because most of the patients with heartburn have intermittent symptoms. The aim of this study was to assess the frequency of typical and atypical symptoms suggesting GERD to investigate the association of habits and social conditions reported to lead to reflux in the employees of hospital. A total of 2037 collected forms were assessed. The prevalence of GERD was found to be 21.7% (442). The prevalence of symptoms other than heartburn in employees with and without GERD symptoms were 6.6% versus 3.4% (P?pain. Dyspeptic complaints were found to be significantly higher among GERD patients (P?prevalence is similar to that of Western populations with different symptom profiles. Female gender, non-steroidal anti-inflammatory drug, and body mass index >30?kg/m(2) were independent risk factors associated with GERD symptoms. Age, alcohol, coffee, tea, and tobacco smoking do not seem to be risk factors for reflux. PMID:23020266

  16. The Association of Self-Reported Backpack Use and Backpack Weight With Low Back Pain Among College Students

    Microsoft Academic Search

    Zachary Heuscher; David P. Gilkey; Jennifer L. Peel; Catherine A. Kennedy

    2010-01-01

    ObjectiveBack pain has consistently ranked among the top general health complaints among college students, but few studies have examined risk factors for back pain in this age group. This cross-sectional survey evaluated the association between the self-reported annual low back pain with the estimated usual backpack weight among college students.

  17. 5 CFR 2423.20 - Issuance and contents of the complaint; answer to the complaint; amendments; role of Office of...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...Issuance and contents of the complaint; answer to the complaint; amendments; role...Issuance and contents of the complaint; answer to the complaint; amendments; role of...explaining the nature of the hearing. (b) Answer. Within 20 days after the date...

  18. 5 CFR 2423.20 - Issuance and contents of the complaint; answer to the complaint; amendments; role of Office of...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...Issuance and contents of the complaint; answer to the complaint; amendments; role...Issuance and contents of the complaint; answer to the complaint; amendments; role of...explaining the nature of the hearing. (b) Answer. Within 20 days after the date...

  19. 5 CFR 2423.20 - Issuance and contents of the complaint; answer to the complaint; amendments; role of Office of...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...Issuance and contents of the complaint; answer to the complaint; amendments; role...Issuance and contents of the complaint; answer to the complaint; amendments; role of...explaining the nature of the hearing. (b) Answer. Within 20 days after the date...

  20. 5 CFR 2423.20 - Issuance and contents of the complaint; answer to the complaint; amendments; role of Office of...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...Issuance and contents of the complaint; answer to the complaint; amendments; role...Issuance and contents of the complaint; answer to the complaint; amendments; role of...explaining the nature of the hearing. (b) Answer. Within 20 days after the date...

  1. 5 CFR 2423.20 - Issuance and contents of the complaint; answer to the complaint; amendments; role of Office of...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...Issuance and contents of the complaint; answer to the complaint; amendments; role...Issuance and contents of the complaint; answer to the complaint; amendments; role of...explaining the nature of the hearing. (b) Answer. Within 20 days after the date...

  2. The association between chronic pain and obesity

    PubMed Central

    Okifuji, Akiko; Hare, Bradford D

    2015-01-01

    Obesity and pain present serious public health concerns in our society. Evidence strongly suggests that comorbid obesity is common in chronic pain conditions, and pain complaints are common in obese individuals. In this paper, we review the association between obesity and pain in the general population as well as chronic pain patients. We also review the relationship between obesity and pain response to noxious stimulation in animals and humans. Based upon the existing research, we present several potential mechanisms that may link the two phenomena, including mechanical/structural factors, chemical mediators, depression, sleep, and lifestyle. We discuss the clinical implications of obesity and pain, focusing on the effect of weight loss, both surgical and noninvasive, on pain. The literature suggests that the two conditions are significant comorbidities, adversely impacting each other. The nature of the relationship however is not likely to be direct, but many interacting factors appear to contribute. Weight loss for obese pain patients appears to be an important aspect of overall pain rehabilitation, although more efforts are needed to determine strategies to maintain long-term benefit.

  3. Postoperative pain management and Acute Pain Service activity in Canada

    Microsoft Academic Search

    D. L. Zimmermann; J. Stewart

    1993-01-01

    A survey of postoperative pain management practices was mailed to the 56 Canadian university-affiliated teaching hospitals\\u000a in December 1991. The aims of the survey were (1) to determine the prevalence, structure, and function of Acute Pain Services\\u000a and (2) to determine the use and management of patient-controlled analgesia (PCA) and epidural opiate analgesia (EOA) in teaching\\u000a hospitals. Responses were received

  4. Painful varicoceles: Role of varicocelectomy

    PubMed Central

    Abrol, Nitin; Panda, Arabind; Kekre, Nitin S.

    2014-01-01

    The incidence of varicocele in the general population is up to 15%. It is estimated that the prevalence of pain with varicoceles is around 2-10%. Till the year 2000, only two studies evaluated efficacy of varicocelectomy in painful varicoceles with conflicting results. Over the past decade many other studies have addressed this issue and reported on the treatment outcome and predictors of success. We critically appraised studies published from March 2000 to May 2013 evaluating surgical management in painful varicoceles to provide an evidence based review of effectiveness of varicocelectomy in relieving pain in patients with symptomatic painful varicoceles. The association between varicoceles and pain is not clearly established. Conservative treatment is warranted as the first line of treatment in men with painful clinical varicoceles. In carefully selected men with clinically palpable varicoceles and associated characteristic chronic dull ache, dragging or throbbing pain who do not respond to conservative therapy, varicocelectomy is warranted and is associated with approximately 80% success. However, surgical success does not always translate into resolution of pain and pain might persist even when no varicoceles are detected postoperatively. PMID:25378815

  5. Painful varicoceles: Role of varicocelectomy.

    PubMed

    Abrol, Nitin; Panda, Arabind; Kekre, Nitin S

    2014-10-01

    The incidence of varicocele in the general population is up to 15%. It is estimated that the prevalence of pain with varicoceles is around 2-10%. Till the year 2000, only two studies evaluated efficacy of varicocelectomy in painful varicoceles with conflicting results. Over the past decade many other studies have addressed this issue and reported on the treatment outcome and predictors of success. We critically appraised studies published from March 2000 to May 2013 evaluating surgical management in painful varicoceles to provide an evidence based review of effectiveness of varicocelectomy in relieving pain in patients with symptomatic painful varicoceles. The association between varicoceles and pain is not clearly established. Conservative treatment is warranted as the first line of treatment in men with painful clinical varicoceles. In carefully selected men with clinically palpable varicoceles and associated characteristic chronic dull ache, dragging or throbbing pain who do not respond to conservative therapy, varicocelectomy is warranted and is associated with approximately 80% success. However, surgical success does not always translate into resolution of pain and pain might persist even when no varicoceles are detected postoperatively. PMID:25378815

  6. Face pain

    MedlinePLUS

    Face pain may be dull and throbbing or an intense, stabbing discomfort in the face or forehead. It can occur in one or ... Pain that starts in the face may be caused by a nerve problem, ... Face pain may also begin other places in the body. Abscessed ...

  7. Analysis of postmarket complaints database for the iFuse SI Joint Fusion System®: a minimally invasive treatment for degenerative sacroiliitis and sacroiliac joint disruption

    PubMed Central

    Miller, Larry E; Reckling, W Carlton; Block, Jon E

    2013-01-01

    Background The sacroiliac joint is a common but under-recognized source of low back and gluteal pain. Patients with degenerative sacroiliitis or sacroiliac joint disruption resistant to nonsurgical treatments may undergo open surgery with sacroiliac joint arthrodesis, although outcomes are mixed and risks are significant. Minimally invasive sacroiliac joint arthrodesis was developed to minimize the risk of iatrogenic injury and to improve patient outcomes compared with open surgery. Methods Between April 2009 and January 2013, 5319 patients were treated with the iFuse SI Joint Fusion System® for conditions including sacroiliac joint disruption and degenerative sacroiliitis. A database was prospectively developed to record all complaints reported to the manufacturer in patients treated with the iFuse device. Complaints were collected through spontaneous reporting mechanisms in support of ongoing mandatory postmarket surveillance efforts. Results Complaints were reported in 204 (3.8%) patients treated with the iFuse system. Pain was the most commonly reported clinical complaint (n = 119, 2.2%), with nerve impingement (n = 48, 0.9%) and recurrent sacroiliac joint pain (n = 43, 0.8%) most frequently cited. All other clinical complaints were rare (?0.2%). Ninety-six revision surgeries were performed in 94 (1.8%) patients at a median follow-up of four (range 0–30) months. Revisions were typically performed in the early postoperative period for treatment of a symptomatic malpositioned implant (n = 46, 0.9%) or to correct an improperly sized implant in an asymptomatic patient (n = 10, 0.2%). Revisions in the late postoperative period were performed to treat symptom recurrence (n = 34, 0.6%) or for continued pain of undetermined etiology (n = 6, 0.1%). Conclusion Analysis of a postmarket product complaints database demonstrates an overall low risk of complaints with the iFuse SI Joint Fusion System in patients with degenerative sacroiliitis or sacroiliac joint disruption. PMID:23761982

  8. Frequency of Migraine as a Chief Complaint in Otolaryngology Outpatient Practice

    PubMed Central

    Muhammad Ali, Maria; Al Zayer, Maha

    2015-01-01

    Objective. To identify the frequency of typical (headache and dizziness) and common atypical (ear fullness, pressure, pain, tinnitus, facial fullness, and nasal congestion) migraine symptoms as chief complaints among patients presenting to otolaryngology clinic. Methods. This is a descriptive study of prospectively collected data from a general otolaryngology practice. Typical migraine presentations were diagnosed by applying international headache society (IHS) criteria for migraine headache and Neuhauser's criteria for migrainous vertigo. Atypical otologic and rhinologic migraine symptoms were diagnosed using individualized criteria. Charts were reviewed at 6-month interval from the first presentation. Results. Out of 1002 consecutive patients, 10.8% presented with “migrainous chief complaint.” All migrainous chief complaint patients had a history of headache but not all of them presented with headache. Corrected female to male ratio in the migraine group was 3 to 1; age distributions were significantly different between the migraine and nonmigraine groups by applying t-test. Out of the atypical complaints, 86% of the patients had a history of concomitant typical presentation. Conclusion. Actual diagnostic criteria for migraine do not satisfy the diversity of its presentation. Investigating the history of migraine is enough to diagnose most atypical presentations. Sound knowledge about migraine seems essential for any ENT practitioner. PMID:25695049

  9. Self-reported risk factors related to the most frequent musculoskeletal complaints among Czech dentists.

    PubMed

    Hodacova, Lenka; Sustova, Zdenka; Cermakova, Eva; Kapitan, Martin; Smejkalova, Jindra

    2015-01-01

    The purpose of the study was to describe the occurrence of the most common complaints related to MSDs in Czech dentists and to assess the risk factors affecting them. A questionnaire survey of 581 Czech dentists (the response rate 72.6%) was conducted in 2011. The questionnaire ascertained general information about the respondents, their work habits and environment along with the occurrence of musculoskeletal disorders. The respondents filled out the questionnaires during the educational events organized by the Czech Dental Chamber. At least mild difficulties associated with the motoric system were reported by 96.9% of the respondents, with 66.3% of respondents reporting moderate or major difficulties. Back and neck pain followed by shoulder pain and headache were the most common complaints in our sample. According to our data: age, gender, length of practice, a history of serious MSDs, the occurrence of MSDs in blood relatives, the perception of work as psychologically demanding, and especially a perceived moderate/bad general health were significantly associated with the four most common musculoskeletal complaints. Some of the factors were found as protective. This study suggests that MSDs represent a significant burden for Czech dentists and further research is needed to elucidate this issue. PMID:25327296

  10. [Complaints associated with locomotor system and other health problems of female health professionals.].

    PubMed

    Müller, I; Chlubnová, B

    1994-01-01

    In a group of 393 nurses, laboratory assistants and rehabilitation workers, mean age 37.5 years, employed in the health services for an average period of 17.7 years the authors assessed, using an anonymous questionnaire, complaints regarding the locomotor apparatus and other health problems. Although the majority of respondents liked their jobs, 74% of the subjects suffered from vertebrogenic pain, painful feet (45 %), and headache (46 %). One third of the examined subjects reported insomnia and vertigo. Overweight was minimal in the investigated group. Physical activity was very restricted (only 14% of the women were regularly engaged in sports); an important factor was inadequate rest in 34 % of the women. As to weaknesses, the high rate of smokers was striking (33 %) and the popularity of sweets (30%) which apparently is associated with the stress of the medical profession. Social problems in interpersonal relations at the work place were mentioned by 28 % of the respondents. The percentage of subjects with impaired eyesight (22 %) was highly significant. From the investigation ensues that more attention should be paid to the control of risks in health professions, to regeneration of strength and prophylaxis of locomotor disorders by exercise. A major task is also to improve interpersonal relations and social problems of women in the health services. Key words: vertebrogenic complaints, articular complaints, stress among health professionals, prevention. PMID:20444388

  11. Pregnancy-related low back pain

    PubMed Central

    Katonis, P; Kampouroglou, A; Aggelopoulos, A; Kakavelakis, K; Lykoudis, S; Makrigiannakis, A; Alpantaki, K

    2011-01-01

    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. PMID:22435016

  12. Sex differences in experimental measures of pain sensitivity and endogenous pain inhibition

    PubMed Central

    Bulls, Hailey W; Freeman, Emily L; Anderson, Austen JB; Robbins, Meredith T; Ness, Timothy J; Goodin, Burel R

    2015-01-01

    It has been suggested that increased pain sensitivity and disruption of endogenous pain inhibitory processes may account, at least in part, for the greater prevalence and severity of chronic pain in women compared to men. However, previous studies addressing this topic have produced mixed findings. This study examined sex differences in pain sensitivity and inhibition using quantitative sensory testing (QST), while also considering the influence of other important factors such as depressive symptoms and sleep quality. Healthy men (n=24) and women (n=24) each completed a QST battery. This battery included an ischemic pain task (IPT) that used a submaximal effort tourniquet procedure as well as a conditioned pain modulation (CPM) procedure for the assessment of endogenous pain inhibition. Prior to QST, participants completed the Center for Epidemiologic Studies Depression Scale and the Pittsburgh Sleep Quality Index. Analyses revealed significant sex differences for the ischemic pain task and the conditioned pain modulation procedure, such that women tolerated the ischemic pain for a shorter amount of time and demonstrated less pain inhibition compared with men. This remained true even when accounting for sex differences in depressive symptoms and sleep quality. The results of this study suggest that women may be more pain sensitive and possess less-efficient endogenous pain inhibitory capacity compared with men. Whether interventions that decrease pain sensitivity and enhance pain inhibition in women ultimately improve their clinical pain outcomes is an area of research that deserves additional attention in the future. PMID:26170713

  13. Thigh pain following tourniquet application in simultaneous bilateral total knee replacement arthroplasty

    Microsoft Academic Search

    Richard L. Worland; Jorge Arredondo; Francesesc Angles; Francisco Lopez-Jimenez; Douglas E. Jessup

    1997-01-01

    Thigh pain following tourniquet application is a common patient complaint in the early postoperative period following total knee arthroplasty. Postoperative thigh pain was evaluated in 28 consecutive simultaneous bilateral total knee arthroplasty patients between April 1996 and October 1996. A prospective, doubleblind, randomized clinical trial was performed. Tourniquet pressure of 350 mmHg was used on 1 thigh (thigh 1) and

  14. Persistent medial foot pain in an adolescent athlete.

    PubMed

    Hensley, Craig P; Reischl, Stephen F

    2013-03-01

    The patient was a 15-year-old adolescent male who was referred to a physical therapist for a chief complaint of worsening right medial foot pain. Given the worsening nature of the patient's right medial foot pain, palpatory findings, and a prior recommendation for computed tomography from a radiologist, the patient was referred to his physician. Subsequent computed tomography imaging of the right foot revealed a nondisplaced fracture through the dorsal-medial aspect of the navicular. PMID:23455453

  15. Pain in cognitively impaired nursing home patients

    Microsoft Academic Search

    Bruce A. Ferrell; Betty R. Ferrell; Lynne Rivera

    1995-01-01

    Pain is an understudied problem in frail elderly patients, especially those with cognitive impairment, delirium, or dementia. The focus of this study was to describe the pain experienced by patients in skilled nursing homes, which have a high prevalence of cognitive impairment. A random sample of 325 subjects was selected from ten community skilled nursing homes. Subjects underwent a cross-sectional

  16. Neuropathic Pain

    PubMed Central

    Costigan, Michael; Scholz, Joachim; Woolf, Clifford J.

    2009-01-01

    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. PMID:19400724

  17. Determining the Pain-Affecting Factors of University Students with Nonspecific Low Back Pain

    PubMed Central

    Taspinar, Ferruh; Taspinar, Betul; Cavlak, Ugur; Celik, Erdal

    2014-01-01

    [Purpose] This study was conducted on university students with nonspecific low back pain in order to determine the independent variables that affect their pain. [Methods] A total of 514 students were included in this study. Pain was evaluated using a Visual Analogue Scale (VAS). A special form was prepared in order to evaluate the following independent variables: gender, weight, height, Body Mass Index (BMI), working periods sitting straight (television, computer, seminar, etc.), working periods bending at a table (reading, writing, etc.), using lumbar support while sitting, the mean duration of pain within the last one year, type of pain, time of the pain, faculty, class, physical activity habits and smoking. The collected data were evaluated using the CHAID (Chi-squared Automatic Interaction Detection) analysis method. [Results] The working hours bending at a table, physical activity, height, weight, BMI and educational departments were found not to affect the severity of the pain. The pain severity was affected by the duration of pain complaints within the last one year, the duration of working staying upright, smoking, classes, usage of lumbar support and age variables. [Conclusions] The results of this study show that nonspecific low back pain of university students is affected by many factors such as smoking, class, age, using a computer and lumbar support. PMID:24409020

  18. A 30-year-old industrial worker with upper back pain.

    PubMed

    Perrin, Angela; Bergman, Cheryl; Hart, Leigh

    2013-01-01

    This column presents the case of a 30-year-old man seeking care for upper back pain at a freestanding emergency center. His occupation involved carrying 50-lb buckets of chemicals up ladders to the rooftops of industrial buildings. Back pain is a common complaint in emergency departments and most often musculoskeletal in nature. In this case, the back pain was not musculoskeletal but resulted from bilateral pulmonary emboli. The patient did not know that he had Factor V Leiden disorder. This column emphasizes the importance of ruling out serious life-threatening conditions in patients who present with common complaints and no traditional red flag symptoms. PMID:23636041

  19. Identifying Symptom Groups from Emergency Department Presenting Complaint Free Text using SNOMED CT

    PubMed Central

    Wagholikar, Amol S.; Lawley, Michael J.; Hansen, David P.; Chu, Kevin

    2011-01-01

    Patients presenting to Emergency Departments may be categorised into different symptom groups for the purpose of research and quality improvement. The grouping is challenging due to the variability in the way presenting complaints are recorded by clinical staff. This work proposes analysis of the presenting complaint free-text using the semantics encoded in the SNOMED CT ontology. This work demonstrates a validated prototype system that can classify unstructured free-text narratives into patient’s symptom group. A rule-based mechanism was developed using variety of keywords to identify the patient’s symptom group. The system was validated against the manual identification of the symptom groups by two expert clinical research nurses on 794 patient presentations from six participating hospitals. The comparison of system results with one clinical research nurse showed 99.3% sensitivity; 80.0% specificity and 0.9 F-score for identifying “chest pain” symptom group. PMID:22195208

  20. 47 CFR 8.14 - General formal complaint procedures.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...procedures. 8.14 Section 8.14 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.14 General formal complaint procedures. (a) Complaints. In addition to the general pleading...

