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JOURNAL ARTICLE
Asipp
No abstract text is available yet for this article.
November 2020: Pain Physician
#22
JOURNAL ARTICLE
Sachin Sunny Jha, Shalini Shah, Michael David Calderon, Amol Soin, Laxmaiah Manchikanti
BACKGROUND: Burnout has been a commonly discussed issue for the past ten years among physicians and other health care workers. A survey of interventional pain physicians published in 2016 reported high levels of emotional exhaustion, often considered the most taxing aspect of burnout. Job dissatisfaction appeared to be the leading agent in the development of burnout in pain medicine physicians in the United States. The COVID-19 pandemic has drastically affected the entire health care workforce and interventional pain management, with other surgical specialties, has been affected significantly...
August 2020: Pain Physician
#23
JOURNAL ARTICLE
Christopher Gharibo, Amit Sharma, Amol Soin, Shalini Shah, Sudhir Diwan, Ricardo Buenaventura, Devi E Nampiaparampil, Steve Aydin, Sanjay Bakshi, Salahadin Abdi, Sachin Sunny Jha, Harold Cordner, Alan D Kaye, Alaa Abd-Elsayed, Kenneth D Candido, Nebojsa Nick Knezevic, Sairam Atluri, Bradley W Wargo, Mahendra R Sanapati, Sukdeb Datta, Joshua A Hirsch, Laxmaiah Manchikanti, Kartic Rajput
BACKGROUND: The COVID-19 pandemic has worsened the pain and suffering of chronic pain patients due to stoppage of "elective" interventional pain management and office visits across the United States. The reopening of America and restarting of interventional techniques and elective surgical procedures has started. Unfortunately, with resurgence in some states, restrictions are once again being imposed. In addition, even during the Phase II and III of reopening, chronic pain patients and interventional pain physicians have faced difficulties because of the priority selection of elective surgical procedures...
August 2020: Pain Physician
#24
JOURNAL ARTICLE
Shalini Shah, Sudhir Diwan, Amol Soin, Kartic Rajput, Amit Mahajan, Laxmaiah Manchikanti, Alan D Kaye, Joshua A Hirsch, Christopher Gharibo
BACKGROUND: Chronic pain patients require continuity of care even during the COVID-19 pandemic, which has drastically changed healthcare and other societal practices. The American Society of Interventional Pain Physicians (ASIPP) has created the COVID-ASIPP Risk Mitigation & Stratification (COVID-ARMS) Return to Practice Task Force in order to provide guidance for safe and strategic reopening. OBJECTIVES: The aims are to provide education and guidance for interventional pain specialists and their patients during the COVID-19 pandemic that minimizes COVID-related morbidity while allowing a return to interventional pain care...
August 2020: Pain Physician
#25
JOURNAL ARTICLE
Daren K Heyland
COVID-19 has highlighted the reality of an impending serious illness for many, particularly for older persons. Those faced with severe COVID-19 infection or other serious illness will be faced with decisions regarding admission to intensive care and use of mechanical ventilation. Past research has documented substantial medical errors regarding the use or non-use of life-sustaining treatments in older persons. While some experts advocate that advance care planning may be a solution to the problem, I argue that the prevailing understanding and current practice of advance care planning perpetuates the problem and results in patients not receiving optimal patient-centered care...
