Greater trochanteric hip pain.

In the patient with lateral hip pain, there is a broad differential diagnosis, making appropriate evaluation and management challenging. Greater trochanteric pain syndrome is a term used to denote chronic lateral hip pain and encompasses several painful soft tissue diagnoses including coxa saltans, trochanteric bursitis, and gluteus minimus and medius tendon tears. An overview of these common causes is presented through a series of cases that encompass the anatomic associations, classic presentations, diagnostic tests, and management strategies unique to each disorder.

Preventing wounds from healing: clinical prevalence and relationship to borderline personality.

In medico-economic studies, wound care has been shown to be expensive but is seemingly unavoidable given an aging population and the high community rates of diabetes and obesity. Astonishingly, however, some impaired wound resolution is intentional or purposeful. According to our review of seven clinical samples, the prevalence of preventing wounds from healing varies from 0.

Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval.

Background: Unintentionally retained items feature prominently among surgical "never events." Our knowledge of these rare occurrences, including natural history and intraoperative safety omission or variance (SOV) profile, is limited. We sought to bridge existing knowledge gaps by presenting a secondary analysis of a multicenter study focused on these important aspects of retained surgical items (RSIs).

Pain and pain catastrophizing among internal medicine outpatients with borderline personality symptomatology: a cross-sectional self-report survey.

Objective: The extant literature indicates that individuals with borderline personality disorder generally report higher levels of pain than individuals without this disorder. This study examined relationships between borderline personality symptomatology, pain, and pain catastrophizing (a related aspect of the pain experience).

Method: Using a cross-sectional consecutive sample of internal medicine outpatients (N = 238) and a self-report survey methodology, we examined relationships between borderline personality symptomatology as measured by the Personality Diagnostic Questionnaire-4 and the Self-Harm Inventory; pain levels "now," "over the past week," and "over the past year"; and scores on the Pain Catastrophizing Scale (PCS) and its subscales (rumination, magnification, helplessness).

Pain, pain catastrophizing, and past legal charges related to drugs.

Using a self-report survey methodology in a cross-sectional consecutive primary care sample (N = 238), we examined pain at 3 time points (today, past month, past year), pain catastrophizing using the Pain Catastrophizing Scale, and history of legal charges for 5 drug-related crimes as defined by the Federal Bureau of Investigation. Among the subsample of 185 participants with histories of being prescribed analgesics, 33 reported a history of legal charges for drug-related crimes. Analyses of variance among this subsample confirmed statistically significant relationships between the current level of pain and history of legal charges for drug-related crimes, as well as level of pain catastrophizing and history of legal charges for drug-related crimes.

Successful placement of intracranial pressure monitors by trauma surgeons.

Background: The Brain Trauma Foundation guidelines advocate for the use of intracranial pressure (ICP) monitoring following traumatic brain injury (TBI) in patients with a Glasgow Coma Scale (GCS) score of 8 or less and an abnormal computed tomographic scan finding. The absence of 24-hour in-house neurosurgery coverage can negatively impact timely monitor placement. We reviewed the safety profile of ICP monitor placement by trauma surgeons trained and credentialed in their insertion by neurosurgeons.

Pain, pain catastrophizing, and past mental healthcare utilization.

Objective: Pain symptoms have been associated with a number of psychiatric disorders, particularly mood and anxiety disorders as well as personality disorders. However, to our knowledge, no study to date has examined pain symptoms in terms of participants' past mental healthcare utilization--the focus of the present study.

Methods: Using a cross-sectional approach and a self-report survey methodology in a sample of 242 consecutive internal medicine outpatients, we examined pain symptoms at assessment, over the past month, and over the past year as well as pain catastrophizing in relationship to 4 mental healthcare variables (i.

Childhood trauma and pain and pain catastrophizing in adulthood: a cross-sectional survey study.

Objective: Previous studies have indicated relationships between trauma in childhood and pain in adulthood, although some studies have reported no such relationships and challenge the methodologies of large-scale community samples. In this study involving a clinical sample, we examined relationships among (1) childhood trauma at ages 12 or younger, (2) rated pain for 3 time points in adulthood, and (3) pain catastrophizing (ie, catastrophic thoughts and feelings about pain).