  1. 47 CFR 8.14 - General formal complaint procedures.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...procedures. 8.14 Section 8.14 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.14 General formal complaint procedures. (a) Complaints. In addition to the general pleading...

  2. 47 CFR 8.14 - General formal complaint procedures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...procedures. 8.14 Section 8.14 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.14 General formal complaint procedures. (a) Complaints. In addition to the general pleading...

  3. 47 CFR 8.14 - General formal complaint procedures.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...procedures. 8.14 Section 8.14 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.14 General formal complaint procedures. (a) Complaints. In addition to the general pleading...

  4. 32 CFR 1901.04 - Suggestions and complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...suggestions or complaints with regard to its administration of the Privacy Act. Many requesters will receive pre-paid, customer satisfaction survey cards. Letters of suggestion or complaint should identify the specific purpose and the issues for...

  5. 5 CFR 1201.138 - Contents of complaint.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...BOARD ORGANIZATION AND PROCEDURES PRACTICES AND PROCEDURES Procedures for Original Jurisdiction Cases Actions Against Administrative Law Judges § 1201.138 Contents of complaint. A complaint filed under this section must describe...

  6. 41 CFR 105-8.170-6 - Acceptance of complaint.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...2011-01-01 false Acceptance of complaint. 105-8.170-6 Section 105-8.170-6 Public Contracts and Property Management ...CONDUCTED BY GENERAL SERVICES ADMINISTRATION § 105-8.170-6 Acceptance of complaint. (a) The...

  7. 20 CFR 655.605 - Complaints and investigative procedures.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... false Complaints and investigative procedures. 655.605 Section 655.605 Employees' Benefits EMPLOYMENT AND TRAINING...Crewmembers for Longshore Activities in U.S. Ports § 655.605 Complaints and investigative...

  8. 20 CFR 655.605 - Complaints and investigative procedures.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... false Complaints and investigative procedures. 655.605 Section 655.605 Employees' Benefits EMPLOYMENT AND TRAINING...Crewmembers for Longshore Activities in U.S. Ports § 655.605 Complaints and investigative...

  9. 45 CFR 88.2 - Complaint handling and investigating.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...of the Department of Health and Human Services is designated to receive complaints based on the Federal health care provider conscience protection statutes. OCR will coordinate the handling of complaints with the Departmental funding component(s) from...

  10. On the relationship between blast noise complaints and community annoyance.

    PubMed

    Nykaza, Edward T; Hodgdon, Kathleen K; Gaugler, Trent; Krecker, Peg; Luz, George A

    2013-05-01

    Military installations typically rely on noise complaints to indicate adverse noise environments and often restrict the firing of certain weapons to reduce the number of noise complaints. Using complaints in this manner may also imply that the absence of complaints is an indicator of low community annoyance. The relationship between individual complaints and general community annoyance, however, is currently not established, and it is unknown whether implementing restrictions in reaction to individual complaints is an appropriate or necessary way to reduce community annoyance. This paper looks at whether there are significant differences in reported annoyance to complaint-referenced blast events and general military noise annoyance between those who complain and their non-complaining neighbors. Those who complained were significantly more annoyed to both complaint-referenced blast events and general military noise in comparison to their non-complaining neighbors. The implications of these findings are discussed in terms of range management. PMID:23654377

  11. 29 CFR 1985.103 - Filing of retaliation complaint.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...RETALIATION COMPLAINTS UNDER THE EMPLOYEE PROTECTION PROVISION OF THE CONSUMER FINANCIAL PROTECTION ACT OF 2010 Complaints, Investigations, Findings...been retaliated against in violation of the Act may file, or have filed by any person...

  12. 32 CFR 1901.04 - Suggestions and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...suggestions or complaints with regard to its administration of the Privacy Act. Many requesters will receive pre-paid, customer satisfaction survey cards. Letters of suggestion or complaint should identify the specific purpose and the issues for...

  13. 32 CFR 1900.04 - Suggestions and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...complaints with regard to its administration of the Freedom of Information Act. Many requesters will receive pre-paid, customer satisfaction survey cards. Letters of suggestion or complaint should identify the specific purpose and the issues for...

  14. 7 CFR 1924.259 - Handling dwelling construction complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

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

  15. 7 CFR 1924.259 - Handling dwelling construction complaints.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...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...

  16. 7 CFR 1924.259 - Handling dwelling construction complaints.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...2012-01-01 false Handling dwelling construction complaints. 1924.259 Section...AGRICULTURE PROGRAM REGULATIONS CONSTRUCTION AND REPAIR Complaints and Compensation for Construction Defects § 1924.259 Handling...

  17. 49 CFR 1111.4 - Answers and cross complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...2013-10-01 2013-10-01 false Answers and cross complaints. 1111.4 Section...AND INVESTIGATION PROCEDURES § 1111.4 Answers and cross complaints. (a) Generally. An answer shall be filed within the time...

  18. 49 CFR 1111.4 - Answers and cross complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...2014-10-01 2014-10-01 false Answers and cross complaints. 1111.4 Section...AND INVESTIGATION PROCEDURES § 1111.4 Answers and cross complaints. (a) Generally. An answer shall be filed within the time...

  19. 49 CFR 1111.4 - Answers and cross complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...2012-10-01 2012-10-01 false Answers and cross complaints. 1111.4 Section...AND INVESTIGATION PROCEDURES § 1111.4 Answers and cross complaints. (a) Generally. An answer shall be filed within the time...

  20. 49 CFR 1111.4 - Answers and cross complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...2010-10-01 2010-10-01 false Answers and cross complaints. 1111.4 Section...AND INVESTIGATION PROCEDURES § 1111.4 Answers and cross complaints. (a) Generally. An answer shall be filed within the time...

  1. 49 CFR 1111.4 - Answers and cross complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...2011-10-01 2011-10-01 false Answers and cross complaints. 1111.4 Section...AND INVESTIGATION PROCEDURES § 1111.4 Answers and cross complaints. (a) Generally. An answer shall be filed within the time...

  2. 7 CFR 1924.259 - Handling dwelling construction complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...2010-01-01 false Handling dwelling construction complaints. 1924.259 Section...AGRICULTURE PROGRAM REGULATIONS CONSTRUCTION AND REPAIR Complaints and Compensation for Construction Defects § 1924.259 Handling...

  3. 7 CFR 1924.259 - Handling dwelling construction complaints.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...2011-01-01 false Handling dwelling construction complaints. 1924.259 Section...AGRICULTURE PROGRAM REGULATIONS CONSTRUCTION AND REPAIR Complaints and Compensation for Construction Defects § 1924.259 Handling...

  4. 29 CFR 1980.103 - Filing of discrimination complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...COMPLAINTS UNDER SECTION 806 OF THE CORPORATE AND CRIMINAL FRAUD ACCOUNTABILITY ACT OF 2002, TITLE VIII OF THE SARBANES-OXLEY ACT OF 2002 Complaints, Investigations...representative in violation of the Act may file, or have filed by...

  5. 5 CFR 185.108 - Service of complaint.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 2010-01-01 false Service of complaint. 185.108 Section 185.108 Administrative Personnel OFFICE OF PERSONNEL...SERVICE REGULATIONS PROGRAM FRAUD CIVIL REMEDIES § 185.108 Service of complaint. (a)...

  6. 5 CFR 185.106 - Prerequisites for issuing a complaint.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... false Prerequisites for issuing a complaint. 185.106 Section 185.106 Administrative Personnel OFFICE OF PERSONNEL...SERVICE REGULATIONS PROGRAM FRAUD CIVIL REMEDIES § 185.106 Prerequisites for issuing a complaint....

  7. 47 CFR 7.16 - Informal or formal complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...complaints. 7.16 Section 7.16 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....

  8. 29 CFR 1954.20 - Complaints about State program administration.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...false Complaints about State program administration. 1954.20 Section 1954.20... OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED...PLANS Complaints About State Program Administration (CASPA) § 1954.20...

  9. 29 CFR 1954.20 - Complaints about State program administration.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...false Complaints about State program administration. 1954.20 Section 1954.20... OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED...PLANS Complaints About State Program Administration (CASPA) § 1954.20...

  10. Relationship between Otolaryngologic Complaints and Systemic Comorbidities Observed in a Group of Hearing Aid Users

    PubMed Central

    Ribas, Angela; Silvestre, Renata; Mottecy, Carla Meller; Kozlowski, Lorena; Marques, Jair Mendes

    2014-01-01

    Introduction?Optimization of the selection, adaptation, and benefit of hearing aids is necessary to characterize and manage hearing loss, user expectations, otolaryngologic symptoms, and systemic comorbidities. Objective?To compare the occurrence of otologic complaints, systemic diseases, and effective use of hearing aids in men and women with deafness. Methods?Patients from a Unified Health System–accredited hearing health service, who reported problems in adapting to their hearing aids, were evaluated by a physician and audiologist. An anamnesis, ENT evaluation, and audiological evaluation were performed. Results?During the data collection period, 278 subjects came in for follow-up visits; of these, 61 (21%) reported otologic or operational problems with their equipment. The most prevalent type of hearing loss was basocochlear, a characteristic of presbycusis, in both men and women; the most frequently reported comorbidities were hypercholesterolemia (more significant in women) and hypertension (more significant in men). Fourteen subjects reported using their device discontinuously, with no significant difference between genders; the reasons for discontinuation of use were itching and ringing, with more complaints from women. Conclusion?The incidence of systemic and audiological complaints is high in this population. These patients should be evaluated thoroughly, as resolutions of these complaints can contribute to improving the quality of life and assist in the process of hearing aid fitting.

  11. Relationship between Otolaryngologic Complaints and Systemic Comorbidities Observed in a Group of Hearing Aid Users.

    PubMed

    Ribas, Angela; Silvestre, Renata; Mottecy, Carla Meller; Kozlowski, Lorena; Marques, Jair Mendes

    2015-07-01

    Introduction?Optimization of the selection, adaptation, and benefit of hearing aids is necessary to characterize and manage hearing loss, user expectations, otolaryngologic symptoms, and systemic comorbidities. Objective?To compare the occurrence of otologic complaints, systemic diseases, and effective use of hearing aids in men and women with deafness. Methods?Patients from a Unified Health System-accredited hearing health service, who reported problems in adapting to their hearing aids, were evaluated by a physician and audiologist. An anamnesis, ENT evaluation, and audiological evaluation were performed. Results?During the data collection period, 278 subjects came in for follow-up visits; of these, 61 (21%) reported otologic or operational problems with their equipment. The most prevalent type of hearing loss was basocochlear, a characteristic of presbycusis, in both men and women; the most frequently reported comorbidities were hypercholesterolemia (more significant in women) and hypertension (more significant in men). Fourteen subjects reported using their device discontinuously, with no significant difference between genders; the reasons for discontinuation of use were itching and ringing, with more complaints from women. Conclusion?The incidence of systemic and audiological complaints is high in this population. These patients should be evaluated thoroughly, as resolutions of these complaints can contribute to improving the quality of life and assist in the process of hearing aid fitting. PMID:26157495

  12. Cone-beam computed tomographic evaluation of styloid process: a retrospective study of 208 patients with orofacial pain

    PubMed Central

    2014-01-01

    Introduction The purpose of this study was to assess the structural characteristics of styloid process (SP) by cone-beam computed tomography (CBCT) examination in a patient population suffering from orofacial pain. The second aim was to assess the prevalence of elongated SP and its relation to gender, site and subjective symptoms in the study population. Methods Clinical and radiographic records of 208 patients were evaluated retrospectively. Radiological examinations including measurements of the structure, length, and medial angulations of SP were performed on CBCT images. Results Out of 208 patients, 96 (46%) had not-elongated SP, 28 (13%) had left side, 16 (8%) had right side, and 68 (33%) had bilateral elongation of SP. The patients with elongated SP had significantly decreased angle values. There were no statistically significant differences in length values of SP between males and females in both groups. Significantly increased prevalence of symptoms except headache was observed in patients with elongated SP. Conclusions This study presents the CBCT as an alternative method to CT or panoramic radiographs for the measurement and the assessment of the styloid process. Patients suffering from orofacial pain, who also had elongated SP, had increased rate of corresponding neurological complaints compared with non-elongated ones. PMID:24528515

  13. 19 CFR 210.12 - The complaint.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...method of competition or an unfair act other than those listed in paragraph (a)(6)(i) of this section, state a specific theory and provide corroborating data to support the allegation(s) in the complaint concerning the existence of a threat...

  14. 40 CFR 209.5 - Complaint.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...PROTECTION AGENCY (CONTINUED) NOISE ABATEMENT PROGRAMS RULES...GOVERNING PROCEEDINGS UNDER THE NOISE CONTROL ACT OF 1972 Rules...Under Section 11(d) of the Noise Control Act § 209.5 Complaint...State law to receive service of process. (3) Proof of...

  15. 40 CFR 209.5 - Complaint.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...PROTECTION AGENCY (CONTINUED) NOISE ABATEMENT PROGRAMS RULES...GOVERNING PROCEEDINGS UNDER THE NOISE CONTROL ACT OF 1972 Rules...Under Section 11(d) of the Noise Control Act § 209.5 Complaint...State law to receive service of process. (3) Proof of...

  16. 40 CFR 209.5 - Complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...PROTECTION AGENCY (CONTINUED) NOISE ABATEMENT PROGRAMS RULES...GOVERNING PROCEEDINGS UNDER THE NOISE CONTROL ACT OF 1972 Rules...Under Section 11(d) of the Noise Control Act § 209.5 Complaint...State law to receive service of process. (3) Proof of...

  17. 40 CFR 209.5 - Complaint.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...PROTECTION AGENCY (CONTINUED) NOISE ABATEMENT PROGRAMS RULES...GOVERNING PROCEEDINGS UNDER THE NOISE CONTROL ACT OF 1972 Rules...Under Section 11(d) of the Noise Control Act § 209.5 Complaint...State law to receive service of process. (3) Proof of...

  18. 40 CFR 209.5 - Complaint.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...PROTECTION AGENCY (CONTINUED) NOISE ABATEMENT PROGRAMS RULES...GOVERNING PROCEEDINGS UNDER THE NOISE CONTROL ACT OF 1972 Rules...Under Section 11(d) of the Noise Control Act § 209.5 Complaint...State law to receive service of process. (3) Proof of...

  19. 74 FR 54754 - Modification of Complaint Rules

    Federal Register 2010, 2011, 2012, 2013, 2014

    2009-10-23

    ...This document informs the public of a change in the email account for service on the Postal Service. DATES...must serve their complaints on the Postal Service via email at a specified email address. This order changes the email address...

  20. 24 CFR 108.35 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...approved AFHM plan with any monitoring office, civil rights/compliance reviewing office, or with the Assistant Secretary for FH&EO. Complaints will be referred to the civil rights/compliance reviewing office. Where there is an allegation of a...

  1. 24 CFR 108.35 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...approved AFHM plan with any monitoring office, civil rights/compliance reviewing office, or with the Assistant Secretary for FH&EO. Complaints will be referred to the civil rights/compliance reviewing office. Where there is an allegation of a...

  2. 24 CFR 108.35 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...approved AFHM plan with any monitoring office, civil rights/compliance reviewing office, or with the Assistant Secretary for FH&EO. Complaints will be referred to the civil rights/compliance reviewing office. Where there is an allegation of a...

  3. 24 CFR 108.35 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...approved AFHM plan with any monitoring office, civil rights/compliance reviewing office, or with the Assistant Secretary for FH&EO. Complaints will be referred to the civil rights/compliance reviewing office. Where there is an allegation of a...

  4. 24 CFR 108.35 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...approved AFHM plan with any monitoring office, civil rights/compliance reviewing office, or with the Assistant Secretary for FH&EO. Complaints will be referred to the civil rights/compliance reviewing office. Where there is an allegation of a...

  5. 21 CFR 211.198 - Complaint files.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...the date that the complaint was received, whichever is longer. In the case of certain OTC drug products lacking expiration dating because they meet the criteria for exemption under § 211.137, such written records shall be maintained for 3 years...

  6. Original Research Exposure, Health Complaints and Cognitive

    E-print Network

    Shepherd, Simon

    fields (SMFs), movement speed during exposure, health complaints, and cognitive performance among em in the vicinity of a 1.5 T magnetic resonance imaging (MRI) magnet, eye-hand coordination and visual contrast sensitivity were af- fected (13). In a follow-up study it was shown that eye-hand coordination and processing

  7. Experiences of employees with arm, neck or shoulder complaints: a focus group study

    PubMed Central

    2014-01-01

    Background Many people suffer from complaints of the arm, neck or shoulder (CANS). CANS causes significant work problems, including absenteeism (sickness absence), presenteeism (decreased work productivity) and, ultimately, job loss. There is a need for intervention programs for people suffering from CANS. Management of symptoms and workload, and improving the workstyle, could be important factors in the strategy to deal with CANS. The objective of this study is to evaluate the experienced problems of employees with CANS, as a first step in an intervention mapping process aimed at adaptation of an existing self-management program to the characteristics of employees suffering from CANS. Methods A qualitative study comprising three focus group meetings with 15 employees suffering from CANS. Based on a question guide, participants were asked about experiences in relation to continuing work despite their complaints. Data were analysed using content analysis with an open-coding system. During selective coding, general themes and patterns were identified and relationships between the codes were examined. Results Participants suffering from CANS often have to deal with pain, disability, fatigue, misunderstanding and stress at work. Some needs of the participants were identified, i.e. disease-specific information, exercises, muscle relaxation, working with pain, influence of the work and/or social environment, and personal factors (including workstyle). Conclusions Employees suffering from CANS search for ways to deal with their complaints in daily life and at work. This study reveals several recurring problems and the results endorse the multi-factorial origin of CANS. Participants generally experience problems similar to those of employees with other types of complaints or chronic diseases, e.g. related to their illness, insufficient communication, working together with healthcare professionals, colleagues and management, and workplace adaptations. These topics will be addressed in the adaptation of an existing self-management program to the characteristics of employees suffering from CANS. PMID:24779360

  8. UNIVERSITYOF TENNESSEE HEALTH SCIENCE CENTER DISCRIMINATION COMPLAINT PROCEDURE

    E-print Network

    Cui, Yan

    UNIVERSITYOF TENNESSEE HEALTH SCIENCE CENTER DISCRIMINATION COMPLAINT PROCEDURE Any UTHSC employee harassment), sexualorientation,genderidentity,pregnancy,maritalstatus,parentalstatus,religion, national

  9. Pain in patients with COPD: a systematic review and meta-analysis

    PubMed Central

    van Dam van Isselt, Eléonore F; Groenewegen-Sipkema, Karin H; Spruit-van Eijk, Monica; Chavannes, Niels H; de Waal, Margot W M; Janssen, Daisy J A; Achterberg, Wilco P

    2014-01-01

    Objectives To systematically investigate the prevalence of pain, factors related with pain and pain management interventions in patients with chronic obstructive pulmonary disease (COPD). Design Systematic review and meta-analysis. Data sources and study eligibility criteria PubMed (MEDLINE), EMBASE, CINAHL and PsychINFO from 1966 to December 2013. Studies were included if they presented clinical data on pain or symptom burden in patients with COPD, or pain as a domain of quality of life (QoL). All types of study designs were included. Results Of the 1571 articles that were identified, 39 met the inclusion criteria and were included in this review. Fourteen studies focused on pain and symptom burden (including pain) in patients with COPD and 25 studies focused on QoL using a questionnaire that included a separate pain domain. Reported pain prevalence in high-quality studies ranged from 32 to 60%. Included studies report that pain is more prevalent in patients with COPD compared to participants from the general population. Comorbidity, nutritional status, QoL and several symptoms were related to pain. None of the included studies reported a significant relationship between lung function and pain prevalence or severity. However, studies investigating pain in patients with moderate COPD reported higher pain prevalence compared to studies in patients with severe of very severe COPD. Conclusions Although literature on this topic is limited and shows substantial heterogeneity, pain seems to be a significant problem in patients with COPD and is related to several other symptoms, comorbidity and QoL. Data synthesis suggests that pain is more prevalent in patients with moderate COPD compared to patients with severe or very severe COPD. Further research is needed and should focus on determining a more accurate pain prevalence, investigating the relationship between pain prevalence, disease severity and comorbidity and explore implementation and efficacy of pain management interventions in patients with COPD. PMID:25260370

  10. Pain in children and adolescents: a common experience

    Microsoft Academic Search

    Christel W Perquin; Alice A. J. M Hazebroek-Kampschreur; Joke A. M Hunfeld; Arthur M Bohnen; Lisette W. A van Suijlekom-Smit; Jan Passchier; Johannes C van der Wouden

    2000-01-01

    Little is known about the epidemiology of pain in children. We studied the prevalence of pain in Dutch children aged from 0 to 18 years in the open population, and the relationship with age, gender and pain parameters. A random sample of 1300 children aged 0–3 years was taken from the register of population in Rotterdam, The Netherlands. In the

  11. Foodborne Illness Complaint Form 1CDC EHS-Net

    E-print Network

    Foodborne Illness Complaint Form 1CDC EHS-Net The Environmental Health Specialists Network (EHS to use to capture information from consumers about their foodborne illness complaints. The information collected with this form can be used to help determine whether a consumer foodborne illness complaint should

  12. UC DAVIS POLICE DEPARTMENT COMMUNITY COMPLAINT PROCEDURE AND FORM

    E-print Network

    Schladow, S. Geoffrey

    for investigation. The UC Davis Police Department maintains an electronic database of community complaints receiving complaint: Copy to Complainant? YES NO Date Emp. Int. Forwarded to Professional Standards Unit Date Emp. Int. #12;UC DAVIS POLICE DEPARTMENT COMMUNITY COMPLAINT PROCEDURE AND FORM FORMS The Process

  13. Complaint Handling in the Library. Occasional Papers Number 166.

    ERIC Educational Resources Information Center

    Robinson, William C.

