40th Annual Health Law Professors Conference
If you teach health law, come to the 40th Annual Health Law Professors Conference, June 8-10, 2017, at Georgia State University College of Law in Atlanta.  Here is the schedule: Thursday, June 8, 20178:00-12:00 AM Tour of the Centers for Disease Control and Prevention (Separate registration is required. Participants meet in the lobby of Georgia State Law to take a shuttle to the CDC.) 9:45 – 11:15 AM Tour of Grady Health System (Separate registration is required. Participants meet in the lobby of Georgia State Law and will walk over to Grady as a group.) 2:00 – 5:00 PM Conference Registration – Henso...
Source: blog.bioethics.net - April 27, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Health Conditions Among Native Hawaiian and Pacific Islander Adults
In 2014, the National Center for Health Statistics (NCHS) conducted the Native Hawaiian and Pacific Islander National Health Interview Survey (NHPI NHIS). The survey involved about 3,000 households containing one or more NHPI residents who were surveyed by NHIS field staff using the 2014 NHIS instrument. The NHPI NHIS was an unprecedented opportunity to collect rich and accurate information from a large NHPI sample about the health of Native Hawaiians and Pacific Islanders in all 50 states. In March 2017, the NCHS released the Data Brief on the Native Hawaiian and Pacific Islander National Health Interview Survey (NHPI NHI...
Source: BHIC - April 6, 2017 Category: Databases & Libraries Authors: Kay Deeney Tags: Chronic Disease Minority Health Concerns Source Type: blogs

If you have low back pain try these steps first
Low back pain, the scourge of mankind: it is the second leading cause of disability here in the United States, and the fourth worldwide. It’s also one of the top five medical problems for which people see doctors. Almost every day that I see patients, I see someone with back pain. It’s one of the top reasons for lost wages due to missed work, as well as for healthcare dollars spent, hence, a very expensive problem. Looking at two kinds of back pain Let’s talk about the most common forms of back pain: acute (which lasts less than four weeks) and subacute (which lasts four to 12 weeks). Most of these cases (approximate...
Source: Harvard Health Blog - April 3, 2017 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Back Pain Managing your health care Pain Management Source Type: blogs

Does central sensitisation matter?
In my last post I discussed some of the mechanisms thought to be involved in central sensitisation, and while many of the details remain pretty unknown, I think the general conclusion is that yes, it really is a thing. What do I mean by central sensitisation? Well, it’s curious, it can refer to the processes at spinal and brain levels that seem to reduce the usual descending inhibitory mechanisms, expand the areas in which neural activity takes place, and allows increased information flow to eventually reach conscious awareness. At the same time it can refer to the experience in which a person feels greater pain than...
Source: HealthSkills Weblog - March 26, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Chronic pain Pain conditions Professional topics Research Science in practice biopsychosocial disability pain management Source Type: blogs

The feds say restrict opioid use. Now what?
The federal government has declared, through its major health policy agencies, that the number of pain patients on opioids and the dosages they are on should be severely restricted.  The Center for Disease Control (CDC), Veteran’s Administration (VA) and Centers for Medicare and Medicaid Services (CMS) have all issued new guidelines within the past year to that effect.  Private insurers are following suit, in many cases refusing to pay for high dose opioids. More recently, the American College of Physicians issued new guidelines for the treatment of low back pain that recommend using nonpharmacological therapies before...
Source: Kevin, M.D. - Medical Weblog - March 15, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/cindy-perlin" rel="tag" > Cindy Perlin, LCSW < /a > Tags: Meds Pain management Source Type: blogs

CMS Will Soon Unleash a New Appropriate Use Mandate
Cardiac imaging is in need of some wrangling. Professional medical associations and universities across the U.S. have developed appropriate use criteria (AUC) for physicians when determining if a patient should go through cardiac testing. However, a group of physicians believe that the AUC “is no longer an idealistic exercise” and a Centers for Medicare& Medicaid Services (CMS)-approved technique will soon be required when evaluating a patient ’s need for imaging procedures.AUC encourages physicians to utilize evidence or expert opinion when deciding if a patient should receive testing while using a three-fold ru...
Source: radRounds - March 15, 2017 Category: Radiology Authors: Julie Morse Source Type: blogs

