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1

The high prevalence of pain in emergency medical care  

Microsoft Academic Search

Although there is a widely held belief that pain is the number 1 complaint in emergency medical care, few studies have actually assessed the prevalence of pain in the emergency department (ED). We conducted an analysis of secondary data by using explicit data abstraction rules to determine the prevalence of pain in the ED and to classify the location, origin,

William H. Cordell; Kelly K. Keene; Beverly K. Giles; James B. Jones; James H. Jones; Edward J. Brizendine

2002-01-01

2

The prevalence of musculoskeletal pain and fibromyalgia in patients hospitalized on internal medicine wards  

Microsoft Academic Search

Objectives: To estimate the prevalence of nonarticular pain complaints (chronic widespread pain, chronic localized pain, transient pain) and fibromyalgia in hospitalized patients and to study utilization patterns of health services associated with pain related problems. Methods: Five hundred twenty-two patients hospitalized on internal medicine wards were enrolled. Data were collected with a questionnaire covering demographic background, information on pain and

Dan Buskila; Lily Neumann; Lisa R. Odes; Elena Schleifer; Roman Depsames; Mahmoud Abu-Shakra

2001-01-01

3

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

PubMed

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

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

2014-01-01

4

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

PubMed Central

Objective The purpose of this case study is to describe the clinical presentation of a patient with a chief complaint of low back and leg pain with no prior diagnosis of lung cancer. Clinical Features A 48-year-old man with a history of back pain presented to a chiropractic office with a complaint of low back and left leg pain. Intervention and Outcome Abnormal examination and radiographic findings were discovered. The patient was immediately referred to the pulmonologist for co-management. Through the use of advanced imaging and biopsy, stage 4 lung cancer was diagnosed. Conclusion Low back pain recurrence in an established patient should constitute a reevaluation of the problem. The cause cannot be assumed to be musculoskeletal in origin even though this may have been the case with the initial complaint. Metastatic disease should be considered with any type of recurrent low back pain. PMID:22014908

Crisp, Casey A.; Pierce, Angela N.

2011-01-01

5

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

NASA Astrophysics Data System (ADS)

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

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

2007-05-01

6

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

ERIC Educational Resources Information Center

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 =…

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

2014-01-01

7

Pain complaints in patients with fibromyalgia versus chronic fatigue syndrome  

Microsoft Academic Search

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

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

2000-01-01

8

Sleep and pain complaints in symptomatic traumatic brain injury and neurologic populations  

Microsoft Academic Search

Objective: To compare the incidence of sleep and pain complaints in symptomatic traumatic brain injury (TBI) (mild vs moderate\\/severe) and neurologic populations.Design: Case-control study.Setting: Outpatient neuropsychology service at a university-affiliated tertiary care center.Patients: A consecutive sample of mild (n = 127) and moderate to severe (n = 75) patients with TBI and a general neurologic (non-TBI) group (n = 123)

John T. Beetar; Thomas J. Guilmette; Francis R. Sparadeo

1996-01-01

9

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

Microsoft Academic Search

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

Sara N Davison

2003-01-01

10

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

Microsoft Academic Search

The objective of this study was to assess the impact of parent attention and distraction on symptom complaints by children with and without chronic functional abdominal pain. The water load symptom provocation task was used to induce visceral discomfort in pediatric patients with abdominal pain (N=104) and well children (N=119), ages 8–16 years. Parents were randomly assigned and trained to

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

2006-01-01

11

An investigation into complaints of wrist pain and swelling among workers at a factory manufacturing motors for refrigerators.  

PubMed

In 1987, a group of workers complained through their union that some of them developed wrist pain and swelling from the manual handling of heavy stators. The complaints were from the morning shift of a particular assembly line in a factory making motors for refrigerators. The precipitating factor appeared to be the change in the weight of the model assembled. The new stator weighing 5.8 kg was about twice as heavy as the previous model. Each worker on the line handled 300 to 1,000 stators per shift. The work involved including lifting the stators onto and off the conveyor belts and pushing and pulling them along horizontal planes. To evaluate the problem, workers from both shifts of the affected assembly line were interviewed and examined. A total of 79 workers (all females) was involved. The presence and severity of work-related aches, pains, numbness, swelling, etc over the last 4 weeks were enquired. The nature of the work done in the line was observed. Sixty-three out of 79 workers had some symptoms giving an overall prevalence rate of 79.8%. The two most common complains were pain (90.5%) and numbness (28.6%). The most commonly affected sites were the hands and wrist followed by the neck and shoulder. There was no significant difference in the prevalence of symptoms among workers in the 2 shifts. The symptoms were subjective and associated with job dissatisfaction and there was no difference in the average number of stators handled between those with symptoms and those without.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7997903

Ho, S F; Lee, H S

1994-06-01

12

Pain Assessment  

Microsoft Academic Search

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

Frank Andrasik; Carla Rime

13

[Prevalence of lower back pain and associated factors in students].  

PubMed

The objective was to determine the prevalence of lower back pain in adolescents and its relationship to sports and sedentary activities. We conducted a cross-sectional study of 5th to 8th-grade students (n = 1,236) in Bauru, São Paulo State, Brazil. We used a structured protocol and the Nordic questionnaire for musculoskeletal symptoms. The analysis was performed using a descriptive approach and bivariate and multivariate binary logistic regression. Prevalence of lower back pain was 19.5% (7% in boys and 12.5% in girls), with statistically significant differences according to gender (p < 0.00001), age (p = 0.0057), and sports (p = 0.0001). Bivariate and multivariate analyses showed independent associations between lower back pain and female gender, time watching TV, and sports. Lower back pain in schoolchildren can persist as chronic pain in adults. Understanding the relationships between variables should provide useful measures for maintaining, improving, and promoting students' wellbeing. PMID:21877000

De Vitta, Alberto; Martinez, Mariana Gonçalez; Piza, Nathália Toledo; Simeão, Sandra Fiorelli de Almeida Penteado; Ferreira, Nathália Pascucci

2011-08-01

14

Phantom Limb Pain; Prevalence, Mechanisms and Associated Factors  

Microsoft Academic Search

\\u000a This chapter reviews the literature regarding phantom limb pain (PLP) following limb amputation. Controversies exist over\\u000a the incidence and prevalence, causes, mechanisms and management of PLP. Owing to a lack of effective treatment for the condition,\\u000a interest has turned to the potential to pre-empt PLP. Pre-emption needs targets, and interest has focused upon pre-amputation\\u000a pain. A lack of success with

Cliff Richardson

15

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

Microsoft Academic Search

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

Jason Sawyer; Lynn Haslam; Pat Daines; Kalli Stilos

2010-01-01

16

Prevalence and Characteristics of Phantom Limb Pain and Residual Limb Pain in the Long Term after Upper Limb Amputation  

ERIC Educational Resources Information Center

This study aims to describe the prevalence and characteristics of phantom limb pain and residual limb pain after upper limb amputation. One-hundred and forty-one participants (139 males; mean age 74.8 years; mean time since amputation 50.1 years) completed a self-report questionnaire assessing residual and phantom limb pain experience. Prevalence

Desmond, Deirdre M.; MacLachlan, Malcolm

2010-01-01

17

Prevalence of medication overuse headache in an interdisciplinary pain clinic  

PubMed Central

Background Medication overuse headache (MOH) has been recognized as an important problem in headache patients although the pathophysiological mechanisms remain unclear. The diagnosis of MOH is based on clinical characteristics defined by the International Headache Society. The aim was the evaluation of the diagnostic criteria of MOH in a mixed population of chronic pain patients to gain information about the prevalence and possible associations with MOH. Methods Data of all patients referred to the interdisciplinary pain clinic at the University Hospital of Zurich between September 2005 and December 2007 were retrospectively analyzed. Demographic data (age, sex, history of migration), as well as data about duration of pain disease, category of pain disease (neurological, psychiatric, rheumatologic, other), use of medication, history of trauma, and comorbidity of depression and anxiety have been collected. Results Totally 178 of 187 consecutive chronic pain patients were included in the study. A total of 138 patients (78%) used analgesics on 15 or more days per month. Chronic headache was more prevalent among patients with analgesic overuse (39.8%) than without analgesic overuse (18%). The prevalence of MOH was 29%. The odds ratio (OR) for a patient with medication overuse to have chronic headache was 13.1 if he had a history of primary headache, compared to a patient without a primary headache syndrome. Furthermore, history of headache (OR 2.5, CI [1.13;5.44]), history of migration (OR 2.9, CI [1.31;6.32]) and comorbid depression (OR 3.5, CI [1.46;8.52]) were associated with overuse of acute medication, in general. Conclusions Primary headaches have a high risk for chronification in patients overusing analgesics for other pain disorders. Whereas history of headache, history of migration and comorbidity of depression are independentely associated with analgesic overuse in this group of patients. PMID:23565761

2013-01-01

18

Patellar Maltracking Is Prevalent Among Patellofemoral Pain Subjects with Patella Alta: An Upright, Weightbearing MRI Study  

E-print Network

Patellar Maltracking Is Prevalent Among Patellofemoral Pain Subjects with Patella Alta: An Upright is to determine if patellar maltracking is more prevalent among patellofemoral (PF) pain sub- jects with patella alta compared to subjects with normal patella height. We imaged 37 PF pain and 15 pain free subjects

Delp, Scott

19

Dating Violence Perpetration and Victimization among US Adolescents: Prevalence, Patterns, and Associations with Health Complaints and Substance Use  

PubMed Central

Purpose This research identified conceptually cohesive latent classes of youth dating violence (DV) and examined associations between covariates and classes by gender. Methods A nationally representative sample of 2,203 tenth-grade students completed assessments of physical and verbal DV victimization and perpetration, depressive symptoms, health complaints, and substance use. A Factor Mixture Model was used to identify patterns of DV. Gender differences among classes were examined for depressive symptoms, health complaints, and substance use. Results Prevalence of DV victimization was 35% and perpetration was 31%. A three-class model fit adequately and provided conceptual cohesion: Class 1) non-involved (65%); Class 2) victims/perpetrators of verbal DV (30%); and Class 3) victims/perpetrators of verbal and physical DV (5%). Compared to Class 1 adolescents, those in Classes 2 and 3 were more likely to report depressive symptoms, psychological complaints, and alcohol use. Females in Classes 2 and 3 were also more likely to report physical complaints, cigarette use, and marijuana use. Among females involved in DV, those in Class 3 compared to Class 2 reported more depressive symptoms, physical and psychological complaints, and cigarette and marijuana use. Conclusions The three-class model distinguished involvement in verbal acts from involvement in verbal and physical acts. Adolescents involved in DV had similar probabilities of reporting perpetration and victimization suggesting violence within relationships may be mutual. Involvement in DV was associated with more health issues and concurrent problem behaviors. For females in particular, the increased involvement in DV was associated with other health indicators. PMID:23664626

Farhat, Tilda; Brooks-Russell, Ashley; Wang, Jing; Barbieri, Brittney; Iannotti, Ronald J.

2013-01-01

20

Sensory disturbances and pain complaints after brachial plexus root injury: a prospective study involving 150 adult patients.  

PubMed

After injury of the brachial plexus, sensory disturbance in the affected limb varies according to the extent of root involvement. The goal of this study was to match sensory assessments and pain complaints with findings on CT myelo scans and surgical observations. One hundred fifty patients with supraclavicular stretch injury of the brachial plexus were operated upon within an average of 5.4 months of trauma. Preoperatively, upper limb sensation was evaluated using Semmes-Weinstein monofilaments. Pain complaints were recorded for each patient. With lesions affecting the upper roots of the brachial plexus, hand sensation was largerly preserved. Sensory disturbances were identified over a longitudinal bundle on the lateral arm and forearm. In C8-T1 root injuries, diminished protective sensation was observed on the ulnar aspect of the hand. If the C7 root also was injured, sensation in the long finger was impaired. Eighty-four percent of our 64 patients with total palsy reported pain, versus just 47% of our 72 patients with upper type palsies. This rate dropped to 29% in the 14 patients with a lower-type palsy. C8 and T1, when injured, always were avulsed from the cord; when avulsion of these roots was the only nerve injury, pain was absent. Hand sensation was largely preserved in patients with partial injuries of the brachial plexus, particularly on the radial side. Even when T1 was the only preserved root, hand sensation was mostly spared. This indicates that overlapping of the dermatomal zones seems much more widespread than previously reported. PMID:20939002

Bertelli, Jayme Augusto; Ghizoni, Marcos Flávio; Loure Iro Chaves, Daniel Preissler

2011-02-01

21

The Prevalence of Fibromyalgia in Other Chronic Pain Conditions  

PubMed Central

Central sensitivity syndromes (CSS) include fibromyalgia syndrome (FMS), irritable bowel syndrome, temporomandibular disorder, restless legs syndrome, chronic fatigue syndrome, and other similar chronic painful conditions that are based on central sensitization (CS). CSS are mutually associated. In this paper, prevalence of FMS among other members of CSS has been described. An important recent recognition is an increased prevalence of FMS in other chronic pain conditions with structural pathology, for example, rheumatoid arthritis, systemic lupus, ankylosing spondylitis, osteoarthritis, diabetes mellitus, and inflammatory bowel disease. Diagnosis and proper management of FMS among these diseases are of crucial importance so that unwarranted use of such medications as corticosteroids can be avoided, since FMS often occurs when RA or SLE is relatively mild. PMID:22191024

Yunus, Muhammad B.

2012-01-01

22

Prevalence of Neuropathic Pain in Radiotherapy Oncology Units  

SciTech Connect

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.

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

23

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

Microsoft Academic Search

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

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

2008-01-01

24

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

Microsoft Academic Search

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

Giovambattista Zeppetella; Catherine A O'Doherty; Silke Collins

2000-01-01

25

Prevalence of heroin markers in urine for pain management patients.  

PubMed

Surveys of current trends indicate heroin abuse is associated with nonmedical use of pain relievers. Consequently, there is an interest in evaluating the presence of heroin-specific markers in chronic pain patients who are prescribed controlled substances. A total of 926,084 urine specimens from chronic pain patients were tested for heroin/diacetylmorphine (DAM), 6-acetylmorphine (6AM), 6-acetylcodeine (6AC), codeine (COD), and morphine (MOR). Heroin and markers were analyzed using liquid chromatography tandem mass spectrometry (LC-MS-MS). Opiates were analyzed following hydrolysis using LC-MS-MS. The prevalence of heroin use was 0.31%, as 2871 were positive for one or more heroin-specific markers including DAM, 6AM, or 6AC (a known contaminant of illicit heroin). Of these, 1884 were additionally tested for the following markers of illicit drug use: 3,4-methylenedioxymethamphetamine (MDMA), 3,4-methylenedioxyamphetamine (MDA), methamphetamine (MAMP), 11-nor-9-carboxy-?(9)-tetracannabinol (THCCOOH), and benzoylecgonine (BZE); 654 (34.7%) had positive findings for one or more of these analytes. The overall prevalence of heroin markers were as follows: DAM 1203 (41.9%), 6AM 2570 (89.5%), 6AC 1082 (37.7%). MOR was present in 2194 (76.4%) and absent (Prevalence of combinations for specimens containing MOR were as follows: DAM only 13 (0.59%), 6AM only 1140 (52.0%), 6AC only 24 (1.1%), DAM/6AM/6AC 710 (32.4%), 6AM/6AC 188 (8.6%), DAM/6AM 113 (5.2%), DAM/6AC 6 (0.27%). Importantly, the prevalence of combinations for specimens without MOR were as follows: DAM only 161 (23.8%), 6AM only 217 (32.1%), 6AC only 92 (13.6%), DAM/6AM/6AC 50 (7.4%), 6AM/6AC 7 (1.0%), DAM/6AM 145 (21.4%), DAM/6AC 5 (0.74%). Unexpected patterns of excretion were observed, such as the presence of DAM and 6AC in the absence of 6AM and MOR; therefore, multiple heroin markers may be useful to assess for heroin use. PMID:24858136

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

2014-10-01

26

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

Microsoft Academic Search

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

Marja Mikkelsson; Jouko J Salminen; Hannu Kautiainen

1997-01-01

27

Pain originating from the sacroiliac joint is a common non-traumatic musculoskeletal complaint in elite inline-speedskaters - an observational study  

PubMed Central

Study design Observational study Objectives To investigate common non-traumatic musculoskeletal complaints of the low back in elite inline-speedskaters of the German national team. Summary of background data Traumatic injuries associated with falls or collisions are well documented in speedskaters but so far no studies have investigated non-traumatic low back pain. Previously, the sacroiliac joint was suspected as a frequent origin of complaint, we aimed to investigate this assumption. Methods Two chiropractors examined elite inline-speedskaters of the German national team during three sports events between summer 2010 and 2011. A test cluster of five provocative tests for the sacroiliac joint was selected based on reliability and validity. Results A total of 37 examinations were conducted on 34 athletes with low back pain during the three sport events. The reported pain intensities ranged from mild to moderate pain (VAS 23.4 ± 13.4 to 35.1 ± 19.2). About 90% of cases showed involvement of the SI joint of which again 90% presented with left sided symptoms. Conclusions Non-traumatic complaints of the low back originating from the left sacroiliac joint frequently occur in competitive inline speedskaters. PMID:22404796

2012-01-01

28

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

PubMed Central

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

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

2014-01-01

29

Education and the Prevalence of Pain. NBER Working Paper No. 14964  

ERIC Educational Resources Information Center

Many Americans report chronic and disabling pain, even in the absence of identifiable clinical disorders. We first examine the prevalence of pain in the older U.S. population using the Health and Retirement Study (HRS). Among 50-59 year females, for example, pain rates ranged from 26 percent for college graduates to 55 percent for those without a…

Atlas, Steven J.; Skinner, Jonathan S.

2009-01-01

30

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

Microsoft Academic Search

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

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

2004-01-01

31

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

Microsoft Academic Search

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

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

2006-01-01

32

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

Microsoft Academic Search

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

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

2010-01-01

33

Frequency of Entamoeba histolytica and Entamoeba dispar prevalence among patients with gastrointestinal complaints in Chelgerd city, southwest of Iran*  

PubMed Central

BACKGROUND: Differentiation between Entamoeba histolytica and Entamoeba dispar is very important for both clinical therapy and epidemiological studies. Although these two species are morphologically identical, they have differences in genetic, chemical specifications and pathogenicity. This study was carried out to differentiate E. histolytica from E. dispar and also to find out frequency of the two species. METHODS: Fecal samples were collected three times from 655 patients with gastrointestinal complaints (47.3% male and 52.7% female), who were referred to the primary health care centers of Chelgerd, Chaharmahal and Bakhtiary province. Samples were examined microscopically with direct smear, formalin-ethyl-acetate concentration and trichrom staining methods to distinguish E. histolytica from E. dispar complex and differentiate them from non-pathogenic intestinal amoeba. Genomic DNA was extracted from microscopy positive isolates and polymerase chain reaction (PCR) was carried out to different the two morphologically identical Entamoeba isolates. RESULTS: Among the 655 recruited patients, eleven subjects with E. histolytica / E. dispar isolates (1.7%) were identified by microscopy methods. Ten of the positive isolates (90.9%) were identified as E. histolytica by PCR and one isolate (9.09 %) was positive for E. dispar. CONCLUSIONS: This study revealed that E. histolytica was more prevalent than E. dispar in the studied area. This result was different from the previously reported data in other parts of Iran. PMID:22973344

Pestehchian, Nader; Nazary, Mahnaz; Haghighi, Ali; Salehi, Mansour; Yosefi, Hosinali

2011-01-01

34

The prevalence of pain in a disabled population  

Microsoft Academic Search

An estimated 1.7 million disabled adults (95% CI ± 74,000), living in private households in Great Britain, reported pain symptoms which severely affected their daily activities. That is, the pain they experienced is so severe, unrelieved and recurring as to limit or prevent their ability to perform ordinary, everyday, activities. They represent 30% of disabled adults suggesting that pain is

Maureen Astin; Dot Lawton; Michael Hirst

1996-01-01

35

Self-Reported Facial Pain in UK Biobank Study: Prevalence and Associated Factors  

PubMed Central

ABSTRACT Objectives To determine the prevalence of facial pain and to examine the hypothesis that symptoms are associated with socio-demographic, dental, adverse psychological factors and pain elsewhere in the body. Material and Methods Cross-sectional population data were obtained from UK Biobank (www.ukbiobank.ac.uk/) study which was conducted in 2006 - 2010 and recruited over 500,000 people. Results The overall prevalence of facial pain (FP) was 1.9% (women 2.4%, men 1.2%) of which 48% was chronic. The highest prevalence was found in the 51 - 55 age group (2.2%) and the lowest in the 66 - 73 age group (1.4%). There was a difference in prevalence by ethnicity (0.8% and 2.7% in persons reporting themselves as Chinese and Mixed respectively). Prevalence of FP significantly associated with all measures of social class with the most deprived and on lowest income showing the highest prevalence (2.5% and 2.4% respectively). FP was more common in individuals who rated themselves as extremely unhappy, had history of depression and reported sleep problems. Smoking associated with increase in reporting FP while alcohol consumption had inverse association. FP associated with history of painful gums, toothache and all types of regional pain. Conclusions This is the largest ever study to provide estimates of facial pain prevalence. It demonstrates unique features (lower prevalence than previously reported) and common features (more common in women) and confirms multifactorial aetiology of facial pain. Significant association with psychological distress and a strong relationship to pain elsewhere in the body suggests that aetiology is not specific to this regional pain. PMID:25386229

Beasley, Marcus; Macfarlane, Gary J.

2014-01-01

36

Prevalence of nasal mucosal contact points in patients with facial pain compared with patients without facial pain.  

PubMed

A cohort of 973 consecutive attendants at a rhinology clinic was studied prospectively and divided into patients without facial pain (n = 566, 58 per cent) and patients with facial pain (n = 407, 42 per cent). The prevalence of nasal mucosal contact points was the same in both groups, being four per cent in patients with nasal contact points without facial pain and four per cent in patients with facial pain. A contact point is defined as when contact remains after topical decongestion. Of the 18 patients with facial pain, nine had a spur contacting the lateral nasal wall and nine had a middle turbinate contacting the septum. These 18 patients were followed up for a mean of two years and two months. In the light of their treatment and response the following diagnoses were made: five had tension-type headache, six had midfacial segment pain, one had migraine, two had cluster headache and four had purulent nasal disease. Of the four with unilateral symptoms, two had a contact point on the contralateral side. Eleven of these 18 patients responded to medical treatment for tension-type headache or midfacial segment pain, migraine and cluster headache, three patients were better after surgery for coexisting purulent nasal disease and one patient had a spur removed surgically and remained better at 2 years follow-up, whereas three patients were no better after the same procedure. The results demonstrate that the prevalence of nasal contact points in patients with facial pain is the same as in those within pain. Surgery undertaken to remove mucosal contact points for facial pain is usually unnecessary as the aetiology of this facial pain appears to be a more central processes. PMID:11535142

Abu-Bakra, M; Jones, N S

2001-08-01

37

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

PubMed Central

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

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

2012-01-01

38

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

Microsoft Academic Search

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

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

1996-01-01

39

Prevalence of temporomandibular dysfunction and pain in adult general practice patients.  

PubMed

Abstract Objective. To analyse the prevalence of temporomandibular disorders and related pain (TMD-pain) among adult recall patients in general dental practice. Materials and methods. From November 2006 to September 2008, all adults attending a Swedish Public Dental Service (PDS) clinic for recall examination were asked two standardized questions about temporomandibular pain and dysfunction. Mouth-opening capacity was measured. The responses to the questions and mouth-opening capacity were combined to give a TMD-pain score, on a scale of 0-3. The patients' acceptance of their TMD condition was also noted. Results. The subjects comprised 2837 adults (53% females, 47% men). Of the total sample, 4.9% reported a TMD-pain score of 1-3. The gender difference was significant: women predominated (p < 0.003). Forty-three per cent of those with TMD-pain scores of 1-3 (36% men, 47% women) considered that the condition warranted treatment, especially those registering a pain score (significant difference between pain and dysfunction groups, p < 0.000). Conclusions. The TMD-pain score shows promise as a useful instrument for detecting and recording TMD-pain. The prevalence of TMD disclosed in the study is high enough to be considered a public health concern. Most of the subjects with lower scores on the TMD-pain scale accepted their condition as not severe enough to require treatment. PMID:24866918

Adèrn, Bengt; Stenvinkel, Christer; Sahlqvist, Lotta; Tegelberg, Ake

2014-11-01

40

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

Microsoft Academic Search

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

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

2011-01-01

41

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

PubMed Central

Background This population study based on a representative sample from a Swedish county investigates the prevalence, duration, and determinants of widespread pain (WSP) in the population using two constructs and estimates how WSP affects work status. In addition, this study investigates the prevalence of widespread pain and its relationship to pain intensity, gender, age, income, work status, citizenship, civil status, urban residence, and health care seeking. Methods A cross-sectional survey using a postal questionnaire was sent to a representative sample (n = 9952) of the target population (284,073 people, 18–74 years) in a county (Östergötland) in the southern Sweden. The questionnaire was mailed and followed by two postal reminders when necessary. Results The participation rate was 76.7% (n = 7637); the non-participants were on the average younger, earned less money, and male. Women had higher prevalences of pain in 10 different predetermined anatomical regions. WSP was generally chronic (90–94%) and depending on definition of WSP the prevalence varied between 4.8–7.4% in the population. Women had significantly higher prevalence of WSP than men and the age effect appeared to be stronger in women than in men. WSP was a significant negative factor – together with age 50–64 years, low annual income, and non-Nordic citizen – for work status in the community and in the group with chronic pain. Chronic pain but not the spreading of pain was related to health care seeking in the population. Conclusion This study confirms earlier studies that report high prevalences of widespread pain in the population and especially among females and with increasing age. Widespread pain is associated with prominent effects on work status. PMID:18627605

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

2008-01-01

42

Pain prevalence, intensity, assessment and management in a hospitalized pediatric population.  

PubMed

New research, regulatory guidelines, and practice initiatives have improved pain management in infants, children, and adolescents, but obstacles remain. The aim of this study was to identify the prevalence and demographics of pain, as well as pain management practice patterns in hospitalized children in a tertiary-care university hospital. We prospectively collected data including patient demographics, presence/absence and location of pain, pain intensity, pain assessment documentation, analgesic use, side effects of analgesic therapy, and patient/family satisfaction. Two hundred male (58%) and female, medical and surgical (61%) patients, averaging 9 ± 6.2 years were studied. Pain was common (86%) and often moderate to severe (40%). Surgical patients reported pain more frequently when enrolled than did medical patients (99% vs. 65%). Female gender, age ? 5 years, and Caucasian race were all associated with higher mean pain scores. Furthermore, females and Caucasian children consumed more opioids than males and non-Caucasians. Identified obstacles to optimal analgesic management include lack of documented physician pain assessment (<5%), a high prevalence of "as needed" analgesic dosing, frequent opioid-induced side effects (44% nausea and vomiting, 27% pruritus), and patient/family dissatisfaction with pain management (2%-7%). The data demonstrated that despite a concentrated focus on improving pain management over the past decade, pain remains common in hospitalized children. Identification of patient populations and characteristics that predispose to increased pain (e.g., female, Caucasian, postoperative patient) as well as obstacles to analgesic management provide a focus for the development of targeted interventions and research to further improve care. PMID:24602421

Kozlowski, Lori J; Kost-Byerly, Sabine; Colantuoni, Elizabeth; Thompson, Carol B; Vasquenza, Kelly J; Rothman, Sharon K; Billett, Carol; White, Elizabeth D; Yaster, Myron; Monitto, Constance L

2014-03-01

43

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

PubMed Central

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

Wheeler, Daniel W

2013-01-01

44

Prevalence of low-back pain in lesotho mothers  

Microsoft Academic Search

Objectives: To identify factors that strongly affect the presence of severe low-back pain in mothers living in the Maseru District of Lesotho, to find out whether there is any truth to the widespread belief that rural mothers are more vulnerable to severe low-back pain than their urban counterparts, and to identify influential factors that are strongly associated with each other.Methods:

Zeleke Worku

2000-01-01

45

Performance of Reperfusion Therapy and Hospital Mortality in ST-Elevation Myocardial Infarction Patients with Non-Chest Pain Complaints  

PubMed Central

Purpose ST-elevation myocardial infarction (STEMI) patients may visit the emergency department (ED) complaining of sensations of pain other than the chest. We investigated our performance of reperfusion therapy for STEMI patients presenting with non-chest pains. Materials and Methods This was a retrospective observational cohort study. STEMI patients who underwent primary percutaneous coronary intervention (PCI) were divided into a chest pain group and a non-chest pain group. Clinical differences between the two groups and the influence of presenting with non-chest pains on door-to-electrocardiograms (ECG) time, door-to-balloon time, and hospital mortality were evaluated. Results Of the 513 patients diagnosed with STEMI, 93 patients presented with non-chest pains. Patients in the non-chest pain group were older, more often female, and had a longer symptom onset to ED arrival time and higher Killip class than patients in the chest pain group. There was a statistically significant delay in door-to-ECG time (median, 2.0 min vs. 5.0 min; p<0.001) and door-to-balloon time (median, 57.5 min vs. 65.0 min; p<0.001) in patients without chest pain. In multivariate analysis, presenting with non-chest pains was an independent predictor for hospital mortality (odds ratio, 2.3; 95% confidence interval, 1.1-4.7). However, door-to-ECG time and door-to-balloon time were not factors related to hospital mortality. Conclusion STEMI patients presenting without chest pain showed higher baseline risk and hospital mortality than patients presenting with chest pain. ECG acquisition and primary PCI was delayed for patients presenting with non-chest pains, but not influencing hospital mortality. Efforts to reduce pre-hospital time delay for these patients are necessary. PMID:24719127

Na, Jae Phil; Shin, Kyu Chul; Kim, Seunghwan; Park, Yoo Seok; Chung, Sung Phil; Park, In Cheol; Park, Joon Min

2014-01-01

46

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

Microsoft Academic Search

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

Sven Schneider; Slawomira Lipinski; Marcus Schiltenwolf

2006-01-01

47

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

PubMed

A cross-sectional epidemiological study via personal interviews was performed regarding low back pain and its related clinical aspects in a Hungarian sample of 10,000 people. Joining the international campaign of the "Bone and Joint Decade", our aim was to give data on low back pain prevalence and to explore the underlying possible clinical conditions in a Central European adult and adolescent population. Ten thousand people aged 14-65, selected randomly by the Hungarian central office of statistics from three counties of the south-western Hungarian region, were surveyed using a special questionnaire focusing on low back pain and other degenerative spinal symptoms. People with low back pain complaints and written consent were asked to participate in a further clinical investigation, where radiological and clinical assessment was performed. A total of 4,389 persons (44.1%) reported low back pain in the last month at the time of the survey. Work absenteeism due to low back pain affected 2,140 persons (21.5%). A total of 292 people (2.9%) had already undergone spinal surgery. Upon request 682 people came for a clinical follow-up, where thorough physical examination and radiological analysis was performed and results were statistically interpreted. The Oswestry disability index (ODI) in the examined group of patients averaged 35.1%; radiological degenerative signs were observed in 392/682 (57.5%). Individuals with signs of radiological degeneration had a statistically significant higher ODI value, age, and a higher, yet not significantly increased BMI value than radiographically negative patients (p?prevalence was found in individuals with radiographic signs of spinal degeneration. Details of the survey and clinical investigations are discussed. PMID:19997731

Horváth, Gábor; Koroknai, Gabriella; Acs, Barnabás; Than, Péter; Illés, Tamás

2010-12-01

48

Prevalence of sleep disturbance in patients with low back pain  

Microsoft Academic Search

Low back pain (LBP) is a common health condition that is often associated with disability, psychological distress and work\\u000a loss. Worldwide, billions of dollars are expended each year trying to manage LBP, often with limited success. Recently, some\\u000a researchers have reported that LBP patients also report sleep disturbance as a result of their LBP. However, as most of this\\u000a evidence

Saad M. AlsaadiJames; James H. McAuley; Julia M. Hush; Chris G. Maher

2011-01-01

49

Prevalence and Risk Factors of Recurrent Cervical Pain Syndrome in a Working Population  

Microsoft Academic Search

The prevalence and risk factors of recurrent cervical pain syndrome (CPS) was studied in 990 workers examined while undergoing their systematic annual visit of occupational medicine. A prevalence rate of 10.2% was obtained. Using a tree-structured logistic regression analysis, a strong association between age, sex, previous head trauma, extension of the neck and strenuous muscular activity during work, and the

Jean François Dartigues; Patrick Henry; Emmanuel Puymirat; Daniel Commenges; Philippe Peytour; Michèle Gagnon

1988-01-01

50

Cervical spinal canal stenosis and central disc herniation c3/4 in a man with primary complaint of thigh pain.  