    Arguing that complaints are inevitable and that complaint handling should be an integral part of the library's public service program, this paper identifies and discusses the components of such a program. Concerns discussed are those that should be of general interest to all types of libraries, and the primary focus is on external complaints,…

  14. Exploring the Effects of Consumers? Dissatisfaction Level on Complaint Behaviours

    Microsoft Academic Search

    Jagdip Singh; Shefali Pandya

    1991-01-01

    The level of consumer satisfaction (CS), dissatisfaction (CD) and complaint behaviours (CCB) is beginning to receive increased attention from practitioners and researchers. Most studies, however, have tended to investigate the cause and\\/or effects of (dis)satisfaction or complaint behaviours. Relatively less work has been done to understand the relationship between dissatisfaction (CD) and complaint behaviours (CCB). This relationship is examined expirically.

  15. Complaint Ratios and Property-Casualty Insurer Characteristics

    Microsoft Academic Search

    James M. Carson; Kathleen McCullough; David T. Russell

    2005-01-01

    We extend previous research by Doerpinghaus (1991) and others by examining relationships between private passenger auto insurance complaint ratios and insurer characteristics. Consistent with Doerpinghaus, results indicate that insurers with higher complaint ratios are more likely to write high-risk auto coverage. In addition, this study provides evidence that insurers experiencing relatively fewer complaints spend significantly less on legal and auditing

  16. 40 CFR 22.15 - Answer to the complaint.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...2011-07-01 2011-07-01 false Answer to the complaint. 22.15 Section... Prehearing Procedures § 22.15 Answer to the complaint. (a) General...an original and one copy of a written answer to the complaint with the Regional...

  17. 40 CFR 22.15 - Answer to the complaint.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...2014-07-01 2014-07-01 false Answer to the complaint. 22.15 Section... Prehearing Procedures § 22.15 Answer to the complaint. (a) General...an original and one copy of a written answer to the complaint with the Regional...

  18. 40 CFR 22.15 - Answer to the complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...2010-07-01 2010-07-01 false Answer to the complaint. 22.15 Section... Prehearing Procedures § 22.15 Answer to the complaint. (a) General...an original and one copy of a written answer to the complaint with the Regional...

  19. 40 CFR 22.15 - Answer to the complaint.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...2012-07-01 2012-07-01 false Answer to the complaint. 22.15 Section... Prehearing Procedures § 22.15 Answer to the complaint. (a) General...an original and one copy of a written answer to the complaint with the Regional...

  20. 40 CFR 22.15 - Answer to the complaint.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...2013-07-01 2013-07-01 false Answer to the complaint. 22.15 Section... Prehearing Procedures § 22.15 Answer to the complaint. (a) General...an original and one copy of a written answer to the complaint with the Regional...

  1. Pain frequency moderates the relationship between pain catastrophizing and pain

    PubMed Central

    Kjøgx, Heidi; Zachariae, Robert; Pfeiffer-Jensen, Mogens; Kasch, Helge; Svensson, Peter; Jensen, Troels S.; Vase, Lene

    2014-01-01

    Background: Pain frequency has been shown to influence sensitization, psychological distress, and pain modulation. The present study examined if pain frequency moderates the relationship between pain catastrophizing and pain. Method: A non-clinical (247 students) and a clinical (223 pain patients) sample completed the Danish versions of the Pain Catastrophizing Scale (PCS), Beck Depression Inventory, and the State Trait Anxiety Inventory and rated pain intensity, unpleasantness and frequency. Results: In both samples, high pain frequency was found to moderate the association between pain catastrophizing and pain intensity, whereas low pain frequency did not. The psychometric properties and the factor structure of the Danish version of the PCS were confirmed. Conclusions: This is the first study to validate the Danish version of the PCS and to show that pain frequency moderates the relationship between pain catastrophizing and reported pain in both non-clinical and clinical populations. PMID:25646089

  2. Pain Genes

    Microsoft Academic Search

    Tom Foulkes; John N. Wood

    2008-01-01

    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

  3. Neck Pain

    PubMed Central

    Darracott, John

    1979-01-01

    Most neck pain is treated with a varying degree of confidence and success. A better understanding of what constitutes neck pain, a pertinent history and examination, critical interpretation of investigations and treatment modalities will provide family physicians, who treat the majority of these patients, with a confident disciplined approach which can reduce morbidity.

  4. The relationship between symptoms of post-traumatic stress disorder and pain, affective disturbance and disability among patients with accident and non-accident related pain

    Microsoft Academic Search

    Michael E. Geisser; Randy S. Roth; Jan E. Bachman; Thomas A. Eckert

    1996-01-01

    Recent studies have reported a high prevalence of symptoms of post-traumatic stress disorder (PTSD) among individuals with chronic pain. Studies suggest that persons with pain and PTSD also display higher levels of affective disturbance. In the present study we examined self-reports of pain, affective disturbance, and disability among pain patients with and without symptoms of PTSD. Patients without PTSD symptoms

  5. Conscientiousness is modified by genetic variation in catechol-O-methyltransferase to reduce symptom complaints in IBS patients

    PubMed Central

    Hall, Kathryn T; Tolkin, Benjamin R; Chinn, Garrett M; Kirsch, Irving; Kelley, John M; Lembo, Anthony J; Kaptchuk, Ted J; Kokkotou, Efi; Davis, Roger B; Conboy, Lisa A

    2015-01-01

    Background Attention to and perception of physical sensations and somatic states can significantly influence reporting of complaints and symptoms in the context of clinical care and randomized trials. Although anxiety and high neuroticism are known to increase the frequency and severity of complaints, it is not known if other personality dimensions or genes associated with cognitive function or sympathetic tone can influence complaints. Genetic variation in catechol-O-methyltransferase (COMT) is associated with anxiety, personality, pain, and response to placebo treatment. We hypothesized that the association of complaint reporting with personality might be modified by variation in the COMT val158met genotype. Methods We administered a standard 25-item complaint survey weekly over 3-weeks to a convenience sample of 187 irritable bowel syndrome patients enrolled in a placebo intervention trial and conducted a repeated measures analysis. Results We found that complaint severity rating, our primary outcome, was negatively associated with the personality measures of conscientiousness (? = ?0.31 SE 0.11, P = 0.003) and agreeableness (? = ?0.38 SE 0.12, P = 0.002) and was positively associated with neuroticism (? = 0.24 SE 0.09, P = 0.005) and anxiety (? = 0.48 SE 0.09, P < 0.0001). We also found a significant interaction effect of COMT met alleles (? = ?32.5 SE 14.1, P = 0.021). in patients genotyped for COMT val158met (N  = 87) specifically COMT × conscientiousness (? = 0.73 SE 0.26, P = 0.0042) and COMT × anxiety (? = ?0.42 SE 0.16, P = 0.0078) interaction effects. Conclusion These findings potentially broaden our understanding of the factors underlying clinical complaints to include the personality dimension of conscientiousness and its modification by COMT. PMID:25722948

  6. Interprovider variation of celiac disease testing in childhood chronic abdominal pain

    PubMed Central

    2013-01-01

    Background To determine within one tertiary care center: 1) the variation between providers in testing for celiac disease in children with chronic abdominal pain; 2) the characteristics of those children who were more likely to be tested, and 3) the prevalence of celiac disease in those evaluated. Methods Retrospective review of children with a primary complaint of chronic abdominal pain referred to a tertiary care children’s hospital for pediatric gastroenterology evaluation over a 2-year period was conducted. Children with at least two visits and without an identified organic etiology for the pain were included. Results 160 children were evaluated by 16 pediatric gastroenterologists and one nurse practitioner. Celiac serologic testing was completed in 63 (39.4%) children. There was no significant variance in the frequency of celiac serologic testing between providers. Child age, gender, body mass index, and baseline gastrointestinal symptoms did not predict whether celiac serologic testing occurred, though Caucasians (P?pain did not occur, a large number of these children were not evaluated for celiac disease. Children’s race/ethnicity but not their associated gastrointestinal symptoms predicted whether celiac testing was undertaken. In those tested, celiac disease was identified in a higher percentage than that expected in the general population. PMID:24124697

  7. Evaluation of metabolic syndrome in patients with chronic low back pain

    Microsoft Academic Search

    Mehmet Tuncay Duruöz; Yasemin Turan; Alev Gürgan; Hülya Deveci

    The aim of our study was to investigate the frequency of the metabolic syndrome in chronic low back pain and evaluate the\\u000a differences in clinical and functional parameters in chronic low back pain patients with and without metabolic syndrome. Patients\\u000a complaining of low back pain complaint lasting for at least 2 months were included in the study. In order to establish

  8. Painful diabetic neuropathy.

    PubMed

    Peltier, Amanda; Goutman, Stephen A; Callaghan, Brian C

    2014-01-01

    Diabetes is a worldwide epidemic, and associated neuropathy is its most costly and disabling complication. Given the rising prevalence of painful diabetic neuropathy, it is increasingly important that we understand the best ways to diagnose and treat this condition. Diagnostic tests in this field are evolving rapidly. These include the use of skin biopsies to measure small unmyelinated fibers, as well as even newer techniques that can measure both small unmyelinated fibers and large myelinated fibers in the same biopsy. The main treatments for painful diabetic neuropathy remain management of the underlying diabetes and drugs for the relief of pain. However, emerging evidence points to major differences between type 1 and type 2 diabetes, including the ability of glycemic control to prevent neuropathy. Enhanced glucose control is much more effective at preventing neuropathy in patients with type 1 diabetes than in those with type 2 disease [corrected]. This dichotomy emphasizes the need to study the pathophysiologic differences between the two types of diabetes, because different treatments may be needed for each condition. The impact of the metabolic syndrome on neuropathy in patients with type 2 diabetes may account for the difference between the two types of diabetes and requires further study. Finally, neuropathic pain is under-recognized and undertreated despite an ever evolving list of effective drugs. Evidence exists to support several drugs, but the optimal sequence and combination of these drugs are still to be determined. PMID:24803311

  9. Pain-QuILT: Clinical Feasibility of a Web-Based Visual Pain Assessment Tool in Adults With Chronic Pain

    PubMed Central

    Kumbhare, Dinesh; Stinson, Jennifer N; Henry, James L

    2014-01-01

    Background Chronic pain is a prevalent and debilitating problem. Accurate and timely pain assessment is critical to pain management. In particular, pain needs to be consistently tracked over time in order to gauge the effectiveness of different treatments. In current clinical practice, paper-based questionnaires are the norm for pain assessment. However, these methods are not conducive to capturing or tracking the complex sensations of chronic pain. Pain-QuILT (previously called the Iconic Pain Assessment Tool) is a Web-based tool for the visual self-report and tracking of pain (quality, intensity, location, tracker) in the form of time-stamped records. It has been iteratively developed and evaluated in adolescents and adults with chronic pain, including usability testing and content validation. Clinical feasibility is an important stepping-stone toward widespread implementation of a new tool. Our group has demonstrated Pain-QuILT clinical feasibility in the context of a pediatric chronic pain clinic. We sought to extend these findings by evaluating Pain-QuILT clinical feasibility from the perspective of adults with chronic pain, in comparison with standard paper-based methods (McGill Pain Questionnaire [MPQ] and Brief Pain Inventory [BPI]). Objective The goal of our study was to assess Pain-QuILT for (1) ease of use, (2) time for completion, (3) patient preferences, and (4) to explore the patterns of self-reported pain across the Pain-QuILT, MPQ, and BPI. Methods Participants were recruited during a scheduled follow-up visit at a hospital-affiliated pain management and physical rehabilitation clinic in southwestern Ontario. Participants self-reported their current pain using the Pain-QuILT, MPQ, and BPI (randomized order). A semistructured interview format was used to capture participant preferences for pain self-report. Results The sample consisted of 50 adults (54% female, 27/50) with a mean age of 50 years. Pain-QuILT was rated as significantly easier to use than both the MPQ and BPI (P<.01) and was also associated with the fewest difficulties in completion. On average, the time to complete each tool was less than 5 minutes. A majority of participants (58%, 29/50) preferred Pain-QuILT for reporting their pain over alternate methods (16%, 8/50 for MPQ; 14%, 7/50 for BPI; 12%, 6/50 for “other”). The most commonly chosen pain descriptors on MPQ were matched with Pain-QuILT across 91% of categories. There was a moderate-to-high correlation between Pain-QuILT and BPI scores for pain intensity (r=.70, P<.01). Conclusions The results of this clinical feasibility study in adults with chronic pain are consistent with our previously published pediatric findings. Specifically, data indicate that Pain-QuILT is (1) easy to use, (2) quick to complete, (3) preferred by a majority of patients, and (4) correlated as expected with validated pain measures. As a digital, patient-friendly method of assessing and tracking pain, we conclude that Pain-QuILT has potential to add significant value as one standard component of chronic pain management. PMID:24819478

  10. Clinical management of radicular pain.

    PubMed

    Manchikanti, Laxmaiah; Hirsch, Joshua A

    2015-06-01

    This review provides an overview of the diagnosis and treatment strategies for the management of radicular pain. While it is not as common as axial spinal pain, radicular pain combines the advantage of leveraging appropriate diagnostic strategies and definitive treatments with well-informed outcome measures. Multiple diagnostic measures include not only history and physical examination, but also imaging. The treatment modalities include pharmacologic management, physical and rehabilitation measures, interventional techniques and surgical treatments. Here, the authors describe the prevalence and pathophysiology of radicular pain, risk factors, diagnostic strategies, treatment modalities and the evidence for these management strategies. Finally, the authors show the efficacy of conservative management, despite surgical management being the gold standard. PMID:25982996

  11. Chronic pain - resources

    MedlinePLUS

    Pain - resources; Resources - chronic pain ... The following organizations are good resources for information on chronic pain: American Chronic Pain Association - www.theacpa.org National Fibromyalgia and Chronic Pain Association - www.fmcpaware.org ...

  12. Toward vocabulary control for chief complaint.

    PubMed

    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

    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

  13. Education On Prehospital Pain Management: A Follow-Up Study

    PubMed Central

    French, Scott C.; Chan, Shu B.; Ramaker, Jill

    2013-01-01

    Introduction: The most common reason patients seek medical attention is pain. However, there may be significant delays in initiating prehospital pain therapy. In a 2001 quality improvement (QI) study, we demonstrated improvement in paramedic knowledge, perceptions, and management of pain. This follow-up study examines the impact of this QI program, repeated educational intervention (EI), and effectiveness of a new pain management standard operating procedure. Methods: 176 paramedics from 10 urban and suburban fire departments and two private ambulance services participated in a 3-hour EI. A survey was performed prior to the EI and repeated one month after the EI. We reviewed emergency medical services (EMS) runs with pain complaints prior to the EI and one month after the EI. Follow-up results were compared to our prior study. We performed data analysis using descriptive statistics and chi-square tests. Results: The authors reviewed 352 surveys and 438 EMS runs with pain complaints. Using the same survey questions, even before the EI, 2007 paramedics demonstrated significant improvement in the knowledge (18.2%; 95% CI 8.9%, 27.9%), perceptions (9.2%; 95% CI 6.5%, 11.9%), and management of pain (13.8%; 95% CI 11.3%, 16.2%) compared to 2001. Following EI in 2007, there were no significant improvements in the baseline knowledge (0%; 95% CI 5.3%, 5.3%) but significant improvements in the perceptions of pain principles (6.4%; 95% CI 3.9%, 9.0%) and the management of pain (14.7%; 95% CI 11.4%, 18.0%). Conclusion: In this follow up study, paramedics’ baseline knowledge, perceptions, and management of pain have all improved from 6 years ago. Following a repeat educational intervention, paramedics further improved their field management of pain suggesting paramedics will still benefit from both initial and also ongoing continuing education on the topic of pain management. PMID:23599840

  14. Workup of Female Patients With Sleep Complaints

    Microsoft Academic Search

    Diana Monaghan

    In the primary care setting, fatigue and other sleep complaints are often elicited during the course of history taking for\\u000a another presenting problem or are mentioned as the practitioner is about to exit the exam room. Women may experience symptoms\\u000a differently than men do; for example, women with sleep apnea are more likely than men to complain of insomnia, and

  15. [Treatment of idiopathic facial pain following implant placement].