Is central sensitisation really a thing?
It seems odd to me that there’s much argument about central sensitisation in pain circles. I thought the idea of central sensitisation was well-established based on research from some years ago – but apparently there are still arguments about its relevance, and lots of debate about how to identify it clinically. This post is based mainly on a presentation by Jo Nijs from Pain in Motion, at the recent NZ Pain Society meeting in Nelson. In this post I want to briefly review the material presented by Jo suggesting that central sensitisation is a thing. I’ll write more about assessment in a future blog, or th...
Source: HealthSkills Weblog - March 12, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Chronic pain Clinical reasoning Pain conditions Research Science in practice biopsychosocial Health Source Type: blogs

Research and Reviews in the Fastlane 175
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 175th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains 4 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid,  Justin Morgenstern and, of cour...
Source: Life in the Fast Lane - March 8, 2017 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Education Emergency Medicine Obstetrics / Gynecology R&R in the FASTLANE EBM literature recommendations research and reviews Source Type: blogs

Top Healthcare Companies in Robotics
Robotics has the power to completely reshape the landscape of healthcare both in its structure and its operation. Here, you find my own list about the most relevant companies and start-ups on the healthcare robotics market. With robotics for the sustainability of healthcare As I outlined in my open letter to regulators, the long-term sustainability of healthcare systems could be solved by automation powered by digital health technologies, such as artificial intelligence, 3D-printing or robotics. The latter could take over monotonous work from healthcare workers, which would allow them to focus more on patients and to have ...
Source: The Medical Futurist - March 2, 2017 Category: Information Technology Authors: nora Tags: Future of Medicine Medical Robotics GC1 google Health Healthcare Innovation pharma robot companion surgical robot Source Type: blogs

Some medications don ’ t help back pain as much as we thought
This study found that NSAIDs don’t work as well for back pain as many people think. However, it is not true (as stated by some headlines about this study) that NSAIDs were not effective at all. Some people did improve with these medications. The trick is figuring out in advance who is most likely to get better with NSAID therapy. We can’t yet do that very well. Here’s my suggestion: if you take an NSAID for spinal pain (or just about any other pain), keep track of how you’re feeling. A “pain diary” is one way to do this. If you aren’t clearly better in a week or two, talk to your doctor about adjusting the do...
Source: Harvard Health Blog - March 2, 2017 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Back Pain Drugs and Supplements Pain Management Source Type: blogs

LITFL Review 271
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 271st LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. The Most Fair Dinkum Ripper Beauts of the Week Get your conspiracy theory on with The Poison Review team and their round up on what we know about ...
Source: Life in the Fast Lane - February 26, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

LITFL Review 271
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 271st LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. The Most Fair Dinkum Ripper Beauts of the Week Get your conspiracy theory on with The Poison Review team and their round up on what we know about ...
Source: Life in the Fast Lane - February 26, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

What to do with the results from the PCS
The Pain Catastrophising Scale is one of the more popular measures used in pain assessment. It’s popular because catastrophising (thinking the worst) has been identified as an especially important risk factor for slow recovery from pain (Abbott, Tyni-Lenne & Hedlund, 2010), for reporting high levels of pain intensity (Langley, 2011), and for ongoing disability (Elfving, Andersoon & Grooten, 2007). I could have cited hundreds more references to support these claims, BTW. The problem is, once the PCS is administered and scored: what then? What difference does it make in how we go about helping a person think a ...
Source: HealthSkills Weblog - February 26, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Assessment Back pain Clinical reasoning Coping Skills Coping strategies Education Low back pain Pain conditions biopsychosocial Chronic pain Occupational therapy pain management rehabilitation Therapeutic approaches Source Type: blogs

NYTimes: Lower Back Ache? Be Active and Wait It Out, New Guidelines Say
Dr. James Weinstein, a back pain specialist and chief executive of Dartmouth-Hitchcock Health System, has some advice for most people with lower back pain: Take two aspirin and don't call me in the morning.On Monday, the American College of Physicians published updated guidelines that say much the same. In making the new recommendations for the treatment of most people with lower back pain, the group is bucking what many doctors do and changing its previous guidelines, which called for medication as first-line therapy.Dr. Nitin Damle, president of the group's board of regents and a practicing internist, said pills,...
Source: Psychology of Pain - February 14, 2017 Category: Anesthesiology Source Type: blogs