PubMed

Purpose?The purpose of this report is to describe the clinical course of a patient who had a primary complaint of isolated right lateral thigh pain 3 years prior that was nonresponsive to conservative measures. Hypoesthesia in the lateral side of the right forearm, deltoid and biceps, as well as triceps paresis, was also diagnosed. Results?Immediately after surgery, the patient reported substantial improvement in his right thigh symptoms. The signs and symptoms associated with the right C6 and C7 radiculopathy did improve. Conclusion?Although the presentation described in this case is somewhat unique, the eventual myelopathic signs and symptoms were not. It was these myelopathic signs and symptoms that led to cervical magnetic resonance imaging, the diagnosis of cervical cord compressive myelopathy, and surgical management. PMID:24303344

Akhavan-Sigari, R; Rohde, V; Alaid, A

2013-12-01

51

Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain  

PubMed Central

Background Many adults experience bothersome neck/shoulder pain. While research and treatment strategies often focus on the upper trapezius, other neck/shoulder muscles may be affected as well. The aim of the present study is to evaluate the prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain. Methods Clinical neck/shoulder examination at two large office workplaces in Copenhagen, Denmark. 174 women and 24 men (aged 25-65 years) with nonspecific neck/shoulder pain for a duration of at least 30 days during the previous year and a pain intensity of at least 2 on a modified VAS-scale of 0-10 participated. Exclusion criteria were traumatic injuries or other serious chronic disease. Using a standardized finger pressure of 2 kg, palpable tenderness were performed of eight anatomical neck/shoulder locations in the left and right side on a scale of 'no tenderness', 'some tenderness' and 'severe tenderness'. Results In women, the levator scapulae, neck extensors and infraspinatus showed the highest prevalence of severe tenderness (18-30%). In comparison, the prevalence of severe tenderness in the upper trapezius, occipital border and supraspinatus was 13-19%. Severe tenderness of the medial deltoid was least prevalent (0-1%). In men, the prevalence of severe tenderness in the levator scapulae was 13-21%, and ranged between 0-8% in the remainder of the examined anatomical locations. Conclusions A high prevalence of tenderness exists in several anatomical locations of the neck/shoulder complex among adults with nonspecific neck/shoulder pain. Future research should focus on several neck/shoulder muscles, including the levator scapulae, neck extensors and infraspinatus, and not only the upper trapezius. Trial Registration ISRCTN60264809 PMID:21777478

2011-01-01

52

Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study  

Microsoft Academic Search

BACKGROUND: Few population-based studies have examined the prevalence of foot pain in the general community. The aims of this study were therefore to determine the prevalence, correlates and impact of foot pain in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. METHODS: The North West Adelaide Health Study is

Catherine L Hill; Tiffany K Gill; Hylton B Menz; Anne W Taylor

2008-01-01

53

Prevalence and Associated Risk Factors of Low-Back Pain in Textile Fishing Net Manufacturing  

E-print Network

Prevalence and Associated Risk Factors of Low-Back Pain in Textile Fishing Net Manufacturing and affects worker absenteeism. A cross-sectional survey study was conducted among textile fish net industrial concentration jobs (ORadj = 1.9; 95% CI: 1.3 to 2.7; p = .001), respectively. LBP among textile fish net workers

Kaber, David B.

54

Complaint summaries.  

PubMed

Service providers and members of the public can, for the first time, read online summaries of complaints investigated by the parliamentary and health service ombudsman. Users can search by organisation, for example by hospital, government department or agency, by city or county, by complaint handling issue such as unnecessary delay, or by what the complaint is about such as sepsis. Cases available at present are from March and April 2014 and do not include those that complainants have asked not to be published. Further summaries will be added. Go to www.ombudsman.org.uk/make-a-complaint/case-summaries to search the database. PMID:25253324

2014-09-25

55

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

Microsoft Academic Search

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

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

2002-01-01

56

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

PubMed

[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

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

2014-04-01

57

An epidemiological survey of recurrent abdominal pain in a rural Malay school  

Microsoft Academic Search

Objective: To study the prevalence of complaints of recurrent abdominal pain (RAP) among school children aged 11-12 years in a rural setting in Malaysia. Methodology: Questionnaires were distributed to all parents and teachers of children aged 11-12 years who attended a small rural school in which all the children were Malays. Complaints of RAP were defined as at least three

C. C. M. Boey; S. B. Yap

1999-01-01

58

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

PubMed Central

Background There is a high prevalence of musculoskeletal disorders among healthcare professional students. Although recent studies show musculoskeletal disorders are a common problem among X-ray technologists, there are no data on these disorders among students of this healthcare profession. We have therefore estimated the prevalence of musculoskeletal complaints among a group of X-ray technology students. Methods The students (n = 109) currently attending the 3-year X-ray technologist school at a large University in the Apulia region of Southern Italy were recruited for the study, with a 100% participation rate. A questionnaire collected data concerning personal characteristics, physical exposure during training activities, and the presence of musculoskeletal symptoms in the neck, shoulders, low back, hand/wrist and legs. Results The prevalence of complaints in any body site over the previous 12 months was 37%. Low back pain was the most frequently reported symptom (27%), followed by neck (16%), shoulder (11%), leg (8%) and hand/wrist (5%) pain. Poor physical activity was associated with the complaints. Conclusions Our study showed prevalence rates of musculoskeletal complaints among X-ray technology students to be somewhat high, representing about half of those found in Italian technologists. The most common musculoskeletal problem was low back pain, which had also been found in research conducted among nursing students. Our research also showed a significant association between poor physical activity and the presence of musculoskeletal disorders in young university students. PMID:20416101

2010-01-01

59

Knee Pain and Its Severity in Elderly Koreans: Prevalence, Risk Factors and Impact on Quality of Life  

PubMed Central

This study investigated the epidemiology (prevalence, risk factors, and impact on quality of life) of knee pain and its severity in elderly Koreans. The subjects (n=3,054) were participants aged ?50 yr from the fifth Korea National Health and Nutrition Examination Survey, conducted in 2010. Knee pain was defined as pain in the knee lasting ?30 days during the most recent 3 months; severity was categorized as mild, moderate, or severe. EQ-5D was used to measure quality of life. The prevalence of knee pain was 23.1% (11.7% in men, 31.9% in women). The prevalences of mild, moderate, and severe knee pain were 4.3%, 9.1%, and 9.7%, respectively (2.8%, 5.4%, and 3.5% in men and 5.4%, 12.0%, and 14.4% in women). Old age, female gender, a low level of education, a manual occupation, obesity, and radiographic osteoarthritis were risk factors for knee pain, and were associated with increased severity of knee pain. Excluding men with mild knee pain, people with knee pain had significantly lower quality of life than those without knee pain. Early interventional approaches are needed to reduce the medical, social, and economic burden of knee pain in elderly Koreans. PMID:24339713

Jhun, Hyung-Joon; Sung, Nak-Jeong

2013-01-01

60

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

PubMed Central

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

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

2014-01-01

61

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

Microsoft Academic Search

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

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

2005-01-01

62

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

PubMed Central

Background Low back pain (LBP) is the most prevalent musculoskeletal condition and one the most common causes of disability in the developed nations. Anecdotally, there is a general assumption that LBP prevalence in Africa is comparatively lower than in developed countries. The aim of this review was to systematically appraise the published prevalence studies conducted on the African continent to establish the prevalence of LBP in Africa. Methods A comprehensive search was conducted in April 2006. The following databases PEDro, Psychinfo, Science Direct, SportsDiscus, PubMed, CINAHL, Biblioline Pro-African Wide NiPAD and SA ePublications were individually searched using specifically developed search strategies for epidemiological research conducted on LBP amongst the African population. Two reviewers independently evaluated the methodological quality of the studies reviewed. Results A total of 27 eligible epidemiological studies were included in this review. The majority of the studies (63%) were conducted in South Africa (37%) and Nigeria (26%). The most common population group involved workers (48%), while scholars comprised 15% of the population. 67% of the studies were found to be methodologically sound, and the LBP prevalence of these were analyzed. The mean LBP point prevalence among the adolescents was 12% and among adults was 32%. The average one year prevalence of LBP among adolescents was 33% and among adults was 50%. The average lifetime prevalence of LBP among the adolescents was 36% and among adults was 62%. Conclusion The findings support the global burden of disease of LBP, in addition to suggesting that LBP prevalence among Africans is rising and is of concern. Further research into the most effective strategies to prevent and manage LBP in Africa is warranted. PMID:17976240

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

2007-01-01

63

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

Microsoft Academic Search

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

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

2009-01-01

64

The natural history of pain and neuropathic pain after knee replacement: a prospective cohort study of the point prevalence of pain and neuropathic pain to a minimum three-year follow-up.  

PubMed

A small proportion of patients have persistent pain after total knee replacement (TKR). The primary aim of this study was to record the prevalence of pain after TKR at specific intervals post-operatively and to ascertain the impact of neuropathic pain. The secondary aim was to establish any predictive factors that could be used to identify patients who were likely to have high levels of pain or neuropathic pain after TKR. A total of 96 patients were included in the study. Their mean age was 71 years (48 to 89); 54 (56%) were female. The mean follow-up was 46 months (39 to 51). Pre-operative demographic details were recorded including a Visual Analogue Score (VAS) for pain, the Hospital Anxiety and Depression score as well as the painDETECT score for neuropathic pain. Functional outcome was assessed using the Oxford Knee score. The mean pre-operative VAS was 5.8 (1 to 10); and it improved significantly at all time periods post-operatively (p < 0.001): (from 4.5 at day three to five (1 to 10), 3.2 at six weeks (0 to 9), 2.4 at three months (0 to 7), 2.0 at six months (0 to 9), 1.7 at nine months (0 to 9), 1.5 at one year (0 to 8) and 2.0 at mean 46 months (0 to 10)). There was a high correlation (r > 0.7; p < 0.001) between the mean VAS scores for pain and the mean painDETECT scores at three months, one year and three years post-operatively. There was no correlation between the pre-operative scores and any post-operative scores at any time point. We report the prevalence of pain and neuropathic pain at various intervals up to three years after TKR. Neuropathic pain is an underestimated problem in patients with pain after TKR. It peaks at between six weeks and three-months post-operatively. However, from these data we were unable to predict which patients are most likely to be affected. PMID:25183595

Phillips, J R A; Hopwood, B; Arthur, C; Stroud, R; Toms, A D

2014-09-01

65

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

PubMed Central

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 pain within the last 6 months, pain location and duration. Severity of chronic pain was assessed by the Chronic Pain Grade. Severely disabling chronic pain was defined as pain within the last six months that had lasted for three months or more and was highly disabling-severely limiting (Grade IV). Results 858 responses from 2,389 were received (adjusted response = 37.0%). The prevalence of any pain within the previous six months was 66.9% (95%CI: 63.7%, 70.1%). Chronic pain was reported by 14.3% (95%CI: 12.0%, 16.8%) of respondents with severely disabling chronic pain affecting 3.0% (95%CI: 2.0%, 4.4%) of this population. Late responders were very similar to early responders in their prevalence of pain. Cross-checking the practice register against the electoral roll suggested register inaccuracies contributed to non-response. Conclusion Pain is a common phenomenon encountered by young adults, affecting 66.9% of this study population. Previously observed age-related trends in severely disabling chronic pain in older adults extend to younger adults. Although a small minority of younger adults are affected, they are likely to represent a group with particularly high health care needs. High levels of non-response in the present study means that these estimates should be interpreted cautiously although there was no evidence of non-response bias. PMID:16042761

Mallen, Christian; Peat, George; Thomas, Elaine; Croft, Peter

2005-01-01

66

Prevalence of malnutrition in orally and tube-fed elderly nursing home residents in Germany and its relation to health complaints and dietary intake.  

PubMed

Objective. To investigate the prevalence of malnutrition in orally and tube-fed nursing home (NH) residents in Germany and its relation to common health complaints and dietary intake. Methods. In 350 NH residents, subjects' characteristics, Mini Nutritional Assessment (MNA), and several health problems were inquired with the nursing staff using standardised interviews. In a subset of 122 residents, dietary intake was assessed by 3-day weighing records. Results. 7.7% of the participants were tube fed. 24.1% of orally nourished and 57.7% of tube-fed residents were malnourished (MNA?

Volkert, Dorothee; Pauly, Lioba; Stehle, Peter; Sieber, Cornel C

2011-01-01

67

Evaluating anterior knee pain.  

PubMed

Musculoskeletal complaints account for about 20% to 30% of all primary care office visits; of these visits, discomfort in the knee, shoulder, and back are the most prevalent musculoskeletal symptoms. Having pain or dysfunction in the front part of the knee is a common presentation and reason for a patient to see a health care provider. There are a number of pathophysiological etiologies to anterior knee pain. This article describes some of the common and less common causes, and includes sections on diagnosis and treatment for each condition as well as key points. PMID:24994047

Hong, Engene; Kraft, Michael C

2014-07-01

68

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

Microsoft Academic Search

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

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

69

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

PubMed Central

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.

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

2014-01-01

70

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

PubMed Central

The aim of this study was to examine the association between grades of neck pain severity and health-related quality of life (HRQoL), using a population-based, cross-sectional mailed survey. The literature suggests that physical and mental HRQoL is worse for individuals with neck pain compared to those without neck pain. However, the strength of the association varies across studies. Discrepancies in study results may be attributed to the use of different definitions and measures of neck pain and differences in the selection of covariates used as control variables in the analyses. The Saskatchewan Health and Back Pain Survey was mailed to 2,184 randomly selected Saskatchewan adults of whom 1,131 returned the questionnaire. Neck pain was measured with the Chronic Pain Questionnaire and categorized into four increasing grades of severity. We measured HRQoL with the SF-36 Health Survey and computed the physical and mental component summary scores. We built separate multiple linear regression models to examine the association between grades of neck pain and physical and mental summary scores while controlling for sociodemographic, general health and comorbidity covariates. Our crude analysis suggests that a gradient exists between the severity of neck pain and HRQoL. Compared to individuals without neck pain, those with Grades III–IV neck pain have significantly lower physical (mean difference = ?13.9/100; 95% CI = ?16.4, ?11.3) and mental (mean difference = ?10.8/100; 95% CI = ?13.6, ?8.1) HRQoL. Controlling for covariates greatly reduced the strength of association between neck pain and physical HRQoL and accounted for the observed association between neck pain and mental HRQoL. In the comorbidity model, the strength of association between Grades III–IV neck pain and PCS decreased by more than 50% (mean difference = ?4.5/100; 95% CI = ?6.9, ?2.0). In the final PCS model, Grades III–IV neck pain coefficients changed only slightly from the comorbidity model (mean difference = ?4.4/100; 95% CI = ?6.9, ?1.9). This suggests that comorbid conditions account for most of the association between neck pain and PCS score. It was concluded that prevalent neck pain is weakly associated with physical HRQoL, and that it is not associated with mental HRQoL. Our cross-sectional analysis suggests that most of the observed association between prevalent neck pain and HRQoL is attributable to comorbidities. PMID:19020905

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

2008-01-01

71

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

PubMed Central

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

2014-01-01

72

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

Microsoft Academic Search

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

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

2011-01-01

73

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

PubMed Central

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

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

2014-01-01

74

Prevalence of Pain and Analgesic Use in Men With Metastatic Prostate Cancer Using a Patient-Reported Outcome Measure  

PubMed Central

Purpose: Contemporary tumor-directed therapies for metastatic castration-resistant prostate cancer (mCRPC) are approved to prolong life, but their effects on symptoms such as pain are less well understood as a result of the lack of analytically valid assessments of pain prevalence and severity, clinically meaningful definitions of therapeutic benefit, and methodologic standards of trial conduct. This study establishes pain characteristics in the mCRPC population using a PRO measure. Materials and Methods: Patients with prostate cancer participated in an anonymous survey at five US comprehensive cancer centers in the Prostate Cancer Clinical Trials Consortium that incorporated the Brief Pain Inventory (BPI), analgesic use, and interference with daily activities. Prevalence and severity of cancer-related pain and analgesic use were tabulated according to castration-resistant status and exposure to docetaxel chemotherapy. Results: Four hundred sixty-one patients with prostate cancer participated, of whom 147 had mCRPC involving bone (61% [89 of 147] docetaxel exposed, 39% [58 of 147] docetaxel naive). Pain of any level was more common among docetaxel-exposed versus docetaxel-naive patients with mCRPC (70% [62 of 89] v 38% [22 of 58], respectively; P < .001). BPI score ? 4 was reported by 38% (34 of 89) of docetaxel-pretreated and 24% (14 of 58) of docetaxel-naive patients with mCRPC; 40% of these patients with pain intensity ? 4 reported no current narcotic analgesic. Conclusion: Pain prevalence and severity were higher in patients with prior docetaxel exposure. Analgesics were underutilized. These results provide a method for estimating accruals along the disease continuum, and for enabling design of trials appropriately powered to assess pain. PMID:23943897

Autio, Karen A.; Bennett, Antonia V.; Jia, Xiaoyu; Fruscione, Michael; Beer, Tomasz M.; George, Daniel J.; Carducci, Michael A.; Logothetis, Christopher J.; Kane, Robert C.; Sit, Laura; Rogak, Lauren; Morris, Michael J.; Scher, Howard I.; Basch, Ethan M.

2013-01-01

75

Upper Endoscopic Findings in Children with Recurrent Abdominal Pain: High Prevalence of Hiatus Hernia  

PubMed Central

Objective Recurrent abdominal pain (RAP) by itself is one of the common reasons in child-aged patients to refer to a clinician. Some of these patients are presented with more serious features, so-called the “red flag”. The most important issue in management of RAP is to distinguish the type of it, whether it is functional or organic. In this study we aimed to assess the redundancy of red-flagged RAP with findings of esophago-gastro-deudonoscopy. Methods In a 2 year prospective study 150 consecutive children with RAP who showed red flags underwent esophago-gastro-deudonoscopy. The prevalence of each finding was recorded. Overall positive predictive value of predicting an endoscopic finding while having a red-flag was calculated. Findings Among all the patients, 126 cases showed at least a positive finding in their endoscopy that corresponded to the positive predictive value of 84% for predicting the presence of an endoscopic finding according to red flags. Interestingly, 20% of patients showed hiatus hernia when surveyed. Conclusion Comprehensive physical examination is needed to avoid performing esophago-gastro-deudonoscopy without indication in patients with recurrent abdominal pain. PMID:23399792

Motamed, Farzaneh; Norouzi, Sayna; Najafi, Mehri; Khodadad, Ahmad; Farahmand, Fatemeh; Mossahebi, Sara; Heidari-Bateni, Giv

2012-01-01

76

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

ERIC Educational Resources Information Center

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

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

2004-01-01

77

Complex regional pain syndrome type I: incidence and prevalence in Olmsted county, a population-based study  

Microsoft Academic Search

The objective of this study is to undertake a population based study on the incidence, prevalence, natural history, and response to treatment of complex regional pain syndrome (CRPS). All Mayo Clinic and Olmsted Medical Group medical records with codes for reflex sympathetic dystrophy (RSD), CRPS, and compatible diagnoses in the period 1989–1999 were reviewed as part of the Rochester Epidemiology

Paola Sandroni; Lisa M Benrud-Larson; Robyn L McClelland; Phillip A Low

2003-01-01

78

Ethnic differences in pain and pain management.  

PubMed

Considerable evidence demonstrates substantial ethnic disparities in the prevalence, treatment, progression and outcomes of pain-related conditions. Elucidating the mechanisms underlying these group differences is of crucial importance in reducing and eliminating disparities in the pain experience. Over recent years, accumulating evidence has identified a variety of processes, from neurophysiological factors to structural elements of the healthcare system, that may contribute to shaping individual differences in pain. For example, the experience of pain differentially activates stress-related physiological responses across various ethnic groups, members of different ethnic groups appear to use differing coping strategies in managing pain complaints, providers' treatment decisions vary as a function of patient ethnicity and pharmacies in predominantly minority neighborhoods are far less likely to stock potent analgesics. These diverse factors, and others may all play a role in facilitating elevated levels of pain-related suffering among individuals from ethnic minority backgrounds. Here, we present a brief, nonexhaustive review of the recent literature and potential physiological and sociocultural mechanisms underlying these ethnic group disparities in pain outcomes. PMID:23687518

Campbell, Claudia M; Edwards, Robert R

2012-05-01

79

The Prevalence of Musculoskeletal Pain and Forward Head Posture among Heroin Users during their Withdrawal with Methadone  

PubMed Central

Background Heroin is an extremely addictive narcotic drug derived from morphine. Its continued use requires increased amounts of the drug to achieve the same effect, resulting in tolerance and addiction. This study was done in order to determine the prevalence of musculoskeletal pain and forward head posture among heroin users during their withdrawal. Methods This research was a cross-sectional study that was done on 90 heroin users (83 males, 7 females) aged between 20 to 40 years (32.5 ± 3.81) during their withdrawal in Shiraz, Iran. They were selected by simple randomized sampling. Data were collected by a form regarding age, sex, the duration of heroin use, and musculoskeletal pain. Pain was measured by VAS (visual analog scale) and forward head posture was evaluated by plumb line. Pearson correlation technique and chi-square were used for analyzing the data. Findings The results revealed that the majority of heroin users suffered from musculoskeletal pain during their withdrawal. At the end of withdrawal 53.4% had severe pain, 38.8% had moderate pain, and 7.8% of them had mild pain. Pain in the lower extremities and low back was more common than the upper extremities. The intensity of pain before withdrawal was mild, during withdrawal was moderate, and at the end was sever, but there was no significant correlation between them. The results also showed 43.3% of subjects had normal posture and 56.7% had forward posture. Conclusion According to the results, the intensity of pain increased during the withdrawal period; therefore, more attention must be paid to this complication in heroin users for better evaluation and a successful withdrawal. PMID:25140215

Kamali-Sarvestani, Fahimeh; Motiallah, Tahereh; Ghaffarinejad, Farahnaz

2014-01-01

80

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

Microsoft Academic Search

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

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

2009-01-01

81

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

PubMed

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

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

2013-09-01

82

Construction Workers Struggle with a High Prevalence of Mental Distress and this is Associated with Their Pain and Injuries  

PubMed Central

Objectives We aimed to investigate how mental distress was associated with pain and injuries in a convenience sample of construction workers. Methods A cross-sectional, mental health assessment was conducted in a convenience sample of construction workers (N=172). A subsample participated in a clinical interview (N=10). We used a cut-off (?1.50) on HSCL-25 to determine substantial mental distress and determined associations with pain and injury outcomes. Results The prevalence of substantial mental distress was 16 % in the workers. This was supported by follow-up clinical interviews where nine out of ten workers fulfilled the criteria for a mental disorder. Substantial mental distress was associated with both injury rate and self-reported pain. Conclusion This pilot study strongly suggests the need for rigorous studies on construction worker mental health, and how it affects their work and wellbeing. PMID:24064778

Jacobsen, Henrik Borsting; Caban-Martinez, Alberto; Onyebeke, Lynn C.; Sorensen, Glorian; Dennerlein, Jack T.; Reme, Silje Endresen

2013-01-01

83

[Complaints about dentists].  

PubMed

Complaints against dentists can be lodged with the Dutch Dental Association. A content analysis was made of complainers' letters received in the years 1983-1986. Two third of the complaints concern dental treatment-especially crowns and bridges and careless behavior, 20% are about fees, 9% about communication and information and 3% are complaints from other dentists. Of all complaints at least 30% are rooted in a faulty communication between dentist and patient. Complaints about fees have strongly diminished, complaints about a second opinion have increased significantly. Most cases are resolved informally. Almost half of the complaints officially delt with is (partially) substantiated. Redressment of done injustice often is the imposed sanction, sometimes combined with a warning. Reprimande, suspension or expulsion are seldomly imposed. The authors stress the importance of prevention of complaints by better informing patients as well as more openness on dealing with complaints. PMID:2639270

ter Horst, G; Boon, G

1989-07-01

84

Erectile Dysfunction Prevalence, Time of Onset and Association with Risk Factors in 300 Consecutive Patients with Acute Chest Pain and Angiographically Documented Coronary Artery Disease  

Microsoft Academic Search

Objectives: The aim of this study was to assess erectile dysfunction prevalence, time of onset and association with risk factors in patients with acute chest pain and angiographically documented coronary artery disease.Methods: 300 consecutive patients with acute chest pain and angiographically documented coronary artery disease were assessed using a semi-structured interview investigating their medical and sexual histories, the International Index

Francesco Montorsi; Alberto Briganti; Andrea Salonia; Patrizio Rigatti; Alberto Margonato; Andrea Macchi; Stefano Galli; Paolo M Ravagnani; Piero Montorsi

2003-01-01

85

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

Microsoft Academic Search

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

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

2007-01-01

86

Work related risk factors for musculoskeletal complaints in the spinning industry in Lithuania  

PubMed Central

OBJECTIVES: To describe the prevalence of self reported musculoskeletal complaints in the back, arms or neck, and legs among workers in the spinning industry, and to investigate the relations between these complaints and work related variables. METHODS: An interview based questionnaire survey was carried out in two spinning industry factories in Lithuania. RESULTS: The study group consisted of all workers in production (n = 363). Symptoms of the legs were the musculoskeletal symptom reported most often (61%). Many subjects had arms or neck (55%) or back problems (28%). 20% had experienced pain from all three sites. Almost 25% had had musculoskeletal pain every day and 16% had experienced constant pain during previous year. Packers had the highest risk of arms or neck problems whereas spinners had the highest risk of back or leg problems. Working in a strained posture (bending, work with arms raised up above shoulder level, and repetitive movements of the fingers) was associated with all three complaints. Only arms or neck complaints were associated with age. CONCLUSIONS: Musculoskeletal disorders are a common problem among workers producing gobelin or synthetic thread in Lithuania and working in a strained posture is a risk factor for developing musculoskeletal disorders in three body sites: legs, arms or neck, and back. To better understand the different aspects of physical load as risk factors, a more detailed study of the frequency of postural changes as well as an observation of individually adopted postures would be necessary. This applies to intervention studies in factories of the spinning industry to prevent complaints of the legs and shoulders.   PMID:10474538

Gamperiene, M.; Stigum, H.

1999-01-01

87

Prevalence of claims-based recurrent low back pain in a Canadian population: A secondary analysis of an administrative database  

PubMed Central

Background There is a vast literature reporting that the point prevalence of low back pain (LBP) is high and increasing. It is also known that a large proportion of acute LBP episodes are recurrent within 12 months. However, few studies report the annual trends in the prevalence of recurrent LBP or describe these trends according to age and sex categories. Methods We conducted a retrospective cohort study involving 401 264 adults selected from the administrative database of physician claims for the province of Quebec, Canada. These adults, aged 18 years and over, met the criteria of having consulted a physician three times within a 365-day period between 2000 and 2007 for a LBP condition corresponding to ICD-9 codes 721, 722, 724 or 739. All data were analyzed by sex and clustered according to specific age categories. Results We observed a decrease from 1.64% to 1.33% in the annual prevalence between 2000 and 2007 for men. This decrease in prevalence was mostly observed between 35 and 59 years of age. Older (?65 years) women were 1.35 times more at risk to consult a physician for LBP in a recurrent manner than older men. The most frequently reported diagnosis was non-specific LBP between 2000 to 2007. During the same period, sequelae of previous back surgery and spinal stenosis were the categories with the largest increases. Conclusion The annual prevalence of claims-based recurrent LBP progressively decreased between 2000 and 2007 for younger adults (<65 years) while older adults (?65 years) showed an increase. Given the aging Canadian population, recurrent low back pain could have an increasing impact on the quality of life of the elderly as well as on the healthcare system. PMID:23628144

2013-01-01

88

Tips for Chronic Pain  

MedlinePLUS

Chronic pain is defined as “persistent pain” and is a common complaint in Sjögren’s syndrome. For example, Sjögren’s ... mental well-being. Some tips for dealing with chronic pain: Continue caring for the condition causing your pain. • ...

89

Pain.  

PubMed

Invasive stimulation of the motor (precentral) cortex using surgically implanted epidural electrodes is indicated for the treatment of neuropathic pain that is refractory to medical treatment. Controlled trials have demonstrated the efficacy of epidural motor cortex stimulation (MCS), but MCS outcome remains variable and validated criteria for selecting good candidates for implantation are lacking. Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive approach that could be used as a preoperative tool to predict MCS outcome and also could serve as a therapeutic procedure in itself to treat pain disorders. This requires repeated rTMS sessions and a maintenance protocol. Other studies have also demonstrated the efficacy of transcranial direct current stimulation (tDCS) in relieving chronic pain syndromes. The most studied target is the precentral cortex, but other targets, such as the prefrontal and parietal cortices, could be of interest. The analgesic effects of cortical stimulation relate to the activation of various circuits modulating neural activities in remote structures, such as the thalamus, limbic cortex, insula, or descending inhibitory controls. In addition to the treatment of refractory neuropathic pain by epidural MCS, new developments of this type of strategy are ongoing, for other types of pain syndrome and stimulation techniques. PMID:24112914

Lefaucheur, Jean-Pascal

2013-01-01

90

The prevalence of post-traumatic stress disorder in chronic pain patients  

Microsoft Academic Search

Several of the more common causes of chronic pain include traumatic events such as motor vehicle accidents and workrelated\\u000a incidents. Therefore, it is not unusual for patients presenting with chronic pain to also describe significant levels of distress\\u000a including post-traumatic symptomatology and, in the more severe cases, post-traumatic stress disorder (PTSD). Throughout the\\u000a past few decades, the literature relating to

Timothy J. Sharp

2004-01-01

91

Comparing the Prevalence of Chronic Pain After Sternotomy in Patients Undergoing Coronary Artery Bypass Grafting Using The Internal Mammary Artery and Other Open Heart Surgeries  

PubMed Central

Background: The prevalence of chronic postoperative pain after cardiac surgery has been reported from 17% to 56%. Objectives: We aimed to compare the prevalence of postoperative pain between patients who had undergone CABG using the internal mammary artery (IMA) and those who had undergone other cardiac surgeries including CABG using the saphenous vein or cardiac valvular surgeries. Patients and Methods: In this cohort study, medical records of 188 patients were evaluated and divided into two equal groups (94 in each group); patients who had undergone CABG using the IMA (IMA group) and those who had undergone other cardiac surgeries using the saphenous vein or other cardiac valvular surgeries (non-IMA group). The patients' data were recorded in a self-structured questionnaire and then phone interviews were performed 3 months after the operations regarding the rate of postoperative pain. The severity of chronic pain was rated based on the numerical rating pain scale. Results: The two groups differed significantly regarding the prevalence of pain (P = 0.023). In the IMA group, 83 (88.3%) patients experienced pain lasting for more than three months compared to 71 (75.5%) patients in non-IMA group. The two groups differed significantly with respect to the severity of chronic pain after cardiac surgery via sternotomy (P = 0.001). The groups did not differ significantly regarding the effects of chronic pain on their sleep, referral to a physician, and drug consumption to alleviate their pain. The IMA group experienced more complications at work and during their occupational activity. Conclusions: The rate and severity of chronic pain after cardiac surgery via sternotomy was higher in patients undergoing CABG with separation of IMA for revascularization. PMID:25289372

Kamalipour, Hamid; Vafaei, Ali; Parviz Kazemi, Asef; Khademi, Saeed

2014-01-01

92

Restless Legs Syndrome and Pain Disorders: What's in common?  

PubMed

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

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

2014-11-01

93

The prevalence of MRI-defined spinal pathoanatomies and their association with Modic changes in individuals seeking care for low back pain  

Microsoft Academic Search

Modic changes are of increasing interest, however their age and gender prevalence are not well described. To date, the associations\\u000a between Modic changes and other common vertebral pathologies have only been described in small samples (n < 100). Our aim was, in a large dataset of people with low back pain, to (1) describe the prevalence of a range of spinal\\u000a pathoanatomies,

Hanne B. Albert; Andrew M. Briggs; Peter Kent; Andreas Byrhagen; Christian Hansen; Karina Kjaergaard

94

Prevalence of and risk factors for low back pain among staffs in schools for physically and mentally handicapped children.  

PubMed

The objective of this study is to clarify the prevalence of and risk factors for low back pain (LBP) in schools for physically and mentally handicapped children. This study design is a cross-sectional study. The subjects included were 1,869 staff members from 19 prefectural schools for children in Shizuoka Prefecture, Japan, which included schools for the blind, deaf-mutes, physically handicapped, and mentally retarded children. A total of 975 subjects completed two postal questionnaires which included morbidity, demographic factors, nursing activity, and psychosocial factors. The answer rate was 52%. The one-month prevalence of LBP was 45%. According to the classification of nursing activity, assistance in movement 1.67 (95% CI 1.27-2.14), excretory function 1.45 (1.11-1.88), and feeding 1.44 (1.10-1.90) showed significant increases in the odds ratio. The adjusted odds ratio significantly increased by 2.35 (1.78-3.11) in the group with depression symptoms as well as in the group with job stressors such as quantitative, qualitative, and physical work loads, job control, utilization of technique, interpersonal conflicts, and degree of satisfaction with their work/home life. PMID:16610547

Muto, Shigeki; Muto, Takashi; Seo, Akihiko; Yoshida, Tsutomu; Taoda, Kazushi; Watanabe, Misuzu

2006-01-01

95

Determining zolpidem compliance: urinary metabolite detection and prevalence in chronic pain patients.  

PubMed

Zolpidem (Ambien(®)) is the most prescribed insomnia treatment in the USA; however, little is known about zolpidem metabolite excretion in chronic pain patients. As zolpidem is extensively metabolized in vivo to zolpidem 4-phenyl carboxylic acid (ZCA), metabolite detection may provide improved accuracy for compliance determinations, thereby improving clinical decisions. Zolpidem and ZCA were extracted from 1 mL human urine by mixed-mode solid-phase extraction. Samples were analyzed by LC-MS-MS using positive electrospray ionization with multiple reaction monitoring mode employed for detection and quantification. Gradient chromatographic separation was achieved with a reversed-phase column in a rapid 1.8 min analysis. The assay was linear from 4 to 1,000 µg/L for zolpidem and 4 to 10,000 µg/L for ZCA. Interday recovery (bias) and imprecision (n = 20) were 100-107% of target and 2.4-3.7% relative standard deviation, respectively. Extraction efficiencies were 78-90%. Pain compliance samples (n = 3,142) were de-identified and analyzed for zolpidem and ZCA. Zolpidem was detected greater than limit of quantification in 720 specimens (22.9%), while ZCA was detected in 1,579 specimens (50.3%). Only five specimens contained zolpidem alone. ZCA was observed without parent zolpidem in 864 specimens, thereby increasing population detection rates by 27.5%. Addition of a zolpidem metabolite to compliance determinations substantially improved detection for zolpidem intake and also should prove useful in clinical and forensic settings. PMID:25217539

Schwope, David M; DePriest, Anne; Black, David L; Caplan, Yale H; Cone, Edward J; Heltsley, Rebecca

2014-10-01

96

[Prevalence and persistence of back pain in foreign workers: class or culture-induced?].  

