Authors’ Response: When You Come to the Fork in the Road, Take It! Future Research into Chronic Pain as a General Condition

2020 ◽  
Vol 34 ◽  
pp. s12-s14
Author(s):  
Richard Ohrbach ◽  
Roger Fillingim ◽  
Joel Greenspan ◽  
William Maixner ◽  
Anne Sanders ◽  
...  
Keyword(s):  
Chronic Pain ◽  
General Condition ◽  
Future Research ◽  
The Road

scholarly journals Evaluating the Relationship Between Initial Injury, Referral to A Pain Clinic, and Medical Retirement from the Army: A Retrospective Analysis

2021 ◽  
Vol 186 (Supplement_1) ◽  
pp. 502-505
Author(s):  
Justin J Stewart ◽  
Diane Flynn ◽  
Alana D Steffen ◽  
Dale Langford ◽  
Honor McQuinn ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Retrospective Analysis ◽  
Extended Period ◽  
Pain Clinic ◽  
Outcome Variable ◽  
Future Research ◽  
Curvilinear Relationship ◽  
The Impact ◽  
Pain Care ◽  
The Relationship

ABSTRACT Introduction Soldiers are expected to deploy worldwide and must be medically ready in order to accomplish their mission. Soldiers unable to deploy for an extended period of time because of chronic pain or other conditions undergo an evaluation for medical retirement. A retrospective analysis of existing longitudinal data from an Interdisciplinary Pain Management Center (IPMC) was used to evaluate the temporal relationship between the time of initial duty restriction and referral for comprehensive pain care to being evaluated for medical retirement. Methods Patients were adults (>18 years old) and were cared for in an IPMC at least once between May 1, 2014 and February 28, 2018. A total of 1,764 patients were included in the final analysis. Logistic regression was used to evaluate the impact of duration between date of first duty restriction documentation and IPMC referral to the outcome variable of establishment of a permanent 3 (P3) profile. Results The duration between date of first duty restriction and IPMC referral showed a curvilinear relationship to probability of a P3 profile. According to our model, a longer duration before referral is associated with an increased probability of a subsequent P3 profile with the highest probability peaking at 19 months. The probability of P3 declines gradually for those who were referred later. Discussion This is the first time the relationship between time of initial duty restriction, referral to an IPMC, and subsequent P3 or higher profile has been tested. Future research is needed to examine medical conditions listed on the profile to see how they might contribute to the cause of referral to the IPMC. Conclusion A longer duration between initial duty restriction and referral to IPMC was associated with higher odds of subsequent P3 status for up to 19 months. Referral to an IPMC for comprehensive pain care early in the course of chronic pain conditions may reduce the likelihood of P3 profile and eventual medical retirement of soldiers.

scholarly journals Cognitive and School Functioning in Children and Adolescents with Chronic Pain: A Critical Review

2010 ◽  
Vol 15 (4) ◽  
pp. 238-244 ◽  
Author(s):  
Bruce D Dick ◽  
Rebecca Pillai Riddell
Keyword(s):  
Chronic Pain ◽  
Cognitive Function ◽  
Children And Adolescents ◽  
School Attendance ◽  
Developmental Trajectories ◽  
Critical Factor ◽  
Developmental Trajectory ◽  
Future Research ◽  
Research Directions ◽  
Future Research Directions

Cognitive function is a critical factor related to a child’s overall developmental trajectory. There is increasing evidence that chronic pain disrupts cognitive function in adults. Little is known about the nature or impact of cognitive disruption in children and adolescents with chronic pain. The present review examines the current literature related to cognitive function in children and adolescents with chronic pain, implications of these findings and future research directions. Nine studies on this topic were found, with a relatively recent increase in publications related to school attendance and subjective studies of school performance. The studies that were found on this topic suggested that chronic pain affects cognitive function in children but the scope of these effects on children’s function and developmental trajectories is not yet clear. While methodological issues surely make it difficult to study cognitive function in children with chronic pain, the potential gains from such research warrant a pursuit of such work. Much remains to be studied on this important topic.

