Publications by authors named "T E Heiskanen"

The opioid epidemic in the U.S has gotten payers, prescribers, and policymakers alike interested in trends in opioid use. Despite no recognized opioid crisis in Europe, several countries have reported an increase in opioid-related deaths, which has further prompted discussion on the need of monitoring of opioid prescriptions.

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Article Synopsis
  • A study evaluated the mortality rates of chronic pain patients compared to the general population, revealing a higher risk of death, especially among younger individuals (ages 18-49), with males and females facing mortality rates 2.6 and 2.9 times higher, respectively.
  • The analysis involved 1,498 patients over an average follow-up of 10.4 years, during which 296 deaths were recorded; low health-related quality of life (HRQoL) and particularly poor psychosocial health were linked to higher mortality risks.
  • The findings emphasize the importance of assessing HRQoL using validated tools like the 15D, as both physical and psychological health issues contribute significantly to increased mortality in chronic
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Background: Enabling participation in everyday life and supporting development are essential goals in occupational therapy of children and young people with intellectual disabilities (ID).

Objective: To gather and evaluate evidence of the effectiveness of occupational therapy interventions for children with ID in terms of participation in everyday life.

Material And Methods: A literature search conducted using electronic databases (CINAHL, Cochrane Library, PubMed and EMBASE) from January 2000 to May 2020.

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The International Classification of Functioning, Disability and Health (ICF) classification is a biopsychosocial frame of reference that contributes to a holistic understanding of the functioning of a client and the factors involved. Personal factors (PFs) are not currently classified in the ICF due to large societal and cultural diversity and lack of clarity in the scope of such factors. To ascertain which factors in the ICF classification have been defined as PFs in different studies and what conclusions have been drawn on their role in the ICF classification.

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Background: There is considerable public interest in whether Europe is facing an opioid crisis comparable to the one in the United States and the contribution of opioid prescriptions for pain to a potential opioid crisis.

Methods: A task force of the European Pain Federation (EFIC) conducted a survey with its national chapter representatives on trends of opioid prescriptions and of drug-related emergency departments and substance use disorder treatment admissions and of deaths as proxies of opioid-related harms over the last 20 years.

Results: Data from 25 European countries were received.

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