PubMed

Physically working people are more likely to suffer from backache. Not only is their work hard and menial but usually also degrading. Unpleasant circumstances such as an offensive environment, the monotony of work, poor qualifications or unsatisfactory work generally influence the persistence of pain. The course of an illness such as a lingering backache, is hardly ever determined by somatic factors. A prognosis is rather based upon the attitude and behaviour of the single patient and his social surroundings, as well as upon the pathological process. Medication might even worsen rather than improve the patient's condition. The typical foreign worker, who generally merely has an elementary education and whom we therefore assign unqualified work, does not only risk to suffer from backache. His personal strength and his circumstances can seriously hinder his rehabilitation, more than it would be the case with native patients. The accumulation of negative factors is closely connected to his role of a foreign worker, whereas cultural aspects do not seem to be determining. Therefore, the foreign patient's rehabilitation can be fostered and improved by adopting the same methods used with Swiss patients against the chronicisation of backache. Nevertheless, the mentioned unfavourable factors and additional language problems considerably foil all efforts to a successful rehabilitation. PMID:1412081

Keel, P

1992-09-01

97

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

ERIC Educational Resources Information Center

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

Troyer, Jennifer L.; Sause, Wendy L.

2011-01-01

98

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

Microsoft Academic Search

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

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

99

The effect of education on decreasing the prevalence and severity of neck and shoulder pain: a longitudinal study in Korean male adolescents  

PubMed Central

Background Neck and shoulder pain is fairly common among adolescents in Korea and results in significant health problem. The aims of this prospective study was to identify the effects of education, in terms of recognition of this issue and posture correction, on prevalence and severity of neck and shoulder pain in Korean adolescents. Methods A prospective, observational cohort design was used. The 912 students from two academic high schools in the city of Seoul were eligible for the current study and 887 completed this study. After a baseline cross-sectional survey, students listened to a lecture about cervical health, focusing on good posture, habits, and stretching exercises to protect the spine, and were encouraged by their teachers to keep the appropriate position. And follow-ups were conducted 3 months later, to evaluate the effect of education. Results The prevalence of neck and shoulder pain was decreased 19.5% (from 82.5 to 66.4%). The baseline mean usual and worst numeric rating scale were 19.9/100 (95% CI, 18.1-21.7) and 31.2/100 (95% CI, 28.7-33.2), respectively. On the follow-up survey, the mean usual and worst numeric rating scale were decreased significantly by 24.1 and 21.7%, respectively, compared with baseline (P < 0.01). Of the 570 students reporting neck and shoulder pain, 16.4% responded that they had experienced improvement during the 3 months. Conclusions Education; recognition of this issue and posture correction, for cervical health appeared to be effective in decreasing the prevalence and severity of neck and shoulder pain at a 3 month follow-up. PMID:25301193

Koh, Min Jung; Park, Eun Jung; Park, Sang Hoon; Jeon, Hea Rim; Kim, Mun-Gyu; Lee, Se-Jin; Kim, Sang Ho; Ok, Si Young; Kim, Soon Im

2014-01-01

100

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

Microsoft Academic Search

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

M A Shepherd; P Nadanovsky; A Sheiham

1999-01-01

101

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

Microsoft Academic Search

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

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

2011-01-01

102

Book complaints spur debate  

Microsoft Academic Search

La Rae Hickman filed a complaint with the Reynolds School District over a few books that the school uses in their curriculum. The books were Of Mice and Men by John Steinbeck and The Lemming Condition by Alan Arkin. She also wrote a guest column for the Gresham outlook complaining about the use of two other books, Romeo and Juliet

Debbie Klosowski

1986-01-01

103

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

PubMed Central

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

Sadeghian, Farideh; Raei, Mehdi; Amiri, Mohammad

2014-01-01

104

Pediatric heel pain.  

PubMed

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

Joseph, Alison M; Labib, Irene K

2013-10-01

105

EMPLOYEE DISCRIMINATION & HARASSMENT COMPLAINT FORM  

E-print Network

(s) on which you are making your complaint of discrimination/harassment. Sex Race Religion Gender IdentityEMPLOYEE DISCRIMINATION & HARASSMENT COMPLAINT FORM HUMAN RESOURCES FORM Office for Equal DISCRIMINATION & HARASSMENT COMPLAINT FORM Instructions: Please print using blue or black ink pen. Fill out all

Eirinaki, Magdalini

106

Vertebral endplate signal changes (Modic change): a systematic literature review of prevalence and association with non-specific low back pain  

PubMed Central

The prevalence of “vertebral endplate signal changes” (VESC) and its association with low back pain (LBP) varies greatly between studies. This wide range in reported prevalence rates and associations with LBP could be explained by differences in the definitions of VESC, LBP, or study sample. The objectives of this systematic critical review were to investigate the current literature in relation to the prevalence of VESC (including Modic changes) and the association with non-specific low back pain (LBP). The MEDLINE, EMBASE, and SveMED databases were searched for the period 1984 to November 2007. Included were the articles that reported the prevalence of VESC in non-LBP, general, working, and clinical populations. Included were also articles that investigated the association between VESC and LBP. Articles on specific LBP conditions were excluded. A checklist including items related to the research questions and overall quality of the articles was used for data collection and quality assessment. The reported prevalence rates were studied in relation to mean age, gender, study sample, year of publication, country of study, and quality score. To estimate the association between VESC and LBP, 2 × 2 tables were created to calculate the exact odds ratio (OR) with 95% confidence intervals. Eighty-two study samples from 77 original articles were identified and included in the analysis. The median of the reported prevalence rates for any type of VESC was 43% in patients with non-specific LBP and/or sciatica and 6% in non-clinical populations. The prevalence was positively associated with age and was negatively associated with the overall quality of the studies. A positive association between VESC and non-specific LBP was found in seven of ten studies from the general, working, and clinical populations with ORs from 2.0 to 19.9. This systematic review shows that VESC is a common MRI-finding in patients with non-specific LBP and is associated with pain. However, it should be noted that VESC may be present in individuals without LBP. PMID:18787845

Karppinen, Jaro; Sorensen, Joan S.; Niinimaki, Jaakko; Leboeuf-Yde, Charlotte

2008-01-01

107

Is a lifetime history of neck injury in a traffic collision associated with prevalent neck pain, headache and depressive symptomatology?  

Microsoft Academic Search

The objective of this study is to determine whether independent associations exist between a history of neck injury related to a motor vehicle collision and: (1) graded neck pain in the past 6 months; (2) headaches in the past 6 months and; (3) depressive symptomatology during the past week. We used data from the Saskatchewan Health and Back Pain Survey,

Pierre Côté; J. David Cassidy; Linda Carroll

2000-01-01

108

Prevalence and influencing factors of chronic back pain among staff at special schools with multiple and severely handicapped children in Germany: results of a cross-sectional study  

PubMed Central

Background In Germany, about 70,000 teachers and educational staff were teaching at more than 3,000 special schools during the school year 2010/2011. Nursing services like lifting pupils form a substantial part of the work content of the staff at special schools. Since nursing care often involves carrying and lifting pupils, there is a reason to assume an adverse effect on the musculoskeletal health of teachers and other professionals. With the present study we aimed to describe the prevalence and risk factors of chronic back pain among employees at this type of school. Methods The cross-sectional survey was carried out between August 2010 and August 2012 at 13 special schools focusing on motoric and/or holistic development of handicapped children in Rhineland-Palatinate (Germany). Teachers and educational staff were interviewed using a questionnaire. We applied multivariable logistic regression analyses to identify influencing factors of chronic back pain. Results Altogether 395 persons (response rate: 59.7%) participated in our study. Respondents were mostly female (86.8%) with a mean age of 45 years. The prevalence of chronic back pain was 38.7%. More than 40% reported frequently carrying and lifting heavy loads (>20 kg). Age [adjusted OR?=?1.03 (95%-CI 1.00-1.05) for 1-year increase in age], current smoking [adjusted OR?=?2.31 (95%-CI 1.27-4.23)], depression/depressive mood [adjusted OR?=?1.85 (95%-CI 1.12-3.06)], frequently carrying and lifting heavy loads [adjusted OR?=?2.69 (95%-CI 1.53-4.75)], and frequent exposure to environmental impacts [adjusted OR?=?2.18 (95%-CI 1.26-3.76)] were influencing factors of chronic back pain in the final multivariable regression model. Conclusions A large proportion of teachers and educational staff suffered from chronic back pain in our study, indicating a high need for treatment in this professional group. Increasing age, current smoking, a diagnosed depression/depressive mood, carrying and lifting heavy loads, and exposure to environmental impacts were associated with chronic back pain. Due to the sparse literature on the topic, further studies using a longitudinal design are necessary for a better understanding of the risk factors of chronic back pain. PMID:24568286

2014-01-01

109

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

PubMed Central

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

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

2004-01-01

110

Pain management in polycystic kidney disease  

Microsoft Academic Search

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

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

2001-01-01

111

Drug-related complaints against police : Some findings from a New South Wales study  

Microsoft Academic Search

Purpose – To examine the incidence and prevalence rate of drug-related complaints against police in the New South Wales Police Service (Australia) and compare these rates to officer demographics. Design\\/methodology\\/approach – Seven years of complaints data (1993-2000) are examined. The data showed that of nearly 40,000 complaints amounting to over 80,000 allegations, less than 2 percent relate to drug-related allegations.

Jerry H. Ratcliffe; David Biles; Tracey Green; Seumas Miller

2005-01-01

112

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

PubMed Central

Background Neck and shoulder pain (NSP) is fairly common in adolescents, which is associated with a high prevalence of NSP found during adulthood as well; therefore, its significance during adolescence should not be underestimated. We surveyed the prevalence of recurrent NSP, lifestyle, and risk factors in Korean high school students, and examined the influence of recurrent NSP on the quality of life. Methods Nine hundred thirty one male students (16-19 years old) from two academic high schools in Seoul were included in this study. The survey consisted of a questionnaire to assess the prevalence of recurrent NSP, with questions regarding having an occurrence more than once a week, characteristics of NSP, activity and lifestyle of the students, and the risk factors for recurrent NSP. A 36-item Short Form questionnaire was also examined. Results We found that 44.3% of the high school students surveyed had recurrent NSP (more than once a week) and the overall prevalence of NSP was 79.1%. The average sitting time was 10.2 ± 2.7 h/day. 59.0% did not sit straight, 14.7% used assisting devices during reading, and 11.9% answered that they stretched regularly. Found from their self assessed health, frequent fatigue and frequent depressed mood presented significant associations with the higher prevalence of recurrent NSP. Conclusions Korean high school students had a high prevalence of recurrent NSP. Clinical attention is needed for the prevention and resolution of recurrent NSP found in high school students. PMID:22787546

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

2012-01-01

113

Sleep Complaints and Polysomnographic Findings: A Study of Nuclear Power Plant Shift Workers  

Microsoft Academic Search

The literature widely recognizes that shift workers have more health complaints than the general population. The objective of this study was to describe the prevalence of sleep complaints and verify the polysomnographic (PSG) variables of shift workers in two Brazilian nuclear power plants. We carried out a subjective evaluation with a sleep questionnaire. Based on these results, the interviewees that

Samantha L. Paim; Maria Laura N. Pires; Lia Rita A. Bittencourt; Rogério S. Silva; Ruth F. Santos; Andrea M. Esteves; Amaury T. Barreto; Sergio Tufik; Marco Túlio de Mello

2008-01-01

114

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

ERIC Educational Resources Information Center

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…

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

2012-01-01

115

Work related risk factors for musculoskeletal complaints in the spinning industry in Lithuania  

Microsoft Academic Search

OBJECTIVES: To describe the prevalence of self reported musculoskeletal complaints in the back, arms or neck, and legs among workers in the spinning industry, and to investigate the relations between these complaints and work related variables. METHODS: An interview based questionnaire survey was carried out in two spinning industry factories in Lithuania. RESULTS: The study group consisted of all workers

M. Gamperiene; H. Stigum

1999-01-01

116

47 CFR 8.12 - Formal Complaints.  

Code of Federal Regulations, 2011 CFR

...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...

2011-10-01

117

47 CFR 8.12 - Formal complaints.  

Code of Federal Regulations, 2013 CFR

...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...

2013-10-01

118

47 CFR 8.12 - Formal complaints.  

Code of Federal Regulations, 2012 CFR

...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...

2012-10-01

119

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

MedlinePLUS

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

120

Is 'sinus' pain really sinusitis?  

PubMed

So-called 'sinus pain' is a common complaint in GP and ear, nose and throat clinics, and patients often receive treatment with antibiotics and decongestants. Recent evidence suggests that facial pain may not be related to the sinuses at all and that doctors may have to rethink their prescribing strategy. PMID:25291607

Agius, Am; Jones, Ns; Muscat, R

2014-10-01

121

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

Microsoft Academic Search

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

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

2004-01-01

122

Prevalence and long-term predictors of persistent chronic widespread pain in the general population in an 11-year prospective study: the HUNT study  

PubMed Central

Background Chronic widespread pain (CWP) is common and associated with prominent negative consequences. The aim of this study was to assess the prevalence of persistent CWP in an 11-year prospective cohort study in the general population, and to examine anxiety, depression, alcohol use, poor sleep, body mass index (BMI) and chronic disease, along with demographic, lifestyle and other health-related variables as possible predictors for the assumed CWP persistence. Methods CWP was defined as having pain at three or more predefined sites (involving the trunk and upper and lower limbs) for at least three months in the last year. We used a Norwegian general population cohort of 28,367 individuals who responded to both the second (1995–1997) and the third (2006–2008) waves of the Nord-Trøndelag Health Study (HUNT2 and HUNT3, respectively). Data were analysed with logistic regression models. Results CWP prevalence in HUNT2 was 17%. Of those reporting CWP in HUNT2, 53% still reported CWP at follow-up in HUNT3. Adjusted analyses revealed that depression and alcohol consumption were not substantially associated with the 11-year prospective CWP outcome. Poor sleep, obesity and chronic disease predicted persistent CWP, and being male and/or 60 years or older was protective. Conclusions This cohort study revealed that nearly half of the participants with baseline CWP resolved from CWP 11 years later. Among those whose CWP did not resolve, obesity, sleeping problems and chronic disease predicted CWP persistence, while aging and male sex was protective. Anxiety, mixed anxiety and depression, former smoking, and overweight were weakly associated, while depression, moderate exercise, and alcohol use were not associated with persistent CWP. PMID:24951013

2014-01-01

123

A pilot study of the prevalence of lumbar disc degeneration in elite athletes with lower back pain at the Sydney 2000 Olympic Games  

PubMed Central

Objectives: To observe the prevalence of lumbar intervertebral disc degeneration in elite athletes as compared with published literature of changes seen in non-athletes—that is, normal population. Methods: The lumbar spines of 31 Olympic athletes who presented to the Olympic Polyclinic with low back pain and/or sciatica were examined using magnetic resonance imaging. Three criteria were looked at: (a) the loss of disc signal intensity; (b) the loss of disc height; (c) the presence of disc displacement. The results were then recorded and correlated with the lumbar levels. Results: The disc signal intensity was progressively reduced the more caudal the disc space. It was most common at the L5/S1 level, and, of the abnormal group, 36% (n = 11) showed the most degenerative change. Disc height reduction was also found to be most common at the L5/S1 level. However, the most common height reduction was only mild. A similar trend of increased prevalence of disc herniation was noted with more caudal levels. At the L5/S1 level, 58% were found to have an element of disc displacement, most of which were disc bulges. Compared with changes seen in the normal population (non-athletes) as described in the literature, disc degeneration defined by the above criteria was found to be significantly more severe in these Olympic athletes. Conclusions: Although the study was limited, the results suggest that elite athletes have a greater prevalence and greater degree of lumbar disc degeneration than the normal population. A more detailed follow up study should be considered to investigate which particular training activities have the most impact on the lumbar spine, and how to modify training methods so as to avoid the long term sequelae of degenerative disc disease of the lumbar spine. PMID:12782554

Ong, A; Anderson, J; Roche, J

2003-01-01

124

Mental Health Levels and Incidence of Musculoskeletal Complaints among Speed Boat Crew Members  

PubMed Central

Background The occupational health is an important issue. In some jobs, the working conditions contribute to musculoskeletal complaints and the overall health of the individual is compromised. Musculoskeletal complaints have gained credence in the public as one of the most important problems in the field of occupational diseases. Physical and mental health of crew members with critical jobs and stressful environments must be considered as well. Objectives This study performed an assessment on levels of mental health and the correlation with the frequency of accompanying musculoskeletal complaints (such as neck, back and knee pain) of crew members of speed boats. Material and Methods 149 onboard crew members of speed boats were recruited in a descriptive-correlation study by nonrandom sampling using conducted GHQ12, NMQ and demographic questionnaires. Results Although 63.8% (95 people) had what is conventionally defined as normal mental health, 36.2% (54 cases) had an inherent mental health condition. Overall, 61.1% (91 cases) suffered from back pain, 60.4% (90 cases) complained of knee pain, and 40.3% (60 patients) complained of neck pain. The combination of knee and back pain (48.3%) were the most common complaints whereas the combination of neck and knee pain (31.5%) were the least frequent; 28.2% complained of pain in all three areas. Interestingly, there was correlation between the presence of musculoskeletal complaints and less than optimum mental health. Conclusions Due to the high number of musculoskeletal complaints and the compromised mental health conditions among one-third of the onboard crew members of speed boats, attention for maintaining and improving the health of these members must be considered. PMID:24350130

Zigheimat, Farzaneh; Ebadi, Abbas; Rahmati Najarkolaei, Fatemeh; Malakoti, Mohammad; Kheiri Tootkaleh, Farhad

2013-01-01

125

Intrathecal Buprenorphine in the Treatment of Phantom Limb Pain  

Microsoft Academic Search

hantom limb pain is a chronic pain perceived in an absent part of the body. It can totally con- sume a patient's life. Suggested treatments for this complaint are many, but none have proved to have lasting efficacy. We have treated two patients suffering from phan- tom limb pain. Intrathecal buprenorphine provided not only immediate and long-lasting pain relief, but

Keiichi Omote; Hideya Ohmori; Mikito Kawamata; Maki Matsumoto; Akiyoshi Namiki

1995-01-01

126

Chest pain and chest wall deformity.  

PubMed

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

Gokhale, Janaki; Selbst, Steven M

2009-02-01

127

Approach to the child with chest pain.  

PubMed

Children frequently present to a pediatric office or emergency department with the complaint of chest pain. Between 0.3% and 0.6% of visits to a pediatric emergency department are for chest pain. Unlike adult patients with chest pain, most studies have shown that children with chest pain rarely have serious organic pathology. Infrequently, a child with chest pain will present with significant distress and require immediate resuscitation. Most children with chest pain are not in extremis, and for many, the pain is not acute in nature. PMID:21111115

Selbst, Steven M

2010-12-01

128

[Groin pain in athletes].  

PubMed

Groin pain in young athletes is a common problem, accounting for significant downtime in sports participation. It can be difficult to make the correct diagnosis as groin pain has a wide differential diagnosis, which encompasses acute as well as chronic causative factors. In this article this is illustrated by presenting three cases of patients who attended our hospital. In all three cases the main complaint was sports-related groin pain, and the patients presented with very similar symptoms. However, after further investigation the patients were diagnosed with three very different types of injury: sportsman's hernia; hip labral tear; and pubic osteitis. This emphasises the need for every general practitioner and medical specialist to understand that there is a wide differential diagnosis for groin pain in athletes, in order to be able to implement specific therapy targeting the actual cause of groin pain. PMID:25315329

Sanders, R J M; Kokshoorn, A P J; Kolkman, K A; van der Wal, W A; van Loon, C J M

2014-01-01

129

Chronic low back pain: Progress in therapy  

Microsoft Academic Search

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

Jerry D. Joines

2006-01-01

130

Prevalence of Narcotic Bowel Syndrome in Opioid Abusers in Iran  

PubMed Central

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

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

2014-01-01

131

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

Microsoft Academic Search

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

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

2004-01-01

132

Overtreating Chronic Back Pain: Time to Back Off?  

PubMed Central

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

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

2009-01-01

133

29 CFR 1614.204 - Class complaints.  

Code of Federal Regulations, 2012 CFR

...Particular Complaints § 1614.204 Class complaints. (a) Definitions. (1) A class is a group of employees, former...discriminates against the group on the basis of their race, color, religion, sex, national origin, age, disability, or genetic...

2012-07-01

134

12 CFR 268.204 - Class complaints.  

Code of Federal Regulations, 2012 CFR

...Particular Complaints § 268.204 Class complaints. (a) Definitions —(1) Class is a group of Board employees, former...discriminates against the group on the basis of their race, color, religion, sex, national origin, age or disability. (2)...

2012-01-01

135

12 CFR 268.204 - Class complaints.  

...Particular Complaints § 268.204 Class complaints. (a) Definitions —(1) Class is a group of Board employees, former...discriminates against the group on the basis of their race, color, religion, sex, national origin, age or disability. (2)...

2014-01-01

136

29 CFR 1614.204 - Class complaints.  

...Particular Complaints § 1614.204 Class complaints. (a) Definitions. (1) A class is a group of employees, former...discriminates against the group on the basis of their race, color, religion, sex, national origin, age, disability, or genetic...

2014-07-01

137

12 CFR 268.204 - Class complaints.  

Code of Federal Regulations, 2013 CFR

...Particular Complaints § 268.204 Class complaints. (a) Definitions —(1) Class is a group of Board employees, former...discriminates against the group on the basis of their race, color, religion, sex, national origin, age or disability. (2)...

2013-01-01

138

48 CFR 422.1308 - Complaint procedures.  

Code of Federal Regulations, 2010 CFR

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

2010-10-01

139

7 CFR 250.22 - Complaints.  

...GENERAL REGULATIONS AND POLICIES-FOOD DISTRIBUTION DONATION OF FOODS FOR USE IN THE UNITED STATES...distribution or use of donated foods. Irregularities which...a complaint has been properly handled. Complaints alleged on...

2014-01-01

140

7 CFR 250.22 - Complaints.  

Code of Federal Regulations, 2010 CFR

...GENERAL REGULATIONS AND POLICIES-FOOD DISTRIBUTION DONATION OF FOODS FOR USE IN THE UNITED STATES...distribution or use of donated foods. Irregularities which...a complaint has been properly handled. Complaints alleged on...

2010-01-01

141

7 CFR 250.22 - Complaints.  

Code of Federal Regulations, 2011 CFR

...GENERAL REGULATIONS AND POLICIES-FOOD DISTRIBUTION DONATION OF FOODS FOR USE IN THE UNITED STATES...distribution or use of donated foods. Irregularities which...a complaint has been properly handled. Complaints alleged on...

2011-01-01

142

7 CFR 250.22 - Complaints.  

Code of Federal Regulations, 2012 CFR

...GENERAL REGULATIONS AND POLICIES-FOOD DISTRIBUTION DONATION OF FOODS FOR USE IN THE UNITED STATES...distribution or use of donated foods. Irregularities which...a complaint has been properly handled. Complaints alleged on...

2012-01-01

143

7 CFR 250.22 - Complaints.  

Code of Federal Regulations, 2013 CFR

...GENERAL REGULATIONS AND POLICIES-FOOD DISTRIBUTION DONATION OF FOODS FOR USE IN THE UNITED STATES...distribution or use of donated foods. Irregularities which...a complaint has been properly handled. Complaints alleged on...

2013-01-01

144

20 CFR 658.412 - Complaint resolution.  

Code of Federal Regulations, 2010 CFR

...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...

2010-04-01

145

Functional Abdominal Pain  

Microsoft Academic Search

\\u000a Functional abdominal pain (FAP) is a frequent complaint seen in the pediatric primary care setting. Current diagnostic criteria\\u000a for functional gastrointestinal disorders (FGIDs) are defi ned in the Rome III criteria, which outline a positive symptom\\u000a profi le for diagnosis. In addition, clinicians should be aware of specifi c “red fl ag ” rule-out symptoms that may suggest\\u000a organic disease

Lisa Scharff; Laura E. Simons

146

76 FR 76628 - Disclosure of Certain Credit Card Complaint Data  

Federal Register 2010, 2011, 2012, 2013

...Disclosure of Certain Credit Card Complaint Data AGENCY: Bureau of Consumer Financial Protection...proactive disclosure of credit card complaint data. The CFPB receives credit card complaints...initial disclosure of credit card complaint data. It also identifies additional ways...

2011-12-08

147

[Greater trochanteric pain syndrome].  

PubMed

Greater trochanteric pain is one of the common complaints in orthopedics. Frequent diagnoses include myofascial pain, trochanteric bursitis, tendinosis and rupture of the gluteus medius and minimus tendon, and external snapping hip. Furthermore, nerve entrapment like the piriformis syndrome must be considered in the differential diagnosis. This article summarizes essential diagnostic and therapeutic steps in greater trochanteric pain syndrome. Careful clinical evaluation, complemented with specific imaging studies and diagnostic infiltrations allows determination of the underlying pathology in most cases. Thereafter, specific nonsurgical treatment is indicated, with success rates of more than 90?%. Resistant cases and tendon ruptures may require surgical intervention, which can provide significant pain relief and functional improvement in most cases. PMID:24414233

Gollwitzer, H; Opitz, G; Gerdesmeyer, L; Hauschild, M

2014-01-01

148

THE INFLUENCE OF DEMOGRAPHIC FACTORS AND MEDICAL CONDITIONS ON PATIENTS COMPLAINTS WITH COMPLETE DENTURES  

PubMed Central

Objective: The purpose of this study was to determine the most frequent complete denture complaints and to investigate the influence of age, gender and systemic disease conditions on the complaints. Methodology: This was a retrospective study in which information on the demographic data, medical and dental history of complete denture patients were obtained from their case records. Also the type of complaints and adjustment made to the denture at review appointments were recorded. All data generated were entered into IBM-Compatible micro-computer and analysed using the statistical packages of social sciences (SPSS) version 15. Chi-square test was used to test for statistical significance. Result: Eighty-two case records of complete denture patients were reviewed. Fourty-six of the patients were male while 36 were female. The age ranged between 40 and 90 years with mean age of 69.10 (SD=10.6) years. Fifty-one (62.2%) patients had complaints with their dentures during a week review appointment. Pain was the most common complaint 23 (28%), followed by lack of retention, 12 (14.6%). Eighteen (21.9%) patients had systemic medical conditions. Conclusion: There was no statistically significant relationship between patient age, gender, systemic health and denture complaints; but statistically significant relationship exist between types of denture, denture faults and complaints. PMID:25161408

Ogunrinde, T.J.; Dosumu, O.O.

2012-01-01

149

Gender-Associated Differences in Emergency Department Pain Management  

Microsoft Academic Search

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

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

1995-01-01

150

The network organisation of consumer complaints  

NASA Astrophysics Data System (ADS)

Interaction between consumers and companies can create conflict. When a consensus is unreachable there are legal authorities to resolve the case. This letter is a study of data from the Brazilian Department of Justice from which we build a bipartite network of categories of complaints linked to the companies receiving those complaints. We find the complaint categories organised in an hierarchical way where companies only get complaints of lower degree if they already got complaints of higher degree. The fraction of resolved complaints for a company appears to be nearly independent of the equity of the company but is positively correlated with the total number of complaints received. We construct feature vectors based on the edge-weight —the weight of an edge represents the times complaints of a category have been filed against that company— and use these vectors to study the similarity between the categories of complaints. From this analysis, we obtain trees mapping the hierarchical organisation of the complaints. We also apply principal component analysis to the set of feature vectors concluding that a reduction of the dimensionality of these from 8827 to 27 gives an optimal hierarchical representation.

Rocha, L. E. C.; Holme, P.

2010-07-01

151

Chronic pain management in the active-duty military  

NASA Astrophysics Data System (ADS)

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.

Jamison, David; Cohen, Steven P.

2012-06-01

152

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

PubMed Central

Background: Despite current recommendations against routine use of episiotomy, its incidence is still high in Turkey. The study aimed to identify the prevalence of episiotomy in primiparas, related conditions, and effects of episiotomy on suture materials used, perineal pain, and wound healing 3 weeks postpartum. Materials and Methods: This study was designed as a prospective follow-up study. Data were collected via a questionnaire form between March 2007 and February 2009 in Ayd?n Government Hospital, Turkey. Three hundred ninety-six primiparas were included in the study by convenience sampling. Results: It was determined that 56.3% of the women had episiotomies. The results of the study revealed that the probability of receiving an episiotomy was decreased in women with lack of legal marriage and unplanned pregnancies, and increased in women who had ineffective pushing efforts approximately four times, miscellaneous two times and baby's head circumference 1.27 times. Moreover, the results of the study demonstrated that an episiotomy increased the number of the suture materials used by approximately five-fold, as well as the prevalence of pain on the first postpartum day. On the third postpartum week evaluation, it was determined that the probability of problems with wound healing and experiencing pain was approximately two times higher among women who received episiotomies than those who did not receive episiotomies. Conclusion: The study revealed that episiotomies in primiparas increased the number of suture materials used and the probability of having perineal pain on the first postpartum day, as well as perineal pain and wound-healing problems during the third postpartum week. PMID:23983762

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

2013-01-01

153

Predictors of Shoulder Pain and Disability Index (SPADI) and work status after 1 year in patients with subacromial shoulder pain  

Microsoft Academic Search

BACKGROUND: Shoulder pain is a common complaint in primary health care and has an unfavourable outcome in many patients. The objectives were to identify predictors for pain and disability (SPADI) and work status in patients with subacromial shoulder pain. METHODS: Secondary analyses of data from a randomized clinical controlled trial were performed. Outcome measures were the absolute values of the

Kaia Engebretsen; Margreth Grotle; Erik Bautz-Holter; Ole Marius Ekeberg; Jens Ivar Brox

2010-01-01

154

Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia  

PubMed Central

Objectives (1) To determine the distribution of formal patient complaints across Australia's medical workforce and (2) to identify characteristics of doctors at high risk of incurring recurrent complaints. Methods We assembled a national sample of all 18?907 formal patient complaints filed against doctors with health service ombudsmen (‘Commissions’) in Australia over an 11-year period. We analysed the distribution of complaints among practicing doctors. We then used recurrent-event survival analysis to identify characteristics of doctors at high risk of recurrent complaints, and to estimate each individual doctor's risk of incurring future complaints. Results The distribution of complaints among doctors was highly skewed: 3% of Australia's medical workforce accounted for 49% of complaints and 1% accounted for a quarter of complaints. Short-term risks of recurrence varied significantly among doctors: there was a strong dose-response relationship with number of previous complaints and significant differences by doctor specialty and sex. At the practitioner level, risks varied widely, from doctors with <10% risk of further complaints within 2?years to doctors with >80% risk. Conclusions A small group of doctors accounts for half of all patient complaints lodged with Australian Commissions. It is feasible to predict which doctors are at high risk of incurring more complaints in the near future. Widespread use of this approach to identify high-risk doctors and target quality improvement efforts coupled with effective interventions, could help reduce adverse events and patient dissatisfaction in health systems. PMID:23576774

Bismark, Marie M; Spittal, Matthew J; Gurrin, Lyle C; Ward, Michael; Studdert, David M

2013-01-01

155

21 CFR 225.115 - Complaint files.  

Code of Federal Regulations, 2010 CFR

...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...

2010-04-01

156

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

Microsoft Academic Search

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

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

2008-01-01

157

22 CFR 911.2 - Filing complaint.  

Code of Federal Regulations, 2010 CFR

22 ? Foreign Relations ? 2 ? 2010-04-01 ? 2010-04-01 ? true ? Filing complaint. ? 911.2 ? Section 911.2 ? Foreign Relations ? FOREIGN SERVICE GRIEVANCE BOARD ? IMPLEMENTATION DISPUTES ? § 911.2 ? Filing complaint. ? If the dispute is not satisfactorily resolved at the agency level, the moving...

2010-04-01

158

LSU Police Department PERSONNEL COMPLAINT AFFIDAVIT  

E-print Network

LSU Police Department PERSONNEL COMPLAINT AFFIDAVIT Instructions COMPLAINANT: · Fill in all blanks an official complaint against" is the Officer's name, if known · Initial the bottom right corner of each page as information below this line OFFICER OR NOTARY: · Officer Only: Complete all information in the "Internal Use

Harms, Kyle E.

159

Differences in the Prevalence and Severity of Side Effects Based on Type of Analgesic Prescription in Patients with Chronic Cancer Pain  

Microsoft Academic Search

An understanding of the relationship between the type of analgesic prescription and the prevalence and severity of side effects is crucial in making appropriate treatment decisions. The purposes of this study were to determine if there were differences in the prevalence of side effects among four different types of analgesic prescriptions (i.e., no opioid, only an as needed (PRN) opioid,

Patrice Villars; Marylin Dodd; Claudia West; Theresa Koetters; Steven M. Paul; Karen Schumacher; Debu Tripathy; Peter Koo; Christine Miaskowski

2007-01-01

160

49 CFR 1313.10 - Procedures for complaints and discovery.  

Code of Federal Regulations, 2012 CFR

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

2012-10-01

161

49 CFR 1313.10 - Procedures for complaints and discovery.  

Code of Federal Regulations, 2013 CFR

...2013-10-01 false Procedures for complaints and discovery. 1313.10 Section 1313.10 Transportation... § 1313.10 Procedures for complaints and discovery. (a) Complaints, discovery petitions, replies, and appeals...

2013-10-01

162

49 CFR 1313.10 - Procedures for complaints and discovery.  

Code of Federal Regulations, 2011 CFR

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

2011-10-01

163

78 FR 21218 - Disclosure of Consumer Complaint Data  

Federal Register 2010, 2011, 2012, 2013

...CFPB-2012-0023] Disclosure of Consumer Complaint Data AGENCY: Bureau of Consumer Financial Protection...publicly disclose certain consumer complaint data that do not include personally identifiable...Bureau may disclose consumer complaint data but as to [[Page 21219

2013-04-10

164

29 CFR 1603.102 - Filing a complaint.  

Code of Federal Regulations, 2010 CFR

...PREVIOUSLY EXEMPT STATE AND LOCAL GOVERNMENT EMPLOYEE COMPLAINTS...District, Field, Area and Local offices appear in 29 CFR 1610.4. (c) Contents of a complaint. A complaint...commenced before a State or local FEP agency charged with...

