Articles: ninos.
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The purpose of this study was to assess the educational value and acceptability of a short CD-ROM course on cancer pain management given to third-year medical students at the University of Kentucky. ⋯ A short-course computer format program was developed by the authors to teach the basics of cancer pain management to medical students. A minority of students evaluated the program and agreed the material was clearly presented, improved knowledge of opioid analgesia, and was easy to use.
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The purpose of this investigation was to study specifically those cases of sudden death out-of-hospital in the Reykjavik area that were due to non-cardiac causes the last 13 years, from January 1987 to December 31, 1999. ⋯ In this study the data were reported in accordance with the Utstein protocol and therefore drug intoxication and suicide are not grouped together. However, most if not all cases of drug intoxication appear to have occurred in an attempt of suicide. Except for cardiac disease drug intoxication and suicides were together the most common causes of sudden death out-of-hospital in those instances attended by the crew of the emergency ambulance. The results of resuscitation attempts are much worse when the cause for sudden death is non-cardiac. Survival was relatively best in cases of "suffocation" or "drowning".
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The goals of this study were to define the endpoints of pain research that are important to patients with chronic pain and to identify clinical and demographic variables that are associated with patients' choices of endpoints. ⋯ These data suggest that empirical research can provide data to guide the choice of endpoints in clinical studies of pain interventions.
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The role of physician variability in pain management is unknown. ⋯ Lower expectations for relief and less satisfaction in its management may contribute to the undertreatment of chronic pain. Perceptions of regulatory scrutiny may contribute to suboptimal pain management. These preliminary data highlight physician variability in pain decision making while providing insights into educational needs.