    PubMed

    Gorisse, E; de Jongh, A; Hassan, B

    2010-02-01

    A 39-year-old woman suffered from chronic a-typicalfacial pain and complaints associated with Post Traumatic Stress Disorder. The pain originated from the surgical removal of a residual tooth root under an oral implant and the stress symptoms were the consequences of the pain. Eventually, these problems had led to dismissalfrom work and family problems. She was unable to attend her dentist for a periodic oral survey due to extreme fear. Pharmacologic treatment, acupuncture, homeopathy and hypnotherapy had not improved her condition. Treatment aimed at coping with the memories of the oral treatment using 'eye movement desensitization and reprocessing' ultimately led to decline of complaints. This case report demonstrates that an oral problem may disrupt a patient's life and how psychotherapy can complete medical treatment. PMID:20225699

  16. Ethnomedicinal Evaluation of Medicinal Plants Used against Gastrointestinal Complaints.

    PubMed

    Tariq, Akash; Mussarat, Sakina; Adnan, Muhammad; Abd Allah, E F; Hashem, Abeer; Alqarawi, Abdulaziz Abdullah; Ullah, Riaz

    2015-01-01

    Aim of the present study was to document ethnomedicinal plants used against gastrointestinal complaints in five selected remote regions of Pakistan and to select potential medicinal plants for further in vitro and in vivo investigation. Data on ethnomedicinal plants and ethnographic profile of respondents was documented using semistructured questionnaires. The present study revealed utilization of 52 medicinal plants for the treatment of different gastrointestinal infections in studied regions. Apiaceae was the most dominant family reported to be used for the treatment of these infections (4 plants). Among all the plant parts fruit (24%), whole plants and leaves (23% each) were the most preferred plant parts used by the healers. Dosage of recipe was found to be related with the age of the patient. Highest degree of informant consensus was reported for vomiting, nausea (0.92 each), abdominal pain (0.9), and diarrhea (0.89). Withania coagulans scored highest FL value (86%) followed by Mentha longifolia and Melia azadirachta ranked second with FL value (75% each). Young generation was found to possess little traditional knowledge about utilizing plant recipes against these infections. Plants with high Fic and FL values should be subjected for further phytochemical and pharmacological investigation for scientific validation. PMID:26114117

  17. Ethnomedicinal Evaluation of Medicinal Plants Used against Gastrointestinal Complaints

    PubMed Central

    Tariq, Akash; Mussarat, Sakina; Adnan, Muhammad; Abd_Allah, E. F.; Hashem, Abeer; Alqarawi, Abdulaziz Abdullah

    2015-01-01

    Aim of the present study was to document ethnomedicinal plants used against gastrointestinal complaints in five selected remote regions of Pakistan and to select potential medicinal plants for further in vitro and in vivo investigation. Data on ethnomedicinal plants and ethnographic profile of respondents was documented using semistructured questionnaires. The present study revealed utilization of 52 medicinal plants for the treatment of different gastrointestinal infections in studied regions. Apiaceae was the most dominant family reported to be used for the treatment of these infections (4 plants). Among all the plant parts fruit (24%), whole plants and leaves (23% each) were the most preferred plant parts used by the healers. Dosage of recipe was found to be related with the age of the patient. Highest degree of informant consensus was reported for vomiting, nausea (0.92 each), abdominal pain (0.9), and diarrhea (0.89). Withania coagulans scored highest FL value (86%) followed by Mentha longifolia and Melia azadirachta ranked second with FL value (75% each). Young generation was found to possess little traditional knowledge about utilizing plant recipes against these infections. Plants with high Fic and FL values should be subjected for further phytochemical and pharmacological investigation for scientific validation.

  18. Neuropathic Pain

    MedlinePLUS

    ... know that it can erode quality of life. Communication Tools View All Everyday Tools During Your Visit ... pain. Online Tool Printable Tool (PDF) Show More Communication Tools Where Does It Hurt? / Nerve Man With ...

  19. Accuracy of emergency nurses in assessment of patients’ pain 1 1 “The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government.”

    Microsoft Academic Search

    Kathleen Puntillo; Martha Neighbor; Nel O’Neil; Ramona Nixon

    2003-01-01

    Pain is a common complaint in Emergency Departments. Inpatient studies have shown discrepancies between patients’ and nurses’ pain assessments. The accuracy of emergency nurse assessments of their patients’ pain has not been well investigated. Using a 0 to 10 numeric rating scale (NRS), researchers asked patients to rate their pain intensity in triage. Separately, the triage nurse was asked to

  20. Correlational analysis and predictive validity of psychological constructs related with pain in fibromyalgia

    Microsoft Academic Search

    Sara Maurel; Baltasar Rodero; Yolanda Lopez-del-Hoyo; Juan V Luciano; Eva Andrés; Miquel Roca; Raquel del Moral Bergos; Yolanda Ruiz-Lancina; Javier García-Campayo

    2011-01-01

    BACKGROUND: Fibromyalgia (FM) is a prevalent and disabling disorder characterized by a history of widespread pain for at least three months. Pain is considered a complex experience in which affective and cognitive aspects are crucial for prognosis. The aim of this study is to assess the importance of pain-related psychological constructs on function and pain in patients with FM. METHODS:

  1. Suicidal intent in patients with chronic pain.

    PubMed

    Fisher, B J; Haythornthwaite, J A; Heinberg, L J; Clark, M; Reed, J

    2001-01-01

    Suicidal ideation among individuals suffering from chronically painful conditions has not been widely studied, although rates of completed suicide are believed to be elevated in this population relative to the general population. The psychiatric literature on suicide documents the importance of controlling for the severity of depression when studying factors associated with suicidal ideation, attempts, or completion. The present study examined the relationships between suicidal ideation and the experience of pain, pain-related disability, and pain coping efforts among a sample of individuals experiencing chronically painful conditions. Of 200 patients evaluated on an inpatient rehabilitation unit in a psychiatric service, 13 individuals (6.5%) reported suicidal intent on a commonly used self-report measure of symptoms of depression, the Beck Depression Inventory. This group was compared to a matched (age, sex, pain duration) group of similarly depressed individuals (N=13) and a matched group of non-depressed individuals (N=13) on measures of pain, disability, pain beliefs, and pain coping strategies. A history of a suicide attempt was associated with suicidal intent. Family history of substance abuse was significantly more prevalent among the depressed groups, regardless of suicidal thinking. The depressed/suicidal group and depressed/non-suicidal groups reported higher levels of pain, higher levels of pain-related disability, lower use of active coping, and higher use of passive coping compared to the non-depressed group. The depressed groups did not differ from one another on any of the measures of pain experience. Depression, not suicidal status, consistently predicted level of functioning. The prevalence of suicidal intent was comparable to rates observed in other studies and relatively low. When individuals with chronic pain report suicidal intent, it is imperative that measures preventing self-harm be implemented immediately and the patient's depression be treated aggressively. PMID:11166476

  2. Analyzing musculoskeletal neck pain, measured as present pain and periods of pain, with three different regression models: a cohort study

    PubMed Central

    Grimby-Ekman, Anna; Andersson, Eva M; Hagberg, Mats

    2009-01-01

    Background In the literature there are discussions on the choice of outcome and the need for more longitudinal studies of musculoskeletal disorders. The general aim of this longitudinal study was to analyze musculoskeletal neck pain, in a group of young adults. Specific aims were to determine whether psychosocial factors, computer use, high work/study demands, and lifestyle are long-term or short-term factors for musculoskeletal neck pain, and whether these factors are important for developing or ongoing musculoskeletal neck pain. Methods Three regression models were used to analyze the different outcomes. Pain at present was analyzed with a marginal logistic model, for number of years with pain a Poisson regression model was used and for developing and ongoing pain a logistic model was used. Presented results are odds ratios and proportion ratios (logistic models) and rate ratios (Poisson model). The material consisted of web-based questionnaires answered by 1204 Swedish university students from a prospective cohort recruited in 2002. Results Perceived stress was a risk factor for pain at present (PR = 1.6), for developing pain (PR = 1.7) and for number of years with pain (RR = 1.3). High work/study demands was associated with pain at present (PR = 1.6); and with number of years with pain when the demands negatively affect home life (RR = 1.3). Computer use pattern (number of times/week with a computer session ? 4 h, without break) was a risk factor for developing pain (PR = 1.7), but also associated with pain at present (PR = 1.4) and number of years with pain (RR = 1.2). Among life style factors smoking (PR = 1.8) was found to be associated to pain at present. The difference between men and women in prevalence of musculoskeletal pain was confirmed in this study. It was smallest for the outcome ongoing pain (PR = 1.4) compared to pain at present (PR = 2.4) and developing pain (PR = 2.5). Conclusion By using different regression models different aspects of neck pain pattern could be addressed and the risk factors impact on pain pattern was identified. Short-term risk factors were perceived stress, high work/study demands and computer use pattern (break pattern). Those were also long-term risk factors. For developing pain perceived stress and computer use pattern were risk factors. PMID:19545386

  3. Relief of chronic neck and shoulder pain by manual acupuncture to tender points—a sham-controlled randomized trial

    Microsoft Academic Search

    T Nabeta; K. Kawakita

    2002-01-01

    Objectives: To compare the effects of real acupuncture to tender points for neck and shoulder pain and stiffness (Japanese: katakori) with those of sham acupuncture. Design: Randomized-controlled trial. Methods: Thirty-four volunteers from an acupuncture school with complaints of chronic pain and stiffness, who had no arm symptoms and gave informed consent, were randomly allocated to acupuncture or sham groups. Acupuncture

  4. Using Chief Complaints for Syndromic Surveillance: A Review of Chief Complaint Based Classifiers in North America

    PubMed Central

    Conway, Mike; Dowling, John N.; Chapman, Wendy W.

    2013-01-01

    A major goal of Natural Language Processing in the public health informatics domain is the automatic extraction and encoding of data stored in free text patient records. This extracted data can then be utilized by computerized systems to perform syndromic surveillance. In particular, the chief complaint — a short string that describes a patient’s symptoms — has come to be a vital resource for syndromic surveillance in the North American context due to its near ubiquity. This paper reviews fifteen systems in North America — at the city, county, state and federal level — that use chief complaints for syndromic surveillance. PMID:23602781

  5. Chronic pain at ages 12 to 44.

    PubMed

    Ramage-Morin, Pamela L; Gilmour, Heather

    2010-12-01

    According to results from the 2007/2008 Canadian Community Health Survey, about 1 in 10 Canadians aged 12 to 44-9% of males and 12% of females, an estimated 1.5 million people--experienced chronic pain. The prevalence of chronic pain increased with age and was significantly higher among people in households where the level of educational attainment was low and among the Aboriginal population. The most common pain-related chronic conditions at ages 12 to 44 were back problems and migraine headaches. Chronic pain prevented at least a few activities in the majority of sufferers. It was associated with activity limitations and needing help with everyday tasks, and had work-related implications. Individuals with chronic pain were frequent users of health care services, and were less likely than people without chronic pain to respond positively on measures of well-being, including mood and anxiety disorders. PMID:21269012

  6. Pain assessment in elderly adults with dementia.

    PubMed

    Hadjistavropoulos, Thomas; Herr, Keela; Prkachin, Kenneth M; Craig, Kenneth D; Gibson, Stephen J; Lukas, Albert; Smith, Jonathan H

    2014-12-01

    Chronic pain is highly prevalent in the ageing population. Individuals with neurological disorders such as dementia are susceptible patient groups in which pain is frequently under-recognised, underestimated, and undertreated. Results from neurophysiological and neuroimaging studies showing that elderly adults are particularly susceptible to the negative effects of pain are of additional concern. The inability to successfully communicate pain in severe dementia is a major barrier to effective treatment. The systematic study of facial expressions through a computerised system has identified core features that are highly specific to the experience of pain, with potential future effects on assessment practices in people with dementia. Various observational-behavioural pain assessment instruments have been reported to be both reliable and valid in individuals with dementia. These techniques need to be interpreted in the context of observer bias, contextual variables, and the overall state of the individual's health and wellbeing. PMID:25453461

  7. Migraine in gulf war illness and chronic fatigue syndrome: prevalence, potential mechanisms, and evaluation

    PubMed Central

    Rayhan, Rakib U.; Ravindran, Murugan K.; Baraniuk, James N.

    2013-01-01

    Objective: To assess the prevalence of headache subtypes in Gulf War Illness (GWI) and Chronic Fatigue Syndrome (CFS) compared to controls. Background: Approximately, 25% of the military personnel who served in the 1990–1991 Persian Gulf War have developed GWI. Symptoms of GWI and CFS have considerable overlap, including headache complaints. Migraines are reported in CFS. The type and prevalence of headaches in GWI have not been adequately assessed. Methods: 50 GWI, 39 CFS and 45 controls had structured headache evaluations based on the 2004 International Headache Society criteria. All subjects had history and physical examinations, fatigue and symptom related questionnaires, measurements of systemic hyperalgesia (dolorimetry), and assessments for exclusionary conditions. Results: Migraines were detected in 64% of GWI (odds ratio = 11.6 [4.1–32.5]) (mean [±95% CI]) and 82% of CFS subjects (odds ratio = 22.5 [7.8–64.8]) compared to only 13% of controls. There was a predominance of females in the CFS compared to GWI and controls. However, migraine status was independent of gender in GWI and CFS groups (x2 = 2.7; P = 0.101). Measures of fatigue, pain, and other ancillary criteria were comparable between GWI and CFS subjects with and without headache. Conclusion: The high prevalence of migraine in CFS was confirmed and extended to GWI subjects. GWI and CFS may share dysfunctional central pathophysiological pathways that contribute to migraine and subjective symptoms. The high migraine prevalence warrants the inclusion of a structured headache evaluation in GWI and CFS subjects, and treatment when present. PMID:23898301

  8. Medical device on pharmacists' work-related musculoskeletal complaints and burnouts.

    PubMed

    Chou, Yueh-Ching; Chen, Chi-Liang; Wu, Tzu-Hua

    2012-01-01

    This study analysed the total number of consumed vials of chemotherapy drugs during the year 2007 to determine workloads, and investigated the effects of using the Spike medical device in contrast to the use of traditional needles on oncology pharmacists' dispensing time, muscle soreness, work-related burnout and fatigue symptoms. Work-related burnout and physiological symptoms were measured using the Copenhagen Burnout Inventory (CBI) and a visual analogue pain scale. The Spike device significantly reduced the time spent in drawing up fluorouracil (39.46 ± 9.43 s vs. 57.13 ± 13.47 s) or cisplatin (29.65 ± 11.22 s vs. 60.93 ± 20.54 s) compared with traditional needles (P < 0.001). The CBI burnout score improved significantly with the Spike device (53.21 ± 8.58 vs. 73.21 ± 5.42; P = 0.007) because finger and palm muscle soreness complaints and subjective fatigue symptoms for eye tiredness and shoulder-wrist pain were significantly reduced (P < 0.05). Practitioner Summary The pharmacist needs to exert hand strength to counter the vial back-suction pressure to draw out the medical liquid, and confirm the volume during the drawing antineoplastic drug procedure. This study aimed to determine the effects of using a medical device, instead of a needle, on pharmacists' work-related musculoskeletal complaints and burnouts. PMID:22928595

  9. Pain management.

    PubMed

    Ripamonti, C I

    2012-09-01

    Despite published guidelines and educational programs on the assessment and treatment of cancer-related pain, in any stage of oncological disease, unrelieved pain continues to be a substantial worldwide public health concern either in patients with solid and haematological malignancies. The proper and regular self-reporting assessment of pain is the first step for an effective and individualized treatment. Opioids are the mainstay of analgesic therapy and can be associated with non-opioids drugs such as paracetamol or non-steroidal anti-inflammatory drugs and to adjuvant drugs (for neuropathic pain and symptom control). The role and the utility of weak opioids (i.e. codeine, dihydrocodeine, tramadol) are a controversy point. Morphine has been placed by World Health Organization on its Essential Drug List. In the comparative study with other strong opioids (hydromorphone, oxycodone), there is no evidence to show superiority or inferiority with morphine as the first choice opioid. Oral methadone is a useful and safe alternative to morphine. Methadone presents the potential to control pain difficult to manage with other opioids. although the oral route of opioid administration is considered the one of choice, intravenous, subcutaneous, rectal, transdermal, sublingual, intranasal, and spinal routes must be used in particular situation. Transdermal opioids such as fentanyl and buprenorphine are best reserved for patients whose opioid requirements are stable. Switching from one opioid to another can improve analgesia and tolerability. PMID:22987980

  10. Complaints in gynaecology in England: an effective learning tool.

    PubMed

    Prabakar, I M; Samra, J

    2012-11-01

    The highest increase of 13.4% in complaints registered in hospital and community services in England, was observed in 2009-2010, since the beginning of data collection from 1997. We observed that complaints in gynaecology have remained a comparatively less explored area against its obstetric counterpart. We investigated the increasing trend observed in our gynaecology services of a district general hospital, over a period of 5 years. All complaints registered were subjected to a retrospective qualitative analysis and causes or contributory factors were classified in a standardised way, as followed by the National Health Services (NHS) Information Centre. Inappropriate communication was responsible for 38.6% of complaints lodged, followed by administrative or organisational errors accounting for 33.9% of complaints. A significant proportion of complainants had recorded more than three sequential events, which is recognised as a potential opportunity to prevent escalation of complaints. PMID:23075360

  11. Psychosocial stress and abdominal pain in adolescents

    PubMed Central

    2010-01-01

    Children and adolescents may express psychiatric symptoms via somatic complaints. Likewise, children with chronic somatic illnesses are likely to experience psychiatric sequelae. We report three cases of adolescents who were admitted to general paediatrics services for abdominal pain and/or nausea and vomiting with a negative medical workup. In each case, a clear psychosocial stressor was evident. It is possible that somatic symptoms without clear medical causes may reflect psychosocial stress, but it is difficult to discern whether the psychosocial issues preceded the somatic complaints or were a result of them. Making an accurate diagnosis is difficult, and broaching such a subject with patients and their families is a delicate matter. More research is needed to determine appropriate screening tools for identifying cases where psychosocial stress may play a relevant role in symptom presentation, as well as potential treatment modalities for such cases. PMID:22477924

  12. Performance on selected visual and auditory subtests of the Wechsler Memory Scale-Fourth Edition during laboratory-induced pain.

    PubMed

    Etherton, Joseph L; Tapscott, Brian E

    2015-04-01

    Although chronic pain patients commonly report problems with concentration and memory, recent research indicates that induced pain alone causes little or no impairment on several Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV) subtests, suggesting that cognitive complaints in chronic pain may be attributable to factors other than pain. The current studies examined potential effects of induced pain on Wechsler Memory Scale-Fourth Edition (WMS-IV) visual working memory index (VWM) subtests (Experiment 1, n = 32) and on the immediate portions of WMS-IV auditory memory (IAM) subtests (Experiment 2, n = 55). In both studies, participants were administered one of two subtests (Symbol Span or Spatial Addition for Experiment 1; Logical Memory or Verbal Paired Associates for Experiment 2) normally and were then administered the alternate subtest while experiencing either cold pressor pain induction or a nonpainful control condition. Results indicate that induced pain in nonclinical volunteers did not impair performance on either VWM or IAM performance, suggesting that pain alone does not account for complaints or deficits in these domains in chronic pain patients. Nonpainful variables such as sleep deprivation or emotional disturbance may be responsible for reported cognitive complaints in chronic pain patients. PMID:25655774

  13. Challenges in using opioids to treat pain in persons with substance use disorders.

    PubMed

    Savage, Seddon R; Kirsh, Kenneth L; Passik, Steven D

    2008-06-01

    Pain and substance abuse co-occur frequently, and each can make the other more difficult to treat. A knowledge of pain and its interrelationships with addiction enhances the addiction specialist's efficacy with many patients, both in the substance abuse setting and in collaboration with pain specialists. This article discusses the neurobiology and clinical presentation of pain and its synergies with substance use disorders, presents methodical approaches to the evaluation and treatment of pain that co-occurs with substance use disorders, and provides practical guidelines for the use of opioids to treat pain in individuals with histories of addiction. The authors consider that every pain complaint deserves careful investigation and every patient in pain has a right to effective treatment. PMID:18497713

  14. Challenges in Using Opioids to Treat Pain in Persons With Substance Use Disorders

    PubMed Central

    Savage, Seddon R.; Kirsh, Kenneth L.; Passik, Steven D.