2010-07-01

165

34 CFR 303.432 - Adoption of State complaint procedures.  

... Education 2 2014-07-01 2013-07-01 true Adoption of State complaint procedures. 303.432 Section 303...Procedural Safeguards State Complaint Procedures § 303.432 Adoption of State complaint procedures. (a) General. Each...

2014-07-01

166

34 CFR 300.151 - Adoption of State complaint procedures.  

... Education 2 2014-07-01 2013-07-01 true Adoption of State complaint procedures. 300.151 Section 300...State Eligibility State Complaint Procedures § 300.151 Adoption of State complaint procedures. (a) General. Each...

2014-07-01

167

5 CFR 2423.25 - Post complaint, prehearing settlements.  

... 2014-01-01 2014-01-01 false Post complaint, prehearing settlements. 2423...AUTHORITY UNFAIR LABOR PRACTICE PROCEEDINGS Post Complaint, Prehearing Procedures § 2423.25 Post complaint, prehearing settlements....

2014-01-01

168

5 CFR 2423.25 - Post complaint, prehearing settlements.  

Code of Federal Regulations, 2013 CFR

... 2013-01-01 2013-01-01 false Post complaint, prehearing settlements. 2423...AUTHORITY UNFAIR LABOR PRACTICE PROCEEDINGS Post Complaint, Prehearing Procedures § 2423.25 Post complaint, prehearing settlements....

2013-01-01

169

5 CFR 2423.25 - Post complaint, prehearing settlements.  

Code of Federal Regulations, 2011 CFR

... 2011-01-01 2011-01-01 false Post complaint, prehearing settlements. 2423...AUTHORITY UNFAIR LABOR PRACTICE PROCEEDINGS Post Complaint, Prehearing Procedures § 2423.25 Post complaint, prehearing settlements....

2011-01-01

170

5 CFR 2423.25 - Post complaint, prehearing settlements.  

Code of Federal Regulations, 2012 CFR

... 2012-01-01 2012-01-01 false Post complaint, prehearing settlements. 2423...AUTHORITY UNFAIR LABOR PRACTICE PROCEEDINGS Post Complaint, Prehearing Procedures § 2423.25 Post complaint, prehearing settlements....

2012-01-01

171

5 CFR 2423.25 - Post complaint, prehearing settlements.  

Code of Federal Regulations, 2010 CFR

... 2010-01-01 2010-01-01 false Post complaint, prehearing settlements. 2423...AUTHORITY UNFAIR LABOR PRACTICE PROCEEDINGS Post Complaint, Prehearing Procedures § 2423.25 Post complaint, prehearing settlements....

2010-01-01

172

[Psychological components of chronic pain in the elderly].  

PubMed

Chronic pain is a complex multidimensional phenomenon. Pain complaints in the elderly are modulated by several psychosocial factors. They can be understood as a way to indicate suffering or to get attention and sometimes as a mean to regain self-esteem. There is little quantitative change in pain associated psychopathology and coping mechanisms in the elderly as compared to younger patients. However, qualitative changes are identified. The high degree of association between chronic pain and depression remains throughout the age span. However, age variations in the expression of psychological distress are to be noted. Elderly patients have a tendency to make a greater use of somatic complaints and avoid the expression of the emotional dimension of distress. This clinical particularity is discussed. Special attention should be paid to the multidimensional aspects of pain complaints in the elderly in order not to underestimate its affective components. PMID:16753583

Allaz, Anne-Françoise

2006-06-01

173

Flank pain  

MedlinePLUS

Pain - side; Side pain ... Flank pain can be a sign of a kidney problem. However, since many organs are in this area, other causes are possible. If you have flank pain and fever , chills, blood in the urine, or ...

174

Chronic Pain  

MedlinePLUS

... a problem you need to take care of. Chronic pain is different. The pain signals go on for ... there is no clear cause. Problems that cause chronic pain include Headache Low back strain Cancer Arthritis Pain ...

175

Shoulder pain  

PubMed Central

Introduction Shoulder pain is a common problem with an estimated prevalence of 4% to 26%. About 1% of adults aged over 45 years consult their GP with a new presentation of shoulder pain every year in the UK. The aetiology of shoulder pain is diverse and includes pathology originating from the neck, glenohumeral joint, acromioclavicular joint, rotator cuff, and other soft tissues around the shoulder girdle. The most common source of shoulder pain is the rotator cuff, accounting for over two-thirds of cases. Methods and outcomes We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of oral drug treatment, topical drug treatment, local injections, non-drug treatment, and surgical treatment? We searched: Medline, Embase, The Cochrane Library, and other important databases up to August 2009 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). Results We found 71 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. Conclusions In this systematic review we present information relating to the effectiveness and safety of the following interventions: acupuncture, arthroscopic subacromial decompression, autologous whole blood injection, corticosteroids (oral, subacromial injection, or intra-articular injection), electrical stimulation, excision of distal clavicle, extracorporeal shock wave therapy, ice, laser treatment, manipulation under anaesthesia, suprascapular nerve block, non-steroidal anti-inflammatory drugs (oral, topical or intra-articular injection), opioid analgesics, paracetamol, physiotherapy (manual treatment, exercises), platelet-rich plasma injection, rotator cuff repair, shoulder arthroplasty, and ultrasound. PMID:21418673

2010-01-01

176

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

Code of Federal Regulations, 2010 CFR

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

2010-07-01

177

48 CFR 1303.905 - Procedures for investigating complaints.  

Code of Federal Regulations, 2010 CFR

...905 Procedures for investigating complaints. The designee authorized to take specified actions related to Inspector General findings regarding whistleblower complaints of contractor employees is set forth in CAM...

2010-10-01

178

48 CFR 1303.905 - Procedures for investigating complaints.  

Code of Federal Regulations, 2011 CFR

...905 Procedures for investigating complaints. The designee authorized to take specified actions related to Inspector General findings regarding whistleblower complaints of contractor employees is set forth in CAM...

2011-10-01

179

48 CFR 1303.905 - Procedures for investigating complaints.  

Code of Federal Regulations, 2013 CFR

...905 Procedures for investigating complaints. The designee authorized to take specified actions related to Inspector General findings regarding whistleblower complaints of contractor employees is set forth in CAM...

2013-10-01

180

Chronic Pain  

MedlinePLUS

MENU Return to Web version Chronic Pain Overview What is chronic pain? There are 2 types of pain: acute and chronic. Acute pain lets you know that your ... It should go away as your body heals. Chronic pain lasts much longer. Chronic pain may last months ...

181

Plantar heel pain.  

PubMed

Plantar heel pain is a common complaint encountered by orthopedic surgeons, internists, and family practitioners. Although it is most often caused by plantar fasciitis, this is a diagnosis of exclusion. Other mechanical, rheumatologic, and neurologic causes must be considered first. The history and physical examination are typically all that is needed to make the proper diagnosis, but diagnostic adjuncts are available to assist the clinician. When plantar fasciitis is diagnosed, conservative modalities must be tried first. Corticosteroid injections and extracorporeal shock-wave therapy may also be used. After 6 months of failed conservative treatments, surgical intervention should be considered. PMID:24559879

Rosenbaum, Andrew J; DiPreta, John A; Misener, David

2014-03-01

182

Use of Therapeutic Neuroscience Education to address psychosocial factors associated with acute low back pain: a case report.  

PubMed

Acute low back pain (LBP) from injuries is prevalent in the work place. It has been shown that patients with psychosocial factors often progress with persistent pain and lead to significant workers compensation costs. Therapeutic Neuroscience Education (TNE) has been shown to be beneficial in changing a patient's cognition regarding their pain state, which may result in decrease fear, anxiety and catastrophization. A 19-year-old female who developed LBP from a work injury was the patient for this case report. A physical examination, Numeric Pain Rating Scale (NRPS), Oswestry Disability Index (ODI), Fear-Avoidance Beliefs Questionnaire (FABQ), Keele STarT Back Screening Tool (Keele SBST) and Acute Low Back Pain Screening (ALBPS) Questionnaires were assessed during initial physical therapy visit and discharge. Treatment consisted of use of TNE, manual therapy and exercises. She attended five total visits over a 2-week period prior to full discharge. During the initial visit the patient reported NRPS?=?3/10, ODI?=?36%, FABQ-PA?=?23, FABQ-W?=?30, Keele SBST?=?4/9, ALBPS?=?101. At discharge the patient reported a 0 on all outcome questionnaires with ability to return to full work and no pain complaints. PMID:24252071

Zimney, Kory; Louw, Adriaan; Puentedura, Emilio J

2014-04-01

183

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

PubMed

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

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

184

The Prevalence of Sacroiliitis and Spondyloarthritis in Patients with Sarcoidosis  

PubMed Central

Introduction. Sarcoidosis is a chronic granulomatous disease, which can involve different organs and systems. Coexistence of sarcoidosis and spondyloarthritis has been reported in numerous case reports. Purpose. To determine the prevalence of sacroiliitis and spondyloarthritis in patients previously diagnosed with sarcoidosis and to investigate any possible relation with clinical findings. Materials and Methods. Forty-two patients with sarcoidosis were enrolled in the study. Any signs and symptoms in regard to spondyloarthritis (i.e., existence of inflammatory back pain, gluteal pain, uveitis, enthesitis, dactylitis, inflammatory bowel disease, and psoriasis) were questioned in detail and biochemical tests were evaluated. Sacroiliac joint imaging and lateral heel imaging were performed in all patients. Results. Sacroiliitis was found in 6 of the 42 (14.3%) sarcoidosis patients and all of these patients were female. Common features of the disease in these six patients were inflammatory back pain as the major clinical complaint, stage 2 sacroiliitis as revealed by radiological staging, and the negativity of HLA B-27 test. These six patients with sacroiliitis were diagnosed with spondyloarthritis according to the criteria of ASAS and of ESSG. Conclusion. We found spondyloarthritis in patients with sarcoidosis at a higher percentage rate than in the general population (1–1.9%). Controlled trials involving large series of patients are required for the confirmation of the data. PMID:24899899

Kobak, Senol; Sever, Fidan; Ince, Ozlem; Orman, Mehmet

2014-01-01

185

The prevalence of sacroiliitis and spondyloarthritis in patients with sarcoidosis.  

PubMed

Introduction. Sarcoidosis is a chronic granulomatous disease, which can involve different organs and systems. Coexistence of sarcoidosis and spondyloarthritis has been reported in numerous case reports. Purpose. To determine the prevalence of sacroiliitis and spondyloarthritis in patients previously diagnosed with sarcoidosis and to investigate any possible relation with clinical findings. Materials and Methods. Forty-two patients with sarcoidosis were enrolled in the study. Any signs and symptoms in regard to spondyloarthritis (i.e., existence of inflammatory back pain, gluteal pain, uveitis, enthesitis, dactylitis, inflammatory bowel disease, and psoriasis) were questioned in detail and biochemical tests were evaluated. Sacroiliac joint imaging and lateral heel imaging were performed in all patients. Results. Sacroiliitis was found in 6 of the 42 (14.3%) sarcoidosis patients and all of these patients were female. Common features of the disease in these six patients were inflammatory back pain as the major clinical complaint, stage 2 sacroiliitis as revealed by radiological staging, and the negativity of HLA B-27 test. These six patients with sacroiliitis were diagnosed with spondyloarthritis according to the criteria of ASAS and of ESSG. Conclusion. We found spondyloarthritis in patients with sarcoidosis at a higher percentage rate than in the general population (1-1.9%). Controlled trials involving large series of patients are required for the confirmation of the data. PMID:24899899

Kobak, Senol; Sever, Fidan; Ince, Ozlem; Orman, Mehmet

2014-01-01

186

The prevalence of fibromyalgia among patients with psoriasis.  

PubMed

The aim of the present study was to investigate the prevalence of fibromyalgia and allied symptoms in patients with psoriasis. During a 3-year period from 1997 until 2000, 1269 patients were consecutively diagnosed with psoriasis. All patients were questioned about musculoskeletal symptoms and those with such symptoms were further examined according to a standardized protocol. In total 335 of 1269 patients had musculoskeletal symptoms. More women than men had such complaints, 33% versus 18.5%, respectively. As many as 13% of the women fulfilled the American College of Rheumatology 1990 (ACR-90) criteria for fibromyalgia, while 14.1% had symptoms compatible with chronic widespread pain without meeting the fibromyalgia criteria. In total, 8.3% suffered from fibromyalgia and 9% from chronic widespread pain. The results indicate that fibromyalgia and allied symptoms are frequent in female patients with psoriasis and constitute important problems with regard to disability and health-related quality of life. Only 35 of 105 patients with fibromyalgia had previously been diagnosed with psoriasis and the diagnostic label of fibromyalgia was new to 51 of them. Female patients with symptoms of psoriasis and pain seem to constitute a subgroup which deserves further studies. PMID:15848988

Thune, Per O

2005-01-01

187

Duloxetine in the management of chronic musculoskeletal pain  

PubMed Central

Chronic musculoskeletal pain is among the most frequent painful complaints that healthcare providers address. The bulk of these complaints are chronic low back pain and chronic osteoarthritis. Osteoarthritis is the most common form of arthritis in the United States. It is a chronic degenerative disorder characterized by a loss of cartilage, and occurs most often in older persons. The management of osteoarthritis and chronic low back pain may involve both nonpharmacologic (eg, weight loss, resistive and aerobic exercise, patient education, cognitive behavioral therapy) and pharmacologic approaches. Older adults with severe osteoarthritis pain are more likely to take analgesics than those with less severe pain. The pharmacologic approaches to painful osteoarthritis remain controversial, but may include topical as well as oral nonsteroidal antiinflammatory drugs, acetaminophen, duloxetine, and opioids. The role of duloxetine for musculoskeletal conditions is still evolving. PMID:22767991

Smith, Howard S; Smith, Eric J; Smith, Benjamin R

2012-01-01

188

20 CFR 405.30 - Discrimination complaints.  

Code of Federal Regulations, 2012 CFR

...DISABILITY CLAIMS Introduction, General Description, and Definitions § 405.30 Discrimination complaints. At all levels...consideration to your race, color, national origin, age, sex, religion, or nature of your impairment(s). If you believe that...

2012-04-01

189

20 CFR 405.30 - Discrimination complaints.  

Code of Federal Regulations, 2011 CFR

...DISABILITY CLAIMS Introduction, General Description, and Definitions § 405.30 Discrimination complaints. At all levels...consideration to your race, color, national origin, age, sex, religion, or nature of your impairment(s). If you believe that...

2011-04-01

190

20 CFR 405.30 - Discrimination complaints.  

Code of Federal Regulations, 2010 CFR

...DISABILITY CLAIMS Introduction, General Description, and Definitions § 405.30 Discrimination complaints. At all levels...consideration to your race, color, national origin, age, sex, religion, or nature of your impairment(s). If you believe that...

2010-04-01

191

20 CFR 405.30 - Discrimination complaints.  

Code of Federal Regulations, 2013 CFR

...DISABILITY CLAIMS Introduction, General Description, and Definitions § 405.30 Discrimination complaints. At all levels...consideration to your race, color, national origin, age, sex, religion, or nature of your impairment(s). If you believe that...

2013-04-01

192

20 CFR 405.30 - Discrimination complaints.  

...DISABILITY CLAIMS Introduction, General Description, and Definitions § 405.30 Discrimination complaints. At all levels...consideration to your race, color, national origin, age, sex, religion, or nature of your impairment(s). If you believe that...

2014-04-01

193

39 CFR 952.5 - Complaints.  

Code of Federal Regulations, 2011 CFR

...Service UNITED STATES POSTAL SERVICE PROCEDURES RULES OF PRACTICE IN PROCEEDINGS RELATIVE TO FALSE REPRESENTATION AND LOTTERY ORDERS (EFF. UNTIL 7-22-2011) § 952.5 Complaints. When the the Chief Postal Inspector or his or...

2011-07-01

194

39 CFR 952.5 - Complaints.  

Code of Federal Regulations, 2013 CFR

...Service UNITED STATES POSTAL SERVICE PROCEDURES RULES OF PRACTICE IN PROCEEDINGS RELATIVE TO FALSE REPRESENTATION AND LOTTERY ORDERS § 952.5 Complaints. When the Chief Postal Inspector or his or her designated representative believes that...

2013-07-01

195

39 CFR 952.5 - Complaints.  

Code of Federal Regulations, 2010 CFR

...Service UNITED STATES POSTAL SERVICE PROCEDURES RULES OF PRACTICE IN PROCEEDINGS RELATIVE TO FALSE REPRESENTATION AND LOTTERY ORDERS § 952.5 Complaints. When the the Chief Postal Inspector or his or her designated representative...

2010-07-01

196

39 CFR 952.5 - Complaints.  

Code of Federal Regulations, 2012 CFR

...Service UNITED STATES POSTAL SERVICE PROCEDURES RULES OF PRACTICE IN PROCEEDINGS RELATIVE TO FALSE REPRESENTATION AND LOTTERY ORDERS § 952.5 Complaints. When the Chief Postal Inspector or his or her designated representative believes that...

2012-07-01

197

21 CFR 211.198 - Complaint files.  

Code of Federal Regulations, 2013 CFR

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

2013-04-01

198

21 CFR 211.198 - Complaint files.  

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

2014-04-01

199

45 CFR 606.70 - Complaint procedures.  

Code of Federal Regulations, 2011 CFR

...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT OF NONDISCRIMINATION...OR ACTIVITIES CONDUCTED BY THE NATIONAL SCIENCE FOUNDATION § 606.70 Complaint procedures...Equal Opportunity Programs, National Science Foundation, 4201 Wilson...

2011-10-01

200

48 CFR 222.1308 - Complaint procedures.  

Code of Federal Regulations, 2010 CFR

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

2010-10-01

201

19 CFR 210.12 - The complaint.  

Code of Federal Regulations, 2011 CFR

...accompany the submission of the original of each complaint based upon the alleged unauthorized importation or sale of a semiconductor chip in a manner that constitutes infringement of a Federally registered mask work, one certified copy of the Federal...

2011-04-01

202

19 CFR 210.12 - The complaint.  

Code of Federal Regulations, 2013 CFR

...accompany the submission of the original of each complaint based upon the alleged unauthorized importation or sale of a semiconductor chip in a manner that constitutes infringement of a Federally registered mask work, one certified copy of the Federal...

2013-04-01

203

19 CFR 210.12 - The complaint.  

Code of Federal Regulations, 2010 CFR

...accompany the submission of the original of each complaint based upon the alleged unauthorized importation or sale of a semiconductor chip in a manner that constitutes infringement of a Federally registered mask work, one certified copy of the Federal...

2010-04-01

204

19 CFR 210.12 - The complaint.  

Code of Federal Regulations, 2012 CFR

...accompany the submission of the original of each complaint based upon the alleged unauthorized importation or sale of a semiconductor chip in a manner that constitutes infringement of a Federally registered mask work, one certified copy of the Federal...

2012-04-01

205

14 CFR 13.5 - Formal complaints.  

...writing and identified as a complaint filed for the purpose of seeking an appropriate order or other enforcement action; (2...Federal Aviation Administration, Office of the Chief Counsel, Attention: Enforcement Docket (AGC-10), 800 Independence...

2014-01-01

206

14 CFR 13.5 - Formal complaints.  

Code of Federal Regulations, 2013 CFR

...writing and identified as a complaint filed for the purpose of seeking an appropriate order or other enforcement action; (2...Federal Aviation Administration, Office of the Chief Counsel, Attention: Enforcement Docket (AGC-10), 800 Independence...

2013-01-01

207

14 CFR 13.5 - Formal complaints.  

Code of Federal Regulations, 2010 CFR

...writing and identified as a complaint filed for the purpose of seeking an appropriate order or other enforcement action; (2...Federal Aviation Administration, Office of the Chief Counsel, Attention: Enforcement Docket (AGC-10), 800 Independence...

2010-01-01

208

45 CFR 1156.15 - Complaints.  

Code of Federal Regulations, 2012 CFR

...THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NONDISCRIMINATION ON THE...others, may file a complaint with the Endowment, alleging discrimination prohibited...discrimination. However, for good cause, the Endowment may extend this time limit. The...

2012-10-01

209

45 CFR 1156.15 - Complaints.  

Code of Federal Regulations, 2010 CFR

...THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NONDISCRIMINATION ON THE...others, may file a complaint with the Endowment, alleging discrimination prohibited...discrimination. However, for good cause, the Endowment may extend this time limit. The...

2010-10-01

210

45 CFR 1156.15 - Complaints.  

Code of Federal Regulations, 2013 CFR

...THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NONDISCRIMINATION ON THE...others, may file a complaint with the Endowment, alleging discrimination prohibited...discrimination. However, for good cause, the Endowment may extend this time limit. The...

2013-10-01

211

21 CFR 1271.320 - Complaint file.  

...HUMAN SERVICES (CONTINUED) REGULATIONS UNDER CERTAIN OTHER ACTS ADMINISTERED BY THE FOOD AND DRUG ADMINISTRATION HUMAN CELLS, TISSUES, AND CELLULAR AND TISSUE-BASED PRODUCTS Current Good Tissue Practice § 1271.320 Complaint file....

2014-04-01

212

Assessing Workability Complaints in Mass Concrete Construction.  

National Technical Information Service (NTIS)

This report presents and discusses the results of a survey of Corps of Engineers (CE) Division and District staff members familiar with mass concrete construction to determine the extent of mass concrete workability complaints throughout the CE as well as...

B. D. Neeley

1993-01-01

213

29 CFR 1614.204 - Class complaints.  

Code of Federal Regulations, 2011 CFR

...origin, age, disability, or genetic information. (2) A class complaint...Counselor's report and any other information pertaining to timeliness...agency to submit additional information relevant to the...

2011-07-01

214

29 CFR 1614.204 - Class complaints.  

Code of Federal Regulations, 2010 CFR

...origin, age, disability, or genetic information. (2) A class complaint...Counselor's report and any other information pertaining to timeliness...agency to submit additional information relevant to the...

2010-07-01

215

29 CFR 1614.204 - Class complaints.  

Code of Federal Regulations, 2013 CFR

...origin, age, disability, or genetic information. (2) A class complaint...Counselor's report and any other information pertaining to timeliness...agency to submit additional information relevant to the...

2013-07-01

216

45 CFR 606.70 - Complaint procedures.  

Code of Federal Regulations, 2012 CFR

...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT OF NONDISCRIMINATION...OR ACTIVITIES CONDUCTED BY THE NATIONAL SCIENCE FOUNDATION § 606.70 Complaint procedures...Equal Opportunity Programs, National Science Foundation, 4201 Wilson...

2012-10-01

217

45 CFR 606.70 - Complaint procedures.  

Code of Federal Regulations, 2013 CFR

...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT OF NONDISCRIMINATION...OR ACTIVITIES CONDUCTED BY THE NATIONAL SCIENCE FOUNDATION § 606.70 Complaint procedures...Equal Opportunity Programs, National Science Foundation, 4201 Wilson...

2013-10-01

218

45 CFR 606.70 - Complaint procedures.  

Code of Federal Regulations, 2010 CFR

...Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION ENFORCEMENT OF NONDISCRIMINATION...OR ACTIVITIES CONDUCTED BY THE NATIONAL SCIENCE FOUNDATION § 606.70 Complaint procedures...Equal Opportunity Programs, National Science Foundation, 4201 Wilson...

2010-10-01

219

45 CFR 98.93 - Complaints.  

Code of Federal Regulations, 2012 CFR

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

2012-10-01

220

45 CFR 98.93 - Complaints.  

Code of Federal Regulations, 2011 CFR

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

2011-10-01

221

45 CFR 98.93 - Complaints.  

Code of Federal Regulations, 2013 CFR

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

2013-10-01

222

45 CFR 98.93 - Complaints.  

Code of Federal Regulations, 2010 CFR

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

2010-10-01

223

Pain in cancer survivors.  

PubMed

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

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

224

Managing complaints in health and social care.  

PubMed

An important aspect of allowing patients to take control of their health care is the introduction of new procedures for dealing with complaints. This article examines the concepts that underpin the new Department of Health regulations on complaints management and what they will mean for health and social care professionals. It also explains why these regulations focus on restorative justice rather than blame when adverse events occur. PMID:20432639

Holmes-Bonney, Kathy

2010-04-01

225

[Influence of sex on reporting pain].  

PubMed

In many epidemiological pain studies, women more frequently report more intense, frequent and long-lasting or chronic transient pain than men. In our retrospective study including hospitalised patients referred to a pain centre, prevalence of headaches, musculoskeletal pain and somatoform pain was observed in women, as described in the literature. Generally pain intensity was higher in women and pain was more frequently controlled in men, but when intensity and pain control were compared according to the pain aetiologies, no gender difference was found. Drug treatments were adapted to pain aetiologies, which accounted for the observed differences. In hospitalised patients the significant differences observed in intensity, pain control and treatment reflect the heterogeneity of pain aetiologies rather than gender differences. PMID:9887474

Piguet, V; Desmeules, J; Allaz, A F; Kondo-Oestreicher, M; Constantin, C; Schaerer, G; Cedraschi, C; Dayer, P

1998-12-01

226

The management of risk. Part 4: Resolving complaints.  

PubMed

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

Collier, Andrew

2014-06-01

227

Stress at Work and Psychosomatic Complaints: A Causal Interpretation  

Microsoft Academic Search

A correlation between stress at work and psychosomatic complaints is often given a direct causal interpretation. This study examines four alternative explanations: third variables that produce spurious correlations between subjective stress and psychosomatic complaints, third variables that produce spurious correlations between objective stress and psychosomatic complaints, and the reverse causation hypothesis that psychosomatic complaints lead to more stress at work.

Michael Frese

1985-01-01

228

22 CFR 18.10 - Service of complaint and other papers.  

Code of Federal Regulations, 2010 CFR

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

2010-04-01

229

Chronic Pain  

MedlinePLUS

NINDS Chronic Pain Information Page Synonym(s): Pain - Chronic Condensed from Pain: Hope Through Research Table of Contents (click to jump ... Trials Organizations Additional resources from MedlinePlus What is Chronic Pain? While acute pain is a normal sensation triggered ...

230

Foetal pain?  

PubMed

The majority of commentary on foetal pain has looked at the maturation of neural pathways to decide a lower age limit for foetal pain. This approach is sensible because there must be a minimal necessary neural development that makes pain possible. Very broadly, it is generally agreed that the minimal necessary neural pathways for pain are in place by 24 weeks gestation. Arguments remain, however, as to the possibility of foetal pain before or after 24 weeks. Some argue that the foetus can feel pain earlier than 24 weeks because pain can be supported by subcortical structures. Others argue that the foetus cannot feel pain at any stage because it is maintained in a state of sedation in the womb and lacks further neural and conceptual development necessary for pain. Much of this argument rests on the definition of terms such as 'wakefulness' and 'pain'. If a behavioural and neural reaction to a noxious stimulus is considered sufficient for pain, then pain is possible from 24 weeks and probably much earlier. If a conceptual subjectivity is considered necessary for pain, however, then pain is not possible at any gestational age. Regardless of how pain is defined, it is clear that pain for conceptual beings is qualitatively different than pain for non-conceptual beings. It is therefore a mistake to draw an equivalence between foetal pain and pain in the older infant or adult. PMID:20356798

Derbyshire, Stuart W G

2010-10-01

231

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

Code of Federal Regulations, 2012 CFR

...Courts . Complaints of criminal, unethical, or unprofessional...conduct, or of frivolous behavior by a practitioner...nature of the conduct or behavior, the individuals...DHS . Complaints of criminal, unethical, or unprofessional...conduct, or frivolous behavior by a practitioner...

2012-01-01

232

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

Code of Federal Regulations, 2010 CFR

...Courts . Complaints of criminal, unethical, or unprofessional...conduct, or of frivolous behavior by a practitioner...nature of the conduct or behavior, the individuals...DHS . Complaints of criminal, unethical, or unprofessional...conduct, or frivolous behavior by a practitioner...

2010-01-01

233

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

Code of Federal Regulations, 2011 CFR

...Courts . Complaints of criminal, unethical, or unprofessional...conduct, or of frivolous behavior by a practitioner...nature of the conduct or behavior, the individuals...DHS . Complaints of criminal, unethical, or unprofessional...conduct, or frivolous behavior by a practitioner...

2011-01-01

234

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

Code of Federal Regulations, 2013 CFR

...Courts . Complaints of criminal, unethical, or unprofessional...conduct, or of frivolous behavior by a practitioner...nature of the conduct or behavior, the individuals...DHS . Complaints of criminal, unethical, or unprofessional...conduct, or frivolous behavior by a practitioner...

2013-01-01

235

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

Code of Federal Regulations, 2013 CFR

...Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION...PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job...and conditions of the job order or employment-related law (employer-related...ii) complaints about Job Service actions or... (b) Complaints by veterans alleging...

2013-04-01

236

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

Code of Federal Regulations, 2012 CFR

...Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION...PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job...and conditions of the job order or employment-related law (employer-related...ii) complaints about Job Service actions or... (b) Complaints by veterans alleging...

2012-04-01

237

Heel pain  

MedlinePLUS

Pain - heel ... Heel pain is most often the result of overuse. Rarely, it may be caused by an injury. Your heel ... on the heel Conditions that may cause heel pain include: When the tendon that connects the back ...

238

Neck Pain  

MedlinePLUS

... Pregnancy and Rheumatic Disease Sex and Arthritis Neck Pain PRINT Download PDF Description Saying, “It’s a pain ... requires expensive or uncomfortable tests. What is neck pain? Acute strain may occur after sleeping in an ...

239

Wrist pain  

MedlinePLUS

Pain - wrist ... Carpal tunnel syndrome: A common cause of wrist pain is carpal tunnel syndrome . You may feel aching, ... become weak, making it difficult to grasp things. Pain may extend up to your elbow. Carpal tunnel ...

240

Elbow pain  

MedlinePLUS

Pain - elbow ... Elbow pain can be caused by a variety of problems. A common cause in adults is tendinitis , an inflammation ... a partial dislocation ). Other common causes of elbow pain are: Bursitis -- inflammation of a fluid-filled cushion ...

241

Pain Relievers  

MedlinePLUS

Pain relievers are medicines that reduce or relieve headaches, sore muscles, arthritis, or other aches and pains. There ... also have a slightly different response to a pain reliever. Over-the-counter (OTC) medicines are good for ...

242

Depression, Pain, and Pain Behavior.  

ERIC Educational Resources Information Center

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

Keefe, Francis J.; And Others

1986-01-01

243

Functional Abdominal Pain Syndrome in Morbidly Obese Patients Following Laparoscopic Gastric Bypass Surgery  

PubMed Central

Background: Roux-en-Y gastric bypass surgery (RYGBP) is one of the most common bariatric surgeries, which is being performed using various techniques like gastrojejunostomy by hand swen, linear or circular stapler. Abdominal pain is a common complaint following laparoscopic gastric bypass procedure (LGBP), which has different aetiologies, such as overeating, adhesion, internal herniation, bile reflux and many more. In this study LGBP was performed in an ante-colic ante-gastric pattern in a double loop manner and the prevalence and distribution of pain in morbidly obese patients undergoing LGBP was assessed. Objectives: The aim of this study was to analyze the distribution and frequency of post LGBP pain in morbidly obese patients. Patients and Methods: This study was performed on 190 morbidly obese patients referred to Hazrat Rasoul Hospital in Tehran. After LGBP, pain was measured in the following intervals: 24 hours, one week and one month after the operation. Before the operation onset, 2 mg Keflin and 5000 IU subcutaneous heparin were administered as prophylaxis. LGBP was performed using five ports including: one 11 mm port was placed 15-20 cm far from the xiphoid, one 12-mm port in mid-clavicular line at the level of camera port, one 5-mm port in subcostal area in ante-axillary region in the left, another 5-mm port in the right mid-clavicular area and a 5-mm port in sub-xyphoid. All operations were done by the same team. Staple was used for all anastomoses and hand sewn technique to close the staple insertion site. The mesenteric defect was left open and no effort was made to repair it. Results: The results of this study showed that 99.94 % of the patients had complains of pain in the first 24 hours of post operation, about 60% after one week and 29.5 % still had pain after one month. In addition, left upper quadrant (LUQ) was found to be the most prevalent site for the pain in 53.7% of the patients in the first 24 hours, 59.6% after one week and 16.8% after one month (except for obscure pain) with a significance of < 0.05. Conclusions: In this study, the authors analyzed the location and disturbance level of pain after LGBP, which could serve as a cornerstone for further researches. The authors suggest that long-term follow-up (for more than a year after operation) should be considered in future studies and also the relationship between the drainage site and pain should be investigated. PMID:25032167

Eidy, Mohammad; Pazouki, Abdolreza; Raygan, Fahimeh; Ariyazand, Yazdan; Pishgahroudsari, Mohadeseh; Jesmi, Fatemeh

2014-01-01

244

Prevalence and extent of obstructive coronary artery disease in patients with zero or low calcium score undergoing 64-slice cardiac multidetector computed tomography for evaluation of a chest pain syndrome.  

