These are representative sample records from Science.gov related to your search topic.
For comprehensive and current results, perform a real-time search at Science.gov.
1

Prevalence of discomfort/pain complaints and related factors in dental professionals of the public health service in Araucária, Paraná state, Brazil.  

PubMed

This poster presents a study about the influence of gender related factors, age, body weight, time of service in the profession and practice of physical exercise on the prevalence of discomfort/pain complaints in dental professionals. The scope of this study was limited to 123 subjects, 84.24% of professionals in the public dental clinics, who answered the multidimensional analytical work questionnaire. The data suggest that the lack postural awareness can contribute to the maintenance of painful conditions and also the low commitment to self-care can perpetuate the state of musculoskeletal discomfort/pain, justifying the application of the ergonomics concepts in the workplace and systematic guidance to professionals to adopt a healthy lifestyle. PMID:22317662

Bitencourt, Rosimeire Sedrez; Ricardo, Maria Isabel

2012-01-01

2

Back and neck pain in seniors—prevalence and impact  

Microsoft Academic Search

Neck pain (NP) and back pain (BP) are common complaints in seniors yet specific information on these complaints is lacking in the scientific literature. We present cross-sectional interview data from the 2003 data collection within the population based Longitudinal Study of Aging Danish Twins dealing with the 1-month prevalence of NP and BP and the intensity of possible pain. Further,

Jan Hartvigsen; Henrik Frederiksen; Kaare Christensen

2006-01-01

3

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

Microsoft Academic Search

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

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

1999-01-01

4

Prevalence and Determinants of Cognitive Complaints after Aneurysmal Subarachnoid Hemorrhage  

Microsoft Academic Search

Background: To investigate the prevalence of cognitive complaints after subarachnoid hemorrhage (SAH) and the relationships between cognitive complaints and cognitive impairments, disability and emotional problems. Methods: Cognitive complaints were assessed with the Checklist for Cognitive and Emotional Consequences following stroke (CLCE-24) in 111 persons who visited our outpatient clinic 3 months after SAH. Associations between cognitive complaints and cognitive functioning,

P. E. C. A. Passier; J. M. A. Visser-Meily; M. J. E. van Zandvoort; M. W. M. Post; G. J. E. Rinkel; C. van Heugten

2010-01-01

5

Analysis of complaints to a tertiary care pain clinic over a nine-year period  

PubMed Central

BACKGROUND: The present study is the result of an internal audit and examines the profiles of complainants and the sources and nature of complaints toward the staff in a tertiary care pain clinic, the Comprehensive Pain Program of the Toronto Western Hospital in Toronto, Ontario. METHODS: All sources of complaints over a nine-year period were reviewed, which included the following: Toronto Western Hospital Patient Relations (PR) records, with a subset of the files qualitatively analyzed in depth regarding the nature of complaints and complainants; complaints that bypassed PR and were addressed directly to the program director against members of the staff; complaints to the College of Physicians and Surgeons of Ontario; and complaints recorded anonymously at rateMDs.com. RESULTS: Although the prevalence of PR complaints was very low (1.73 complaints per 1000 visits), several other sources of complaints were identified. The typical complainant was a Canadian-born woman acting on her behalf or on behalf of a family member. More than one-half of the complaints were directed against the physicians regarding their opinion of psychological factors augmenting the patient’s presentation and/or inappropriate use of opioids. Defensive techniques instituted by the Comprehensive Pain Program staff in reaction to the complaints are discussed, and pertinent literature is reviewed. CONCLUSION: The present study is the first to examine the nature of complaints and complainants from a Canadian pain clinic. Further studies are needed to explore the complex issues of patient and staff interactions, and complaints in the era of ‘patient-centred care’. PMID:20195554

Mailis-Gagnon, Angela; Nicholson, Keith; Chaparro, Luis

2010-01-01

6

Patient satisfaction with spinal cord stimulation for predominant complaints of chronic, intractable low back pain  

Microsoft Academic Search

Background context: Results of subsequent surgical intervention in patients with intractable pain after lumbar spine surgery are typically worse than for initial surgery, particularly in those with predominant complaints of back pain rather than lower extremity pain. Spinal cord stimulation (SCS) has been found to yield good results in patients with primary complaints of intractable lower extremity pain. Technological advances

Donna D Ohnmeiss; Ralph F Rashbaum

2001-01-01

7

Education and the Prevalence of Pain  

Microsoft Academic Search

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 high school degree. Occupation,

Steven J. Atlas; Jonathan S. Skinner

2009-01-01

8

Prevalence of Pain in Italian Hospitals  

Microsoft Academic Search

The aims of this study were to quantify the prevalence of pain among hospitalized Italian patients and to describe the potential determinants of pain in this population. All patients older than 18 years and hospitalized for at least 24 hours in one of the 30 public hospitals of the Liguria region (n = 4709) were eligible for pain assessment. Using

Massimo Costantini; Paola Viterbori; Gaddo Flego

2002-01-01

9

Chronic pain in Australia: a prevalence study  

Microsoft Academic Search

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

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

2001-01-01

10

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

11

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

12

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

13

Optimizing deep hyperthermia treatments: are locations of patient pain complaints correlated with modelled SAR peak locations?  

NASA Astrophysics Data System (ADS)

During deep hyperthermia treatment, patient pain complaints due to heating are common when maximizing power. Hence, there exists a good rationale to investigate whether the locations of predicted SAR peaks by hyperthermia treatment planning (HTP) are correlated with the locations of patient pain during treatment. A retrospective analysis was performed, using the treatment reports of 35 patients treated with deep hyperthermia controlled by extensive treatment planning. For various SAR indicators, the average distance from a SAR peak to a patient discomfort location was calculated, for each complaint. The investigated V0.1 closest (i.e. the part of the 0.1th SAR percentile closest to the patient complaint) performed the best, and leads to an average distance between the SAR peak and the complaint location of 3.9 cm. Other SAR indicators produced average distances that were all above 10 cm. Further, the predicted SAR peak location with V0.1 provides a 77% match with the region of complaint. The current study demonstrates that HTP is able to provide a global indication of the regions where hotspots during treatment will most likely occur. Further development of this technology is necessary in order to use HTP as a valuable toll for objective and advanced SAR steering. The latter is especially valid for applications that enable 3D SAR steering.

Canters, R. A. M.; Franckena, M.; van der Zee, J.; van Rhoon, G. C.

2011-01-01

14

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

Microsoft Academic Search

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

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

2004-01-01

15

[Cervical pain as the only complaint in a patient with metastatic advanced lung carcinoma (case report)].  

PubMed

Description of a case of metastatic advanced squamous cell lung carcinoma without any symptoms of the original focus. The only complaint of the patient almost throughout the course of the disease was cervical pain. Despite fast clinical course of the disease considerable adaptation of spinal cord to compression by metastatic focus in the vertebral column, may occur. Also numerous metastatic in bones or large foci in suprarenal glands may remain silent for a longer time of the disease. Examinations carried out: bons scinticsanning, CT of the abdominal cavity and MRI of cervical spine allowed to suspect that process with great probability, what was confirmed by autopsy. PMID:10672568

Bobek, J; Wilk, L

1999-01-01

16

Prevalence and tracking of back pain from childhood to adolescence  

Microsoft Academic Search

Background  It is generally acknowledged that back pain (BP) is a common condition already in childhood. However, the development until\\u000a early adulthood is not well understood and, in particular, not the individual tracking pattern. The objectives of this paper\\u000a are to show the prevalence estimates of BP, low back pain (LBP), mid back pain (MBP), neck pain (NP), and care-seeking because

Per Kjaer; Niels Wedderkopp; Lars Korsholm; Charlotte Leboeuf-Yde

2011-01-01

17

Prevalence of musculoskeletal pain in construction workers in saudi arabia.  

PubMed

The objective of this study was to find out the prevalence, characteristics, and distribution of musculoskeletal pain among construction workers in Saudi Arabia. A questionnaire about musculoskeletal pain in different parts of the body was completed by 165 construction workers from the construction industries in Dammam and Riyadh cities. The descriptive data were analyzed using chi-square test. The level of statistical significance was set at P < 0.05. Eighty (48.5%) of the responding workers had pain in neck, shoulders, lower back, hand, knee, or ankle. The majority of respondents had low back pain (50%) followed by knee pain (20%). The average intensity of pain at all sites during activity and rest was 6.65 and 3.59, respectively. Thirty-four (42.5%) respondents had dull aching pain and 24 (30%) had cramping pain. There was an association between years of experience, duration of break during work, and use of protective equipment with the prevalence of musculoskeletal pain in construction workers (P < 0.05). Most of the workers complaining of pain got medical treatment (62.5%) and only 25% received physical therapy. It can be concluded from this study that the prevalence of musculoskeletal pain among construction workers in Saudi Arabia is high. PMID:25811043

Alghadir, Ahmad; Anwer, Shahnawaz

2015-01-01

18

Prevalence of Musculoskeletal Pain in Construction Workers in Saudi Arabia  

PubMed Central

The objective of this study was to find out the prevalence, characteristics, and distribution of musculoskeletal pain among construction workers in Saudi Arabia. A questionnaire about musculoskeletal pain in different parts of the body was completed by 165 construction workers from the construction industries in Dammam and Riyadh cities. The descriptive data were analyzed using chi-square test. The level of statistical significance was set at P < 0.05. Eighty (48.5%) of the responding workers had pain in neck, shoulders, lower back, hand, knee, or ankle. The majority of respondents had low back pain (50%) followed by knee pain (20%). The average intensity of pain at all sites during activity and rest was 6.65 and 3.59, respectively. Thirty-four (42.5%) respondents had dull aching pain and 24 (30%) had cramping pain. There was an association between years of experience, duration of break during work, and use of protective equipment with the prevalence of musculoskeletal pain in construction workers (P < 0.05). Most of the workers complaining of pain got medical treatment (62.5%) and only 25% received physical therapy. It can be concluded from this study that the prevalence of musculoskeletal pain among construction workers in Saudi Arabia is high.

Alghadir, Ahmad; Anwer, Shahnawaz

2015-01-01

19

Pressure ulcer related pain in community populations: a prevalence survey  

PubMed Central

Background Pressure ulcers are costly to the healthcare provider and can have a major impact on patient’s quality of life. One of the most distressing symptoms reported is pain. There is very little published data on the prevalence and details of pain experienced by patients with pressure ulcers, particularly in community populations. The study was conducted in two community NHS sites in the North of England. Methods The aim was to estimate the prevalence of pressure area related pain within a community population. We also explored the type and severity of the pain and its association with pressure ulcer classification. A cross-sectional survey was performed of community nurses caseloads to identify adult patients with pressure ulcers and associated pain. Consenting patients then had a full pain assessment and verification of pressure ulcer grade. Results A total of 287 patients were identified with pressure ulcers (0.51 per 1000 adult population). Of the 176 patients who were asked, 133 (75.6%) reported pain. 37 patients consented to a detailed pain assessment. Painful pressure ulcers of all grades and on nearly all body sites were identified. Pain intensity was not related to number or severity of pressure ulcer. Both inflammatory and neuropathic pain were reported at all body sites however the proportion of neuropathic pain was greater in pressure ulcers on lower limbs. Conclusions This study has identified the extent and type of pain suffered by community patients with pressure ulcers and indicates the need for systematic and regular pain assessment and treatment. PMID:25024642

2014-01-01

20

Pain prevalence and trajectories following pediatric spinal fusion surgery  

PubMed Central

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

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

2013-01-01

21

The prevalence of musculoskeletal pain in Norwegian nurses’ aides  

Microsoft Academic Search

Objectives To determine the prevalence of musculoskeletal pain in Norwegian nurses’ aides and how it varies with demographic factors, number of working hours per week, and service sector. Methods A random sample of nurses’ aides, represented by the Norwegian Union of Health and Social Workers, was mailed a questionnaire in 1999. The 6,485 vocationally active respondents who were not on

Willy Eriksen

2003-01-01

22

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

23

Somatic complaints in frontotemporal dementia.  

PubMed

Frontotemporal dementia (FTD) is associated with a broad spectrum of clinical characteristics. The objective of this study was to analyze the prevalence of unexplained somatic complaints in neuropathologically verified FTD. We also examined whether the somatic presentations correlated with protein pathology or regional brain pathology and if the patients with these somatic features showed more depressive traits. Ninety-seven consecutively neuropathologically verified FTLD patients were selected. All 97 patients were part of a longitudinal study of FTD and all medical records were systematically reviewed. The somatic complaints focused on were headache, musculoskeletal, gastro/urogenital and abnormal pain response. Symptoms of somatic character (either somatic complaints and/or abnormal pain response) were found in 40.2%. These patients did not differ from the total group with regard to gender, age at onset or duration. Six patients showed exaggerated reactions to sensory stimuli, whereas three patients showed reduced response to pain. Depressive traits were present in 38% and did not correlate with somatic complaints. Suicidal behavior was present in 17 patients, in 10 of these suicidal behavior was concurrent with somatic complaints. No clear correlation between somatic complaints and brain protein pathology, regional pathology or asymmetric hemispherical atrophy was found. Our results show that many FTD patients suffer from unexplained somatic complaints before and/or during dementia where no clear correlation can be found with protein pathology or regional degeneration. Somatic complaints are not covered by current diagnostic criteria for FTD, but need to be considered in diagnostics and care. The need for prospective studies with neuropathological follow up must be stressed as these phenomena remain unexplained, misinterpreted, bizarre and, in many cases, excruciating. PMID:25232513

Landqvist Waldö, Maria; Santillo, Alexander Frizell; Gustafson, Lars; Englund, Elisabet; Passant, Ulla

2014-01-01

24

Somatic complaints in frontotemporal dementia  

PubMed Central

Frontotemporal dementia (FTD) is associated with a broad spectrum of clinical characteristics. The objective of this study was to analyze the prevalence of unexplained somatic complaints in neuropathologically verified FTD. We also examined whether the somatic presentations correlated with protein pathology or regional brain pathology and if the patients with these somatic features showed more depressive traits. Ninety-seven consecutively neuropathologically verified FTLD patients were selected. All 97 patients were part of a longitudinal study of FTD and all medical records were systematically reviewed. The somatic complaints focused on were headache, musculoskeletal, gastro/urogenital and abnormal pain response. Symptoms of somatic character (either somatic complaints and/or abnormal pain response) were found in 40.2%. These patients did not differ from the total group with regard to gender, age at onset or duration. Six patients showed exaggerated reactions to sensory stimuli, whereas three patients showed reduced response to pain. Depressive traits were present in 38% and did not correlate with somatic complaints. Suicidal behavior was present in 17 patients, in 10 of these suicidal behavior was concurrent with somatic complaints. No clear correlation between somatic complaints and brain protein pathology, regional pathology or asymmetric hemispherical atrophy was found. Our results show that many FTD patients suffer from unexplained somatic complaints before and/or during dementia where no clear correlation can be found with protein pathology or regional degeneration. Somatic complaints are not covered by current diagnostic criteria for FTD, but need to be considered in diagnostics and care. The need for prospective studies with neuropathological follow up must be stressed as these phenomena remain unexplained, misinterpreted, bizarre and, in many cases, excruciating. PMID:25232513

Landqvist Waldö, Maria; Santillo, Alexander Frizell; Gustafson, Lars; Englund, Elisabet; Passant, Ulla

2014-01-01

25

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

26

The immediate effects of thoracic spine and rib manipulation on subjects with primary complaints of shoulder pain.  

PubMed

Shoulder pain is a common orthopedic condition seen by physical therapists, with many potential contributing factors and proposed treatments. Although manual physical therapy interventions for the cervicothoracic spine and ribs have been investigated for this patient population, the specific effects of these treatments have not been reported. The purpose of this investigational study is to report the immediate effects of thoracic spine and rib manipulation in patients with primary complaints of shoulder pain. Using a test-retest design, 21 subjects with shoulder pain were treated during a single treatment session with high-velocity thrust manipulation to the thoracic spine or upper ribs. Post-treatment effects demonstrated a 51% (32mm) reduction in shoulder pain, a corresponding increase in shoulder range of motion (30 degrees -38 degrees ), and a mean patient-perceived global rating of change of 4.2 (median 5). These immediate post-treatment results suggest that thoracic and rib manipulative therapy is associated with improved shoulder pain and motion in patients with shoulder pain, and further these interventions support the concept of a regional interdependence between the thoracic spine, upper ribs, and shoulder. PMID:20140154

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

2009-01-01

27

Prevalence and Risk Factor of Neck Pain in Elderly Korean Community Residents  

PubMed Central

Neck pain is a common musculoskeletal condition, which causes substantial medical cost. In Korea, prevalence of neck pain in community based population, especially in elderly subjects, has scarcely been reported. We evaluated the prevalence, the severity and the risk factors of neck pain in elderly Korean community residents. Data for neck pain were collected for 1,655 subjects from a rural farming community. The point, 6-months and cumulative lifetime prevalence of neck pain was obtained in addition to the measurement of the severity of neck pain. The mean age of the study subjects was 61 yr and 57% were females. The lifetime prevalence of neck pain was 20.8% with women having a higher prevalence. The prevalence did not increase with age, and the majority of individuals had low-intensity/low-disability pain. Subjects with neck pain had a significantly worse SF-12 score in all domains except for mental health. The prevalence of neck pain was significantly associated with female gender, obesity and smoking. This is the first large-scale Korean study estimating the prevalence of neck pain in elderly population. Although the majority of individuals had low-intensity/low-disability pain, subjects with neck pain had a significantly worse SF-12 score indicating that neck pain has significant health impact. PMID:23678258

Son, Kyeong Min; Cho, Nam H.; Lim, Seung Hun

2013-01-01

28

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

PubMed Central

Background Patients with pressure ulcers (PUs) report that pain is their most distressing symptom, but there are few PU pain prevalence studies. We sought to estimate the prevalence of unattributed pressure area related pain (UPAR pain) which was defined as pain, soreness or discomfort reported by patients, on an “at risk” or PU skin site, reported at a patient level. Methods We undertook pain prevalence surveys in 2 large UK teaching hospital NHS Trusts (6 hospitals) and a district general hospital NHS Trust (3 hospitals) during their routine annual PU prevalence audits. The hospitals provide secondary and tertiary care beds in acute and elective surgery, trauma and orthopaedics, burns, medicine, elderly medicine, oncology and rehabilitation. Anonymised individual patient data were recorded by the ward nurse and PU prevalence team. The analysis of this prevalence survey included data summaries; no inferential statistical testing was planned or undertaken. Percentages were calculated using the total number of patients from the relevant population as the denominator (i.e. including all patients with missing data for that variable). Results A total of 3,397 patients in 9 acute hospitals were included in routine PU prevalence audits and, of these, 2010 (59.2%) patients participated in the pain prevalence study. UPAR pain prevalence was 16.3% (327/2010). 1769 patients had no PUs and of these 223 patients reported UPAR pain, a prevalence of 12.6%. Of the 241 people with pressure ulcers, 104 patients reported pain, a UPAR pain prevalence of 43.2% (104/241). Conclusion One in six people in acute hospitals experience UPAR pain on ‘at risk’ or PU skin sites; one in every 8 people without PUs and, more than 2 out of every five people with PUs. The results provide a clear indication that all patients should be asked if they have pain at pressure areas even when they do not have a PU. PMID:23902583

2013-01-01

29

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

Microsoft Academic Search

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

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

30

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

Microsoft Academic Search

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

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

2001-01-01

31

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

32

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

Microsoft Academic Search

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

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

2002-01-01

33

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

34

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

35

Prevalence of chronic pain after traumatic spinal cord injury: a systematic review.  

PubMed

Published studies have reported widely divergent estimates of the prevalence of chronic pain among individuals with (traumatic) spinal cord injury (SCI). To develop an estimate based on a synthesis of the research, we used searches of MEDLINE, CINAHL, PsycINFO, and other bibliographic databases and an ancestor search to identify articles published since 1966 in any language that reported a pain prevalence rate for at least 30 subjects with certain or likely traumatic SCI. Data on sample makeup, study quality indicators, and pain prevalence were abstracted independently by two researchers. A total of 42 studies reported pain prevalence rates that ranged from 26% to 96%, with a fairly even spread between these extremes. The reported rate did not appear to be related to study quality. Pain prevalence in the combined samples did not appreciably differ between males and females, those with complete versus incomplete SCI, and those with paraplegia versus tetraplegia. We conclude that too much heterogeneity was present in the reports to calculate a post-SCI pain prevalence rate using meta-analytic methods. Further research is needed to determine whether rates are related to sample makeup (e.g., average subject age), research methods used (e.g., telephone interview vs self-report instruments), or even the definition of "chronic" pain. PMID:19533517

Dijkers, Marcel; Bryce, Thomas; Zanca, Jeanne

2009-01-01

36

Prevalence of pain among residents in Japanese nursing homes: a descriptive study.  

PubMed

It is often observed that pain causes substantial problems for nursing home residents. However, there has been little research about the prevalence of pain for nursing home residents in Japan. This study aimed to examine the prevalence of pain in older adults living in nursing homes in Japan by using self-reporting and the Abbey Pain Scale-Japanese version (APS-J) and to explore factors related to pain. This is a descriptive study. Residents in two Special Nursing Homes for the Elderly in Tokyo, Japan, were asked to participate in this study, with the exclusion of short-term temporary residents. Data collected from participating residents included their demographics and the results from the Barthel Index, the Folstein Mini-Mental State Examination, the APS-J, and the Verbal Descriptor Scale for pain. The residents were divided into two groups: residents able to report their pain (self-report group) and residents not able to report their pain. The second group was assessed by using the APS-J (APS-J group). The Mann-Whitney U test, the ?2 test, and logistic analyses were performed to derive factors related to pain prevalence. Data were obtained from 171 residents. The prevalence of pain in the self-report group (n = 96) was 41.7%. For the 75 residents unable to report their pain, 52.0% were assessed by the APS-J to have pain. The overall pain prevalence of all residents was 46.2%. Age, Barthel Index score, and length of time of institutionalization were significantly associated with residents' pain in the APS-J group. Logistic regression analysis showed that contracture (odds ratio 3.8) and previous injury (odds ratio 3.4) were associated with residents' pain in the self-report group, whereas only the length of nursing home stay (odds ratio 1.03) was a predictor for pain in the APS-J group. Nearly one-half of residents had pain when they moved or were moved. Pain assessment and management is needed for residents. PMID:23688366

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

2013-06-01

37

[Prevalence and characteristics of chronic pain with neuropathic component at Parakou in northern Benin in 2012].  

PubMed

The burden of chronic and neuropathic pain is high making it an important public health problem. The epidemiology is not well known in the general population in sub-Saharan Africa. We aimed to determine the prevalence of chronic pain with a neuropathic component at Tititou in Parakou in northeastern Benin. A cross-sectional study was conducted from 1st April to 31 May 2012 and included 2314 people in a door-to-door survey. Chronic pain was defined as pain occurring for more than three months. Neuropathic pain was assessed with the DN4 score. A neurological exam was performed by a young physician for all people with chronic pain. During the interview, sociodemographic data, past medical history, weight and height were recorded. Multivariate logistic regression was performed to analyze the main associated factors. Among the 2314 people included in this survey, 49.7% were male. The mean age was 32.3 ± 13.1 years. Nine hundred seven reported pain occurring for more than 3 months. The prevalence of chronic pain was 39.2% (CI95%: 29.3-34.7). It was more frequent in females, older people, among diabetics, people with a history of any surgery, stroke, brain trauma, and alcoholism. The prevalence of chronic pain with a neuropathic component was 6.3% (CI95%: 5.0-7.9). The main associated factors were age, matrimonial status, professional occupation, body mass index, diabetes, history of zoster, history of any surgery, brain trauma. People with neuropathic pain often reported pain with burning (87.6%), prickling (82.8%), numbness (66.9%), tingling (63.4%), and lightning pain (48.3%). The main locations were the lower limbs and low back pain. This study suggested the high frequency of chronic neuropathic pain in the general population in Parakou compared with rates reported in western countries. PMID:25444451

Adoukonou, T; Gnonlonfoun, D; Kpozehouen, A; Adjien, C; Tchaou, B; Tognon-Tchegnonsi, F; Adechina, H; Covi, R; Houinato, D

2014-11-01

38

High prevalence of ESBL-producing Enterobacteriaceae carriage in Dutch community patients with gastrointestinal complaints.  

PubMed

The aim of this study was to determine the rate of carriage of ESBL-producing Enterobacteriaceae (ESBL-E) in the community in the Netherlands and to gain understanding of the epidemiology of these resistant strains. Faecal samples from 720 consecutive patients presenting to their general practitioner, obtained in May 2010, and between December 2010 and January 2011, were analysed for presence of ESBL-E. Species identification and antibiotic susceptibility testing were performed according to the Dutch national guidelines. PCR, sequencing and microarray were used to characterize the genes encoding for ESBL. Strain typing was performed with amplified fragment length polymorphism (AFLP) and multilocus sequence typing (MLST). Seventy-three of 720 (10.1%) samples yielded ESBL-producing organisms, predominantly E. coli. No carbapenemases were detected. The most frequent ESBL was CTX-M-15 (34/73, 47%). Co-resistance to gentamicin, ciprofloxacin and cotrimoxazole was found in (9/73) 12% of the ESBL-E strains. AFLP did not show any clusters, and MLST revealed that CTX-M-15-producing E. coli belonged to various clonal complexes. Clonal complex ST10 was predominant. This study showed a high prevalence of ESBL-producing Enterobacteriaceae in Dutch primary care patients with presumed gastrointestinal discomfort. Hence, also in the Netherlands, a country with a low rate of consumption of antibiotics in humans, resistance due to the expansion of CTX-M ESBLs, in particular CTX-M-15, is emerging. The majority of ESBL-producing strains do not appear to be related to the international clonal complex ST131. PMID:22757622

Reuland, E A; Overdevest, I T M A; Al Naiemi, N; Kalpoe, J S; Rijnsburger, M C; Raadsen, S A; Ligtenberg-Burgman, I; van der Zwaluw, K W; Heck, M; Savelkoul, P H M; Kluytmans, J A J W; Vandenbroucke-Grauls, C M J E

2013-06-01

39

Treatment efficacy for pain complaints in women with endometriosis of the lesser pelvis after laparoscopic electroablation vs. CO2 laser ablation.  

PubMed

Endometriosis is a chronic disease affecting mainly women of the reproductive age. Its most common manifestations include impaired fecundity, pelvic pain, and dyschezia. Laparoscopic removal of endometriotic foci remains to be the gold standard for the treatment of endometriosis. More effective techniques of endoscopic approach-among others, laser application-are continually being developed. The aim of the study was to evaluate the efficacy of laparoscopic treatment with the use of CO2 laser ablation vs. electroablation with regard to pain complaints in the affected patients. The study included 48 women (aged 22-42) with varying degrees of endometriosis of the lesser pelvis. The Numeric Rating Scale (NRS) was used to evaluate pain intensity before the surgery in all patients, followed by either laser ablation or electroablation of the endometriotic foci. The results of the laparoscopic treatment were monitored after 3 and 6 months postoperatively. p value of 0.05 was considered to be statistically significant. Patients from both groups reported less intensive pain before/during menstruation (dysmenorrhea) 6 months postoperatively, with more distinct tendency in the electroablation group (p?=?0.004) as compared to the laser ablation group (p?=?0.025). Despite the initial improvement reported at the 3-month checkup (p?=?0.008), 6 months postoperatively, a statistically significant increase in pain intensity was noted in both groups (p?=?0.016 and p?=?0.032 for CO2 laser ablation and electroablation, respectively). Both surgical methods seem to be effective only in the treatment of endometriosis-related dysmenorrhea, whereas the intensity of other pain complaints (dyspareunia, dysuria, dyschezia, pelvic pain syndrome (PPS)) has remained on the same level. PMID:25053520

Posadzka, Ewa; Jach, Robert; Pity?ski, Kazimierz; Jablonski, Marcin Jacek

2015-01-01

40

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, for a population of fishing net assembly workers. LBP is a serious problem in manual work with high prevalence and affects worker absenteeism. A cross-sectional survey study was conducted among textile fish net industrial

Kaber, David B.

41

Pain is prevalent and persisting in cancer survivors: Differential factors across age groups  

PubMed Central

Objective The Institute of Medicine documents a significant gap in care for long term side effects of cancer treatment, including pain. This paper characterizes age differences in the prevalence and predictive characteristics of pain to guide clinicians in identification and treatment. Materials and Methods A sample of 170 adults with head and neck, esophageal, gastric, or colorectal cancers were recruited from two regional Veterans Administration Medical Centers. Face to face interviews were conducted 6, 12, and 18 months after diagnosis with the PROMIS scale to assess pain and PHQ-9 scale to assess depression. Descriptive statistics characterized incidence and prevalence of pain impact and intensity ratings. Multivariate linear hierarchical regression identified clinical characteristics associated with pain in older versus younger age groups. Results Clinically significant pain was endorsed in one third (32%) of the sample, with younger adults reporting higher levels of the impact of pain on daily activities and work, and also higher pain intensity ratings than older adults. In younger adults, pain ratings were most associated with lower social support and higher depression, as well as advanced cancer stage. In older adults, pain was multifactorial, associated with baseline comorbidities, adjuvant treatment, and both combat post-traumatic stress disorder (PTSD) and depression. Conclusions Pain is a significant persisting problem for one in three cancer survivors, requiring ongoing assessment, even months later. Important differences in pain’s determinants and impact are present by age group. Identification and treatment of pain, as well as associated conditions such as depression, may improve the quality of life in cancer survivors. PMID:24495701

Moye, Jennifer; June, Andrea; Martin, Lindsey Ann; Gosian, Jeffrey; Herman, Levi I.; Naik, Aanand D.

