Publications by authors named "W Gilliam"
Cases of high pathogenicity avian influenza (HPAI) in Canada are upon us again and with reports of infection in US dairy cattle and a dairy farmer in the United States, concern has been raised. Although panic isn't helpful, this heightened level of concern is appropriate, given that reports of human infections with the H5N1 virus often indicate high mortality rates. These can range from 14 to 50%.
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- Mobile phone applications (MPAs) are gaining traction in treating substance use disorders (SUD), but previous reviews have shown limited evidence supporting their effectiveness.
- An umbrella review analyzed seven existing reviews and conducted a meta-analysis on 17 unique studies, concluding that while evidence for MPAs in SUD treatment is weak, certain strategies like recovery support services, cognitive behavioral therapy, and contingency management show promising results.
- Contingency management had a significant positive effect in the analysis, but was based on small sample sizes; the review also provides a framework for clinicians to evaluate MPAs with patients.
Article Synopsis
- - The study aimed to evaluate the presence and severity of restless legs syndrome (RLS) symptoms during and after a supervised opioid tapering process among 97 adults.
- - Results showed an increase in RLS symptoms from 28% at the start of tapering to a peak of 41% two weeks post-discharge, with 36% of participants developing new RLS symptoms during their taper.
- - The findings suggest that higher morphine doses are linked to a greater risk of developing RLS, although many symptoms are temporary; further studies are needed to confirm these results.
Background: Comorbid chronic pain and post-traumatic stress disorder (PTSD) complicate the treatment of both conditions. Previous research has identified pain catastrophizing as a potentially important variable contributing to the relationship between chronic pain and PTSD. However, little is known regarding how the different dimensions of pain catastrophizing-rumination, magnification, and helplessness-uniquely contribute to the relationship between PTSD symptomatology and measures of pain outcome.
View Article and Find Full Text PDFBackground: Young adults with chronic pain and symptoms experience disruptions to their social, emotional, physical, and vocational functioning. Interdisciplinary pain rehabilitation programs for pediatric and adult populations are not designed specifically to address the developmental needs of young adults.
Methods: This article describes the development of a novel intensive interdisciplinary outpatient rehabilitation program tailored to the unique needs of young adults with chronic pain and symptoms.