PubMed

We examined the extent of coronary artery disease (CAD) on 64-slice contrast-enhanced multidetector computed tomography in patients who underwent investigation of a chest pain syndrome who had a zero or low coronary calcium score (CS). In 668 consecutive patients with chest pain syndromes (39% with acute presentation, 61% with long-term presentation) who underwent cardiac multidetector computed tomography, we assessed prevalence and severity of coronary stenoses (>or=1 coronary artery stenosis with >or=50% luminal narrowing) in 231 patients (54 +/- 12 years of age, 45% women) with a 0 (n = 125) or low (n = 106) coronary CS. Obstructive (>or=50% lesion) CAD was present in 27 of 231 patients, in 9 of 125 patients (7%) with a 0 CS, in 18 of 106 (17%) with a low CS (1 to 100), and in 14 of 90 patients (16%) with an acute presentation and 13 of 141 patients (9%) with a long-term presentation (p = NS). All patients in the 0 CS group had single-vessel disease, and 9 (50%) with low CS had multivessel disease, with left main involvement in 1. Of the 27 patients with obstructive CAD on multidetector computed tomography, invasive coronary angiography confirmed these findings in 21 of 23 patients (positive predictive value 91%), and 16 (76%) of them (6.9% of the 0 CS and low CS groups) underwent a myocardial revascularization procedure after invasive coronary angiographic concordance. In conclusion, despite the high known negative predictive value of CS for coronary events, a low and even 0 CS does not exclude clinically important obstructive CAD in patients undergoing investigation of an acute or long-term chest pain syndrome. Contrast-enhanced multidetector computed tomography should be the noninvasive computed tomographic test of choice when possible in these patients. PMID:17293187

Rubinshtein, Ronen; Gaspar, Tamar; Halon, David A; Goldstein, Jacob; Peled, Nathan; Lewis, Basil S

2007-02-15

245

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

PubMed Central

Among older persons, sleep complaints in the form of insomnia and daytime drowsiness are highly prevalent and associated with adverse outcomes. The underlying mechanisms are linked to age-related declines in physiology, i.e., normal aging, and age-related increases in disease prevalence, i.e., usual aging. In this monograph, we describe how normal aging leads to less restorative sleep, characterized by reductions in homeostatic and circadian sleep, and to phase advancement of the sleep-wake cycle, characterized by older persons being more alert in the early morning but drowsier in the early evening. We also describe how usual aging leads to sleep complaints through reductions in health status, loss of physical function, and primary sleep disorders. Psychosocial influences are likewise described and their relevance to sleep complaints is discussed. We subsequently incorporate these aging-related changes into a conceptual model that describes sleep complaints as a consequence of multiple and interdependent predisposing, precipitating, and perpetuating factors, akin to a geriatric syndrome. We conclude our discussion by applying our conceptual model to the sleep-related care of an older person with insomnia and daytime drowsiness, and suggest that the diagnostic assessment consider, in addition to primary sleep disorders, multiple domains including medical, physical, cognitive, psychological, and social issues with the intent of developing an overall therapeutic plan and establishing long-term follow-up. PMID:17916123

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

2009-01-01

246

Complaints of Sleep Disturbances Are Associated with Cardiovascular Disease: Results from the Gutenberg Health Study  

PubMed Central

Background Despite their high prevalence, sleep disorders often remain unrecognized and untreated because of barriers to assessment and management. The aims of the present study were to examine associations of complaints of sleep disturbances with cardiovascular disease, related risk factors, and inflammation in the community and to determine the contribution of sleep disturbances to self-perceived physical health. Method The sample consists of n?=?10.000 participants, aged 35 to 74 years of a population based community sample in Germany. Cross-sectional associations of complaints of sleep disturbances with cardiovascular risk factors and disease, biomarkers of inflammation, depression, anxiety, and physical health status were analyzed. Results 19% of our sample endorsed clinically significant sleep disturbances. In the unadjusted analyses severity of sleep disturbances increased with female sex, low socioeconomic status, living without a partnership, cardiovascular disease, depression, anxiety, poor physical health, increased levels of C-reactive protein and fibrinogen. After multivariate adjustment robust associations with coronary heart disease, myocardial infarction and dyslipidemia remained. Complaints of sleep disturbances were strong and independent contributors to self-perceived poor physical health beyond depression, anxiety and medical disease burden. Conclusions Given the high prevalence of complaints of sleep disturbances and their strong impact on health status, increased efforts should be undertaken for their identification and treatment. PMID:25093413

Michal, Matthias; Wiltink, Jorg; Kirschner, Yvonne; Schneider, Astrid; Wild, Philipp S.; Munzel, Thomas; Blettner, Maria; Schulz, Andreas; Lackner, Karl; Pfeiffer, Norbert; Blankenberg, Stefan; Tschan, Regine; Tuin, Inka; Beutel, Manfred E.

2014-01-01

247

Defining Gender Disparities in Pain Management  

Microsoft Academic Search

Background  Prevalence rates of most musculoskeletal pain conditions are higher among women than men. Reasons for these prevalence disparities\\u000a likely include sex differences in basic pain mechanisms and gender differences in psychosocial factors.\\u000a \\u000a \\u000a \\u000a \\u000a Questions\\/purposes  The purposes of this review were to (1) identify reasons for differences in pain prevalence between men and women, (2) assess\\u000a whether musculoskeletal pain conditions are differently treated

Linda LeResche

2011-01-01

248

Beyond pain in fibromyalgia: insights into the symptom of fatigue  

PubMed Central

Fatigue is a disabling, multifaceted symptom that is highly prevalent and stubbornly persistent. Although fatigue is a frequent complaint among patients with fibromyalgia, it has not received the same attention as pain. Reasons for this include lack of standardized nomenclature to communicate about fatigue, lack of evidence-based guidelines for fatigue assessment, and a deficiency in effective treatment strategies. Fatigue does not occur in isolation; rather, it is present concurrently in varying severity with other fibromyalgia symptoms such as chronic widespread pain, unrefreshing sleep, anxiety, depression, cognitive difficulties, and so on. Survey-based and preliminary mechanistic studies indicate that multiple symptoms feed into fatigue and it may be associated with a variety of physiological mechanisms. Therefore, fatigue assessment in clinical and research settings must consider this multi-dimensionality. While no clinical trial to date has specifically targeted fatigue, randomized controlled trials, systematic reviews, and meta-analyses indicate that treatment modalities studied in the context of other fibromyalgia symptoms could also improve fatigue. The Outcome Measures in Rheumatology (OMERACT) Fibromyalgia Working Group and the Patient Reported Outcomes Measurement Information System (PROMIS) have been instrumental in propelling the study of fatigue in fibromyalgia to the forefront. The ongoing efforts by PROMIS to develop a brief fibromyalgia-specific fatigue measure for use in clinical and research settings will help define fatigue, allow for better assessment, and advance our understanding of fatigue. PMID:24289848

2013-01-01

249

Shoulder pain  

MedlinePLUS

Pain - shoulder ... changes around the rotator cuff can cause shoulder pain. You may have pain when lifting the arm above your head or ... The most common cause of shoulder pain occurs when rotator cuff tendons ... The tendons become inflamed or damaged. This condition ...

250

Pelvic Pain  

MedlinePLUS

Pelvic pain occurs mostly in the lower abdomen area. The pain might be steady, or it might come and go. If the pain is severe, it might get in the way ... re a woman, you might feel a dull pain during your period. It could also happen during ...

251

Assessment of Sleep Complaints and Sleep-Disordered Breathing in a Consecutive Series of Obese Patients  

Microsoft Academic Search

Background\\/Objective: The prevalence of sleep-related complaints (SRC) and the frequency of sleep-disordered breathing (SDB) in obese patients has not been studied extensively. We investigated SRC and SDB in a group of obese persons as part of a preoperative workup for weight reduction (bariatric) surgery. Methods: All consecutive patients attending a weight-loss clinic for evaluation for bariatric surgery were asked to

Klaas W. van Kralingen; Wanda de Kanter; Gerrit H. de Groot; Ben J. W. Venmans; Ton van Boxem; Anton R. J. van Keimpema; Pieter E. Postmus

1999-01-01

252

[Multimodal pain therapy].  

PubMed

Chronic pain has both high prevalence and a significant economic impact in Germany. The most common chronic pain types are low back pain and headache. On the one hand, the management of chronic pain patients is incomplete, yet it is often overtreated in orthopaedic surgical settings with interventional procedures. The reason for this is the structure of outpatient management and the way it is paid for in Germany. Pain management of patients with private insurance cover is no better because of "doctor shopping". Medical guidelines could be of some help in improving the situation, but they are widely unknown, and have still to demonstrate whether they have any impact on GP treatment pathways. The "gold standard" multimodal pain therapy shows significant improvement in many studies compared to monomodal therapy regimes and interventional regimes, but is too rarely recommended by the patients' physicians, whether GPs or specialists. Because of the huge number of institutions nowadays that, for the sake of form, offer such multimodal therapies, these need to be differentiated in terms of their structural and process quality. A first step is the "k edoq" project. It is essential to improve knowledge of the principles of modern pain management. This includes better networking and communication between doctors, physiotherapists and psychologists, and at the grassroots level, providing the public with more detailed and better information. PMID:25000627

Böger, A

2014-06-01

253

Public Intimacy in Neighbour Relationships and Complaints  

Microsoft Academic Search

This paper examines neighbour relationships as an example of non-familial intimacy. It focuses on the way disputes between neighbours often hinge on notions of obtrusive public intimacy, in which the sights and sounds of normatively private domestic lives become sources of complaint. The analyses are based on approximately 150 hours of naturally-occurring interaction with neighbours including telephone calls to mediation

Elizabeth Stokoe

2006-01-01

254

CATEGORY 1 HISTORY: CHIEF COMPLAINT (CC)  

E-print Network

shortness of breath. REVIEW OF SYSTEMS (ROS) q Constitutional Symptoms (e.g., fever, weight loss) qCATEGORY 1 HISTORY: CHIEF COMPLAINT (CC) q The CC is a concise statement describing the symptom for the encounter. HISTORY OF PRESENT ILLNESS (HPI) q Location Location of sign/symptom. Where the problem

Goldman, Steven A.

255

How to File a Consumer Credit Complaint.  

ERIC Educational Resources Information Center

Designed for the general public and possibly suitable also for high school economics students, this pamphlet explains how a complaint against a Federal Reserve bank concerning a possible violation of any of the federal consumer credit laws can be filed. Seven consumer credit laws are listed with a brief statement about the major protections of…

Board of Governors of the Federal Reserve System, Washington, DC.

256

12 CFR 268.204 - Class complaints.  

Code of Federal Regulations, 2011 CFR

...against the group on the basis of their race, color, religion, sex, national origin, age or disability. (2) Class complaint...final decision and relief awarded, if any, through the same media employed to give notice of the existence of the class...

2011-01-01

257

21 CFR 211.198 - Complaint files.  

Code of Federal Regulations, 2010 CFR

...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...

2010-04-01

258

Dismissing the disgruntled: Swedish patient complaints management  

Microsoft Academic Search

Purpose – Over the past decade the Swedish system for dealing with patient complaints has come under increasingly intense scrutiny from both healthcare providers and consumers. This article summarizes contemporary Swedish viewpoints on the debate by using sociological theory combined with anthropological field data. Its purpose is to prompt radical reappraisal of some attitudes underlying the current handling of patient

Alexandra Kent

2008-01-01

259

Abuses Students Experience after Filing Judicial Complaints.  

ERIC Educational Resources Information Center

Surveyed 78 students to examine the nature of physical and verbal abuse experienced by students who filed judicial complaints. Verbal abuse was the most common, while 24 percent reported pranks, property damage, or physical abuse. Over one-third of the students reported being pressured to drop charges. (JAC)

Schuh, John H.; Oblander, Douglas

1984-01-01

260

19 CFR 210.12 - The complaint.  

...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...

2014-04-01

261

Student Complaints and Appeals: The Practitioner's View  

ERIC Educational Resources Information Center

This article explores the issues facing practitioners working in the field of student complaints and appeals (including academic appeals). It is a reflective study which examines some general and historical issues, using anonymised case studies where appropriate and highlighting the diversity of practice across the sector. The author observes that…

Buckton, Liz

2008-01-01

262

Remedies sought and obtained in healthcare complaints  

Microsoft Academic Search

In the wake of adverse events, injured patients and their families have a complex range of needs and wants. The tort system, even when operating at its best, will inevitably fall far short of addressing them. In Australia and New Zealand, government-run health complaints commissions take a more flexible and expansive approach to providing remedies for patients injured by or

Marie M Bismark; Matthew J Spittal; Andrew J Gogos; Russell L Gruen; David M Studdert

2011-01-01

263

Exercise Alters Pain Sensitivity in Gulf War Veterans With Chronic Musculoskeletal Pain  

Microsoft Academic Search

Since returning from the Persian Gulf, nearly 100,000 veterans of the first Gulf War (GVs) have reported numerous symptoms with no apparent medical explanation. A primary complaint of these individuals is chronic musculoskeletal pain (CMP). CMP symptoms in GVs are similar to those reported by patients with fibromyalgia (FM), but have not received equivalent scientific attention. Exercise research in CMP

Dane B. Cook; Aaron J. Stegner; Laura D. Ellingson

2010-01-01

264

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

PubMed Central

Sleep complaints increase profoundly with age; prevalence estimates of insomnia in the elderly reach up to 37%. The three major types of nocturnal complaints are difficulties initiating (DIS) and maintaining (DMS) sleep and early morning awakening (EMA), of which the latter appears most characteristic for aging. The neural correlates associated with these complaints have hardly been investigated, hampering the development of rational treatment and prevention. A recent study on structural brain correlates of insomnia showed that overall severity, but not duration, of insomnia complaints is associated with lower gray matter (GM) density in part of the left orbitofrontal cortex (OFC). Following up on this, we investigated, in an independent sample of people not diagnosed with insomnia, whether individual differences in GM density are associated with differences in DIS, DMS, and EMA. Sixty five healthy participants (mean age?=?41?years, range 18–56) filled out questionnaires and underwent structural magnetic resonance imaging. Three compound Z-scores were computed for questionnaire items relating to DIS, DMS, and EMA. Whole-brain voxel-based morphometry was used to investigate their association with GM density. Results show that participants with lower GM density in a region where the left inferior OFC borders the insula report more EMA, but not DIS or DMS. This is the first study to investigate structural brain correlates of specific sleep characteristics that can translate into complaints in insomniacs. The selective association of EMA with orbitofrontal GM density makes our findings particularly relevant to elderly people, where EMA represents the most characteristic complaint. It is hypothesized that low GM density in aforementioned orbitofrontal area affects its role in sensing comfort. An intact ability to evaluate comfort may be crucial to maintain sleep, especially at the end of the night when sleep is vulnerable because homeostatic sleep propensity has dissipated. PMID:23060850

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

2012-01-01

265

Greater Trochanteric Pain Syndrome: Epidemiology and Associated Factors  

PubMed Central

Objectives To describe the prevalence of greater trochanteric pain syndrome (GTPS); to determine whether GTPS is associated with iliotibial band (ITB) tenderness, knee osteoarthritis (OA), body mass index (BMI), or low back pain (LBP); and to assess whether GTPS is associated with reduced hip internal rotation, physical activity, and mobility. Design Cross-sectional, population-based study. Setting Multicenter observational study. Participants Community-dwelling adults (N=3026) ages 50 to 79 years. Interventions Not applicable. Main Outcome Measures Greater trochanteric tenderness to palpation in subjects with complaints of hip pain and no signs of hip OA or generalized myofascial tenderness. Results The prevalence of unilateral and bilateral GTPS was 15.0% and 8.5% in women and 6.6% and 1.9% men. Odds ratio (OR) for women was 3.37 (95% confidence interval [CI], 2.67–4.25), but age and race were not significantly associated with GTPS. In a multivariate model, adjusting for age, sex, ITB tenderness, ipsilateral and contralateral knee OA, BMI, and LBP, ITB tenderness (OR=1.72; 95% CI, 1.34–2.19), knee OA ipsilaterally (OR=3.47; 95% CI, 2.72–4.42) and con-tralaterally (OR=1.74; 95% CI, 1.32–2.28), and LBP (OR=2.79; 95% CI, 2.22–3.50) were positively related to GTPS. In this complete model, BMI was not associated with GTPS (OR=1.10; 95% CI, 0.80–1.52 when comparing ? 30 with <25kg/m2). Hip internal rotation range of motion did not differ based on GTPS status. After multivariate adjustment, GTPS did not alter physical activity score, but bilateal GTPS was significantly associated with a higher 20-meter walk time and chair stand time. Conclusions The higher prevalence of GTPS in women and in adults with ITB pain or knee OA indicates that altered lower-limb biomechanics may be related to GTPS. Slower functional performance in those with GTPS suggests that the study of targeted rehabilitation may be useful. A longitudinal study will be necessary to identify causal factors and outcomes of interventions. PMID:17678660

Segal, Neil A.; Felson, David T.; Torner, James C.; Zhu, Yanyan; Curtis, Jeffrey R.; Niu, Jingbo; Nevitt, Michael C.

2010-01-01

266

29 CFR 1614.302 - Mixed case complaints.  

Code of Federal Regulations, 2012 CFR

...302 Mixed case complaints. (a) Definitions —(1) Mixed case complaint...federal agency based on race, color, religion, sex, national origin, age...discrimination on the basis of race, color, religion, sex, national origin,...

2012-07-01

267

29 CFR 1614.302 - Mixed case complaints.  

...302 Mixed case complaints. (a) Definitions —(1) Mixed case complaint...federal agency based on race, color, religion, sex, national origin, age...discrimination on the basis of race, color, religion, sex, national origin,...

2014-07-01

268

29 CFR 1614.302 - Mixed case complaints.  

Code of Federal Regulations, 2013 CFR

...302 Mixed case complaints. (a) Definitions —(1) Mixed case complaint...federal agency based on race, color, religion, sex, national origin, age...discrimination on the basis of race, color, religion, sex, national origin,...

2013-07-01

269

29 CFR 1954.20 - Complaints about State program administration.  

Code of Federal Regulations, 2010 CFR

...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...

2010-07-01

270

47 CFR 8.14 - General formal complaint procedures.  

Code of Federal Regulations, 2012 CFR

...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...

2012-10-01

271

47 CFR 8.14 - General formal complaint procedures.  

Code of Federal Regulations, 2013 CFR

...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...

2013-10-01

272

47 CFR 8.14 - General formal complaint procedures.  

Code of Federal Regulations, 2011 CFR

...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...

2011-10-01

273

7 CFR 6.42 - Complaints of price-undercutting.  

Code of Federal Regulations, 2011 CFR

... 2011-01-01 false Complaints of price-undercutting. 6.42 Section 6...Agriculture IMPORT QUOTAS AND FEES Price-Undercutting of Domestic Cheese by Quota Cheeses § 6.42 Complaints of price-undercutting. (a) Submission...

2011-01-01

274

39 CFR 3030.30 - Beginning proceedings on complaints.  

Code of Federal Regulations, 2010 CFR

(1) A notice and order in accordance with § 3001.17 of this chapter that finds the complaint raises one or more material issues of fact or law and begin proceedings on the complaint; or (2) An order dismissing the...

2010-07-01

275

14 CFR 302.722 - Answers to complaints.  

Code of Federal Regulations, 2010 CFR

...2010-01-01 false Answers to complaints. 302.722 Section 302.722 Aeronautics and Space OFFICE OF THE SECRETARY...Carriage of Mail in Foreign Air Transportation § 302.722 Answers to complaints. Answers to the...

2010-01-01

276

49 CFR 1111.1 - Content of formal complaints; joinder.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 2010-10-01 false Content of formal complaints; joinder. 1111...INVESTIGATION PROCEDURES § 1111.1 Content of formal complaints; joinder. (a...identifier. (2) The type of shipment (local, received-terminated, etc.)....

2010-10-01

277

14 CFR 302.507 - Computing time for filing complaints.  

Code of Federal Regulations, 2010 CFR

14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Computing time for filing complaints. 302...302.507 Aeronautics and Space OFFICE OF THE SECRETARY...Transportation § 302.507 Computing time for filing complaints....

2010-01-01

278

14 CFR 302.507 - Computing time for filing complaints.  

Code of Federal Regulations, 2011 CFR

14 Aeronautics and Space 4 2011-01-01 2011-01-01 false Computing time for filing complaints. 302...302.507 Aeronautics and Space OFFICE OF THE SECRETARY...Transportation § 302.507 Computing time for filing complaints....

2011-01-01

279

14 CFR 302.507 - Computing time for filing complaints.  

Code of Federal Regulations, 2012 CFR

14 Aeronautics and Space 4 2012-01-01 2012-01-01 false Computing time for filing complaints. 302...302.507 Aeronautics and Space OFFICE OF THE SECRETARY...Transportation § 302.507 Computing time for filing complaints....

2012-01-01

280

14 CFR 302.507 - Computing time for filing complaints.  

14 Aeronautics and Space 4 2014-01-01 2014-01-01 false Computing time for filing complaints. 302...302.507 Aeronautics and Space OFFICE OF THE SECRETARY...Transportation § 302.507 Computing time for filing complaints....

2014-01-01

281

14 CFR 302.507 - Computing time for filing complaints.  

Code of Federal Regulations, 2013 CFR

14 Aeronautics and Space 4 2013-01-01 2013-01-01 false Computing time for filing complaints. 302...302.507 Aeronautics and Space OFFICE OF THE SECRETARY...Transportation § 302.507 Computing time for filing complaints....

2013-01-01

282

42 CFR 3.306 - Complaints to the Secretary.  

Code of Federal Regulations, 2010 CFR

...SERVICES GENERAL PROVISIONS PATIENT SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement...Complaints to the Secretary. (a) Right to file a complaint . A person who believes that patient safety work product has...

2010-10-01

283

42 CFR 3.306 - Complaints to the Secretary.  

Code of Federal Regulations, 2011 CFR

...SERVICES GENERAL PROVISIONS PATIENT SAFETY ORGANIZATIONS AND PATIENT SAFETY WORK PRODUCT Enforcement...Complaints to the Secretary. (a) Right to file a complaint . A person who believes that patient safety work product has...

2011-10-01

284

77 FR 76006 - Star Networks USA, LLC; Complaint  

Federal Register 2010, 2011, 2012, 2013

...COMMISSION [CPSC Docket No. 13-2] Star Networks USA, LLC; Complaint AGENCY...below is a Complaint: In the Matter of Star Networks USA, LLC.\\1...PRODUCT SAFETY COMMISSION In the Matter of STAR NETWORKS USA, LLC, Respondent CPSC...

2012-12-26

285

Analysis of postmarket complaints database for the iFuse SI Joint Fusion System(R): a minimally invasive treatment for degenerative sacroiliitis and sacroiliac joint disruption  

PubMed Central

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

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

2013-01-01

286

Characteristics of Methadone Maintenance Patients with Chronic Pain  

Microsoft Academic Search

Chronic pain patients who have limited access to opioids may be redirected to methadone maintenance centers for management of their pain. Unfortunately, little information exists on the incidence and characteristics of methadone maintenance patients with chronic pain. The aim of this study was to survey individuals at methadone maintenance centers in order to determine the prevalence of chronic pain and

Robert N. Jamison; Janice Kauffman; Nathaniel P. Katz

2000-01-01

287

Report a Complaint (about a Health Care Organization)  

MedlinePLUS

... Complaint Do you have a complaint about a health care organization? What can you do about complaints that The Joint Commission cannot help with? You may want to talk to the organization about your concern. Your state’s department of health may be able to help. What information do ...

288

47 CFR 1.721 - Format and content of complaints.  

Code of Federal Regulations, 2010 CFR

...supplemental complaints filed pursuant to § 1.722, and paragraph (f) of this section...Supplemental complaints filed pursuant to § 1.722 shall conform to the requirements set out...supplemental complaints filed pursuant to § 1.722 shall contain a complete...

2010-10-01

289

45 CFR 1201.3 - Service of summonses and complaints.  

Code of Federal Regulations, 2010 CFR

... 2010-10-01 false Service of summonses and complaints. 1201.3 Section...LITIGATION § 1201.3 Service of summonses and complaints. (a) Only the Corporation's...is authorized to receive and accept summonses or complaints sought to be...

2010-10-01

290

6 CFR 5.42 - Service of summonses and complaints.  

Code of Federal Regulations, 2010 CFR

... 2010-01-01 false Service of summonses and complaints. 5.42 Section 5...in Litigation § 5.42 Service of summonses and complaints. (a) Only the...and accept on behalf of the Department summonses or complaints sought to be...

2010-01-01

291

22 CFR 172.2 - Service of summonses and complaints.  

Code of Federal Regulations, 2010 CFR

... 2010-04-01 false Service of summonses and complaints. 172.2 Section...EXPERT TESTIMONY § 172.2 Service of summonses and complaints. (a) Only the Executive...is authorized to receive and accept summonses or complaints sought to be...

2010-04-01

292

Development of the Ghent Multidimensional Somatic Complaints Scale  

ERIC Educational Resources Information Center

The present study aimed at developing a new scale that operationalizes a hierarchical model of somatic complaints. First, 63 items representing a wide range of symptoms and sensations were compiled from somatic complaints scales and emotion literature. These complaints were rated by Belgian students (n = 307) and Belgian adults (n = 603).…

Beirens, Koen; Fontaine, Johnny R. J.

2010-01-01

293

Stress and Somatic Complaints in Low-Income Urban Adolescents.  

ERIC Educational Resources Information Center

Studied rates of somatic complaints and the association between stress and somatic complaints for 1,030 low-income urban adolescents in grades 6 through 8. For both boys and girls, somatization was the most commonly reported internalizing symptom, and heightened rates of urban stress predicted heightened rates of somatic complaints. (SLD)

Reynolds, Linda K.; O'Koon, Jeffrey H.; Papademetriou, Eros; Szczygiel, Sylvia; Grant, Kathryn E.

2001-01-01

294

From fear to fraternity: Doctors' construction of accounts of complaints  

Microsoft Academic Search

This article considers one form of consumer activism which has been largely overlooked by academics: complaining. The results of a two-year study of hospital consultants' responses to complaints about medical care are presented. It is argued that complaints have a significant and lasting effect on doctors and that they can lead to a legitimation crisis for them. Complaints cause an

Linda Mulcahy

1996-01-01

295

Pain in U.S. Nursing Homes: Validating a Pain Scale for the Minimum Data Set  

Microsoft Academic Search

Purpose: The aim of this study was to validate a pain scale for the Minimum Data Set (MDS) assessment instru- ment and examine prevalence of pain in major nursing home subpopulations, including type of admission and cognitive status. Design and Methods: This study con- sidered validation of the MDS pain items and derivation of scale performed against the Visual Analogue

Brant E. Fries; Samuel E. Simon; John N. Morris; Caroli Flodstrom; Fred L. Bookstein

296

Experiences of Living with Pain after a Spinal Cord Injury.  

National Technical Information Service (NTIS)

Persistent chronic pain is prevalent after a spinal cord injury (SCI), with about two-thirds of persons with SCI reporting persistent pain despite available treatments. There is a risk for a significant psychosocial impact and a substantially reduced qual...

E. G. Widerstrom-Noga

2013-01-01

297

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

PubMed Central

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

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

2011-01-01

298

Compressive, invasive referred pain to the shoulder.  

PubMed

The painful shoulder can be the presenting complaint of a wide variety of local, as well as systemic, problems. Compression of the brachial plexus or occlusion of the subclavian vessels caused by narrowing of the thoracic outlet is best diagnosed by a thorough history and physical examination, and by performing the appropriate test maneuvers. Patients who do not respond to an exercise program to strengthen the shoulder girdle may require surgical excision of the first rib to enlarge the thoracic outlet. Referred pain in the shoulder originating from the cervical spine or peripheral nerves can be determined by cervical spine roentgenograms and nerve conduction tests. Neoplasms and parenchymal disease of the lung, and infections of the pleural and subdiaphragmatic areas can refer pain to the shoulder through the phrenic nerve. For those patients with persistent shoulder pain and no discernible musculoskeletal abnormalities who do not respond to standard therapeutic measures, another source of the shoulder pain should be sought. PMID:6825346

Brown, C

1983-03-01

299

Back Pain  

MedlinePLUS

... Oh, my aching back!", you are not alone. Back pain is one of the most common medical problems, ... 10 people at some point during their lives. Back pain can range from a dull, constant ache to ...

300

Back Pain  

MedlinePLUS

Back Pain The Centers for Disease Control and Prevention’s 2008 Health Report states that over 27% of the ... States population age 18 and older have active back pain. As many as 80-90% of Americans will ...

301

Breast pain  

MedlinePLUS

Pain - breast; Mastalgia; Mastodynia; Breast tenderness ... There are many possible causes for breast pain. For example, hormone level changes from menstruation or pregnancy often cause breast tenderness. Some amount of swelling and tenderness just before ...

302

Ribcage pain  

MedlinePLUS

... not cause the pain in those who have pleurisy (swelling of the lining of the lungs) or ... Inflammation of cartilage near the breastbone ( costochondritis ) Osteoporosis Pleurisy (the pain is worse when breathing deeply)

303

Neck Pain  

MedlinePLUS

... over-the counter medicine, such as acetaminophen or ibuprofen, to relieve pain, and apply heat to the ... an injury. Use anti-inflammatory medicines, such as ibuprofen and aspirin, to relieve pain and discomfort, and ...

304

Neuropathic Pain  

MedlinePLUS

... know that it can erode quality of life. Communication Tools View All Everyday Tools During Your Visit ... tires. Video Download Transcript Pain Matters This Discovery Channel documentary explores what chronic pain is, its individual ...

305

Assessment of somatic complaints in environmental health.  

PubMed

In patients attributing their health complaints to environmental factors (EnvPat) evidence based medical diagnostics usually do not confirm environmental and somatic causes of symptoms. Many symptoms remain unexplained. Aim of the study was the systematic assessment of medically unexplained physical symptoms (MUPS) in EnvPat and comparison to symptom rates reported by subjects of an environmental study exposed to environmental odors (EnvExp). This specific exposure was chosen, as odors are associated by an unclear mechanism with physical symptoms. By this we aimed to enlighten the open question as to likeliness that MUPS of EnvPat are caused by hitherto unrevealed environmental exposures or result from somatization. MUPS were measured with SOMS-2 in EnvPat n=92, patients presenting in a university environmental outpatients clinic, and different study groups exposed to environmental odors (EnvExp). These were: (1) subjects exposed to annoying odors and medically relevant concentrations of bioaerosols, such as airborne microorganisms (EnvExp-1, n=74), and (2) subjects exposed to odors alone (EnvExp-2, n=282) as well as unexposed controls (Controls, n=235). Logistic regression and analysis of variance were applied to analyze rates of single complaints and the sum index of complaints (SOMS-CoIx). In EnvPat rates of MUPS were highest - significant (p<0.05) adjusted OR in 23 of 25 MUPS compared to controls - and highest SOMS-CoIx (mean 15.3 (S.D. +/-9.3). Rates of MUPS were lower in environmentally exposed subjects with difference in the two strata: while EnvExp-1 differed in several complaints, i.e., nausea and SOMS-CoIx (mean 7.2, S.D. +/-6.9) from controls (p<0.05), EnvExp-2 (SOMS-CoIx mean 4.8, S.D. +/-5.2) showed relevant differences only in two single complaints and not in the SOMS-CoIx from controls, SOMS-CoIx mean 3.9, S.D. +/-5.0. This remained when adjusting for age, gender, and school education. Rates of MUPS in environmental patients were clearly higher than in subjects with actual environmental exposure, making it unlikely that their symptoms are due to undetected environmental factors. MUPS of EnvPat show similarities to psychosomatic patients. In the environmental survey symptom assessment by SOMS-2 was sensitive to different environmental scenarios, i.e., higher rates of physical complaints were only found in subjects with hazardous residential bioaerosols pollution as well as an annoying odor exposure and interestingly not in subjects exposed to annoying odors alone. This underlines that questionnaire data of somatic complaints need to be interpreted on the basis of exposure assessment in order to unjustly attribute health complaints to annoyance. PMID:18397841

Herr, Caroline E W; Zur Nieden, Anja; Kopka, Ines; Rethage, Tobias; Gieler, Uwe; Eikmann, Thomas F; Stilianakis, Nikolaos I

2009-01-01

306

Emergency department complaints: a ten-year review.  

PubMed

This 10-year (May 1986-31 December 1995) retrospective study was done to analyse the types of complaints received by the National University Hospital's Emergency Department (NUH EMD), so as to take remedial measures. It was done by reviewing three sources of complaints received by the department, namely formal written complaints, verbal feedback received by the Corporate Affairs Department, and via feedback forms. The areas of complaints looked for included the nature, number, validity, whether remediable and triage priority of the patients. One hundred and eighty-eight subcategories of complaints were received from 169 complaints. The complaint frequency was 0.26 per 1,000 visits or 1 complaint per 3,846 visits. The complaint frequency over the 10 years did not vary much (range 0 to 0.44). Most of the complaints are divided into 4 broad categories ie medical, doctor-patient/paramedical staff-patient relationship, patient flow/logistics at EMD and in-house complaints. The majority (71.3%) of the complaints were due to medical and doctor-patient relationship problems. Complaints tend to arise from Priority 2 and 3 rather than Priority 1 patients. 33.7% of the complaints were considered valid, 21.6% not valid while in the remaining 44.7%, validity could not be determined. 48.4% of complaints were likely to be remediable. Based on this study, we have since instituted a compulsory emergency department-driven "Customer Service Training Programme" and weekly teaching sessions for each incoming group of medical officers posted to the NUH EMD. PMID:9269375

Ooi, S B

1997-03-01

307

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

Code of Federal Regulations, 2010 CFR

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

2010-07-01

308

Acupuncture for cancer pain and related symptoms.  

PubMed

Cancer pain is one of most prevalent symptoms in patients with cancer. Acupuncture and related techniques have been suggested for the management of cancer pain. The National Comprehensive Cancer Network guidelines for adult cancer pain recommends acupuncture, as one of several integrative interventions, in conjunction with pharmacologic intervention as needed. This review presents the latest available evidence regarding the use of acupuncture for cancer pain. It also provides "actionable" acupuncture protocols for specific cancer pain conditions and related symptoms in order to provide more clinically relevant solutions for clinicians and cancer patients with pain. These conditions include postoperative cancer pain, postoperative nausea and vomiting, postsurgical gastroparesis syndrome, opioid-induced constipation, opioid-induced pruritus, chemotherapy-induced neuropathy, aromatase inhibitor-associated joint pain, and neck dissection-related pain and dysfunction. PMID:23338773

Lu, Weidong; Rosenthal, David S

2013-03-01

309

Managing Pain  

MedlinePLUS

... pain such as aching, burning, gnawing, grabbing • The effect of the pain on the patient and family (for example, is the family anxious or unsure about how to give the medicines; is the patient becoming irritable from lack of sleep because of the pain) What can be done? ...

310

The prevalence of gastroesophageal reflux disease among hospital employees.  