2015-01-01

42

The prevalence of episodic pain in cancer: a survey of hospice patients on admission.  

PubMed

Pain that varies with time, referred to here as episodic pain, is a commonly encountered but under-investigated clinical problem. Previous studies of cancer patients have found that a significant proportion of their pains are episodic. To establish the prevalence and characteristics of episodic pains in hospice in-patients we assessed 245 consecutive admissions to four hospices in Yorkshire. The admitting doctor completed a questionnaire, detailing the characteristics of all pains experienced by the patient in the previous 24 h. Two hundred and forty-two questionnaires were entered into the study. One hundred and thirty-two patients reported pain in the preceding 24 h, of these 93% had at least one episodic pain. In total, 228 pains were described, of which 211 were episodic with a wide variation in their temporal characteristics, intensities and limitation. One hundred and fifty-two episodic pains had a precipitating factor; movement and weight bearing being the most frequent precipitants. One hundred and sixty-eight episodic pains had a relieving factor, medication improving 54%. Ninety-five pains were related to the malignancy and 47 to concurrent illness. The study confirms that episodic pain is extremely common in cancer patients referred for in-patient hospice care and highlights the need for further evaluation of its management. PMID:11212475

Swanwick, M; Haworth, M; Lennard, R F

2001-01-01

43

The community prevalence of chronic pelvic pain in women and associated illness behaviour.  

PubMed Central

BACKGROUND: Chronic pelvic pain has often been described as a major women's health issue, but no information exists on the extent of the problem in the United Kingdom. AIM: To investigate the community prevalence of chronic pelvic pain and its effect on the lives of consulting and non-consulting women. DESIGN OF STUDY: Postal questionnaire survey. SETTING: Women aged 18 to 49 (n = 3916) randomly selected from the Oxfordshire Health Authority Register. METHOD: The questionnaire response rate (adjusted for non-deliveries) was 74% (2304/3106). Chronic pelvic pain was defined as recurrent or constant pelvic pain of at least six months' duration, unrelated to periods, intercourse, or pregnancy. Case subgroups comprised recent consulters, past consulters, and non-consulters. Women who reported dysmenorrhoea alone formed a comparison group. RESULTS: The three-month prevalence of chronic pelvic pain was 24.0% (95% CI = 22.1% to 25.8%). One-third of women reported pain that started more than five years ago. Recent consulters (32% of cases) were most affected by their symptoms in terms of pain severity, use of health care, physical and mental health scores, sleep quality, and pain-related absence from work. Non-consulters (41% of cases) did not differ from women with dysmenorrhoea in terms of symptom-related impairment. Irrespective of consulting behaviour, a high rate of symptom-related anxiety was found in women with chronic pelvic pain (31%) compared with women with dysmenorrhoea (7%). CONCLUSIONS: This study showed a high community prevalence of chronic pelvic pain in women of reproductive age. Cases varied substantially in the degree to which they were affected by their symptoms. The high symptom-related anxiety in these women emphasises the need for more information about chronic pelvic pain and its possible causes. PMID:11462313

Zondervan, K T; Yudkin, P L; Vessey, M P; Jenkinson, C P; Dawes, M G; Barlow, D H; Kennedy, S H

2001-01-01

44

The prevalence of musculoskeletal pain & its associated factors among female Saudi school teachers  

PubMed Central

Objectives: To quantify the prevalence and identify the associated factors of musculoskeletal pain among Saudi female school teachers. Methods: An observational quantitative cross-sectional survey of female Saudi school teachers in five different areas of Saudi Arabia was carried out between August and October 2013. A self-administered questionnaire was used in which the items related to participants’ demographic information and pain information were included. A numeric pain rating scale was used for patient self-reporting of pain. Data analysis was carried out using SPSS Pc+ version 21.0 statistical software. Results: Four hundred and eighty six female school teachers responded to the survey. Severe Low back pain was reported by 38.1% of teacher, followed by knee pain (26.3%), heel (24.1%), shoulder (20.6%), upper back (17.7%), hip joint (16.5%),ankle (12.3%), neck (11.3%). Sever pain of elbow (5.6%) and wrist (7.4%) was the least reported. Pain affected work at school in 46.1% of school teachers. A combination of variables: body mass index, Vitamin D deficiency, teaching level, presence of chronic illness, were found to be significantly associated with musculoskeletal pain. Conclusion: The results of self-reported prevalence of musculoskeletal pain among female Saudi school teachers is useful to educate the school teachers for adequate care so as to prevent these pains. There is a need for the higher authorities to address this issue and implement intervention programs to alleviate the pain and suffering of these school teachers. PMID:25674106

Abdulmonem, Alsiddiky; Hanan, Algethami; Elaf, Ahmed; Haneen, Tokhtah; Jenan, Aldouhan

2014-01-01

45

Subjective health complaints in patients with lumbar radicular pain and disc herniation are associated with a sex - OPRM1 A118G polymorphism interaction: a prospective 1-year observational study  

PubMed Central

Background Earlier observations show that development of persistent pain may be associated with the genetic variability in the gene encoding for the ?-opioid receptor 1, the OPRM1 A118G (rs1799971). The aim of this study was to investigate the association between OPRM1 genotype and subjective health complaints in patients with radicular pain and disc herniation. Methods A prospective, 1-year observational study was conducted at a hospital back clinic, including 118 Caucasian patients with lumbar radicular pain and MRI confirmed disc herniation. Single nucleotide polymorphism genotyping regarding the OPRM1 A118G was performed. The data of individuals with AA versus AG or GG were analysed separately by linear mixed models. The Subjective Health Complaints Inventory (0-81) including 27 common complaints experienced the previous month on a scale from not at all (0) to severe (3) was used as outcome. Pain, prior duration of leg pain, age, smoking status, and lumbar disc surgery were considered as covariates. Results In total 23 of 118 patients were carriers of the OPRM1 G-allele. All patients except female carriers of the G-allele reported a decrease in pain from baseline to 1 year. Female carriers of the G-allele reported significantly higher subjective health complaints score during the study time span than male carriers of the G-allele when controlling for pain and pain duration. Conclusion The present data indicate that, when controlling for pain intensity and duration, subjective health complaints are associated with a sex - OPRM1 A118G polymorphism interaction in patients with radicular pain. PMID:24884878

2014-01-01

46

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

PubMed Central

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

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

2014-01-01

47

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

PubMed Central

Study design:?Retrospective prognostic study. Objectives:?To describe the prevalence of pain following fusion for adolescent idiopathic scoliosis and to identify factors associated with pain and disability. Methods:?From 126 consecutive patients surgically treated for scoliosis between 1997 and 2007, 104 (82.5%) completed SRS-22 and ODI questionnaires at a last follow-up (mean, 4.8 years; range 1–11.2 years). Prevalence of pain and disability were determined from SRS questions 1 and 9 respectively, with “any” pain or decrease in activity considered clinically significant. SRS Pain Domain Scores (PDS) were also evaluated. Results:?Most participants reported “no pain” (38.5%) or “mild pain” (30.8%) and 72.1% of participants reported a current work/school activity level of 100% normal. An association between instrument type and the presence of any pain in the previous 6 months was noted (P?=?.022). Instrument type was the only factor that was significantly associated with the PDS (P?=?.0052). Conclusions:?The high percentage of patients reporting no pain or mild pain may suggest overall success of the procedures. Although an association between instrument type and pain was seen, unmeasured factors that contributed to the decision of what instrument to use may confound the relationship. From these data a causal inference cannot be made. Final class of evidence-prognosis Study design Prospective Cohort Retrospective Cohort • Case control Case series Methods Patients at similar point in course of treatment • F/U ? 85% Similarity of treatment protocols for patient groups Patients followed up long enough for outcomes to occur • Control for extraneous risk factors •* Overall class of evidence III The definiton of the different classes of evidence is available on page 55. *Potentially confounding factors were systematically explored and considered for stratified analysis as appropriate. PMID:23230414

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

2012-01-01

48

Gender and Arthroplasty Type Affect Prevalence of Moderate-Severe Pain Post Total Hip Arthroplasty  

Microsoft Academic Search

Objective: To investigate the impact of gender, age and arthroplasty type (primary vs. revision) on prevalence of moderate-severe\\u000a hip pain.\\u000a \\u000a Methods: Using an Institutional Total Joint Registry, we identified a cohort of patients who underwent primary of revision\\u000a THA from 1996–2004 and responded to the follow-up questionnaires. We compared the prevalence of moderate or severe hip pain\\u000a based on arthroplasty

J. A. Singh; S. E. Gabriel; D. Lewallen

49

Prevalence of acute neuropathic pain after cancer surgery: A prospective study  

PubMed Central

Background and Aims: Acute neuropathic pain (ANP) is an under-recognised and under-diagnosed condition and often difficult to treat. If left untreated, it may further transform into persistent post-operative chronic pain leading to a disability. Aims: This prospective study was undertaken on 300 patients to identify the prevalence of ANP in the post-operative period by using a neuropathic pain detection questionnaire tool. Methods: This is an open-label study in which patients with six different types of cancer surgeries (Thoracic, gastro-intestinal, gynae/urology, bone/soft-tissue, head and neck and breast subgroups-50 each) were included for painDETECT questionnaire tool on the 2nd and 7th day surgery. Results: This study found a 10% point prevalence of ANP. Analysis showed that 25 patients had ‘possible’ ANP, the maximum from urological cancer surgery (6) followed by thoracic surgery (5). Five patients were found to have ‘positive’ ANP including 2 groin node dissection, 2 hemipelvectomy and 1 oesophagectomy. Conclusion: Significant relationship between severity of post-operative pain was found with the occurrence of ANP in the post-operative period requiring a special attention to neuropathic pain assessment. Larger studies are required with longer follow-up to identify accurately the true prevalence and causative factors of ANP after surgery. PMID:24700897

Jain, PN; Padole, Durgesh; Bakshi, Sumitra

2014-01-01

50

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

PubMed Central

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

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

1999-01-01

51

Prevalence of and impact of pantoprazole on nocturnal heartburn and associated sleep complaints in patients with erosive esophagitis.  

PubMed

Studies in the United States have revealed that gastroesophageal reflux disease (GERD) patients often suffer from nocturnal symptoms, sleep disturbance, and impaired quality of life. In a large subset of patients, these symptoms persist in spite of acid suppressive therapy. The aim of the present study was to assess the prevalence of heartburn and associated sleep complaints and the response to standard medical therapy with pantoprazole in primary and secondary care esophagitis patients in Belgium. Questionnaires were provided to consecutive patients presenting to primary and secondary care physicians with esophagitis. The questionnaire evaluated the presence of typical reflux symptoms, alarm symptoms, risk factors, and sleep quality impairment as a result of reflux episodes. Results are shown as mean ± standard deviation and compared by Student's t-test or chi-square test. A total of 4061 primary and 5261 secondary care patients (50% female, mean age 53 ± 0.2 years, body mass index of 25.7 ± 0.1?kg/m(2) ) were recruited. Eighty-four percent of patients reported sleep disturbance attributable to nighttime reflux, including typical nighttime supine reflux symptoms (72%), difficulties to fall asleep (39%), waking up during the night (45%), morning fatigue (35%), and reflux symptoms when waking up in the morning (47%). Mild, moderate, or severe nighttime heartburn were reported by, respectively, 30, 35, and 12%, and these numbers were 26, 28, and 6% for nighttime regurgitation. Alcohol (19%), smoking (22%), higher esophagitis grades (grades 2, 3, and 4 in, respectively, 31, 7, and, 7%), alarm symptoms (27%), and more severe heartburn and regurgitation during daytime were all significantly associated with all dimensions of sleep disturbance (P < 0.0001). Obesity was only related to symptoms in supine position and when waking up (P < 0.0001). After 1.4 ± 0.0 months of treatment with pantoprazole, any sleep disturbance had improved in more than 75% of patients, with resolution of nighttime heartburn and regurgitation in, respectively, 75 and 83%. The majority of patients presenting with reflux symptoms and esophagitis in primary or secondary care experience nighttime heartburn and regurgitation, and sleep disturbance by nighttime symptoms is present in 84%. Smoking, alcohol use, higher grades of esophagitis, more severe typical reflux symptoms during daytime, and the presence of alarm symptoms are risk factors for GERD-related sleep disturbance. On standard therapy with pantoprazole, nighttime symptoms improved in more than 75%. These observations support a direct relationship between GERD and sleep disturbance. PMID:21418126

Kindt, S; Imschoot, J; Tack, J

2011-11-01

52

Prevalence and conditions associated with chronic pelvic pain in women from São Luís, Brazil  

PubMed Central

The objective of the present study was to estimate the prevalence of chronic pelvic pain in the community of São Luís, capital of the State of Maranhão, Northeastern Brazil, and to identify independent conditions associated with it. A cross-sectional study was conducted, including a sample of 1470 women older than 14 years predominantly served by the public health system. The interviews were held in the subject's home by trained interviewers not affiliated with the public health services of the municipality. The homes were visited at random according to the city map and the prevalence of the condition was estimated. To identify the associated conditions, the significant variables (P=0.10) were selected and entered in a multivariate analysis model. Data are reported as odds ratio and 95% confidence interval, with the level of significance set at 0.05. The prevalence of chronic pelvic pain was 19.0%. The independent conditions associated with this diagnosis were: dyspareunia (OR=3.94), premenopausal status (OR=2.95), depressive symptoms (OR=2.33), dysmenorrhea (OR=1.77), smoking (OR=1.72), irregular menstrual flow (OR=1.62), and irritative bladder symptoms (OR=1.90). The prevalence of chronic pelvic pain in Sao Luís is high and is associated with the conditions cited above. Guidelines based on prevention and/or early identification of risk factors may reduce the prevalence of chronic pelvic pain in São Luís, Brazil. PMID:25075577

Coelho, L.S.C.; Brito, L.M.O.; Chein, M.B.C.; Mascarenhas, T.S.; Costa, J.P.L.; Nogueira, A.A.; Poli-Neto, O.B.

2014-01-01

53

Prevalence and treatment of cancer pain in Italian oncological wards centres: a cross-sectional survey  

Microsoft Academic Search

Objective  The aim of this national cross-sectional survey was to draw information on pain prevalence and intensity from a large sample\\u000a of patients who were admitted to oncologic centres for different reasons and to evaluate the pain treatment and possible influencing\\u000a factors.\\u000a \\u000a \\u000a \\u000a Materials and methods  A total of 2,655 patients completed the study. Nine hundred and one patients (34%) reported pain.\\u000a \\u000a \\u000a \\u000a Results

Sebastiano Mercadante; Fausto Roila; Oscar Berretto; Roberto Labianca; Stefania Casilini

2008-01-01

54

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

PubMed Central

Background School teachers represent an occupational group among which there appears to be a high prevalence of neck and/or shoulder pain (NSP) and low back pain (LBP). Epidemiological data on NSP and LBP in Chinese teachers are limited. The aim of this study was to investigate the prevalence of and risk factors for NSP and LBP among primary, secondary and high school teachers. Methods In a cross-sectional study of teachers from 7 schools, information on participant demographics, work characteristics, occupational factors and musculoskeletal symptoms and pain were collected. Results Among 893 teachers, the prevalence of NSP and LBP was 48.7% and 45.6% respectively. There was significant association between the level and prevalence of NSP and LBP among teachers in different schools. The prevalence of NSP among female teachers was much higher than that for males. Self-reported NSP was associated with physical exercise (OR 0.55, 95% CI 0.35 to 0.86), prolonged standing (1.74, 1.03 to 2.95), sitting (1.76, 1.23 to 2.52) and static posture (2.25, 1.56 to 3.24), and uncomfortable back support (1.77, 1.23 to 2.55). LBP was more consistently associated with twisting posture (1.93, 1.30 to 2.87), uncomfortable back support (1.62, 1.13 to 2.32) and prolonged sitting (1.42, 1.00 to 2.02) and static posture (1.60, 1.11 to 2.31). Conclusions NSP and LBP are common among teachers. There were strong associations with different individual, ergonomic, and occupational factors. PMID:22978655

2012-01-01

55

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

Microsoft Academic Search

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

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

2004-01-01

56

Low back pain prevalence and associated factors in Iranian population: findings from the national health survey.  

PubMed

Background. There are very few studies that had a sample size sufficient to explore the association between factors related to low back pain in a representative sample of the Iranian population. Objective. To examine the relationship between sociodemographic factors, smoking, obesity, and low back pain in Iranian people. Methods. We used Iranian adults respondents (n = 25307) from the National Health Survey. Adjusted odds ratios and 95% confidence intervals were estimated by using logistic regression. Results. The prevalence of low back pain was found in 29.3% of the studied sample. High age, female sex, being married, obesity, low-economic index, being smoker, in a rural residence, and low educational attainment, all increased the odds of low back pain. Conclusions. Our findings add to the evidence on the importance of obesity in relation to low back pain. These results can be used as a basis to reinforce health programs to prevent obesity. PMID:23024861

Biglarian, Akbar; Seifi, Behjat; Bakhshi, Enayatollah; Mohammad, Kazem; Rahgozar, Mehdi; Karimlou, Masoud; Serahati, Sara

2012-01-01

57

Low Back Pain Prevalence and Associated Factors in Iranian Population: Findings from the National Health Survey  

PubMed Central

Background. There are very few studies that had a sample size sufficient to explore the association between factors related to low back pain in a representative sample of the Iranian population. Objective. To examine the relationship between sociodemographic factors, smoking, obesity, and low back pain in Iranian people. Methods. We used Iranian adults respondents (n = 25307) from the National Health Survey. Adjusted odds ratios and 95% confidence intervals were estimated by using logistic regression. Results. The prevalence of low back pain was found in 29.3% of the studied sample. High age, female sex, being married, obesity, low-economic index, being smoker, in a rural residence, and low educational attainment, all increased the odds of low back pain. Conclusions. Our findings add to the evidence on the importance of obesity in relation to low back pain. These results can be used as a basis to reinforce health programs to prevent obesity. PMID:23024861

Biglarian, Akbar; Seifi, Behjat; Bakhshi, Enayatollah; Mohammad, Kazem; Rahgozar, Mehdi; Karimlou, Masoud; Serahati, Sara

2012-01-01

58

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

Microsoft Academic Search

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

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

1999-01-01

59

Pain. Author manuscript Prevalence of chronic pain with neuropathic characteristics in the general  

E-print Network

problem. MESH Keywords Adolescent ; Adult ; Aged ; Aged, 80 and over ; Chronic Disease ; Comorbidity epidemiological information. Major causes of neuropathic pain include: diabetes, shingles, spinal cord injury proportions of patients with herpes zoster (Jung et ), diabetic polyneuropathy ( ;

Paris-Sud XI, Université de

60

Changing Prevalence of Helicobacter pylori Infections in Korean Children with Recurrent Abdominal Pain  

PubMed Central

Purpose The aim of this study is to investigate the changing prevalence rate of Helicobacter pylori infection in children, of different age groups, with recurrent abdominal pain over a 10-year period. Methods Children with recurrent abdominal pain who visited the pediatric outpatient clinic at university hospital were screened for H. pylori. Children were divided into 3 age categories of 4-5, 6-11, and 12-16 years. To study the changes in the annual prevalence rates of H. pylori infection, the study period was divided into 3 time periods: 2004-2007, 2008-2010, and 2011-2014. Urea breath test was performed for all children aged 4-16 years, with a cut-off value of 4.0‰ for children aged ?6 years and 7‰ for children aged <6 years. Results A total of 2,530 children (1,191 boys) with a mean age of 10.0±3.0 years (range, 4.0-16.9 years) were included in the study. The total prevalence of H. pylori infection was 7.4% (187/2,530). The prevalence rate of H. pylori infection in children with recurrent abdominal pain was 8.0% (70/873) in 2004-2007, 7.7% (51/666) in 2008-2010, and 6.7% (66/991) in the 2011-2014. Nevertheless, a significant difference was observed in the prevalence rate between children <12 years old and ?12 years of age (p=0.018). Conclusion The prevalence of H. pylori infection in Korean children with recurrent abdominal pain was 7.4%, showing no significant decrease in the last 11 years; however, the prevalence rate in children <12 years old was significantly lower than that in those ?12 years old.

Jang, Kyung Mi; Choe, Jae Young; Hong, Suk Jin; Park, Hyo Jung; Chu, Mi Ae; Cho, Seung Man; Kim, Jung Mi

2015-01-01

61

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

PubMed

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

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

2011-07-01

62

Prevalence of Radiographic Osteoarthritis of the Knee and Its Relationship to Self-Reported Pain  

PubMed Central

Background and Aim Osteoarthritis (OA) of the knee is one of the most common skeletal disorders, yet little data are available in Asian populations. We sought to assess the prevalence and pattern of radiographic OA of the knee, and its relationship to self-reported pain in a Vietnamese population. Methods The study was based on a sample of 170 men and 488 women aged ?40 years who were randomly sampled from the Ho Chi Minh City (Vietnam). Radiographs of the knee were graded from 0 to 4 according to the Kellgren and Lawrence scale. Osteoarthritis was defined as being present in a knee if radiographic grades of 2 or higher were detected. Knee pain and symptoms were ascertained by direct interview using a structured questionnaire. Results The point prevalence of radiographic OA of the knee was 34.2%, with women having higher rate than men (35.3% vs 31.2%). The prevalence of knee OA increased with advancing age: 8% among those aged 40–49 years, 30% in those aged 50–59 years, and 61.1% in those aged ?60 years. Greater BMI was associated with higher risk of knee OA. Self-reported knee pain was found in 35% of men and 62% of women. There was a statistically significant association between self-reported knee pain and knee OA (prevalence ratio 3.1; 95% CI 2.0 to 4.6). Conclusions These data indicate that approximately a third of Vietnamese men and women have radiographic OA in the knee, and that self-reported knee pain may be used as an indicator of knee osteoarthritis. PMID:24722559

Ho-Pham, Lan T.; Lai, Thai Q.; Mai, Linh D.; Doan, Minh C.; Pham, Hoa N.; Nguyen, Tuan V.

2014-01-01

63

A cross-sectional survey to investigate the prevalence of pain in Japanese patients with major depressive disorder and schizophrenia.  

PubMed

We conducted a cross-sectional survey to assess the prevalence of physical pain in Japanese major depressive disorder (MDD) and schizophrenia (SZ) patients as well as in healthy controls (HCs). We also examined the association between their psychopathology and characteristics of pain according to a face-to-face survey by an experienced psychiatrist and psychologist. We analyzed 233 HCs, 94 MDD patients, and 75 SZ patients using the McGill Pain Questionnaire (MPQ) and SF-8 (all participants), the Hamilton Depression Rating Scale 21 items (MDD patients), and the Positive and Negative Symptom Scale (SZ patients). Although MDD patients experienced more pain than HCs, there was no difference in the prevalence of pain between SZ patients and HCs. Moreover, HCs with pain did not have higher SF-8 total scores than those without pain, whereas both MDD and SZ patients with pain had higher SF-8 total scores than those without pain. The severity of psychopathology in MDD and SZ patients was also positively associated with both the prevalence of pain and MPQ scores. MPQ scores were also associated with positive symptoms in SZ patients. Considering these results, physicians need to query MDD patients about physical pain during examination if they are to ensure a favorable and quick response to treatment. The severity of positive symptoms (i.e., clinical status) in SZ patients might also be associated with pain sensitivity, and warrants further investigation. PMID:25724075

Kishi, Taro; Matsuda, Yuki; Mukai, Tomohiko; Matsunaga, Shinji; Yasue, Ichiro; Fujita, Kiyoshi; Okochi, Tomo; Hirano, Shigeki; Kajio, Yusuke; Funahashi, Toshihiko; Akamatsu, Kaku; Ino, Kei; Okuda, Momoko; Tabuse, Hideaki; Iwata, Nakao

2015-05-01

64

Prevalence and type of pain during conventional and self-ligating orthodontic treatment.  

PubMed

This study investigated the prevalence and type of pain experienced during orthodontic treatment in 30 subjects (12 males, 18 females, aged 12-18 years) with crowding. Fifteen patients were treated with conventional brackets (Victory Series) and 15 with self-ligating brackets (Damon SL II). The first archwire for all patients was a 0.014 inch nickel-titanium (NiTi) archwire with a force of approximately 100 g. Conventional brackets were ligated with elastomeric modules. A visual analogue scale (VAS) was used daily to assess the intensity of pain; the use of pain medication was also reported in a specially designed daybook for a total period of 3 months. Pearson's chi-square was used to investigate the difference between groups in the frequency of pain experience, its nature, and the use of analgesia. Non-parametric statistics (Mann-Whitney U-test) were computed to compare pain intensity between the groups. To investigate reported pain assessments, Friedman's two-way analysis of variance was used and the differences were estimated using Wilcoxon's signed-rank test. The results showed that pain was reported for a period of 9 days after archwire insertion. Patients treated with self-ligating brackets reported the highest pain intensity on the day following placement of the first archwire (VAS mean = 42.6), while those treated with conventional brackets experienced the greatest pain intensity at placement of the first archwire (VAS mean = 52) and after the second orthodontic appointment (VAS mean = 59.6). Analgesics were used by 16.5 per cent of patients treated with self-ligating brackets and by 10 per cent of those treated with conventional brackets, most often during the first 2 days after archwire placement. Patients treated with conventional brackets reported significantly more 'constant' pain than those treated with self-ligating brackets who complained of 'chewing/biting' pain. Pain appears to be common during orthodontic treatment but perhaps less intense when self-ligating brackets are used, although no difference was observed in the use of analgesics between those treated with self-ligating or conventional brackets. There were no reports of pain after 7-9 days in either group. PMID:19465738

Tecco, Simona; D'Attilio, Michele; Tetè, Stefano; Festa, Felice

2009-08-01

65

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

66

Prevalence and risk factors for low back pain among professional cooks working in school lunch services  

PubMed Central

Background The prevalence of self-reported low back pain among professional cooks was estimated to examine the effects of daily life conditions, job-related factors, and psychological factors on this disorder. Methods Data was collected using a mailed self-administered questionnaire. Results Of 7100 cooks, 5835 (82%) replied to the questionnaire, including 1010 men and 4825 women. The mean age was 41.4 for men and 47.5 for women. The prevalence of low back pain during a 1-month period was 72.2% among men and 74.7% among women, with no significant differences between groups. By logistic regression analyses, factors significantly associated with the prevalence of low back pain in 1 month were female gender (prevalence ratio [PR] 1.32; 95% CI, 1.03–1.68), current smoking (PR 1.57; 95% CI, 1.24–1.98), and past smoking (PR 1.35; 95% CI, 1.01–1.79). As for job-related factors, the number of cooked lunches per person (PR 1.28; 95% CI, 1.05–1.56), breaks in the morning session (PR 1.33; 95% CI, 1.13–1.56), kitchen environment (PR 1.09; 95%, CI, 1.03–1.15), and height of cooking equipment (PR 1.13; 95% CI, 1.08–1.19) were associated with the prevalence of low back pain. As for psychological factors, job satisfaction (PR 1.22; 95% CI, 1.03–1.45), stress at work (PR 1.68; 95% CI, 1.42–1.99), financial constraints (PR 1.23; 95% CI, 1.03–1.47), health-related stress (PR 1.31; 95% CI, 1.08–1.59) and worries about the future (PR 1.24; 95% CI, 1.01–1.52) were similarly associated. Conclusion Daily life conditions, job-related factors, and psychological factors are associated with the occurrence of low back pain. It is important to take comprehensive preventive measures to address a range of work and life conditions that can be improved to decrease the incidence of low back pain for professional cooks. PMID:17650300

Nagasu, Miwako; Sakai, Kazuhiro; Ito, Akiyoshi; Tomita, Shigeru; Temmyo, Yoshiomi; Ueno, Mitsuo; Miyagi, Shigeji

2007-01-01

67

Increased prevalence of low back pain among physiotherapy students compared to medical students  

Microsoft Academic Search

Some studies have demonstrated that physiotherapists have a high prevalence of low back pain (LBP). The association between\\u000a physiotherapy students, who are potentially exposed to the same LBP occupational risks as graduates, and LBP has never been\\u000a demonstrated. The objective of the study is to evaluate the association between undergraduate physiotherapy study and LBP.\\u000a The study design includes a cross-sectional

Asdrubal Falavigna; Alisson Roberto Teles; Thaís Mazzocchin; Gustavo Lisbôa de Braga; Fabrício Diniz Kleber; Felipe Barreto; Juliana Tosetto Santin; Daniel Barazzetti; Lucas Lazzaretti; Bruna Steiner; Natália Laste Beckenkamp

2011-01-01

68

Prevalence and Incidence of Memory Complaints in Employed Compared to Non-Employed Aged 55–64 Years and the Role of Employment Characteristics  

PubMed Central

Objectives To examine the association of employment status and characteristics with prevalent and incident memory complaints (MC) in 55–64-year-olds. Methods Subjects were participants of the Longitudinal Aging Study Amsterdam (LASA). Respondents with baseline data were selected to examine the association of employment status (n = 1525) and employment characteristics (n = 1071) with prevalent MC (i.e., MC at baseline). Respondents without MC at baseline were selected to examine the association of employment (n = 526) and employment characteristics (n = 379; working hours, job prestige, job level, psychological job demands, iso-strain) with incident MC (i.e., no MC at baseline and MC at three-year follow-up). Associations were adjusted for relevant covariates (demographics, memory performance, physical health, mental health, personality traits). Logistic regression was applied. Data were weighed according to gender and age of the Dutch population. Results At baseline 20.5% reported MC. At three-year follow-up, 15.4% had incident MC. No associations were found between employment status and MC. Adjusted analysis revealed that individuals with high occupational cognitive demands were more likely to have prevalent MC. Conclusions Middle-aged workers are equally as likely to experience MC as non-working age-peers. Among workers, those with cognitively demanding work were more likely to experience MC, independent of memory performance. Memory decline due to ageing may be noticed sooner in 55–64-year-olds performing cognitively demanding work. PMID:25742133

2015-01-01

69

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

70

Prevalence of low back pain in adolescent athletes - an epidemiological investigation.  