    2008-01-01

    Pain and substance abuse co-occur frequently, and each can make the other more difficult to treat. A knowledge of pain and its interrelationships with addiction enhances the addiction specialist’s efficacy with many patients, both in the substance abuse setting and in collaboration with pain specialists. This article discusses the neurobiology and clinical presentation of pain and its synergies with substance use disorders, presents methodical approaches to the evaluation and treatment of pain that co-occurs with substance use disorders, and provides practical guidelines for the use of opioids to treat pain in individuals with histories of addiction. The authors consider that every pain complaint deserves careful investigation and every patient in pain has a right to effective treatment. PMID:18497713

  15. Paramedic assessment of pain in the cognitively impaired adult patient

    PubMed Central

    Lord, Bill

    2009-01-01

    Background Paramedics are often a first point of contact for people experiencing pain in the community. Wherever possible the patient's self report of pain should be sought to guide the assessment and management of this complaint. Communication difficulty or disability such as cognitive impairment associated with dementia may limit the patient's ability to report their pain experience, and this has the potential to affect the quality of care. The primary objective of this study was to systematically locate evidence relating to the use of pain assessment tools that have been validated for use with cognitively impaired adults and to identify those that have been recommended for use by paramedics. Methods A systematic search of health databases for evidence relating to the use of pain assessment tools that have been validated for use with cognitively impaired adults was undertaken using specific search criteria. An extended search included position statements and clinical practice guidelines developed by health agencies to identify evidence-based recommendations regarding pain assessment in older adults. Results Two systematic reviews met study inclusion criteria. Weaknesses in tools evaluated by these studies limited their application in assessing pain in the population of interest. Only one tool was designed to assess pain in acute care settings. No tools were located that are designed for paramedic use. Conclusion The reviews of pain assessment tools found that the majority were developed to assess chronic pain in aged care, hospital or hospice settings. An analysis of the characteristics of these pain assessment tools identified attributes that may limit their use in paramedic practice. One tool - the Abbey Pain Scale - may have application in paramedic assessment of pain, but clinical evaluation is required to validate this tool in the paramedic practice setting. Further research is recommended to evaluate the Abbey Pain Scale and to evaluate the effectiveness of paramedic pain management practice in older adults to ensure that the care of all patients is unaffected by age or disability. PMID:19807928

  16. Excessive daytime sleepiness and sleep complaints among children with epilepsy

    Microsoft Academic Search

    Rama Maganti; Nancy Hausman; Monica Koehn; Evan Sandok; Ingrid Glurich; Bickol N. Mukesh

    2006-01-01

    ObjectiveExcessive daytime sleepiness (EDS) and sleep complaints are common among adults with epilepsy. We hypothesized that children with epilepsy have worse daytime sleepiness compared with controls.

  17. Symptoms and Health Complaints and Their Association with Perceived Stressors among Students at Nine Libyan Universities

    PubMed Central

    El Ansari, Walid; Khalil, Khalid; Stock, Christiane

    2014-01-01

    University students are exposed to many stressors. We assessed the associations between two stressors (educational related and general overall), socio-demographic characteristics (five variables), health behaviours/lifestyle factors (six variables), as well as religiosity and quality of life as independent variables, with self-reported symptoms/health complaints as dependent variables (eight health complaints). A sample of 2100 undergraduate students from nine institutions (six universities, three colleges) located in seven cities in Libya completed a general health questionnaire. The most prevalent symptoms were headaches, depressive mood, difficulties to concentrate and sleep disorder/insomnia that have been reported by 50%–60% of the students. The majority of students (62%) reported having had three or more symptoms sometimes or very often in the last 12 months. There was a positive association between perceived stressors and health symptoms, which remained significant after adjustment for gender and many other relevant factors for headache (OR 1.52; 95% CI 1.15–2.02), depressive mood (OR 2.20; 95% CI 1.64–2.94) and sleep disorder/ insomnia (OR 1.55, 95% CI 1.19–2.03). Other factors independently associated with most health symptoms were female gender and poor self-perceived health. Stress management programmes and a reduction of educational related stressors might help to prevent stress-related symptoms and health complaints in this student population. PMID:25429678

  18. Body mass index and musculoskeletal pain: is there a connection?

    PubMed Central

    2013-01-01

    Background Back pain is one of the most common complaints that patients report to physicians and two-thirds of the population has an elevated body mass index (BMI), indicating they are either overweight or obese. It was once assumed that extra body weight would stress the low back and lead to pain, however, researchers have reported inconsistencies association between body weight and back pain. In contrast, more recent studies do indicate that an elevated BMI is associated with back pain and other musculoskeletal pain syndromes due to the presence of a chronic systemic inflammatory state, suggesting that the relationship between BMI and musculoskeletal pains be considered in more detail. Objective To describe how an elevated BMI can be associated with chronic systemic inflammation and pain expression. To outline measurable risk factors for chronic inflammation that can be used in clinical practice and discuss basic treatment considerations. Discussion Adiposopathy, or “sick fat” syndrome, is a term that refers to an elevated BMI that is associated with a chronic systemic inflammatory state most commonly referred to as the metabolic syndrome. The best available evidence suggests that the presence of adiposopathy determines if an elevated BMI will contribute to musculoskeletal pain expression. It is not uncommon for physicians to fail to identify the presence of adiposopathy/metabolic syndrome. Conclusion Patients with an elevated BMI should be further examined to identify inflammatory factors associated with adiposopathy, such as the metabolic syndrome, which may be promoting back pain and other musculoskeletal pain syndromes. PMID:23687943

  19. Examination of Clinical Efficacy of Keishibukuryogan on Non-Specific Complaints Associated with Varicose Veins of the Lower Extremity

    PubMed Central

    Shibutani, Shintaro; Okubo, Hirotoki; Shimogawara, Tatsuya; Ichinose, Tsuyoshi; Ito, Yasuhiro; Mihara, Kouki; Egawa, Tomohisa; Nagashima, Atsushi; Obara, Hideaki; Kitagawa, Yuko

    2014-01-01

    The subjective symptoms of varicose veins of the lower extremity often include malaise, numbness, coldness, pain, and pruritus of the lower extremity, and relieving these complaints is important in managing the quality of life of patients. We have examined the clinical efficacy of keishibukuryogan, a Kampo prescription for improving oketsu (impaired microcirculation, congestion), on non-specific complaints associated with varicose veins of the lower extremity. Keishibukuryogan was administered to 30 patients with non-specific complaints associated with varicose veins of the lower extremity for 12 weeks, resulting in improvements in the scores of subjective symptoms, severity of varicose veins, and oketsu as well as an increase in skin perfusion pressure. And especially the effect was remarkable in female. In addition, oketsu was shown to be involved in the subjective symptoms associated with varicose veins of the lower extremity, demonstrating efficacy of keishibukuryogan. No adverse drug reaction or abnormal laboratory result was observed in patients receiving keishibukuryogan, and the rate of general improvement and usefulness was 73.3%. It was suggested that keishibukuryogan was useful to improve the symptoms of patients with non-specific complaints associated with varicose veins of the lower extremity especially in female patients. (*English translation of Jpn J Phlebol 2013; 24: 303-310) PMID:25298828

  20. Smoking Cigarettes as a Coping Strategy for Chronic Pain is Associated with Greater Pain Intensity and Poorer Pain-Related Function

    PubMed Central

    Patterson, Alexander L.; Gritzner, Susan; Resnick, Michael P.; Dobscha, Steven K.; Turk, Dennis C.; Morasco, Benjamin J.

    2011-01-01

    Smoking cigarettes is prevalent among individuals with chronic pain. Some studies indicate nicotine reduces pain and others suggest it may cause or exacerbate pain. Participants in this cross-sectional study were 151 chronic pain patients from a large, urban VA medical center. Patients were divided into 3 groups: (1) non-smokers, (2) smokers who deny using cigarettes to cope with pain, and (3) smokers who report using cigarettes to cope with pain. Patients who reported smoking as a coping strategy for chronic pain scored significantly worse compared to the other 2 groups on the majority of measures of pain-related outcome. Non-smokers and smokers who denied smoking to cope did not differ on any variable examined. After controlling for the effects of demographic and clinical factors, smoking cigarettes as a coping strategy for pain was significantly and positively associated with pain intensity (p=0.04), pain interference (p=0.005), and fear of pain (p=0.04). In addition to the assessment of general smoking status, a more specific assessment of the chronic pain patient’s reasons for smoking may be an important consideration as part of interdisciplinary pain treatment. PMID:22325299

  1. Pain Management Programs

    MedlinePLUS

    ... Pain Management Programs Pain Management Programs Assessment Communication Education Program Outcomes Conclusion Resource Guide to Chronic Pain Medications & Treatments The Art of Pain Management What We Have Learned Going ...

  2. Musculoskeletal pain, fear avoidance behaviors, and functional decline in obesity: potential interventions to manage pain and maintain function.

    PubMed

    Vincent, Heather K; Adams, Meredith C B; Vincent, Kevin R; Hurley, Robert W

    2013-01-01

    Individuals with musculoskeletal pain exhibit abnormal movement patterns, including antalgic gait, postural dysfunction, increased thoracolumbar stiffness, decreased proprioception, and altered activation of abdominal and extensor muscles. Additionally, aberrant or increased biomechanical forces over time produce joint or structural damage that results in pain. A large body habitus resulting from excessive weight can accelerate these musculoskeletal complaints. Irrespective of age, obesity contributes to chronic musculoskeletal pain, impairment of mobility, and eventual physical disability. Potential mechanisms that may mediate the relationships between obesity-related pain and functional decline include skeletal muscle strength deterioration, systemic inflammation, and psychosocial characteristics (eg, pain catastrophizing, kinesiophobia, and depression). Treatment considerations for obese patients with musculoskeletal pain include assessment of kinesiophobia levels, biomechanical analysis, and pain medication use. Ideally, a multidisciplinary team of physicians, psychologists, and physical therapists should optimize the design of interventions specific to the patient. In some cases, the use of appropriate pain medications or intra-articular injectable agents may help control pain, fostering sustained activity, caloric expenditure, and weight loss. Morbid obesity is a medical condition that alters biomechanical forces on the tissues of the body. This condition provides the opportunity to examine accelerated development of musculoskeletal pain syndromes and etiology. The proposed therapeutic interventions can have multiple benefits in the obese population including weight loss, improved psychological outlook and self-efficacy, reduced kinesiophobia levels, reduced risk of functional dependence, and improved quality of life. PMID:24141874

  3. Heel Pain

    MedlinePLUS

    ... pain is generally the result of faulty biomechanics (walking gait abnormalities) that place too much stress on the heel bone and the soft tissues that attach to it. The stress may also result from injury, or a bruise incurred while walking, running, or jumping on hard surfaces; wearing poorly ...

  4. Chest Pain

    MedlinePLUS

    Having a pain in your chest can be scary. It does not always mean that you are having a heart attack. There can be many other causes, ... embolism Costochondritis - an inflammation of joints in your chest Some of these problems can be serious. Get ...

  5. Central sensitization: a biopsychosocial explanation for chronic widespread pain in patients with fibromyalgia and chronic fatigue syndrome

    Microsoft Academic Search

    Mira Meeus; Jo Nijs

    2007-01-01

    In addition to the debilitating fatigue, the majority of patients with chronic fatigue syndrome (CFS) experience chronic widespread\\u000a pain. These pain complaints show the greatest overlap between CFS and fibromyalgia (FM). Although the literature provides\\u000a evidence for central sensitization as cause for the musculoskeletal pain in FM, in CFS this evidence is currently lacking,\\u000a despite the observed similarities in both

  6. [Pain, the elderly and verbal communication disorders].

    PubMed

    Marcel, Jacqueline

    2014-05-01

    The prevalence of pain increases with age and multiple pathologies. Care procedures and movement are often triggers: dressings, injections, perfusions, washing, changes, transfers, walking, meals, etc. Which tools should be used when speech is lacking? What are the challenges in geriatrics for the patient and the caregivers? How should we orient our observations or behavioural disorders in terms of pain, anxiety or dementia? PMID:25055588

  7. Clinical Issues in Pain Management Clinical Issues in Pain Management

    E-print Network

    Meagher, Mary

    Pain Clinical Issues in Pain Management #12;Clinical Issues in Pain Management: Acute Pain #12;Clinical Issues in Pain Management: Chronic Pain Chronic Pain Typically begins with an acute in Pain Management: Chronic Pain Chronic benign pain Persists more than 6 months Varies in severity

  8. Utilization of the emergency department by patients with minor complaints

    Microsoft Academic Search

    Marcie A. Rubin; Marni J. Bonnin

    1995-01-01

    Emergency departments (ED) are frequently utilized by patients with minor complaints. It has been a long-standing assumption in the medical community that this use was based on the inability of certain subgroups of the population to access primary care providers secondary to inability to pay. This study examines the use of the ED for minor complaints and the distribution of

  9. Statistical analysis of unsolicited thermal sensation complaints in commercial buildings

    SciTech Connect

    Federspiel, C.C. [Johnson Controls, Milwaukee, WI (United States)

    1998-10-01

    Unsolicited complaints from 23,500 occupants in 690 commercial buildings were examined with regard to absolute and relative frequency of complaints, temperatures at which thermal sensation complaints (too hot or too cold) occurred, and response times and actions. The analysis shows that thermal sensation complaints are the single most common complaint of any type and that they are the overwhelming majority of environmental complaints. The analysis indicates that thermal sensation complaints are mostly the result of poor control performance and HVAC system faults rather than inter-individual differences in preferred temperatures. The analysis also shows that the neutral temperature in summer is greater than in winter, and the difference between summer and winter neutral temperatures is smaller than the difference between the midpoints of the summer and winter ASHRAE comfort zones. On average, women complain that it is cold at a higher temperature than men, and the temperature at which men complain that it is hot is more variable than for women. Analysis of response times and actions provides information that may be useful for designing a dispatching policy, and it also demonstrates that there is potential to reduce the labor cost of HVAC maintenance by 20% by reducing the frequency of thermal sensation complaints.

  10. Analysing Argumentative Strategies: A Reply to a Complaint.

    ERIC Educational Resources Information Center

    Virtanen, Tuija

    An analysis of discourse focuses on argumentative strategies used in reply to a complaint. The complaint was in the form of a letter, in English, written to a breakfast cereal company, expressing concern about a stone found in the product. The response, also in letter form, is examined for its text strategy. These elements are discussed: the…

  11. Prevalence Projections

    Cancer.gov

    Close Window State Cancer Profiles Quick Reference Guides ? Quick Reference Guides Index Prevalence Projections Send to Printer Text description of this image. Site Home Policies Accessibility Viewing Files FOIA Contact Us U.S. Department of Health

  12. Phytotherapy in functional upper abdominal complaints Results of a clinical study with a preparation of several plants.

    PubMed

    Westphal, J; Hörning, M; Leonhardt, K

    1996-03-01

    Efficacy and tolerance of Lomatol® drops (a preparation with extracts of the fruits of Carum carvi [caraway], fruits of Foeniculum vulgare [fennel], leaves of Menta piperita [peppermint] and the herb of Artemisia absinthium [wormwood] in the treatment of upper abdominal complaints was compared with the efficacy and tolerance of metoclopramide drops in a controlled, randomized, double-blind study. Their impact on the symptoms of pain, nausea, heartburn, retching and gastrospasms were assessed on a 5-point rating scale. During the two weeks of treatment and observation the phytodrug demonstrated statistically significant better results than the synthetic preparation in relieving all the symptoms. These findings were confirmed by subjective assessment of the general condition by the patient. Moreover, Lomatol® caused significantly fewer adverse drug reactions than metoclopramide and was statistically significantly better tolerated. Thus, this plant combination can be recommended for upper abdominal complaints without any restrictions. The same is also true for similarly composed Lomatol® coated tablets. PMID:23194763

  13. Assessing chronic pain in cognitively impaired elderly adults.

    PubMed

    Verheul, K

    2000-01-01

    Too often, assessment of pain in the cognitively impaired population is not conducted as well as it could be. Pain assessment in impaired elderly patients is a complicated clinical challenge. Notwithstanding, the prevalence of pain among elderly patients is often high and often carries the risk of serious complications and decreased quality of life. The authors identify selected behaviors that demonstrate the presence of pain in cognitively impaired persons. Nurses must be aware of these behavioral indicators and their value in assessing for and treating pain in this special population. PMID:12016665

  14. 20 CFR 636.6 - Complaints and investigations at the Federal level.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...2010-04-01 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)...

  15. 47 CFR 1.728 - Formal complaints not stating a cause of action; defective pleadings.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...and Reports Involving Common Carriers Formal Complaints § 1.728 Formal complaints not stating a cause of action; defective pleadings. (a) Any document purporting to be a formal complaint which does not state a...

  16. 42 CFR 426.503 - Submitting new evidence once an acceptable complaint has been filed.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...Submitting new evidence once an acceptable complaint has been filed. 426.503 Section 426.503...Submitting new evidence once an acceptable complaint has been filed. Once an acceptable complaint has been filed, the aggrieved party may submit...

  17. 14 CFR 16.23 - Complaints, answers, replies, rebuttals, and other documents.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 2013-01-01 false Complaints, answers, replies, rebuttals, and other documents...Complaints § 16.23 Complaints, answers, replies, rebuttals, and other documents...that respondents are required to file an answer within 20 days of the date of...

  18. 14 CFR 16.23 - Complaints, answers, replies, rebuttals, and other documents.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 2012-01-01 false Complaints, answers, replies, rebuttals, and other documents...Complaints § 16.23 Complaints, answers, replies, rebuttals, and other documents...that respondents are required to file an answer within 20 days of the date of...

  19. 14 CFR 16.23 - Complaints, answers, replies, rebuttals, and other documents.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 2010-01-01 false Complaints, answers, replies, rebuttals, and other documents...Complaints § 16.23 Complaints, answers, replies, rebuttals, and other documents...that respondents are required to file an answer within 20 days of the date of...

  20. 14 CFR 16.23 - Complaints, answers, replies, rebuttals, and other documents.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 2011-01-01 false Complaints, answers, replies, rebuttals, and other documents...Complaints § 16.23 Complaints, answers, replies, rebuttals, and other documents...that respondents are required to file an answer within 20 days of the date of...

  1. 76 FR 56506 - Agency Information Collection (Complaint of Employment Discrimination) Activity Under OMB Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-13

    ...Complaint of Employment Discrimination) Activity Under OMB Review...Complaint of Employment Discrimination, VA Form 4939. OMB Control...race, color, religion, gender, national origin, age...4939 to file complaint of discrimination. An agency may not...

  2. 76 FR 38743 - Proposed Information Collection (Complaint of Employment Discrimination) Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-01

    ...a complaint of employment discrimination. DATES: Written comments...Complaint of Employment Discrimination, VA Form 4939. OMB Control...race, color, religion, gender, national origin age, physical...4939 to file a complaint of discrimination. Affected Public:...

  3. Mechanisms and Mediators That Drive Arthritis Pain.

    PubMed

    Krustev, Eugene; Rioux, Danielle; McDougall, Jason J

    2015-08-01

    There are over 100 different types of arthritis and each can differ greatly in their aetiology and pathophysiology; however, one characteristic that is common to all arthritic conditions is joint pain. Musculoskeletal pain is the leading cause of disability in the world, and the number one reason arthritis patients visit their primary care physician. Despite the prevalence and burden of arthritis pain, current analgesics lack sufficient efficacy and are plagued by multiple adverse side effects. In this review, we outline the current landscape of research concerning joint pain, drawing from both preclinical and clinical studies. Specifically, this review is a discussion of the different neurophysiological processes that occur during joint disease and how inflammatory and neuropathic aspects contribute to the development of arthritis pain. PMID:26025232

  4. Enhanced temporal pain processing in multiple system atrophy.

    PubMed

    Perrotta, Armando; Bolla, Monica; Serrao, Mariano; Paparatti, Marco; Tassorelli, Cristina; Pierelli, Francesco; Sandrini, Giorgio

    2013-10-25

    Pain processing has been poorly studied in multiple system atrophy (MSA), notwithstanding these subjects complaint pain very frequently. We hypothesized that, as observed in other basal ganglia neurodegenerative disorders involving the striatonigral projections, also in MSA with predominant parkinsonian signs could be detected an abnormal pain processing. We used the temporal summation threshold (TST) of the nociceptive withdrawal reflex (NWR) and the related pain sensation to evaluate the temporal pain processing at spinal level in eleven MSA subjects and compared them with fifteen Parkinson's disease (PD) subjects, in both during "on" and "off" treatment with l-Dopa, and fifteen healthy subjects. MSA showed a significant reduction in NWR TST as well as facilitation in other pain responses when compared to healthy subjects; no differences were detected between "on" and "off" condition; no differences were detected between MSA and PD subjects in term of neurophysiological and pharmacological responses. We demonstrated a facilitated temporal processing of pain in MSA subjects paralleling findings from PD. We hypothesize that the abnormal pain processing detected in both MSA and PD, could represent a consequence of the striatonigral neurodegeneration which in turn make these subjects more prone to develop pain conditions. PMID:24076144

  5. Referred pain.

    PubMed

    Markman, Stanley

    2014-01-01

    Comprehending orofacial referred pain requires an understanding of the neuroanatomy of the trigeminal nerve and associated cranial nerves. It also requires knowledge of the concept of neuronal convergence as well as the recognition that the caudalis is laminated and is therefore responsible for sensory receptive fields-that one interneuron may receive multiple sensory inputs and that structures within a lamina have sensory neurons which project into the caudalis and may share the same interneuron. PMID:25141487

  6. [Enduring pain I. Nosology and epidemiology].