PubMed

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

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

2014-07-01

311

Orofacial pain management: current perspectives  

PubMed Central

Some of the most prevalent and debilitating pain conditions arise from the structures innervated by the trigeminal system (head, face, masticatory musculature, temporomandibular joint and associated structures). Orofacial pain (OFP) can arise from different regions and etiologies. Temporomandibular disorders (TMD) are the most prevalent orofacial pain conditions for which patients seek treatment. Temporomandibular disorders include a number of clinical problems that involve the masticatory musculature, the temporomandibular joint (TMJ) or both. Trigeminal neuropathic pain conditions can arise from injury secondary to dental procedures, infection, neoplasias, or disease or dysfunction of the peripheral and/or central nervous system. Neurovascular disorders, such as primary headaches, can present as chronic orofacial pain, such as in the case of facial migraine, where the pain is localized in the second and third division of the trigeminal nerve. Together, these disorders of the trigeminal system impact the quality of life of the sufferer dramatically. A multidisciplinary pain management approach should be considered for the optimal treatment of orofacial pain disorders including both non-pharmacological and pharmacological modalities. PMID:24591846

Romero-Reyes, Marcela; Uyanik, James M

2014-01-01

312

Painful varicoceles: Role of varicocelectomy  

PubMed Central

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

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

2014-01-01

313

Pain and Inflammatory Bowel Disease  

PubMed Central

Abdominal pain is a common symptom of inflammatory bowel disease (IBD: Crohn’s disease, ulcerative colitis). Pain may arise from different mechanisms, which can include partial blockage and gut distention as well as severe intestinal inflammation. A majority of patients suffering from acute flares of IBD will experience pain, which will typically improve as disease activity decreases. However, a significant percentage of IBD patients continue experiencing symptoms of pain despite resolving inflammation and achieving what appears to be clinical remission. Current evidence suggests that sensory pathways sensitize during inflammation, leading to persistent changes in afferent neurons and central nervous system pain processing. Such persistent pain is not only a simple result of sensory input. Pain processing and even the activation of sensory pathways is modulated by arousal, emotion, and cognitive factors. Considering the high prevalence of iatrogenic as well as essential neuropsychiatric comorbidities including anxiety and depression in IBD patients, these central modulating factors may significantly contribute to the clinical manifestation of chronic pain. The improved understanding of peripheral and central pain mechanisms is leading to new treatment strategies that view pain as a biopsychosocial problem. Thus, improving the underlying inflammation, decreasing the excitability of sensitized afferent pathways, and altering emotional and/or cognitive functions may be required to more effectively address the difficult and disabling disease manifestations. PMID:19130619

Bielefeldt, Klaus; Davis, Brian; Binion, David G.

2010-01-01

314

Postoperative pain management and Acute Pain Service activity in Canada  

Microsoft Academic Search

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

D. L. Zimmermann; J. Stewart

1993-01-01

315

Nonverbal communication accuracy in married couples: relationship with marital complaints.  

PubMed

Nonverbal communication abilities were examined as mediators of martial complaints for a sample of 48 recently married couples. Based on social penetration theory, we predicted that couples cohabiting longer would be better at decoding their partners' nonverbal expressions than couples cohabiting a shorter time, that individuals married to accurate nonverbal communicators would evidence fewer martial complaints, and that individuals with fewer marital complaints would be better nonverbal communicators. The data suggest that nonverbal decoding abilities do not covary with relationship length, although spouses were better at decoding their partners' expressions than were a panel of judges. In addition, nonverbal sensitivity to one's spouse did not covary with martial complaints, although an internal analysis suggests that wives' ability to decode husbands poorly encoded messages covaries negatively with both his and her complaints. Finally, husbands married to wives who are good encoders had fewer complaints, whereas the reverse was found to hold true for the relationship between husbands' encoding abilities on wives' complaints. PMID:7175683

Sabatelli, R M; Buck, R; Dreyer, A

1982-11-01

316

Rapid 13C Urea Breath Test to Identify Helicobacter pylori Infection in Emergency Department Patients with Upper Abdominal Pain  

PubMed Central

Introduction: In emergency department (ED) patients with upper abdominal pain, management includes ruling out serious diseases and providing symptomatic relief. One of the major causes of upper abdominal pain is an ulcer caused by Helicobacter pylori (H. pylori), which can be treated and cured with antibiotics. We sought to estimate the prevalence of H. pylori infection in symptomatic patients using a convenience sample at a single urban academic ED and demonstrate the feasibility of ED-based testing. Methods: We prospectively enrolled patients with a chief complaint of pain or discomfort in the upper abdomen for 1 year from February 2011 until February 2012 at a single academic urban ED. Enrolled subjects were tested for H. pylori using a rapid point of care 13C Urea Breath Test (UBT) [Exalenz Bioscience]. We compared patient characteristics between those who tested positive versus negative for the disease. Results: A total of 205 patients with upper abdominal pain were tested over 12 months, and 24% (95% confidence interval: 19% to 30%) tested positive for H. pylori. Black subjects were more likely to test positive than white subjects (28% v. 6%, P < 0.001). Other factors, such as age and sex, were not different between the 2 groups. Conclusion: In our ED, H. pylori infection was present in 1 in 4 patients with epigastric pain, and testing with a UBT was feasible. Further study is needed to determine the risk factors associated with infection, the prevalence of H. pylori in other EDs, the effect of the test on ED length of stay and the costeffectiveness of an ED-based test-and-treat strategy. PMID:23687549

Meltzer, Andrew C.; Pierce, Rebecca; Cummings, Derek A.T.; Pines, Jesse M.; May, Larissa; Smith, Meaghan A.; Marcotte, Joseph; McCarthy, Melissa L.

2013-01-01

317

Pain Genes  

PubMed Central

Pain, which afflicts up to 20% of the population at any time, provides both a massive therapeutic challenge and a route to understanding mechanisms in the nervous system. Specialised sensory neurons (nociceptors) signal the existence of tissue damage to the central nervous system (CNS), where pain is represented in a complex matrix involving many CNS structures. Genetic approaches to investigating pain pathways using model organisms have identified the molecular nature of the transducers, regulatory mechanisms involved in changing neuronal activity, as well as the critical role of immune system cells in driving pain pathways. In man, mapping of human pain mutants as well as twin studies and association studies of altered pain behaviour have identified important regulators of the pain system. In turn, new drug targets for chronic pain treatment have been validated in transgenic mouse studies. Thus, genetic studies of pain pathways have complemented the traditional neuroscience approaches of electrophysiology and pharmacology to give us fresh insights into the molecular basis of pain perception. PMID:18654615

Foulkes, Tom; Wood, John N.

2008-01-01

318

Does Fatigue Complaint Reflect Memory Impairment in Multiple Sclerosis?  

PubMed Central

Background and Purpose. Fatigue and memory impairment are common symptoms in multiple sclerosis (MS) and both may interact with cognition. This can contribute to making a complaint misrepresentative of the objective disorder. We sought to determine whether fatigue complaint in MS reflects memory impairment and investigated whether patients' subjective fatigue is associated with memory complaint. Methods. Fifty MS patients complaining of fatigue underwent subjective assessment of fatigue and memory complaint measured using self-assessment scales. Cognitive functions were assessed using a battery of neuropsychological tests, including a test of verbal episodic memory, the selective reminding test (SRT). Correlations were studied between subjective fatigue, memory complaint, and performance in verbal episodic memory. Results. Depression score, psychotropic and/or antiepileptic drug use, Expanded Disability Status Scale (EDSS) score, and MS form were confounding factors. After adjusting for these confounding factors, neither fatigue complaint nor memory complaint was correlated with SRT performance. Subjective fatigue was significantly associated with memory complaint. Conclusion. Although complaint of fatigue in MS was correlated with memory complaint, subjective fatigue was not the expression of memory impairment. PMID:24724029

Jougleux-Vie, Caroline; Duhin, Emeline; Deken, Valerie; Outteryck, Olivier; Vermersch, Patrick; Zephir, Helene

2014-01-01

319

Pregnancy-related low back pain  

PubMed Central

Pregnancy related low back pain is a common complaint among pregnant women. It can potentially have a negative impact on their quality of life. The aim of this article is to present a current review of the literature concerning this issue. By using PubMed database and low back pain, pelvic girdle pain, pregnancy as keywords, abstracts and original articles in English investigating the diagnosis treatment of back pain during pregnancy were searched and analyzed Low back pain could present as either a pelvic girdle pain between the posterior iliac crest and the gluteal fold or as a lumbar pain over and around the lumbar spine. The source of the pain should be diagnosed and differentiated early.The appropriate treatment aims to reduce the discomfort and the impact on the pregnant womans quality of life. This article reveals the most common risk factors, as well as treatment methods, which may help to alleviate the pain. Some suggestions for additional research are also discussed. PMID:22435016

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

2011-01-01

320

The association of dysmenorrhea with noncyclic pelvic pain accounting for psychological factors  

PubMed Central

OBJECTIVE The factors that underlie pelvic pain are poorly understood. Specifically, the relative influence of dysmenorrhea and psychological factors in the etiology of noncyclic pelvic pain conditions, such as interstitial cystitis and irritable bowel syndrome, is unknown. To further characterize pelvic pain, we compared the frequency of menstrual, somatosensory, and psychological risk factors between women with and without severe noncyclic pelvic pain symptoms. STUDY DESIGN A total of 1012 reproductive-aged women completed a 112-item questionnaire with domains including mood, fatigue, physical activity, somatic complaint, and pain. Questionnaire items included existing items for menstrual distress and newly written items derived from qualitative interviews. The relationship of dysmenorrhea and noncyclic pelvic pain complaints (dyspareunia, dyschezia, or dysuria) was modeled using quantile regression. RESULTS Among women who menstruate regularly, those with dysmenorrhea had disproportionally more severe noncyclic pelvic pain (54/402, 13%) than women without dysmenorrhea (5/432, 1%; odds ratio, 13; 95% confidence interval, 5–33). In a multivariate-adjusted model, dysmenorrhea (? = .17), activity capability (? = .17), somatic complaint (? = .17), and bodily pain (? = .12) were the primary predictors of noncyclic pelvic pain. Depression (? = .03) and anxiety (? = .01) were not significantly predictive. The presence of dysmenorrhea, somatic complaint, and low activity capability predicted 90% of the cases of women with noncyclic pelvic pain. CONCLUSION The association between dysmenorrhea and noncyclic pelvic pain suggests that menstrual pain is an etiological factor in noncyclic pelvic pain, whereas depression and anxiety may be secondary effects. Longitudinal studies are needed to determine whether dysmenorrhea causally influences development of noncyclic pelvic pain or shares common underlying neural mechanisms. PMID:23973396

Westling, Allyson M.; Tu, Frank F.; Griffith, James W.; Hellman, Kevin M.

2014-01-01

321

Chronic Pelvic Pain  

MedlinePLUS

... Family > Conditions & Treatments > Pain Disorders > Chronic Pelvic Pain Chronic Pelvic Pain Page Content Pelvic pain is an uncommon but ... and can be injured or weakened causing pain Chronic pain can continue long after tissue injury has healed, ...

322

Low back pain - chronic  

MedlinePLUS

Nonspecific back pain; Backache - chronic; Lumbar pain - chronic; Pain - back - chronic; Chronic back pain - low ... your waist, leads to pain. Many people with chronic back pain have arthritis. Or they may have extra wear ...

323

Chronic Pain  

Microsoft Academic Search

\\u000a \\u000a \\u000a \\u000a \\u000a 1. \\u000a \\u000a Non-cancer-related pain that lasts longer than 3 months is considered chronic pain.\\u000a \\u000a \\u000a \\u000a 2. \\u000a \\u000a According to the National Institutes of Health, chronic pain is the third largest health problem in the world.\\u000a \\u000a \\u000a \\u000a 3. \\u000a \\u000a Approximately 25 million Americans are affected by chronic pain.\\u000a \\u000a \\u000a \\u000a 4. \\u000a \\u000a Chronic pain is one of the most common problems seen in primary care clinics. Pain-related problems account

Jim Nuovo

324

Venous leg ulcer pain and its characteristics.  

PubMed

This study investigated the prevalence, severity and characteristics of pain associated with venous leg ulceration. Sixty-five patients suffering with venous leg ulceration were randomised to one of three treatment groups over a 12-week treatment period. All patients received short-stretch compression bandaging. Data were collected by use of a visual analogue scale and the McGill Pain Questionnaire. Seventy per cent of patients reported pain on entry to the study and within 2 weeks of effective treatment initial pain was dramatically reduced. Patients typically described their pain as throbbing, sharp, itchy, sore and tender. The affective nature of pain was often described as tiring and patients evaluated their pain as being annoying and nagging. This study highlights the importance of pain associated with venous leg ulceration. PMID:12476504

Charles, Hildegard

2002-10-01

325

Groin pain in athletes.  

PubMed

Groin pain in athletes is not infrequently a cause of frustration and aggravation to both doctor and patient. Complaints in the groin region can prove difficult to diagnose, particularly when they are of a chronic nature. These injuries are seen more commonly in sports that require specific use (or overuse) of the proximal musculature of the thigh and lower abdominal muscles. Some of the more common sports would be soccer, skiing, hurdling, and hockey. The differential diagnosis can cover a rather broad area of possibilities. Most common groin injuries are soft-tissue injuries, such as muscular strains, tendinitis, or contusions. More difficult areas to pinpoint are such entities as osteitis pubis, nerve entrapment, the so-called "sports hernia," or avulsion fractures, to name but a few. The evaluation of such patients includes a familiarity with the sport and possible mechanism of injury (i.e., taking a careful history), meticulous physical examination of the groin, abdomen, hips, spine, and lower extremities. Diagnostic examinations may or may not prove helpful in formulating a final diagnosis. Some patients may be required to undergo procedures, such as laparoscopic evaluation of the region to obtain adequate information that allows a proper diagnosis and treatment plan. This article describes many of the possible causes of groin pain in athletes. The list is quite lengthy, and only the more common problems will be discussed in detail. PMID:12820026

LeBlanc, Kim Edward; LeBlanc, Karl A

2003-06-01

326

Breakthrough pain in chronic non-cancer pain: fact, fiction, or abuse.  

PubMed

Treatment of chronic non-cancer pain with opioid therapy has escalated in recent years, resulting in exploding therapeutic use and misuse of prescription opioids and multiple adverse drug events. Breakthrough pain is defined as a transient exacerbation of pain experienced by individuals who have relatively stable and adequately controlled baseline cancer pain. Further, the definition of breakthrough pain, prevalence, characteristics, implications, and treatment modalities have been extensively described for chronic cancer pain. However, the literature for breakthrough pain in chronic non-cancer pain including its terminology, prevalence, relevance, characteristics, and treatments, have been poorly described and continue to be debated. The philosophy of breakthrough pain in chronic non-cancer pain raises multiple issues leading almost all patients to be on high dose long-acting opioids, followed by supplementing with short-acting drugs, instead of treating the patients with only short-acting drugs as required. Consequently, the subject of breakthrough pain in chronic non-cancer pain is looked at with suspicion due to the lack of evidence and inherent bias associated with its evaluation, followed by escalating use and abuse of opioids. Multiple issues related to the concept of breakthrough pain in chronic non-cancer pain evolve around extensive use, overuse, misuse, and abuse of opioids. In the era of eliminating opioids or significantly curtailing their use to only appropriate indications, the concept of breakthrough pain raises multiple questions without any scientific evidence. This review illustrates that there is no significant evidence for any type of breakthrough pain in chronic non-cancer pain based on available literature, methodology utilized, and response to opioids in chronic non-cancer pain. The advocacy for increased usage of opioids in the treatment of chronic pain dates back to the liberalization of laws governing opioid prescription for the treatment of chronic non-cancer pain by state medical boards in the late 1990s, and is exploding with new pain management standards for inpatient and outpatient medical care implemented by the Joint Commission on Accreditation of Health Care Organizations in 2000, and the advocacy by many physicians and organizations for increased use of opioids. This comprehensive review critically evaluates the available evidence of breakthrough pain in chronic non-cancer pain including its existence, prevalence, and managing symptoms which are described as breakthrough pain or episodic pain. PMID:21412376

Manchikanti, Laxmaiah; Singh, Vijay; Caraway, David L; Benyamin, Ramsin M

2011-01-01

327

LOW BACK PAIN IN A COMPETITIVE CRICKET ATHLETE  

PubMed Central

Physical therapists treating adolescent and young adult athletes with low back pain complaints should have a high level of clinical suspicion of the possibility for spondylolysis, spondylolisthesis, or developing stress reactions of the pars interarticularis. This case outlines the use of conventional radiography, computerized tomography, and Single photon emission computed tomography (SPECT) in the differential diagnosis for an adolescent cricket athlete with low back pain. PMID:22319683

Merlino, Justin; Perisa, Jack

2012-01-01

328

Low back pain in a competitive cricket athlete.  

PubMed

Physical therapists treating adolescent and young adult athletes with low back pain complaints should have a high level of clinical suspicion of the possibility for spondylolysis, spondylolisthesis, or developing stress reactions of the pars interarticularis. This case outlines the use of conventional radiography, computerized tomography, and Single photon emission computed tomography (SPECT) in the differential diagnosis for an adolescent cricket athlete with low back pain. PMID:22319683

Merlino, Justin; Perisa, Jack

2012-02-01

329

Coronary CT Angiography in Acute Chest Pain Syndromes  

Microsoft Academic Search

In the United States alone, nearly 6 million patients present annually to emergency departments with complaints of chest pain\\u000a suspicious for acute coronary ischemia. Acute chest pain represents a clinical as well as economic challenge, often resulting\\u000a in elaborate, time-consuming, and expensive evaluation to avoid litigation related to missed diagnosis of acute coronary syndromes\\u000a (ACS). Coronary CT angiography (CCTA) is

Kavitha M. Chinnaiyan; Ryan D. Madder; James A. Goldstein

2010-01-01

330

A Practical Approach for the Differential Diagnosis of Chronic Leg Pain in the Athlete  

Microsoft Academic Search

Chronic lower leg pain results from various conditions, most commonly, medial tibial stress syndrome, stress fracture, chronic exertional compartment syndrome, nerve entrapment, and popliteal artery entrapment syndrome. Symptoms associated with these conditions often overlap, making a definitive diagnosis difficult. As a result, an algorithmic approach was created to aid in the evaluation of patients with complaints of lower leg pain

Peter H. Edwards; Michelle L. Wright; Jodi F. Hartman

2005-01-01

331

Parents' Experiences of Pain and Discomfort in People with Learning Disabilities  

ERIC Educational Resources Information Center

There are few measures of pain for people with limited ability to communicate. Eight parents of adults with a known learning disability and associated physical health complaint were interviewed to explore their experience of identifying and managing the pain felt by their children. The parents did not often perceive their son or daughter to be in…

Clarke, Zara Jane; Thompson, Andrew R.; Buchan, Linda; Combes, Helen

2008-01-01

332

Latent Variable Analysis of Coping, Anxiety/Depression, and Somatic Symptoms in Adolescents with Chronic Pain  

ERIC Educational Resources Information Center

Reports of adolescents' coping with recurrent pain, symptoms of anxiety/depression, and somatic complaints were obtained from a sample of 164 adolescents with recurrent abdominal pain and their parents. Confirmatory factor analysis revealed that coping consisted of 3 nonorthogonal factors: Primary Control Engagement Coping (problem solving,…

Compas, Bruce E.; Boyer, Margaret C.; Stanger, Catherine; Colletti, Richard B.; Thomsen, Alexandra H.; Dufton, Lynette M.; Cole, David A.

2006-01-01

333

Central pain.  

PubMed

ABSTRACT Questions from patients about pain conditions and analgesic pharmacotherapy and responses from authors are presented to help educate patients and make them more effective self-advocates. The topic addressed in this issue is central pain, a neuropathic pain syndrome caused by a lesion in the brain or spinal cord that sensitizes one's perception of pain. It is a debilitating condition caused by various diseases such as multiple sclerosis, strokes, spinal cord injuries, or brain tumors. Varied symptoms and the use of pharmacological medicines and nonpharmacological therapies will be addressed. PMID:25295639

Singh, Supreet

2014-12-01

334

Regulations Governing Complaints by Students 2013/14 Stage 3 Student Complaint Form  

E-print Network

and this information is essential to the complaint. (3.1.1 of regulations) Tick There was a failure to follow the failure in procedure and how you have been disadvantaged by this and/or list evidence to support your registered for your programme only if you can demonstrate that you will be substantially disadvantaged

Anderson, Jim

335

[Event recorder for etiological evaluation of sporadically occurring cardiovascular complaints and symptoms].  

PubMed

Rarely and transient occurring arrhythmia, palpitation, dizziness, syncopes and chest pain frequently cause symptoms and complaints to patients with congenital cardiac defects. The reliable identification of their pathogenesis is often difficult. The study presented here demonstrates the impact of an event recorder for enlightening sporadically occurring complaints and symptoms. Fifty patients (age between 11 and 70 years, median 27 years) were examined with an event recorder (King of Hearts Express, Instromedix, Hillsboro, USA). The patients were referred to an outpatient clinic for congenital cardiac defects in order to clarify unexplained arrhythmia, palpitations, dizziness, or syncope. Included were patients above 10 years of age. Previous cardiac studies (including ECG, exercise-ECG, Holter-Monitoring) were non-diagnostic in all. Altogether 227 ECGs had been recorded. 95% of them were of diagnostic quality. The event recorder afforded ambulatory monitoring and the median duration of monitoring was 22.5 days. The average number of registered events was 4.5 +/- 3.8. In 24% of the patients (n = 12) diagnostic and/or therapeutical consequences resulted: electrophysiological examination (n = 5), drug treatment (n = 4) and pacemaker implantation (n = 3). The event recorder is an important and highly effective tool in diagnosing sporadical transient symptoms and complaints, especially arrhythmias. PMID:11141673

Blücher, S; Kaemmerer, H; Lammers, A; Brodherr-Heberlein, S; Hess, J

2000-11-01

336

Determining the pain-affecting factors of university students with nonspecific low back pain.  

PubMed

[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

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

2013-12-01

337

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

PubMed Central

[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

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

2014-01-01

338

Chiropractic complaints and disciplinary cases in Canada  

PubMed Central

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

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

1998-01-01

339

Chronic neck pain and masticatory dysfunction  

Microsoft Academic Search

Chronic nonspecific neck pain is a common problem in rheumatology and may resist conventional treatment. Pathophysiological links exist between the cervical spine and masticatory system. Occlusal disorders may cause neck pain and may respond to dental treatment. The estimated prevalence of occlusal disorders is about 45%, with half the cases being due to functional factors. Minor repeated masticatory dysfunction (MD)

Jean-François Catanzariti; Thierry Debuse; Bernard Duquesnoy

2005-01-01

340

Pain in cognitively impaired nursing home patients  

Microsoft Academic Search

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

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

1995-01-01

341

Medications for neuropathic pain: current trends  

Microsoft Academic Search

Neuropathic pain is by definition a chronic pain condition that occurs and persists in a heterogeneous group of aetiologically\\u000a different diseases characterised by a primary lesion or dysfunction of the peripheral or central nervous system. Neuropathic\\u000a pain has an important prevalence in the general population, and a severe impact on quality of life and mood of affected patients.\\u000a Therapy is

B. Colombo; P. O. L. Annovazzi; G. Comi

2006-01-01

342

Pain channelopathies  

PubMed Central

Pain remains a major clinical challenge, severely afflicting around 6% of the population at any one time. Channelopathies that underlie monogenic human pain syndromes are of great clinical relevance, as cell surface ion channels are tractable drug targets. The recent discovery that loss-of-function mutations in the sodium channel Nav1.7 underlie a recessive pain-free state in otherwise normal people is particularly significant. Deletion of channel-encoding genes in mice has also provided insights into mammalian pain mechanisms. Ion channels expressed by immune system cells (e.g. P2X7) have been shown to play a pivotal role in changing pain thresholds, whilst channels involved in sensory transduction (e.g. TRPV1), the regulation of neuronal excitability (potassium channels), action potential propagation (sodium channels) and neurotransmitter release (calcium channels) have all been shown to be potentially selective analgesic drug targets in some animal pain models. Migraine and visceral pain have also been associated with voltage-gated ion channel mutations. Insights into such channelopathies thus provide us with a number of potential targets to control pain. PMID:20142270

Cregg, Roman; Momin, Aliakmal; Rugiero, Francois; Wood, John N; Zhao, Jing

2010-01-01

343

Pain Genes  

Microsoft Academic Search

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

Tom Foulkes; John N. Wood

2008-01-01

344

Low Back Pain in Young Athletes  

PubMed Central

Context Low back pain in young athletes is a common complaint and should be taken seriously. It frequently results from a structural injury that requires a high degree of suspicion to diagnose and treat appropriately. Evidence Acquisition A Medline search was conducted from 1996 to May 2008 using the search terms “low back pain in children” and “low back pain in athletes.” Known texts on injuries in young athletes were also reviewed. References in retrieved articles were additionally searched for relevant articles. Sources were included if they contained information regarding diagnosis and treatment of causes of low back pain in children. Results Low back pain is associated with sports involving repetitive extension, flexion, and rotation, such as gymnastics, dance, and soccer. Both acute and overuse injuries occur, although overuse injuries are more common. Young athletes who present with low back pain have a high incidence of structural injuries such as spondylolysis and other injuries to the posterior elements of the spine. Disc-related pathology is much less common. Simple muscle strains are much less likely in this population and should be a diagnosis of exclusion only. Conclusion Young athletes who present with low back pain are more likely to have structural injuries and therefore should be investigated fully. Muscle strain should be a diagnosis of exclusion. Treatment should address flexibility and muscle imbalances. Injuries can be prevented by recognizing and addressing risk factors. Return to sport should be a gradual process once the pain has resolved and the athlete has regained full strength. PMID:23015874

Purcell, Laura; Micheli, Lyle

2009-01-01

345

Chronic complaints after ankle sprains: a systematic review on effectiveness of treatments.  

PubMed

Study Design Systematic review. Objective To determine the effectiveness of treatments for patients with chronic complaints after ankle sprain. Background Though most people recover completely after a lateral inversion ankle injury, a considerable percentage have persistent complaints. Currently, it is still unclear which treatment options are best for these patients. Methods Major databases, including PubMed, Embase, CINAHL, and PEDro, were searched for randomized controlled trials and controlled clinical trials conducted from 1966 to October 2012. Due to clinical heterogeneity, the data were analyzed using a best-evidence synthesis. Results A total of 20 randomized controlled trials and 1 controlled clinical trial were included in the analysis. The included studies compared different treatments (training programs, physiotherapy, chiropractic/manual therapy, surgery, postoperative training, and functional treatment). For pain and function outcomes, limited to moderate evidence was found for effectiveness of a training program compared to conservative treatment. Two studies found a decrease of recurrences after a proprioceptive training program. Four studies showed good results for different surgical methods but did not include a nonsurgical control group for comparison. Limited evidence was found for the effectiveness of an early mobilization program after surgery. Conclusion In chronic ankle complaints after an ankle sprain, a training program gives better results for pain and function, and a decrease of recurrent ankle sprains, than a wait-and-see policy. There was insufficient evidence to determine the most effective surgical treatment, but limited evidence suggests that postoperative, early mobilization was more effective than a plaster cast. Level of Evidence Therapy, level 1a-. J Orthop Sports Phys Ther 2014;44(11):862-871. Epub 9 October 2014. doi:10.2519/jospt.2014.5221. PMID:25299494

van Ochten, John M; van Middelkoop, Marienke; Meuffels, Duncan; Bierma-Zeinstra, Sita M A

2014-11-01

346

[Red, yellow, green: management of gastrointestinal complaints].  

PubMed

In a patient presenting with acute abdominal pain, initiation of symptomatic treatment must be preceded by the reliable exclusion of a potentially serious situation (acute abdomen = red light). Rapidly progressive or severe abdominal pain mandates an urgent diagnostic investigation on the part of the physician. No less important is the positive diagnosis of psychosomatic disorders (yellow light). If the family doctor fails to properly counsel the patient, too much diagnostic effort can lead to an iatrogenic somatic fixation. In the absence of all the above, the light shows green for causal therapy, an open mind on the diagnosis, symptomatic treatment and follow-up. PMID:16642704

Sandholzer, H

2006-03-30

347

Epidemiology of chronic musculoskeletal pain.  

PubMed

Chronic widespread pain (CWP) due to musculoskeletal conditions is a major social burden. The case definition of CWP relies on pain, chronicity (more than 3 months' duration) and widespread distribution (both sides of the body including the axial skeleton). Health Interview Survey (HIS) and Health Examination Survey (HES) have been used to assess the frequency of CWP in the general population. Unfortunately, both techniques are poorly standardised, which hampers comparison of data pertaining to different populations and countries. A major effort in the European Union (EU) is the development of common strategies to investigate musculoskeletal pain through HIS. Issues to be addressed include: (1) loss of daily life functions due to pain; (2) pain duration and rhythm; (3) affected sites; and (4) type of pain. We know that musculoskeletal pain affects between 13.5% and 47% of the general population, with CWP prevalence varying between 11.4% and 24%. Risk factors for musculoskeletal pain include age, gender, smoking, low education, low physical activity, poor social interaction, low family income, depression, anxiety and sleep disorders, as well as performing manual work, being a recent immigrant, non-Caucasian and widowed, separated or divorced. PMID:22094194

Cimmino, Marco A; Ferrone, Carmela; Cutolo, Maurizio

2011-04-01

348

Aging of physical therapists: From musculoskeletal complaints to self-protective behaviours  

Microsoft Academic Search

Physical therapists are at risk for work-related musculoskeletal disorders; however, we know little about the range of problems, their severity, or the implications in the maintenance of therapists at work. The aims of this study were: a) to investigate the prevalence of musculoskeletal pain in a population of therapists; b) to analyse the postures adopted; and c) to understand the

Rosa Squadroni; Norma Barbini

2005-01-01

349

Sexual, physical, verbal\\/emotional abuse and unexplained chest pain  

Microsoft Academic Search

ObjectivesApproximately one third of patients with non cardiac chest pain (NCCP) report a history of abuse, however no data exists on the prevalence of abuse among people with unexplained chest pain in the general population. We aimed to determine if there is a relationship between childhood sexual, physical, emotional abuse and unexplained chest pain, and to identify whether any potential

Guy D. Eslick; Natasha A. Koloski; Nicholas J. Talley

2011-01-01

350

Pain, Nicotine, and Smoking: Research Findings and Mechanistic Considerations  

Microsoft Academic Search

Tobacco addiction and chronic pain represent 2 highly prevalent and comorbid conditions that engender substantial burdens upon individuals and systems. Interrelations between pain and smoking have been of clinical and empirical interest for decades, and research in this area has increased dramatically over the past 5 years. We conceptualize the interaction of pain and smoking as a prototypical example of

Joseph W. Ditre; Thomas H. Brandon; Emily L. Zale; Mary M. Meagher

2011-01-01

351

Statistical analysis of unsolicited thermal sensation complaints in commercial buildings  

SciTech Connect

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.

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

1998-10-01

352

UNIVERSITYOF TENNESSEE HEALTH SCIENCE CENTER DISCRIMINATION COMPLAINT PROCEDURE  

E-print Network

believes that he or she has been discriminated against on the basis of race, color, sex (including sexualUNIVERSITYOF TENNESSEE HEALTH SCIENCE CENTER DISCRIMINATION COMPLAINT PROCEDURE Any UTHSC employee faith opposes a practice which he/she believes to be discriminatory. Complaints of discrimination should

Cui, Yan

353

Student Complaints of a Non-Academic Nature ADMINISTRATIVE PROCEDURE  

E-print Network

of Affirmative Action and Workplace Compliance. If a bias or discrimination complaint is reported to the Office or their guest, or act of discrimination or bias. *Note: Students with complaints regarding grades, course regarding acts of discrimination or bias may be reported to the Department of Public Safety or the Office

Rainforth, Emma C.

354

The Effects of Community Policing on Complaints Against Officers  

Microsoft Academic Search

Between 1982 and 1989, the Houston Police Department was committed toforming partnerships with the community as part of its strategy to improvepolice service to the city. Using complaint data from the Internal AffairsDivisions of the Houston Police Department, this research examines whetherofficers assigned to areas of the city that implemented community policinghave fewer complaints than other officers. The results showed

David A. Kessler

1999-01-01

355

The use of semantic network analysis to manage customer complaints  

Microsoft Academic Search

Effective handling of customer complaints is obviously in the consumers’ interest, but analysis of the letters can also provide valuable information to the organization. Organizations can use customer complaints as a way of recording organizational information and tracking effectiveness of their consumer relationship management. In this paper, we argue that organizations should adopt the use of semantic network analysis as

Glynis A. Fitzgerald; Marya L. Doerfel

2004-01-01

356

Complaints of Foodborne Illness in San Francisco, California, 1998  

Microsoft Academic Search

Foodborne diseases are an important public problem affecting millions of Americans each year and resulting in substantial morbidity and mortality. Many foodborne infections occur in outbreak settings. Outbreaks are often detected by complaints from the public to health authorities. This report reviews complaints received by the San Francisco Department of Public Health involving suspected foodborne illness in 1998. Although such

MICHAEL C. SAMUEL; DIANE PORTNOY; ROB V. TAUXE; FRED J. ANGULO; DUC J. VUGIA

2001-01-01

357

Stock market reactions to third-party complaints  

Microsoft Academic Search

Purpose – The purpose of this paper is to focus on the impact of third-party complaints on firm performance. It aims to use a financial measurement of performance, the variation in firm share returns in the stock market following the publication of the Annual Complaints Service Report by the Bank of Spain. Building on modern theory of financial markets and

Ana B. Casado-Díaz; Francisco J. Mas-Ruiz; Ricardo Sellers-Rubio

2009-01-01

358

Perceived job demands relate to self-reported health complaints  

Microsoft Academic Search

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

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

359

IC3 (Internet Crime Complaint Center) 2010 Internet Crime Report.  

National Technical Information Service (NTIS)

Now in its tenth year, the Internet Crime Complaint Center (IC3) has become a vital resource for victims of online crime and for law enforcement investigating and prosecuting offenders. In 2010, IC3 received the second-highest number of complaints since i...