PubMed

Low back pain (LBP) is a common symptom in the populations of western countries, and adolescent athletes seem to be prone to LBP. The main objective of this study was to analyze the point (LBP within the last 48?h), 1-year (LBP within the last 12 months) and lifetime (LBP within the entire life) prevalence rates of LBP in adolescent athletes participating in various sports. We also assessed the characteristics of LBP and its association with potential risk factors. To this end, 272 competitive adolescent athletes involved in 31 different sports (158 males, 113 females, 15.4 ± 2.0 years, body mass index [BMI] 20.3 ± 2.4?kg/m(2)) were enrolled in a 10-month prospective clinical trial that included a questionnaire and physical examination. We found a point prevalence of 14%, a 1-year prevalence of 57%, and a lifetime prevalence of 66% for LBP. The mean age of first appearance of LBP was 13.1 ± 2.0 years. The lifetime prevalence was significantly higher in volleyball than in biathletes (74.3 vs. 45.7%, p = 0.015). Our findings confirm that LBP is a common symptom in adolescent athletes; LBP prevalence correlates with sports participation and individual competitive level. Adolescent athletes with LBP should receive a thorough diagnostic work-up and adapt training and technique correspondingly when indicated. PMID:24424960

Schmidt, C P; Zwingenberger, S; Walther, A; Reuter, U; Kasten, P; Seifert, J; Günther, K-P; Stiehler, M

2014-07-01

71

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

PubMed Central

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

2011-01-01

72

A longitudinal study of the prevalence and characteristics of pain in the first 5 years following spinal cord injury  

Microsoft Academic Search

A longitudinal cohort study of 100 people with traumatic spinal cord injury (SCI) was performed to determine the prevalence and severity of different types of pain (musculoskeletal, visceral, neuropathic at-level, neuropathic below-level) at 5 years following SCI. Prospective data on the characteristics of pain up to 6 months following injury had been collected previously and allowed comparisons between the presence

Philip J Siddall; Joan M McClelland; Susan B Rutkowski; Michael J Cousins

2003-01-01

73

Prevalence of Baker's cyst in patients with knee pain: an ultrasonographic study.  

PubMed

The objectives of this study are to investigate the prevalence of Baker's cyst (BC) in patients with knee pain, and to assess the correlation between BC and severity of osteophytes and joint effusion. A retrospective study was conducted on a group of patients with knee pain referred to our outpatient clinic for ultrasonography of the knee between January 2010 and February 2011. Patients underwent an ultrasonographic exam of the knees to assess the presence of marginal femorotibial osteophytosis, joint effusion and BC. A dichotomous score was assigned to each item (1 present, 0 absent) and severity of US signs of osteoarthritis and joint effusion were also graded semiquantitatively. Collected data were processed using logistic regression analysis to evaluate the correlation between degree of osteophytosis and joint effusion and BC. Patients affected by inflammatory joint conditions or with history of joint surgery or recent trauma were excluded. A total of 399 patients with knee pain were studied (299 women), in the age range 18-89 years (mean 56.2, SD 16.3 years). 293 patients (73.4%) showed sonographic features of osteoarthritis and 251 (62.9%) joint effusion. BC was found in 102 patients (25.8%) together with a positive association with sonographic features of osteoarthritis and joint effusion. Our data show a prevalence of BC of 25.8% in a population of patients with knee pain, and suggest that BC is positively related to osteoarthritis and joint effusion. Ultrasonographic examination of knee is worthwhile in patients with painful osteoarthritis or evidence of effusion. PMID:24705029

Picerno, V; Filippou, G; Bertoldi, I; Adinolfi, A; Di Sabatino, V; Galeazzi, M; Frediani, B

2013-01-01

74

WOMEN AT WORK DESPITE ILL HEALTH: DIAGNOSES AND PAIN BEFORE AND AFTER PERSONNEL SUPPORT A prospective study of hospital cleaners\\/home-help personnel with comparison groups  

Microsoft Academic Search

The present study sought to elicit the diagnoses behind the pain conditions causing complaints by female hospital cleaners and home-help personnel who were working despite their symptoms. We also wished to describe the prevalence of musculoskeletal diagnoses and the intensity, frequency and location of pain, and changes in the clinical picture and pain after personnel supporting interventions. A prospective study

B. J. Landstad; K. SchuÈ ldt; J. Ekholm; L. Broman; A. Bergroth

75

National Breakthrough Pain Study: prevalence, characteristics, and associations with health outcomes.  

PubMed

The National Breakthrough Pain Study is a large observational study that assessed breakthrough pain (BTP) in a population of commercially insured community-dwelling patients with opioid-treated chronic pain. Eligible patients were identified from an administrative claims database, and consenting patients were asked to complete a structured telephone interview and several validated questionnaires. Questionnaires assessed pain interference with function (Brief Pain Inventory-Short Form), health status (Short Form 12 [SF-12] Health Survey), disability (Sheehan Disability Scale), work performance (World Health Organization Health and Work Performance Questionnaire), and mood (Generalized Anxiety Disorder-7 Screener [GAD-7] and Patient Health Questionnaire-2 [PHQ-2]). Of 2198 patients interviewed, 1278 patients had persistent pain controlled with opioid therapy; 1023 (80%) of these patients reported BTP. Patients had a median of 2.0 episodes of BTP per day (range, 1-50) and a median duration of BTP of 45 minutes (range, 1-720). Compared with patients without BTP, patients with BTP had more pain-related interference in function (Brief Pain Inventory, mean ± SD: 34.2 ± 15.6 vs 25.0 ± 15.7 [P < 0.001]), worse physical health (SF-12 physical component score: 29.9 ± 9.6 vs 35.1 ± 10.4 [P < 0.001]) and mental health (SF-12 mental component score: 47.4 ± 11.3 vs 49.3 ± 10.4 [P < 0.001]), more disability (Sheehan Disability Scale global impairment score: 15.1 ± 9.1 vs 10.6 ± 8.5; World Health Organization Health and Work Performance Questionnaire absolute absenteeism: 12.4 ± 59.9 vs 7.7 ± 44.9 hours [both P < 0.001]), and worse mood (GAD-7 score: 7.4 ± 5.9 vs 5.9 ± 5.4; PHQ-2 anhedonia score: 1.2 ± 1.1 vs 0.9 ± 1.0 [both P < 0.001]). In this population of community-dwelling patients with opioid-treated chronic pain, BTP was highly prevalent and associated with negative outcomes. This burden of illness suggests the need for specific treatment plans. PMID:25599446

Narayana, Arvind; Katz, Nathaniel; Shillington, Alicia C; Stephenson, Judith J; Harshaw, Qing; Frye, Carla B; Portenoy, Russell K

2015-02-01

76

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

Microsoft Academic Search

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

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

2011-01-01

77

Radiating low back pain in general practice: Incidence, prevalence, diagnosis, and long-term clinical course of illness  

PubMed Central

Abstract Objective. The aim of this study was to calculate the incidence and prevalence of radiating low back pain, to explore the long-term clinical course of radiating low back pain including the influence of radiculopathy (in a subsample of the study population) and non-radiating low back pain thereon, and to describe general practitioners’ (GPs’) treatment strategies for radiating low back pain. Design. A historic prospective cohort study. Setting. Dutch general practice. Subjects. Patients over 18 years of age with a first episode of radiating low back pain, registered by the ICPC code L86. Main outcome measures. Incidence and prevalence, clinical course of illness, initial diagnoses established by the GPs, and treatment strategies. Results. Mean incidence was 9.4 and mean prevalence was 17.2 per 1000 person years. In total, 390 patients had 1193 contacts with their GPs; 50% had only one contact with their GP. Consultation rates were higher in patients with a history of non-radiating low back pain and in patients with a diagnosis of radiculopathy in the first five years. In this study's subsample of 103 patients, L86 episodes represented radiculopathy in 50% of cases. Medication was prescribed to 64% of patients, mostly NSAIDs. Some 53% of patients were referred, mainly to physiotherapists and neurologists; 9% of patients underwent surgery. Conclusion. Watchful waiting seems to be sufficient general practice care in most cases of radiating low back pain. Further research should be focused on clarifying the relationship between radicular radiating low back pain, non-radicular radiating low back pain, and non-radiating low back pain. PMID:25693788

Groenhof, Feikje; Winters, Jan C.; van Wijhe, Marten; Groenier, Klaas H.; van der Meer, Klaas

2015-01-01

78

Prevalence of persistent neck and upper limb pain in a historical cohort of sewing machine operators.  

PubMed

Four hundred and twenty-four sewing machine operators from a historical cohort of garment industry workers answered questionnaires concerning musculoskeletal symptoms and job exposure. They were compared with 781 women from the general population of the region and an internal control group of 89 women from the garment industry. The risk for persistent neck and shoulder complaints increased with years of being a sewing machine operator: (up to seven years, eight to fifteen years, and more than fifteen years: prevalence proportion ratio 1.8, 3.5 and 4.4 [neck] and 1.5, 4 and 6.8 [shoulder] compared with the controls [n = 781]). The exposure-response relationships remained when adjusted for potential confounders, of which age, current shoulder-neck exposure, and child bearing were the most contributing. The study revealed that work for more than eight years as a sewing machine operator probably has a cumulative deleterious effect on the neck and shoulders. PMID:8311098

Andersen, J H; Gaardboe, O

1993-12-01

79

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

Microsoft Academic Search

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

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

2006-01-01

80

Factors associated with temporomandibular disorders pain in adolescents.  

PubMed

To gain a better understanding of temporomandibular disorders (TMD) pain in adolescents, it is important to study the factors associated with its presence. Therefore, the aim of this study was to investigate potential predictors for TMD pain in adolescents, thereby including a diversity of factors from the biopsychosocial model to determine the strongest predictors. The sample of this cross-sectional study consisted of 1094 adolescents. The presence of TMD pain was assessed using the RDC/TMD, Axis I. Apart from demographical characteristics, the roles of parafunctional habits, psychosocial aspects, menarche and other bodily pain complaints were evaluated. Single and multiple logistic regression models were used to identify associations between the predictor variables and TMD pain. Painful TMD had a prevalence of 25·5%. Logistic regression analyses showed that TMD pain was associated with sleep bruxism (OR = 1·8 95% CI = 1·34-2·34), awake bruxism (OR = 2·1 95% CI = 1·56-2·83), other parafunctional habits (OR = 2·2 95% CI = 1·17-4·08) and bodily pain complaints (OR = 5·0 95% CI = 3·48-7·28). Parafunctional habits and other bodily pain complaints may play an important role in the presence of TMD pain in adolescents. Of course, it remains unclear whether the observed associations between the investigated factors and the adolescent's TMD pain have a true causal linkage. PMID:25244610

Fernandes, G; van Selms, M K A; Gonçalves, D A G; Lobbezoo, F; Camparis, C M

2015-02-01

81

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

82

The Prevalence of Autoantibodies in Complex Regional Pain Syndrome Type I  

PubMed Central

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

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

2015-01-01

83

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

PubMed

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

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

2015-01-01

84

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

Microsoft Academic Search

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

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

2001-01-01

85

High prevalence of abdominal aortic aneurysm in patients with chronic low back pain.  

PubMed

Low back pain (LBP) is one of the most common symptoms in outpatient clinics, and abdominal aortic aneurysm (AAA) is one of the causes of LBP. In the present study, we examined the prevalence of chronic LBP in patients with aortic aneurysm. The study included 23 patients with AAA and 23 patients with thoracic aortic aneurysm (TAA); all of them visited a regional center hospital in Akita, Japan. A total of 207 hypertension patients were also enrolled as a control. Chronic LBP was defined in patients who visited the orthopedic outpatient clinic for the LBP treatment for more than three months. The prevalence of chronic LBP in the AAA group (52.2%) was significantly higher than that in the TAA (17.4%, P < 0.05) or hypertension patients (11.6%, P < 0.01). The rate of a trigger point (TP) injection was significantly higher in the AAA group or the TAA group than that in hypertension patients (P < 0.01, P < 0.05), but there was no significant difference between the AAA and TAA groups. The TP injection represents an injection of local anesthesia to the low back muscles. We also evaluated the involvement of various factors in LBP caused by AAA, such as age, gender, blood pressure, the existence of dissection, and the maximum diameter of AAA, but none of them showed significant relationship to LBP. The prevalence of LBP is high in AAA patients, and doctors who treat chronic LBP should be aware of AAA as a potential cause of LBP. PMID:23759898

Tsuchie, Hiroyuki; Miyakoshi, Naohisa; Kasukawa, Yuji; Nishi, Tomio; Abe, Hidekazu; Takeshima, Masaaki; Shimada, Yoichi

2013-01-01

86

Ethnic differences in pain and pain management  

PubMed Central

SUMMARY 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

2012-01-01

87

Pain morbidity in primary care - preliminary observations from two different primary care settings.  

PubMed

The prevalence of pain complaints as a reason for patient-doctor encounters in the local primary care setting is unknown. We performed a cross-sectional survey of such encounters in one public primary care clinic (KK) and 17 general practice clinics (GP), from the city of Seremban, Negeri Sembilan, Malaysia. Reasons for visits were recorded by doctors in KK and medical students in GP using a structured questionnaire. Morbidity data was coded using the International Classification of Primary Care (ICPC-2). A total of 2234 encounters were recorded (80.9% from KK, 19.1% from GP). The overall prevalence of pain complaints was 31.9% with a significant difference between the two cohorts (KK 28.7% and GP 45.2%, p<0.001). Musculoskeletal pain complaints were more common in KK than GP (40.9% versus 29.7%, p<0.05). Of the 3 main ethnic groups in Malaysia (Malay, Chinese and Indian) the Indian patients at KK had the highest prevalence of pain complaints and the Chinese at the GP had the lowest. Thus pain was a common complaint in the two different primary care settings studied. Some of the differences observed are probably due to the differences in the healthcare seeking behaviour of patients consulting at these two settings as well as differences in the payment systems. PMID:16898306

Zailinawati, A H; Teng, C L; Kamil, M A; Achike, F I; Koh, C N

2006-06-01

88

Musculoskeletal pain in Arctic indigenous and non-indigenous adolescents, prevalence and associations with psychosocial factors: a population-based study  

PubMed Central

Background Pain is common in otherwise healthy adolescents. In recent years widespread musculoskeletal pain, in contrast to single site pain, and associating factors has been emphasized. Musculoskeletal pain has not been examined in Arctic indigenous adolescents. The aim of this study was to explore the prevalence of widespread musculoskeletal pain and its association with psychosocial factors, with emphasis on gender- and ethnic differences (Sami vs. non-Sami), and the influence of pain related functional impairment. Methods This is a cross-sectional study based on The Norwegian Arctic Adolescent Health Study; a school-based survey responded by 4,881 10th grade students (RR: 83%) in North Norway, in 2003–2005. 10% were indigenous Sami. Musculoskeletal pain was based on reported pain in the head, shoulder/neck, back and/or arm/knee/leg, measured by the number of pain sites. Linear multiple regression was used for the multivariable analyses. Results The prevalence of musculoskeletal pain was high, and significantly higher in females. In total, 22.4% reported 3–4 pain sites. We found a strong association between musculoskeletal pain sites and psychosocial problems, with a higher explained variance in those reporting pain related functional impairment and in females. There were no major differences in the prevalence of musculoskeletal pain in Sami and non-Sami, however the associating factors differed somewhat between the indigenous and non-indigenous group. The final multivariable model, for the total sample, explained 21.2% of the variance of musculoskeletal pain. Anxiety/depression symptoms was the dominant factor associated with musculoskeletal pain followed by negative life events and school-related stress. Conclusions Anxiety/depression, negative life events, and school-related stress were the most important factors associated with musculoskeletal pain, especially in those reporting pain related functional impairment. The most important sociocultural aspect is the finding that the indigenous Sami are not worse off. PMID:24939210

2014-01-01

89

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

PubMed Central

INTRODUCTION: Chronic pelvic pain is a disease that directly affects the social and professional lives of women. OBJECTIVE: To estimate the prevalence of this clinical condition and to identify independent factors associated with it in women living in Ribeirão Preto, Brazil. METHODS: A one-year cross-sectional study was conducted in a population sample of 1,278 women over the age of 14 years. The target population was predominantly composed of women who are treated by the public health system. The questionnaire was administered by interviewers who were not linked to the city health care programs. The prevalence of the morbidity was estimated. First, we identified the significant variables associated with pelvic pain (p<0.10) and then we attributed values of 0 or 1 to the absence or presence of these variables. Logistic regression analysis was used to identify and estimate the simultaneous impact of the independent variables. The results were expressed by odds ratio and their 95% confidence interval with p<0.05. RESULTS: The disease was found in 11.5% (147/1,278) of the sample. The independent predictors were dyspareunia, previous abdominal surgery, depression, dysmenorrhea, anxiety, current sexual activity, low back pain, constipation, urinary symptoms, and low educational level. CONCLUSION: The prevalence of chronic pelvic pain in Ribeirão Preto is high and is associated with conditions that can usually be prevented, controlled, or resolved by improvement of public health policies and public education. PMID:21915476

de Oliveira Gonçalves da Silva, Gabriela Pagano; do Nascimento, Anderson Luís; Michelazzo, Daniela; Junior, Fernando Filardi Alves; Rocha, Marcelo Gondim; Rosa-e-Silva, Júlio César; Candido-dos-Reis, Francisco José; Nogueira, Antonio Alberto; Poli-Neto, Omero Benedicto

2011-01-01

90

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

PubMed Central

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

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

2015-01-01

91

Pain  

MedlinePLUS

... Active Medical Research Studies on Pain (ClinicalTrials.gov) Multimedia NCCAM Intramural Pain Research Program Safety Information Remoufan ... News Press Releases Alerts & Advisories Events Highlighted Information Multimedia (Video, Images, and Audio) NCCIH Clinical Digest A ...

92

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

93

Prevalence of lower urinary tract symptoms and level of quality of life in men and women with chronic pelvic pain.  

PubMed

Abstract Objectives. The aim of this study was to evaluate the prevalence of lower urinary tract symptoms and quality of life in patients with chronic pelvic pain syndrome (CPPS). Materials and methods. The McGill Pain Questionnaire, Dutch Leiden/Leuven Version (MPQ-DLV), Pain Disability Index (PDI), National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI), Interstitial Cystitis Symptom Index (ICSI) and Pelvic Pain and Urinary/Frequency Symptom Scale (PUF) were used, based on their specific properties, to assess the symptoms and impact on the quality of life. Total scores and domains were compared for gender. Results. The studied group (N = 35; 18 male, 17 female) showed a good distribution in gender for age [Mann-Whitney U test (MW-U) p = 0.4] and body mass index (MW-U p = 0.2). The MPQ-DLV showed significantly higher scores for pain in women for Pain Rating Index - Affective (MW-U p = 0.030) and Total (MW-U p = 0.031), and Visual Analogue Scale for Pain - Most (MW-U p = 0.005). Women were less sexually active (PUF-SA) (chi-squared test p = 0.021) and had a significantly higher disability (PDI-T) (MW-U p = 0.005) and MPQ - Quality of Life (MW-U p = 0.003). The urinary symptoms showed similar results for gender (chi-squared test p > 0.05). Conclusions. A wide variety of symptoms and a negative impact on quality of life were shown. No differences in lower urinary tract symptoms were found between genders. Women were less sexually active than men. Chronic pelvic pain had a significantly higher negative impact on the level of quality of life in women than in men. PMID:25438989

Quaghebeur, Jörgen; Wyndaele, Jean-Jacques

2014-12-01

94

Prevalence and intensity of chronic pain and self-perceived health among elderly people: a population-based study1  

PubMed Central

OBJECTIVE: to identify the prevalence and intensity of chronic pain among elderly people of the community and to analyze associations with the self-perceived health status. METHOD: cross-sectional study with a populational sample (n=934), conducted through household interviews in the city of Goiânia, Brazil. The intensity of chronic pain (existing for 6 months or more) was measured using a numerical scale (0-10) and the self-perceived health through a verbal scale (very good, good, fair, poor, very poor). For the statistical analysis, the absolute frequency and percentage, CI (95%), Chi-square test, Odds ratio, and regression analysis were used. Significance of 5%. RESULTS: The prevalence of chronic pain was 52.8% [CI (95%):49.4-56.1]; most frequently located in the lower limbs (34.5%) and lumbar region (29.5%); with high or the worst possible intensity for 54.6% of the elderly people. The occurrence of chronic pain was associated with (p<0.0001) a worse self-perception of health (OR=4.2:2.5-7.0), a greater number of chronic diseases (OR=1.8:1.2-2.7), joint disease (OR=3.5:2.4-5.1) and the female gender (OR=2.3:1.7-3.0). A lower intensity of chronic pain was associated with a better self-perception of health (p<0.0001). CONCLUSION: the majority of the elderly people of the community reported chronic pain, of a severe intensity, and located in areas related to movement activities, thus influencing the morbidity and mortality of this population. PMID:25296151

Pereira, Lilian Varanda; de Vasconcelos, Patrícia Pereira; Souza, Layz Alves Ferreira; Pereira, Gilberto de Araújo; Nakatani, Adélia Yaeko Kyosen; Bachion, Maria Márcia

2014-01-01

95

Lower Urinary Tract Pain and Anterior Urethral Stricture Disease: Prevalence and Effects of Urethral Reconstruction  

PubMed Central

Purpose Anterior urethral stricture disease most commonly presents as urinary obstruction. Lower urinary tract pain is not commonly reported as a presenting symptom. We prospectively characterized lower urinary tract pain in association with urethral stricture disease and assessed the effects of urethroplasty on this pain. Materials and Methods Men (18 years old or older) with anterior urethral stricture disease were prospectively enrolled in a longitudinal, multi-institutional, urethral reconstruction outcomes study from June 2010 to January 2013 as part of TURNS (Trauma and Urologic Reconstruction Network of Surgeons). Preoperative and postoperative lower urinary tract pain was assessed by the validated CLSS. Voiding and sexual function was assessed using validated patient-reported measures, including I-PSS. Results Preoperatively 118 of 167 men (71%) reported urethral pain and 68 (41%) reported bladder pain. Age was the only predictor of urethral pain with men 40 years or younger reporting more pain than those 60 years old or older (81% vs 58%, p = 0.0104). Lower urinary tract pain was associated with worse quality of life and overall voiding symptoms on CLSS and I-PSS (each p <0.01). Postoperatively lower urinary tract pain completely resolved in 64% of men with urethral pain and in 73.5% with bladder pain. There were no predictive factors for changes in lower urinary tract pain after urethral reconstruction. Conclusions Lower urinary tract pain is common in urethral stricture disease, especially in younger men. It is associated with worse quality of life and voiding function. In most men lower urinary tract pain resolves after urethral reconstruction. PMID:25046621

Bertrand, Laura A.; Warren, Gareth J.; Voelzke, Bryan B.; Elliott, Sean P.; Myers, Jeremy B.; McClung, Christopher D.; Oleson, Jacob J.; Erickson, Bradley A.

2015-01-01

96

High prevalence of daily and multi-site pain – a cross-sectional population-based study among 3000 Danish adolescents  

PubMed Central

Background Daily pain and multi-site pain are both associated with reduction in work ability and health-related quality of life (HRQoL) among adults. However, no population-based studies have yet investigated the prevalence of daily and multi-site pain among adolescents and how these are associated with respondent characteristics. The purpose of this study was to investigate the prevalence of self-reported daily and multi-site pain among adolescents aged 12–19 years and associations of almost daily pain and multi-site pain with respondent characteristics (sex, age, body mass index, HRQoL and sports participation). Methods A population-based cross-sectional study was conducted among 4,007 adolescents aged 12–19 years in Denmark. Adolescents answered an online questionnaire during physical education lessons. The questionnaire contained a mannequin divided into 12 regions on which the respondents indicated their current pain sites and pain frequency (rarely, monthly, weekly, more than once per week, almost daily pain), characteristics, sports participation and HRQoL measured by the EuroQoL 5D. Multivariate regression was used to calculate the odds ratio for the association between almost daily pain, multi-site pain and respondent characteristics. Results The response rate was 73.7%. A total of 2,953 adolescents (62% females) answered the questionnaire. 33.3% reported multi-site pain (pain in >1 region) while 19.8% reported almost daily pain. 61% reported current pain in at least one region with knee and back pain being the most common sites. Female sex (OR: 1.35-1.44) and a high level of sports participation (OR: 1.51-2.09) were associated with increased odds of having almost daily pain and multi-site pain. Better EQ-5D score was associated with decreased odds of having almost daily pain or multi-site pain (OR: 0.92-0.94). Conclusion In this population-based cohort of school-attending Danish adolescents, nearly two out of three reported current pain and, on average, one out of three reported pain in more than one body region. Female sex, and high level of sports participation were associated with increased odds of having almost daily pain and multi-site pain. The study highlights an important health issue that calls for investigations to improve our understanding of adolescent pain and our capacity to prevent and treat this condition. PMID:24252440

2013-01-01

97

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

PubMed Central

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

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

2009-01-01

98

Prevalence and Impact of Pain among Older Adults in the United States: Findings from the 2011 National Health and Aging Trends Study  

PubMed Central

The study sought to determine the prevalence and impact of pain in a nationally representative sample of older adults in the United States (US). Data from the 2011 National Health and Aging Trends Study were analyzed. In-person interviews were conducted in 7,601 adults ages ?65 years. The response rate was 71.0% and all analyses were weighted to account for the sampling design. The overall prevalence of bothersome pain in the last month was 52.9%, afflicting 18.7 million older adults in the US. Pain did not vary across age groups (P=0.21) and this pattern remained unchanged when accounting for cognitive performance, dementia, proxy-responses, and residential care living status. Pain prevalence was higher in women and in older adults with obesity, musculoskeletal conditions, and depressive symptoms (P<0.001). The majority (74.9%) of older adults with pain endorsed multiple sites of pain. Several measures of physical capacity, including grip strength and lower extremity physical performance, were associated with pain and multisite pain. For example, self-reported inability to walk 3 blocks was 72% higher in participants with than without pain [adjusted Prevalence Ratio=1.72 (95% Confidence Interval: 1.56–1.90)]. Participants with 1, 2, 3, and >4 sites of pain had gait speeds that were 0.01, 0.03, 0.05, and 0.08 meters per second slower, respectively, than older adults without pain, adjusting for disease burden and other confounders (P<0.001). In summary, bothersome pain in the last month was reported by half of the older adult population of the US in 2011 and was strongly associated with decreased physical function. PMID:24287107

Patel, Kushang V.; Guralnik, Jack M.; Dansie, Elizabeth J.; Turk, Dennis C.

2013-01-01

99

Pain  

MedlinePLUS

... women. For instance, after puberty, when sex hormone levels rise, girls start to have more migraines than boys. But other painful conditions, such as joint pain, don’t become more common in women until after menopause, when sex hormone levels drop. It’s not clear yet which hormones affect ...

100

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

PubMed

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

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

2013-01-01

101

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

PubMed Central

Objectives: To assess the prevalence of inflammation in subjects with chronic painful knee osteoarthritis (OA), as determined by the presence of synovitis or joint effusion at ultrasonography (US); and to evaluate the correlation between synovitis, effusion, and clinical parameters. Methods: A cross sectional, multicentre, European study was conducted under the umbrella of EULAR-ESCISIT. Subjects had primary chronic knee OA (ACR criteria) with pain during physical activity ?30 mm for at least 48 hours. Clinical parameters were collected by a rheumatologist and an US examination of the painful knee was performed by a radiologist or rheumatologist within 72 hours of the clinical examination. Ultrasonographic synovitis was defined as synovial thickness ?4 mm and diffuse or nodular appearance, and a joint effusion was defined as effusion depth ?4 mm. Results: 600 patients with painful knee OA were analysed. At US 16 (2.7%) had synovitis alone, 85 (14.2%) had both synovitis and effusion, 177 (29.5%) had joint effusion alone, and 322 (53.7%) had no inflammation according to the definitions employed. Multivariate analysis showed that inflammation seen by US correlated statistically with advanced radiographic disease (Kellgren-Lawrence grade ?3; odds ratio (OR) = 2.20 and 1.91 for synovitis and joint effusion, respectively), and with clinical signs and symptoms suggestive of an inflammatory "flare", such as joint effusion on clinical examination (OR = 1.97 and 2.70 for synovitis and joint effusion, respectively) or sudden aggravation of knee pain (OR = 1.77 for joint effusion). Conclusion: US can detect synovial inflammation and effusion in painful knee OA, which correlate significantly with knee synovitis, effusion, and clinical parameters suggestive of an inflammatory "flare". PMID:15878903

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

2005-01-01

102

Prevalence and Prognostic Significance of Long QT Interval among Patients with Chest Pain: Selecting an Optimum QT Rate Correction Formula  

PubMed Central

Background Little is known about the prevalence and prognostic significance of long QT interval among patients with chest pain during the acute phase of suspected cardiovascular injury. Objectives Our aim was to investigate the prevalence and prognostic significance of long QT interval among patients presenting to the emergency department (ED) with chest pain using an optimum QT rate correction formula. Methods We performed secondary analysis on data obtained from the IMMEDIATE AIM trial (N, 145). Data included 24-hour 12-lead Holter electrocardiographic recordings that were stored for offline computer analysis. The QT interval was measured automatically and rate corrected using seven QTc formulas including subject specific correction. The formula with the closer to zero absolute mean QTc/RR correlation was considered the most accurate. Results Linear and logarithmic subject specific QT rate correction outperformed other QTc formulas and resulted in the closest to zero absolute mean QTc/RR correlations (mean ± SD; 0.003 ± 0.002; 0.017 ± 0.016; respectively). These two formulas produced adequate correction in 100% of study participants. Other formulas (Bazett’s, Fridericia’s, Framingham, and Study specific) resulted in inadequate correction in 47.6 to 95.2% of study participants. Using the optimum QTc formula, linear subject specific, the prevalence of long QTc interval was 14.5%. The QTc interval did not predict mortality or hospital admission at short and long term follow-up. Only the QT/RR slope predicted mortality at 7 year follow-up (odds ratio, 2.01; 95% CI, 1.02 to 3.96; p < 0.05). Conclusions Adequate QT rate correction can only be performed using subject specific correction. Long QT interval is not uncommon among patients presenting to the ED with chest pain. PMID:23597403

Hasanien, Amer A.; Drew, Barbara J.; Howie-Esquivel, Jill; Fung, Gordon; Harris, Patricia

2013-01-01

103

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

104

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

PubMed Central

AIM: To examine the frequency and prevention of musculoskeletal pain in Japanese gastrointestinal endoscopists and non-endoscopist physicians. METHODS: Questionnaires were sent to 275 endoscopists and 173 non-endoscopists working in Hiroshima University Hospital and its affiliated hospitals. RESULTS: The completed questionnaires were returned by 190 (69%) endoscopists and 120 (69%) non-endoscopists. The frequency of pain in the hand and wrist, and especially the left thumb, was significantly higher in endoscopists than in non-endoscopists (17% vs 6%, P = 0.004). Using multivariate analysis, the only significant factor associated with this pain was the age of the endoscopist (odds ratio 2.77, 95% confidence interval, 1.23-6.71, P = 0.018). Interestingly, endoscopists had made significantly fewer modifications to their endoscopic practices than non-endoscopists (12% vs 33%, P < 0.0001) to prevent pain. CONCLUSION: Pain in the hand and wrist may be endoscopy-related. However, endoscopists made little modifications in practice to prevent such pain. More attention to prevention appears necessary. PMID:21472109

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

2011-01-01

105

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

106

Back pain among health care workers in a Saudi Aramco facility: prevalence and associated factors.  

