Stated Pain Levels, Opioid Prescription Volume, and Chronic Opioid Use Among United States Army Soldiers.

Conclusions: The results verified that passive data on the US Army can support a robust COT risk computation in this population. The individual, adjusted risk level requires statistical analyses to be fully understood. Because the same data sources drive current military DSSs, this work provides the potential basis for new, evidence-based decision support resources for military clinicians. The strong, independent impact of increasing opioid prescription counts on the COT risk reinforces the importance of exploring alternatives to opioids in pain management planning. It suggests that changing provider behavior through enhanced decision support could help reduce COT rates. PMID: 29590410 [PubMed - as supplied by publisher]
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research

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Thirty-five (35) cm 8 Contact Extension Kit, part number M365SC3138350. Package Contents: Lead Extension Kit (1) Lead Extension (1) Hex Wrench (1) Tunneling Tool Assembly (1) Device Registration Form/Temporary Patient Identification Card (1) Manual Product Usage: Contact extension kits are part of a spinal cord stimulation system for prescription use only as an aid in the management of chronic intractable pain of the trunk and/or limbs. They are designed to connect the percutaneous leads to the Implantable Pulse Generator (IPG) for spinal cord stimulation.
Source: Medical Device Recalls - Category: Medical Devices Source Type: alerts
Precision TM M8 Adapter, 15 cm, part number M365SC9218150 - Product Usage: The adapter is part of a spinal cord stimulation system for prescription use only indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs including unilateral or bilateral pain associated with the following: failed back surgery syndrome, Complex Regional Pain Syndrome (CRPS) Types I and II, intractable low back pain and leg pain.
Source: Medical Device Recalls - Category: Medical Devices Source Type: alerts
The LinearTM 3-4 70 cm 8 Contact Lead Kit, part number M365SC2352700 is part of a spinal cord stimulation system for prescription use only as an aid in the management of chronic intractable pain of the trunk and/or limbs. Package Contents Percutaneous Permanent Lead Kits (1) Percutaneous Lead with pre-loaded Curved Stylet (1) Stylet Ring with a Curved and a Straight Stylet (4) Suture Sleeves (1) Insertion Needle with Stylet (1) Lead Blank (1) Steering Cap (1) OR Cable Assembly (2) Lead Position Labelsleft and right (non-sterile) (1) Device Registration Form/Temporary Patient Identification Card (1) Manual
Source: Medical Device Recalls - Category: Medical Devices Source Type: alerts
a Patrizia Romualdi Sándor Benyhe Júlia Timár Helmut Schmidhammer Mariana Spetea Mahmoud Al-Khrasani There is growing evidence on the role of peripheral µ-opioid receptors (MORs) in analgesia and analgesic tolerance. Opioid analgesics are the mainstay in the management of moderate to severe pain, and their efficacy in the alleviation of pain is well recognized. Unfortunately, chronic treatment with opioid analgesics induces central analgesic tolerance, thus limiting their clinical usefulness. Numerous molecular mechanisms, including receptor desensitization, G-protein decoupli...
Source: Molecules - Category: Chemistry Authors: Tags: Review Source Type: research
Condition:   Chronic Low-back Pain Interventions:   Behavioral: Cognitive Functional Therapy+;   Behavioral: Interdisciplinary pain management Sponsors:   Odense University Hospital;   University of Southern Denmark;   Curtin University;   Manchester Metropolitan University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionDuloxetine treatment in patients with RA in clinical remission appears to have comparable effectiveness on relieving remnant pain, improving activities of daily living and maintaining QOL. Duloxetine is not expected to have any effects on disease activity control.
Source: Drugs and Therapy Perspectives - Category: Drugs & Pharmacology Source Type: research
AbstractChronic constipation is one of the five most common symptoms seen by gastroenterologist. In the absence of alarm symptoms, a confident symptom-based diagnosis can often be made using the Rome criteria. Three different subtypes have been identified to date: normal transit constipation, defaecatory disorders and slow transit constipation. Differentiation between these subtypes can be made through functional testing using tests such as anorectal manometry with balloon expulsion and a radio-opaque marker test. In general, patients are initially advised to increase their fluid and fibre intake. When these general lifest...
Source: Drugs - Category: Drugs & Pharmacology Source Type: research
Condition:   Chronic Low-back Pain Interventions:   Behavioral: Cognitive Functional Therapy+;   Behavioral: Interdisciplinary pain management Sponsors:   Odense University Hospital;   University of Southern Denmark;   Curtin University;   Manchester Metropolitan University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Chronic pain is highly prevalent in the working population. People tend to attempt self-initiated treatments to manage their pain. The self-efficacy of behavioural change is a suitable model for guiding the de...
Source: Trials - Category: General Medicine Authors: Tags: Study protocol Source Type: research
Condition:   Chronic Low-back Pain Interventions:   Behavioral: Cognitive Functional Therapy+;   Behavioral: Interdisciplinary pain management Sponsors:   Odense University Hospital;   University of Southern Denmark;   Curtin University;   Manchester Metropolitan University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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