2011-01-01

360

NEWNHAM COLLEGE Procedures for solving problems (complaints from students)  

E-print Network

NEWNHAM COLLEGE CAMBRIDGE Procedures for solving problems (complaints from students) Overview What to its students, and encourages students to tell the college where there is cause for concern about and for College staff, both academic and non- academic. It outlines procedures for handling complaints a student

Lasenby, Joan

361

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

PubMed Central

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

van Dam van Isselt, Eleonore 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

362

Adults With ADHD and Sleep ComplaintsA Pilot Study Identifying Sleep-Disordered Breathing Using Polysomnography and Sleep Quality Assessment  

Microsoft Academic Search

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

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

2006-01-01

363

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

Microsoft Academic Search

BACKGROUND: Bullying is a widespread and serious problem that might influence both mental and psychical well being as well as school performance and social life. The aim of this study was to describe the prevalence of bullying, mental health problems and psychical complaints among 10th and 12th grade students and to analyze the association between bullying, mental health problems and

Lars Lien; Kristian Green; Audun Welander-Vatn; Espen Bjertness

2009-01-01

364

The constipated serviceman: prevalence among deployed U.S. troops.  

PubMed

The prevalence of constipation in deployed servicemen was determined in a sample of military personnel aboard the USS Iwo Jima LPH 2 during Operation Desert Shield. Results were obtained from a bowel function questionnaire issued to 500 deployed marines and sailors. When constipation is defined as no bowel movement for greater than 3 days, 3.9% of the Marine/sailor personnel are constipated when in their home environment as compared to 6.0% when they are aboard ship and 30.2% while in the field. Alternatively, when constipation is defined as the presence of certain anorectal complaints (hard stools, straining, painful defecation, and bleeding with defecation), the incidence is 7.2% when at home as compared to 10.4% aboard ship and 34.1% in the field. These results confirm that whether constipation is defined as infrequent bowel movements or presence of symptoms of constipation, significantly more servicemen will be constipated when in the field as compared to their home environment. Since approximately one-third of Navy/Marine Corps personnel deployed in a field environment will be constipated, preventive measures ought to be evaluated. PMID:8414078

Sweeney, W B; Krafte-Jacobs, B; Britton, J W; Hansen, W

1993-08-01

365

Patients' complaints as a management tool for continuous quality improvement.  

PubMed

Continuous quality improvement focuses on the customer and, therefore, requires attention to customers' feedback as a vital input. Customers' feedback in general hospitals includes utilization statistics of various services, patient satisfaction surveys and patients' complaints. The role of complaint data as a management tool, and particularly as applied to quality improvement, has received little attention in the literature. As a quality control tool, complaints are investigated on the individual, unit and organizational levels. Repeated complaints about the same units, procedures or individuals, are especially important for quality review. The role of the hospital administration is to draw on the human, technological and procedural resources at its disposal, along a solution time interval (immediate, short and long term), in designing its policy for quality improvement. Presents three examples of policy changes. The aggregate of complaint data serves, in addition, for follow-up of the effect of changes introduced by policy decisions. PMID:10162933

Javetz, R; Stern, Z

1996-01-01

366

[Complaint to the disciplinary board about a resident].  

PubMed

We describe the course of two complaints that were filed by patients to the Dutch Medical Disciplinary Board against two internal medicine residents. In the procedure following the complaints the supervisor and the teacher were actively involved, which resulted in one complaint being dropped. We describe the importance of adequate moral support in such cases, as the complaint may lead to loss of work satisfaction or self-esteem, especially for those in training. We make some recommendations on how the resident and the supervisor/head of the department should engage in complaints filed to the Medical Disciplinary Board. In addition, we suggest that routine 'error-meetings' may help to provide an open atmosphere where disclosure of errors and the various procedures at the hospital or disciplinary boards are promoted. PMID:24423487

Linthorst, Gabor E; Lauw, Fanny N; Hanekamp, Lilian A; Hoekstra, Joost B L

2014-01-01

367

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

PubMed Central

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

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

2014-01-01

368

Urination - painful  

MedlinePLUS

... atrophic vaginitis ) Herpes infection in the genital area Irritation of the vaginal tissue caused by bubble bath, perfumes, or lotions Vulvovaginitis , such as yeast or other infections of the vulva and vagina Other causes of painful urination include: ...

369

Back Pain  

MedlinePLUS

... The procedure is generally performed on an outpatient basis under a mild anesthetic. 3 Used only if ... some cases it is performed on an outpatient basis. For diskogenic low back pain (degenerative disk disease): ...

370

Abdominal Pain  

MedlinePLUS

... You could also try progressive relaxation or self-hypnosis . For more information about non-drug pain relief ... overall situation for the child. Teaching kids self-hypnosis [8] or guided imagery [8a] show great promise ...

371

Prognostic significance of normal quantitative planar thallium-201 stress scintigraphy in patients with chest pain  

SciTech Connect

The prognostic significance of normal quantitative planar thallium-201 stress scintigraphy was evaluated in patients with a chest pain syndrome. The prevalence of cardiac events during follow-up was related to the pretest (that is, before stress scintigraphy) likelihood of coronary artery disease determined on the basis of symptoms, age, sex and stress electrocardiography. In a consecutive series of 344 patients who had adequate thallium-201 stress scintigrams, 95 had unequivocally normal studies by quantitative analysis. The pretest likelihood of coronary artery disease in the 95 patients had a bimodal distribution. During a mean follow-up period of 22 +/- 3 months, no patient died. Three patients (3%) had a cardiac event: two of these patients (pretest likelihood of coronary artery disease 54 and 94%) had a nonfatal myocardial infarction 8 and 22 months, respectively, after stress scintigraphy, and one patient (pretest likelihood 98%) underwent percutaneous transluminal coronary angioplasty 16 months after stress scintigraphy for persisting anginal complaints. Three patients were lost to follow-up; all three had a low pretest likelihood of coronary artery disease. It is concluded that patients with chest pain and normal findings on quantitative thallium-201 scintigraphy have an excellent prognosis. Cardiac events are rare (infarction rate 1% per year) and occur in patients with a moderate to high pretest likelihood of coronary artery disease.

Wackers, F.J.; Russo, D.J.; Russo, D.; Clements, J.P.

1985-07-01

372

Complaint and Action Guidelines for Students The table below provides an overview of possible complaints and directs  

E-print Network

Who is bringing the complaint? Who/What is the complaint about? Action/Who to Contact Discrimination of Students: 487-2212 Discrimination, Sexual Harassment, or Harassment based on any other protected Student/Staff/Faculty/ Visitor EMERGENCY DIAL 911 Public Safety and Police Services: 487-2216 or Dean

373

[Treatment of idiopathic facial pain following implant placement].  

PubMed

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

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

2010-02-01

374

Retained foetal bones: an intrauterine cause of chronic pelvic pain.  

PubMed

Intrauterine retention of foetal bones is an uncommon but recognised complication of late termination of pregnancy. Secondary subfertility, abnormal uterine bleeding and vaginal discharge are the usual presenting complaints. We report a case of prolonged retention of foetal bones for 14 years in a woman who presented with chronic pelvic pain. Hysteroscopic examination was diagnostic and therapeutic. Retained foetal bones are an uncommon intrauterine cause of chronic pelvic pain that should be considered particularly when a woman with a history of late termination presents with pelvic pain. Hysteroscopic evacuation is curative. PMID:18506460

Kalu, Emmanuel; Richardson, Robert

2009-02-01

375

Pain Severity and Neuropathic Pain symptoms in primary Sjogren's syndrome: A comparison study of seropositive and seronegative Sjogren's syndrome  

PubMed Central

Objectives To compare clinical characteristics and patient-reported outcomes in seropositive versus seronegative primary Sjogren’s syndrome patients (pSS) and to investigate the effect of serological status on the prevalence of chronic pain, comorbidity and health quality. Methods Pain severity and neuropathic pain symptoms, comorbidity and health status were assessed in 108 pSS patients. Differences between patient groups were assessed by t-test and chi-square tests and adjusted pain-affect associations. The effect of predictor variables on pain severity was examined with multivariate regression. Results Pain severity was greater (p=.003) and physical function (p=.023) reduced in the seronegative patients. Prevalence of neuropathic pain, depression, anxiety and disability were similar between groups. Chronic pain, defined as daily pain for greater than 3 months, was reported by 65% of seropositive (N=65) and 75% of seronegative patients (N=40). After adjustment for age, sleep quality and psychological distress, the difference in pain severity between seropositive and seronegative patients remained significant. Conclusion Chronic pain is pervasive in both seropositive and seronegative pSS patients, while pain severity and functional impairment is greater in seronegative patients. Neuropathic pain is equally prevalent and is the predominant pain phenotype in patients with moderate to severe pain. Accurate assessment of pain phenotypes is needed for more effective management of chronic pain in pSS. The focus of future research should be to standardize assessment of pain and to identify the factors contributing to more severe pain in seronegative patients. PMID:23335582

Segal, Barbara M.; Pogatchnik, Brian; Henn, Lisa; Rudser, Kyle; Sivils, Kathy Moser

2014-01-01

376

Neonatal pain  

PubMed Central

Effective management of procedural and postoperative pain in neonates is required to minimize acute physiological and behavioral distress and may also improve acute and long-term outcomes. Painful stimuli activate nociceptive pathways, from the periphery to the cortex, in neonates and behavioral responses form the basis for validated pain assessment tools. However, there is an increasing awareness of the need to not only reduce acute behavioral responses to pain in neonates, but also to protect the developing nervous system from persistent sensitization of pain pathways and potential damaging effects of altered neural activity on central nervous system development. Analgesic requirements are influenced by age-related changes in both pharmacokinetic and pharmacodynamic response, and increasing data are available to guide safe and effective dosing with opioids and paracetamol. Regional analgesic techniques provide effective perioperative analgesia, but higher complication rates in neonates emphasize the importance of monitoring and choice of the most appropriate drug and dose. There have been significant improvements in the understanding and management of neonatal pain, but additional research evidence will further reduce the need to extrapolate data from older age groups. Translation into improved clinical care will continue to depend on an integrated approach to implementation that encompasses assessment and titration against individual response, education and training, and audit and feedback. PMID:24330444

Walker, Suellen M

2014-01-01

377

An international survey of pain in adolescents  

PubMed Central

Background A common belief is that pain is uncommon and short lived in adolescents. However, the burden of pain in adolescents is unclear because of limitations in previous research. The aim of this study is to estimate the prevalence of headache, stomach-ache and backache in adolescents and to explore the extent to which these three forms of pain coexist based upon a representative sample of adolescents from 28 countries. Methods Data were analysed from three consecutive waves (1997/98, 2001/02 and 2005/06) of the Health Behavior in School-aged Children: WHO Collaborative Cross-National survey (HBSC). Prevalence estimates are based upon adolescents who reported experiencing headache, stomach-ache or backache at least monthly for the last 6 months. Results There were a total of 404,206 participants with a mean (±SD) age of 13.6 (±1.7) years (range 9.8 to 17.3 years). The prevalence of headache was 54.1%, stomach-ache 49.8%, backache 37%, and at least one of the three pains 74.4%. Girls had a higher prevalence of the three pains than boys and the prevalence of pain increased with age. Headache, stomach-ache and backache frequently coexist, for example, of those with headache: 21.2% had headache alone, 31% suffered from both headache and stomach-ache, 12.1% suffered from backache and headache, and 35.7% had all three pains. Conclusions Somatic pain is very common in adolescents, more often coexisting than occurring in isolation. Our data supports the need for further research to improve the understanding of these pains in adolescents. PMID:24885027

2014-01-01

378

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

...false Establishment of State agency JS complaint system. 658.410 Section 658.410 Employees...ADMINISTRATIVE PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System State Agency Js Complaint System §...

2014-04-01

379

31 CFR 8.56 - Service of complaint and other papers.  

Code of Federal Regulations, 2010 CFR

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

2010-07-01

380

13 CFR 142.11 - How will the complaint be served?  

Code of Federal Regulations, 2010 CFR

... Business Credit and Assistance SMALL BUSINESS ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES ACT REGULATIONS Procedures Leading to Issuance of A Complaint § 142.11 How will the complaint be served? (a) The complaint must be served...

2010-01-01

381

45 CFR 2554.12 - How will the complaint be served?  

Code of Federal Regulations, 2010 CFR

...Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE PROGRAM FRAUD CIVIL REMEDIES ACT REGULATIONS Procedures Leading to Issuance of A Complaint § 2554.12 How will the complaint be served? (a) The complaint must be served...

2010-10-01

382

45 CFR 681.7 - What is contained in a complaint?  

Code of Federal Regulations, 2010 CFR

...Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION PROGRAM FRAUD CIVIL REMEDIES ACT REGULATIONS Procedures Leading to Issuance of A Complaint § 681.7 What is contained in a complaint? (a) A complaint is a written...

2010-10-01

383

13 CFR 142.9 - When will SBA issue a complaint?  

Code of Federal Regulations, 2010 CFR

... Business Credit and Assistance SMALL BUSINESS ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES ACT REGULATIONS Procedures Leading to Issuance of A Complaint § 142.9 When will SBA issue a complaint? SBA will issue a complaint: (a) If...

2010-01-01

384

45 CFR 681.8 - How will the complaint be served?  

Code of Federal Regulations, 2010 CFR

...Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION PROGRAM FRAUD CIVIL REMEDIES ACT REGULATIONS Procedures Leading to Issuance of A Complaint § 681.8 How will the complaint be served? (a) The complaint must be served on...

2010-10-01

385

45 CFR 2554.11 - What is contained in a complaint?  

Code of Federal Regulations, 2010 CFR

...Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE PROGRAM FRAUD CIVIL REMEDIES ACT REGULATIONS Procedures Leading to Issuance of A Complaint § 2554.11 What is contained in a complaint? (a) A complaint is a written...

2010-10-01

386

45 CFR 681.6 - When may NSF issue a complaint?  

Code of Federal Regulations, 2010 CFR

...Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION PROGRAM FRAUD CIVIL REMEDIES ACT REGULATIONS Procedures Leading to Issuance of A Complaint § 681.6 When may NSF issue a complaint? NSF may issue a complaint: (a) If the...

2010-10-01

387

13 CFR 142.10 - What is contained in a complaint?  

Code of Federal Regulations, 2010 CFR

... Business Credit and Assistance SMALL BUSINESS ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES ACT REGULATIONS Procedures Leading to Issuance of A Complaint § 142.10 What is contained in a complaint? (a) A complaint is a written...

2010-01-01

388

42 CFR 426.423 - Withdrawing a complaint regarding an LCD under review.  

Code of Federal Regulations, 2010 CFR

An aggrieved party who filed a complaint regarding an LCD may withdraw the complaint before the ALJ issues a decision regarding that LCD. The aggrieved party may not file another complaint concerning the same coverage determination for 6...

2010-10-01

389

46 CFR 502.62 - Private party complaints for formal adjudication.  

Code of Federal Regulations, 2013 CFR

...reparation (money damages) for injury caused by violation of the...complaint must set forth the injury caused by the alleged violation...complaint proceedings. (5) Oral hearing. The complaint should designate whether an oral hearing is requested...

2013-10-01

390

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

Federal Register 2010, 2011, 2012, 2013

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

2013-04-09

391

How to File a Complaint with OSHA (Occupational Safety & Health Administration)  

MedlinePLUS

... Training Publications Newsroom Small Business Anti-Retaliation Filing a Complaint Options to file your safety and health ... accept your complaint in any language. When Can a Complaint Be Filed?* OSHA recommends that employees try ...

392

47 CFR 73.810 - Third adjacent channel complaint and license modification procedure.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 false Third adjacent channel complaint and license modification...Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED...73.810 Third adjacent channel complaint and license modification...complaint alleging third adjacent channel interference caused...

2010-10-01

393

Cancer pain (classification and pain syndromes).  

PubMed

Inspite the new informations about the physiology and biochemistry of pain, it remains true that pain is only partially understood. Cancer pain is often experienced as several different types of pain, with combined somatic and neuropathic types the most frequently. If the acute cancer pain does not subside with initial therapy, patients experience pain of more constant nature, the characteristics of wich vary with the cause and the involved sites. Chronic pain related to cancer can be considered as tumor-induced pain, chemotherapy-induced pain, and radiation therapy-induced pain. Certain pain mechanisms are present in cancer patients. These include inflammation due to infection, such as local sepsis or the pain of herpes zoster, and pain due to the obstruction or occlusion of a hollow organ, such as that caused by large bowel in cancer of colon. Pain also is commonly due to destruction of tissue, such as is often seen with bony metastases. Bony metastases also produce pain because of periostal irritation, medullary pressure, and fractures. Pain may be produced by the growth of tumor in a closed area richly supplied with pain receptors (nociceptors). Examples are tumors growing within the capsule of an organ such as the pancreas. Chest pain occurring after tumor of the lung or the mediastinum due to invasion of the pleura. Certain tumors produce characteristic types of pain. For example, back pain is seen with multiple myeloma, and severe shoulder pain and arm pain is seen with Pancoast tumors. PMID:16018403

Slavik, E; Ivanovi?, S; Grujici?, D

2004-01-01

394

Pain assessment and management of patients with chronic renal failure  

Microsoft Academic Search

ABSTRACT Background.Chronic renal failure is a worldwide,public health concern with increasing incidence and prevalence, poor patient outcomes and high cost. Patients with renal failure often experience pain. Optimal pain assessment and management,are key clinical activities yet inadequate pain control by health professionals persists. The presence of renal failure compounds,this problem. Very little research has been conducted on pain control in

Allison Williams; Elizabeth Manias

395

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

...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...

2014-07-01

396

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

ERIC Educational Resources Information Center

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

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

2008-01-01

397

Mydocalm treatment of muscular and vascular complaints accompanying climacterics.  

PubMed

Coated Mydocalm tablet, known as striated muscle relaxant and peripheral vasodilator, has been used in climacteric women. The women suffered from muscular and vascular complaints besides the common symptoms of decreased or lacking ovarian function which could not be controlled with oestrogen substitution therapy. Mydocalm significantly moderated these complaints without causing unwanted effects and the majority of the women could be maintained in a complaint-free condition in this respect. According to the opinion of the author the drug is a valuable adjuvant to an adequate hormone therapy. PMID:1462282

Sásdi, A

1992-01-01

398

Effects of Expectancies and Coping on Pain-Induced Motivation to Smoke  

Microsoft Academic Search

The prevalence of tobacco smoking among persons with recurrent pain is approximately twice that observed in the general population. Smoking has been associated with the development and exacerbation of several chronically painful conditions. Conversely, there is both experimental and cross-sectional evidence that pain is a potent motivator of smoking. A recent study provided the first evidence that laboratory-induced pain could

Joseph W. Ditre; Bryan W. Heckman; Emily A. Butts; Thomas H. Brandon

2010-01-01

399

Chronic Pain in People with an Intellectual Disability: Under-Recognised and Under-Treated?  

ERIC Educational Resources Information Center

Aim: To examine the nature, prevalence and impact of chronic pain in adults with an intellectual disability (ID) based on carer report. Methods: Postal questionnaires were sent to 250 care-givers and 157 responses were received (63%). Results: Chronic pain was reported in 13% of the sample (n = 21), 6.3% had pain in two sites and 2% had pain in…

McGuire, B. E.; Daly, P.; Smyth, F.

2010-01-01

400

Neuropathic pain referrals to a multidisciplinary pediatric cancer pain service.  

PubMed

Neuropathic pain (NP) in children with cancer is not well characterized. In a retrospective review of patient data from a 3.5-year period, we describe the prevalence of NP and the characteristics, duration of follow-up, and interventions provided for NP among patients referred to a pediatric oncology center's pain management service. Fifteen percent (66/439) of all referrals to our pain service were for NP (56/323 patients [17%]; 34 male, 22 female). The NP patient group had 1,401 clinical visits (778 inpatient visits [55.5%] and 623 outpatient visits [44.5%]). Patients with NP had a significantly greater mean number of pain visits per consultation (p = .008) and significantly more days of pain service follow-up (p < .001) than did other patients. The most common cause of NP was cancer treatment rather than the underlying malignancy. Pharmacologic management of NP was complex, often comprising three medications. Nonpharmacologic approaches were used for 57.6% of NP referrals. Neuropathic pain is less frequently encountered than non-NP in children with cancer; nevertheless, it is more difficult to treat, requiring longer follow-up, more clinical visits, complex pharmacologic management, and the frequent addition of nonpharmacologic interventions. PMID:24602431

Anghelescu, Doralina L; Faughnan, Lane G; Popenhagen, Mark P; Oakes, Linda L; Pei, Deqing; Burgoyne, Laura L

2014-03-01

401

41 CFR 60-30.32 - Administrative complaint and answer.  

Code of Federal Regulations, 2010 CFR

... true Administrative complaint and answer. 60-30.32 Section 60-30.32 Public Contracts and Property Management Other...EQUAL EMPLOYMENT OPPORTUNITY, DEPARTMENT OF LABOR 30-RULES OF PRACTICE FOR ADMINISTRATIVE...

2010-07-01

402

41 CFR 60-30.5 - Administrative complaint.  

Code of Federal Regulations, 2010 CFR

...2010-07-01 true Administrative complaint. 60-30.5 Section 60-30.5 Public Contracts and Property Management Other...EQUAL EMPLOYMENT OPPORTUNITY, DEPARTMENT OF LABOR 30-RULES OF PRACTICE FOR ADMINISTRATIVE...

2010-07-01

403

32 CFR 513.2 - Administrative procedures for processing complaints.  

Code of Federal Regulations, 2010 CFR

... National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY AID OF CIVIL AUTHORITIES AND PUBLIC RELATIONS INDEBTEDNESS OF MILITARY PERSONNEL § 513.2 Administrative procedures for processing complaints....

2010-07-01

404

20 CFR 655.405 - Complaints and investigative procedures.  

Code of Federal Regulations, 2011 CFR

...ADMINISTRATION, DEPARTMENT OF LABOR TEMPORARY EMPLOYMENT OF FOREIGN WORKERS IN THE... (b) Any aggrieved person or organization may file a complaint of a violation...confidentiality regarding the complainant's identity; if the complainant wishes to...

2011-04-01

405

20 CFR 655.405 - Complaints and investigative procedures.  

Code of Federal Regulations, 2010 CFR

...ADMINISTRATION, DEPARTMENT OF LABOR TEMPORARY EMPLOYMENT OF FOREIGN WORKERS IN THE... (b) Any aggrieved person or organization may file a complaint of a violation...confidentiality regarding the complainant's identity; if the complainant wishes to...

2010-04-01

406

39 CFR 958.4 - Referral of complaint.  

Code of Federal Regulations, 2010 CFR

...Service UNITED STATES POSTAL SERVICE PROCEDURES RULES OF PRACTICE IN PROCEEDINGS RELATIVE TO CIVIL PENALTIES, CLEAN-UP COSTS AND DAMAGES FOR VIOLATION OF HAZARDOUS MATERIAL REGULATIONS § 958.4 Referral of complaint....

2010-07-01

407

42 CFR 493.1233 - Standard: Complaint investigations.  

Code of Federal Regulations, 2011 CFR

...STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Quality System for Nonwaived Testing General Laboratory Systems § 493.1233 Standard: Complaint investigations. The laboratory must have a system in place to ensure that...

2011-10-01

408

42 CFR 493.1233 - Standard: Complaint investigations.  

Code of Federal Regulations, 2013 CFR

...STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Quality System for Nonwaived Testing General Laboratory Systems § 493.1233 Standard: Complaint investigations. The laboratory must have a system in place to ensure that...

2013-10-01

409

42 CFR 493.1233 - Standard: Complaint investigations.  

Code of Federal Regulations, 2012 CFR

...STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Quality System for Nonwaived Testing General Laboratory Systems § 493.1233 Standard: Complaint investigations. The laboratory must have a system in place to ensure that...

2012-10-01

410

42 CFR 493.1233 - Standard: Complaint investigations.  

Code of Federal Regulations, 2010 CFR

...STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Quality System for Nonwaived Testing General Laboratory Systems § 493.1233 Standard: Complaint investigations. The laboratory must have a system in place to ensure that...

2010-10-01

411

20 CFR 655.1005 - Complaints and investigative procedures.  

Code of Federal Regulations, 2010 CFR

...UNITED STATES Enforcement of the Attestation Process for Attestations Filed by Employers Utilizing F-1 Students in Off-Campus Work § 655.1005 Complaints and investigative procedures. (a) The Administrator, through an investigation,...

2010-04-01

412

40 CFR 27.6 - Prerequisites for issuing a complaint.  

Code of Federal Regulations, 2011 CFR

...27.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL PROGRAM...only if— (1) The Department of Justice approves the issuance of a complaint...from the same transaction (e.g., grant, loan, application, or...

2011-07-01

413

40 CFR 27.6 - Prerequisites for issuing a complaint.  

Code of Federal Regulations, 2012 CFR

...27.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL PROGRAM...only if— (1) The Department of Justice approves the issuance of a complaint...from the same transaction (e.g., grant, loan, application, or...

2012-07-01

414

40 CFR 27.6 - Prerequisites for issuing a complaint.  

Code of Federal Regulations, 2010 CFR

...27.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL PROGRAM...only if— (1) The Department of Justice approves the issuance of a complaint...from the same transaction (e.g., grant, loan, application, or...

2010-07-01

415

40 CFR 27.6 - Prerequisites for issuing a complaint.  

Code of Federal Regulations, 2013 CFR

...27.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL PROGRAM...only if— (1) The Department of Justice approves the issuance of a complaint...from the same transaction (e.g., grant, loan, application, or...

2013-07-01

416

47 CFR 3.52 - Complaint/inquiry resolution procedures.  

Code of Federal Regulations, 2013 CFR

...COMMISSION GENERAL AUTHORIZATION AND ADMINISTRATION OF ACCOUNTING AUTHORITIES IN MARITIME AND MARITIME MOBILE-SATELLITE RADIO SERVICES Settlement Operations § 3.52 Complaint/inquiry resolution procedures. (a) Accounting...

2013-10-01

417

47 CFR 3.52 - Complaint/inquiry resolution procedures.  

Code of Federal Regulations, 2011 CFR

...COMMISSION GENERAL AUTHORIZATION AND ADMINISTRATION OF ACCOUNTING AUTHORITIES IN MARITIME AND MARITIME MOBILE-SATELLITE RADIO SERVICES Settlement Operations § 3.52 Complaint/inquiry resolution procedures. (a) Accounting...

2011-10-01

418

47 CFR 3.52 - Complaint/inquiry resolution procedures.  

Code of Federal Regulations, 2010 CFR

...COMMISSION GENERAL AUTHORIZATION AND ADMINISTRATION OF ACCOUNTING AUTHORITIES IN MARITIME AND MARITIME MOBILE-SATELLITE RADIO SERVICES Settlement Operations § 3.52 Complaint/inquiry resolution procedures. (a) Accounting...

2010-10-01

419

47 CFR 3.52 - Complaint/inquiry resolution procedures.  

Code of Federal Regulations, 2012 CFR

...COMMISSION GENERAL AUTHORIZATION AND ADMINISTRATION OF ACCOUNTING AUTHORITIES IN MARITIME AND MARITIME MOBILE-SATELLITE RADIO SERVICES Settlement Operations § 3.52 Complaint/inquiry resolution procedures. (a) Accounting...

2012-10-01

420

77 FR 37616 - Disclosure of Consumer Complaint Data  

Federal Register 2010, 2011, 2012, 2013

...products and services other than credit cards. Concurrent with the present notice...its plans to disclose consumer credit card complaint data. The present notice...INFORMATION: I. Background A. Credit Card Policy Statement On December...

2012-06-22

421

29 CFR 1614.105 - Pre-complaint processing.  

...been discriminated against on the basis of race, color, religion, sex, national origin, age, disability, or genetic information must consult a Counselor prior to filing a complaint in order to try to informally resolve the matter....

2014-07-01

422

29 CFR 1614.105 - Pre-complaint processing.  

Code of Federal Regulations, 2011 CFR

...been discriminated against on the basis of race, color, religion, sex, national origin, age, disability, or genetic information must consult a Counselor prior to filing a complaint in order to try to informally resolve the matter....

2011-07-01

423

29 CFR 1614.105 - Pre-complaint processing.  

Code of Federal Regulations, 2010 CFR

...been discriminated against on the basis of race, color, religion, sex, national origin, age, disability, or genetic information must consult a Counselor prior to filing a complaint in order to try to informally resolve the matter....

2010-07-01

424

29 CFR 1614.105 - Pre-complaint processing.  

Code of Federal Regulations, 2012 CFR

...been discriminated against on the basis of race, color, religion, sex, national origin, age, disability, or genetic information must consult a Counselor prior to filing a complaint in order to try to informally resolve the matter....

2012-07-01

425

29 CFR 1614.105 - Pre-complaint processing.  

Code of Federal Regulations, 2013 CFR

...been discriminated against on the basis of race, color, religion, sex, national origin, age, disability, or genetic information must consult a Counselor prior to filing a complaint in order to try to informally resolve the matter....

2013-07-01

426

32 CFR 1801.4 - Suggestions and complaints.  

Code of Federal Regulations, 2011 CFR

... 1801.4 Section 1801.4 National Defense Other Regulations Relating to National Defense NATIONAL COUNTERINTELLIGENCE CENTER PUBLIC RIGHTS UNDER THE PRIVACY ACT OF 1974 General § 1801.4 Suggestions and complaints....

2011-07-01

427

77 FR 37558 - Disclosure of Certain Credit Card Complaint Data  

Federal Register 2010, 2011, 2012, 2013

...Response, Bureau of Consumer Financial Protection...Wade-Gery, Division of Research, Markets and Regulations, Consumer Financial Protection...publication of a public consumer complaint database...mining and market research.\\12\\ The...

2012-06-22

428

41 CFR 60-250.61 - Complaint procedures.  

Code of Federal Regulations, 2011 CFR

...2009-07-01 true Complaint procedures. 60-250.61 Section 60-250.61 Public Contracts and Property Management ...EQUAL EMPLOYMENT OPPORTUNITY, DEPARTMENT OF LABOR 250-AFFIRMATIVE ACTION AND NONDISCRIMINATION...

2011-07-01

429

32 CFR 513.2 - Administrative procedures for processing complaints.  

Code of Federal Regulations, 2011 CFR

...action. (2) If the soldier is a patient attached to a medical holding detachment (MHD), the complaint will be sent there for action. The commander of the MHD will take action per this regulation. (3) The command receiving the...

2011-07-01

430

32 CFR 513.2 - Administrative procedures for processing complaints.  

Code of Federal Regulations, 2012 CFR

...action. (2) If the soldier is a patient attached to a medical holding detachment (MHD), the complaint will be sent there for action. The commander of the MHD will take action per this regulation. (3) The command receiving the...

2012-07-01

431

32 CFR 513.2 - Administrative procedures for processing complaints.  

Code of Federal Regulations, 2013 CFR

...action. (2) If the soldier is a patient attached to a medical holding detachment (MHD), the complaint will be sent there for action. The commander of the MHD will take action per this regulation. (3) The command receiving the...

2013-07-01

432

20 CFR 901.35 - Contents of complaint.  

Code of Federal Regulations, 2010 CFR

... false Contents of complaint. 901.35 Section 901.35 Employees' Benefits JOINT BOARD FOR THE ENROLLMENT OF ACTUARIES REGULATIONS GOVERNING THE PERFORMANCE OF ACTUARIAL SERVICES UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974...

2010-04-01

433

7 CFR 6.42 - Complaints of price-undercutting.  

Code of Federal Regulations, 2010 CFR

...QUOTAS AND FEES Price-Undercutting of Domestic Cheese by Quota Cheeses § 6.42 Complaints of price-undercutting...believe that the price at which any article of quota cheese is offered for sale or sold in the United...

2010-01-01

434

Evaluation of Low Back Pain in Athletes  

PubMed Central

Context: Low back pain is a common complaint in athletes. Athletes differ from the general population physiologically, making it unclear if the evaluation of low back pain should differ between these 2 groups. Evidence Acquisition: A literature search (PubMed, Ovid) was performed for the years 1995 through 2010. Keywords used were lumbar back pain, athletes, and adolescence. Results: Athletes with low back pain represent a very diverse group. The evaluation depends on the athlete’s age and the presence of “red flags.” The most common causes of low back pain in the preadolescent population are infection, tumor, and trauma. In the adolescent population, trauma spondylolysis/spondylolisthesis and hyperlordosis are commonly seen. Leading causes in the adult population are mechanics and osteoarthritis. The elderly frequently present with osteoarthritis, spinal stenosis, and internal medical etiologies. Conclusion: Athletes with back pain should have a diagnostic workup guided by their age, history, and physical examination. Although this work up is similar in nonathletes, the demands of the athlete must be taken into account in a treatment plan. PMID:23016026

Daniels, James M.; Pontius, Gina; El-Amin, Saadiq; Gabriel, Keith

2011-01-01

435

Low back pain in junior Australian Rules football: a cross-sectional survey of elite juniors, non-elite juniors and non-football playing controls  

Microsoft Academic Search

BACKGROUND: Low back pain in junior Australian Rules footballers has not been investigated despite findings that back pain is more prevalent, severe and frequent in senior footballers than non-athletic controls and findings that adolescent back pain is a strong predictor for adult back pain. The aim of this study was to determine the prevalence, intensity, quality and frequency of low

Wayne Hoskins; Henry Pollard; Chris Daff; Andrew Odell; Peter Garbutt; Andrew McHardy; Kate Hardy; George Dragasevic

2010-01-01

436

Depression, Pain Intensity, and Interference in Acute Spinal Cord Injury  

PubMed Central

Background: The high prevalence of pain and depression in persons with spinal cord injury (SCI) is well known. However the link between pain intensity, interference, and depression, particularly in the acute period of injury, has not received sufficient attention in the literature. Objective: To investigate the relationship of depression, pain intensity, and pain interference in individuals undergoing acute inpatient rehabilitation for traumatic SCI. Methods: Participants completed a survey that included measures of depression (PHQ-9), pain intensity (“right now”), and pain interference (Brief Pain Inventory: general activity, mood, mobility, relations with others, sleep, and enjoyment of life). Demographic and injury characteristics and information about current use of antidepressants and pre-injury binge drinking also were collected. Hierarchical multiple regression was used to test depression models in 3 steps: (1) age, gender, days since injury, injury level, antidepressant use, and pre-injury binge drinking (controlling variables); (2) pain intensity; and (3) pain interference (each tested separately). Results: With one exception, pain interference was the only statistically significant independent variable in each of the final models. Although pain intensity accounted for only 0.2% to 1.2% of the depression variance, pain interference accounted for 13% to 26% of the variance in depression. Conclusion: Our results suggest that pain intensity alone is insufficient for understanding the relationship of pain and depression in acute SCI. Instead, the ways in which pain interferes with daily life appear to have a much greater bearing on depression than pain intensity alone in the acute setting. PMID:24574820

Kalpakjian, Claire Z.