PubMed

The objective of this study was to identify risk factors for back pain among health care workers of Saudi Aramco. A validated questionnaire was used to collect information on back pain in the last 12 months as well as relevant risk factors among health care workers at a single Saudi Aramco health care facility. Completed responses were received from 964 of 3,295 workers. Three significant predictors for the presence of back pain were identified: female gender (odds ratio [OR] = 1.9, 95% confidence interval [CI] = 1.3-2.7), Saudi nationality (OR = 2.3, 95% CI = 1.4-3.9), and working as a surgeon (OR = 5.4, 95% CI = 1.4-21.5). Educational level was of borderline significance (OR = 1.6, 95% CI = 0.98-2.7). An interaction between gender and race was identified, with Saudi females being at particularly high risk of reporting back pain (OR = 3.9, 95% CI = 1.8-8.5). Gender, occupation, and nationality were identified as risk factors for back pain, and a particularly high risk was seen among female Saudis health care workers in Saudi Aramco. Nationality may be important because of cultural difference between groups, but also because of differences in benefits available. PMID:23298422

Behisi, Marwan Ahmed; Al-Otaibi, Sultan Thoail; Beach, Jeremy

2013-01-01

107

Prevalence and risk factors of low back pain among undergraduate students of a sports and physical education institute in Tunisia.  

PubMed

Introduction : For obvious reasons, athletes are at greater risk of sustaining a lumber (lower) spine injury due to physical activity. To our knowledge, no previous studies have examined the prevalence of low back pain (LBP) in a Tunisian sports and physical education institute. Aim : To assess the prevalence of LBP in different sports among students studying in a sports and physical education institute in Tunisia, to determine the causes of the injuries, and to propose solutions. Methods : A total of 3,379 boys and 2,579 girls were studied. A retrospective cross-sectional survey was conducted on a group of students aged 18.5-24.5 years at the Higher Institute of Sport and Physical Education of Sfax to estimate the prevalence of LBP and its relation to the type of sports. Data on age, weight, height, smoking, and the sport in which the student was injured in the low back were collected from the institute health service records from 2005 until 2013. Results : LBP was reported by 879 of the 5,958 study participants (14.8%). The prevalence of LBP was significantly higher (p<0.001) in females (17.6%) than in males (12.5%). LBP prevalence did not differ by body mass index or smoking habit (p>0.05). The sports associated with the higher rates of LBP were gymnastics, judo, handball, and volleyball, followed by basketball and athletics. Conclusion : LBP is frequent among undergraduate students of a sports and physical education institute in Tunisia. It is strongly associated with fatigue after the long periods of training in different sports. Gymnastics, judo, handball, and volleyball were identified as high-risk sports for causing LBP. PMID:25758252

Triki, Moez; Koubaa, Abdessalem; Masmoudi, Liwa; Fellmann, Nicole; Tabka, Zouhair

2015-01-01

108

Prevalence and risk factors of low back pain among undergraduate students of a sports and physical education institute in Tunisia  

PubMed Central

Introduction For obvious reasons, athletes are at greater risk of sustaining a lumber (lower) spine injury due to physical activity. To our knowledge, no previous studies have examined the prevalence of low back pain (LBP) in a Tunisian sports and physical education institute. Aim To assess the prevalence of LBP in different sports among students studying in a sports and physical education institute in Tunisia, to determine the causes of the injuries, and to propose solutions. Methods A total of 3,379 boys and 2,579 girls were studied. A retrospective cross-sectional survey was conducted on a group of students aged 18.5–24.5 years at the Higher Institute of Sport and Physical Education of Sfax to estimate the prevalence of LBP and its relation to the type of sports. Data on age, weight, height, smoking, and the sport in which the student was injured in the low back were collected from the institute health service records from 2005 until 2013. Results LBP was reported by 879 of the 5,958 study participants (14.8%). The prevalence of LBP was significantly higher (p<0.001) in females (17.6%) than in males (12.5%). LBP prevalence did not differ by body mass index or smoking habit (p>0.05). The sports associated with the higher rates of LBP were gymnastics, judo, handball, and volleyball, followed by basketball and athletics. Conclusion LBP is frequent among undergraduate students of a sports and physical education institute in Tunisia. It is strongly associated with fatigue after the long periods of training in different sports. Gymnastics, judo, handball, and volleyball were identified as high-risk sports for causing LBP. PMID:25758252

Triki, Moez; Koubaa, Abdessalem; Masmoudi, Liwa; Fellmann, Nicole; Tabka, Zouhair

2015-01-01

109

Experimental approaches in the study of pain in the elderly.  

PubMed

The present review summarizes experimental data on age-related changes in pain processing. These data suggest an increase in pain threshold and a decrease in tolerance threshold, which both are dependent on the physical nature of the stressor, as well as a developing deficiency in endogenous pain inhibition, which might be paralleled by an enhanced disposition to central sensitization (stronger temporal summation). These findings are arranged in a model that allows for explaining the two seemingly divergent perspectives: age both dulls the pain sense and increases the prevalence of pain complaints. This model is based on the assumption that both excitatory and inhibitory processes are dampened with age but that the later processes age at a faster rate, leading to increasingly unbalanced pain excitation. PMID:22497747

Lautenbacher, Stefan

2012-04-01

110

Prevalence of Low Back Pain Among Nurses: Predisposing Factors and Role of Work Place Violence  

PubMed Central

Background: Ergonomic factors predispose nurses to low back pain (LBP). Few studies have clarified the role of workplace violence in LBP occurrence. Objectives: The present study was designed to investigate acute and chronic LBP in Iranian nurses and its association with exposure to physical violence as well as its personal and ergonomic risk factors. Materials and Methods: In this analytic cross sectional study, the rate of acute and chronic LBP and contributing factors were investigated among 1246 nurses using a validated questionnaire. Statistical analysis was performed by chi square, student t-test, and logistic regression, to determine the association between independent variables and LBP. Results: In total, 1246 nurses, consisting of 576 (46.23%) males and 670 (53.77%) females, were included. The mean age and the mean years of employment were 31.23 ± 5.33 and 16.18 ± 7.05, respectively. Both acute low back pain (ALBP) and chronic low back pain (CLBP) were associated with physical violence experience. Moreover, acute and chronic LBP were predicted by positive past history of LBP as well as two ergonomic factors, frequent bending and frequent carrying of patients. Conclusions: Besides a history of low back pain and ergonomic factors, physical violence may be considered a contributing factor for acute low back injuries. Special attention to all personal, occupational, and psychological risk factors is recommended. PMID:25717449

Rezaee, Maryam; Ghasemi, Mohammad

2014-01-01

111

Prevalence of sleep complaints and associated factors in community-dwelling older people in Brazil: the Bambu?? Health and Ageing Study (BHAS)  

Microsoft Academic Search

Background: Population-based studies of insomnia among older people residing in communities in developing countries are rare. The objectives of this population-based study were to determine the prevalence and factors associated with insomnia among older adults (60 years and over) living in a Brazilian town with 15,000 inhabitants (Bambu??, MG).Methods: All 1742 residents in this age group were selected for a

Fábio Lopes Rocha; Elizabeth Uchoa; Henrique L Guerra; Josélia O. A Firmo; Pedro G Vidigal; Maria Fernanda Lima-Costa

2002-01-01

112

Imaging of Anterior Knee Pain  

Microsoft Academic Search

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

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

2006-01-01

113

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

PubMed

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

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

2010-05-01

114

Pain measurement in patients with low back pain  

Microsoft Academic Search

Pain is a multidimensional experience that is a prominent feature of many musculoskeletal disorders. Despite its subjective nature, pain is a highly relevant complaint; hence, nothing should deter physicians from attempting to formally assess it. This Review summarizes the main aspects of pain measurement from a practical standpoint, with a specific focus on low back pain. On balance, for the

Federico Balagué; Ferran Pellisé; Christine Cedraschi; Anne F Mannion

2007-01-01

115

Prevalence of the Fibromyalgia Phenotype in Spine Pain Patients Presenting to a Tertiary Care Pain Clinic and the Potential Treatment Implications  

PubMed Central

Objective Injections for spinal pain have high failure rates, emphasizing the importance of patient selection. It is possible that detecting the presence of a fibromyalgia-like phenotype could aid in prediction, because in these individuals a peripheral injection would not address pain due to alterations in central neurotransmission. We hypothesized that spine pain patients meeting survey criteria for fibromyalgia would be phenotypically distinct from those who do not meet criteria. Methods 548 patients with a primary spine pain diagnosis were studied. All patients completed validated self-report questionnaires, including the Brief Pain Inventory, PainDETECT, Hospital Anxiety and Depression Scale, measures of physical function, and the American College of Rheumatology survey criteria for fibromyalgia. Results 42% met survey criteria for fibromyalgia (FM+). When compared with criteria negative patients, FM+ patients were more likely to be younger, unemployed, receiving compensation, have greater pain intensity, pain interference and neuropathic pain descriptors, as well as higher levels of depression and anxiety, and lower level of physical function (p < 0.0001 for each comparison). Gender, neuropathic pain, pain interference, physical function, and anxiety were independently predictive of fibromyalgia status in a multivariate analysis (p < 0.01, all variables). ROC analysis showed the strength of association of 0.81 as measured by the cross-validated C-statistic. Conclusion Using the survey criteria for fibromyalgia, we demonstrated profound phenotypic differences in a spine pain population. Although centralized pain cannot be confirmed with a survey alone, the pathophysiology of fibromyalgia may help explain a portion of the variability of responses to spine interventions. PMID:24022710

Brummett, Chad M.; Goesling, Jenna; Tsodikov, Alex; Meraj, Taha S.; Wasserman, Ronald A.; Clauw, Daniel J.; Hassett, Afton L.

2014-01-01

116

Prevalence of low back pain experienced after delivery with and without epidural analgesia: A non-randomised prospective direct and telephonic survey  

PubMed Central

Background and Aims: The most frequent concern of patients receiving epidural analgesia for labour pain relief is post-partum back pain. This survey was designed to assess the prevalence of post-partum backache with and without epidural analgesia among post-partum women. Methods: The study was conducted at a university teaching hospital and women presenting to labour room for labour and delivery formed the target population. A total of 482 women were recruited during the study period. Response rate was 95.4% and these cases were included in our statistical analysis. Two forms were designed for data collection before and after delivery; form I was filled by one of the investigators while form II was filled by a research assistant to prevent bias which included follow-up of back pain. The primary outcome variable was backache quantified with visual analogue scale score. Out of 460 women, 230 women received epidural analgesia for labour and 230 women had not. Results: The prevalence of post-partum back pain in epidural analgesia versus non epidural analgesia groups was 40.9% versus 40% on day one and 32.2% versus 35.2% after 1 week. However, after one and 3rd months follow-up, backache prevalence was less in epidural analgesia group (unadjusted odds ratio [OR]: 0.63; 95% confidence interval [CI]: 0.39-0.99) and (unadjustedd OR: 0.32; 95% CI: 0.15-0.69) respectively. The adjusted odd ratio was 0.59 at 1st month and 0.25 at 3rd month. There was no significant difference between the two groups in pain scores. Conclusion: There was no association between the epidural analgesia and post-partum back pain PMID:24963177

Abbasi, Shemila; Hamid, M; Ahmed, Z; Nawaz, Fauzia Haq

2014-01-01

117

Chronic pain in a community-based sample of men with spinal cord injury: Prevalence, severity, and relationship with impairment, disability, handicap, and subjective well-being  

Microsoft Academic Search

Objective: To assess the prevalence, severity, and correlates of chronic pain in a community-based sample of men with spinal cord injury (SCI).Design: Survey.Setting: Community.Participants: Seventy-seven men with SCI randomly selected from a sampling frame solicited from the community.Method: Participants completed standardized questionnaires assessing many areas of life, were interviewed in their homes, and underwent a physical examination at a hospital.

Diana H. Rintala; Paul G. Loubser; Josephine Castro; Karen A. Hart; Marcus J. Fuhrer

1998-01-01

118

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

119

Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain.  

PubMed

Diastasis recti abdominis (DRA) is an impairment characterized by a midline separation of the rectus abdominis muscles along the linea alba. It has its onset during pregnancy and the first weeks following childbirth. There is scant knowledge on both prevalence and risk factors for development of the condition. The aim of this study was to investigate the prevalence of DRA at gestational week 35 and three timepoints postpartum, possible risk factors, and the relationship between DRA and lumbo-pelvic pain. Ultrasound images of inter rectus distance (IRD) were recorded in 84 healthy primiparous women, at three locations on the linea alba. The IRD was measured at: gestational week 35 and 6-8, 12-14, and 24-26 weeks postpartum. Diagnosis of DRA was defined as 16 mm at 2 cm below the umbilicus. Independent sample t-test and binary logistic regression was used to assess differences and risk factors in women with and without DRA and women with and without lumbo-pelvic pain. P < 0.05 was considered statistically significant. The prevalence of DRA decreased from 100% at gestational week 35-39% at 6 months postpartum. No statistically significant differences were found in prepregnancy body mass index (BMI), weight gain, baby's birth weight or abdominal circumference between women with and without DRA at 6 months postpartum. Women with DRA at 6 months postpartum were not more likely to report lumbo-pelvic pain than women without DRA. DRA is prevalent at 6 months postpartum, but is not linked with lumbo-pelvic pain. PMID:25282439

Fernandes da Mota, Patrícia Gonçalves; Pascoal, Augusto Gil Brites Andrade; Carita, Ana Isabel Andrade Dinis; Bø, Kari

2015-02-01

120

High prevalence of vitamin D deficiency, secondary hyperparathyroidism and generalized bone pain in Turkish immigrants in Germany: identification of risk factors  

Microsoft Academic Search

Introduction  The aim of the study was to determine the prevalence of vitamin D deficiency, secondary hyperparathyroidism (sHPT), generalized bone pain and predictors of vitamin D deficiency in a cohort of 994 healthy adult urban residents (589 males, 405 females; age range: 16–69 years) consisting of 101 Germans, 327 Turkish residents of Turkey and 566 Turkish immigrants living in Germany.Methods  The mean (± standard

M. Z. Erkal; J. Wilde; Y. Bilgin; A. Akinci; E. Demir; R. H. Bödeker; M. Mann; R. G. Bretzel; H. Stracke; M. F. Holick

2006-01-01

121

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

122

Internet Fraud Complaint Center  

NSDL National Science Digital Library

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

123

Third occipital nerve headache: a prevalence study.  

PubMed Central

A consecutive series of 100 patients was studied to determine the prevalence of third occipital nerve headache in patients with chronic neck pain (> three months in duration) after whiplash. Seventy one patients complained of headache associated with their neck pain. Headache was the dominant complaint of 40 patients, but was only a secondary problem for the other 31. Each patient with headache underwent double blind, controlled diagnostic blocks of the third occipital nerve. On two separate occasions the nerve was blocked with either lignocaine or bupivacaine, in random order. The diagnosis of third occipital nerve headache was made only if both blocks completely relieved the patient's upper neck pain and headache and the relief lasted longer with bupivacaine. The prevalence of third occipital nerve headache among all 100 whiplash patients was 27% (95% confidence interval (95% CI) 18-36%) and among those with dominant headache the prevalence was as high as 53% (95% CI 37-68%). There were no distinguishing features on history or examination that enabled a definitive diagnosis to be made before the nerve blocks. Those patients with a positive diagnosis, however, were significantly more likely to be tender over the C2-3 zygapophysial joint (p = 0.01). Third occipital nerve headache is a common condition in patients with chronic neck pain and headache after whiplash. Third occipital nerve blocks are essential to make this diagnosis. Images PMID:7931379

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

1994-01-01

124

Scrotal pain: Evaluation and management  

PubMed Central

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

Gordhan, Chirag G

2015-01-01

125

Scrotal pain: evaluation and management.  

PubMed

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

Gordhan, Chirag G; Sadeghi-Nejad, Hossein

2015-01-01

126

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.; Niinimäki, Jaakko; Leboeuf-Yde, Charlotte

2008-01-01

127

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

PubMed Central

Aims: To describe the presence of musculoskeletal co-morbidity of the neck and upper extremities among industrial workers with low back pain, and to examine whether it has an impact on healthcare utilisation and sickness absence for low back pain. Methods: A self administered questionnaire was used to collect data from 505 industrial workers (response 86%). Results: The 12 month prevalence of low back pain was 50%. Among subjects with low back pain the 12 month prevalence of musculoskeletal co-morbidity of the neck and upper extremities was 68%. Among workers with low back pain, subjects with high pain intensity or disabling low back pain were more likely to have musculoskeletal co-morbidity. In comparison to the subjects who report back pain only, subjects with co-morbidity showed worse general health and health related quality of life. No impact of upper extremity co-morbidity was found on healthcare utilisation, and sickness absence due to low back pain. Conclusions: This study provides no evidence that musculoskeletal co-morbidity of the neck and upper extremities influences the choice to seek care or take sick leave due to low back pain among industrial manual workers. For occupational health practitioners the finding of a high co-morbidity is important to consider when implementing workplace interventions aimed at the reduction of specific musculoskeletal complaints, since the controls for one musculoskeletal complaint may impact adversely on another musculoskeletal complaint. Researchers who perform low back pain intervention studies using generic health measures, should take into account the impact of musculoskeletal co-morbidity on these measures. PMID:15377765

IJzelenberg, W; Burdorf, A

2004-01-01

128

Prevalence and correlates of pain interference in older adults: Why treating the whole body and mind is necessary.  

PubMed

Our study presents pain-related interference rates in a sample of community-dwelling, older adults and determines factors associated with these restrictions. Participants were 9506 respondents to the Biopsychosocial Religion and Health Study (66.8% female and 33.2% male; average age = 62.3 years). In this sample, 48.2% reported no pain-related interference, whereas 37.7% reported moderate and 14.1% reported severe interference. As hypothesized, older age, female gender, lower education, financial strain, traumatic experiences, worse health, increased body mass index, poor sleep, and depressive symptoms all were associated with higher pain interference ratings (ordered logistic regression/three-level pain criterion; odds ratios p < 0.05). Our findings are similar to those from younger adults, and they suggest enduring effects of trauma on health and reveal the complexity of chronic pain in community-dwelling, older adults. PMID:25892375

Przekop, Peter; Haviland, Mark G; Oda, Keiji; Morton, Kelly R

2015-04-01

129

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

130

A brief report on the efficacy of donepezil in pain management in Alzheimer's disease.  

PubMed

Alzheimer's disease is an advanced dementia. In this disease, little by little the brain loses most of its functions. Pain is a prevalent complaint. It seems easing the pain had the better recovery to antipsychotic drug in controlling agitation in dementia patients. Donepezil is a drug that is used to treat Alzheimer's disease. This brief report describes an 83-year-old woman with Alzheimer's disease who experienced boredom and changes in attitude for about 1 year and complained about general pain in her extremity. Starting donepezil controlled the patient's symptoms. As soon as the treatment started, all pain was dramatically eliminated and her behavior improved. Donepezil may be effective in controlling the pain and improve the outcome of these patients. PMID:24456283

Gharaei, Helen; Shadlou, Hamidreza

2014-03-01

131

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

132

WRITTEN COMPLAINT FORM Formal Complaint of Discrimination/Harassment Under  

E-print Network

of Discrimination/Harassment Being Alleged: Personal Harassment Sexual Harassment Harassment based on: religionWRITTEN COMPLAINT FORM Formal Complaint of Discrimination/Harassment Under THE UNIVERSITY OF SASKATCHEWAN'S DISCRIMINATION AND HARASSMENT PREVENTION POLICY PLEASE RETURN THE COMPLETED FORM TO

Saskatchewan, University of

133

The dosing frequency of sustained-release opioids and the prevalence of end-of-dose failure in cancer pain control: a Korean multicenter study  

Microsoft Academic Search

Background  End-of-dose failure is commonly observed as therapeutic levels of sustained-release opioids fall. However, little is known\\u000a about using these medications for cancer pain control. To determine the dosing frequency of sustained-release opioids (morphine,\\u000a oxycodone, and transdermal fentanyl) and the prevalence of end-of-dose failure in clinical practice, a patient-reported survey\\u000a was performed.\\u000a \\u000a \\u000a \\u000a \\u000a Methods  A multicenter survey was conducted in 56 hospitals in

Do-Yeun Kim; Hong-Suk Song; Jin-Seok Ahn; Baek-Yeol Ryoo; Dong-Bok Shin; Chang-Yeol Yim; Si-Young Kim

2010-01-01

134

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

135

Chronic neck pain. An epidemiological, psychological and SPECT study with emphasis on whiplash-associated disorders.  

PubMed

Chronic neck pain, a common cause of disability, seems to be the result of several interacting mechanisms. In addition to degenerative and inflammatory changes and trauma, psychological and psychosocial factors are also involved. One common type of trauma associated with chronic neck pain is whiplash injury; this sometimes results in whiplash-associated disorder (WAD), a controversial condition with largely unknown pathogenetic mechanisms. We studied the prevalence of chronic neck pain of traumatic and non-traumatic origin and compared the prevalence of, sociodemographic data, self-perceived health, workload and chronic low-back pain in these groups. In a ready-made questionnaire (MONICA study), we added questions about cervical spine and low-back complaints. 6,000 (72%) completed a self-administered questionnaire. 43% reported neck pain: 48% of women and 38% of men. Women of working age had more neck pain than retired women, a phenomenon not seen in men. 19% of the studied population suffered from chronic neck pain and it was more frequent in women. A history of neck trauma was common in those with chronic neck pain. Those with a history of neck trauma perceived their health worse and were more often on sick-leave. About 50% of those with traumatic and non-traumatic chronic neck pain also had chronic low-back pain. We assessed the subjective and objective neuropsychological functioning in 42 patients with chronic neck pain, 21 with a whiplash trauma, and 21 without previous neck trauma. Despite cognitive complaints, the WAD patients had normal neuropsychological functioning, but the WAD group especially had deviant MMPI results-indicating impaired coping ability and somatization. WAD patients had no alterations in cerebral blood-flow pattern, as measured by rCBF-SPECT and SPM analysis, compared to healthy controls. This contrasts with the non-traumatic group with chronic neck pain, which showed marked blood-flow changes. The blood-flow changes in the non-traumatic group were similar to those described earlier in pain patients but--remarkably enough--were different from those in the WAD group. Chronic neck pain of whiplash and non-traumatic origin appears to be unique in some respects. A better understanding of the underlying pathological mechanisms is a prerequisite for prevention of the development of such chronic pain syndromes and for improvement of the treatment of patients with severe symptoms. PMID:16544560

Guez, Michel

2006-02-01

136

Gender differences in pain.  

PubMed

A review of the literature on gender and clinical pain reveals a disproportionate representation of women receiving treatment for many pain conditions and suggests that women report more severe pain, more frequent pain, and pain of longer duration than do men. Gender differences in pain perception have also been extensively studied in the laboratory, and ratings of experimentally induced pain also show some sex disparity, with females generally reporting lower pain thresholds and tolerance than males. However, there is little consensus on whether these apparent differences reflect the way men and women respond to pain, differing social rules for the expression of pain, or biologic differences in the way noxious stimuli are processed. In this paper, our working hypothesis is that the higher prevalence of chronic orofacial pain in women is a result of sex differences in generic pain mechanisms and of as-yet unidentified factors unique to the craniofacial system. We will review the evidence concerning gender differences in the prevalence of pain conditions, with a focus on orofacial pain conditions. Evidence and hypotheses concerning biologic and psychosocial factors that could influence prevalence rates will also be discussed. PMID:11203754

Dao, T T; LeResche, L

2000-01-01

137

Chemokines: Integrators of Pain and Inflammation  

Microsoft Academic Search

Chronic (neuropathic) pain is one of the most widespread and intractable of human complaints, as well as being one of the most difficult syndromes to treat successfully with drugs or surgery. The development of new therapeutic approaches to the treatment of painful neuropathies requires a better understanding of the mechanisms that underlie the development of these chronic pain syndromes. It

Fletcher A. White; Sonia K. Bhangoo; Richard J. Miller

2005-01-01

138

Examine for Low Back Pain: The Focus on Inter Vertebral Disc Herniation  

Microsoft Academic Search

Many patients require a medical check?up as an outpatient with the chief complaint of low back pain because the morbidity of low back pain is high. Many cases of acute lumbago resolve spontaneously but some cases shift to chronic lumbago. Low back pain is classified as somatic pain and radicular pain resulting from the lumbar area and other pain originating

Yoshikazu Gembun; Hiromoto Ito

2006-01-01

139

Trail the state board's complaints.  

PubMed

If your state board of nursing receives a complaint about one of your nurses, the complaint triggers a structured disciplinary process. Follow the process from start to finish and test your knowledge, then check your answers at http://www.nursingmanagement.com. PMID:15127471

Sheehan, J P

2000-09-01

140

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

NASA Technical Reports Server (NTRS)

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

Fidell, Sanford; Howe, Richard

1998-01-01

141

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

142

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

143

47 CFR 8.12 - Formal complaints.  

Code of Federal Regulations, 2014 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...

2014-10-01

144

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

145

37 CFR 11.34 - Complaint.  

Code of Federal Regulations, 2010 CFR

...REPRESENTATION OF OTHERS BEFORE THE UNITED STATES PATENT AND TRADEMARK OFFICE Investigations and Disciplinary Proceedings; Jurisdiction, Sanctions, Investigations, and Proceedings § 11.34 Complaint. (a) A complaint...

2010-07-01

146

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

PubMed

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

Cairns, B E

2010-05-01

147

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

148

Prevalence of narcotic bowel syndrome in opioid abusers in iran.  

PubMed

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

2014-10-01

149

Evaluating persistent pain in long term care residents: what role for pain maps?  

Microsoft Academic Search

The purpose of this study was to examine the utility of the pain map as a pain assessment tool in frail nursing home residents. The study was conducted in two phases. In Phase 1, nursing home staff's knowledge of the locations of resident pain complaints was examined. We found significant deficiencies in this knowledge. In Phase 2, we examined the

Debra Weiner; Bercedis Peterson; Francis Keefe

1998-01-01

150

Pain following spinal cord injury  

Microsoft Academic Search

Chronic pain is an important problem following spinal cord injury (SCI) and is a major impediment to effective rehabilitation. The reported prevalence of chronic SCI pain is variable but averages 65% with around one third of these people rating their pain as severe. The mechanisms responsible for the presence of pain are poorly understood. However, evidence from clinical observations and

PJ Siddall; JD Loeser

2001-01-01

151

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

152

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

153

Physiology of Chronic Pain  

Microsoft Academic Search

\\u000a \\u000a \\u000a \\u000a \\u000a \\u000a • \\u000a \\u000a \\u000a Chronic pain is the consequence of abnormal nerve sensitivity, firing, and connections.\\u000a \\u000a \\u000a \\u000a • \\u000a \\u000a \\u000a Pain persisting for 3 months is unlikely to resolve spontaneously.\\u000a \\u000a \\u000a \\u000a • \\u000a \\u000a \\u000a Premorbid psychological distress, occupational issues, nicotine use, and a previous pain condition can be used to predict\\u000a the persistence of pain.\\u000a \\u000a \\u000a \\u000a \\u000a • \\u000a \\u000a \\u000a Complete fabrication of pain complaints or malingering occurs rarely.

