MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'criteria'. Sat, 03 Sep 2011 02:05:36 +0100 http://www.medworm.com/index.php?rid=5159008&cid=t_208391_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FA_Uef_POJIA%2F "VT or not VT? That is the question..." you muse. Then your patient Bill says "A shock, a shock, my kingdom for a shock"... (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=5159008 Wed, 24 Aug 2011 00:00:08 +0100 5159008 http://www.medworm.com/index.php?rid=5077770&cid=t_208391_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F07%2F28%2Fcbs-news-others-get-nose-job-story-wrong%2F In one of the worst examples of health reporting I’ve seen today, a bunch of news outlets have equated “symptoms of a disorder” with having the disorder itself. It may seem like a subtle difference, but in the world of mental health diagnosis, having a symptom of a disorder is not the same as having the disorder itself. The study in question was conducted on people seeking treatment for a nose job. To assess patients’ psychopathology, the researchers administered a bunch of psychological tests to the patients before their rhinoplasty. One of those tests was the Yale-Brown Obsessive Compulsive Scale modified for body dysmorphic disorder. Now, the researchers only found a 2 percent rate of body dysmorphic disorder (BDD) among the 226 patients they tested. That rate is... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=5077770 Thu, 28 Jul 2011 21:58:34 +0100 5077770 http://www.medworm.com/index.php?rid=4883755&cid=t_208391_129_f&fid=27216&url=http%3A%2F%2Flifewithadhd.com%2Fadhd-drugs%2Fadhd-treatment-efficacy-what-criteria-can-we-use.php It’s unbelievable but the drugs companies are still raking in handsome profits for ADHD drugs, even when there is a recession which will take 80 years to recover from. Adderall XR provided a lot more revenue for the pharmaceutical company manufacturing it – in fact revenue shot up by 16.5% in the last quarter. Prescriptions for Vyvanse, another popular ADHD drug, rose by 102% this quarter compared to 2008. If we were to judge ADHD treatment efficacy just by the sheer profits they are generating, we might be fooled into thinking that these psychostimulant drugs must be the ideal cure for ADHD ! Nothing could be further from the truth, believe me. Let us throw the profit criteria out of the window as there are too many conflicts of interest there.It seems that certain aspects of ... Life With ADHD blogs http://www.medworm.com/rss/comments.php?id=4883755 Sun, 29 May 2011 23:00:00 +0100 4883755 http://www.medworm.com/index.php?rid=4747619&cid=t_208391_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2FOHY-ZNVzpjs%2F The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4747619 Mon, 25 Apr 2011 12:47:48 +0100 4747619 http://www.medworm.com/index.php?rid=4294555&cid=t_208391_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F12%2Fdenver-screening-criteria-blunt-cerebrovascular-injury%2F Blunt cerebrovascular injury (i.e., damage to the carotid and/or vertebral arteries) is an increasingly recognized entity in trauma and the Denver Screening Criteria have been developed to aid in the diagnosis and treatment of this condition. The screening signs and symptoms of BCVI include: Focal neuorlogical deficit Arterial hemorrhage Cervical bruit in a patient less than 50 years of age Expanding neck hematoma Neurological exam inconsistent with head CT scan Cerebrovascular accident on follow-up head CT not seen on initial head CT. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4294555 Mon, 27 Dec 2010 05:21:14 +0100 4294555 http://www.medworm.com/index.php?rid=4134150&cid=t_208391_136_f&fid=37846&url=http%3A%2F%2Fhealthinfoispower.wordpress.com%2F2010%2F11%2F03%2Faccess-pharma-commences-european-phase-ii-study-of-prolindac%25e2%2584%25a2-paclitaxel-in-platinum-sensitive-ovarian-cancer-patients%2F Access Pharmaceuticals announces commencement of a Phase 2 combination trial for its second generation DACH-platinum cancer drug, ProLindac™ (formerly known as AP5346), in platinum-sensitive ovarian cancer patients. This trial is an open-label, Phase 2 study of ProLindac™ given intravenously with paclitaxel. The combination trial will be conducted in up to eight European participating centers. Access [...] (Source: Libby's H*O*P*E*) Libby's H*O*P*E* blogs http://www.medworm.com/rss/comments.php?id=4134150 Thu, 04 Nov 2010 03:04:01 +0100 4134150 http://www.medworm.com/index.php?rid=4055716&cid=t_208391_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-relative-unimportance-of-diagnosis-in-psychiatry%2F2010.10.11 Look, he came back! Guest blogger Mitchell Newmark, M.D., put on his armor and came to blog with us again. The Relative Unimportance of Diagnosis In Psychiatry As we will soon be witness to the emergence of DSM-V, the new rule book for psychiatric diagnosis, I am reminded of all the pitfalls of diagnosis in psychiatry. In other fields of medicine, diagnosis is based primarily on etiology, with objective findings, rather than on symptoms alone, as it is in psychiatry. When you go to your internist with stomach pain, there’s an endoscopy to look for ulcers, a sonogram to look for gall stones, a blood test to look for hepatitis. But in psychiatry, there is no CT scan to check for bipolar disorder, no blood test to assess if the patient has schizophrenia, no spinal tap to check for major de... Better Health blogs http://www.medworm.com/rss/comments.php?id=4055716 Mon, 11 Oct 2010 12:00:00 +0100 4055716 http://www.medworm.com/index.php?rid=3994012&cid=t_208391_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F09%2F22%2Fantidepressants-useless-an-interview-with-glenn-treisman%2F I’m still bothered by all the hype awhile back about antidepressants not working any better than sugar pills (otherwise known as placebo) because I know that the people who need treatment — possibly those that will go on to take their lives — read that story and decided there was no hope in medicine. That’s why I like to publish insightful articles like the one I found in John Hopkin’s newsletter, “Hopkins Brain Wise.” They included an interview with Glenn Treisman, professor of psychiatry and internal medicine who is best known internationally for his care of HIV-infected patients who also suffer from a psychiatric illness. Here’s the interview… Q. These studies are dangerous, you say. Dr. Treisman: Ten to 20 percent of people with ma... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3994012 Wed, 22 Sep 2010 10:30:52 +0100 3994012 http://www.medworm.com/index.php?rid=3976499&cid=t_208391_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fchronic-fatigue-syndrome-plenty-of-speculation%2F2010.09.16 Humans love to find patterns in the world. Sometimes patterns exist, sometimes they are imaginary. Sometimes you can see a pattern that may be interesting and ignore its significance. As a resident I used to say that anyone who smokes three packs of cigarettes a day has to be schizophrenic. It was meant more as a joke when, in fact, it was later discovered that tobacco helps ameliorate the symptoms of schizophrenia. I need to pay more attention. Part of my job is to look for patterns as a key to the patients diagnosis. Diseases and pathogens tend to (more or less) cause reproducible signs and symptoms and looking for that pattern is often the most helpful clue towards finding the diagnosis. Of course things are never as easy as one would like, as you have to consider whether you are seeing... Better Health blogs http://www.medworm.com/rss/comments.php?id=3976499 Thu, 16 Sep 2010 12:00:00 +0100 3976499 http://www.medworm.com/index.php?rid=3714186&cid=t_208391_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Faddicted-to-indoor-tanning%2F2010.06.30 According to the Archives of Dermatology, there are people who are addicted to indoor tanning. That journal reported on a study of 421 university students in the northeastern United States. Using self-reported questionnaires, they screened for alcoholism and substance use as well as anxiety and depression. They also had a questionnaire about addiction to indoor tanning. If you’re scratching your head (as I was), there’s a medically-accepted criteria known as CAGE (cut down, annoyed, guilty, eye-opener) that correlates with addiction, so they used this for “addiction” to indoor tanning also. They found that more of the kids who met the criteria for addiction to indoor tanning also had greater anxiety, greater use of alcohol, marijuana and other substances. (more&#82... Better Health blogs http://www.medworm.com/rss/comments.php?id=3714186 Wed, 30 Jun 2010 16:00:00 +0100 3714186 http://www.medworm.com/index.php?rid=3588913&cid=t_208391_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F05%2F22%2Fpreschool-depression-real-or-imagined%2F Joan Luby, a Professor of Psychiatry in the Early Emotional Development Program at the Washington University School of Medicine, argues in a new journal article (Luby, 2010) that preschool depression is a real disorder that is important to identify early on. Preschool depression refers to preschool-aged children (between 3 and 6 years old) suffering from significant depressive symptoms that cause impairment in the child’s daily functioning and development. She argues, however, that we can’t use the adult criteria for depression, since some of those criteria wouldn’t make sense in a preschool child. A preschool child, for instance, can’t experience the loss of sexual pleasure, but they can experience a loss of enjoyment in ordinary child play activities. It makes a ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3588913 Sat, 22 May 2010 11:06:33 +0100 3588913 http://www.medworm.com/index.php?rid=3403971&cid=t_208391_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F03%2F16%2Fthoughts-on-ehr-certification-criteria-interim-final-rule%2F Time for a break from the regularly scheduled HIMSS programming (sorry there’s just a lot of HIMSS content to still be published) for some thoughts and comments on the EHR Certification Interim Final rule. What can I say? I was inspired by CCHIT’s comments on the EHR Certification criteria. First, since I mentioned CCHIT’s comments, I have to admit that I think that CCHIT made some very reasonable comments. I’m not sure I really disagree with any of the detailed points that they offer in their comments. What’s probably most interesting in CCHIT’s comments is the last two sections where they talk about the adverse impacts that this rule is likely to have on small EMR vendors and more importantly, small healthcare facilities. I’m not sure I agree com... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3403971 Tue, 16 Mar 2010 14:29:17 +0100 3403971 http://www.medworm.com/index.php?rid=3302370&cid=t_208391_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F02%2F24%2F7-depression-busters-for-caregivers%2F Nearly one-third of people caring for terminally ill loved ones suffer from depression according to research from Yale University. About one in four family caregivers meet the clinical criteria of anxiety. And a recent study found that 41 percent of former caregivers of a spouse with Alzheimer’s disease or another form of dementia experienced mild to severe depression up to three years after their spouse had died. Caregivers are so vulnerable to depression because they often sacrifice their own needs while tending to their loved one and because of the constant stress involved. Here, then, are 12 tips to help protect you from anxiety and depression and to guide you toward good mental health as you care for a relative. 1. Acknowledge it. If you haven’t already, say this out loud:... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3302370 Wed, 24 Feb 2010 12:57:38 +0100 3302370 http://www.medworm.com/index.php?rid=3231618&cid=t_208391_109_f&fid=38950&url=http%3A%2F%2Fwww.shockmd.com%2F2010%2F02%2F02%2Fselection-of-medical-students%2F The government of The Netherlands has decided to abolish the numerous fixus (weighted lottery) for medical education. This meant that only 2850 students were able to go to med school a year. The numerous fixus was mainly based on high grades on high school. Universities are allowed to make there own selection criteria for admittance to med school. They could still use the average high school grades but they can’t increase the number of medical students since medical education is very expensive. In The Netherlands a med student costs a 120.000 Euros a year, for comparison a students at Law school costs about 30.000 Euros a year. But how do you select medical students. Which criteria should you use. Universities in The Netherlands have been experimenting with selection of medical stude... Dr Shock MD PhD blogs http://www.medworm.com/rss/comments.php?id=3231618 Tue, 02 Feb 2010 07:20:03 +0100 3231618 http://www.medworm.com/index.php?rid=3182241&cid=t_208391_109_f&fid=38155&url=http%3A%2F%2Fshrinkboards.com%2F%3Fp%3D97 Psychiatry Oral Boards will soon be a thing of the past.  