In our experience, chronic pain patients with dual diagnoses may become “”chemical copers”"
as a way of coping with their negative emotion. For these patients, times of stress could lead to accidental overdose. Behavioral, cognitive-behavioral (acceptance and commitment, dialectical behavior), existential (meaning-centered, dignity), and psychotropic therapies have been effective in treating these high-risk comorbidities, while managing expectations of pain relief appears key to preventing accidental overdose.”
“Spinal deformity surgery is historically associated with significant blood loss and medical complications. Minimally invasive deformity correction is a promising approach to spinal deformity surgery where
Tariquidar supplier deformity correction and fusion can be achieved with less tissue trauma, reduced blood loss and potentially less complications.
We discuss technical aspects of minimally invasive deformity correction, review learn more the transpsoas and presacral approaches for discectomy and fusion, and review multilevel posterior percutaneous pedicle instrumentation and rod placement for deformity correction. We also review our results using these techniques and review the literature regarding outcomes in this emerging area of spinal surgery.
Minimally invasive deformity correction is a promising method of spinal deformity correction. Early clinical results are similar to open techniques, with reduced blood loss and less complications than traditional approaches. Meticulous technique and careful patient selection are required for good results and to avoid complications.”
“Background. Epidemiologists at the Utah Department of Health (UDOH) began to study prescription drug-related harm in 2004. We have analyzed several types of data including vital statistics, medical examiner records, emergency department diagnoses, and the state prescription registry to estimate the scope and correlates of prescription drug-related harm.
Objectives. To describe data sets analyzed in Utah related to the problem of prescription drug-related harm with the goal of designing interventions to
reduce the burden of adverse events and death.
Results. Prescription drug-related harm in Utah primarily involved opioids and can be examined with secondary analysis of administrative databases, although each database has limitations.
Conclusions. CCI-779 More analyses, likely from cohort studies, are needed to identify risky prescribing patterns and individual-level risk factors for opioid-related harm. Combining data sets via linkage procedures can generate individual-level drug exposure and outcome histories, which may be useful to simulate a prospective cohort.”
“Junctional spinal disorders have become one of the greatest challenges in spinal deformity surgery. They can occur at any age but are mostly seen in adult deformity surgery and are most often observed as the patient gets older.