Dawn A. Marcus

154

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

155

Page 1 of 5 Sexual Harassment Complaint,  

E-print Network

Page 1 of 5 Sexual Harassment Complaint, Investigation and Resolution Procedure for Complaints Sexual Harassment and is intended as the means for implementing this policy. 2.0 GENERAL INFORMATION 2 the recipient of sexually harassing behavior, including retaliation, may file a complaint. Complaints may

Szymczak, Andrzej

156

Calcium, Parathyroid Hormone, and Vitamin D: Major Determinants of Chronic Pain in Hemodialysis Patients  

PubMed Central

Background and objectives: Pain is a frequent complaint of hemodialysis (HD) patients, yet information regarding its causes and frequency is relatively scarce. The aim of this study was to evaluate the frequency and possible causes of chronic pain in patients who are on long-term HD. Design, setting, participants, & measurements: We prospectively enrolled 100 patients who were undergoing maintenance HD for at least 3 mo. Pain was evaluated using the Brief Pain Inventory. Data collected on each participant included age, gender, ethnic origin, body mass index, smoking habits, time on dialysis, type of blood access, comorbidities, and biochemical and hematologic parameters. Results: The average age was 64.5 yr; the average time on dialysis 40.4 mo. Forty-five patients were male. Thirty-one participants were of Arabic origin. Fifty-three patients had diabetes, 36 of whom had diabetic retinopathy. Although 51 patients experienced chronic pain, only 19.6% described the pain as severe. Musculoskeletal pain, neuropathic pain, and headache were the most prevalent forms of pain. The presence of diabetic retinopathy and neuropathy (but not diabetes per se) and levels of intact parathyroid hormone, calcium, and calcitriol (but not 25-hydroxyvitamin D3) differed significantly between those who experienced chronic pain and those who did not. On a logistic regression model, higher serum calcium levels and intact parathyroid hormone levels >250 pg/ml were independently associated with chronic pain, as well as the presence of diabetic retinopathy. Calcitriol had a marginal effect. Conclusions: Disturbed mineral metabolism is strongly associated with chronic pain in long-term HD patients, along with microangiopathy. PMID:19578003

Haggiag, Isabelle; Os, Pnina; Bernheim, Jacques

2009-01-01

157

Cross-cultural conceptions of pain and pain control  

PubMed Central

Pain is a ubiquitous feature of the human experience. This paper presents an anthropology of pain. Anthropology is defined as the cross-cultural and comparative study of human behavior. Pain can be acute and episodic, and pain can be constant and uninterrupted. Acute pain, lasting for minutes or hours, is reported at some time by virtually all adults and by most juveniles and is indicated by the cries and facial expressions of toddlers and infants. This universality of pain as a part of the human condition has been established by the research of many biological, physical, and social scientists. Ethnographers, physicians, and public health experts describe pain complaints for a variety of modern, industrial societies and traditional, undeveloped societies. Pain is the most frequent complaint brought to the offices of physicians in North America, and it is a focus of attention in the literate medical traditions of China, India, and Islamic cultures. Hence, the study of pain and the cultural perceptions of pain are prominent foci of anthropologists. Given that the goal of medicine is to offer medical care to all people who seek it, the practice of modern medicine may be assisted by an exploration of the possibility of cultural differences in medical beliefs and practices in the multiethnic and racially diverse patient populations today. PMID:16333427

2002-01-01

158

Sleep complaints are common in a dialysis unit  

Microsoft Academic Search

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

Shannon Walker; Adrian Fine; Meir H. Kryger

1995-01-01

159

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

PubMed Central

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

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

2014-01-01

160

[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

161

Pain management: pharmacological approaches  

Microsoft Academic Search

\\u000a More than three quarters of patients with advanced cancer experience chronic pain that is severe enough to warrant therapy\\u000a with opioid drugs [1,2]. The most prevalent pain syndromes are disease related in adults and treatment related in children\\u000a [3,4]. In adults with metastatic solid tumors, disease-related pains are usually persistent and often progressive, a pattern\\u000a that reflects the limited availability

Russell K. Portenoy; Gerri Frager

162

Mindfulness-Based Stress Reduction for Chronic Pain Management  

Microsoft Academic Search

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

Jacqueline Gardner-Nix; Jon Kabat-Zinn

163

Parental Influence on Children's Chronic Abdominal Pain Experiences: Exploring the Relationship between Parental Protective Behaviors and Child Quality of Life  

E-print Network

Initial studies examining relationships between parent behaviors and child functioning in chronic pain populations have documented positive associations between parental protective behaviors and child somatic complaints, ...

Kessler, Emily D.

2011-08-31

164

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

Karaçam, Zekiye; Ekmen, Hatice; Çali??r, Hüsniye; ?eker, Sibel

2013-01-01

165

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

166

Primary hyperparathyroidism: an uncommon cause of hip pain.  

PubMed

Hip pain is a common complaint in a pediatric emergency department. The causes of hip pain are diverse and generally include traumatic and infectious causes. We report a case of hip pain caused by deep soft tissue infection associated with hypercalcemia and primary hyperparathyroidism. Atypical presentation of primary hyperparathyroidism may result in a delay in diagnosis. PMID:25831028

Waseem, Muhammad; Erickson, Evelyn; Agyare, Samuel; Godil, Mushtaq A

2015-04-01

167

Responding to concerns about complaints.  

PubMed

When the RCVS asked members of the profession and public about its complaints and disciplinary system, it received a great deal of feedback - some positive, but much of it critical. Here, Luke Bishop, RCVS communications officer, describes how the process has now been overhauled with the aim of making it quicker, more efficient and a more satisfactory experience for all involved. PMID:25125415

Bishop, Luke

2014-08-16

168

EMPLOYEE DISCRIMINATION & HARASSMENT COMPLAINT FORM  

E-print Network

(s) on which you are making your complaint of discrimination/harassment. Sex Race Religion Gender Identity? 4. Identify others who may have observed or witnessed the incident(s) that you described: Name: Address: Telephone: Position: 5. Identify others you believe may have experienced the same situation. Name

Eirinaki, Magdalini

169

7 CFR 15d.4 - Complaints.  

Code of Federal Regulations, 2013 CFR

...herein provided. (b) All complaints under this part should be filed with the Director of the Office of Civil Rights, United States Department of Agriculture, Washington, D.C. 20250, who will investigate the complaints. The...

2013-01-01

170

7 CFR 15d.4 - Complaints.  

Code of Federal Regulations, 2012 CFR

...herein provided. (b) All complaints under this part should be filed with the Director of the Office of Civil Rights, United States Department of Agriculture, Washington, D.C. 20250, who will investigate the complaints. The...

2012-01-01

171

7 CFR 15d.4 - Complaints.  

Code of Federal Regulations, 2014 CFR

...herein provided. (b) All complaints under this part should be filed with the Director of the Office of Civil Rights, United States Department of Agriculture, Washington, D.C. 20250, who will investigate the complaints. The...

2014-01-01

172

7 CFR 15d.4 - Complaints.  

Code of Federal Regulations, 2010 CFR

...herein provided. (b) All complaints under this part should be filed with the Director of the Office of Civil Rights, United States Department of Agriculture, Washington, D.C. 20250, who will investigate the complaints. The...

2010-01-01

173

7 CFR 15d.4 - Complaints.  

Code of Federal Regulations, 2011 CFR

...herein provided. (b) All complaints under this part should be filed with the Director of the Office of Civil Rights, United States Department of Agriculture, Washington, D.C. 20250, who will investigate the complaints. The...

2011-01-01

174

48 CFR 422.1308 - Complaint procedures.  

Code of Federal Regulations, 2012 CFR

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

2012-10-01

175

48 CFR 422.1308 - Complaint procedures.  

Code of Federal Regulations, 2013 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...

2013-10-01

176

48 CFR 422.1308 - Complaint procedures.  

Code of Federal Regulations, 2011 CFR

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

2011-10-01

177

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

178

48 CFR 422.1308 - Complaint procedures.  

Code of Federal Regulations, 2014 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...

2014-10-01

179

25 CFR 11.1000 - Complaint.  

Code of Federal Regulations, 2012 CFR

...OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAW AND ORDER COURTS OF INDIAN OFFENSES AND LAW AND ORDER CODE Juvenile Offender Procedure § 11.1000 Complaint. A complaint must be filed by a law enforcement officer or by the...

2012-04-01

180

25 CFR 11.1000 - Complaint.  

Code of Federal Regulations, 2013 CFR

...OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAW AND ORDER COURTS OF INDIAN OFFENSES AND LAW AND ORDER CODE Juvenile Offender Procedure § 11.1000 Complaint. A complaint must be filed by a law enforcement officer or by the...

2013-04-01

181

25 CFR 11.1000 - Complaint.  

Code of Federal Regulations, 2010 CFR

...OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAW AND ORDER COURTS OF INDIAN OFFENSES AND LAW AND ORDER CODE Juvenile Offender Procedure § 11.1000 Complaint. A complaint must be filed by a law enforcement officer or by the...

2010-04-01

182

25 CFR 11.1000 - Complaint.  

Code of Federal Regulations, 2014 CFR

...OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAW AND ORDER COURTS OF INDIAN OFFENSES AND LAW AND ORDER CODE Juvenile Offender Procedure § 11.1000 Complaint. A complaint must be filed by a law enforcement officer or by the...

2014-04-01

183

25 CFR 11.1000 - Complaint.  

Code of Federal Regulations, 2011 CFR

...OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAW AND ORDER COURTS OF INDIAN OFFENSES AND LAW AND ORDER CODE Juvenile Offender Procedure § 11.1000 Complaint. A complaint must be filed by a law enforcement officer or by the...

2011-04-01

184

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

185

Interventional pain treatments for cancer pain.  

PubMed

Cancer pain is prevalent and often multifactorial. For a segment of the cancer pain population, pain control remains inadequate despite full compliance with the WHO analgesic guidelines including use of co-analgesics. The failure to obtain acceptable pain or symptom relief prompted the inclusion of a fourth step to the WHO analgesic ladder, which includes advanced interventional approaches. Interventional pain-relieving therapies can be indispensable allies in the quest for pain reduction among cancer patients suffering from refractory pain. There are a variety of techniques used by interventional pain physicians, which may be grossly divided into modalities affecting the spinal canal (e.g., intrathecal or epidural space), called neuraxial techniques and those that target individual nerves or nerve bundles, termed neurolytic techniques. An array of intrathecal medications are infused into the cerebrospinal fluid in an attempt to relieve refractory cancer pain, reduce disabling adverse effects of systemic analgesics, and promote a higher quality of life. These intrathecal medications include opioids, local anesthetics, clonidine, and ziconotide. Intrathecal and epidural infusions can serve as useful methods of delivering analgesics quickly and safely. Spinal delivery of drugs for the treatment of chronic pain by means of an implantable drug delivery system (IDDS) began in the 1980s. Both intrathecal and epidural neurolysis can be effective in managing intractable cancer-related pain. There are several sites for neurolytic blockade of the sympathetic nervous system for the treatment of cancer pain. The more common sites include the celiac plexus, superior hypogastric plexus, and ganglion impar. Today, interventional pain-relieving approaches should be considered a critical component of a multifaceted therapeutic program of cancer pain relief. PMID:18837908

Christo, Paul J; Mazloomdoost, Danesh

2008-09-01

186

Chronic neck pain: How to approach treatment  

Microsoft Academic Search

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

David G. Borenstein

2007-01-01

187

Public Complaints and Complaint Responses in Calls to a Jordanian Radio Phone-In Program  

ERIC Educational Resources Information Center

This study investigates complaints and complaint responses in interactions between local citizens and the hosts of a live two-hour radio phone-in in Jordan devoted to receiving and handling complaints of a public nature. Using Brown and Levinson's (1987) politeness model, the study examines the functions and patterns of complaints and the types of…

Migdadi, Fathi; Badarneh, Muhammad A.; Momani, Kawakib

2012-01-01

188

34 CFR 33.7 - Complaint.  

Code of Federal Regulations, 2010 CFR

(a) On or after the date the Department of Justice approves the issuance of a complaint in accordance with 31 U.S.C. 3803(b)(1), the reviewing official may serve a complaint on the defendant, as provided in § 33.8. (b) The complaint must...

2010-07-01

189

29 CFR 1987.103 - Filing of retaliation complaint.  

Code of Federal Regulations, 2014 CFR

...RETALIATION COMPLAINTS UNDER SECTION 402 OF THE FDA FOOD SAFETY MODERNIZATION ACT Complaints, Investigations, Findings and Preliminary...employee's behalf, a complaint alleging such retaliation. (b) Nature of filing. No particular form of complaint is...

2014-07-01

190

76 FR 76628 - Disclosure of Certain Credit Card Complaint Data  

Federal Register 2010, 2011, 2012, 2013, 2014

...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

191

Prevalence of self reported musculoskeletal diseases is high  

PubMed Central

Objectives: To present the prevalence of self reported musculoskeletal diseases, the coexistence of these diseases, the test-retest reliability with six months in between, and the association with musculoskeletal pain symptoms. Methods: Twelve layman descriptions of common musculoskeletal diseases were part of the questionnaires of a prospective cohort study of a random sample in the general Dutch population aged 25 years or more (baseline: n=3664, follow up after six months: n=2338). Data collection also included information about pain relating to five different anatomical areas. Results: Osteoarthritis of the knee (men 10.1%, women 13.6%) was amongst the most reported musculoskeletal diseases, whereas the figures for self reported rheumatoid arthritis (RA) were 1.6% and 4.6% for men and women, respectively. The coexistence of these diseases is high: 47 of the 66 combinations were reported more often than would be expected if they were independent of each other (p<0.05). For most diseases the test-retest reliability was good (? between 0.6 and 0.8), but for repetitive strain injury (?=0.37) and chronic arthritis other than RA (?=0.44) the agreement was fair to moderate. All complaints of pain were more often reported by those with musculoskeletal diseases than those without those diseases, and the pain pattern was disease-specific. Conclusions: Self reported musculoskeletal diseases are highly prevalent, with a fair to good reliability and a disease-specific pain pattern. Health surveys are a limited but valuable source of information for this group of health problems, which is not available from most other sources of information. PMID:12810427

Picavet, H; Hazes, J

2003-01-01

192

Sleep Complaints in the Adult Brazilian Population: A National Survey Based on Screening Questions  

PubMed Central

Study Objectives: The aim of the current survey was to investigate the prevalence of sleep complaints in a randomized cluster sample of the Brazilian population. Methods: A 3-stage cluster sampling technique was utilized to randomly select Brazilian subjects older than 16 years, of both genders and all socioeconomic classes. The final sample of 2,110 subjects from 150 different cities was enough to estimate prevalence in the Brazilian population with a sampling error of ± 2%. Questions about sleep complaints were administered face-to-face by Instituto Datafolha interviewers on March 26 and 27, 2008. Data were expanded using a weighted variable. Results: Of all interviewed subjects, 63% reported at least one sleep related complaint. Sleep complaint prevalence increased with age and was similar among inhabitants of different Brazilian regions, as well as between metropolitan areas and smaller cities. Insomnia and nightmares were significantly more prevalent in women (40% and 25%, respectively), and snoring was more prevalent in men (35%). For sleep complaints with frequencies greater than 3 times per week, we found the following prevalence: 61% for snoring, 35% for insomnia, 17% for nightmares, 53% for leg kicking, and 37% for breathing pauses. Conclusions: Because sleep disorders are affect a high proportion of the population and are known to be correlated with decreased well-being and productivity, more detailed national surveys are necessary to provide relevant information to develop approaches to prevention and treatment. Citation: Bittencourt LRA; Santos-Silva R; Taddei JA; Andersen ML; de Mello MT; Tufik S. Sleep complaints in the adult brazilian population: a national survey based on screening questions. J Clin Sleep Med 2009;5(5):459-463. PMID:19961032

Bittencourt, Lia Rita A.; Santos-Silva, Rogerio; Taddei, Jose A.; Andersen, Monica L.; de Mello, Marco T.; Tufik, Sergio

2009-01-01

193

Pain and Its Treatment in Patients with Cancer in Korea  

Microsoft Academic Search

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

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

2003-01-01

194

The neurosurgical treatment of neuropathic facial pain.  

PubMed

This article reviews the definition, etiology and evaluation, and medical and neurosurgical treatment of neuropathic facial pain. A neuropathic origin for facial pain should be considered when evaluating a patient for rhinologic surgery because of complaints of facial pain. Neuropathic facial pain is caused by vascular compression of the trigeminal nerve in the prepontine cistern and is characterized by an intermittent prickling or stabbing component or a constant burning, searing pain. Medical treatment consists of anticonvulsant medication. Neurosurgical treatment may require microvascular decompression of the trigeminal nerve. PMID:24680498

Brown, Jeffrey A

2014-04-01

195

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

Microsoft Academic Search

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

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

2000-01-01

196

Value of diagnostic ultrasound in patients with chronic scrotal pain and normal findings on clinical examination  

Microsoft Academic Search

Objectives. Chronic scrotal pain is a frequent complaint. In many patients with scrotal pain, scrotal ultrasound is performed when the physical examination reveals no abnormalities. We evaluated the yield of scrotal ultrasound in patients with chronic scrotal pain and a normal physical examination.Methods. The study involved the findings in 111 patients with scrotal pain lasting longer than 2 weeks, in

E. P van Haarst; G van Andel; T. H Pels Rijcken; T. J. M Schlatmann; W. K Taconis

1999-01-01

197

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

198

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

PubMed Central

Background Population ageing is a worldwide phenomenon that has recently challenged public healthcare systems. The knowledge of the burden of chronic musculoskeletal disorders in elders is still limited, particularly in the developing world. This systematic review aimed to investigate the prevalence of chronic musculoskeletal disorders in elderly Brazilians. Methods A comprehensive literature search was performed in five electronic databases (from inception to January 2012) and completed by additional searches in reference lists. Two review authors independently selected the eligible studies and extracted data on participants’ characteristics and rates of chronic musculoskeletal disorders. One review author extracted methodological quality data. We performed a critical synthesis of the results, which were grouped into the diagnoses “chronic musculoskeletal pain” or “specific musculoskeletal diagnoses”. Results Twenty five studies reporting on a total of 116,091 elderly Brazilians were included. Eight studies (32%) were of high methodological quality. There was a large variation in the measure of prevalence used by individual studies and in their definition of chronic pain. Prevalence estimates reached 86% for chronic musculoskeletal pain in any location. Studies investigating multiple pain sites found the lower limb and the spine to be the most prevalent complaints (50% each). Arthritis and rheumatism (including osteoarthritis) were the most prevalent specific musculoskeletal diagnoses (9% to 40%), followed by herniated disc (6% to 27%). Conclusions Despite the growth of the elderly population worldwide, high-quality research on the burden of chronic musculoskeletal disorders in the elderly is still scarce. Future healthcare research focusing on this age group should be a priority in developing countries since their public healthcare systems are not yet fully prepared to accommodate the needs of an aging population. PMID:22642899

2012-01-01

199

Chief Complaint at Admission Relates to Troponin Level and Mortality in Patients With Non-ACS Troponin Elevation  

PubMed Central

Background Elevated level of troponin T (TnT) in the absence of acute coronary syndrome (ACS) can be caused by a number of conditions but the relevance of the chief complaint at admission for TnT level and prognosis has not been reported previously. The aim was to study whether TnT level differs among chief complaints or underlying causes in patients with non-ACS TnT elevation and if these factors predict mortality. Methods Patients admitted with TnT elevation were categorized as ACS or non-ACS and followed for 1 year. Statistical comparisons between different chief complaints and underlying causes were performed. Results Patients with non-ACS TnT elevation (n = 71) were less likely to present with chest pain compared to ACS (n = 50) (37% vs. 74%, P < 0.001) whereas dyspnea (25%), syncope/arrhythmia (14%) or other chief complaints (24%) were more common. Patients with dyspnea and other chief complaints had higher peak values of TnT compared to chest pain (P < 0.05). The most common peak occurred within 3 hours after admission for chest pain, dyspnea and other chief complaints whereas for arrhythmia it occurred after 3 - 9 hours (P < 0.01). A peak value > 15 hours after admission was only observed among dyspnea and other chief complaints. Mortality was higher in patients presenting with dyspnea (50%) or other causes (35%) compared to chest pain (8%) or syncope/arrhythmia (10%) (P < 0.05). Renal failure was the only underlying cause that predicted mortality. Conclusion Among patients with non-ACS TnT elevation, patients presenting with dyspnea had higher TnT and higher 1-year mortality, whereas patients with chest pain were at lower risk.

Piscator, Eva; Lowing Svensson, Lukas; Svensson, Per

2015-01-01

200

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

201

Groin pain  

MedlinePLUS

Pain - groin; Lower abdominal pain; Genital pain; Perineal pain ... The health care provider will do an exam of the groin area and ask questions about your medical history and symptoms, such as: Have you had an injury recently? Has there ...

202

Abdominal pain  

MedlinePLUS

Stomach pain; Pain - abdomen; Belly ache; Abdominal cramps; Bellyache; Stomachache ... Almost everyone has pain in the abdomen at some point. Most of the time, it is not serious. How bad your pain is does not always reflect the seriousness ...

203

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 ...

204

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

Code of Federal Regulations, 2010 CFR

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

2010-10-01

205

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

Code of Federal Regulations, 2011 CFR

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

2011-10-01

206

Relationship between performance validity testing, disability status, and somatic complaints in patients with fibromyalgia.  

PubMed

Fibromyalgia is a chronic pain-related disorder that typically includes cognitive complaints as well as non-specific somatic complaints, such as fatigue and sleep disturbance (Wolfe et al., 2010). Fibromyalgia has also been shown to be associated with a high rate of failure on performance validity testing (PVT), which has not been examined with respect to other self-reported symptoms that are now part of the diagnostic criteria for the disorder. We evaluated 85 patients with fibromyalgia who completed objective measures of pain, sleep, and fatigue along with symptom validity measures (Word Memory Test or Test of Memory Malingering and Reliable Digit Span). Three groups were formed based on effort testing: Two PVTs Failed, One PVT Failed, and No PVTs Failed. We also formed three groups based on disability status: On Disability, Applying for Disability, and Not on Disability. A total of 37% of the patients failed one or both PVTs. PVT group analyses were significant for daily pain, weekly pain, and sleep, but not fatigue. Disability status analyses were significant for daily pain, weekly pain, and fatigue, but not sleep. The implication of this study is that PVT performance and disability status are associated with exaggeration of non-cognitive symptoms such as pain, sleep, and fatigue in persons with fibromyalgia. This study reinforces the importance of effort testing when working with medical populations. PMID:23121595

Johnson-Greene, Doug; Brooks, Lawrence; Ference, Tamar

2013-01-01

207

Failure of physician documentation of sleep complaints in hospitalized patients.  

PubMed Central

Sleep disorders are acknowledged to be common but remain underrecognized by the medical community, often attributed to the failure to question patients about their sleep quality. We examined the prevalence of sleep complaints (insomnia or excessive daytime sleepiness) in a group of general medical patients by administering a questionnaire to hospitalized patients in a Veterans Affairs tertiary care medical center. A total of 222 consecutive adults (215 men, 60 +/- 14 years; body mass index, 24.8 +/- 5.6) completed the questionnaire. Of these, 105 patients (47%) had either insomnia, excessive daytime somnolence, or both; 63 (28%) had excessive daytime somnolence, which was severe in 27 (12%). Of 75 patients (34%) who had insomnia, a third were taking hypnotic medication. Forty patients (18%) had snoring, which was associated with excessive daytime somnolence in 36, whereas 46 patients (21%) had either restless legs or a combination of leg jerks and leg kicking or twitching during sleep, associated with a sleep complaint (insomnia in 32). The medical records were subsequently reviewed to assess the admitting physicians' recognition of these symptoms. No record included mention of any patient symptom related to sleep. We conclude that symptoms related to sleep, some of which may be clinically important, are common, and that none of these complaints appear to be recognized by the physicians of record. PMID:9771152

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

1998-01-01

208

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

209

Managing Pain in Inflammatory Bowel Disease  

PubMed Central

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

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

2011-01-01

210

Effects of Calcium Carbonate on Pain Symptoms in Third Trimester of Pregnancy and Nursing Period: a randomized clinical trial  

Microsoft Academic Search

Objective: The study evaluated the efficacy of oral calcium carbonate supplement on leg pain in pregnancy and nursing period. Materials and methods: A total number of 176 women at third trimester of pregnancy or nursing period till to one year after delivery with complaint of leg pain, low back pain (LBP), and posterior pelvic pain (PPP) were evaluated for distinct

Soosan Alimohammadzadeh Taher; Zahra Rezasoltani

2008-01-01

211

Neuropathic pain in cancer.  

PubMed

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

Goyal, Alka; Bhatnagar, Sushma

2014-01-01

212

Complaints Soar over Student-Loan Collections  

ERIC Educational Resources Information Center

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

Field, Kelly

2012-01-01

213

UMBC Discrimination Complaint Procedure 1) Introduction  

E-print Network

of Human Relations or her designee. ii) Complaints should be addressed to: Adrienne L. Mercer, Director of Human Relations University of Maryland, Baltimore County 1000 Hilltop Circle Baltimore, Maryland 21250 or almercer@umbc.edu iii) Complaints against the Director of Human Relations will be processed in accordance

Maryland, Baltimore County, University of

214

University of Aberdeen Complaints Handling Procedure  

E-print Network

, where appropriate, we can make evidence-based decisions on the facts of each individual case. Resolving with The Scottish Higher Education Model Complaints Handling Procedure published by the Scottish Public Services is set at the discretion of the University The definition of a complaint is very broad and the list above

Levi, Ran

215

Diffusely increased bone scintigraphic uptake in patellofemoral pain syndrome  

Microsoft Academic Search

Objectives: Painful disorders of the patellofemoral joint are one of the most frequent complaints in orthopaedic and sports medicine. The aims of this study were to determine whether bone scintigrams of patients suffering from patellofemoral pain syndrome (PFPS) show diffuse uptake and in what bony compartment of the knee uptake, if any, was localised.Methods: Fifty eight patients with chronic PFPS

J E Na?slund; S Odenbring; U-B Na?slund; T Lundeberg

2005-01-01

216

Orofacial pain syndromes: evaluation and management.  

PubMed

Patients will often visit their primary medical practitioner with orofacial pain complaints. Hence, it is important to recognize and have an understanding of these conditions to properly evaluate and potentially manage these disorders. If the practitioner is uncertain or uncomfortable with these conditions, then patient referral to a knowledgeable health care practitioner should be considered for further evaluation and management. In this article, the evaluation and management of various neuropathic, neurovascular, and vascular pains are discussed. PMID:25443681

Balasubramaniam, Ramesh; Klasser, Gary D

2014-11-01

217

29 CFR 1979.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2010 CFR

...2010-07-01 false Filing of discrimination complaint. 1979.103 Section... PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 519 OF...Orders § 1979.103 Filing of discrimination complaint. (a) Who may...

2010-07-01

218

29 CFR 1981.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2010 CFR

...2010-07-01 false Filing of discrimination complaint. 1981.103 Section... PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 6 OF THE...Orders § 1981.103 Filing of discrimination complaint. (a) Who may...

2010-07-01

219

29 CFR 1979.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2011 CFR

...2011-07-01 false Filing of discrimination complaint. 1979.103 Section... PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 519 OF...Orders § 1979.103 Filing of discrimination complaint. (a) Who may...

2011-07-01

220

29 CFR 1980.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2011 CFR

...2011-07-01 false Filing of discrimination complaint. 1980.103 Section... PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 806 OF...Orders § 1980.103 Filing of discrimination complaint. (a) Who may...

2011-07-01

221

29 CFR 1979.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2014 CFR

...2014-07-01 false Filing of discrimination complaint. 1979.103 Section... PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 519 OF...Orders § 1979.103 Filing of discrimination complaint. (a) Who may...

2014-07-01

222

29 CFR 1979.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2013 CFR

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

2013-07-01

223

29 CFR 1981.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2011 CFR

...2011-07-01 false Filing of discrimination complaint. 1981.103 Section... PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 6 OF THE...Orders § 1981.103 Filing of discrimination complaint. (a) Who may...

2011-07-01

224

29 CFR 1979.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2012 CFR

...2012-07-01 false Filing of discrimination complaint. 1979.103 Section... PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 519 OF...Orders § 1979.103 Filing of discrimination complaint. (a) Who may...

2012-07-01

225

29 CFR 1981.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2013 CFR

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

2013-07-01

226

29 CFR 1981.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2014 CFR

...2014-07-01 false Filing of discrimination complaint. 1981.103 Section... PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 6 OF THE...Orders § 1981.103 Filing of discrimination complaint. (a) Who may...

2014-07-01

227

29 CFR 1981.103 - Filing of discrimination complaint.  

Code of Federal Regulations, 2012 CFR

...2012-07-01 false Filing of discrimination complaint. 1981.103 Section... PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 6 OF THE...Orders § 1981.103 Filing of discrimination complaint. (a) Who may...

2012-07-01

228

14 CFR 302.507 - Computing time for filing complaints.  

Code of Federal Regulations, 2010 CFR

...2010-01-01 2010-01-01 false Computing time for filing complaints. 302.507...Foreign Air Transportation § 302.507 Computing time for filing complaints. In computing the time for filing formal complaints...

2010-01-01

229

14 CFR 302.507 - Computing time for filing complaints.  

Code of Federal Regulations, 2011 CFR

...2011-01-01 2011-01-01 false Computing time for filing complaints. 302.507...Foreign Air Transportation § 302.507 Computing time for filing complaints. In computing the time for filing formal complaints...

2011-01-01

230

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

231

29 CFR 2700.36 - Contents of complaint.  

Code of Federal Regulations, 2010 CFR

...SAFETY AND HEALTH REVIEW COMMISSION PROCEDURAL RULES Complaints for Compensation § 2700.36 Contents...complaint. A complaint for compensation shall include: ...the period for which compensation is claimed;...