scholarly journals INTEREST-FREE FINANCING IN AGRO-INDUSTRY: CONCEPTS, THEORIES, METHODS AND RESEARCH GAPS

2021 ◽  
Vol 9 (03) ◽  
pp. 84-94
Author(s):  
Kiki Yulianto ◽  
◽  
Sukardi a ◽  
Nastiti Siswi Indrasti ◽  
Sapta Raharja ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
State Of The Art ◽  
Secondary Data ◽  
Future Research ◽  
Literature Study ◽  
Research Gaps ◽  
The Road ◽  
Road Map ◽  
Conference Papers

Interest-free financing in agro-industry is an exciting topic that has been developed by many researchers, but there is no clarity regarding the road map for future research. Therefore, formulations such as concepts, theories, methods, and research gaps, focusing on interest-free financing in agro-industry, are essential. This literature study was conducted using a systematic literature review method. The data used are secondary data from textbooks, theses/dissertations, conference papers, journals, scientific articles, and working papers. This study resulted in the formulation of the theory, concepts, and methods studied in the form of an explanation of 8 sub-topics of research gaps supported by references and explanations of state of the art. They are making it easier for researchers who have the same interest in developing and looking for novelties with the topic of interest-free financing research in the agro-industry.

Sleep and Cannabis

2021 ◽  
pp. 257-276
Author(s):  
Param Dedhia ◽  
Alison Kole
Keyword(s):  
Chronic Pain ◽  
Obstructive Sleep Apnea ◽  
Circadian Rhythm ◽  
Behavior Disorder ◽  
Early Research ◽  
Movement Behavior ◽  
Future Research ◽  
Medicinal Use ◽  
Obstructive Sleep ◽  
Medicinal Cannabis

With the rising interest in cannabis, the concept of medicinal cannabis for sleep has quickly grown. The chemistry of cannabis and its medicinal effects are becoming known. Within sleep science, cannabis research has noted a connection to circadian rhythm and sleep staging. Early research has looked at insomnia, obstructive sleep apnea, restless leg syndrome, rapid eye movement behavior disorder, posttraumatic stress disorder, and chronic pain. At this time, there is encouragement for future research based on available studies. However, rigorous studies are needed before the medicinal use of cannabis for sleep can be supported by medical literature. Nevertheless, cannabis is being self-administered, and patients are looking for education. The healthcare provider has a unique opportunity to partner with patients through education and guidance, making it important for medical experts to learn about cannabis.

On the Road to Ephesus

2015 ◽  
pp. 102-125
Author(s):  
Suzanne Roff-Wexler
Keyword(s):  
Big Data ◽  
Future Research ◽  
Review Of Literature ◽  
Healthcare Organizations ◽  
Research Directions ◽  
The Road ◽  
Future Research Directions ◽  
On The Road ◽  
Definition Of

Following a brief review of literature on big data as well as wisdom, this chapter provides a definition of data-based wisdom in the context of healthcare organizations and their visions. The author addresses barriers and ways to overcome barriers to data-based wisdom. Insights from interviews with leading healthcare professionals add practical meaning to the discussion. Finally, future research directions and questions are suggested, including the role of synchronicity and serendipity in data-based wisdom. In this chapter, developing data-based wisdom systems that flourish Wisdom, Virtue, Intellect, and Knowledge are encouraged.

scholarly journals Online paediatric chronic pain management: assessing the needs of UK adolescents and parents, using a cross-sectional survey

2020 ◽  
pp. 204946372094034
Author(s):  
Anna Hurley-Wallace ◽  
Daniel E Schoth ◽  
Suzanne Lilley ◽  
Glyn Williams ◽  
Christina Liossi
Keyword(s):  
Social Media ◽  
Chronic Pain ◽  
Pain Management ◽  
Online Survey ◽  
Interdisciplinary Treatment ◽  
Future Research ◽  
Chronic Pain Management ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Social Media Platforms