2014-01-01

437

Effectiveness of a multimodal treatment program for somatoform pain disorder.  

PubMed

Chronic pain conditions are highly prevalent, with somatoform pain disorder accounting for a large proportion. However, the psychological forms of treatment currently used achieve only small to medium effect sizes. This retrospective study investigated the effectiveness of a 5-week multimodal pain program for patients with somatoform pain disorder. The diagnosis of somatoform pain disorder was confirmed by a specialist for anesthesiology and pain management and a specialist for psychosomatic medicine. Therapy outcome was evaluated with a Numeric Rating Scale (NRS), the Pain Disability Index (PDI), and the Pain Perception Scale. Within the study sample (n = 100), all parameters showed a significant and clinically relevant improvement at the end of therapy (P values < 0.001). The highest effect sizes (d) were found for reduction in average pain rating (NRS: d = 1.00) and the affective items of the Pain Perception Scale (SES-A: d = 0.07). The lowest effect sizes were found for improvement of pain-related disabilities (PDI: d = 0.42) and sensory items of the Pain Perception Scale (SES-S: d = 0.50). Despite high chronification of pain condition, with average pain duration of greater than 8 years, the multimodal treatment program showed medium to large effect sizes on the outcome of patients with somatoform pain disorder. Compared with previous data with small to moderate effect sizes, a multimodal program seems to be more effective than other interventions to address somatoform pain disorder. PMID:24305036

Pieh, Christoph; Neumeier, Susanne; Loew, Thomas; Altmeppen, Jürgen; Angerer, Michael; Busch, Volker; Lahmann, Claas

2014-03-01

438

[Social pain].  

PubMed

This chapter focuses on what social pain is and how it should be managed. In order to understand social pain in a cancer patient, it is necessary to recognize the change in the patient's daily life after the diagnosis of cancer. Because the degree of suffering and the relationships with family members and the people he or she worked with differ from patient to patient, it is important to note that the context of social pain is different in each patient. Five points shown below are essential in managing social pain. 1. Economical suffering may be alleviated by utilization of the social security system while taking into account each patient's standard of living. 2. Burdens on family members should be lessened, such as by not having them stay at the patient's bedside every day and letting them go home occasionally. 3. The normal patterns of communication, support, and conflict in the family should be identified, and the extent to which they have been disrupted by the illness should be assessed. 4. It is important to understand the ethnic, cultural, and religious background of the patient and the potential impact of their influence on the individual and the illness. 5. Practical or emotional unfinished business that the patient has needs to be identified, and efforts should be made to support fulfillment. PMID:21950034

Shimoyama, Naohito; Shimoyama, Megumi

2011-09-01

439

Heel Pain  

MedlinePLUS

... or other soft-tissue growth. Prevention A variety of steps can be taken to avoid heel pain and accompanying afflictions: Wear shoes that fit well—front, back, and sides—and have shock-absorbent soles, rigid shanks, and supportive heel counters Wear the proper shoes for each activity Do not wear ...

440

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 ...

441

Fetal pain?  

Microsoft Academic Search

During the last few years a vivid debate, both scientifically and emotionally, has risen in the medical literature as to whether a fetus is able to feel pain during abortion or intrauterine surgery. This debate has mainly been inspired by the demonstration of various hormonal or motor reactions to noxious stimuli at very early stages of fetal development. The aims

Sampsa Vanhatalo; Onno van Nieuwenhuizen

2000-01-01

442

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

PubMed Central

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

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

2008-01-01

443

Back pain during growth.  

PubMed

It is wrong to believe that back pain only burdens adults: the yearly incidence during growth ranges from 10-20%, continuously increasing from childhood to adolescence. Rapid growth-related muscular dysbalance and insufficiency, poor physical condition in an increasingly sedentary adolescent community or - vice versa - high level sports activities, account for the most prevalent functional pain syndromes. In contrast to adults the correlation of radiographic findings with pain is high: the younger the patient, the higher the probability to establish a rare morphologic cause such as benign or malignant tumours, congenital malformations and infections. In children younger than 5 years old, the likelihood is more than 50%. The following red flags should lower the threshold for a quick in-depth analysis of the problem: Age of the patient <5 years, acute trauma, functional limitation for daily activities, irradiating pain, loss of weight, duration >4 weeks, history of tumour, exposition to tuberculosis, night pain and fever. High level sport equals a biomechanical field test which reveals the biologic individual response of the growing spine to the sports-related forces. Symptomatic or asymptomatic inhibitory or stimulatory growth disturbances like Scheuermann disease, scoliosis or fatigue fractures represent the most frequent pathomorphologies. They usually occur at the disk-growth plate compound: intraspongious disk herniation, diminuition of anterior growth with vertebral wedging and apophyseal ring fractures often occur when the biomechanical impacts exceed the mechanical resistance of the cartilaginous endplates. Spondylolysis is a benign condition which rarely becomes symptomatic and responds well to conservative measures. Associated slippage of L5 on S1 is frequent but rarely progresses. The pubertal spinal growth spurt is the main risk factor for further slippage, whereas sports activity - even at a high level - is not. Therefore, the athlete should only be precluded from training if pain persists or in case of high grade slips. Perturbance of the sagittal profile with increase of lumbar lordosis, flattening of the thoracic spine and retroflexion of the pelvis with hamstrings contractures are strong signs for a grade IV olisthesis or spondyloptosis with subsequent lumbosacral kyphosis. Idiopathic scoliosis is not related to pain unless it is a marked (thoraco-) lumbar curve or if there is an underlying spinal cord pathology. Chronic back pain is an under recognised entity characterised by its duration (>3 months or recurrence within 3 months) and its social impacts such as isolation and absence from school or work. It represents an independent disease, uncoupled from any initial trigger. Multimodal therapeutic strategies are more successful than isolated, somatising orthopaedic treatment. Primary and secondary preventive active measures for the physically passive adolescents, regular sports medical check-up's for the young high level athletes, the awareness for the rare but potentially disastrous pathologies and the recognition of chronic pain syndromes are the cornerstones for successful treatment of back pain during growth. PMID:23299906

Hasler, Carol C

2013-01-01

444

Complex Regional Pain Syndrome  

MedlinePLUS

Complex regional pain syndrome (CRPS) is a chronic pain condition. It causes intense pain, usually in the arms, hands, legs, or feet. ... in skin temperature, color, or texture Intense burning pain Extreme skin sensitivity Swelling and stiffness in affected ...

445

Central Pain Syndrome  

MedlinePLUS

NINDS Central Pain Syndrome Information Page Table of Contents (click to jump to sections) What is Central Pain Syndrome? Is there ... being done? Clinical Trials Organizations What is Central Pain Syndrome? Central pain syndrome is a neurological condition ...

446

Pain in Parkinson's Disease  

MedlinePLUS

... ways to manage it. Causes of Pain in Parkinson’s Researchers classify pain based on the separation of ... syndrome involving both nociceptive and neuropathic pain. Your Parkinson’s specialist, working with a pain specialist, may select ...

447

Complex Regional Pain Syndrome  

MedlinePLUS

... Syndrome? Complex regional pain syndrome (CRPS) is a chronic pain condition. The key symptom of CRPS is continuous, ... Institute of Neurological Disorders and Stroke (NINDS). NINDS Chronic Pain Information Page Chronic pain information page compiled by ...

448

Pain Management Programs  

MedlinePLUS

... Resource Guide to Chronic Pain Medications & Treatments The Art of Pain Management What We Have Learned Going to the ER ... Resource Guide to Chronic Pain Medications & Treatments The Art of Pain Management What We Have Learned Going to the ER ...

449

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

...made in person on, or by leaving the complaint at the office or...the other party, unless the Administrative Law Judge directs otherwise. A certificate evidencing such must be attached to the original paper filed...

2014-07-01

450

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

Code of Federal Regulations, 2013 CFR

...made in person on, or by leaving the complaint at the office or...the other party, unless the Administrative Law Judge directs otherwise. A certificate evidencing such must be attached to the original paper filed...

2013-07-01

451

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

Code of Federal Regulations, 2012 CFR

...made in person on, or by leaving the complaint at the office or...the other party, unless the Administrative Law Judge directs otherwise. A certificate evidencing such must be attached to the original paper filed...

2012-07-01

452

Marital Complaints, Demographic Characteristics, and Symptoms of Mental Distress in Divorce.  

ERIC Educational Resources Information Center

Explored patterns of marital complaints in a sample of 209 divorcing men and women. Used two codes of complaints. Results indicated that marital complaints varied over time and by sex, education, social class, length of marriage, and income. Some complaints were correlated with symptoms of mental health disturbance. (Author/RC)

Kitson, Gay C.; Sussman, Marvin B.

1982-01-01

453

IC3 (Internet Crime Complaint Center) 2009 Internet Crime Report, January 1-December 31, 2009.  

National Technical Information Service (NTIS)

From January 1, 2009 through December 31, 2009, the Internet Crime Complaint Center (IC3) Web site received 336,655 complaint submissions. This was a 22.3% increase as compared to 2008 when 275,284 complaints were received. Of the 336,655 complaints submi...

2010-01-01

454

Behavioural Change Techniques For Chronic Low Back Pain: A Physiotherapy Practice Study.  

E-print Network

??Chronic non-specific low back pain (CNSLBP) is prevalent in the Canadian Forces. Physiotherapists use behavioural change techniques (BCT) to challenge maladaptive cognitions and behaviours in… (more)

MacRae, Marsha

2011-01-01

455

Overactive Bladder and Pain: Management Strategies  

Microsoft Academic Search

Overactive bladder associated with pain (ie, interstitial cystitis\\/bladder pain syndrome [IC\\/BPS]) is a prevalent condition\\u000a that can be very difficult to diagnose and even more difficult to treat. In this paper, we review the studied therapies for\\u000a IC\\/BPS, including non–medication-based therapies, oral and intravesical-based medications, and surgical treatments for interstitial\\u000a cystitis. We also review an approach to the treatment of

Bhavin N. Patel; Robert J. Evans

2010-01-01

456

Pain Management: Post-Amputation Pain  

MedlinePLUS

Pain Management Post-Amputation Pain Volume 8 · Issue 2 · March/April 1998 Text size Larger text Smaller text Java Required Print ... Yahoo MyWeb by G. Edward Jeffries, MD, FACS Post-Amputation Pain Post-amputation pain is one of ...

457

Focal brain atrophy in gastric bypass patients with cognitive complaints  

PubMed Central

Recently, we have noticed a series of patients presenting for cognitive complaints after gastric bypass, without any identifiable etiology. We set out to determine whether any focal brain atrophy could account for the complaints. A retrospective case series was performed to identify patients with cognitive complaints following gastric bypass that had a volumetric MRI. Voxel-based morphometry was used to assess patterns of grey matter loss in all 10 patients identified, compared to ten age and gender-matched controls. All patients had undergone Roux-en-Y gastric bypass at a median age of 54 (range: 46–64). Cognitive complaints began at a median age of 57 (52–69). Formal neuropsychometric testing revealed only minor deficits. No nutritional abnormalities were identified. Voxel-based morphometry demonstrated focal thalamic atrophy in the gastric bypass patients when compared to controls. Patients with cognitive complaints after gastric bypass surgery have focal thalamic brain atrophy that could account for the cognitive impairment. PMID:22088949

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

2012-01-01

458

Do Insomnia Complaints Cause Hypertension or Cardiovascular Disease?  

PubMed Central

Objective: We prospectively investigated odds ratios (ORs) for development of hypertension or cardiovascular disease by endorsement of sleep complaints. Methods: The Atherosclerosis Risk in Communities (ARIC) Study is a prospective, population-based study of cardiovascular disease. Our study sample was 8757 ARIC participants without hypertension and 11,863 ARIC participants without cardiovascular disease at baseline. We applied multivariate regression analysis to predict the ORs of development of hypertension or cardiovascular disease over 6 years of follow-up by endorsement of symptoms of difficulty falling asleep (DFA), waking up repeatedly (SCD), awakening tired and fatigued (NRS), or combinations of these symptoms. We controlled for age, sex, alcohol intake, income, smoking, diabetes, heart disease, menopausal status, depression, educational level, Body Mass Index, respiratory symptoms, and pulmonary function. Results: Endorsement of all 3 sleep complaints predicted a slightly increased risk of cardiovascular disease (OR 1.5, 1.1–2.0) but not of hypertension. Endorsement of either DFA or SCA predicted slightly increased risk of hypertension (OR 1.2, 1.03–1.3) Conclusions: The definition of insomnia affects its impact. A combination of 3 sleep complaints (DFA, SCD, NRS) predicted a slightly increased risk of cardiovascular disease but not hypertension, and a complaint of either DFA or SCD predicted increased hypertensive risk. It is not clear whether these modest and inconsistent effects are of clinical significance. Citation: Phillips B; Mannino DM. Do insomnia complaints cause hypertension or cardiovascular disease? J Clin Sleep Med 2007;3(5):489-494. PMID:17803012

Phillips, Barbara; Mannino, David M.

2007-01-01

459

Pain and pressure pain thresholds in adolescents with chronic fatigue syndrome and healthy controls: a cross-sectional study  

PubMed Central

Objectives Although pain is a significant symptom in chronic fatigue syndrome (CFS), pain is poorly understood in adolescents with CFS. The aim of this study was to explore pain distribution and prevalence, pain intensity and its functional interference in everyday life, as well as pressure pain thresholds (PPT) in adolescents with CFS and compare this with a control group of healthy adolescents (HC). Methods This is a case–control, cross-sectional study on pain including 120 adolescents with CFS and 39 HCs, aged 12–18?years. We measured pain frequency, pain severity and pain interference using self-reporting questionnaires. PPT was measured using pressure algometry. Data were collected from March 2010 until October 2012 as part of the Norwegian Study of Chronic Fatigue Syndrome in Adolescents: Pathophysiology and Intervention Trial. Results Adolescents with CFS had significantly lower PPTs compared with HCs (p<0.001). The Pain Severity Score and the Pain Interference Score were significantly higher in adolescents with CFS compared with HCs (p<0.001). Almost all adolescents with CFS experienced headache, abdominal pain and/or pain in muscles and joints. Moreover, in all sites, the pain intensity levels were significantly higher than in HCs (p<0.001). Conclusions We found a higher prevalence of severe pain among adolescents with CFS and lowered pain thresholds compared with HCs. The mechanisms, however, are still obscure. Large longitudinal population surveys are warranted measuring pain thresholds prior to the onset of CFS. Trial registration number Clinical Trials, NCT01040429; The Norwegian Study of Chronic Fatigue Syndrome in Adolescents: Pathophysiology and Intervention Trial (NorCAPITAL) http://www.clinicaltrials.gov. PMID:25287104

Winger, Anette; Kvarstein, Gunnvald; Wyller, Vegard Bruun; Sulheim, Dag; Fagermoen, Even; Smastuen, Milada Cvancarova; Helseth, S?lvi

2014-01-01

460

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

PubMed Central

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

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

1997-01-01

461

Interventional pain management: a commentary.  

PubMed

The care of pain patients often requires a specialized knowledge base and skill set that allows the pain medicine specialist with tools necessary for optimal patient outcomes. Interventional pain medicine is the field of judiciously and appropriately applying such skills in the diagnosis and treatment of chronic pain; with the increasing prevalence of the disease, it cannot be overemphasized that providers must be equipped with the knowledge and skills to provide the care needed. This commentary provides brief, point-of-care information for providers of pain therapies in a portable, easy-to-navigate format. With continued advances made in interventions available to treat pain, this article offers up-to-date details of and instructions for the use of procedural techniques as well as a concise yet informative discussion of the evidence supporting their application. We will discuss some of the most commonly performed procedures. The article presents the readers with a clear understanding of the background, indication, as well as the clinical utility of the discussed procedures. It is important to note the evidence is strong in comparison with other modalities, for example, multiple pharmacologic agents that are considered mainstream, generally accepted management tools have been approved by the U.S. Food and Drug Administration after 12-week trials. Multiple interventional techniques have reported trials of 6-42 months in duration. It must be mentioned, however, that stronger evidence, namely, level 1 studies (double-blinded, controlled studies with long follow-up and outcome measures documenting both pain relief as well as functional improvement) are needed to provide a basis for interventional care. PMID:23575203

Hamza, M

2013-02-01

462

[Chronic pain in elderly people: psychosocial dimension].  

PubMed

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

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

2011-06-29

463

Are Students' Symptoms and Health Complaints Associated with Perceived Stress at University? Perspectives from the United Kingdom and Egypt  

PubMed Central

This cross-sectional survey assessed and compared by country, the levels and correlates of 21 self-reported symptoms/health complaints. We examined the associations between self-reported symptoms and perceived stress. Data was collected from universities in the United Kingdom and Egypt (N = 3706 and 3271 undergraduates, respectively). A self-administered questionnaire assessed a range of self-reported symptoms, perceived stress, sociodemographic (gender, age, marital status, year of study, living arrangements during semester, income sufficiency), lifestyle (tobacco smoking, illicit drug/s use, alcohol consumption frequency), and health variables (subjective health status, health awareness, BMI), along with religiosity, and quality of life. Factor analysis categorized the 21 self-reported symptoms into four components. Correlation analysis and linear regression tested the associations between the self-reported symptoms and stress. Factor analysis of the health symptoms generated four symptom groups for each of the UK and Egypt (psychological; circulatory/breathing; gastrointestinal; and, pains/aches), and factor loadings were quite similar for both countries. Whilst the two samples showed similarities as to the kind of symptoms most frequently reported by students, the Egyptian sample had significantly higher frequency than the UK for every symptom. Frequent complaints (both countries) included difficulties to concentrate, fatigue, headaches, nervousness/anxiety, and back pain (UK) and mood swings (Egypt). Significantly more Egyptian students reported ?4 symptoms over the past year than the UK. For each of the UK and Egypt, across each of the four symptom groups, there was a stepladder appearance whereby the frequency of symptoms increased with increasing quartiles of perceived stress. Not controlling for other variables, for both countries, there were significant positive correlations between each of the four symptom groups and stress; the highest correlation was for psychological symptoms. After controlling for sex, age country, and other symptom groups, stress was highly and significantly associated with psychological symptoms and also with pain & aches symptoms in both countries. UK students were generally less stressed than their counterparts in Egypt. Age and female gender were also associated with stress; the younger the student was the more likely to suffer from stress. Interactions were not significant. Across both countries, the levels of stress among students and the associations between perceived stress and health complaints suggest the need for a multiple approaches in order to understand the sources of stress; how college students experience stress; and, the coping mechanisms that different students employ to mitigate stress. Interventions aimed at both preventing, treating and caring for students’ distress, and also preventive strategies to help minimize the impact of stressful situations are required. Strategies that address both physical and psychological complaints may be beneficial for this population. PMID:25264677

El Ansari, Walid; Oskrochi, Reza; Haghgoo, Ghollamreza

2014-01-01

464

Are students' symptoms and health complaints associated with perceived stress at university? Perspectives from the United kingdom and egypt.  

PubMed

This cross-sectional survey assessed and compared by country, the levels and correlates of 21 self-reported symptoms/health complaints. We examined the associations between self-reported symptoms and perceived stress. Data was collected from universities in the United Kingdom and Egypt (N = 3706 and 3271 undergraduates, respectively). A self-administered questionnaire assessed a range of self-reported symptoms, perceived stress, sociodemographic (gender, age, marital status, year of study, living arrangements during semester, income sufficiency), lifestyle (tobacco smoking, illicit drug/s use, alcohol consumption frequency), and health variables (subjective health status, health awareness, BMI), along with religiosity, and quality of life. Factor analysis categorized the 21 self-reported symptoms into four components. Correlation analysis and linear regression tested the associations between the self-reported symptoms and stress. Factor analysis of the health symptoms generated four symptom groups for each of the UK and Egypt (psychological; circulatory/breathing; gastrointestinal; and, pains/aches), and factor loadings were quite similar for both countries. Whilst the two samples showed similarities as to the kind of symptoms most frequently reported by students, the Egyptian sample had significantly higher frequency than the UK for every symptom. Frequent complaints (both countries) included difficulties to concentrate, fatigue, headaches, nervousness/anxiety, and back pain (UK) and mood swings (Egypt). Significantly more Egyptian students reported ?4 symptoms over the past year than the UK. For each of the UK and Egypt, across each of the four symptom groups, there was a stepladder appearance whereby the frequency of symptoms increased with increasing quartiles of perceived stress. Not controlling for other variables, for both countries, there were significant positive correlations between each of the four symptom groups and stress; the highest correlation was for psychological symptoms. After controlling for sex, age country, and other symptom groups, stress was highly and significantly associated with psychological symptoms and also with pain & aches symptoms in both countries. UK students were generally less stressed than their counterparts in Egypt. Age and female gender were also associated with stress; the younger the student was the more likely to suffer from stress. Interactions were not significant. Across both countries, the levels of stress among students and the associations between perceived stress and health complaints suggest the need for a multiple approaches in order to understand the sources of stress; how college students experience stress; and, the coping mechanisms that different students employ to mitigate stress. Interventions aimed at both preventing, treating and caring for students' distress, and also preventive strategies to help minimize the impact of stressful situations are required. Strategies that address both physical and psychological complaints may be beneficial for this population. PMID:25264677

Ansari, Walid El; Oskrochi, Reza; Haghgoo, Ghollamreza

2014-01-01

465

Dynamic quadriceps angle: a comparison of female elite volleyball players with and without patellofemoral pain syndrome  

Microsoft Academic Search

BackgroundPatellofemoral pain syndrome (PFPS) is the most common complaint in female volleyball players. Larger quadriceps femoris angle (Q angle) has been implicated as a source of patellofemoral pain but values measured during functional tasks (dynamic Q angle) have not been adequately documented in the literature.ObjectiveWith this study, we attempt to determine whether excessive Q angle during a functional task is

M Massada; R Aido; C Magalhães; N Puga

2011-01-01

466

A neural network aid for the early diagnosis of cardiac ischemia in patients presenting to the emergency department with chest pain  

Microsoft Academic Search

Study objective: Chest pain is the second most common chief complaint presented to the emergency department. Although the causes of chest pain span the clinical spectrum from the trivial to the life threatening, it is often difficult to identify which patients have the most common life-threatening cause, cardiac ischemia. Because of the potential for poor outcome if this diagnosis is

William G. Baxt; Frances S. Shofer; Frank D. Sites; Judd E. Hollander

2002-01-01

467

Spinal Cord Stimulation for Neuropathic Pain  

PubMed Central

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

2005-01-01

468

The profile of patients' complaints in a regional hospital  

PubMed Central

Background: A hospital should be an institution of understanding and respecting patients’ rights, their families, physicians and other caregivers. Hospitals and all other healthcare centers must be cautious toward respecting ethical aspects of care and treatment. On the other hand, patients’ satisfaction reflects capabilities of physicians and medical staff as well as the extent patients’ rights and treatment quality are observed. Nowadays, complaints handling is considered as an essential component of healthcare system in line with promoting health standards. In the present study, researchers attempt to identify the resources, individuals, complained issues, and measures which are considered to handle these issues in a regional hospital. Methods: We employed a descriptive, cross-sectional study to conduct this research. The research population included cases registered at the complaints unit of one of the hospitals in Isfahan in selected months of 2012 to 2013. The data were collected through observation of available documents. Excel software program was used for data analysis. Results: Findings indicate that despite a decrease in the total number of complaints, there was an increase in the number of complaints about medical staff. Nursing staff were considered as the second highly complained unit during the study period. Conclusion: Results obtained from the present study can be taken as experiences to modify and amend the hospital’s future performance. In general, the existence of complaints in a system is an indication of gaps when providing healthcare services. Creating an organized system to collect complaints and reviewing them helps hospitals to be cognizant of their defects and plan to prevent their reoccurrence. PMID:24757690

Jabbari, Alireza; Khorasani, Elahe; Jafarian Jazi, Marzie; Mofid, Maryam; Mardani, Raja

2014-01-01

469

Body Structures and Physical Complaints in Upper Limb Reduction Deficiency: A 24-Year Follow-Up Study  

PubMed Central

Objective To describe upper body structures associated with upper limb reduction deficiency and the development of these structures over time, to examine the presence of physical complaints in this population, and to compare body structures and complaints between groups based on prosthesis use. Design Prospective cohort study with a follow-up period of 24 years, with matched able-bodied controls. Subjects Twenty-eight patients with unilateral below-elbow reduction deficiency fitted with myoelectric prostheses, aged 8–18 years at inclusion. Method Measurements of upper arm, trunk and spine were performed and study-specific questionnaires were answered at baseline and follow-up; the Brief Pain Inventory and the Quick Disability of Arm, Shoulder, and Hand questionnaires were answered at follow-up. Results Both at baseline and follow-up, within-subjects differences in structures of the arm and trunk were shown in patients but not in controls. Spinal deviations, although small, were greater in patients compared to controls. Self-reported disability was higher in patients compared to controls. Differences in back pain and effect of prostheses use could not be shown. Conclusions Patients with unilateral below-elbow reduction deficiency have consistent differences in upper body structures. Deviations of the spine, probably of functional origin, do not progress to clinically relevant scoliosis. PMID:23226218

Postema, Sietke G.; van der Sluis, Corry K.; Waldenlov, Kristina; Norling Hermansson, Liselotte M.

2012-01-01

470

[Neuropathic pain due to herpes zoster infection with atypical localization].  

PubMed

Acute herpes zoster infection appears in the situation of depression of immune system and reactivation of varicella zoster virus which causes small pox. Pain and maculopapular lesion accompany clinical symptoms. Various pharmacological and invasive methods can be used for treatment. Efficient therapy is important for prevention of postherpetic neuralgia and cure of acute pain and dermatological lesions. A 55 years old, 160 cm height and 65 kg weight female patient with complaints of severe pain, sensation of burning, tingling at the right hand and forearm was admitted to our pain department. The patient who was diagnosed as cervical hernia at an other medical center had a normal physical servical spine examination. Patient history and physical examination findings with acute herpes zoster infection was considered. Right stellate ganglion blockade for diagnosis and treatment was performed because of regressed and atypically located lesions and a visual analog scale score of 10. VAS score decreased 50% at 9th min after block, VAS score at 2nd hour was 2. Antiviral, gabapentin, and tricyclic antidepressant treatment was started after stellat ganglion blockade and patient was discharged. After 3 months complaints dissapeared and drug doses were discreased and stopped. In conclusion we think that stellate ganglion blockade can be useful in diagnosis, acute pain control, improving patient comfort and compatibility to drug therapy in atypically located herpes zoster. PMID:24264553

Sa??r, Özlem; Özaslan, Sabri; Meriç, Yücel; Arslan, ?smail; Köro?lu, Ahmet

2013-01-01

471

Addiction and pain medicine.  

PubMed

The adequate cotreatment of chronic pain and addiction disorders is a complex and challenging problem for health care professionals. There is great potential for cannabinoids in the treatment of pain; however, the increasing prevalence of recreational cannabis use has led to a considerable increase in the number of people seeking treatment for cannabis use disorders. Evidence that cannabis abuse liability is higher than previously thought suggests that individuals with a history of substance abuse may be at an increased risk after taking cannabinoids, even for medicinal purposes. Smoked cannabis is significantly more reinforcing than other cannabinoid administration methods. In addition, it is clear that the smoked route of cannabis delivery is associated with a number of adverse health consequences. Thus, there is a need for pharmaceutical-grade products of known purity and concentration using delivery systems optimized for safety. Another factor that needs to be considered when assessing the practicality of prescribing medicinal cannabinoids is the difficulty in differentiating illicit from prescribed cannabinoids in urine drug testing. Overall, a thorough assessment of the risk/benefit profile of cannabinoids as they relate to a patient's substance abuse history is suggested. PMID:16237481

Gourlay, Douglas

2005-01-01

472

Differential Dx Checklist, common complaints for outpatient medicine 1. Abdominal and pelvic pain  

E-print Network

), or there is a single cause that accounts for the overwhelming majority of cases (e.g., hypertension, obesity). d. The checklists do not include diagnoses that are exceedingly rare in North America, diagnoses that are obvious (e

Maxwell, Bruce D.

473

Abdominal pain: an approach to a challenging diagnosis.  

PubMed

Acute abdominal pain represents the cardinal symptom of a large number of intra-abdominal pathologies. Because of multiple organ systems, varied pathology from life threatening to benign, and differences in presentation related to sex and age, identifying a final diagnosis is a challenge. The clinician's goal for patients with acute abdominal pain is to rapidly identify whether the underlying cause requires an urgent or immediate surgical intervention. By developing a systematic approach to evaluating patients with abdominal pain, clinicians can generate a differential diagnosis to ensure appropriate treatment and improved patient outcomes. The purpose of this article is to provide clinicians with a framework for evaluating the complaint of acute abdominal pain and recognizing patients who require expedited evaluation. PMID:25054532

Brown, Helen F; Kelso, Lynn

2014-01-01

474

Efficacy of MRI in primary care for patients with knee complaints due to trauma: protocol of a randomised controlled non-inferiority trial (TACKLE trial)  

PubMed Central

Background Patients with traumatic knee complaints regularly consult their general practitioner (GP). MRI might be a valuable diagnostic tool to assist GPs in making appropriate treatment decisions and reducing costs. Therefore, this study will assess the cost-effectiveness of referral to MRI by GPs compared with usual care, in patients with persistent traumatic knee complaints. Design and methods This is a multi-centre, open-labelled randomised controlled non-inferiority trial in combination with a concurrent observational cohort study. Eligible patients (aged 18–45 years) have knee complaints due to trauma (or sudden onset) occurring in the preceding 6 months and consulting their GP. Participants are randomised to: 1) an MRI group, i.e. GP referral to MRI, or 2) a usual care group, i.e. no MRI. Primary outcomes are knee-related daily function, medical costs (healthcare use and productivity loss), and quality of life. Secondary outcomes are disability due to knee complaints, severity of knee pain, and patients’ perceived recovery and satisfaction. Outcomes are measured at baseline and at 1.5, 3, 6, 9 and 12 months follow-up. Also collected are data on patient demographics, GPs’ initial working diagnosis, GPs’ preferred management at baseline, and MRI findings. Discussion In the Netherlands, the additional diagnostic value and cost-effectiveness of direct access to knee MRI for patients presenting with traumatic knee complaints in general practice is unknown. Although GPs increasingly refer patients to MRI, the Dutch clinical guideline ‘Traumatic knee complaints’ for GPs does not recommend referral to MRI, mainly because the cost-effectiveness is still unknown. Trial registration Dutch Trial Registration: NTR3689. PMID:24588860

2014-01-01

475

An evidence-based approach to the evaluation and treatment of low back pain in the emergency department.  

PubMed

Low back pain is the most common musculoskeletal complaint that results in a visit to the emergency department, and it is 1 of the top 5 most common complaints in emergency medicine. Estimates of annual healthcare expenditures for low back pain in the United States exceed $90 billion annually, not even taking lost productivity and business costs into account. This review explores an evidence-based rationale for the evaluation of the patient with low back pain, and it provides guidance on risk stratification pertaining to laboratory assessment and radiologic imaging in the emergency department. Published guidelines from the American College of Physicians and American Pain Society are reviewed, with emphasis on best evidence for pharmacologic treatments, self-care interventions, and more invasive procedures and surgery in management of low back pain. Utilizing effective and proven strategies will avoid medical errors, provide better care for patients, and help manage healthcare resources and costs. PMID:24044786

Borczuk, Pierre

2013-07-01

476

Gabapentin in Pain Management  

Microsoft Academic Search

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

Jianren Mao; Lucy L. Chen

2000-01-01

477

Low Back Pain  

MedlinePLUS

... Low Back Pain Overview What is low back pain? Low back pain is a common problem for many people. It can be caused by many ... lift and exercise correctly. Symptoms When is low back pain serious? Call your family doctor if: Pain goes ...

478

The psychology of pain  

Microsoft Academic Search

Discusses the aspect theory of pleasure and pain. Aspect theory regards pain as the highest degree of displeasure, and holds that it is always felt with reference to a tactile or temperature sensation. Several experiences of cutaneous pain were examined in order to test the theory. The neurological facts and theories on the psychology of pain indicate that: (1) pain

C. A. Strong

1895-01-01

479

Pain, Nicotine, and Smoking: Research Findings and Mechanistic Considerations  

ERIC Educational Resources Information Center

Tobacco addiction and chronic pain represent 2 highly prevalent and comorbid conditions that engender substantial burdens upon individuals and systems. Interrelations between pain and smoking have been of clinical and empirical interest for decades, and research in this area has increased dramatically over the past 5 years. We conceptualize the…

Ditre, Joseph W.; Brandon, Thomas H.; Zale, Emily L.; Meagher, Mary M.

2011-01-01

480

Sexual, Physical, Verbal/Emotional Abuse and Unexplained Chest Pain  

ERIC Educational Resources Information Center

Objectives: Approximately one third of patients with non cardiac chest pain (NCCP) report a history of abuse, however no data exists on the prevalence of abuse among people with unexplained chest pain in the general population. We aimed to determine if there is a relationship between childhood sexual, physical, emotional abuse and unexplained…

Eslick, Guy D.; Koloski, Natasha A.; Talley, Nicholas J.

2011-01-01