2010-07-01

232

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

PubMed Central

BACKGROUND: Work-related musculoskeletal disorders cause pain, disability and loss of employment for many workers, including musicians. Although performing arts medicine is a growing field, the health problems of musicians remain under-recognized and under-researched. Therefore, the author undertook a systematic review of published information on the incidence and prevalence of playing-related musculoskeletal disorders (PRMDs) in classical musicians. METHODS: Seven databases were searched for the period 1980 to 1996. The main textbook and performing arts medicine journals were searched manually, as were reference lists of all relevant papers. The author also contacted individuals familiar with the literature of performing arts medicine. Studies were included for review if they reported PRMD incidence or prevalence in classical musicians. Of the 24 studies identified, 18 cross-sectional surveys and cohort studies were reviewed. The author subjectively assessed the studies using criteria modified from an existing evaluation scale and used 4 criteria for data combination. On the basis of prevalence values from the eligible studies, chi 2 tests for heterogeneity were performed. RESULTS: Only one study estimated PRMD incidence. Ten of the 17 prevalence studies were ineligible for data combination, because of low response rates and other methodological problems. In the 7 eligible studies, PRMD point prevalence ranged from 39% to 87% in adult musicians and from 34% to 62% in secondary school music students. The best estimates of PRMD prevalence were derived from the 3 studies that excluded mild complaints; these studies indicated that PRMD prevalence was 39% and 47% in adults and 17% in secondary school music students respectively. Statistical combination of data across studies within each demographic category was not possible. INTERPRETATION: Available data indicate that the prevalence of PRMD in adult classical musicians is comparable to the prevalence of work-related musculoskeletal disorders reported for other occupational groups. Several recommendations for future research are outlined. PMID:9580730

Zaza, C

1998-01-01

233

Inguinoscrotal pain resistant to conventional treatment  

PubMed Central

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

Jain, Anuj; Agarwal, Anil

2015-01-01

234

Cancer pain  

SciTech Connect

This book contains 13 chapters. Some of the chapter titles are: Importance of the Problem; Neurophysiology and Biochemistry of Pain; Assessment of Pain in Patients with Cancer; Drug Therapy; Chemotherapy and Radiotherapy for Cancer Pain; Sympton Control as it Relates to Pain Control; and Palliative Surgery in Cancer Pain Treatment.

Swerdlow, M.; Ventafridda, V.

1987-01-01

235

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

NASA Astrophysics Data System (ADS)

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

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

2009-06-01

236

Non-Hodgkin’s lymphoma among the gamut of differential diagnoses for shoulder pain  

Microsoft Academic Search

To the editor, For most adult patients with shoulder pain, complaints are related to degenerative or inflammatory joint disease, instability, impingement syndrome and trauma. A neoplasm is a rare cause of shoulder pain, but should always be considered in the differential diagnosis. Herein, we report a patient with shoulder pain who was later diagnosed to have a rare primary bone

Gulay Sain Guven; Yalç?n Solak; Oya Ünal; Levent Özçakar

2005-01-01

237

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

Microsoft Academic Search

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

Jennie C. I. Tsao

2007-01-01

238

Chronic low back pain complicated by abnormal illness behaviour: a case study  

Microsoft Academic Search

Chronic low back pain is the second most common complaint that a patient presents with to a general practitioner. Management of simple low back pain, however, is often inconsistent and insufficient. Popular belief that simple low back pain is self-limiting and recovers within a four-week period has been questioned and proven wrong. Without appropriate treatment, a considerable proportion of low

Alzbeta Vesela

2001-01-01

239

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

240

Pain (PDQ)  

MedlinePLUS

... cancer treatment ends. Pain control can improve your quality of life. Pain can be controlled in most patients with ... in most patients. Pain control can improve your quality of life all through your cancer treatment and after it ...

241

Belly Pain  

MedlinePLUS

... tract infection or a blocked intestine. Infection by bacteria or a parasite, heartburn , irritable bowel disease , or ... to have abdominal pain, the pain in your gut may really be a pain in your brain. ...

242

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 ...

243

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 ...

244

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 ...

245

Wrist pain  

MedlinePLUS

... back. Over-the-counter pain medications, such as ibuprofen or naproxen, can relieve pain and swelling. Various, ... Take over-the-counter pain medication, such as ibuprofen or acetaminophen. Wear a splint for several days. ...

246

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 ...

247

Classification of pain following spinal cord injury  

Microsoft Academic Search

Pain continues to be a significant management problem in people with spinal cord injuries. Despite this there is little consensus regarding the nature, terminology and definitions of the various types of pain that occur following spinal cord injury. This has led to large variations in the reported incidence and prevalence of pain following spinal cord injury. Treatment studies have been

P J Siddall; D A Taylor; M J Cousins

1997-01-01

248

11. Lumbosacral radicular pain.  

PubMed

Lumbosacral radicular pain is characterized by a radiating pain in one or more lumbar or sacral dermatomes; it may or may not be accompanied by other radicular irritation symptoms and/or symptoms of decreased function. The annual prevalence in the general population, described as low back pain with leg pain traveling below the knee, varied from 9.9% to 25%, which means that it is presumably the most commonly occurring form of neuropathic pain. The patient's history may give a suggestion of lumbosacral radicular pain. The best known clinical investigation is the straight-leg raising test. Final diagnosis is made based on a combination of clinical examination and potentially additional tests. Medical imaging studies are indicated to exclude possible serious pathologies and to confirm the affected level in patients suffering lumbosacral radicular pain for longer than 3 months. Magnetic resonance imaging is preferred. Selective diagnostic blocks help confirming the affected level. There is controversy concerning the effectiveness of conservative management (physical therapy, exercise) and pharmacological treatment. When conservative treatment fails, in subacute lumbosacral radicular pain under the level L3 as the result of a contained herniation, transforaminal corticosteroid administration is recommended (2 B+). In chronic lumbosacral radicular pain, (pulsed) radiofrequency treatment adjacent to the spinal ganglion (DRG) can be considered (2 C+). For refractory lumbosacral radicular pain, adhesiolysis and epiduroscopy can be considered (2 B+/-), preferentially study-related. In patients with a therapy-resistant radicular pain in the context of a Failed Back Surgery Syndrome, spinal cord stimulation is recommended (2 A+). This treatment should be performed in specialized centers. PMID:20492580

Van Boxem, Koen; Cheng, Jianguo; Patijn, Jacob; van Kleef, Maarten; Lataster, Arno; Mekhail, Nagy; Van Zundert, Jan

2010-01-01

249

Management in non-traumatic arm, neck and shoulder complaints: differences between diagnostic groups  

Microsoft Academic Search

Arm, neck and\\/or shoulder complaints are common in western societies. In the Netherlands, general practice guidelines are\\u000a issued on shoulder pain and epicondylitis only. Little is known about actual management of the total range of diagnoses. The\\u000a objectives of the study are: to determine management in patients consulting the GP with a new episode of non-traumatic arm\\u000a neck and shoulder

Anita Feleus; Sita M. A. Bierma-Zeinstra; Harald S. Miedema; Jan A. N. Verhaar; Bart W. Koes

2008-01-01

250

Pregnancy Related Low Back and Pelvic Pain: a surgical approach  

Microsoft Academic Search

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

C. M. A. Zwienen

2005-01-01

251

Rheumatologists lack confidence in their knowledge of cannabinoids pertaining to the management of rheumatic complaints  

PubMed Central

Background Arthritis pain is reported as one of the most common reasons for persons using medical herbal cannabis in North America. “Severe arthritis” is the condition justifying legal use of cannabis in over half of all authorizations in Canada, where cannabis remains a controlled substance. As champions for the care of persons with arthritis, rheumatologists must be knowledgeable of treatment modalities both traditional and non-traditional, used by their patients. As study of cannabinoid molecules in medicine is recent, we have examined the confidence in the knowledge of cannabinoids expressed by Canadian rheumatologists. Methods The confidence of rheumatologists in their knowledge of cannabinoid molecules and mechanisms relevant to rheumatology, and their ability to advise patients about cannabinoid treatments was recorded by an online questionnaire circulated via email to the entire Canadian Rheumatology Association membership. Results Over three quarters of the 128 respondents lacked confidence in their knowledge of cannabinoid molecules. While 45% of respondents believed there was no current role for cannabinoids in rheumatology patient care, only 25% supported any use of herbal cannabis. With 70% never having previously prescribed or recommended any cannabinoid treatment, uncertainty regarding good prescribing practices was prevalent. Concerns about risks of cannabis use were in line with the current literature. Conclusions Rheumatologists lacked confidence in their knowledge of cannabinoid molecules in general and in their competence to prescribe any cannabinoid for rheumatic complaints. In line with this uncertainty, there is reticence to prescribe cannabinoid preparations for rheumatology patients. Guidance is required to inform rheumatologists on the evidence regarding cannabinoids. PMID:25080153

2014-01-01

252

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

Microsoft Academic Search

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

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

2006-01-01

253

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

254

Pain management in polycystic kidney disease.  

PubMed

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 that supplies the kidneys. The appropriate use of diagnostic radiology (especially MRI) will assist in differentiating the mechanical low back pain caused by cyst enlargement, cyst rupture and cyst infection. Also, the increased incidence of uric acid nephrolithiasis as a factor in producing renal colic must be considered when evaluating acute pain in the population at risk. MRI is not a good technique to detect renal calculi, a frequent cause of pain in polycystic kidney disease. If stone disease is a possibility, then abdominal CT scan and/or ultrasound should be the method of radiologic investigation. Pain management is generally not approached in a systematic way in clinical practice because most physicians lack training in the principles of pain management. The first impulse to give narcotics for pain relief must be avoided. Since chronic pain cannot be "cured," an approach must include techniques that allow the patient to adapt to chronic pain so as to limit interference with their life style. A detailed stepwise approach for acute and chronic pain strategies for the patient with autosomal dominant polycystic kidney disease is outlined. PMID:11703580

Bajwa, Z H; Gupta, S; Warfield, C A; Steinman, T I

2001-11-01

255

14 CFR 302.404 - Formal complaints.  

Code of Federal Regulations, 2010 CFR

...complaint to the Assistant General Counsel about any violation of the economic regulatory provisions...proceeding only if the Assistant General Counsel issues a notice instituting such...406(a) or the Deputy General Counsel does so...

2010-01-01

256

39 CFR 3030.10 - Complaint contents.  

Code of Federal Regulations, 2010 CFR

...business, commercial, economic or other issues presented by the action...similarly affected by the issues involved in the complaint...7) State whether the issues presented are pending...the Postal Service's general counsel to resolve...

2010-07-01

257

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

258

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

259

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

260

48 CFR 8.711 - Quality complaints.  

Code of Federal Regulations, 2010 CFR

...SUPPLIES AND SERVICES Acquisition From Nonprofit Agencies Employing People Who Are Blind...received from AbilityOne participating nonprofit agencies, address complaints to the individual nonprofit agency involved, with a copy to the...

2010-10-01

261

48 CFR 8.711 - Quality complaints.  

Code of Federal Regulations, 2014 CFR

...SUPPLIES AND SERVICES Acquisition From Nonprofit Agencies Employing People Who Are Blind...received from AbilityOne participating nonprofit agencies, address complaints to the individual nonprofit agency involved, with a copy to the...

2014-10-01

262

48 CFR 8.711 - Quality complaints.  

Code of Federal Regulations, 2011 CFR

...SUPPLIES AND SERVICES Acquisition From Nonprofit Agencies Employing People Who Are Blind...received from AbilityOne participating nonprofit agencies, address complaints to the individual nonprofit agency involved, with a copy to the...

2011-10-01

263

48 CFR 8.711 - Quality complaints.  

Code of Federal Regulations, 2013 CFR

...SUPPLIES AND SERVICES Acquisition From Nonprofit Agencies Employing People Who Are Blind...received from AbilityOne participating nonprofit agencies, address complaints to the individual nonprofit agency involved, with a copy to the...

2013-10-01

264

48 CFR 8.711 - Quality complaints.  

Code of Federal Regulations, 2012 CFR

...SUPPLIES AND SERVICES Acquisition From Nonprofit Agencies Employing People Who Are Blind...received from AbilityOne participating nonprofit agencies, address complaints to the individual nonprofit agency involved, with a copy to the...

2012-10-01

265

48 CFR 222.1308 - Complaint procedures.  

Code of Federal Regulations, 2014 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)...

2014-10-01

266

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

267

48 CFR 222.1308 - Complaint procedures.  

Code of Federal Regulations, 2013 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)...

2013-10-01

268

48 CFR 222.1308 - Complaint procedures.  

Code of Federal Regulations, 2011 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)...

2011-10-01

269

45 CFR 91.42 - Complaints.  

Code of Federal Regulations, 2013 CFR

...RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM HHS Investigation, Conciliation, and Enforcement...behalf of others, may file a complaint with HHS, alleging discrimination prohibited...discrimination. However, for good cause shown, HHS may extend this time limit. (b)...

2013-10-01

270

45 CFR 91.42 - Complaints.  

Code of Federal Regulations, 2011 CFR

...RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM HHS Investigation, Conciliation, and Enforcement...behalf of others, may file a complaint with HHS, alleging discrimination prohibited...discrimination. However, for good cause shown, HHS may extend this time limit. (b)...

2011-10-01

271

45 CFR 91.42 - Complaints.  

Code of Federal Regulations, 2010 CFR

...RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM HHS Investigation, Conciliation, and Enforcement...behalf of others, may file a complaint with HHS, alleging discrimination prohibited...discrimination. However, for good cause shown, HHS may extend this time limit. (b)...

2010-10-01

272

45 CFR 91.42 - Complaints.  

Code of Federal Regulations, 2014 CFR

...RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM HHS Investigation, Conciliation, and Enforcement...behalf of others, may file a complaint with HHS, alleging discrimination prohibited...discrimination. However, for good cause shown, HHS may extend this time limit. (b)...

2014-10-01

273

45 CFR 91.42 - Complaints.  

Code of Federal Regulations, 2012 CFR

...RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM HHS Investigation, Conciliation, and Enforcement...behalf of others, may file a complaint with HHS, alleging discrimination prohibited...discrimination. However, for good cause shown, HHS may extend this time limit. (b)...

2012-10-01

274

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

275

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

276

45 CFR 606.70 - Complaint procedures.  

Code of Federal Regulations, 2014 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...

2014-10-01

277

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

278

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

279

Complaints related to mandibular function impairment after closed treatment of fractures of the mandibular condyle.  

PubMed

This study analysed the relationship between complaints and mandibular function after closed treatment of fractures of the mandibular condyle in a prospective study. In a 1-year follow-up, complaints were assessed during physical examination and function was assessed using the mandibular function impairment questionnaire (MFIQ), scoring range 0-68. Data from 114 patients (41 women, 73 men), mean age 28.1 years (SD 13.3), were available. On average the MFIQ scores were low 3.4 (SD 7.3). Ten patients (9%) experienced pain and 45 (39%) patients had a MFIQ score > 0. Mean mouth opening was 51.9 mm (SD 8.4). Occlusion was perceived as moderate or poor by 24% of the patients. In the logistic regression analysis mandibular function impairment (MFIQ score > 0) was entered as a dependent variable. Risk factors for mandibular function impairment were: pain, perceived occlusion (moderate or poor), absolute difference between left and right horizontal movements and age. A protective factor was mouth opening. The results of this study show that complaints (i.e. pain, perceived occlusion, reduced mouth opening, difference between left and right lateral movements and increased age) are predictors of mandibular function impairment after closed treatment of fractures of the mandibular condyle. PMID:20430584

Niezen, E T; Bos, R R M; de Bont, L G M; Stegenga, B; Dijkstra, P U

2010-07-01

280

Complaint Behaviors of the Millennial Generation  

E-print Network

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

Philmon, Brittany Diane

2011-02-22

281

Citizen complaints and environmental regulation of Michigan livestock operations.  

PubMed

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

Hadrich, J C; Wolf, C A

2011-01-01

282

Managing patient complaints in China: a qualitative study in Shanghai  

PubMed Central

Objectives To examine the handling system for patient complaints and to identify existing barriers that are associated with effective management of patient complaints in China. Setting Key stakeholders of the handling system for patient complaints at the national, Shanghai municipal and hospital levels in China. Participants 35 key informants including policymakers, hospital managers, healthcare providers, users and other stakeholders in Shanghai. Primary and secondary outcome measures Semistructured interviews were conducted to understand the process of handling patient complaints and factors affecting the process and outcomes of patient complaint management. Results The Chinese handling system for patient complaints was established in the past decade. Hospitals shoulder the most responsibility of patient complaint handling. Barriers to effective management of patient complaints included service users’ low awareness of the systems in the initial stage of the process; poor capacity and skills of healthcare providers, incompetence and powerlessness of complaint handlers and non-transparent exchange of information during the process of complaint handling; conflicts between relevant actors and regulations and unjustifiable complaints by patients during solution settlements; and weak enforcement of regulations, deficient information for managing patient complaints and unwillingness of the hospitals to effectively handle complaints in the postcomplaint stage. Conclusions Barriers to the effective management of patient complaints vary at the different stages of complaint handling and perspectives on these barriers differ between the service users and providers. Information, procedure design, human resources, system arrangement, unified legal system and regulations and factors shaping the social context all play important roles in effective patient complaint management. PMID:25146715

Jiang, Yishi; Ying, Xiaohua; Zhang, Qian; Tang, Sirui Rae; Kane, Sumit; Mukhopadhyay, Maitrayee; Qian, Xu

2014-01-01

283

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

284

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

PubMed

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

Piper, Llewellyn E; Tallman, Erin

2015-01-01

285

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 ...

286

[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

287

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

PubMed

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

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

2013-07-01

288

A cross-sectional study of elite adult irish dancers: biopsychosocial traits, pain, and injury.  

PubMed

Despite its growing popularity, scant research exists concerning musculoskeletal pain and injury in Irish dancing (ID). This study aimed to record the biopsychosocial characteristics of elite adult Irish dancers and to investigate potential relationships between these characteristics and musculoskeletal pain and injury. One hundred and four professional Irish dancers, elite competitive Irish dancers, and dancers in full time education studying ID completed a questionnaire providing data on dance and activity levels, physical and psychological health, and pain and injury history. Of these subjects, 84 underwent 1. a physical screening of lower limb flexibility, which involved balance and endurance; 2. a number of functional tests; and 3. anthropometric, biomechanical, and anatomical assessments. Subjects were divided into "significantly injured (SI)" and "not significantly injured (NSI)" categories based on the severity and impact of self-reported pain and injury. Thirty-three (31.7%) subjects were classified as SI and 71 (68.3%) as NSI. The factors significantly associated with being SI were female sex (p = 0.036), higher number of subjective general health (p = 0.001) and psychological (p = 0.036) complaints, low mood (p = 0.01), heightened catastrophizing (p = 0.047), and failure always to complete a warm-up (p = 0.006). A self-reported injury rate of 76.9% over the previous 5 years was reported. The mean number of injuries sustained to all body parts over the previous 5 years was 1.49, with a mean of 126.1 days lost annually to injury. Foot and ankle injuries were most prevalent. It was concluded that there is a significant level of musculoskeletal pain and injury in elite adult ID. A complex combination of biopsychosocial factors appears to be associated with pain and injury. PMID:25741782

Cahalan, Roisin; Purtill, Helen; O'Sullivan, Peter; O'Sullivan, Kieran

2015-01-01

289

Pain control in cancer patients in tertiary care setting  

Microsoft Academic Search

Objective: To investigate the prevalence of significant pain and the appropriateness of analgesics treatment prescribed among cancer patients with pain in tertiary care hospitals. Material and Method: A cross-sectional study was conducted between October 2007 and June 2008 on 228 cancer patients with pain in the outpatient pain clinic of a university hospital and the inpatient ward of a regional

Naiyana Patcharapisarn; Penkae Ketumarn

290

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

PubMed

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

Hinnen, U; Krueger, H; Läubli, T

1986-01-01

291

Bladder and Bowel Symptoms Among Adults Presenting With Low Back Pain to an Academic Chiropractic Clinic: Results of a Preliminary Study  

PubMed Central

Objective The purposes of this study were to estimate the 1-month point prevalence of bowel and bladder symptoms (BBS) among adult chiropractic patients and to evaluate associations between these symptoms and low back pain (LBP). Methods Patients 18 years or older presenting to a chiropractic college academic health clinic between March 25 and April 25, 2013, were asked to complete a symptom screening questionnaire. Descriptive statistics, binary logistic regression, Fisher exact test, and P values were calculated from the sample. Results The sample included 140 of 1300 patients who visited the clinic during the survey period (11%). Mean age was 47.5 (range 18-79) years. LBP was the primary chief complaint in 42%. The 1-month point prevalence of any bladder symptoms was 75%, while the rate for bowel symptoms was 62%; 55% reported both BBS. Binary logistic regression analyses showed no statistically significant association between a chief complaint of LBP and combined BBS (OR = 1.67, P = .164). Conclusion The prevalence of bowel and bladder symptoms in chiropractic patients was high. There was no statistically significant association between these symptoms and LBP in this group of patients seeking care for LBP. PMID:25225466

Walden, Anna L.; Salsbury, Stacie A.; Reed, William R.; Lawrence, Dana J.

2014-01-01

292

NIH Pain Consortium PCORI Proposals Five pain-related proposals were submitted to PCORI for funding consideration  

E-print Network

January NIH Pain Consortium PCORI Proposals · Five pain-related proposals were submitted to PCORI for funding consideration Call with Senate Staff · The Office of Pain Policy discussed the types, prevalence agenda, videocast, and presentations can be found on the IPRCC website National Pain Strategy Update

293

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

294

Pathogenesis of Painful Diabetic Neuropathy  

PubMed Central

The prevalence of diabetes is rising globally and, as a result, its associated complications are also rising. Painful diabetic neuropathy (PDN) is a well-known complication of diabetes and the most common cause of all neuropathic pain. About one-third of all diabetes patients suffer from PDN. It has a huge effect on a person's daily life, both physically and mentally. Despite huge advances in diabetes and neurology, the exact mechanism of pain causation in PDN is still not clear. The origin of pain could be in the peripheral nerves of the central nervous system. In this review, we discuss various possible mechanisms of the pathogenesis of pain in PDN. We discuss the role of hyperglycaemia in altering the physiology of peripheral nerves. We also describe central mechanisms of pain. PMID:24891949

Rajbhandari, Satyan

2014-01-01

295

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

ERIC Educational Resources Information Center

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

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

2006-01-01

296

Chronic Pain Associated with Upper-Limb Loss  

PubMed Central

Objective To describe the prevalence, intensity, and functional impact of the following types of pain associated with upper-limb loss: phantom limb, residual limb, back, neck, and nonamputated-limb pain. Design Cross-sectional survey; 104 respondents with upper-limb loss at least 6 months postamputation completed measures of pain intensity, interference, disability, and health-related quality-of-life. Results Nearly all (90%) of the respondents reported pain, with 76% reporting more than one pain type. Phantom-limb pain and residual-limb pain were the most prevalent (79% and 71%, respectively), followed by back (52%), neck (43%), and nonamputated-limb pain (33%). Although nonamputated-limb pain was least prevalent, it was reported to cause the highest levels of interference and pain-related disability days. Self-reported quality-of-life was significantly lower for individuals with each type of pain compared with those without any pain. Age, time since amputation, and cause of amputation were not associated with pain. Conclusions In addition to pain in the phantom and residual limb, back, neck, and nonamputated-limb pain are also common after upper-limb loss. All of these pain types are associated with significant disability and activity interference for some individuals, suggesting that assessment of multiple pain types in persons with upper-limb amputation may be important. PMID:19692791

Hanley, Marisol A.; Ehde, Dawn M.; Jensen, Mark; Czerniecki, Joseph; Smith, Douglas G.; Robinson, Lawrence R.

2011-01-01

297

Chronic pain conditions in women.  

PubMed

There are inconsistent data on the age/sex prevalence pattern of back pain and on chest pain. However, it is possible that for chest pain, the rates are higher in younger women and older men. Neck pain, joint pain, and fibromyalgia all appear to increase with age in both genders, whereas abdominal pain and tension-type headaches decrease with age, and migraine headache and TMD appear to peak in the reproductive years. A concluding example illustrates how epidemiologic data can be used to enhance our understanding of the causes of pain. A higher prevalence in women and a peak prevalence during the reproductive years as seen in TMD suggest that either biologic or psychosocial factors unique to women in this period of life could increase the risk of developing or maintaining this pain. As female reproductive hormones can play a role in migraine, at least for some women, it would be interesting to examine whether hormones play a role in TMD. The situation that occurs when menopause is followed by hormone replacement therapy (HRT) provides a natural experiment similar to a laboratory experiment in which female animals are deprived of the natural sources of hormones and then hormones are replaced exogenously. In women, of course, the decision to receive HRT may be associated with a number of psychosocial variables that might also influence pain. Recognizing these limitations, data from records of a large health maintenance organization were examined to ascertain whether use of estrogen or progestin (or both) in postmenopausal women might be associated with the occurrence of TMD pain and, thus, whether the hormone hypothesis might be worthy of further investigation. More women with TMD than controls used estrogen replacement therapy, and slightly more patients than controls used progestin. The use of estrogen significantly increased the odds of having TMD. Progestin use showed a weaker association, which did not hold up after other factors were controlled. However, the risk of TMD appears to increase with increasing doses of estrogen. A review of the epidemiologic literature indicates that there are definite age and sex differences in the prevalence of many chronic pain conditions. There is little basic information about the source of these differences, such as different onset rates, different probabilities of recurrence, or different durations of pain, or combinations of these in women and men. Nevertheless, a systematic examination of the existing epidemiologic data may be an important step in helping pain researchers to generate hypotheses in the search for a better understanding of chronic pain in both sexes. PMID:10326986

Meisler, J G

1999-04-01

298

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

Microsoft Academic Search

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

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

2008-01-01

299

Upper Extremity Thrombosis Presenting as Medial Elbow Pain after Shoulder Arthroscopy  

PubMed Central

Deep vein thrombosis of the upper extremity is believed to be an uncommon complication of arthroscopic shoulder surgery. It most commonly presents with significant swelling and pain throughout the upper extremity. However the diagnosis can be easily missed when findings are more subtle and unrelated or the patient asymptomatic. In this study we report on 5 cases of postoperative upper extremity deep vein thrombosis (UEDVT). Each case was performed in the lateral decubitus position with an interscalene block and postoperative sling immobilization. All patients presented with a primary complaint of medial elbow pain and went on to require anticoagulation. Only one patient was found to have a heritable coagulopathy. The true incidence of thromboembolic phenomena after shoulder arthroscopy may be higher than that reported in the current literature. Therefore a high index of suspicion must be maintained when evaluating patients postoperatively to avoid misdiagnosis. Symptoms of medial elbow pain after immobilization in a sling should be considered an indication for duplex ultrasound evaluation. Ultimately, further prospective study is needed to better understand the prevalence, prevention, and management of this entity. PMID:24772360

Manaqibwala, Moiz I.; Ghobrial, Irene E.; Curtis, Alan S.

2014-01-01

300

Orofacial pain management: current perspectives.  

PubMed

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

301

Frequency of Migraine as a Chief Complaint in Otolaryngology Outpatient Practice  

PubMed Central

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

Muhammad Ali, Maria; Al Zayer, Maha

2015-01-01

302

Frequency of migraine as a chief complaint in otolaryngology outpatient practice.  

PubMed

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

Sabra, Omar; Muhammad Ali, Maria; Al Zayer, Maha; Altuwaijri, Saleh

2015-01-01

303

Low Back Pain in Port Machinery Operators  

NASA Astrophysics Data System (ADS)

The occurrence of several types of low back pain (LBP) was investigated by a standardized questionnaire in a group of 219 port machinery operators exposed to whole-body vibration (WBV) and postural load and in a control group of 85 maintenance workers employed at the same transport company. The group of port machinery operators included 85 straddle carrier drivers, 88 fork-lift truck drivers, and 46 crane operators. The vector sum of the frequency-weighted r.m.s. acceleration of vibration measured on the seatpan of port vehicles and machines averaged 0·90 m/s2 for fork-lift trucks, 0·48 m/s2 for straddle carriers, 0·53 m/s2 for mobile cranes, and 0·22 m/s2 for overhead cranes. The 12-month prevalence of low back symptoms (LBP, sciatic pain, treated LBP, sick leave due to LBP) was significantly greater in the fork-lift truck drivers than in the controls and the other two groups of port machinery operators. After adjusting for potential confounders, the prevalence of low back symptoms was found to increase with the increase of WBV exposure expressed as duration of exposure (driving years), equivalent vibration magnitude (m/s2), or cumulative vibration exposure (yr m2/s4). An excess risk for lumbar disc herniation was observed in the port machinery operators with prolonged driving experience. In both the controls and the port machinery operators, low back complaints were strongly associated with perceived postural load assessed in terms of frequency and/or duration of awkward postures at work. Multivariate analysis showed that vibration exposure and postural load were independent predictors of LBP. Even though the cross-sectional design of the present study does not permit firm conclusions on the relationship between WBV exposure and low back disorders, the findings of this investigation provide additional epidemiological evidence that seated WBV exposure combined with non-neutral trunk postures, as while driving, is associated with an increased risk of long-term adverse health effects on the lower back.

BOVENZI, M.; PINTO, I.; STACCHINI, N.

2002-05-01

304

Pain Assessment  

MedlinePLUS

... as a result of the pain, and the nature of other medical and psychiatric problems, should be ... information helps the health care provider understand the nature of the pain or the potential benefits of ...

