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Jon Adams - One of the best experts on this subject based on the ideXlab platform.
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Healthcare Practitioner utilisation for back pain neck pain and or pelvic pain during pregnancy an analysis of 1835 pregnant women in australia
International Journal of Clinical Practice, 2016Co-Authors: David Sibbritt, Suzy Ladanyi, Jon AdamsAbstract:SummaryAims Back, neck and/or pelvic pain are common symptoms experienced by pregnant women. Although pregnant women are known to use complementary and alternative medicine (CAM) frequently, no research to date has provided in-depth examination of Healthcare Practitioner utilisation of pregnant women who experience back, neck and/or pelvic pain. Methods A sub-study of 1835 pregnant women from the nationally representative Australian Longitudinal Study on Women's Health (ALSWH). Demographics, health status and Healthcare utilisation measures were analysed for symptoms of back, neck and/or pelvic pain during pregnancy, using regression models. Results During their pregnancy, 39.5% women experienced back pain, 12.4% experienced neck pain and 16.3% women experienced pelvic pain. Pregnant women were more likely to consult a massage therapist for their back pain (32.3%) and neck pain (39.9%), and another alternative Practitioner (27.3%) or obstetrician (22.1%) for pelvic pain, while some women did not seek treatment (<30%). Women who sought help for each symptom reported significantly worse levels of mental and physical health across most SF-36 domains (P<.05). Women without health insurance, or pregnancy-related Healthcare insurance were less likely to seek treatment. Discussion and conclusion Pregnant women experiencing back, neck and/or pelvic pain frequently consult CAM Practitioners, particularly if they have Healthcare insurance. There is a need for all Healthcare Practitioners providing maternity care to enquire about possible back, neck and pelvic pain amongst women in their care and be cognisant of possible corresponding CAM use for such symptoms.
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Healthcare Practitioner utilisation for back pain, neck pain and/or pelvic pain during pregnancy: an analysis of 1835 pregnant women in Australia.
International journal of clinical practice, 2016Co-Authors: David Sibbritt, Suzy Ladanyi, Jon AdamsAbstract:SummaryAims Back, neck and/or pelvic pain are common symptoms experienced by pregnant women. Although pregnant women are known to use complementary and alternative medicine (CAM) frequently, no research to date has provided in-depth examination of Healthcare Practitioner utilisation of pregnant women who experience back, neck and/or pelvic pain. Methods A sub-study of 1835 pregnant women from the nationally representative Australian Longitudinal Study on Women's Health (ALSWH). Demographics, health status and Healthcare utilisation measures were analysed for symptoms of back, neck and/or pelvic pain during pregnancy, using regression models. Results During their pregnancy, 39.5% women experienced back pain, 12.4% experienced neck pain and 16.3% women experienced pelvic pain. Pregnant women were more likely to consult a massage therapist for their back pain (32.3%) and neck pain (39.9%), and another alternative Practitioner (27.3%) or obstetrician (22.1%) for pelvic pain, while some women did not seek treatment (
David Sibbritt - One of the best experts on this subject based on the ideXlab platform.
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Healthcare Practitioner utilisation for back pain neck pain and or pelvic pain during pregnancy an analysis of 1835 pregnant women in australia
International Journal of Clinical Practice, 2016Co-Authors: David Sibbritt, Suzy Ladanyi, Jon AdamsAbstract:SummaryAims Back, neck and/or pelvic pain are common symptoms experienced by pregnant women. Although pregnant women are known to use complementary and alternative medicine (CAM) frequently, no research to date has provided in-depth examination of Healthcare Practitioner utilisation of pregnant women who experience back, neck and/or pelvic pain. Methods A sub-study of 1835 pregnant women from the nationally representative Australian Longitudinal Study on Women's Health (ALSWH). Demographics, health status and Healthcare utilisation measures were analysed for symptoms of back, neck and/or pelvic pain during pregnancy, using regression models. Results During their pregnancy, 39.5% women experienced back pain, 12.4% experienced neck pain and 16.3% women experienced pelvic pain. Pregnant women were more likely to consult a massage therapist for their back pain (32.3%) and neck pain (39.9%), and another alternative Practitioner (27.3%) or obstetrician (22.1%) for pelvic pain, while some women did not seek treatment (<30%). Women who sought help for each symptom reported significantly worse levels of mental and physical health across most SF-36 domains (P<.05). Women without health insurance, or pregnancy-related Healthcare insurance were less likely to seek treatment. Discussion and conclusion Pregnant women experiencing back, neck and/or pelvic pain frequently consult CAM Practitioners, particularly if they have Healthcare insurance. There is a need for all Healthcare Practitioners providing maternity care to enquire about possible back, neck and pelvic pain amongst women in their care and be cognisant of possible corresponding CAM use for such symptoms.
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Healthcare Practitioner utilisation for back pain, neck pain and/or pelvic pain during pregnancy: an analysis of 1835 pregnant women in Australia.