July 18, 2020: Healthcare (Basel, Switzerland)
#26
REVIEW
Laxmaiah Manchikanti, Christopher J Centeno, Sairam Atluri, Sheri L Albers, Shane Shapiro, Gerard A Malanga, Alaa Abd-Elsayed, Mairin Jerome, Joshua A Hirsch, Alan D Kaye, Steve M Aydin, Douglas Beall, Don Buford, Joanne Borg-Stein, Ricardo M Buenaventura, Joseph A Cabaret, Aaron K Calodney, Kenneth D Candido, Cameron Cartier, Richard Latchaw, Sudhir Diwan, Ehren Dodson, Zachary Fausel, Michael Fredericson, Christopher G Gharibo, Mayank Gupta, Adam M Kaye, Nebojsa Nick Knezevic, Radomir Kosanovic, Matthew Lucas, Maanasa V Manchikanti, R Amadeus Mason, Kenneth Mautner, Samuel Murala, Annu Navani, Vidyasagar Pampati, Sarah Pastoriza, Ramarao Pasupuleti, Cyril Philip, Mahendra R Sanapati, Theodore Sand, Rinoo V Shah, Amol Soin, Ian Stemper, Bradley W Wargo, Philippe Hernigou
BACKGROUND: The use of bone marrow concentrate (BMC) for treatment of musculoskeletal disorders has become increasingly popular over the last several years, as technology has improved along with the need for better solutions for these pathologies. The use of cellular tissue raises a number of issues regarding the US Food and Drug Administration's (FDA) regulation in classifying these treatments as a drug versus just autologous tissue transplantation. In the case of BMC in musculoskeletal and spine care, this determination will likely hinge on whether BMC is homologous to the musculoskeletal system and spine...
March 2020: Pain Physician
#27
JOURNAL ARTICLE
Tuesday M McAuliffe Staehler, Laura C Palombi
Background : The Centers for Disease Control and Prevention (CDC) and American Society of Interventional Pain Physicians (ASIPP) guidelines recommend opioid treatment agreements to reduce the misuse and abuse of opioids, but evidence of their effectiveness has not been well-established. This controversy has led to their varied use in primary care settings. The purpose of this review is to collect studies that assess the value of opioid treatment agreements and associated opioid misuse outcomes in patients with chronic non-cancer pain...
January 3, 2020: Substance Abuse
#28
JOURNAL ARTICLE
Yongjian Xu, Chundong Hu, Lizhen Liang, Yahong Xie, Caichao Jiang, Jianglong Wei, Ling Tao, Yuanlai Xie
According to the latest physics design of the China Fusion Engineering Test Reactor (CFETR), two neutral beam injectors (NBIs), which deliver a total of 40 MW in not less than 3600 s with 1 MeV D0 , are demanded to support current drive and plasma rotation. To minimize the risks and time to provide the CFETR with reliable NBIs, a negative NBI test facility will be developed at the Institute of Plasma Physics, Chinese Academy of Science. Its mission is to understand the characteristics of the RF driven ion source and negative ion generation and extraction and to improve RF efficiency and beam quality...
December 1, 2019: Review of Scientific Instruments
#29
JOURNAL ARTICLE
Yahong Xie, Chundong Hu, Jianglong Wei, Yongjian Xu, Caichao Jiang, Yuming Gu, Yuanzhe Zhao, Qinglong Cui, Lizhen Liang, Shiyong Chen, Qi Wang
Neutral beam injection (NBI) is one of the most effective tools of four auxiliary plasma heating methods for fusion plasma heating and current drive. Now, a next generation fusion device, China Fusion Engineering Test Reactor, is under design, and a large negative NBI is foreseen. In order to demonstrate the key technology and performance of a negative ion source, a negative radio frequency (RF) ion source test facility has been developed since 2017 in the Institute of Plasma Physics, Chinese Academy of Science...
November 1, 2019: Review of Scientific Instruments
#30
JOURNAL ARTICLE
Chundong Hu, Qi Wang, Jianglong Wei, Yahong Xie, Lizhen Liang, Yongjian Xu, Yuming Gu, Caichao Jiang
For a prestudy of the key science and technology of the RF negative ion source for fusion application, a negative RF ion source test facility was developed at the Institute of Plasma Physics, Chinese Academy of Science (ASIPP). The magnetic filter field in front of the extraction system plays an important role in reducing the loss of negative hydrogen ions and inhibiting coextraction of electrons. The existing filter field of the prototype ion source is generated by permanent magnets arranged on both sides of the expansion chamber; the gradient and the uniformity of the field are poor, resulting in a large plasma distribution unevenness in the experiment...