This development will no doubt cause considerable consternation for those who make a living by providing week-long practice sessions, but will be welcome news to psychiatry residents who suffer from performance anxiety!  I have mixed feelings about the news myself.   I confess to the feelings that anyone has when there is a sense that the journey has become a bit lighter for those following in one’s footsteps.  I remember similar feelings years ago when resident work hours were reduced to the limit of ‘only’ 80 hours per week!  After all, misery loves company. But I found that I was wrong about those feelings about resident work hours.  I teach medical students now, and I realize that current grads have it a... Pass Psych Boards blogs http://www.medworm.com/rss/comments.php?id=3182241 Mon, 18 Jan 2010 04:57:43 +0100 3182241 http://www.medworm.com/index.php?rid=3044889&cid=t_208391_129_f&fid=36038&url=http%3A%2F%2Fwww.everydayhealth.com%2Fblog%2Ftrevis-life-with-multiple-sclerosis-ms%2Fhalt-ms-and-stem-cell-research%2F My wife, Caryn and I were talking the other day about my next options for MS disease modifying therapies. As many of you know, interferon treatments are out for me.  Copaxone is prohibitively expensive (and because of Medicare Part B, I am not eligible for drug company assistance) and I’ve used my lifetime maximum of Novantrone.  That would seem to leave Tysabri as our only (FDA approved) option. Then we started talking about the HALT-MS (high-dose immunosuppression and autologous stem cell transplantation for MS) study as a possible option.  HALT-MS is an experimental treatment for multiple sclerosis which is showing some very impressive results. The problem is…well the problems are many.  The first problem was that I didn’t know as much about the treatment as I should! I ma... Life with MS blogs http://www.medworm.com/rss/comments.php?id=3044889 Mon, 30 Nov 2009 22:40:07 +0100 3044889 http://www.medworm.com/index.php?rid=2719791&cid=t_208391_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2009%2F08%2F11%2Fproblem-with-emr-selection-process%2F I read a number of online forums and blogs about EMR. Most of the time I’m amazed at all the smart people that are participating in the discussion of EMR. However, occasionally I come across comments that just make me cringe. Here’s one of those comments about the EMR selection process: Key factors to consider are cost of licensing; maintenance and any other cost of ownership fees; types of service level agreements (SLAs); redundancy/mirror imaging (ability to minimize downtime or restore system in minimal time or an alternative process for business continuity); types of technical environment/architecture required; security and access points; implementation costs (avoid customization or keep them to a minimum whenever possible); maintenance costs for customizations, which vendo... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2719791 Tue, 11 Aug 2009 15:07:56 +0100 2719791 http://www.medworm.com/index.php?rid=2678683&cid=t_208391_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F08%2F07%2Fdsm-v-update-and-transparency%2F Discussion: Is the Risk Syndrome for Psychosis Risky Business?”, this describes in detail the proposal for a new disorder called “Risk Syndrome for Psychosis.” You can access the proposed criteria for the disorder, including the text discussing characteristics, associated features, differential diagnosis, etc…. So far, there are 23 comments posted, constituting a rigorous debate about the pros and cons of the proposal. Whether or not 23 comments constitutes a “rigorous debate” anywhere, I’d point out of the seven work group members featured at the top of this article, only two of them bothered to engage in this live discussion. What’s that say about their interests in engaging in actual, legitimate scholarly discussion? (On a side note, if y... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2678683 Fri, 07 Aug 2009 12:42:50 +0100 2678683 http://www.medworm.com/index.php?rid=2572898&cid=t_208391_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F07%2F06%2Feducation-for-primary-care-2009-vol-20-no-3%2F Contents Page Fade Fave: Developing a set of quality criteria for community-based medical education in the UK. Fade Skinny: General practices educate increasing numbers of learners at various stages. Criteria for educational provision exist, but practices supporting learners at different stages and from different institutions might face different criteria. Contact the Library for a copy of this article Posted in Current Awareness, Journals Tagged: Criteria, Medical Education, Postgraduate Education, Postgraduate Medical Education, Primary Care, Quality, Teaching, Undergraduate (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2572898 Mon, 06 Jul 2009 07:33:46 +0100 2572898 http://www.medworm.com/index.php?rid=2406057&cid=t_208391_137_f&fid=35426&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTheAlzheimersReadingRoom%2F%7E3%2FLk_CQVZjqOM%2Fhow-to-find-and-get-into-clinical-trial.html If you are interested in identifying a clinical trial, I encourage you to do so. You might benefit from the experimental medication; and, you will be helping to advance the search for a cure or treatment.All clinical trials are registered at Clinical Trials.gov. You never pay for a clinical trial. Clinical trials are free and the sponsor absorbs all costs.All open clinical trials are actively seeking and recruiting new participants. One of the biggest problems right now is finding enough participants for ongoing clinical trials. As a result, you will find that participating clinics are waiting for your call, and anxious to determine if