International journal of clinical practice, 2016Co-Authors: David Sibbritt, Suzy Ladanyi, Jon AdamsAbstract:SummaryAims Back, neck and/or pelvic pain are common symptoms experienced by pregnant women. Although pregnant women are known to use complementary and alternative medicine (CAM) frequently, no research to date has provided in-depth examination of Healthcare Practitioner utilisation of pregnant women who experience back, neck and/or pelvic pain. Methods A sub-study of 1835 pregnant women from the nationally representative Australian Longitudinal Study on Women's Health (ALSWH). Demographics, health status and Healthcare utilisation measures were analysed for symptoms of back, neck and/or pelvic pain during pregnancy, using regression models. Results During their pregnancy, 39.5% women experienced back pain, 12.4% experienced neck pain and 16.3% women experienced pelvic pain. Pregnant women were more likely to consult a massage therapist for their back pain (32.3%) and neck pain (39.9%), and another alternative Practitioner (27.3%) or obstetrician (22.1%) for pelvic pain, while some women did not seek treatment (
Allen J Vaida - One of the best experts on this subject based on the ideXlab platform.
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the institute for safe medication practices and poison control centers collaborating to prevent medication errors and unintentional poisonings
Journal of Medical Toxicology, 2015Co-Authors: Allen J VaidaAbstract:This article provides an overview on the Institute for Safe Medication Practices (ISMP), the only independent nonprofit organization in the USA devoted to the prevention of medication errors. ISMP developed the national Medication Errors Reporting Program (MERP) and investigates and analyzes errors in order to formulate recommendations to prevent further occurrences. ISMP works closely with the US Food and Drug Administration (FDA), drug manufacturers, professional organizations, and others to promote changes in package design, practice standards, and Healthcare Practitioner and consumer education. By collaborating with ISMP to share and disseminate information, Poison Control centers, emergency departments, and toxicologists can help decrease unintentional and accidental poisonings.
H. Nordeng - One of the best experts on this subject based on the ideXlab platform.
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Safety classification of herbal medicines used in pregnancy in a multinational study
BMC Complementary and Alternative Medicine, 2016Co-Authors: D. A. Kennedy, A. Lupattelli, G. Koren, H. NordengAbstract:Background The use of herbal medicines for health prevention and ailments is an increasing trend worldwide. Women in pregnancy are no exception; the reported prevalence of herbal medicine use in pregnancy ranges from 1 to 60 %. Despite a common perception of safety, herbal medicines may have potent pharmacological actions, and historically, have been used for this reason. Methods A multinational, cross-sectional study on how women treat disease and pregnancy-related health ailments was conducted between October 2011 and February 2012 in Europe, North America, and Australia. This study’s primary aim was to evaluate and classify the herbal medicines used according to their safety in pregnancy and, secondly, to investigate risk factors associated with the use of contraindicated herbal medicines during pregnancy. Results In total, 29.3 % of the women ( n = 2673) reported the use of herbal medicines in pregnancy; of which we were able to identify 126 specific herbal medicines used by 2379 women (89.0 %). Twenty seven out of 126 herbal medicines were classified as contraindicated in pregnancy, and were used by 476 women (20.0 %). Twenty-eight were classified as safe for use in pregnancy and used by the largest number of women ( n = 1128, 47.4 %). The greatest number was classified as requiring caution in pregnancy; these sixty herbal medicines were used by 751 women (31.6 %). Maternal factors associated with the use of contraindicated herbal medicines in pregnancy were found to be working in the home, having a university education, not using folic acid, and consuming alcohol. Interestingly, the recommendation to take a contraindicated herbal medicine was three times more likely to be from a Healthcare Practitioner (HCP) than an informal source. Conclusion Based on the current literature the majority of women in this study used an herbal medicine that was classified as safe for use in pregnancy. Women who reported taking a contraindicated herb were more likely to have been recommended it use by an HCP rather than informal source(s), indicating an urgent need for more education among HCPs. The paucity of human studies on herbal medicines safety in pregnancy stands in stark contrast to the widespread use of these products among pregnant women.
Alan D Kaye - One of the best experts on this subject based on the ideXlab platform.
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practical guide to the management of acute and chronic pain in the presence of drug tolerance for the Healthcare Practitioner
The Ochsner journal, 2014Co-Authors: Nalini Vadivelu, Harman Singhgill, Gopal Kodumudi, Aaron J Kaye, Richard D Urman, Alan D KayeAbstract:Background Drug tolerance has been on the rise in recent years worldwide, and consequently, pain management in our population has become challenging. Methods Discussed in this review are commonly abused drugs and considerations for treating acute and chronic pain states in patients with substance disorders. Results After marijuana, alcohol, and tobacco, the most widely abused substances are oxycodone (Oxycontin), diazepam (Valium), and methylphenidate (Ritalin). Urine testing can detect metabolites of drugs used by patients and is useful for assessing drug abuse, medication diversion, and drug interactions. The comprehensive treatment of pain in a patient with addictive disorder or tolerance must address 3 issues: the patient9s addiction, any associated psychiatric conditions, and the patient9s pain. Eliciting a detailed history of drug abuse—illicit drugs as well as prescription drugs—and ascertaining if the patient is currently enrolled in a methadone maintenance program for the treatment of drug addiction is vital. Conclusion Medical observation, supportive care, multidisciplinary pain management, and timely interventions as necessary are the keys to safe outcomes in these patients.