November 1, 2019: Review of Scientific Instruments
#31
JOURNAL ARTICLE
Asipp Asipp
No abstract text is available yet for this article.
July 2019: Pain Physician
#32
JOURNAL ARTICLE
Alan D Kaye, Laxmaiah Manchikanti, Matthew B Novitch, Imran N Mungrue, Muhammad Anwar, Mark R Jones, Erik M Helander, Elyse M Cornett, Matthew R Eng, Jay S Grider, Michael E Harned, Ramsin M Benyamin, John R Swicegood, Thomas T Simopoulos, Salahadin Abdi, Richard D Urman, Timothy R Deer, Cyrus Bakhit, Mahendra Sanapati, Sairam Atluri, Ramarao Pasupuleti, Amol Soin, Sudhir Diwan, Ricardo Vallejo, Kenneth D Candido, Nebojsa Nick Knezevic, Douglas Beall, Sheri L Albers, Richard E Latchaw, Hari Prabhakar, Joshua A Hirsch
BACKGROUND: Interventional pain management involves diagnosis and treatment of chronic pain. This specialty utilizes minimally invasive procedures to target therapeutics to the central nervous system and the spinal column. A subset of patients encountered in interventional pain are medicated using anticoagulant or antithrombotic drugs to mitigate thrombosis risk. Since these drugs target the clotting system, bleeding risk is a consideration accompanying interventional procedures. Importantly, discontinuation of anticoagulant or antithrombotic drugs exposes underlying thrombosis risk, which can lead to significant morbidity and mortality especially in those with coronary artery or cerebrovascular disease...
January 2019: Pain Physician
#33
JOURNAL ARTICLE
Annu Navani, Laxmaiah Manchikanti, Sheri L Albers, Richard E Latchaw, Jaya Sanapati, Alan D Kaye, Sairam Atluri, Sheldon Jordan, Ashim Gupta, David Cedeno, Alejandro Vallejo, Bert Fellows, Nebojsa Nick Knezevic, Miguel Pappolla, Sudhir Diwan, Andrea M Trescot, Amol Soin, Adam M Kaye, Steve M Aydin, Aaron K Calodney, Kenneth D Candido, Sanjay Bakshi, Ramsin M Benyamin, Ricardo Vallejo, Art Watanabe, Douglas Beall, Todd P Stitik, Patrick M Foye, Erik M Helander, Joshua A Hirsch
BACKGROUND: Regenerative medicine is a medical subspecialty that seeks to recruit and enhance the body's own inherent healing armamentarium in the treatment of patient pathology. This therapy's intention is to assist in the repair, and to potentially replace or restore damaged tissue through the use of autologous or allogenic biologics. This field is rising like a Phoenix from the ashes of underperforming conventional therapy midst the hopes and high expectations of patients and medical personnel alike...
January 2019: Pain Physician
#34
JOURNAL ARTICLE
Shyamashree Sinha, Mark Jensen, Sarah Mullin, Peter L Elkin
Background Prescription opioid pain medication overuse, misuse and abuse have been a significant contributing factor in the opioid epidemic. The rising death rates from opioid overdose have caused healthcare practitioners and researchers to work on optimizing pain therapy and limiting the prescriptions for pain medications. The state of New York has implemented a prescription drug monitoring program(PDMP), amended public health law to limit the prescription of opioids for acute pain and utilized the resources of the state and county health departments to help in curbing this epidemic...