you meet the suitability requirements to enter a clinical trial.To find a clinical trial, go to Clinical Trials.gov. If you know how to searching for inform... Alzheimer's Reading Room, The blogs http://www.medworm.com/rss/comments.php?id=2406057 Wed, 13 May 2009 14:41:14 +0100 2406057 http://www.medworm.com/index.php?rid=2405066&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2009%2F05%2Fyet-another-study-showing-decreased.html In their study findings, titled Decreased Gray Matter Volumes in the Cingulo-Frontal Cortex and the Amygdala in Patients With Fibromyalgia, researchers at the University Hospital Münster (Germany) present the results of their investigation into the gray matter of fibromyalgia patients. Because previous studies supported the assertion that fibromyalgia involves central pain augmentation, they aimed to find out "whether structural changes in areas of the pain system are additional preconditions for the central sensitization in fibromyalgia." To do so, they performed MRI's and a neuroimaging technique called voxel based morphometry on 14 fibromyalgia patients and 14 healthy controls. They scanned and analyzed the brains of their subjects, finding that there were "[r]egional differences of th... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=2405066 Tue, 12 May 2009 16:22:00 +0100 2405066 http://www.medworm.com/index.php?rid=2389931&cid=t_208391_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F05%2F06%2Fthe-problem-with-phase-iii-clinical-trials%2F Phase III clinical trials are the final phase of research needed before a drug receives U.S. Food and Drug Administration (FDA) approval. Two fairly large-scale studies are needed and they need to show the drug is both safe and effective on the subjects tested. There’s been a long-standing problem with such clinical studies, however, one that the FDA has long been aware of but powerless to fix. They are purposely designed to employ stringent inclusion and exclusion criteria that may exclude a substantial portion of the population. In other words, the people the drugs are studied on are not representative of the people that will actually be receiving the drugs once approved. In other words, Phase III clinical studies are stacked in favor of finding positive results for the medicatio... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2389931 Wed, 06 May 2009 09:06:31 +0100 2389931 http://www.medworm.com/index.php?rid=2365128&cid=t_208391_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F04%2F23%2Fcreate-your-own-mental-disorder%2F Unbelievably, we reported earlier this week that 1 in 12 teens may be addicted to video games. I say “unbelievably” because the research that comes to this stunning conclusion lacked a certain… validity. As Dr. Cheryl Olson noted succinctly on Game Politics: The concern here is labeling normal childhood behaviors as “pathological” and “addicted.” The author [Iowa State University's Prof. Douglas Gentile] is repurposing questions used to assess problem gambling in adults; however, lying to your spouse about blowing the rent money on gambling is a very different matter from fibbing to your mom about whether you played video games instead of starting your homework. So in other words, you can create your own Instant Mental Disorder ™ by simply... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2365128 Fri, 24 Apr 2009 00:50:21 +0100 2365128 http://www.medworm.com/index.php?rid=2268015&cid=t_208391_136_f&fid=37846&url=http%3A%2F%2Fhealthinfoispower.wordpress.com%2F2009%2F03%2F15%2Fsmall-phase-ii-study-tests-the-use-of-fulvestrant-in-the-treatment-of-multiply-recurrent-epithelial-ovarian-cancer%2F … University of Minnesota researchers evaluated the use of fulvestrant [Faslodex®] in women with recurrent ovarian or primary peritoneal cancer. …Using modified-RECIST criteria 13 patients (50%) achieved SD …[T]he University of Minnesota researchers concluded that fulvestrant is well-tolerated and efficacious. The researchers also noted that objective response rates are low, but disease stabilization was common. It [...] (Source: Libby's H*O*P*E*) Libby's H*O*P*E* blogs http://www.medworm.com/rss/comments.php?id=2268015 Sun, 15 Mar 2009 21:12:22 +0100 2268015 http://www.medworm.com/index.php?rid=3416381&cid=t_208391_155_f&fid=38410&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FOncopathology%2F%7E3%2FnPknAqoex7E%2Fpapillary-thyroid-ca-criteria-in.html (Kini)5 criteria "Definite"; 4 criteria "Suspicious"; 3 criteria "Follicular Lesion"Adequate Specimen: 6 clusters of 10-15 cells1 Syncytial tissue fragments2 Enlarge nuclei with fine dusty chromatin3 Multiple micro and or macro nucleoli4 Intranuclear inclusions5 Nuclear groovesPapillary Thyroid Ca Diagnostic Criteria in Histology4 Major or (3 Major + 4 Minor required)Major Criteria1 Nuclei oval (not rounded)2 Nuclei crowded, manifesting as lack of polarization in cells lining a follicle and overlapping nuclei3 Pale chromatin esp. at the edge of the tissue where well-fixed4 Psammoma bodiesMinor Criteria1 Abortive papillae2 Elongated or irregular follicles3 Dark staining colloid4 Rarely nuclear pseudo inclusion5 Multinucleated histiiocytes in lumens of follicles6 GroovesRef:1 Chan JKC Stric... Oncopathology blogs http://www.medworm.com/rss/comments.php?id=3416381 Wed, 11 Mar 2009 19:32:00 +0100 3416381 http://www.medworm.com/index.php?rid=2260415&cid=t_208391_136_f&fid=37846&url=http%3A%2F%2Fhealthinfoispower.wordpress.com%2F2009%2F03%2F10%2Fhigh-dose-stereotactic-body-radiation-therapy-effective-treatment-for-patients-with-low-volume-lung-or-liver-metastases%2F Libby’s H*O*P*E*™ previously reported on potential treatments for “oligometastasis,” which is defined as cancer that spreads to a few distant body sites, on June 23, 2008 and August 17, 2008.  