Background: Adolescent chronic pain is prevalent, and interdisciplinary treatment is recommended. Although it is well known that technology is a key part of adolescents’ daily lives, there have not been any online, interdisciplinary interventions developed for adolescents with chronic pain in a UK healthcare context. Little is known about how adolescents currently use online resources to manage chronic pain, or what guidance they seek. Methods: Ninety-five participants from the community answered this mixed-methods, online survey (adolescent n = 54, parent n = 41), which assessed the needs of UK-based adolescents for a new online chronic pain management resource. Results: Findings indicated that, at the time of the survey, adolescents frequently used social media platforms, such as Instagram, for chronic pain management. Desired techniques for a new interdisciplinary resource for adolescents included ‘advice on explaining chronic pain to others’ (86.7% of adolescents) and sleep hygiene (82.2% of adolescents), though access to a range of pain management techniques was desired. Qualitative results indicated endorsement of a new programme by adolescents and parents. Conclusions: Adolescents and parents had a positive outlook towards the development of a UK-specific online resource to help manage chronic pain. Such an intervention should aim to be made accessible via the National Health Service. Adolescent use of social media platforms to seek support for chronic pain requires further exploration in future research.

Injury Severity of Truck Drivers in Crashes at Highway-Rail Grade Crossings in the United States

2018 ◽  
Vol 2672 (10) ◽  
pp. 38-47 ◽  
Author(s):  
Waleed A. Khan ◽  
Aemal J. Khattak
Keyword(s):  
Rural Areas ◽  
Injury Severity ◽  
Transportation Network ◽  
Mixed Logit ◽  
The United States ◽  
Road User ◽  
Future Research ◽  
The Road ◽  
Grade Crossing ◽  
Driver Injuries

The physical and operational characteristics of large trucks distinguish them from other types of vehicles in terms of facility design needs and safety requirements. A critical node in the surface transportation network is the highway-rail grade crossing (HRGC) because it represents a conflict point between different modes of transportation. The focus of this research was to identify factors related to different injury severity levels of truck/truck-trailer drivers in crashes reported at HRGCs. This study utilized a mixed logit model to investigate injury severity of those drivers and relied on 2007–2014 Federal Railroad Administration (FRA) crash and inventory data involving trucks/truck-trailers. Results showed that truck/truck-trailer drivers’ injuries in crashes reported at HRGCs were positively associated with train speed, when train struck the road user (truck/truck-trailer), when the driver “went around crossing gates”, older drivers, crashes reported in rural areas, and crashes at crossings with a minimum crossing angle of 60–90 degrees. Presence of crossbucks, gates, track obstructions, and HRGCs located within 500 feet of a highway were associated with relatively less severe driver injuries. The paper provides recommendations for safety improvements at HRGCs and recommendations for future research.

scholarly journals The Impact of Cognitive Anxiety and the Rating of Pain on Care Processes in a Vigilance Task: The Important Part Played by Age

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Luis Pinel ◽  
Miguel A. Perez-Nieto ◽  
Marta Redondo ◽  
Luis Rodríguez-Rodríguez ◽  
Leticia L. Mateos
Keyword(s):  
Chronic Pain ◽  
Linear Regression Analysis ◽  
Public Health Problem ◽  
Vigilance Task ◽  
Significant Negative Correlation ◽  
Self Report ◽  
Future Research ◽  
Mcgill Pain Questionnaire ◽  
Cognitive Anxiety ◽  
The Impact

Chronic pain is a serious public health problem that has grown exponentially in recent years, which is why it has received the attention of numerous researchers. Most of the studies in the field of chronic pain have focused on care as a mediating variable on the perception of painful stimuli and emotions. Nevertheless, there are very few studies that have gone in the opposite direction. This study’s aim is therefore to analyse the impact of emotional variables (anxiety and depression), the rating of pain, and age on vigilance processes in a sample of patients with chronic pain. To do so, the attentional performance of a cohort of 52 patients with chronic pain was measured through the use of a modified dot-probe task. Furthermore, all the participants were evaluated using the following self-report measures: Beck’s Depression Inventory-II (BDI-II), the McGill Pain Questionnaire, and the Pain Anxiety Symptoms Scale-20 (PASS-20). Stepwise multiple linear regression analysis revealed a significant negative correlation between the pain rating index and the number of mistakes the participants made during the attention test. There was also a positive and significant correlation with age and another negative and significant correlation with cognitive anxiety regarding the overall performance times during the undertaking of the experimental task. These results point to the importance of a more in-depth understanding of the impact that the emotional variables and other variables such as age have on attentional processes and the rating of pain. Finally, the discussion focuses on the implications these results could have for clinical practice or for future research studies in this field.

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