64 research outputs found
Demography and Drug Prescription Pattern of Injured Workers Referred to a Tertiary Care Chronic Pain Clinic by Workplace Safety and Insurance Board Staff: A Pilot Study
Get PDFOpioid prescribing within the workers’ compensation system in general has been a cause for concern. The objective of the study was to estimate the prevalence of opioid users among injured workers, referred at a Tertiary Care Pain Clinic, in 2008-2009. A cross-sectional retrospective study of 110 consecutive workers; male/female ratio was 2.3:1; mean age 45.5 years; mean pain ratings were 7.1±1.8. 21% of the workers were diagnosed with a biomedical problem (Group I), 51% with medical/psychological factors (Group II) and 25.5% had identifiable psychological factors but no physical pathology (Group III). Opioids were prescribed in 81.8%; of those 32.2% were on >200mg of daily morphine or equivalent (MED). A higher proportion of opioid users were in Group II and Group III than Group I. The vast majority of referred injured workers in this study were on opioid therapy with 1 in 3 exceeding the “watchful” dose of 200 mg MEDMAS
Demography and Drug Prescription Pattern of Injured Workers Referred to a Tertiary Care Chronic Pain Clinic by Workplace Safety and Insurance Board Staff: A Pilot Study
No full textOpioid prescribing within the workers’ compensation system in general has been a cause for concern. The objective of the study was to estimate the prevalence of opioid users among injured workers, referred at a Tertiary Care Pain Clinic, in 2008-2009. A cross-sectional retrospective study of 110 consecutive workers; male/female ratio was 2.3:1; mean age 45.5 years; mean pain ratings were 7.1±1.8. 21% of the workers were diagnosed with a biomedical problem (Group I), 51% with medical/psychological factors (Group II) and 25.5% had identifiable psychological factors but no physical pathology (Group III). Opioids were prescribed in 81.8%; of those 32.2% were on >200mg of daily morphine or equivalent (MED). A higher proportion of opioid users were in Group II and Group III than Group I. The vast majority of referred injured workers in this study were on opioid therapy with 1 in 3 exceeding the “watchful” dose of 200 mg MEDMAS
Kuosimalliston suunnittelu Finlaysonille : freelancerina sesonkiin kevät/kesä 2016
Get PDFOpinnäytetyön aiheena on kuosimalliston suunnittelu Finlaysonille freelancerina sesonkiin kevät/kesä 2016. Opinnäytetyö on työelämälähtöinen, sillä tekijä on tekstiilimuotoilun opintojensa aikana keskittynyt kuosisuunnitteluun ja myynyt Niityllä-kuosin Finlaysonille. Tekijällä on aiempaa kokemusta kuosisuunnittelusta myös Carlsonille.
Tekijä työskentelee freelancer-kuosisuunnittelijan roolissa ja tutkii freelancerin työnkuvaa tavoitteenaan freelancer- kuosisuunnittelijana työskentely muotoilijaksi valmistumisen myötä. Opinnäytetyössä tekijä keskittyy suunnittelemaan kuosimalliston määrittämiensä lähtökohtien pohjalta. Tekijä perehtyy määrittämään Finlaysonin yrityskuvaa ja suunnittelemiensa kuosimallien kohderyhmää. Hän tutkii määrittämänsä kevät/kesä 2016 sesongin trendejä.
Opinnäytetyön alussa tekijä oli sopinut kahden tapaamiskerran muodossa tapahtuvasta yhteistyöstä Finlaysonin kanssa, mutta yrityksen omistajavaihdoksien seurauksena yhteistyö ei ollut enää mahdollinen. Tekijä tapaa opinnäytetyönsä puitteissa Familonin tuoteryhmäpäällikön Mailis Linnolan ja saa häneltä palautteen suunnittelemastaan kuosimallistosta sekä vastauksia esittämiinsä kysymyksiin kuosisuunnittelu-alasta. Hänen Mailis Linnolalta saamansa palaute edustaa opinnäytetyössä asiantuntijan näkemystä.
Tekijä määrittää kuosimallistolle konseptin, jonka pohjalta hän suunnittelee kuosimalliston. Hän kuvaa opinnäytetyössään suunnitteluprosessin kulkua sekä tarkastelee prosessia kriittis-realististisen evaluaation tutkimusmenetelmän pohjalta. Tekijän tavoitteena on opinnäytetyönsä myötä kehittyä kuosisuunnittelijana sekä saada uutta tietoa alasta.The topic of the thesis is designing a pattern collection for Finlayson as a freelancer for the season Spring/summer 2016. The thesis is a work oriented because during her textile design studies the author has specialized in pattern design and sold the pattern called Niityllä to Finlayson. The author has also earlier experience in pattern design for Carlson.