2017: Online Journal of Public Health Informatics
#35
REVIEW
Standiford Helm Ii, Thomas T Simopoulos, Milan Stojanovic, Salahadin Abdi, Mohamed Ahamed El Terany
BACKGROUND: Discogenic low back is a distinct clinic entity characterized by pain arising from a damaged disc. The diagnosis is clouded by the controversy surrounding discography. The treatment options are limited, with unsatisfactory results from both conservative treatment and surgery. Multiple interventional therapies have been developed to treat discogenic pain, but most have not yet been validated by high quality studies.The best studied treatment for discogenic pain is the use of heat, which has been labeled as thermal intradiscal procedures (TIPs) by the Centers for Medicare and Medicaid Services (CMS)...
September 2017: Pain Physician
#36
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
May 2017: Pain Physician
#37
JOURNAL ARTICLE
Laxmaiah Manchikanti, Adam M Kaye, Nebojsa Nick Knezevic, Heath McAnally, Konstantin Slavin, Andrea M Trescot, Susan Blank, Vidyasagar Pampati, Salahadin Abdi, Jay S Grider, Alan D Kaye, Kavita N Manchikanti, Harold Cordner, Christopher G Gharibo, Michael E Harned, Sheri L Albers, Sairam Atluri, Steve M Aydin, Sanjay Bakshi, Robert L Barkin, Ramsin M Benyamin, Mark V Boswell, Ricardo M Buenaventura, Aaron K Calodney, David L Cedeno, Sukdeb Datta, Timothy R Deer, Bert Fellows, Vincent Galan, Vahid Grami, Hans Hansen, Standiford Helm Ii, Rafael Justiz, Dhanalakshmi Koyyalagunta, Yogesh Malla, Annu Navani, Kent H Nouri, Ramarao Pasupuleti, Nalini Sehgal, Sanford M Silverman, Thomas T Simopoulos, Vijay Singh, Daneshvari R Solanki, Peter S Staats, Ricardo Vallejo, Bradley W Wargo, Arthur Watanabe, Joshua A Hirsch
BACKGROUND: Opioid use, abuse, and adverse consequences, including death, have escalated at an alarming rate since the 1990s. In an attempt to control opioid abuse, numerous regulations and guidelines for responsible opioid prescribing have been developed by various organizations. However, the US opioid epidemic is continuing and drug dose deaths tripled during 1999 to 2015. Recent data show a continuing increase in deaths due to natural and semisynthetic opioids, a decline in methadone deaths, and an explosive increase in the rates of deaths involving other opioids, specifically heroin and illicit synthetic fentanyl...
February 2017: Pain Physician
#38
JOURNAL ARTICLE
Merit-Based Incentive Payment System: Meaningful Changes in the Final Rule Brings Cautious Optimism.
Laxmaiah Manchikanti, Standiford Helm Ii, Aaron K Calodney, Joshua A Hirsch
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) eliminated the flawed Sustainable Growth Rate (SGR) act formula - a longstanding crucial issue of concern for health care providers and Medicare beneficiaries. MACRA also included a quality improvement program entitled, "The Merit-Based Incentive Payment System, or MIPS." The proposed rule of MIPS sought to streamline existing federal quality efforts and therefore linked 4 distinct programs into one. Three existing programs, meaningful use (MU), Physician Quality Reporting System (PQRS), value-based payment (VBP) system were merged with the addition of Clinical Improvement Activity category...
January 2017: Pain Physician
#39
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
July 2016: Pain Physician
#40
REVIEW
Standiford Helm, Gabor B Racz, Ludger Gerdesmeyer, Rafael Justiz, Salim M Hayek, Eugene D Kaplan, Mohamed Ahamed El Terany, Nebojsa Nick Knezevic
BACKGROUND: Chronic refractory low back and lower extremity pain is frustrating to treat. Percutaneous adhesiolysis and spinal endoscopy are techniques which can treat chronic refractory low back and lower extremity pain.Percutaneous adhesiolysis is performed by placing the catheter into the tissue plane at the ventrolateral aspect of the foramen so that medications can be injected. Adhesiolysis is used both for pain caused by scarring which is not resistant to catheter placement and other sources of pain, including inflammation in the absence of scarring...
February 2016: Pain Physician
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