    PubMed

    Vigo, Daniel V; Selle, Valerio; Baldessarini, Ross

    2013-01-01

    Pain disorders are extraordinarily prevalent throughout clinical medicine, and are highly co-morbid with various psychiatric disorders, particularly those including depression or anxiety. Assessment of such patients tends to be based on diagnostic criteria that may not reflect the complexity of the clinical problem and can result in prioritizing somatic aspects of painful syndromes at the expense of psychiatric aspects or, conversely, over-emphasize psychiatric aspects. In the first part of this overview we consider current nosological perspectives and their potential clinical consequences, epidemiological data that underscore the association of comorbid painful and affective or anxious syndromes, and consider the importance of psychiatric assessment and treatment of such patients. The major overlap between pain disorders and psychiatric disorders, as well as the unsatisfactory state of treatments available for chronic pain syndromes, encourage a comprehensive approach to assessing and clinically managing patients with chronic pain. Many programs for pain disorder patients offer narrowly specialized treatment options. To be preferred are multi-disciplinary teams with expertise in internal medicine, neurology, pain management, and rehabilitation, as well as psychology and psychiatry. In the second part of this overview, we propose that psychiatrists can serve a key role in leading comprehensive assessment and management of complex and challenging pain-psychiatric patients who are typically only partially responsive to available treatments. PMID:24312918

  7. Underestimation and undertreatment of pain in HIV disease: multicentre study.

    PubMed Central

    Larue, F.; Fontaine, A.; Colleau, S. M.

    1997-01-01

    OBJECTIVE: To measure the prevalence, severity, and impact of pain on quality of life for HIV patients; to identify factors associated with undertreatment of pain. DESIGN: Multicentre cross sectional survey. SETTINGS: 34 HIV treatment facilities, including inpatient hospital wards, day hospitals, and ambulatory care clinics, in 13 cities throughout France. SUBJECTS: 315 HIV patients at different stages of the disease. MAIN OUTCOME MEASURES: Patients: recorded presence and severity of pain and rated quality of life. Doctors: reported disease status, estimate of pain severity, and analgesic treatment ordered. RESULTS: From 30% (17/56) of outpatients to 62% (73/118) of inpatients reported pain due to HIV disease. Pain severity significantly decreased patients' quality of life. Doctors underestimated pain severity in 52% (70/135) of HIV patients reporting pain. Underestimation of pain severity was more likely for patients who reported moderate (odds ratio 24) or severe pain (165) and less likely for patients whose pain source was identified or who were perceived as more depressed. Of the patients reporting moderate or severe pain, 57% (61/107) did not receive any analgesic treatment; only 22% (23/107) received at least weak opioids. Likelihood of analgesic prescription increased when doctors estimated pain to be more severe and regarded patients as sicker. CONCLUSIONS: Pain is a common and debilitating symptom of HIV disease which is gravely underestimated and undertreated. PMID:9001475

  8. [Complex regional pain syndrome type 1 after fracture of distal phalanx: case report].

    PubMed

    Boyac?, Ahmet; Tuto?lu, Ahmet; Boyac?, Fat?ma Nuref?an; Yalç?n, ?aban

    2014-10-01

    Complex Regional Pain Syndrome (CRPS) is a disease characterized especially by pain, swelling, limited range of motion, vasomotor instability and patchy bone demineralization in the extremities. In this case, we report a 46-year-old woman diagnosed with CRPS type 1, whose complaints, such as swelling in the left hand, pain, and limitation of movement, started 2 months after a fracture of the distal phalanx in the left 4th finger. Her complaints were reduced with treatment of calcitonin, gabapentin, calcium and vitamin D3, retrograde edema massage, contrast baths, conventional TENS, pulsed ultrasound, desensitization and exercise with range of joint motion. CRPS type 1 should be considered in the differential diagnosis of upper limb pains which start after a fracture of the distal phalanx. PMID:25551816

  9. Low Back Pain and Obesity

    PubMed Central

    Ibrahimi-Kaçuri, Dafina; Murtezani, Ardiana; Rrecaj, Shkurta; Martinaj, Merita; Haxhiu, Bekim

    2015-01-01

    Introduction: Low back pain poses a significant problem in clinics and public health. It presents one of the main problems with adults, since 70-80% of adults experience it at least once in their lifetime. Causes of the low back pain are numerous and often unknown. Objectives: The aim of the study is to find the most prevalent age group, pain localisation, and the frequency of physical therapy sessions in obese and non-obese subjects with LBP. Materials and Methods: The study has been conducted by the Physical Rehabilitation Service of the Occupational Medicine Institute, during one year period. The total number of patients studied was 101 and all were Kosovo Energy Corporation (KEC) employees. The study was retrospective. Results: Looking at the body weight index, out of 101 patients, 69.3% are classified as non-obese and 30.7% as obese. Using T-Test we have found a difference of high statistical significance between the average number of the physical therapy sessions applied in relation to the examined groups (T-Test=2.78, P=0.0065, so, P<0.01). Conclusion: Obesity and age have no direct influence in back pain, but they could prolong healing. Professional occupation and binding position are factors that affect back pain. Physical workload can cause the manifestation of sciatica; whereas psycho-social factors can prolong the overall healing process. PMID:26005262

  10. 7 CFR 1924.260 - Handling manufactured housing (unit) construction complaints.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...Handling manufactured housing (unit) construction complaints. 1924.260 Section...AGRICULTURE PROGRAM REGULATIONS CONSTRUCTION AND REPAIR Complaints and Compensation for Construction Defects § 1924.260 Handling...

  11. 28 CFR 42.605 - Agency processing of complaints of employment discrimination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...Agency processing of complaints of employment discrimination. 42.605 Section...JUSTICE NONDISCRIMINATION; EQUAL EMPLOYMENT OPPORTUNITY; POLICIES AND PROCEDURES Procedures for Complaints of Employment Discrimination Filed Against...

  12. 29 CFR 1691.5 - Agency processing of complaints of employment discrimination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Agency processing of complaints of employment discrimination. 1691.5 Section...Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR COMPLAINTS OF EMPLOYMENT DISCRIMINATION FILED AGAINST...

  13. Spinal Cord Stimulation for Neuropathic Pain

    PubMed Central

    2005-01-01

    Executive Summary Objective The objective of this health technology policy assessment was to determine the effectiveness of spinal cord stimulation (SCS) to manage chronic intractable neuropathic pain and to evaluate the adverse events and Ontario-specific economic profile of this technology. Clinical Need SCS is a reversible pain therapy that uses low-voltage electrical pulses to manage chronic, intractable neuropathic pain of the trunk or limbs. Neuropathic pain begins or is caused by damage or dysfunction to the nervous system and can be difficult to manage. The prevalence of neuropathic pain has been estimated at about 1.5% of the population in the United States and 1% of the population in the United Kingdom. These prevalence rates are generalizable to Canada. Neuropathic pain is extremely difficult to manage. People with symptoms that persist for at least 6 months or who have symptoms that last longer than expected for tissue healing or resolution of an underlying disease are considered to have chronic pain. Chronic pain is an emotional, social, and economic burden for those living with it. Depression, reduced quality of life (QOL), absenteeism from work, and a lower household income are positively correlated with chronic pain. Although the actual number is unknown, a proportion of people with chronic neuropathic pain fail to obtain pain relief from pharmacological therapies despite adequate and reasonable efforts to use them. These people are said to have intractable neuropathic pain, and they are the target population for SCS. The most common indication for SCS in North America is chronic intractable neuropathic pain due to failed back surgery syndrome (FBSS), a term that describes persistent leg or back and leg pain in patients who have had back or spine surgery. Neuropathic pain due to complex regional pain syndrome (CRPS), which can develop in the distal aspect of a limb a minor injury, is another common indication. To a lesser extent, chronic intractable pain of postherpetic neuralgia, which is a persistent burning pain and hyperesthesia along the distribution of a cutaneous nerve after an attack of herpes zoster, is also managed with SCS. For each condition, SCS is considered as a pain management therapy only after conventional pain therapies, including pharmacological, nonpharmacological, and surgical treatments, if applicable, have been attempted and have failed. The Technology The SCS technology consists of 3 implantable components: a pulse generator, an extension cable, and a lead (a small wire). The pulse generator is the power source for the spinal cord stimulator. It generates low-voltage electrical pulses. The extension cable connects the pulse generator to the lead. The lead is a small, insulated wire that has a set of electrodes at one end. The lead is placed into the epidural space on the posterior aspect of the spinal cord, and the electrodes are positioned at the level of the nerve roots innervating the painful area. An electrical current from the electrodes induces a paresthesia, or a tingling sensation that masks the pain. Before SCS is initiated, candidates must have psychological testing to rule out major psychological illness, drug habituation, and issues of secondary gain that can negatively influence the success of the therapy. Successful candidates will have a SCS test stimulation period (trial period) to assess their responsiveness to SCS. The test stimulation takes about 1 week to complete, and candidates who obtain at least 50% pain relief during this period are deemed suitable to receive a permanent implantation of a spinal cord stimulator Review Strategy The Medical Advisory Secretariat (MAS) reviewed all published health technology assessments of spinal cord stimulation. Following this, a literature search was conducted from 2000 to January, 2005 and a systematic review of the literature was completed. The primary outcome for the systematic review was pain relief. Secondary outcomes included functional status and quality of life. After applying the predetermined inclusion and exclus

  14. Painfully reassuring? The effects of validation on emotions and adherence in a pain test.

    PubMed

    Linton, S J; Boersma, K; Vangronsveld, K; Fruzzetti, A

    2012-04-01

    Communicating reassurance to patients with musculoskeletal pain complaints, but no red flags, presents a dilemma of dampening worry while refraining from reinforcing undue pain behaviors. Previous research shows that reassurance does not decrease negative affect and may be perceived as not taking the symptoms seriously. Validation offers an alternative where the patient's experiences and feelings are acknowledged and has demonstrated, for other problems, a decrease in arousal which may set the stage for behavioral change. The purpose of this study was to investigate experimentally whether validation, as compared to invalidation, impacts on emotions and adherence during repeated pain tests. To this end, 50 participants were randomized to either a validation or invalidation condition. Each participant was told they would undergo four pain trials involving holding a bucket at arm's length to tolerance. During the inter-trial interval, the experimenter provided validating or invalidating responses according to the randomization. As a proxy measure of adherence subjects were asked to engage in an additional pain test. Results indicated that validation relative to invalidation resulted in significantly more positive affect and significantly less worry. Both groups had reductions in negative affect over the trials, but there were no difference between the groups on negative affect or pain. However, adherence was more than twice as high in the validation group as compared to invalidation. These results show that a relatively simple validation procedure had significant and positive effects on emotion and increased adherence. Further research should extend these findings and explore their clinical application. PMID:22396087

  15. Painful ophthalmoplegia: Overview with a focus on tolosa-hunt syndrome

    Microsoft Academic Search

    Jonathan P. Gladstone; David W. Dodick

    2004-01-01

    Painful ophthalmoplegia is an important presenting complaint to emergency departments, ophthalmologists, and neurologists.\\u000a The etiological differential diagnosis of painful ophthalmoplegia is extensive and consists of numerous sinister etiologies\\u000a including vascular (eg, aneurysm, carotid dissection, carotid-cavernous fistula), neoplasms (eg, primary intracranial tumors, local or distant metastases), inflammatory conditions (eg, orbital pseudotumor, sarcoidosis, Tolosa-Hunt syndrome), infectious etiologies (eg, fungal, mycobacterial), and other

  16. Ultrasound Detection of a Renal Mass in a Patient with Flank Pain and Hematuria

    PubMed Central

    Marzec, Karl; Mailhot, Thomas; Perera, Phillips

    2013-01-01

    Flank pain with hematuria is a common chief complaint in the emergency department (ED). Patients are often diagnosed with renal calculi or pyelonephritis and discharged with analgesics or antibiotics and follow-up. This case study describes a patient who presented to the ED with a 1 week history of flank pain and hematuria and was subsequently found to have a large renal mass on bedside ultrasound. PMID:23599845

  17. Ultrasound detection of a renal mass in a patient with flank pain and hematuria.

    PubMed

    Marzec, Karl; Mailhot, Thomas; Perera, Phillips

    2013-03-01

    Flank pain with hematuria is a common chief complaint in the emergency department (ED). Patients are often diagnosed with renal calculi or pyelonephritis and discharged with analgesics or antibiotics and follow-up. This case study describes a patient who presented to the ED with a 1 week history of flank pain and hematuria and was subsequently found to have a large renal mass on bedside ultrasound. PMID:23599845

  18. Influence of School Backpacks on Adolescent Back Pain

    Microsoft Academic Search

    David Siambanes; Jason W. Martinez; Edgar W. Butler; Thomas Haider

    2004-01-01

    Summary: In a sample of 3,498 students living in two counties in California, each student's weight and backpack load were measured. Demographic information as well as information about backpack use was obtained. Nonspecific mechanical back pain was found to be highly prevalent, and the reported severity and chronicity of pain were high. Controlling for age, socioeconomic status, walking to and

  19. Sacroiliac dysfunction in dancers with low back pain

    Microsoft Academic Search

    L. E. DeMann

    1997-01-01

    SUMMARY. Low back pain is a common occurrence in dancers. Studies have shown its prevalence to be around 12% of all dance type of injuries. It is commonly thought by health professionals who specialize in dance medicine that sacroiliac (SI) dysfunction is one of the more common causes of low back pain in dancers. The aetiology of SI dysfunction in

  20. Challenges of functional imaging research of pain in children

    Microsoft Academic Search

    Simona Sava; Alyssa A Lebel; David S Leslie; Athena Drosos; Charles Berde; Lino Becerra; David Borsook

    2009-01-01

    Functional imaging has revolutionized the neurosciences. In the pain field it has dramatically altered our understanding of how the brain undergoes significant functional, anatomical and chemical changes in patients with chronic pain. However, most studies have been performed in adults. Because functional imaging is non-invasive and can be performed in awake individuals, applications in children have become more prevalent, but

  1. Misdiagnosis of Abdominal Pain in Pregnancy: Acute Pancreatitis

    PubMed Central

    Samal, Sunita; Gupta, Shweta; Begum, Jasmina; Ghose, Seetesh

    2015-01-01

    We report a case of acute pancreatitis in a pregnant woman who presented to our emergency department with complaints of severe abdominal pain, was misdiagnosed as scar dehiscence and underwent emergency repeat caesarean section at 33 wks for fetal distress. The preterm baby developed severe respiratory distress and succumbed on the second postnatal day. Persistent severe pain in the postoperative period in the mother prompted further evaluation which led to a diagnosis of acute pancreatitis. Conservative and supportive management was instituted leading to an eventual favourable maternal outcome. PMID:25738042

  2. [Chronic pain in elderly people: psychosocial dimension].

    PubMed

    Allaz, A F; Cedraschi, C; Rentsch, D; Canuto, A

    2011-06-29

    Chronic pain in elderly people requires to take into account somatic co-morbidities as well as its psychosocial dimensions. Chronic pain often represents a distress signal addressed to the environment and the care providers. Psychological suffering or mood disorders can be presented in the form of somatic complaints often associated with functional impairments, sometimes severe. Therapeutic care has to address functionality through an image-enhancing approach aiming to summon the patients' resources. The treatment of a concomitant depressive state necessitates a true commitment from the therapist. Its benefits are documented in elderly patients. Analgesic treatment as a whole will seek in particular to restore feelings of self-esteem and help the patient recover a good quality of life. PMID:21815497

  3. Postoperative pain control.

    PubMed

    Lovich-Sapola, Jessica; Smith, Charles E; Brandt, Christopher P

    2015-04-01

    Prevention and control of postoperative pain are essential. Inadequate treatment of postoperative pain continues to be a major problem after many surgeries and leads to worse outcomes, including chronic postsurgical pain. Optimal management of postoperative pain requires an understanding of the pathophysiology of pain, methods available to reduce pain, invasiveness of the procedure, and patient factors associated with increased pain, such as anxiety, depression, catastrophizing, and neuroticism. Use of a procedure-specific, multimodal perioperative pain management provides a rational basis for enhanced postoperative pain control, optimization of analgesia, decrease in adverse effects, and improved patient satisfaction. PMID:25814108

  4. Inherited Pain

    PubMed Central

    Eberhardt, Mirjam; Nakajima, Julika; Klinger, Alexandra B.; Neacsu, Cristian; Hühne, Kathrin; O'Reilly, Andrias O.; Kist, Andreas M.; Lampe, Anne K.; Fischer, Kerstin; Gibson, Jane; Nau, Carla; Winterpacht, Andreas; Lampert, Angelika

    2014-01-01

    Inherited erythromelalgia (IEM) causes debilitating episodic neuropathic pain characterized by burning in the extremities. Inherited “paroxysmal extreme pain disorder” (PEPD) differs in its clinical picture and affects proximal body areas like the rectal, ocular, or jaw regions. Both pain syndromes have been linked to mutations in the voltage-gated sodium channel Nav1.7. Electrophysiological characterization shows that IEM-causing mutations generally enhance activation, whereas mutations leading to PEPD alter fast inactivation. Previously, an A1632E mutation of a patient with overlapping symptoms of IEM and PEPD was reported (Estacion, M., Dib-Hajj, S. D., Benke, P. J., Te Morsche, R. H., Eastman, E. M., Macala, L. J., Drenth, J. P., and Waxman, S. G. (2008) NaV1.7 Gain-of-function mutations as a continuum. A1632E displays physiological changes associated with erythromelalgia and paroxysmal extreme pain disorder mutations and produces symptoms of both disorders. J. Neurosci. 28, 11079–11088), displaying a shift of both activation and fast inactivation. Here, we characterize a new mutation of Nav1.7, A1632T, found in a patient suffering from IEM. Although transfection of A1632T in sensory neurons resulted in hyperexcitability and spontaneous firing of dorsal root ganglia (DRG) neurons, whole-cell patch clamp of transfected HEK cells revealed that Nav1.7 activation was unaltered by the A1632T mutation but that steady-state fast inactivation was shifted to more depolarized potentials. This is a characteristic normally attributed to PEPD-causing mutations. In contrast to the IEM/PEPD crossover mutation A1632E, A1632T failed to slow current decay (i.e. open-state inactivation) and did not increase resurgent currents, which have been suggested to contribute to high-frequency firing in physiological and pathological conditions. Reduced fast inactivation without increased resurgent currents induces symptoms of IEM, not PEPD, in the new Nav1.7 mutation, A1632T. Therefore, persistent and resurgent currents are likely to determine whether a mutation in Nav1.7 leads to IEM or PEPD. PMID:24311784

  5. Phantom Pain 

    E-print Network

    Valentine, A.

    as he tried to get me out from under the truck. I remember the anguish on his face when he saw that nothing was 195 "Phantom Pain" working. The wind and rain were lashing both of our faces and the water was getting higher and higher. The cell... phones wouldn't work and the wreck had totaled the truck's radio. Something was burning ... I'm not sure what... It made a surreal light around the place but all I remember was wondering how it could keep burning in ali that rain and wind and water...