305

Finger pain  

MedlinePLUS

Pain - finger ... Nearly everyone has had finger pain at some time. You may have: Tenderness Burning Stiffness Numbness Tingling Coldness Swelling Change in skin color Redness Many conditions, such ...

306

Orofacial Pain  

MedlinePLUS

... Neck, shoulder or back pain Dizziness ?xml:namespace> Sleep disorders ; If you have gone through treatment and still experience orofacial pain, you may have a sleep disorder, such as bruxism, or a sleep-related breathing ...

307

Knee pain  

MedlinePLUS

... avoid activities that aggravate your pain, especially weight bearing activities. Apply ice. First, apply it every hour ... knee You have severe pain, even when not bearing weight Your knee buckles, clicks, or locks Your ...

308

Painful swallowing  

MedlinePLUS

... ulcers Something stuck in the throat (for example, fish or chicken bones) Tooth infection or abscess ... with the painful swallowing, including: Abdominal pain Chills Cough Fever Heartburn Nausea or vomiting Sour taste in ...

309

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 ...

310

Back Pain  

MedlinePLUS

... my aching back!", you are not alone. Back pain is one of the most common medical problems, affecting 8 out of 10 people at some point during their lives. Back pain can range from a dull, constant ache to ...

311

Chronic Pain  

MedlinePLUS

... 2002. Reflex Sympathetic Dystrophy/ Complex Regional Pain Syndromes (CRPS): State-of-the-Science A workshop on Reflex Sympathetic Dystrophy/ Complex Regional Pain Syndromes (CRPS): State-of-the-Science, December 15, 2001. Publicaciones ...

312

Painful varicoceles: Role of varicocelectomy.  

PubMed

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

2014-10-01

313

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

PubMed Central

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

HODACOVA, Lenka; SUSTOVA, Zdenka; CERMAKOVA, Eva; KAPITAN, Martin; SMEJKALOVA, Jindra

2014-01-01

314

Chronic pain.  

PubMed

Essential facts Chronic pain is pain that persists or recurs for more than three months. It may be related to a condition, or may be pain from an injury or operation that continues after healing would usually take place. According to guidance from the Scottish Intercollegiate Guidelines Network (SIGN), around 18 per cent of Europe's population are currently affected by moderate to severe chronic pain. It has a considerable effect on quality of life, and can cause significant suffering and disability. PMID:25783253

2015-03-18

315

Chronic Pain  

Microsoft Academic Search

The primary purposes of acute pain and the reason it is noxious are to interrupt ongoing activity in order to warn the sufferer of tissue damage, to discourage movement that might exacerbate injury or prevent healing, and to teach the organism to avoid the pain-producing circumstances. Therefore, it is no wonder that when pain persists to become chronic, many sufferers

Malcolm H. Johnson

316

Face pain  

MedlinePLUS

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

317

Self-reported musculoskeletal complaints among garment workers.  

PubMed

One hundred forty-four sewing machine operators answered questionnaires concerning occupational history and musculoskeletal symptoms adapted from the National Health and Nutrition Examination Survey. They were matched for age within 5 years, race, and sex with persons completing the HANES I Augmentation Survey, and the prevalence of self-reported musculoskeletal morbidity was compared. Operators complained significantly more often of knee pain (prevalence odds ratio [POR] = 1.84, p = .0001) and knee swelling (POR = 9.98, p less than .00001), although they were no more likely to have had knee surgery. Similar increases were reported for upper-back pain (POR = 2.13, p = .002) joint ache, and joint swelling (both were significant for fingers, wrists, elbows, and shoulders at p less than .05 levels). No differences in low-back pain or in hospitalization for joint conditions were noted. Ergonomic redesign of sewing machines needs to address knee and upper-back movements as well as the arm, wrist, and finger movements. PMID:2786337

Sokas, R K; Spiegelman, D; Wegman, D H

1989-01-01

318

Chronic and Recurrent Pelvic Pain  

Microsoft Academic Search

\\u000a Chronic and recurrent pelvic pain (CPP) in ­children and adolescents has been recognized for decades. However, data on the\\u000a etiology, natural history, treatment, and long-term consequences of painful pelvic conditions in these patients are lacking.\\u000a The problem’s prevalence remains uncertain, and the majority of therapies are extrapolated from research on adults. The normal\\u000a developmental changes and coping strategies of children

Lynda Wells

319

Supportive and Aversive Behavior Following Spousal Complaints.  

ERIC Educational Resources Information Center

Observed 42 couples during emotional interactions: each spouse discussed an upsetting incident unrelated to the marriage. Results showed the proportion of approval or caring behavior expressed was directly related to marital adjustment. Overall, negative behavior appeared to inhibit the probability of subsequent expressions of complaints by…

Cousins, Peter C.; Vincent, John P.

1983-01-01

320

10 CFR 590.317 - Complaints.  

Code of Federal Regulations, 2010 CFR

...import or export authorization over which FE has jurisdiction. No particular form is required. The complaint must be filed with FE in writing and must contain the name and...proceeding either by the complainant or by FE if the complainant has made a good...

2010-01-01

321

CATEGORY 1 HISTORY: CHIEF COMPLAINT (CC)  

E-print Network

is located. Body part or general area. (e.g.) left arm, abdomen, throat. q Quality Descriptive word about Associated Sign/Symptom Other system or body area complaint associated with the presenting problem. Other History of exposure to asbestos at place of work. #12;CATEGORY 2 PHYSICAL EXAMINATION: PHYSICAL

Goldman, Steven A.

322

Pain in Parkinson's Disease Associated with COMT Gene Polymorphisms  

PubMed Central

Background. PD patients present high incidence of pain with unknown pathogenesis. Objective. We investigated the relation of COMT polymorphisms rs4633 and rs6267 with PD pain. Subjects and Methods. One hundred PD patients and 105 controls were evaluated with simplified Mc GILL pain scale and VAS scale. PD patients were assessed with H&Y grade, UPDRS score, and HAMD scale. Polymorphisms rs4633 and rs6267 were detected by PCR and direct sequencing. Results. Fifty-seven percent of PD patients experienced pain, consisting of PD-related pain (64.91%) (the majority was dystonia pain) and non-PD-related pain (35.09%) (psychogenic pain was most frequent). The frequency of rs6267 genotype “GT/TT” and allele “T” was higher in PD pain. No difference was observed in frequencies of rs4633 between PD pain and without pain. UPDRS and depression score were higher in PD pain. The onset age was earlier in PD-related pain (57.43 ± 19.71) than non-PD-related pain (63.36 ± 6.88). Conclusion. PD patients possess a high prevalence of pain. Dystonia pain was the most frequent type of PD-related pain. COMT gene rs6267 allele “T” associated with PD pain. PD pain was influenced by disease severity and depression. PD onsets earlier in patients with PD-related pain than non-PD-related pain. PMID:24825955

Li, Wanjun; Chen, Yongqian; Yin, Bowen; Zhang, Limei

2014-01-01

323

7 CFR 48.8 - Filing of complaints.  

Code of Federal Regulations, 2010 CFR

... MARKETING OF PERISHABLE AGRICULTURAL COMMODITIES REGULATIONS OF THE SECRETARY OF AGRICULTURE FOR THE ENFORCEMENT OF THE PRODUCE AGENCY ACT Complaints § 48.8 Filing of complaints. Any person having reason to believe that the Act or the...

2010-01-01

324

47 CFR 1.6001 - Retransmission consent complaint procedures.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 2011-10-01 false Retransmission consent complaint procedures. 1.6001 Section...Satellite Carriers for Retransmission Without Consent § 1.6001 Retransmission consent complaint procedures. By whom. If a...

2011-10-01

325

47 CFR 1.6001 - Retransmission consent complaint procedures.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 2010-10-01 false Retransmission consent complaint procedures. 1.6001 Section...Satellite Carriers for Retransmission Without Consent § 1.6001 Retransmission consent complaint procedures. By whom. If a...

2010-10-01

326

32.01.02.M1 Complaint and Appeal Procedure  

E-print Network

's allegations are against. Procedures and Responsibilities 1. CIVIL RIGHTS COMPLAINTS: An employee's complaint with System Regulation 08.01.01 Civil Rights Compliance, and University Rule 08.01.01.M1 Civil Rights

327

40 CFR 7.180 - Mediation of age discrimination complaints.  

Code of Federal Regulations, 2010 CFR

...2010-07-01 false Mediation of age discrimination complaints. 7.180 Section...ENVIRONMENTAL PROTECTION AGENCY Discrimination Prohibited on the Basis of Age § 7.180 Mediation of age discrimination complaints. (a) The...

2010-07-01

328

32 CFR 1901.04 - Suggestions and complaints.  

Code of Federal Regulations, 2010 CFR

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

2010-07-01

329

32 CFR 1900.04 - Suggestions and complaints.  

Code of Federal Regulations, 2010 CFR

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

2010-07-01

330

28 CFR 35.171 - Acceptance of complaints.  

Code of Federal Regulations, 2010 CFR

... NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...complaint of discrimination on the basis of disability by a public entity shall promptly...agency shall close the complaint without...

2010-07-01

331

29 CFR 1984.103 - Filing of retaliation complaint.  

Code of Federal Regulations, 2014 CFR

...2014-07-01 false Filing of retaliation complaint. 1984.103 Section 1984.103 Labor Regulations Relating to Labor (Continued...Investigations, Findings and Preliminary Orders § 1984.103 Filing of retaliation complaint. (a)...

2014-07-01

332

29 CFR 1984.103 - Filing of retaliation complaint.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 false Filing of retaliation complaint. 1984.103 Section 1984.103 Labor Regulations Relating to Labor (Continued...Investigations, Findings and Preliminary Orders § 1984.103 Filing of retaliation complaint. (a)...

2013-07-01

333

7 CFR 6.42 - Complaints of price-undercutting.  

Code of Federal Regulations, 2012 CFR

... 2012-01-01 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...

2012-01-01

334

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

335

7 CFR 6.42 - Complaints of price-undercutting.  

Code of Federal Regulations, 2013 CFR

... 2013-01-01 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...

2013-01-01

336

7 CFR 6.42 - Complaints of price-undercutting.  

Code of Federal Regulations, 2010 CFR

... 2010-01-01 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...

2010-01-01

337

7 CFR 6.42 - Complaints of price-undercutting.  

Code of Federal Regulations, 2014 CFR

... 2014-01-01 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...

2014-01-01

338

40 CFR 7.180 - Mediation of age discrimination complaints.  

Code of Federal Regulations, 2012 CFR

...2012-07-01 false Mediation of age discrimination complaints. 7.180 Section...ENVIRONMENTAL PROTECTION AGENCY Discrimination Prohibited on the Basis of Age § 7.180 Mediation of age discrimination complaints. (a) The...

2012-07-01

339

40 CFR 7.180 - Mediation of age discrimination complaints.  

Code of Federal Regulations, 2014 CFR

...2014-07-01 false Mediation of age discrimination complaints. 7.180 Section...ENVIRONMENTAL PROTECTION AGENCY Discrimination Prohibited on the Basis of Age § 7.180 Mediation of age discrimination complaints. (a) The...

2014-07-01

340

40 CFR 7.180 - Mediation of age discrimination complaints.  

Code of Federal Regulations, 2011 CFR

...2011-07-01 false Mediation of age discrimination complaints. 7.180 Section...ENVIRONMENTAL PROTECTION AGENCY Discrimination Prohibited on the Basis of Age § 7.180 Mediation of age discrimination complaints. (a) The...

2011-07-01

341

40 CFR 7.180 - Mediation of age discrimination complaints.  

Code of Federal Regulations, 2013 CFR

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

2013-07-01

342

47 CFR 68.419 - Answers to informal complaints.  

Code of Federal Regulations, 2011 CFR

...COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK Complaint Procedures § 68.419 Answers to informal complaints. Any responsible party to whom the...

2011-10-01

343

47 CFR 7.16 - Informal or formal complaints.  

Code of Federal Regulations, 2011 CFR

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

2011-10-01

344

47 CFR 7.16 - Informal or formal complaints.  

Code of Federal Regulations, 2010 CFR

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

2010-10-01

345

20 CFR 631.16 - Complaints, investigations, and penalties.  

Code of Federal Regulations, 2010 CFR

...2010-04-01 false Complaints, investigations, and penalties. 631.16... § 631.16 Complaints, investigations, and penalties. The provisions...section apply in addition to the sanctions provisions in subpart G...

2010-04-01

346

50 CFR 90.14 - Waterfowl depredation complaints; where filed.  

Code of Federal Regulations, 2014 CFR

...2014-10-01 2014-10-01 false Waterfowl depredation complaints; where filed...PROVISIONS FEEDING DEPREDATING MIGRATORY WATERFOWL Use of Surplus Grain § 90.14 Waterfowl depredation complaints; where filed....

2014-10-01

347

50 CFR 90.14 - Waterfowl depredation complaints; where filed.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 2011-10-01 false Waterfowl depredation complaints; where filed...PROVISIONS FEEDING DEPREDATING MIGRATORY WATERFOWL Use of Surplus Grain § 90.14 Waterfowl depredation complaints; where filed....

2011-10-01

348

50 CFR 90.14 - Waterfowl depredation complaints; where filed.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Waterfowl depredation complaints; where filed...PROVISIONS FEEDING DEPREDATING MIGRATORY WATERFOWL Use of Surplus Grain § 90.14 Waterfowl depredation complaints; where filed....

2012-10-01

349

50 CFR 90.14 - Waterfowl depredation complaints; where filed.  

Code of Federal Regulations, 2013 CFR

...2013-10-01 2013-10-01 false Waterfowl depredation complaints; where filed...PROVISIONS FEEDING DEPREDATING MIGRATORY WATERFOWL Use of Surplus Grain § 90.14 Waterfowl depredation complaints; where filed....

2013-10-01

350

Title IX & Discrimination Complaint Form (including sexual harassment)  

E-print Network

Title IX & Discrimination Complaint Form (including sexual harassment) Office of Diversity the process for filing or investigating complaints of discrimination (including sexual harassment). Note/Color/Ethnicity Religion Retaliation Sexual Harassment Sexual Orientation Veteran Status Other: PERSON WHO

Hemmers, Oliver

351

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

352

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

353

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

354

47 CFR 8.14 - General formal complaint procedures.  

Code of Federal Regulations, 2014 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...

2014-10-01

355

Cross-sectional assessment of pain and physical function in skeletal dysplasia patients.  

PubMed

Short stature skeletal dysplasia (SD) patients have orthopedic and neurologic complications causing significant pain and physical disability. We conducted a large cross-sectional online survey in 361 people with short stature SD (>10?years) to describe pain prevalence, characteristics, and the relationship between pain and function. Chronic pain prevalence per Brief Pain Inventory (BPI) was 70.3%. Women reported more pain than men (73% vs 63% p?=?0.04). Pain Severity Score (average of current, worst, least and average pain) averaged 3.3?±?2, while the Pain Interference Score (with daily activities) averaged 3.4?±?2.7 on a 10-point scale. Per Bleck scale, 20.5% had little or no functional capacity. Increasing age and decreased ambulation independently predicted chronic pain. Chronic pain is prevalent in short stature SD patients and associated with poor physical function. Further study is required to clarify the temporal relationship among pain, function and treatments. PMID:23106480

Alade, Y; Tunkel, D; Schulze, K; McGready, J; Jallo, G; Ain, M; Yost, T; Hoover-Fong, J

2013-09-01

356

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

357

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

PubMed Central

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

2014-01-01

358

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

359

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 ...

360

UC DAVIS POLICE DEPARTMENT COMMUNITY COMPLAINT PROCEDURE AND FORM  

E-print Network

UC DAVIS POLICE DEPARTMENT COMMUNITY COMPLAINT PROCEDURE AND FORM FORMS The public's trust for investigation. The UC Davis Police Department maintains an electronic database of community complaints information. Complainant Signature #12;UC DAVIS POLICE DEPARTMENT COMMUNITY COMPLAINT PROCEDURE AND FORM FORMS

Schladow, S. Geoffrey

361

Foodborne Illness Complaint Form 1CDC EHS-Net  

E-print Network

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

362

47 CFR 76.1402 - CPST rate complaints.  

Code of Federal Regulations, 2010 CFR

...CPST rate complaints. (a) A local franchise authority may file rate complaints...within 90 days of that increase the local franchise authority receives more than one subscriber...complaint with the Commission, the local franchise authority must first give the...

2010-10-01

363

Complaint Handling in the Library. Occasional Papers Number 166.  

ERIC Educational Resources Information Center

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

Robinson, William C.

364

Complaint Ratios and Property-Casualty Insurer Characteristics  

Microsoft Academic Search

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

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

2005-01-01

365

39 CFR 3030.2 - Scope and nature of complaints.  

Code of Federal Regulations, 2013 CFR

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

2013-07-01

366

39 CFR 3030.2 - Scope and nature of complaints.  

Code of Federal Regulations, 2011 CFR

...Service 1 2011-07-01 2011-07-01 false Scope and nature of complaints. 3030.2 Section 3030.2 Postal Service...PERSONNEL RULES FOR COMPLAINTS General § 3030.2 Scope and nature of complaints. Any interested person (including...

2011-07-01

367

39 CFR 3030.2 - Scope and nature of complaints.  

Code of Federal Regulations, 2012 CFR

...Service 1 2012-07-01 2012-07-01 false Scope and nature of complaints. 3030.2 Section 3030.2 Postal Service...PERSONNEL RULES FOR COMPLAINTS General § 3030.2 Scope and nature of complaints. Any interested person (including...

2012-07-01

368

39 CFR 3030.2 - Scope and nature of complaints.  

Code of Federal Regulations, 2010 CFR

...Service 1 2010-07-01 2010-07-01 false Scope and nature of complaints. 3030.2 Section 3030.2 Postal Service...PERSONNEL RULES FOR COMPLAINTS General § 3030.2 Scope and nature of complaints. Any interested person (including...

2010-07-01

369

39 CFR 3030.2 - Scope and nature of complaints.  

Code of Federal Regulations, 2014 CFR

...Service 1 2014-07-01 2014-07-01 false Scope and nature of complaints. 3030.2 Section 3030.2 Postal Service...PERSONNEL RULES FOR COMPLAINTS General § 3030.2 Scope and nature of complaints. Any interested person (including...

2014-07-01

370

22 CFR 96.41 - Procedures for responding to complaints and improving service delivery.  

Code of Federal Regulations, 2010 CFR

... 2010-04-01 false Procedures for responding to complaints...Complaints and Records and Reports Management § 96.41 Procedures for responding to complaints...written complaint policies and procedures that incorporate the...

2010-04-01

371

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

372

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

PubMed Central

Background Since knee complaints are common among athletes and are frequently presented in general practice, it is of interest to investigate the type of knee complaints represented in general practice of athletes in comparison with those of non-athletes. Therefore, the aim of this study is to investigate the differences in type of knee complaints between sport participants, in this study defined as athletes, and non-sport participants, defined as non-athletes, presenting in general practice. Further, differences in the initial policy of the GP, medical consumption, and outcome at one-year follow-up were also investigated. Methods Patients consulting their GP for a new episode of knee complaints were invited to participate in this prospective cohort study. From the total HONEUR knee cohort population (n = 1068) we extracted patients who were athletes (n = 421) or non-athletes (n = 388). Results The results showed that acute distortions of the knee were significantly more diagnosed in athletes than in non-athletes (p = 0.04). Further, more athletes were advised by their GP to 'go easy on the knee' than the non-athletes (p < 0.01), but no differences were found in number of referrals and medication prescribed by the GP. The medical consumption was significantly higher among athletes; however, no significant differences were found between the two groups for recovery at one-year follow-up. Conclusion There are no major differences in the diagnosis and prognosis of knee complaints between athletes and non-athletes presented to the GP. This implies that there are no indications for different treatment strategies applied in both groups. However, athletes are more often advised to 'go easy on the knee' and to rest than non-athletes. Further, there is a trend towards increased medical consumption among athletes while functional disability and pain are lower than among the non-athletes. PMID:18366679

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

2008-01-01

373

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

374

Successful management of chronic pelvic pain.  

PubMed

Chronic pelvic pain is a common, multifactorial complaint that affects both women and men, causing disability and frustration for patients. The exact aetiology remains unknown, although several theories have been proposed. Assessment should be undertaken with care and compassion, while considering the sensitive nature of the area. Management involves ruling out treatable pathology concomitant with strategies to control pain. Novel treatment approaches have been investigated for specific clinical scenarios. The more severe CPP cases are best managed using a multidisciplinary approach. Management requires good integration and knowledge of all pelvic organ systems and including musculoskeletal, neurologic and psychological mechanisms. PMID:23909900

Rhodin, Annica

2013-08-01

375

Treating abdominal pain in young people.  

PubMed

A common complaint in children, abdominal pain can be clinically challenging for healthcare professionals to diagnose and treat. Accurate assessment and thorough investigations, combined with the measurement and monitoring of vital signs, are essential to eliminate any underlying conditions. Self-reporting tools can be used to aid communication with children, who may have difficulties articulating their thoughts and feelings. This article refers to a case study to discuss the care of children who present to emergency departments (EDs) with abdominal pain. It suggests that children's nursing students can be valuable assets in busy EDs because they have the knowledge and skills required to care for young people. PMID:25659796

McVeigh, Grace; Cardwell, Pauline

2015-02-01

376

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

Code of Federal Regulations, 2010 CFR

...date of the carrier's report, (b) makes reference to the date of the informal complaint, and (c) is based on the same cause of action as the informal complaint. If no formal complaint is filed within the 6-month period, the...

2010-10-01

377

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

PubMed Central

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

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

2015-01-01

378

Neuropathic Pain  

PubMed Central

Neuropathic pain is triggered by lesions to the somatosensory nervous system that alter its structure and function so that pain occurs spontaneously and responses to noxious and innocuous stimuli are pathologically amplified. The pain is an expression of maladaptive plasticity within the nociceptive system, a series of changes that constitute a neural disease state. Multiple alterations distributed widely across the nervous system contribute to complex pain phenotypes. These alterations include ectopic generation of action potentials, facilitation and disinhibition of synaptic transmission, loss of synaptic connectivity and formation of new synaptic circuits, and neuroimmune interactions. Although neural lesions are necessary, they are not sufficient to generate neuropathic pain; genetic polymorphisms, gender, and age all influence the risk of developing persistent pain. Treatment needs to move from merely suppressing symptoms to a disease-modifying strategy aimed at both preventing maladaptive plasticity and reducing intrinsic risk. PMID:19400724

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

2009-01-01

379

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

380

Technology Insight: imaging of low back pain  

Microsoft Academic Search

Chronic low back pain is a common condition that has significant economic consequences for affected patients and their communities. Despite the prevailing view that an anatomic diagnosis is often impossible, an origin for the pain can frequently be found if current diagnostic techniques are fully used. Such techniques include a mixture of noninvasive and invasive imaging. Prevalence data suggest that

Philip Finch

2006-01-01

381

Transdermal Opioids for Cancer Pain Management  

Microsoft Academic Search

•The prevalence of pain in cancer is up to 90%, more than 45% of this can be adequately managed using the World Health Organisation three step analgesic ladder.•Transdermal opioids are safe, effective, and produce significantly fewer side effects than oral morphine when used for moderate to severe cancer pain.•Transdermal buprenorphine has a lower incidence of systemic side effects than transdermal

Rohan Hasmukh Vithlani; Ganesan Baranidharan

2010-01-01

382

Costs of back pain in Germany  

Microsoft Academic Search

With 12-month prevalence rates of more than 70%, back pain is currently one of the major health problems for German adults and entails major economic consequences. The aim of this study was to estimate back pain-related costs from a societal perspective and to determine the impact of sociodemographic variables on costs. Based on back pain-related survey data of a large

Christina M. Wenig; Carsten O. Schmidt; Thomas Kohlmann; Bernd Schweikert

2009-01-01

383

PAIN SCALES (ATTACHMENT A)  

E-print Network

PAIN SCALES (ATTACHMENT A) 0-10 NUMERIC PAIN INTENSITY SCALE 0 1 2 3 4 5 6 7 8 9 10 NO PAIN MODERATE WORST PAIN PAIN #12;PAIN SCALES (ATTACHMENT A) FLACC PAIN SCALE The FLACC is a behavioral pain assessment scale for use in non-verbal patients unable to provide numeric reports of pain. SCORING Categories

Oliver, Douglas L.

384

FTC's Top 10 Consumer Fraud Complaints of 2001  

NSDL National Science Digital Library

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

2002-01-01

385

Referred speech-language and hearing complaints in the western region of São Paulo, Brazil  

PubMed Central

OBJECTIVE: The aim of this study was to characterize the epidemiological profile of the population attending primary health care units in the western region of the city of São Paulo, Brazil, highlighting referred speech-language and hearing complaints. METHOD: This investigation was a cross-sectional observational study conducted in primary health care units. Household surveys were conducted and information was obtained from approximately 2602 individuals, including (but not limited to) data related to education, family income, health issues, access to public services and access to health services. The speech-language and hearing complaints were identified from specific questions. RESULTS: Our results revealed that the populations participating in the survey were heterogeneous in terms of their demographic and economic characteristics. The prevalence of referred speech-language and hearing complaints in this population was 10%, and only half the users of the public health system in the studied region who had complaints were monitored or received specific treatment. CONCLUSIONS: The results demonstrate the importance of using population surveys to identify speech-language and hearing complaints at the level of primary health care. Moreover, these findings highlight the need to reorganize the speech-language pathology and audiology service in the western region of São Paulo, as well as the need to improve the Family Health Strategy in areas that do not have a complete coverage, in order to expand and improve the territorial diagnostics and the speech-language pathology and audiology actions related to the prevention, identification, and rehabilitation of human communication disorders. PMID:24964306

Samelli, Alessandra Giannella; Rondon, Silmara; Oliver, Fátima Correa; Junqueira, Simone Rennó; Molini-Avejonas, Daniela Regina

2014-01-01

386

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

387

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

388

Heel Pain  

MedlinePLUS

... Resting provides only temporary relief. When you resume walking, particularly after a night's sleep, you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk, the heel pain may ... Excessive Pronation: Heel pain sometimes results from excessive ...

389

Pain frequency moderates the relationship between pain catastrophizing and pain  

PubMed Central

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

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

2014-01-01

390

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

2014-01-01

391

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

392

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

Microsoft Academic Search

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

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

1996-01-01

393

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; Zéphir, Hélène

2014-01-01

394

Spinal pain.  

PubMed

The spinal pain, and expecially the low back pain (LBP), represents the second cause for a medical consultation in primary care setting and a leading cause of disability worldwide [1]. LBP is more often idiopathic. It has as most frequent cause the internal disc disruption (IDD) and is referred to as discogenic pain. IDD refers to annular fissures, disc collapse and mechanical failure, with no significant modification of external disc shape, with or without endplates changes. IDD is described as a separate clinical entity in respect to disc herniation, segmental instability and degenerative disc desease (DDD). The radicular pain has as most frequent causes a disc herniation and a canal stenosis. Both discogenic and radicular pain also have either a mechanical and an inflammatory genesis. For to be richly innervated, facet joints can be a direct source of pain, while for their degenerative changes cause compression of nerve roots in lateral recesses and in the neural foramina. Degenerative instability is a common and often misdiagnosed cause of axial and radicular pain, being also a frequent indication for surgery. Acute pain tends to extinguish along with its cause, but the setting of complex processes of peripheral and central sensitization may influence its evolution in chronic pain, much more difficult to treat. The clinical assessment of pain source can be a challenge because of the complex anatomy and function of the spine; the advanced imaging methods are often not sufficient for a definitive diagnosis because similar findings could be present in either asymptomatic and symptomatic subjects: a clinical correlation is always mandatory and the therapy cannot rely uniquely upon any imaging abnormalities. Purpose of this review is to address the current concepts on the pathophysiology of discogenic, radicular, facet and dysfunctional pain, focusing on the role of the imaging in the diagnostic setting, to potentially address a correct approach also to minimally invasive interventional techniques. Special attention will be done to the discogenic pain, actually considered as the most frequent cause of chronic low back pain. PMID:25824642

Izzo, R; Popolizio, T; D'Aprile, P; Muto, M

2015-05-01

395

Bladder Pain Syndrome/Interstitial Cystitis Is Associated with Hyperthyroidism  

PubMed Central

Background Although the etiology of bladder pain syndrome/interstitial cystitis (BPS/IC) is still unclear, a common theme with BPS/IC patients is comorbid disorders which are related to the autonomic nervous system that connects the nervous system to end-organs. Nevertheless, no study to date has reported the association between hyperthyroidism and BPS/IC. In this study, we examined the association of IC/BPS with having previously been diagnosed with hyperthyroidism in Taiwan. Design Data in this study were retrieved from the Longitudinal Health Insurance Database. Our study consisted of 736 female cases with BPS/IC and 2208 randomly selected female controls. We performed a conditional logistic regression to calculate the odds ratio (OR) for having previously been diagnosed with hyperthyroidism between cases and controls. Results Of the 2944 sampled subjects, there was a significant difference in the prevalence of prior hyperthyroidism between cases and controls (3.3% vs. 1.5%, p<0.001). The conditional logistic regression analysis revealed that compared to controls, the OR for prior hyperthyroidism among cases was 2.16 (95% confidence interval (CI): 1.27?3.66). Furthermore, the OR for prior hyperthyroidism among cases was 2.01 (95% CI: 1.15?3.53) compared to controls after adjusting for diabetes, coronary heart disease, obesity, hyperlipidemia, chronic pelvic pain, irritable bowel syndrome, fibromyalgia, chronic fatigue syndrome, depression, panic disorder, migraines, sicca syndrome, allergies, endometriosis, and asthma. Conclusions Our study results indicated an association between hyperthyroidism and BPS/IC. We suggest that clinicians treating female subjects with hyperthyroidism be alert to urinary complaints in this population. PMID:23991081

Liu, Shih-Ping; Lin, Ching-Chun; Lin, Herng-Ching

2013-01-01

396

Painful diabetic neuropathy.  