Two related U.S. multi-institutional, phase I/II clinical studies and one Canadian Phase I clinical study reported recently results from an evaluation of the efficacy and [...] (Source: Libby's H*O*P*E*) Libby's H*O*P*E* blogs http://www.medworm.com/rss/comments.php?id=2260415 Tue, 10 Mar 2009 21:30:22 +0100 2260415 http://www.medworm.com/index.php?rid=2056117&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2008%2F12%2Fbiochemical-basis-of-myofascial-pain.html Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: an application of muscle pain concepts to myofascial pain syndrome is the title of an article published by members of the Rehabilitation Medicine Department of the National Institutes of Health (Bethesda, MD). The article "discusses muscle pain concepts in the context of myofascial pain syndrome (MPS) and summarizes microdialysis studies that have surveyed the biochemical basis of this musculoskeletal pain condition." Myofascial pain condition is extremely common in fibromyalgia patients, though it is unclear whether MPS can cause fibromyalgia or vice versa.The pathophysiology of MPS is "only beginning to be understood due to its enormous complexity." It is considered to be characterized by the pres... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=2056117 Sun, 21 Dec 2008 19:35:00 +0100 2056117 http://www.medworm.com/index.php?rid=1907826&cid=t_208391_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F431214663%2F The federal government sponsored Certification Commission for Healthcare Information Technology (CCHIT ) is undertaking a certification process for personal health records (PHRs) . The CCHIT PHR Work Group has invited public comment on the First Draft of the PHR Certification Criteria . The current draft of the PHR Certification Criteria specifies use of the HL7 Continuity of Care Document (CCD) as the only endorsed standard for interoperable exchange of information to and from PHRs.  This is extremely short-sighted. I wrote a comment to the PHR Work Group explaining why it’s important to adopt BOTH the HL7 CCD and the ASTM Continuity of Care Record (CCR) .  I suspect most professionals commenting on these criteria will be looking through the lenses of health information technology, ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1907826 Sat, 25 Oct 2008 00:35:20 +0100 1907826 http://www.medworm.com/index.php?rid=2580320&cid=t_208391_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fd6dfiUxpNck%2F The federal government sponsored Certification Commission for Healthcare Information Technology (CCHIT ) is undertaking a certification process for personal health records (PHRs) . The CCHIT PHR Work Group has invited public comment on the First Draft of the PHR Certification Criteria . The current draft of the PHR Certification Criteria specifies use of the HL7 Continuity of Care Document (CCD) as the only endorsed standard for interoperable exchange of information to and from PHRs.  This is extremely short-sighted. I wrote a comment to the PHR Work Group explaining why it’s important to adopt BOTH the HL7 CCD and the ASTM Continuity of Care Record (CCR) .  I suspect most professionals commenting on these criteria will be looking through the lenses of health information technology, ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580320 Fri, 24 Oct 2008 23:23:46 +0100 2580320 http://www.medworm.com/index.php?rid=2511436&cid=t_208391_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fd6dfiUxpNck%2F The federal government sponsored Certification Commission for Healthcare Information Technology (CCHIT ) is undertaking a certification process for personal health records (PHRs) . The CCHIT PHR Work Group has invited public comment on the First Draft of the PHR Certification Criteria . The current draft of the PHR Certification Criteria specifies use of the HL7 Continuity of Care Document (CCD) as the only endorsed standard for interoperable exchange of information to and from PHRs.  This is extremely short-sighted. I wrote a comment to the PHR Work Group explaining why it’s important to adopt BOTH the HL7 CCD and the ASTM Continuity of Care Record (CCR) .  I suspect most professionals commenting on these criteria will be looking through the lenses of health information technology, ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2511436 Fri, 24 Oct 2008 23:23:46 +0100 2511436 http://www.medworm.com/index.php?rid=1856117&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2008%2F10%2Fstudy-reveals-subgroups-of-fibromyalgia.html This study is particularly relevance to the debate within both medical and patient communities as to the relationship between fibromyalgia and anxiety/depression. Some patients experience depression and/or anxiety before developing fibromyalgia. Some develop these symptoms long after the onset of pain and other fibromyalgia symptomsm. Still others never experience depression and anxiety at all, even as they struggle with the stress of chronic widespread pain. It also brings up questions about whether those fibromyalgia patients who do have depression or anxiety experience more severity of their pain and fatigue symptoms. (Source: The Fibromyalgia Research Blog) The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=1856117 Mon, 06 Oct 2008 18:41:00 +0100 1856117 http://www.medworm.com/index.php?rid=1535671&cid=t_208391_87_f&fid=34825&url=http%3A%2F%2Fwww.wesleyjsmith.com%2Fblog%2F2008%2F06%2Fbrain-dead-may-not-really-be-dead.html The controversy over whether brain dead is really dead may have just heated up with a peer reviewed article in Spinal Cord ((2008) 46, 396-40. (I don't have a link but I have PDF. If anyone wants it, e-mail me off list and it will be on its way.)The author, a Greek physician named KG Karakatsanis, concludes that declaration of death by neurological criteria is not reliable and may not be dead. The authors' philosophical reaction with regard to organ donation is worrisome because, it seems to me, it would destroy the dead donor rule that requires vital non-paired organs to only be procured from dead bodies. Karakatsanis writes:We consider that the interest of the organ transplantation program would be better served by 'openness and honesty'. The harvesting of vital organs for transplantatio... Secondhand Smoke blogs http://www.medworm.com/rss/comments.php?id=1535671 Fri, 20 Jun 2008 21:00:00 +0100 1535671 http://www.medworm.com/index.php?rid=1442701&cid=t_208391_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F05%2F14%2Flondon-calling%2F Project: London is a clinic of Medecins Du Monde (UK) which aims to support migrants that need help accessing healthcare.  