  6. Descending pain modulation and chronification of pain

    PubMed Central

    Ossipov, Michael H.; Morimura, Kozo; Porreca, Frank

    2015-01-01

    Purpose of review Chronic pain is an important public health problem that negatively impacts quality of life of affected individuals and exacts an enormous socio-economic cost. Currently available therapeutics provide inadequate management of pain in many patients. Acute pain states generally resolve in most patients. However, for reasons that are poorly understood, in some individuals, acute pain can transform to a chronic state. Our understanding of the risk factors that underlie the development of chronic pain is limited. Recent studies have suggested an important contribution of dysfunction in descending pain modulatory circuits to pain ‘chronification’. Human studies provide insights into possible endogenous and exogenous factors that may promote the conversion of pain into a chronic condition. Recent findings Descending pain modulatory systems have been studied and characterized in animal models. Human brain imaging techniques, deep brain stimulation and the mechanisms of action of drugs that are effective in the treatment of pain confirm the clinical relevance of top-down pain modulatory circuits. Growing evidence supports the concept that chronic pain is associated with a dysregulation in descending pain modulation. Disruption of the balance of descending modulatory circuits to favour facilitation may promote and maintain chronic pain. Recent findings suggest that diminished descending inhibition is likely to be an important element in determining whether pain may become chronic. This view is consistent with the clinical success of drugs that enhance spinal noradrenergic activity, such as serotonin/norepinephrine reuptake inhibitors (SNRIs), in the treatment of chronic pain states. Consistent with this concept, a robust descending inhibitory system may be normally engaged to protect against the development of chronic pain. Imaging studies show that higher cortical and subcortical centres that govern emotional, motivational and cognitive processes communicate directly with descending pain modulatory circuits providing a mechanistic basis to explain how exogenous factors can influence the expression of chronic pain in a susceptible individual. Summary Preclinical studies coupled with clinical pharmacologic and neuroimaging investigations have advanced our understanding of brain circuits that modulate pain. Descending pain facilitatory and inhibitory circuits arising ultimately in the brainstem provide mechanisms that can be engaged to promote or protect against pain ‘chronification’. These systems interact with higher centres, thus providing a means through which exogenous factors can influence the risk of pain chronification. A greater understanding of the role of descending pain modulation can lead to novel therapeutic directions aimed at normalizing aberrant processes that can lead to chronic pain. PMID:24752199

  7. When Sex Is Painful

    MedlinePLUS

    How common is painful sex? Pain during intercourse is very common—nearly 3 out of 4 women have pain during intercourse at some time during ... a long-term problem. What causes pain during sex? Pain during sex may be a sign of ...

  8. Gabapentin in Pain Management

    Microsoft Academic Search

    Jianren Mao; Lucy L. Chen

    2000-01-01

    role of gabapentin in pain treatment will be discussed with an attempt to identify pain symptoms that are likely to be responsive to gabapentin; 2) animal stud- ies of gabapentin on neuropathic pain and other pain behaviors will be evaluated; and 3) possible mecha- nisms of gabapentin actions will be considered in re- lation to mechanisms of neuropathic pain in

  9. Geriatric pain competencies and knowledge assessment for nurses in long term care settings

    PubMed Central

    Swafford, Kristen L.; Miller, Lois L.; Herr, Keela; Forcucci, Chris; Kelly, Anne Marie L.; Bakerjian, Debra

    2015-01-01

    Pain in older adults is a prevalent problem that affects quality of life and challenges nurses, particularly those caring for older adults living in long term care settings. Despite the national priority of pain management, insufficient knowledge of nurses about geriatric pain is a documented barrier to effective geriatric pain management in all long term care settings. To address this knowledge gap, a website (GeriatricPain.org) was developed by the National Geriatric Pain Collaborative with a grant from the MayDay Fund to provide a single site for evidenced-based, easy-to-use, downloadable resources on pain management. This paper describes the development of the most recent addition to the website, a set of evidence-based core geriatric pain management competencies and a geriatric pain knowledge assessment, and discusses their potential uses in improving pain care for older adults. Geriatric Pain Competencies and Knowledge Assessment for Nurses in Long Term Care Settings. PMID:25037079

  10. Pelvic floor complaints in gastroenterology practice: results of a survey in the netherlands

    PubMed Central

    Nicolai, Melianthe P J; Fidder, Herma H; Bekker, Milou D; Putter, Hein; Pelger, Rob C M; Elzevier, Henk W

    2012-01-01

    Objective The pelvic floor is an integrated structure; dysfunctions may lead to a wide range of symptoms, involving voiding, defecation and sexual functioning (SF). Functional symptoms such as constipation and lower abdominal pain are often caused by pelvic floor dysfunction (PFD), and they highly impact the quality of life. Multiple specialists are responsible for a specific part of the pelvic floor, but its treatment asks for a holistic approach. The authors are still unaware of gastroenterologists' knowledge on PFD or whether they are addressing pelvic floor complaints in their daily practice. Design A 42-itemed anonymous questionnaire was mailed to all 402 members of the Dutch Society of Gastroenterology (gastroenterologists and residents-in-training). Results 169 (42%) questionnaires were analysed. Most gastroenterologists address lower urinary tract symptoms in their history-taking, 92% in female patients and 84% in male patients. When patients indicate irritable bowel syndrome-like complaints, more than 60% of the physicians inquire about SF to their female patients, compared with 38% inquiries to male patients (p<0.001). A reason not to inquire about SF is a lack of knowledge about female and male sexuality (19% and 23%, respectively). Forty-six per cent of the respondents regard it rather important to receive more training on PFD in male patients versus 61% in female patients. Conclusion Awareness of PFD is not yet routinely integrated into the history taken by gastroenterologists. PMID:24124626

  11. Managing Chronic Pain in People with Learning Disabilities: A Case Study

    ERIC Educational Resources Information Center

    Lewis, Sarah; Bell, Dorothy; Gillanders, David

    2007-01-01

    Chronic pain is a prevalent, under-diagnosed problem in the learning disability population. This is in part due to communication problems, unrecognized pain behaviours and the effects of medication. As a consequence, chronic pain often goes untreated and causes ongoing distress. This paper initially describes the main research that has been…

  12. Stages of chronicity in fibromyalgia and pain catastrophising: a cross-sectional study

    Microsoft Academic Search

    Baltasar Rodero; Benigno Casanueva; Javier García-Campayo; Miquel Roca; Rosa Magallón; Yolanda López del Hoyo

    2010-01-01

    BACKGROUND: Fibromyalgia (FM) is a prevalent and disabling disorder characterised by widespread pain and other symptoms such as insomnia, fatigue and depression. Catastrophisation is considered to be a key clinical symptom in FM; however, few studies have investigated how contextual factors, such as catastrophisation, might contribute to the duration of the pain. The present research examined the relationship among pain,

  13. DSM–IV pain disorder in the general population

    Microsoft Academic Search

    Christine Fröhlich; Frank Jacobi; Hans-Ulrich Wittchen

    2006-01-01

    Background  Despite an abundance of questionnaire data, the prevalence of clinically significant and medically unexplained pain syndromes\\u000a in the general population has rarely been examined with a rigid personal–interview methodology.\\u000a \\u000a \\u000a \\u000a Objective  To examine the prevalence of pain syndromes and DSM–IV pain disorder in the general population and the association with other\\u000a mental disorders, as well as effects on disability and health–care utilization.

  14. What Is Chronic Pain?

    MedlinePLUS Videos and Cool Tools

    ... Pain Management Programs Videos Resources Glossary FAQs Surveys September is Pain Awareness Month Partners for Understanding Pain ... range of individual contributors. Last Updated: 6/26/2015 We comply with the HONcode standard for trustworthy ...

  15. Pain medications - narcotics

    MedlinePLUS

    Narcotics (also called opioid pain relievers) are used only for pain that is severe and is not ... these drugs can be effective at reducing pain. Narcotics work by binding to receptors in the brain, ...

  16. American Chronic Pain Association

    MedlinePLUS

    ... 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 Surveys September is ...

  17. Palliative care - managing pain

    MedlinePLUS

    End of life - pain management; Hospice - pain management ... or if you have side effects from your pain treatments. ... Bookbinder M, McHugh ME. Symptom management in palliative care and ... Medicine . 1st ed. Philadelphia, PA: Elsevier Saunders; 2008:chap ...

  18. Chronic Pelvic Pain

    MedlinePLUS

    ... in relieving pelvic pain, especially dysmenorrhea . • Physical therapy—Acupuncture, acupressure, and nerve stimulation therapies may be useful in treating pain caused by dysmenorrhea. Physical therapy that eases trigger points may give relief of muscular pain. Some types ...

  19. What Is Back Pain?

    MedlinePLUS

    ... some types of treatments for chronic back pain. Hot or Cold Packs (or Both) Hot or cold packs can soothe sore, stiff backs. ... helps reduce swelling and numbs deep pain. Using hot or cold packs may relieve pain, but this ...

  20. Central poststroke pain: somatosensory abnormalities and the presence of associated myofascial pain syndrome

    PubMed Central

    2012-01-01

    Background Central post-stroke pain (CPSP) is a neuropathic pain syndrome associated with somatosensory abnormalities due to central nervous system lesion following a cerebrovascular insult. Post-stroke pain (PSP) refers to a broader range of clinical conditions leading to pain after stroke, but not restricted to CPSP, including other types of pain such as myofascial pain syndrome (MPS), painful shoulder, lumbar and dorsal pain, complex regional pain syndrome, and spasticity-related pain. Despite its recognition as part of the general PSP diagnostic possibilities, the prevalence of MPS has never been characterized in patients with CPSP patients. We performed a cross-sectional standardized clinical and radiological evaluation of patients with definite CPSP in order to assess the presence of other non-neuropathic pain syndromes, and in particular, the role of myofascial pain syndrome in these patients. Methods CPSP patients underwent a standardized sensory and motor neurological evaluation, and were classified according to stroke mechanism, neurological deficits, presence and profile of MPS. The Visual Analogic Scale (VAS), McGill Pain Questionnaire (MPQ), and Beck Depression Scale (BDS) were filled out by all participants. Results Forty CPSP patients were included. Thirty-six (90.0%) had one single ischemic stroke. Pain presented during the first three months after stroke in 75.0%. Median pain intensity was 10 (5 to 10). There was no difference in pain intensity among the different lesion site groups. Neuropathic pain was continuous-ongoing in 34 (85.0%) patients and intermittent in the remainder. Burning was the most common descriptor (70%). Main aggravating factors were contact to cold (62.5%). Thermo-sensory abnormalities were universal. MPS was diagnosed in 27 (67.5%) patients and was more common in the supratentorial extra-thalamic group (P <0.001). No significant differences were observed among the different stroke location groups and pain questionnaires and scales scores. Importantly, CPSP patients with and without MPS did not differ in pain intensity (VAS), MPQ or BDS scores. Conclusions The presence of MPS is not an exception after stroke and may present in association with CPSP as a common comorbid condition. Further studies are necessary to clarify the role of MPS in CPSP. PMID:22966989

  1. 32 CFR 1908.04 - Suggestions and complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...declassification review program established under Executive Order 12958. Many requesters will receive pre-paid, customer satisfaction survey cards. Letters of suggestion or complaint should identify the specific purpose and the issues for...

  2. 45 CFR 672.7 - Issuance of complaint.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING...misrepresented or inaccurately described any material fact in the permit application or...respondent's right to request a hearing on any material fact contained in the complaint,...

  3. 45 CFR 672.8 - Answer to the complaint.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING... Where respondent (1) contests any material fact upon which the complaint...respondent to admit, deny, or explain any material factual allegation contained in the...

  4. 45 CFR 672.7 - Issuance of complaint.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING...misrepresented or inaccurately described any material fact in the permit application or...respondent's right to request a hearing on any material fact contained in the complaint,...

  5. 45 CFR 672.8 - Answer to the complaint.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING... Where respondent (1) contests any material fact upon which the complaint...respondent to admit, deny, or explain any material factual allegation contained in the...

  6. 45 CFR 672.7 - Issuance of complaint.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING...misrepresented or inaccurately described any material fact in the permit application or...respondent's right to request a hearing on any material fact contained in the complaint,...

  7. 45 CFR 672.7 - Issuance of complaint.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING...misrepresented or inaccurately described any material fact in the permit application or...respondent's right to request a hearing on any material fact contained in the complaint,...

  8. 45 CFR 672.8 - Answer to the complaint.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING... Where respondent (1) contests any material fact upon which the complaint...respondent to admit, deny, or explain any material factual allegation contained in the...

  9. 45 CFR 672.8 - Answer to the complaint.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING... Where respondent (1) contests any material fact upon which the complaint...respondent to admit, deny, or explain any material factual allegation contained in the...

  10. 45 CFR 672.7 - Issuance of complaint.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING...misrepresented or inaccurately described any material fact in the permit application or...respondent's right to request a hearing on any material fact contained in the complaint,...

  11. 45 CFR 672.8 - Answer to the complaint.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT AND HEARING... Where respondent (1) contests any material fact upon which the complaint...respondent to admit, deny, or explain any material factual allegation contained in the...

  12. 6 CFR 13.6 - Prerequisites for issuing a Complaint.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    6 Domestic Security 1 2010-01-01 2010-01-01...Complaint. 13.6 Section 13.6 Domestic Security DEPARTMENT OF HOMELAND SECURITY...simultaneously as part of a single request, demand, or submission. (c) Nothing...

  13. Student Complaint Information by State and Agency December 2012

    E-print Network

    of Postsecondary Education Office of Private School Licensing Division http, Little Rock, AR 72201. The grievant must provide a statement from the institution verifying, we always suggest they first seek to resolve the problem by following the school's complaint process

  14. 32 CFR 1656.17 - Administrative complaint process.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...concerned to obtain information relevant to the problems or complaints; (2) Place a written summary...within ten days after the interview their personal written statements concerning the problem; (4) Place such statements in the...

  15. 32 CFR 1656.17 - Administrative complaint process.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...concerned to obtain information relevant to the problems or complaints; (2) Place a written summary...within ten days after the interview their personal written statements concerning the problem; (4) Place such statements in the...

  16. 47 CFR 1.1409 - Commission consideration of the complaint.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...GENERAL PRACTICE AND PROCEDURE Pole Attachment Complaint Procedures § 1.1409 ...the additional costs of providing pole attachments, nor more than an amount determined...capacity, which is occupied by the pole attachment by the sum of the operating...

  17. 40 CFR 51.212 - Testing, inspection, enforcement, and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...51.212 Testing, inspection, enforcement, and complaints. The plan must provide for— (a) Periodic testing and inspection of stationary sources... (c) Enforceable test methods for each emission limit specified in the plan. For the...

  18. 29 CFR 1982.103 - Filing of retaliation complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...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,...

  19. 29 CFR 1982.103 - Filing of retaliation complaints.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...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,...

  20. 29 CFR 1982.103 - Filing of retaliation complaints.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...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,...

  1. 29 CFR 1982.103 - Filing of retaliation complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...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,...

  2. 32 CFR 1908.04 - Suggestions and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...declassification review program established under Executive Order 12958. Many requesters will receive pre-paid, customer satisfaction survey cards. Letters of suggestion or complaint should identify the specific purpose and the issues for...

  3. 29 CFR 1903.11 - Complaints by employees.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...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...

  4. 29 CFR 1903.11 - Complaints by employees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...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...

  5. 29 CFR 1903.11 - Complaints by employees.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...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...

  6. 29 CFR 1903.11 - Complaints by employees.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...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...

  7. 29 CFR 1903.11 - Complaints by employees.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...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...

  8. 42 CFR 3.306 - Complaints to the Secretary.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...HUMAN SERVICES GENERAL PROVISIONS PATIENT SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3.306 ...complaint . A person who believes that patient safety work product has been disclosed in violation...

  9. 42 CFR 3.306 - Complaints to the Secretary.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...HUMAN SERVICES GENERAL PROVISIONS PATIENT SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement Program § 3.306 ...complaint . A person who believes that patient safety work product has been disclosed in violation...

  10. 24 CFR 7.25 - Pre-complaint processing.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...Development EQUAL EMPLOYMENT OPPORTUNITY; POLICY, PROCEDURES AND PROGRAMS Equal Employment Opportunity Without Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Pre-Complaint Processing § 7.25...

  11. 24 CFR 7.25 - Pre-complaint processing.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...Development EQUAL EMPLOYMENT OPPORTUNITY; POLICY, PROCEDURES AND PROGRAMS Equal Employment Opportunity Without Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Pre-Complaint Processing § 7.25...

  12. 24 CFR 7.25 - Pre-complaint processing.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...Development EQUAL EMPLOYMENT OPPORTUNITY; POLICY, PROCEDURES AND PROGRAMS Equal Employment Opportunity Without Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Pre-Complaint Processing § 7.25...

  13. 24 CFR 7.30 - Presentation of complaint.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...Development EQUAL EMPLOYMENT OPPORTUNITY; POLICY, PROCEDURES AND PROGRAMS Equal Employment Opportunity Without Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Complaints § 7.30 Presentation of...

  14. 24 CFR 7.30 - Presentation of complaint.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...Development EQUAL EMPLOYMENT OPPORTUNITY; POLICY, PROCEDURES AND PROGRAMS Equal Employment Opportunity Without Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Complaints § 7.30 Presentation of...

  15. 24 CFR 7.30 - Presentation of complaint.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...Development EQUAL EMPLOYMENT OPPORTUNITY; POLICY, PROCEDURES AND PROGRAMS Equal Employment Opportunity Without Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Complaints § 7.30 Presentation of...

  16. 24 CFR 7.25 - Pre-complaint processing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...Development EQUAL EMPLOYMENT OPPORTUNITY; POLICY, PROCEDURES AND PROGRAMS Equal Employment Opportunity Without Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Pre-Complaint Processing § 7.25...

  17. 24 CFR 7.30 - Presentation of complaint.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...Development EQUAL EMPLOYMENT OPPORTUNITY; POLICY, PROCEDURES AND PROGRAMS Equal Employment Opportunity Without Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Complaints § 7.30 Presentation of...

  18. 24 CFR 7.30 - Presentation of complaint.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...Development EQUAL EMPLOYMENT OPPORTUNITY; POLICY, PROCEDURES AND PROGRAMS Equal Employment Opportunity Without Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Complaints § 7.30 Presentation of...

  19. 24 CFR 7.25 - Pre-complaint processing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...Development EQUAL EMPLOYMENT OPPORTUNITY; POLICY, PROCEDURES AND PROGRAMS Equal Employment Opportunity Without Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Pre-Complaint Processing § 7.25...

  20. 47 CFR 1.721 - Format and content of complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...Accelerated Docket shall fully set out the facts and legal theories on which the complainant premises its claims. ...of the requirement for staff-supervised settlement negotiations in § 1.730(b), complaints on the...

  1. 34 CFR 98.8 - Notice of the complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 98.8 Section 98.8 Education Office of the Secretary, Department of Education STUDENT RIGHTS IN RESEARCH, EXPERIMENTAL PROGRAMS, AND TESTING § 98.8 Notice of the complaint. (a) If the Office receives a...

  2. 34 CFR 98.8 - Notice of the complaint.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 98.8 Section 98.8 Education Office of the Secretary, Department of Education STUDENT RIGHTS IN RESEARCH, EXPERIMENTAL PROGRAMS, AND TESTING § 98.8 Notice of the complaint. (a) If the Office receives a...

  3. 22 CFR 172.2 - Service of summonses and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...2010-04-01 2010-04-01 false Service of summonses and complaints. 172... DEPARTMENT OF STATE ACCESS TO INFORMATION SERVICE OF PROCESS; PRODUCTION OR DISCLOSURE OF OFFICIAL INFORMATION IN RESPONSE TO COURT...