The author works as a freelancerpatterndesigner and investigates freelancer´s job description. Her target is to work as a freelancerpatterndesigner after graduation. During the thesis the author focuses on a design pattern collection based on the determined starting points. The author orientates to determine Finlayson´s brand and through that also her pattern collection´s target group. She investigates also the season trends of Spring/summer 2016 season’s trends.
In the beginning the author has agreed about the cooperation with Finlayson in the form of two meetings. The cooperation was not possible anymore following the changes in the Finlayson’s ownership. The author meets within her thesis the Product Group Manager of Familon and gets feedback about pattern collection and answers for questions about pattern design from her. In the thesis this feedback by Mailis Linnola represents the expert´s insight.
The author designs the pattern collection based on the concept she determines. She gives a description about the designing process and examines the process based on the critical-realistic evaluation research method. The aim of the author is to grow up as a designer and to get new information about pattern design with the help of the thesis
Evidence-Based Guideline for Neuropathic Pain Interventional Treatments: Spinal Cord Stimulation, Intravenous Infusions, Epidural Injections and Nerve Blocks
Get PDFBACKGROUND: The Special Interest Group of the Canadian Pain Society has produced consensus-based guidelines for the pharmacological management of neuropathic pain. The society aimed to generate an additional guideline for other forms of neuropathic pain treatments
Evidence-Based Guideline for Neuropathic Pain Interventional Treatments: Spinal Cord Stimulation, Intravenous Infusions, Epidural Injections and Nerve Blocks
Get PDFBACKGROUND: The Special Interest Group of the Canadian Pain Society has produced consensus-based guidelines for the pharmacological management of neuropathic pain. The society aimed to generate an additional guideline for other forms of neuropathic pain treatments.OBJECTIVE: To develop evidence-based recommendations for neuropathic pain interventional treatments.METHODS: A task force was created and engaged the Institute of Health Economics in Edmonton, Alberta, to survey the literature pertaining to multiple treatments. Sufficient literature existed on four interventions only: spinal cord stimulation; epidural injections; intravenous infusions; and nerve blocks. A comprehensive search was conducted for systematic reviews, randomized controlled trials and evidence-based clinical practice guidelines; a critical review was generated on each topic. A modified United States Preventive Services Task Force tool was used for quality rating and grading of recommendations.RESULTS: Investigators reviewed four studies of spinal cord stimulation, 19 studies of intravenous infusions, 14 studies of epidural injections and 16 studies of nerve blocks that met the inclusion criteria. The task force chairs rated the quality of evidence and graded the recommendations. Feedback was solicited from the members of the task force.CONCLUSION: There is sufficient evidence to support recommendations for some of these interventions for selected neuropathic pain conditions. This evidence is, at best, moderate and is often limited or conflicting. Pain practitioners are encouraged to explore evidence-based treatment options before considering unproven treatments. Full disclosure of risks and benefits of the available options is necessary for shared decision making and informed consent.Peer Reviewe
From (Ontario Ministry of Health and Long-Term Care) policy to implementation: A retrospective look at a community-based patient-centered model of care for chronic pain
No full textBackground Chronic pain is one of the most widely recognized, disabling, and expensive health problems in Canada. Interdisciplinary multimodal pain management is effective in helping chronic pain patients lessen symptoms and reclaim functionality, but most patients lack access to such treatments. Aim The aim of this study was to describe the development and implementation of a publicly funded and patient-centered model of care in the community. Methods The study was set in the Pain & Wellness Centre (PWC) in Vaughan, the only community-based chronic pain clinic in Ontario funded by the Ontario Ministry of Health and Long-Term Care (MOHLTC) as a demonstration project of a template for similar future community clinics. The study is descriptive, including a brief review of the Ontario comprehensive pain strategy framework and an overview of the PWC and the process involved in the development of an interdisciplinary pain program (IDP), based on the biopsychosocial model of chronic pain management. Results During a 2.5-year period, the PWC has offered 1055 new patient medical consultations and 1921 follow-up visits and admitted 242 patients in the IDP program (demonstrating significant success in patient outcomes at the 3-month exit from the program). It established robust outcomes research, organized educational programs for pain trainees, and cultivated a collaborative relationship with the Toronto Academic Pain Medicine (TAPMI) network and the community at large. Conclusions This demonstration program has shown the feasibility and applicability of the principles of the MOHLTC comprehensive pain strategy, providing an effective, evidence-based, and accountable approach to chronic pain diagnosis and management in the community
Nondermatomal somatosensory deficits: overview of unexplainable negative sensory phenomena in chronic pain patients
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