PubMed

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

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

2014-01-01

397

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

PubMed Central

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

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

2013-01-01

398

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

399

[Hindfoot pain].  

PubMed

The hindfoot is the part of the foot which is proximal to the midtarsal joint. The obvious causes of pain are not considered (post-traumatic etiologies, sprains and fractures but also cutaneous lesions). The main etiologies on the subject are successively exposed by following the localization of the pain. Diffuse pains (ankle arthritis tarsal osteoarthritis, algodystrophy, calcaneo-navicular synostosis but also bone diseases like stress fractures, Paget disease or tumors). Plantar talalgia (Sever's disease, plantar fasciitis and entrapment neuropathies such as (esions of the medial calcaneal nerve, of the first branch of the plantar lateral nerve, medial plantar nerve and lateral plantar nerve). Posterior pains: calcaneal tendinopathy including peritendinitis, tendinosis, retro-calcaneal bursitis and pathology of the postero-lateral talar tuberosity. Medial pains: tendinopathies of the posterior tibial tendon and tendinopathy of the flexor hallucis longus tendon and tarsal tunnel syndrome. Lateral pains: fibularis tendinopathies including split lesions of the fibularis brevis tendon, displacement of the fibularis iongus tendon, sinus tarsi syndrome and finally thickenings of capsules and ligaments and ossifications localized under the tibial malleoli. Anterior pains: antero-inferior tibio-fibular ligament, anterior tibial tendinopathy and anterior impingment syndrome. PMID:20402125

Damiano, Joël; Bouysset, Maurice

2010-03-20

400

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

PubMed Central

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

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

2014-01-01

401

Reproducibility of pain measurement and pain perception  

Microsoft Academic Search

The reproducibility of both the conscious experience of pain and the reproducibility of psychophysical assessments of pain remain critical, yet poorly characterized factors in pain research and treatment. To assess the reproducibility of both the pain experience and two methods of pain assessment, 15 subjects evaluated experimental heat pain during four weekly sessions. In each session, both brief (5s) and

Elisa M. Rosier; Michael J. Iadarola; Robert C. Coghill

2002-01-01

402

Overview of persistent pain in older adults.  

PubMed

With the shifting age demographics of the U.S. population, more psychologists will be asked to provide clinical services to older adults. Given the high prevalence of persistent pain in aging, in many cases this will mean providing empirically supported interventions for pain and the interference it creates. The purpose of this review is to provide a broad overview of the scope and impact of persistent pain in older people and to discuss mechanisms by which persistent geriatric pain can lead to suffering and disability. We consider the unique context of pain in older adulthood and review differences between older and younger people in terms of pain perception, the social network, beliefs about pain, pain-related coping, and adherence to pain medication. Finally, we discuss special issues affecting pain management in older adults, including dementia, polypharmacy, and barriers to accessing adequate pain care. This review also highlights a need for greater provider training in pain management to meet the needs of a changing U.S. population. PMID:24547805

Molton, Ivan R; Terrill, Alexandra L

2014-01-01

403

Chronic pain - resources  

MedlinePLUS

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

404

[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

405

Low back pain associated with pregnancy: a review of literature  

Microsoft Academic Search

Introduction  Low back is a common problem for all women but there is an increased incidence of back pain associated with pregnancy.\\u000a \\u000a \\u000a \\u000a Incidence  The most common complaint of pregnant women, low back pain can be the normal result of a multitude of mechanical, hormonal,\\u000a and vascular changes associated with pregnancy. However, while usually regarded with a laissez-faire attitude, back pain during\\u000a pregnancy

Bernardino Saccomanni

2011-01-01

406

Chronic pain and pain-related disability across psychiatric disorders in a clinical adolescent sample  

PubMed Central

Background People who suffer from psychiatric disorders are burdened with a high prevalence of chronic illnesses and pain, but evidence on pain prevalence among adolescents with psychiatric disorders is scarce. The aim of this study was to investigate the frequency and location of self-reported chronic pain and pain-related disability in adolescent psychiatric patients. Methods This study was part of the larger Health Survey administered at the Department of Child and Adolescent Psychiatry (CAP) at St. Olav’s University Hospital, in Trondheim, Norway. All patients aged 13–18 years who visited the CAP clinic at least once between February 15, 2009 and February 15, 2011 were invited to participate. A total of 717 (43.5% of eligible/invited patients) participated; of these, 566 were diagnosed with one or more psychiatric disorders. The adolescents completed a questionnaire, which included questions about pain and pain-related disability. Clinical diagnoses were classified by a clinician according to International Statistical Classification of Diseases and Related Health Problems, 10th revision criteria. Results In adolescents with psychiatric disorders, 70.4% reported chronic pain, and 37.3% experienced chronic pain in three or more locations (multisite pain). Chronic musculoskeletal pain was the most prevalent type of pain (57.7%). Pain-related disability was found in 22.2% of the sample. The frequency of chronic pain and multisite pain increased with age, and girls reported a higher frequency of chronic pain, multisite pain and pain-related disability than boys did. There was an increased risk of chronic pain among adolescents with mood or anxiety disorders versus those with hyperkinetic disorders, yet this was not present after adjusting for sex. Comorbidity between hyperkinetic and mood or anxiety disorders involved an increased risk of pain-related disability. Conclusions In this study, seven out of 10 adolescents with psychiatric disorders reported chronic pain. These findings indicate the importance of early detection of chronic pain in adolescents with psychiatric disorders, to provide targeted treatment and reduce poor long-term outcomes. PMID:24139217

2013-01-01

407

Eye pain  

MedlinePLUS

... may be caused by the wrong eyeglass or contact lens prescription. Sometimes they are due to a problem ... that can cause eye pain are: Infections Inflammation Contact lens problems Dry eye Acute glaucoma Sinus problems Neuropathy ...

408

Neuropathic Pain  

MedlinePLUS

... nerve pain, you know that it can erode quality of life. Communication Tools View All Everyday Tools During Your ... each of them. Ability Chart - Arthritis version (PDF) Quality of Life Scale The Quality of Life scale is provided ...

409

Chest pain  

MedlinePLUS

... carries food from the mouth to the stomach) Gallstones cause pain that gets worse after a meal ( ... EM, et al. ACC/AHA Guidelines for the Management of Patients With Unstable Angina and Non-ST- ...

410

Breast pain  

MedlinePLUS

... breast pain. For example, hormone level changes from menstruation or pregnancy often cause breast tenderness. Some amount ... unless a woman is taking hormone replacement therapy) Menstruation and premenstrual syndrome (PMS) Pregnancy -- breast tenderness tends ...

411

Shoulder pain  

MedlinePLUS

... therapist can help you do this safely. Taking ibuprofen or acetaminophen (such as Tylenol) may help reduce ... have had shoulder pain before, use ice and ibuprofen after exercising. Learn exercises to stretch and strengthen ...

412

Chest Pain  

MedlinePLUS

Having a pain in your chest can be scary. It does not always mean that you are having a heart attack. ... can be many other causes, including Other heart problems, such as angina Panic attacks Digestive problems, such ...

413

Identity theft complaints: exploring the state-level correlates  

Microsoft Academic Search

Purpose – Identity theft is an emerging form of criminal behavior, with complaints about the behavior rising. However, little research has explored the correlates of these complaints, especially state-level correlates. The purpose of this paper is to examine the state-level characteristics correlated with identity theft complaints. Design\\/methodology\\/approach – The present study uses data collected from the 2000 US census and

George E. Higgins; Thomas “Tad” Hughes; Melissa L. Ricketts; Scott E. Wolfe

2008-01-01

414

Anorectal Pain  

Microsoft Academic Search

Anorectal pain is distressing for the patient and challenging for the physician. The vague and inconsistent use of terms such\\u000a as proctalgia fugax, levator ani syndrome, spastic pelvic floor, coccygodynia, chronic idiopathic anorectal pain, and pelvic\\u000a floor dyssynergia make it difficult to identify a cause and an effective therapy. Many conditions, some of which may be potentially\\u000a fatal, must be

Jill C. Genua; Dana R. Sands

415

A pyramid of complaints: The handling of complaints about racial discrimination in the Netherlands  

Microsoft Academic Search

This article summarises the findings of a study into the ways in which complaints about racial discrimination are dealt with in the Netherlands. The Dutch legislators have chosen to use primarily the criminal law in the fight against racial discrimination. Although racial discrimination became more and more a matter of public concern in the Netherlands during the last decade, the

Anita Böcker

1991-01-01

416

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

Microsoft Academic Search

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

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

2003-01-01

417

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

418

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

419

37 CFR 11.35 - Service of complaint.  

Code of Federal Regulations, 2010 CFR

...REPRESENTATION OF OTHERS BEFORE THE UNITED STATES PATENT AND TRADEMARK OFFICE Investigations and Disciplinary Proceedings; Jurisdiction, Sanctions, Investigations, and Proceedings § 11.35 Service of complaint. (a) A...

2010-07-01

420

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

PubMed Central

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

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

2014-01-01

421

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

422

Randomized clinical trial of an intensive nursing-based pain education program for cancer outpatients suffering from pain  

Microsoft Academic Search

Introduction  The prevalence of pain in patients with cancer is still too high. Factors relating to ineffective pain treatment fall into\\u000a three categories: the health care system, professional care providers, and patients. In patients, various barriers lead to\\u000a noncompliance. Previous educational interventions have increased their knowledge of pain and decreased short-term pain levels.\\u000a In this randomized controlled trial, the authors investigated

Evelien H. van der Peet; Marieke H. J. van den Beuken-van Everdingen; Jacob Patijn; Harry C. Schouten; Maarten van Kleef; Annemie M. Courtens

2009-01-01

423

Radiologic evaluation of chronic foot pain.  

PubMed

Chronic foot pain is a common and often disabling clinical complaint that can interfere with a patient's routine activities. Despite careful and detailed clinical history and physical examination, providing an accurate diagnosis is often difficult because chronic foot pain has a broad spectrum of potential causes. Therefore, imaging studies play a key role in diagnosis and management. Initial assessment is typically done by plain radiography; however, magnetic resonance imaging has superior soft-tissue contrast resolution and multiplanar capability, which makes it important in the early diagnosis of ambiguous or clinically equivocal cases when initial radiographic findings are inconclusive. Computed tomography displays bony detail in stress fractures, as well as in arthritides and tarsal coalition. Bone scanning and ultrasonography also are useful tools for diagnosing specific conditions that produce chronic foot pain. PMID:17956067

Joong, Mo Ahn; El-Khoury, Georges Y

2007-10-01

424

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

425

Self-treatment of Pain among Adolescents in an Urban Community  

Microsoft Academic Search

Pain occurrence among adolescents, whether acute or chronic, persistent or intermittent, remains high with potentially serious effects on quality of life, physical and emotional functioning and psychosocial adjustment. The prevalence of pain in adolescents varies widely, and although discussed in the literature for over two decades, data on adolescent knowledge and pain self-treatment is scarce. This descriptive-correlational study identified pain

Judith M. Fouladbakhsh; April H. Vallerand; Elisabeth S. Jenuwine

426

Management and Relief of Pain in an Emergency Department from the Adult Patients' Perspective  

Microsoft Academic Search

To estimate the prevalence of pain in adult patients attending an emergency department (ED) and to identify risk markers for insufficient pain relief, a cross-sectional survey was conducted for 16 days, 24 hours each day, in the ED of a Paris university hospital. A structured questionnaire was used to collect characteristics of pain and its management from patients. Pain intensity

Stéphanie Tcherny-Lessenot; Fabienne Karwowski-Soulié; Agathe Lamarche-Vadel; Christine Ginsburg; Fabrice Brunet; Gwenaëlle Vidal-Trecan

2003-01-01

427

Is all pain is treated equally? A multicenter evaluation of acute pain care by age.  

PubMed

Pain is highly prevalent in health care settings; however, disparities continue to exist in pain care treatment. Few studies have investigated if differences exist based on patient-related characteristics associated with aging. The objective of this study was to determine if there are differences in acute pain care for older vs younger patients. This was a multicenter, retrospective, cross-sectional observation study of 5 emergency departments across the United States evaluating the 2 most commonly presenting pain conditions for older adults, abdominal and fracture pain. Multivariable adjusted hierarchical modeling was completed. A total of 6,948 visits were reviewed. Older (? 65 years) and oldest (? 85 years) were less likely to receive analgesics compared to younger patients (<65 years), yet older patients had greater reductions in final pain scores. When evaluating pain treatment and final pain scores, differences appeared to be based on type of pain. Older patients with abdominal pain were less likely to receive pain medications, while older patients with fracture were more likely to receive analgesics and opioids compared to younger patients. Differences in pain care for older patients appear to be driven by the type of presenting pain. PMID:25244947

Hwang, Ula; Belland, Laura K; Handel, Daniel A; Yadav, Kabir; Heard, Kennon; Rivera-Reyes, Laura; Eisenberg, Amanda; Noble, Matthew J; Mekala, Sudha; Valley, Morgan; Winkel, Gary; Todd, Knox H; Morrison, R Sean

2014-12-01

428

Psychosocial stress and abdominal pain in adolescents.  

PubMed

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

Shapiro, Michael A; Nguyen, Mathew L

2010-06-01

429

[Forefoot pain].  

PubMed

Forefoot chronic pain is a frequent problem in daily clinical practice. Mechanical pathology of the forefoot, usually called static metatarsalgia, represents the most frequent reason for consultation in pathology of the foot. The cause is a functionnal disorder or anatomic derangement of the forefoot architecture. Metatarsalgia can originate from a wide range of affections. Etiologies of chronic pain are described from medial to lateral with first ray pathologies (hallux valgus, hallux rigidus and sesamoid pathology) and first ray insufficiency, pathologies of the second, third and fourth ray and intermetatarsal spaces (second ray syndrome, Freiberg's disease, Morton neuroma, stress or bone insufficiency metatarsal fractures, intermetatarsal bursitis) and fifth ray pathology (lateral bursitis, quintus varus). Sometimes forefoot pain could also be caused by chronic inflammatory rheumatic diseases (rheumatoid and psoriatic arthritis) with a risk of structural metatarsophalangeal joints alteration. The pathology of the toes can, more rarely, explain a forefoot pain. So, several pathologic conditions can produce forefoot pain and the diagnostic approach must always be based on the anamnesis and clinical examination. In a second time if the cause is difficult to establish based solely on clinical findings, radiography and ultrasonography are today the most usefull auxiliary investigations. PMID:20402124

Damiano, Joël

2010-03-20

430

Pain assessment in elderly adults with dementia.  

PubMed

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

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

2014-12-01

431

39 CFR 3031.12 - Treatment as a complaint.  

Code of Federal Regulations, 2010 CFR

...Treatment as a complaint. If the Commission receives a volume of rate or service inquiries on the same or similar issue such that there may be cause to warrant treatment as a complaint, it may appoint an investigator to review the matter under §...

2010-07-01

432

17 CFR 12.14 - Withdrawal of complaint.  

Code of Federal Regulations, 2010 CFR

...reparations complaint based upon the same set of facts within two years after the cause of action accrues. If the...of a complaint based upon the same set of facts, the notice...in reparations based on the same set of facts, but such...

2010-04-01

433

Citizen Complaints of Air Pollution In Northeastern Illinois  

Microsoft Academic Search

In 1964, as part of the Northeastern Illinois Metropolitan Planning Commission's Air Resource Management Study, an examination was made of citizen complaints of air pollution registered with air pollution control agencies representing the City of Chicago, outlying Cook County, and the State of Illinois. The complaint files of the City of Chicago were found to contain the addresses of some

K. L. Johnson

1968-01-01

434

28 CFR 35.171 - Acceptance of complaints.  

Code of Federal Regulations, 2013 CFR

... NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...complaint of discrimination on the basis of disability by a public entity shall promptly...agency shall close the complaint without prejudice. [Order No. 1512-91, 56...

2013-07-01

435

28 CFR 35.171 - Acceptance of complaints.  

Code of Federal Regulations, 2014 CFR

... NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...complaint of discrimination on the basis of disability by a public entity shall promptly...agency shall close the complaint without prejudice. [Order No. 1512-91, 56...

2014-07-01

436

28 CFR 35.171 - Acceptance of complaints.  

Code of Federal Regulations, 2012 CFR

... NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...complaint of discrimination on the basis of disability by a public entity shall promptly...agency shall close the complaint without prejudice. [Order No. 1512-91, 56...

2012-07-01

437

28 CFR 35.171 - Acceptance of complaints.  

Code of Federal Regulations, 2011 CFR

... NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...complaint of discrimination on the basis of disability by a public entity shall promptly...agency shall close the complaint without prejudice. [Order No. 1512-91, 56...

2011-07-01

438

DOES FAMILY OF ORIGIN FUNCTIONING PREDICT ADULT SOMATIC COMPLAINTS?  

Technology Transfer Automated Retrieval System (TEKTRAN)

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

439

A Survey of the Complaints Entering the Medical Council Organization  

Microsoft Academic Search

One of the most important occupational tensions a physician encounters in his\\/her practice is the complaints lodged against him\\/her by the patients. The purpose of this study is examining the complaints against physicians and dentists entering the Medical Council Organization of Tehran in the years ending on 20 March 1992, 20 March 1997 and 20 March 2002 from the viewpoint

Ali Jafarian; Alireza Parsapour; Amirhasan Haj-Tarkhani; Fariba Asghari; Seyyed Hassan; Emami Razavi; Alireza Yalda

440

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

441

Monitoring Food Safety by Detecting Patterns in Consumer Complaints  

Microsoft Academic Search

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

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

2006-01-01

442

20 CFR 1002.304 - If an individual files a complaint with VETS and VETS' efforts do not resolve the complaint, can...  

Code of Federal Regulations, 2010 CFR

... If an individual files a complaint with VETS and VETS' efforts do not resolve the complaint, can the individual pursue the...VETERANS' EMPLOYMENT AND TRAINING SERVICE, DEPARTMENT OF LABOR REGULATIONS UNDER THE UNIFORMED SERVICES EMPLOYMENT AND... If an individual files a complaint with VETS and VETS' efforts do not resolve the complaint, can the individual pursue...

2010-04-01

443

Back Pain  

NSDL National Science Digital Library

This patient education program reviews the anatomy of the back, the most common causes of back pain, and measures to prevent back pain. This resource is a MedlinePlus Interactive Health Tutorial from the National Library of Medicine, designed and developed by the Patient Education Institute. NOTE: This tutorial requires a special Flash plug-in, version 4 or above. If you do not have Flash, you will be prompted to obtain a free download of the software before you start the tutorial. You will also need an Acrobat Reader, available as a free download, in order to view the Reference Summary.

Patient Education Institute

444

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

445

Anatomical and Physiological Factors Contributing to Chronic Muscle Pain  

PubMed Central

Chronic muscle pain remains a significant source of suffering and disability despite the adoption of pharmacologic and physical therapies. Muscle pain is mediated by free nerve endings distributed through the muscle along arteries. These nerves project to the superficial dorsal horn and are transmitted primarily through the spinothalamic tract to several cortical and subcortical structures, some of which are more active during the processing of muscle pain than other painful conditions. Mechanical forces, ischemia, and inflammation are the primary stimuli for muscle pain, which is reflected in the array of peripheral receptors contributing to muscle pain-ASIC, P2X, and TRP channels. Sensitization of peripheral receptors and of central pain processing structures are both critical for the development and maintenance of chronic muscle pain. Further, variations in peripheral receptors and central structures contribute to the significantly greater prevalence of chronic muscle pain in females. PMID:24633937

Gregory, Nicholas S.; Sluka, Kathleen A.

2015-01-01

446

78 FR 64064 - Agency Information Collection (Principles of Excellence Complaint System Intake) Activity Under...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Family Members. The VA's Principles of Excellence Complaint System (PoECS) will leverage DoD's complaint system to intake and manage complaints utilizing their systems architecture with each agency only having access to their data. The...

2013-10-25

447

78 FR 53196 - Agency Information Collection (Principles of Excellence Complaint System Intake); Comment Request  

Federal Register 2010, 2011, 2012, 2013, 2014

...Family Members. The VA's Principles of Excellence Complaint System (PoECS) will leverage DoD's complaint system to intake and manage complaints utilizing their systems architecture with each agency only having access to their data. The...

2013-08-28

448

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

Federal Register 2010, 2011, 2012, 2013, 2014

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

2011-06-20

449

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

Federal Register 2010, 2011, 2012, 2013, 2014

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

2011-04-13

450

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

Federal Register 2010, 2011, 2012, 2013, 2014

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

2011-07-01

451

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

Federal Register 2010, 2011, 2012, 2013, 2014

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

2011-09-13

452

48 CFR 22.1604 - Compliance evaluation and complaint investigations and sanctions for violations.  

Code of Federal Regulations, 2012 CFR

... false Compliance evaluation and complaint investigations...ACQUISITIONS Notification of Employee Rights Under the National...1604 Compliance evaluation and complaint investigations...conduct compliance evaluations or investigate complaints...may require in the performance of the...

2012-10-01

453

48 CFR 22.1604 - Compliance evaluation and complaint investigations and sanctions for violations.  

Code of Federal Regulations, 2014 CFR

... false Compliance evaluation and complaint investigations...ACQUISITIONS Notification of Employee Rights Under the National...1604 Compliance evaluation and complaint investigations...conduct compliance evaluations or investigate complaints...may require in the performance of the...

2014-10-01

454

48 CFR 22.1604 - Compliance evaluation and complaint investigations and sanctions for violations.  

Code of Federal Regulations, 2013 CFR

... false Compliance evaluation and complaint investigations...ACQUISITIONS Notification of Employee Rights Under the National...1604 Compliance evaluation and complaint investigations...conduct compliance evaluations or investigate complaints...may require in the performance of the...

2013-10-01

455

20 CFR 670.990 - What procedures are available to resolve complaints and disputes?  

Code of Federal Regulations, 2010 CFR

...470 or complaints alleging fraud or other criminal activity, complaints may be filed within one year of the occurrence that led to the complaint. (b) The procedure established under paragraph (a) of this section must include procedures to...

2010-04-01

456

Inflammatory Back Pain vs. Mechanical Back Pain  

MedlinePLUS Videos and Cool Tools

... cause. Specifically, is the back pain inflammatory in nature or mechanical? INFLAMMATORY VS MECHANICAL BACK PAIN VIDEO: ... determing if the back pain is inflammatory in nature and related to a disease such as ankylosing ...

457

Epidemiology, diagnosis, and treatment of neck pain.  

PubMed

Neck pain is the fourth leading cause of disability, with an annual prevalence rate exceeding 30%. Most episodes of acute neck pain will resolve with or without treatment, but nearly 50% of individuals will continue to experience some degree of pain or frequent occurrences. History and physical examination can provide important clues as to whether the pain is neuropathic or mechanical and can also be used to identify "red flags" that may signify serious pathology, such as myelopathy, atlantoaxial subluxation, and metastases. Magnetic resonance imaging is characterized by a high prevalence of abnormal findings in asymptomatic individuals but should be considered for cases involving focal neurologic symptoms, pain refractory to conventional treatment, and when referring a patient for interventional treatment. Few clinical trials have evaluated treatments for neck pain. Exercise treatment appears to be beneficial in patients with neck pain. There is some evidence to support muscle relaxants in acute neck pain associated with muscle spasm, conflicting evidence for epidural corticosteroid injections for radiculopathy, and weak positive evidence for cervical facet joint radiofrequency denervation. In patients with radiculopathy or myelopathy, surgery appears to be more effective than nonsurgical therapy in the short term but not in the long term for most people. PMID:25659245

Cohen, Steven P

2015-02-01

458

COMPLAINT AND INVESTIGATION PROCEDURE An individual filing a complaint of alleged discrimination or sexual harassment shall have the opportunity  

E-print Network

or sexual harassment shall have the opportunity to select an independent advisor for assistance, support institution or unit. An individual against whom a complaint of alleged discrimination or sexual harassment a complaint of alleged discrimination or sexual harassment, or observes or becomes aware of conduct that may

Hemmers, Oliver

459

Achilles Pain.  

ERIC Educational Resources Information Center

Five ailments which can cause pain in the achilles tendon area are: (1) muscular strain, involving the stretching or tearing of muscle or tendon fibers; (2) a contusion, inflammation or infection called tenosynovitis; (3) tendonitis, the inflammation of the tendon; (4) calcaneal bursitis, the inflammation of the bursa between the achilles tendon…

Connors, G. Patrick

460

Leg pain  

MedlinePLUS

... bone tumors ( osteosarcoma , Ewing sarcoma) Legg-Calve-Perthes disease -- poor blood flow to the hip that may stop or slow the normal growth of the leg Noncancerous (benign) tumors or cysts of the femur or tibia (osteoid osteoma) Sciatic nerve pain (radiating ...

461

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 ...

462

Somatoform pain disorder  

MedlinePLUS

Pain disorder ... thought to be related to emotional stress. The pain was often said to be "all in their head." However, patients with somatoform pain disorder seem to experience painful sensations in a ...

463

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

Microsoft Academic Search

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

Mira Meeus; Jo Nijs

2007-01-01

464

Sex differences in endogenous pain modulation by distracting and painful conditioning stimulation  

PubMed Central

Sex differences in endogenous pain modulation were tested in healthy volunteers (32 men, 30 women). Painful contact heat stimuli were delivered to the right leg alone, and then in combination with various electrical conditioning stimuli delivered to the left forearm. Four conditioning protocols were applied to each subject in separate sessions: mild, nonpainful (control); distracting; stressful-yet-nonpainful; strongly painful. Thermal stimuli were rated on visual analog scales for pain intensity (INT) and unpleasantness (UNP). Distracting and painful conditioning stimuli significantly reduced heat pain INT and UNP ratings for both sexes, with significantly larger distraction effects on INT ratings for men than women (p=0.004). No sex differences in pain-evoked hypoalgesia were detected (p>0.05). The stress protocol did not consistently reduce heat pain ratings, possibly because the protocol was not sufficiently stressful to activate endogenous modulatory systems. Regression analysis revealed that the magnitude of pain-evoked hypoalgesia was predicted by the perceived distraction (p=0.003) and stress (p=0.04) produced by the painful conditioning stimulation, providing evidence that distraction and stress contribute to pain-evoked hypoalgesia. However, the contribution of stress to pain-evoked hypoalgesia differed by sex (p=0.02), with greater perceived stress associated with greater hypoalgesia in men and the opposite trend in women, suggesting sex differences in the mechanisms underlying pain-evoked hypoalgesia. This study provides indirect evidence that multiple neural mechanisms are involved in endogenous pain modulation and suggests that sex-specific aspects of these systems may contribute to greater pain sensitivity and higher prevalence of many chronic pain conditions among women. PMID:17951004

Quiton, Raimi L.; Greenspan, Joel D.

2007-01-01

465

12 CFR 1070.44 - Disclosure of confidential consumer complaint information.  

Code of Federal Regulations, 2013 CFR

...2013-01-01 false Disclosure of confidential consumer complaint information. ...DISCLOSURE OF RECORDS AND INFORMATION Confidential Information § 1070.44 Disclosure of confidential consumer complaint...

2013-01-01

466

12 CFR 1070.44 - Disclosure of confidential consumer complaint information.  

Code of Federal Regulations, 2012 CFR

...2012-01-01 false Disclosure of confidential consumer complaint information. ...DISCLOSURE OF RECORDS AND INFORMATION Confidential Information § 1070.44 Disclosure of confidential consumer complaint...

2012-01-01

467

12 CFR 1070.44 - Disclosure of confidential consumer complaint information.  

Code of Federal Regulations, 2014 CFR

...2014-01-01 false Disclosure of confidential consumer complaint information. ...DISCLOSURE OF RECORDS AND INFORMATION Confidential Information § 1070.44 Disclosure of confidential consumer complaint...

2014-01-01

468

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

Code of Federal Regulations, 2012 CFR

...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...

2012-07-01

469

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

Code of Federal Regulations, 2014 CFR

...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

470

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

Code of Federal Regulations, 2013 CFR

...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...

2013-07-01

471

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

Code of Federal Regulations, 2012 CFR

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

2012-07-01

472

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

Code of Federal Regulations, 2013 CFR

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

2013-07-01

473

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

Code of Federal Regulations, 2011 CFR

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

2011-07-01

474

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

Code of Federal Regulations, 2011 CFR

...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...

2011-07-01

475

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

Code of Federal Regulations, 2014 CFR

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

2014-07-01

476

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

Code of Federal Regulations, 2010 CFR

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

2010-07-01

477

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

Code of Federal Regulations, 2010 CFR

...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...

2010-07-01

478

[Pain, the elderly and verbal communication disorders].  

PubMed

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

Marcel, Jacqueline

2014-05-01

479

Children's pain at home following (adeno) tonsillectomy  

Microsoft Academic Search

The aim of this study was to evaluate the prevalence and severity of children's pain at home following (adeno)tonsillectomies. The subjects were parents of 161 children (86 boys, 75 girls) undergoing myringotomies, adenoidectomies and (adeno)tonsillectomies. The mean age of the children was 5.5 years (SD=2.4; range 1–14). Parents were asked to assess the child's average pain on the day of

Jan P. H. Hamers; Huda Huijer Abu-Saad

2002-01-01

480

Clinical Issues in Pain Management Clinical Issues in Pain Management  

E-print Network

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

Meagher, Mary