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Uncategorized Published - 23 July, 2014    By - Dr. Clemens
Reduce Costs With Selective Pre-Op Testing

Routine preanesthetic tests cost more than $60 billion every year, but far fewer than 1% reveal pertinent abnormalities relating to the anesthetic or the surgery, according to a 1989 study published in the Canadian Journal of Anesthesia (1989;36:S13-S19). For that reason, national guidelines recommend minimizing preoperative testing in low-risk, stable patients undergoing non-emergent surgery. The […]

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Uncategorized Published - 23 July, 2014    By - Dr. Clemens
10 things employees are dying to hear their managers say

Employees crave more than just a paycheck from work. They want to go home feeling valued and respected for the job they do. Only about a third of employees these days say they are “engaged” in their jobs. But in the midst of everyday chaos, it’s hard for managers to think about big-picture issues like […]

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Uncategorized Published - 23 July, 2014    By - Dr. Clemens
Efficacy and safety of sublingual fentanyl orally disintegrating tablet at doses determined by titration for the treatment of breakthrough pain

Published in Int J Clin Oncol. 2014 May Authors: Shimoyama N et al BACKGROUND: Breakthrough cancer pain typically has a rapid onset and relatively short duration. Due to this temporal profile, it may not be adequately relieved by oral opioid analgesics. The sublingual fentanyl orally disintegrating tablet is a formulation by which fentanyl can be […]

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Uncategorized Published - 23 July, 2014    By - Dr. Clemens
Pain Perception Linked to Genes

A new study provides important new insights into gene-driven perceptions of pain. While the study won’t have an immediate effect on treatment choices for chronic pain, it will help doctors understand why some patients feel more pain than others, said lead researcher, Tobore Onojighofia, MD, MPH, clinical affairs manager, Proove Biosciences, Irvine, California. “The analysis […]

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Uncategorized Published - 23 July, 2014    By - Dr. Clemens
Estimating EQ-5D values from the Neck Disability Index and numeric rating scales for neck and arm pain

This is for our readers who perform chronic pain management. Authors: Carreon L et al Published in Journal of Neurosurgery, Spine 1-6 (Jun 2014) Objection: The Neck Disability Index (NDI) and numeric rating scales (0 to 10) for neck pain and arm pain are widely used cervical spine disease-specific measures. Recent studies have shown that […]

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Uncategorized Published - 23 July, 2014    By - Dr. Clemens
Utilization of spinal cord stimulation in patients with failed back surgery syndrome

Authors: Lad S, et al Published in Spine 39 (12), E719-27 (May 2014) STUDY DESIGN Retrospective analysis of a population-based insurance claims data set. OBJECTIVE To evaluate the use of spinal cord stimulation (SCS) and lumbar reoperation for the treatment of failed back surgery syndrome (FBSS), and examine their associated complications and health care costs. […]

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Uncategorized Published - 23 July, 2014    By - Dr. Clemens
The detection of codeine, morphine, 6-monoacetylmorphine, and meconin in human umbilical cord tissue: method validation and evidence of in utero heroin exposure

Published  in Ther Drug Monit. 2014 Jun Authors: Jones J et al BACKGROUND: Heroin abuse is a significant public health issue and is on the rise due to the unintended consequences of strengthening controls for non-medical use of prescription pain killers. Included in this trend is an increase in opiate exposed newborns that are particularly […]

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Uncategorized Published - 23 July, 2014    By - Dr. Clemens
Efficacy and safety of sublingual fentanyl orally disintegrating tablet at doses determined by titration for the treatment of breakthrough pain

Published in Int J Clin Oncol. 2014 May Authors: Shimoyama N et al BACKGROUND: Breakthrough cancer pain typically has a rapid onset and relatively short duration. Due to this temporal profile, it may not be adequately relieved by oral opioid analgesics. The sublingual fentanyl orally disintegrating tablet is a formulation by which fentanyl can be […]

Read More
Uncategorized Published - 23 July, 2014    By - Dr. Clemens
10 things employees are dying to hear their managers say

Employees crave more than just a paycheck from work. They want to go home feeling valued and respected for the job they do. Only about a third of employees these days say they are “engaged” in their jobs. But in the midst of everyday chaos, it’s hard for managers to think about big-picture issues like […]

Read More
Uncategorized Published - 23 July, 2014    By - Dr. Clemens
Reduce Costs With Selective Pre-Op Testing

Routine preanesthetic tests cost more than $60 billion every year, but far fewer than 1% reveal pertinent abnormalities relating to the anesthetic or the surgery, according to a 1989 study published in the Canadian Journal of Anesthesia (1989;36:S13-S19). For that reason, national guidelines recommend minimizing preoperative testing in low-risk, stable patients undergoing non-emergent surgery. The […]

Read More