  4. 42 CFR 476.130 - Beneficiary complaint review procedures.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...2013-10-01 2013-10-01 false Beneficiary complaint review procedures. 476.130 Section 476.130 Public...IMPROVEMENT ORGANIZATIONS UTILIZATION AND QUALITY CONTROL REVIEW Review Responsibilities of Utilization and Quality...

  5. 42 CFR 476.130 - Beneficiary complaint review procedures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...2014-10-01 2014-10-01 false Beneficiary complaint review procedures. 476.130 Section 476.130 Public...IMPROVEMENT ORGANIZATIONS QUALITY IMPROVEMENT ORGANIZATION REVIEW Review Responsibilities of Quality Improvement...

  6. 32 CFR 806b.4 - Privacy Act complaints.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION PRIVACY ACT PROGRAM Overview...complaints filed in a U.S. District Court against the Air Force, an Air Force activity, or any Air Force employee, Air Force...

  7. 32 CFR 806b.4 - Privacy Act complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION PRIVACY ACT PROGRAM Overview...complaints filed in a U.S. District Court against the Air Force, an Air Force activity, or any Air Force employee, Air Force...

  8. 32 CFR 806b.4 - Privacy Act complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION PRIVACY ACT PROGRAM Overview...complaints filed in a U.S. District Court against the Air Force, an Air Force activity, or any Air Force employee, Air Force...

  9. 32 CFR 806b.4 - Privacy Act complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION PRIVACY ACT PROGRAM Overview...complaints filed in a U.S. District Court against the Air Force, an Air Force activity, or any Air Force employee, Air Force...

  10. 47 CFR 7.17 - Informal complaints; form and content.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...content. 7.17 Section 7.17 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.17 Informal complaints; form and...

  11. 47 CFR 7.17 - Informal complaints; form and content.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...content. 7.17 Section 7.17 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.17 Informal complaints; form and...

  12. 47 CFR 7.16 - Informal or formal complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...complaints. 7.16 Section 7.16 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.16 Informal or formal...

  13. 47 CFR 7.16 - Informal or formal complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...complaints. 7.16 Section 7.16 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.16 Informal or formal...

  14. 47 CFR 7.19 - Answers to informal complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...complaints. 7.19 Section 7.19 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.19 Answers to informal...

  15. 47 CFR 7.17 - Informal complaints; form and content.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...content. 7.17 Section 7.17 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.17 Informal complaints; form and...

  16. 47 CFR 7.19 - Answers to informal complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...complaints. 7.19 Section 7.19 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.19 Answers to informal...

  17. 47 CFR 7.16 - Informal or formal complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...complaints. 7.16 Section 7.16 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.16 Informal or formal...

  18. 47 CFR 7.17 - Informal complaints; form and content.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...content. 7.17 Section 7.17 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.17 Informal complaints; form and...

  19. Pain and Alzheimer's disease.

    PubMed

    Pickering, G; Eschalier, A; Dubray, C

    2000-01-01

    Literature on pain management in Alzheimer's disease is slowly emerging and this review deals with different aspects of pain in this growing population. Clinical pain, experimental pain and assessment of pain in cognitively impaired patients are presented. Treatment of pain is also discussed. This review calls for more studies and clinical trials with a view to improve the comfort and quality of life of patients suffering from Alzheimer's disease. PMID:10965178

  20. Preventing and responding to complaints of sexual harassment in an academic health center: a 10-year review from the Medical University of South Carolina.

    PubMed

    Best, Connie L; Smith, Daniel W; Raymond, John R; Greenberg, Raymond S; Crouch, Rosalie K

    2010-04-01

    There is a high incidence of sexual harassment and gender discrimination in academic health center (AHC) settings according to multiple surveys of medical students. Therefore, it is incumbent on AHCs to develop programs both to educate faculty, residents, and students and to handle complaints of possible episodes of sexual harassment or gender discrimination. Despite the apparent high prevalence of gender discrimination and sexual harassment, and the importance of handling complaints of gender discrimination and sexual harassment in a prompt, consistent, and rational manner, there are few descriptions of programs that address those concerns in AHCs.Herein, the authors describe their experiences in dealing with complaints of sexual harassment and gender discrimination for a 10-year period of time (late 1997 to early 2007) at the Medical University of South Carolina, through an Office of Gender Equity. They describe their complaint process, components of their prevention training, and the outcomes of 115 complaints. Key elements of their policies are highlighted. The authors offer an approach that could serve as a model for other AHCs. PMID:20354396

  1. Challenges of functional imaging research of pain in children

    PubMed Central

    Sava, Simona; Lebel, Alyssa A; Leslie, David S; Drosos, Athena; Berde, Charles; Becerra, Lino; Borsook, David

    2009-01-01

    Functional imaging has revolutionized the neurosciences. In the pain field it has dramatically altered our understanding of how the brain undergoes significant functional, anatomical and chemical changes in patients with chronic pain. However, most studies have been performed in adults. Because functional imaging is non-invasive and can be performed in awake individuals, applications in children have become more prevalent, but only recently in the pain field. Measures of changes in the brains of children have important implications in understanding neural plasticity in response to acute and chronic pain in the developing brain. Such findings may have implications for treatments in children affected by chronic pain and provide novel insights into chronic pain syndromes in adults. In this review we summarize this potential and discuss specific concerns related to the imaging of pain in children. PMID:19531255

  2. 20 CFR 658.415 - Transferring complaints to proper JS office.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...2010-04-01 false Transferring complaints to proper JS office. 658.415 Section 658...658.415 Transferring complaints to proper JS office. (a) Where a JS-related complaint deals with an employer, the proper office to handle the complaint...

  3. 20 CFR 658.415 - Transferring complaints to proper JS office.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...2011-04-01 false Transferring complaints to proper JS office. 658.415 Section 658...658.415 Transferring complaints to proper JS office. (a) Where a JS-related complaint deals with an employer, the proper office to handle the complaint...

  4. Marital Complaints, Demographic Characteristics, and Symptoms of Mental Distress in Divorce.

    ERIC Educational Resources Information Center

    Kitson, Gay C.; Sussman, Marvin B.

    1982-01-01

    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)

  5. 45 CFR 681.6 - When may NSF issue a complaint?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 2010-10-01 2010-10-01 false When may NSF issue a complaint? 681.6 Section 681.6 Public...Leading to Issuance of A Complaint § 681.6 When may NSF issue a complaint? NSF may issue a complaint: (a) If the Attorney...

  6. 45 CFR 681.6 - When may NSF issue a complaint?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 2012-10-01 2012-10-01 false When may NSF issue a complaint? 681.6 Section 681.6 Public...Leading to Issuance of A Complaint § 681.6 When may NSF issue a complaint? NSF may issue a complaint: (a) If the Attorney...

  7. 45 CFR 681.6 - When may NSF issue a complaint?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 2013-10-01 2013-10-01 false When may NSF issue a complaint? 681.6 Section 681.6 Public...Leading to Issuance of A Complaint § 681.6 When may NSF issue a complaint? NSF may issue a complaint: (a) If the Attorney...

  8. 45 CFR 681.6 - When may NSF issue a complaint?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 2014-10-01 2014-10-01 false When may NSF issue a complaint? 681.6 Section 681.6 Public...Leading to Issuance of A Complaint § 681.6 When may NSF issue a complaint? NSF may issue a complaint: (a) If the Attorney...

  9. 45 CFR 681.6 - When may NSF issue a complaint?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 2011-10-01 2011-10-01 false When may NSF issue a complaint? 681.6 Section 681.6 Public...Leading to Issuance of A Complaint § 681.6 When may NSF issue a complaint? NSF may issue a complaint: (a) If the Attorney...

  10. 30 CFR 291.106 - How do I file a complaint?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...2011-07-01 false How do I file a complaint? 291...BUREAU OF OCEAN ENERGY MANAGEMENT, REGULATION, AND ENFORCEMENT...file a complaint? To file a complaint under this part, you must: (a) File your complaint with the Director, Minerals Management Service at the...

  11. 30 CFR 291.106 - How do I file a complaint?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...2010-07-01 false How do I file a complaint? 291...Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT...file a complaint? To file a complaint under this part, you must: (a) File your complaint with the Director, Minerals Management Service at the...

  12. Headache and Pain in Guillain-Barré Syndrome.

    PubMed

    Farmakidis, Constantine; Inan, Seniha; Milstein, Mark; Herskovitz, Steven

    2015-08-01

    While moderate and severe back or extremity pain is frequent in Guillain-Barré syndrome (GBS), headache appears to be uncommon. Most of the reports of headache in GBS place it in the context of the posterior reversible encephalopathy syndrome (PRES) which is increasingly recognized as a likely dysautonomia-related GBS complication. There are also a few reports of headache in the setting of increased CSF pressure and papilledema and in association with the Miller Fisher GBS variant. In comparison, back and extremity pain is highly prevalent. Aching muscle pain and neuropathic pain are the two most common of several pain types. Pain may be a heralding feature and has been described in patients as long as 2 years after disease onset. Pain management is a major axis of treatment in GBS. Gabapentin is a reasonable first-line choice, and opioid medications can be added for more severe pain but there are few clinical trials to inform specific recommendations. While the understanding of pain pathophysiology in GBS is incomplete, its prevalence and clinical impact are increasingly recognized and studied. Pain should be considered a cardinal manifestation of GBS along with acute, mostly symmetric weakness and diminished reflexes. PMID:26122532

  13. Mechanisms of association between obesity and chronic pain in the elderly

    PubMed Central

    Ray, Lhasa; Lipton, Richard B.; Zimmerman, Molly E.; Katz, Mindy J.; Derby, Carol A.

    2010-01-01

    Chronic pain is more common in the elderly and impairs functioning and quality of life. Though obesity, defined by body mass index (BMI), has been associated with pain prevalence among older adults, the mechanism of this association remains unclear. We examined components of the metabolic syndrome, insulin resistance, a marker of inflammation, and the presence of painful comorbidities as possible mediators of this association. Participants were 407 individuals age • 70 in the Einstein Aging Study. Chronic pain and pain over the last 3 months were defined using the Total Pain Index (TPI). Insulin resistance was modeled as fasting insulin, HOMA and QUICKI. High sensitivity C-reactive protein was used as a marker of inflammation. Cross-sectional logistic regression models were constructed to assess the associations of these factors with prevalent pain, adjusted for other known pain correlates. Prevalence of chronic pain was 52%. Of the clinical components of metabolic syndrome, central obesity was significantly associated with pain (OR 2.03, 95% CI 1.36-3.01). After adjustment for insulin resistance, inflammation, and pain-related comorbidities, central obesity predicted higher TPI scores (OR 1.55, 95% CI 1.04-2.33) and nearly doubled the risk of chronic pain (OR 1.70, 95% CI 1.05-2.75). Central obesity is the metabolic syndrome component showing the strongest independent association with pain, and the relationship is not explained by markers of insulin resistance or inflammation, nor by the presence of osteoarthritis or neuropathy. PMID:20926190

  14. Quality pain management practices in a university hospital.

    PubMed

    Zoëga, Sigridur; Ward, Sandra E; Sigurdsson, Gisli H; Aspelund, Thor; Sveinsdottir, Herdis; Gunnarsdottir, Sigridur

    2015-06-01

    Despite available guidelines and efforts to improve pain management, pain remains prevalent in hospitals. The aim of this study was to explore whether pain management practices in a university hospital were in line with guidelines on acute, geriatric, and cancer pain. This was a descriptive, correlational, and point-prevalence study conducted at a university hospital with 282 adults, who were hospitalized for 24 hours and were alert and able to participate. Patient self-report data were collected with the American Pain Society questionnaire and pain management data were collected from medical records. Adequacy of treatment was measured with the Pain Management Index, calculated for prescribed and administered treatments. The mean age of participants was 68.9 years (SD = 17; range 18-100); 49% were women; and 72% were on medical services. Pain assessment was documented for 57% of patients, of those, 27% had pain severity documented with a standardized scale. Most patients (85%) were prescribed analgesics and multimodal therapy was prescribed for 60%. Prescribed treatment was adequate for 78% of patients, whereas 64% were administered adequate treatment. The odds of receiving adequate treatment were higher (odds ratio, 3.44; 95% confidence interval, 1.38-8.60) when pain severity was documented. Nonpharmacologic methods were used by 34% of patients. Although the majority of patients had an analgesic prescription, many did not receive adequate treatment. The use of pain severity scales was associated with the provision of more adequate pain treatment. To provide quality pain management, pain assessment needs to be improved and available treatments used to meet patient needs. PMID:25439117

  15. Diagnosis and Treatment of Low Back Pain in the Pediatric Population

    PubMed Central

    Taxter, Alysha J.; Chauvin, Nancy A.; Weiss, Pamela F.

    2014-01-01

    Back pain in the pediatric population is a common complaint presenting to sports medicine clinic. There is a wide differential that should be considered, including mechanical, infectious, neoplastic, inflammatory, and amplified musculoskeletal pain. The history, pain quality, and examination are key components to help distinguish the etiologies of the pain and direct further evaluation. Laboratory investigations, including blood counts and inflammatory markers, can provide insight into the diagnosis. The HLA-B27 antigen can be helpful if a spondyloarthropathy is suspected. Imaging as clinically indicated typically begins with radiographs, and the use of MRI, CT, or bone scan can provide additional information. Proper diagnosis of back pain is important because prognosis and treatments are significantly different. This paper will review the pertinent evaluation, differential diagnoses, and treatment of low back pain in the pediatric population. PMID:24565826

  16. Developing Effective Cancer Pain Education Programs

    PubMed Central

    Pisu, Maria; Kvale, Elizabeth A.; Johns, Shelley A.

    2013-01-01

    Pain is prevalent, burdensome, and undertreated in individuals with cancer across the disease trajectory. Providing patients and family caregivers psychosocial support and education to manage cancer pain is a core component of quality care that can result in significant clinical benefit. In this review, we (1) outline an approach for developing and assessing the effectiveness of education programs for adults with cancer pain; (2) discuss considerations for tailoring programs to the needs of diverse populations and those with limited health literacy skills; (3) describe the resource needs and costs of developing a program; and (4) highlight innovative approaches to cancer pain education. We conclude with recommendations for future research and the next generation of educational interventions. PMID:22644901

  17. Prevalence of MRI-detected mediopatellar plica in subjects with knee pain and the association with MRI-detected patellofemoral cartilage damage and bone marrow lesions: data from the Joints On Glucosamine study

    PubMed Central

    2013-01-01

    Background The mediopatellar plica is a synovial fold representing an embryonic remnant from the developmental process of the synovial cavity formation in the knee. We aimed to examine the frequency of MRI-detected mediopatellar plica and its cross-sectional association with MRI-detected cartilage damage and bone marrow lesions (BMLs) in the patellofemoral joint (PFJ) in a cohort of subjects with knee pain. Methods 342 knees with chronic frequent knee pain were evaluated for MRI-detected mediopatellar plica (type A, B or C according to the modified Sakakibara classification). Cartilage damage (scored 0 to 6) and BMLs (scored 0 to 3) were semiquantitatively assessed in four subregions of the PFJ on MRI. Hoffa-synovitis and effusion-synovitis were graded 0 to 3. Patellar length ratio (PLR), lateral patellar tilt angle (LPTA), bisect offset (BO), and sulcus angle (SA) were measured on MRI. The presence of mediopatellar plica and its association with cartilage damage and BMLs in the PFJ was assessed using logistic regression after adjusting for age, gender, body mass index, PLR, LPTA, BO, SA, and Hoffa- and effusion-synovitis. Results 163 (47.7%) knees exhibited mediopatellar plica (76 (22.2%) type A, 69 (20.2%) type B, and 18 (5.3%) type C) on MRI. Significant cross-sectional associations of MRI-detected mediopatellar plica and cartilage damage were observed for the medial patella (adjusted odds ratio (aOR) 2.12, 95% CI 1.23-3.64 for all types combined, and aOR 4.20, 95% CI 1.92-9.19 for type B lesion), but not for the anterior medial femur or the lateral PFJ. No associations were found between the presence of MRI-detected mediopatellar plica and BMLs in any patellofemoral subregion. Conclusion On MRI, types A and B mediopatellar plicae were commonly observed in this cohort of subjects with knee pain. MRI-detected mediopatellar plica was cross-sectionally associated with higher likelihood of the presence of MRI-detected medial patellar cartilage damage after adjustment for confounders. PMID:24119160

  18. Mechanical pain sensitivity and the severity of chronic neck pain and disability are not modulated across the menstrual cycle

    PubMed Central

    Balter, JE; Molner, JL; Kohrt, WM; Maluf, KS

    2013-01-01

    Despite the high prevalence of neck pain among women, menstrual effects on regional pain outcomes have not been investigated in this clinical population. This study evaluated menstrual effects on mechanical pain sensitivity (Pressure Pain Threshold; PPT), neck pain intensity (Numeric Pain Rating Scale; NPRS) and neck-related disability (Neck Disability Index; NDI) in 22 normally menstruating (NM) and 17 hormonal contraceptive (HC) users with chronic neck pain. Sex hormones, PPT, and NDI were measured during the early follicular (F1), late follicular (F2), and luteal (L) menstrual phases. Daily NPRS scores were recorded in an online symptom diary and averaged within each phase. Estradiol and progesterone increased only for NM women in F2 and L, respectively. Phase effects on PPT (?2=0.003), NDI (?2=0.003), and NPRS (?2=0.016) for NM women were small, and did not differ from the HC group (p?0.386). Averaged across the menstrual cycle, PPT scores explained 29% of the variance in NPRS scores for NM women, but were not associated with NDI scores in either group. Results indicate that that magnitude of menstrual effects on mechanical pain sensitivity, and the severity of neck pain and disability do not exceed thresholds of clinically detectable change in women with chronic neck pain. PERSPECTIVE Fluctuations in evoked and clinical pain outcomes across the menstrual cycle do not appear to be of sufficient magnitude to impact clinical decision-making for women with chronic neck pain. PMID:24021578

  19. Correlates of memory complaints and personality, depression,and anxiety in a memory clinic.

    PubMed

    Arbabi, Mohammad; Zhand, Naista; Eybpoosh, Sana; Yazdi, Narges; Ansari, Sahar; Ramezani, Marjan

    2015-05-01

    The aim of the study was to find whether there is an association between subjective memory complaint and memory impairment and probable underlying psychological conditions. A total of 90 patients with subjective memory complaint enrolled in this study. Short history and demographic information were obtained and then the patients underwent memory and mental health assessments, using Wechsler Memory Scale (WMS), Hospital Anxiety and Depression Scale (HADS) and Minnesota Multiphasic Personality Inventory (MMPI) test tools. The mean age of the participants was 52.31 ± 17.97. Forty patients out of 90 (44.4%) were male. The prevalence of depression, anxiety and memory impairment was 10%, 12.2%, and 28.8%, respectively. Memory impairment has only shown a significant association with the presence of anxiety disorder according to the HADS findings (P=0.001). Regarding the MMPI, considerable differences were observed in the average grade of hysteria among patients with and without memory impairment: 8.38 ± 2.27 vs. 4.35 ± 1.96. There was also significant statistical association between the average score of depression on the MMPI in patients with and without memory impairment that were 13.7 ± 3.33 and 8.31 ±3.86, (P=0.03). The result of the current study shows that underlying psychological conditions such as anxiety, depression, and histrionic personality are associated with memory impairment. PMID:26024700

  20. Defining Racial and Ethnic Disparities in Pain Management

    Microsoft Academic Search

    Jana M. Mossey

    2011-01-01

    Background  Substantial pain prevalence is as high as 40% in community populations. There is consistent evidence that racial\\/ethnic minority\\u000a individuals are overrepresented among those who experience such pain and whose pain management is inadequate.\\u000a \\u000a \\u000a \\u000a \\u000a Questions\\/purposes  The objectives of this paper are to (1) define parameters of and summarize evidence pertinent to racial\\/ethnic minority disparities\\u000a in pain management, (2) identify factors contributing to