It has just  published its second annual report the Project: London report and recommendations 2007: Improving access to healthcare for the community’s most vulnerable. The report finds no evidence of health tourism, with patients had been in the UK for an average of 3 years before accessing care from Project: London. Migrants are no more likely to have expensive, complicated medical needs than anyone else. It also identifies difficulties for pregnant women in accessing proper care. Although they were entitled, nearly 70% of the women had no access to care, a situation which puts both mother and child in jeopardy, and must be addressed as a matter of urgency. P... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1442701 Wed, 14 May 2008 15:50:46 +0100 1442701 http://www.medworm.com/index.php?rid=1417952&cid=t_208391_109_f&fid=36089&url=http%3A%2F%2Fthesituationist.wordpress.com%2F2008%2F05%2F02%2Fdiscriminating-mind%2F Amy Wax posted her article, “The Discriminating Mind: Define it, Prove it” (forthcoming 40 Connecticut Law Review (2008)) on SSRN. The abstract is below. * * * Differential group achievements in competitive spheres like business, government, and academia, in conjunction with professed organizational commitments to fairness and equal opportunity, fuel claims that unconscious discrimination operates widely in society today. But attempts to blame disparities by race or sex on inadvertent bias must be approached with caution in the current climate. Many allegations concerning unconscious discrimination do not properly allege category-based treatment at all but rather target the disparate impact, or differential effects, of category-neutral criteria. Such impacts often reflect w... The Situationist blogs http://www.medworm.com/rss/comments.php?id=1417952 Fri, 02 May 2008 22:00:52 +0100 1417952 http://www.medworm.com/index.php?rid=1268444&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2008%2F02%2Fstudy-suggests-fibromyalgia-pain-is.html This study evaluated 305 chronic pain patients (CPPs) admitted to The Rosomoff Pain Center (Miami, FL). All were administered the NPS, a diagnostic tool designed to assess the distinct pain qualities associated with neuropathic pain, and were given a diagnosis on the basis of a physical examination and all available test results.Using patients known to have neuropathic or non-neuropathic pain conditions as a reference, esearchers were able to derive "an NPS cut-off score above which CPPs would be classified as having neuropathic pain." Patients who had diagnoses of myofascial pain syndromes, spinal stenosis, epidural fibrosis, fibromyalgia, complex regional pain syndromes, and failed back surgery syndrome, a predicted NPS score was calculated and compared with the cut-off score.The NPS app... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=1268444 Fri, 29 Feb 2008 16:25:00 +0100 1268444 http://www.medworm.com/index.php?rid=1199992&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2008%2F02%2Fimmunological-changes-in-fibromyalgia.html The newest issue of the medical journal Neuroimmunomodulation [2008 Feb 1;14(5):272-280] includes the results of a study conducted by Department of Anesthesiology of Ludwig Maximilians University, Munich, Germany. The study address immunological changes in chronic pain patients, specifically complex regional pain syndrome (CRPS) and fibromyalgia (FMS), both of which the researchers describe as "chronic pain syndromes occurring in highly stressed individuals."Despite the known connection between the nervous system and immune cells, information on distribution of lymphocyte subsets under stress and pain conditions is limited. Lymphocytes are white blood cells that play a critical role in the body's defenses. They include T cells, B cells, and natural killer cells. They also modulate the acti... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=1199992 Mon, 04 Feb 2008 18:27:00 +0100 1199992 http://www.medworm.com/index.php?rid=1108725&cid=t_208391_140_f&fid=35465&url=http%3A%2F%2Fpsychlaws.blogspot.com%2F2007%2F12%2Freading-is-fundamental.html Opponents of AOT will often rely on hyperbole to argue against providing necessary assisted care for individuals with a severe mental illness. You’ll commonly hear that programs like Kendra’s Law will run roughshod over all consumers, or that it’s “social control” targeting those who may just act differently. Of course, we know the reality is quite different. AOT programs like Kendra’s Law focus care toward the most mentally severely ill, reducing the crushing consequences of nontreatment – arrests, incarcerations, homelessness, and victimization. Unfortunately, most opponents of AOT simply haven’t even bothered to read the eligibility criteria associated with an AOT program, preferring to rely instead on overheated rhetoric.So today, we’re providing you with an example o... Treatment Advocacy Center blogs http://www.medworm.com/rss/comments.php?id=1108725 Thu, 20 Dec 2007 20:43:00 +0100 1108725 http://www.medworm.com/index.php?rid=1045951&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2007%2F11%2F1-in-4-chronic-pain-patients-has.html Vitamin D deficiency has been known for a while to be common in fibromyalgia patients, and research has even linked it with anxiety and depression in fibromyalgia. New research, however, shows that Vitamin D deficiency may in fact cause worsening of chronic pain in general. The American Society of Anesthesiologists recently released results of a Mayo Clinic study that shows that 1/4 of chronic pain patients have inadequate blood levels of vitamin D. The study also suggests that such a deficiency can possibly contribute to the severity of chronic pain. Their study showed that patients who have vitamin D deficiency needed a higher dose of morphine for a longer time in order to alleviate their pain.Researchers recorded the serum vitamin D levels of 267 adults undergoing outpatient treatment f... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=1045951 Thu, 22 Nov 2007 18:51:00 +0100 1045951 http://www.medworm.com/index.php?rid=952203&cid=t_208391_140_f&fid=35465&url=http%3A%2F%2Fpsychlaws.blogspot.com%2F2007%2F10%2Fnew-mental-institutions.html Today's Roanoke Times explores an alarming reality of today's forensic system. When the mental health community adicates its responsibility to treatment people with severe mental illnesses, the responsibility too often falls on those who can't say no - jails and prisions.We really are doing a disservice to our people when we put them in jail," said Bill Farrington, president of the state chapter of the National Alliance on Mental Illness…Even if there's bed space available, the civil commitment process can be so time-consuming that police officers who encounter the mentally ill are often reluctant to use it, Farrington said."They recognize that it's a mental health issue, but they also recognize that 'I brought this person in three times before for the same thing' " on a civil commitment... Treatment Advocacy Center blogs http://www.medworm.com/rss/comments.php?id=952203 Mon, 15 Oct 2007 21:10:00 +0100 952203 http://www.medworm.com/index.php?rid=947409&cid=t_208391_140_f&fid=35465&url=http%3A%2F%2Fpsychlaws.blogspot.com%2F2007%2F10%2Fmichael-clayton-slate-and-important.html Slate.com and the movie Michael Clayton bring up an important question regarding mental health treatment. Do you know what getting someone involuntary care entails in your area? If you have a loved one that may need involuntary care at some point, it pays to research the answer now, before a crisis occurs. A crisis situation is no time to begin understanding the confusing and often nonsensical process of commitment. Take some time to look up your state’s commitment laws. Find out what forms you’ll need to fill out and who you’ll need to contact if the situation ever arises. Research what your area’s standard for commitment actually says (you may find it’s quite different than what people think!) Check out your state/local mental health departments to see what materials they provi... Treatment Advocacy Center blogs http://www.medworm.com/rss/comments.php?id=947409 Fri, 12 Oct 2007 19:28:00 +0100 947409 http://www.medworm.com/index.php?rid=944609&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2007%2F10%2Fabnormalities-found-in-nerve-cells-in.html In this month's Clinical Rheumatology [2007 Oct 3], researchers at Dongguk University College of Medicine in South Korea published the results of a blinded study conducted to "determine if there are any abnormal electron microscopic (EM) findings in the skin of fibromyalgia syndrome (FMS) patients, which might contribute to or be due to the increased pain sensitivity seen in this condition."They collected skin biopsy samples from 13 fibromyalgia patients and 5 control subjects, which were read by an individual who did not have any knowledge of whether the biopsy was from a study participant or not. All five skin biopsies from healthy controls "showed relatively even distribution of variegated sized unmyelinated axons sheathed well by complicatedly folded Schwann cell membranes." However, i... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=944609 Fri, 12 Oct 2007 00:01:00 +0100 944609 http://www.medworm.com/index.php?rid=758699&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2007%2F07%2Fpet-scans-show-multidisciplinary.html The results of a pilot study published in Rheumatology International (July 20, 2007) show that clinical improvement in fibromyalgia can occur when a multi-disciplinary treatment program is able to increase a fibromyalgia patient's limbic metabolism. According to researchers at Washington Hospital Center, Washington, DC, this indicates that there is limbic system involvement in fibromyalgia syndrome.Aberrant central neurological functioning is believed to contribute to the abnormal sensations of fibromyalgia (FM). This pilot study sought to determine if alterations in regional brain metabolism from baseline occur in FM after undergoing a multidisciplinary therapeutic regimen. Regional brain metabolic activity was estimated using (18)F-fluorodeoxyglucose positron emission tomography ((18)FDG... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=758699 Sun, 22 Jul 2007 18:34:00 +0100 758699 http://www.medworm.com/index.php?rid=758700&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2007%2F07%2Fbrain-derived-neurotrophic-factor.html In the October 2007 issue of the Journal of Psychiatric Research a study conducted by researchers at the Department of Psychiatry and Psychotherapy, University of Tuebingen, Germany, will discuss their research into the levels of brain-derived neurotrophic factor in fibromyalgia patients and their conclusion that fibromyalgia is not a psychiatric or psychosomatic disorder. The article, Increased BDNF serum concentration in fibromyalgia with or without depression or antidepressants, describes the results of the department's pilot study.Fibromyalgia (FM) is still often viewed as a psychosomatic disorder. However, the increased pain sensitivity to stimuli in FM patients is not an "imagined" histrionic phenomena. Pain, which is consistently felt in the musculature, is related to specific abnor... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=758700 Sun, 22 Jul 2007 18:19:00 +0100 758700 http://www.medworm.com/index.php?rid=758701&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2007%2F07%2Fchanges-in-fibromyalgia-tender-point.html The study summarized in Tender point count and total myalgic score in fibromyalgia: changes over a 28-day period (Rheumatology International, July 20, 2007), investigates tender point count (TPC) and total myalgic score (TMS) in fibromyalgia patients. Researchers at Health and Rehabilitation Sciences Research Institute at the University of Ulster, Northern Ireland, explain that TPC and TMS are used to monitor fibromyalgia patients' conditions. They studied 24 fibromyalgia patients in order to determine how stable these measures were over time and how well they reflected the patients' own experiences and perceptions of their condition.When they entered the study, all patients completed the Fibromyalgia Impact Questionnaire (FIQ) and a visual analogue scale (VAS) measuring well-being. They w... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=758701 Sun, 22 Jul 2007 18:08:00 +0100 758701 http://www.medworm.com/index.php?rid=758702&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2007%2F07%2Fis-fibromyalgia-really-rheumatologic.html The nature and categorization of fibromyalgia has perplexed researchers for years. Researchers at the Department of Rheumatology of the National Hospital Rikshospitalet, Oslo, Norway, published an article this month in Rheumatology International (July 20, 2007) which is the latest in the controversy over whether or not fibromyalgia can be classified as a rheumatologic illness.They describe fibromyalgia as "a medically unexplained or functional somatic syndrome (FSS)" with two classification criteria: chronic widespread pain (CWP) and the finding of 11 out of 18 tender points (TP). It overlaps, they write, with other functional somatic syndromes. Ten of these FSS's aside from fibromyalgia also include chronic fatigue syndrome, myofascial pain syndromes and irritable bowel syndrome. This mak... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=758702 Sun, 22 Jul 2007 17:53:00 +0100 758702 http://www.medworm.com/index.php?rid=703145&cid=t_208391_140_f&fid=35465&url=http%3A%2F%2Fpsychlaws.blogspot.com%2F2007%2F06%2Fhandcuffs-commitment-standards.html Being committed to a psychiatric facility can rescue a person from the uncontrolled symptoms of a severe mental illness. Involuntary treatment, at the same time, should not be used if voluntary care is a viable alternative. No one wants to unnecessarily invoke a measure that, by its very nature, is laced with restriction.Yet, the coercive tone of an inpatient commitment can be muted.For too long, for instance, a trip to a hospital has automatically included a police car and handcuffs for people being committed to treatment. Vermont has ended the mandatory use of restraints in that situation. A recent law in the state requires that mechanical restraints not be used unless circumstances dictate that such methods are necessary. Restraints are still used if required to maintain safety, but th... Treatment Advocacy Center blogs http://www.medworm.com/rss/comments.php?id=703145 Thu, 28 Jun 2007 18:55:00 +0100 703145 http://www.medworm.com/index.php?rid=676791&cid=t_208391_140_f&fid=35465&url=http%3A%2F%2Fpsychlaws.blogspot.com%2F2007%2F06%2Fis-law-really-dangerous.html Mental health professionals and others frequently say that, “by law, you have to be a danger to self or others” in order to get court-ordered treatment for severe mental illness. But, is that actually TRUE?No. In most states, an individual with severe mental illness may qualify for court-ordered inpatient or outpatient treatment before deteriorating to a point of “dangerousness.” Many states have provisions for treating who are “gravely disabled” and some permit treating people based on their “need for treatment.”Don’t just accept the word of your local officials – read the law for yourself and be accurately informed! TAC has online resources to help: a compilation of TEXT excerpts from the actual state commitment codes and a CHART summarizing the required criteria for ... Treatment Advocacy Center blogs http://www.medworm.com/rss/comments.php?id=676791 Wed, 06 Jun 2007 20:34:00 +0100 676791 http://www.medworm.com/index.php?rid=486797&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2007%2F03%2Fdiagnostic-criteria-for-myofascial.html An article in this month's Clinical Journal of Pain (2007 Mar-Apr; 23(3):278-86) summarizes the results of a literature review done at the Uiversities of Exeter and Plymouth, UK. This review aimed to investigate the criteria used to diagnose myofascial trigger point (MTrP) pain syndrome, a painful condition often experienced by people with fibromyalgia as well as those without. The researchers searched electronic databases, looking for relevant empirical research, and found 93 articles that met their inclusion criteria. They assessed "(1) the individual criterion and criteria combinations used to diagnose MTrP pain syndrome; (2) the cited "authoritative" publications and (3) the criteria recommended by the authoritative publications as being essential for MTrP pain syndrome diagnosis."The ... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=486797 Tue, 13 Mar 2007 16:05:00 +0100 486797 http://www.medworm.com/index.php?rid=486812&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2007%2F02%2Fcritical-analysis-of-tender-points-in.html A new method for quantifying and assessing fibromyalgia tender points has been developed by doctors at the Northwestern University's Center for Pain Studies (Chicago, IL). Published in this month's Pain Medicine (2007 Mar;8(2):147-156), the results of their study show a clear and measurable differentiation between tender points in fibromyalgia patients and non-fibromyalgia patients. Their critical assessment of the American College of Rheumatology's (ACR) diagnostic criteria for fibromyalgia involved 25 fibromyalgia patients and 31 health controls. Using an algometer (a device that measures pressure threshold) they applied pressure to the 18 ACR tender points and five sham points. They used the patients' responses to give them an "algometric total score" (the sum of the patient's average p... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=486812 Wed, 21 Feb 2007 00:58:00 +0100 486812 http://www.medworm.com/index.php?rid=486817&cid=t_208391_87_f&fid=35062&url=http%3A%2F%2Ffibroresearch.blogspot.com%2F2007%2F02%2Fchildren-with-fibromyalgia-report-more.html The creation of a system for evaluating the impacts of fibromyalgia on the lives of children and teens with fibromyalgia, as well as the outcome of treatments, is discussed in an article in February's Health and Quality of Life Outcomes (2007 Feb 12;5(1):9). Standardized outcome measures for clinical trials in fibromyalgia are being developed to measure pain, generic health-related quality of life, fatigue, sleep quality, and physical function but no such measures exist for pediatric fibromyalgia.Because of this lack of a standardized way to evaluate fibromyalgia impact on children and teens, researchers analyzed the "feasibility, reliability, and validity of the PedsQL 4.0 (Pediatric Quality of Life Inventory) Generic Core Scales, PedsQL Multidimensional Fatigue Scale, and PedsQL Rheumato... The Fibromyalgia Research Blog blogs http://www.medworm.com/rss/comments.php?id=486817 Thu, 15 Feb 2007 18:12:00 +0100 486817