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Pain General

US Health Care Spending by Payer and Health Condition, 1996-2016.

Mar 05, 2020

US health care spending has continued to increase and now accounts for 18% of the US economy, although little is known about how spending on each health condition varies by payer, and how these amount...

[Ocular Motor Nerve Palsies Caused by Paragliding Accidents].

Mar 05, 2020

Paragliding is a risk-taking adventure sport. It can be performed either individually or accompanied by a pilot in tandem formation. Paragliding, as well as other types of "extreme" sport, have gained...

The Italian Fibromyalgia Registry: a new way of using routine real-world data concerning patient-reported disease status in healthcare research and clinical practice.

Mar 04, 2020

Fibromyalgia (FM), the most frequently encountered cause of widespread musculoskeletal pain, affects an estimated 2% of the general Italian population. However, it is not a homogeneous clinical entity...

Self-forgiveness in fibromyalgia patients and its relationship with acceptance, catastrophising and coping.

Mar 04, 2020

Forgiveness influences health through numerous mechanisms, but commonly it is thought to reduce stress, increase healthy behaviour, and promote social support, thereby positively impacting health and ...

Gut microbiome: pertinence in fibromyalgia.

Mar 04, 2020

The human gut microbiome constitutes a diverse and dynamic community of microorganisms that inhabit the digestive tract. In recent years, there is growing appreciation for the role of the gut microbio...

Effect of cognitive behavioural therapy on sleep and opioid medication use in adults with fibromyalgia and insomnia.

Mar 04, 2020

Sleep and opioid medications used to treat insomnia and chronic pain are associated with adverse side effects (falls and cognitive disturbance). Although behavioural treatments such as cognitive behav...

EGFR signaling causes morphine tolerance and mechanical sensitization in rats.

Mar 02, 2020

The safety and efficacy of opioids are compromised as analgesic tolerance develops. Opioids are also ineffective against neuropathic pain. Recent reports have suggested that inhibitors of the epiderma...

The endomorphin-1/2 and dynorphin-B peptides display biased agonism at the mu opioid receptor.

Mar 02, 2020

Opioid agonist activation at the mu opioid receptor (MOR) can lead to a wide variety of physiological responses. Many opioid agonists share the ability to selectively and preferentially activate speci...

Morphine-3-glucuronide causes antinociceptive cross-tolerance to morphine and increases spinal substance P expression.

Mar 02, 2020

Morphine-3-glucuronide (M3G), the main metabolite of morphine, has been implicated in the development of tolerance and of opioid-induced hyperalgesia, both limiting the analgesic use of morphine. We e...

Opioid prescriptions in emergency departments: Findings from the 2016 National Hospital Ambulatory Medical Care Survey.

Mar 02, 2020

In the past decade, there has been a rising trend in the emergency department (ED) visits in the US and these visits carry a significant burden of prescription opioids. This study utilized the latest ...

Real-world assessment of concomitant opioid utilization and associated trends in patients with migraine.

Mar 02, 2020

Migraine is a debilitating condition that affects approximately 16% of adults and is the fifth leading cause of emergency department visits in the United States. There are several treatment options fo...

Patient experience with non-invasive vagus nerve stimulator: gammaCore patient registry.

Mar 02, 2020

gammaCore is cleared by the FDA for acute and preventive treatment of cluster headache and the acute treatment of migraine in adults. Previously, only 2 treatments were approved for acute treatment of...

Integrative East-West Medicine Intervention for Chronic Daily Headache: A Case Report and Care Perspective.

Mar 02, 2020

Chronic daily headache is a group of headache syndromes including most commonly chronic migraine and chronic tension-type headache, which often overlap, are complicated by medication overuse and are d...

To Eat or Not to Eat: A Review of the Relationship between Chocolate and Migraines.

Mar 02, 2020

Migraine is a chronic disorder with episodic attacks, and patients with a migraine often report that certain factors can trigger their headache, with chocolate being the most popular type of food-base...

Full-Endoscopic Removal of Sheared Lumbar Epidural Catheter Fragment.

Mar 02, 2020

An epidural nerve block injection is the most common modality of treatment for control of low backache associated with radiating pain. Epidural catheter injections are also widely used by pain physici...

Should the Presence of Spondylodiscitis Alter the Surgical Treatment of Patients with Symptomatic Ventral Cervical Epidural Abscesses? An Institutional Analysis.

Mar 02, 2020

Spinal epidural abscess is a rare pathology with an incidence that has tripled in the past two decades. Ventral cervical epidural abscesses (vCEA) of the cervical spine pose particular treatment chall...

Comprehensive Analysis of the Effects of Ketorolac Administration After Pancreaticoduodenectomy.

Mar 02, 2020

Outcome improvement is a major goal of pancreatic surgery. Such efforts include decreasing perioperative narcotic use to optimize care and reduce potential contributions to the opioid crisis. Ketorola...

Restless legs syndrome among multiple sclerosis patients in Lebanon.

Mar 02, 2020

Multiple sclerosis (MS) is often associated with fatigue, with an increased prevalence of sleep disorders compared to the general population, notably restless legs syndrome (RLS). The aim of this stud...

T-cell subset abnormalities predict progression along the Inflammatory Arthritis disease continuum: implications for management.

Mar 02, 2020

The presence of a disease continuum in inflammatory arthritis (IA) is a recognised concept, with distinct stages from at-risk stage (presence of anti citrullinated-peptide autoantibody) to diagnosis o...

An examination of the reciprocal and concurrent relations between behavioral and cardiac indicators of acute pain in toddlerhood.

Mar 02, 2020

The aim of this study was to examine the concurrent and predictive relations between healthy toddlers' pain behavior and cardiac indicators (i.e., heart rate [HR], respiratory sinus arrhythmia [RSA]) ...

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