Method: Using a cross-sectional approach and a self-report survey methodology in a consecutive sample of adult internal medicine outpatients (n = 243), we examined relationships among 5 types of childhood trauma (witnessing violence, physical neglect, emotional abuse, physical abuse, and sexual abuse); ratings of pain now, over the past month, and over the past year; and scores on the Pain Catastrophizing Scale (PCS) and its subscales (rumination, magnification, and helplessness).

A cross-sectional survey of childhood trauma and compliance with general health care among adult primary care outpatients.

Objective: Beyond the examination of medication compliance among individuals with substance abuse or human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS), few studies have examined relationships between childhood trauma and health care compliance in adulthood-the focus of the present study.

Method: Using a cross-sectional approach and a self-report survey methodology, we examined 5 types of childhood trauma (ie, witnessing violence, physical neglect, emotional abuse, physical abuse, sexual abuse) in relationship to 4 measures of general health care compliance (ie, self-rated general conscientiousness with medical treatment; 5 items pertaining to general health care compliance such as scheduling regular dental checkups, timely arrival for doctor's appointments, and timely completion of laboratory work; 2 medication compliance items; and the Medical Outcomes Study general adherence score) among a sample of adult primary care outpatients (N = 272). Data were collected in March 2014.

The misuse of prescription pain medication and borderline personality symptomatology.

Objective: Despite the known high rates of substance misuse among individuals with borderline personality disorder (BPD), little empirical data are available regarding the explicit nature of such misuse with prescribed pain medications-the focus of the present study.

Setting: A primary care outpatient setting, with predominantly resident providers, in a midsized mid-western US city.

Patients: Consecutive outpatients who currently or have previously been prescribed pain medication (ie, lifetime pain medication exposure) (n = 185).

Obesity and substance misuse: is there a relationship?

The relationship between obesity and alcohol/drug misuse has been examined through both site studies and large epidemiological studies. In reviewing 19 site studies that have examined alcohol misuse among the obese, in comparison with rates before 1990, rates since 1990 have doubled (6.2% to 14.

A randomised trial of electro-acupuncture for arthralgia related to aromatase inhibitor use.

Background: Arthralgia is a common and debilitating side-effect experienced by breast cancer patients receiving aromatase inhibitors (AIs) and often results in premature drug discontinuation.

Methods: We conducted a randomised controlled trial of electro-acupuncture (EA) as compared to waitlist control (WLC) and sham acupuncture (SA) in postmenopausal women with breast cancer who self-reported arthralgia attributable to AIs. Acupuncturists performed 10 EA/SA treatments over 8 weeks using a manualised protocol with 2 Hz electro-stimulation delivered by a TENS unit.

Borderline personality symptomatology and legal charges related to drugs.

Objective: Borderline personality disorder (BPD) is associated with high lifetime prevalence rates of substance abuse as well as higher-than-expected rates of charges for various drug-related crimes and criminal behavior in general. However, whether criminal charges for assault and disorderly conduct are related specifically to drug misuse remains unknown - the focus of the present study.

Methods: Using a cross-sectional sample and a self-report survey methodology among a sample of 237 consecutive internal medicine outpatients, we examined: (1) BPD symptomatology using two self-report measures and (2) five charges for illegal behaviors defined as related to drugs.

Perceptions of childhood caretakers and borderline personality symptomatology.

Previous studies indicate that individuals with borderline personality disorder come from families marked by high levels of psychopathology as well as dysfunctional parenting styles-themes that tend to engender negative attitudes toward parents. However, we are not aware of any studies that have examined perceptions of parenting quality and borderline personality symptoms in a clinical but non-psychiatric population-the purpose of the present study. Using a cross-sectional self-report survey methodology in a sample of internal medicine outpatients, we examined participants' perceptions of the quality of parental caretaking using a one-item assessment, and examined borderline personality symptomatology using two measures.

Responses of mental health clinicians to patients with borderline personality disorder.

Borderline personality disorder is a complex psychiatric syndrome that is characterized by a number of pathological interpersonal and behavioral symptoms. Because of these symptoms, individuals with borderline personality disorder tend to have difficulties in their relationships with others, including mental health clinicians. Through a literature review, we examined the perceptions and reactions of mental health clinicians toward patients with borderline personality disorder.

Being bullied in childhood, and pain and pain perception in adulthood.

Background And Aims: While a number of negative health outcomes have been associated with bullying in childhood, we are not aware of any studies examining relationships between bullying in childhood, and pain symptoms and pain perception in adulthood - the focus of the present study.

Methods: Using a cross-sectional consecutive sample and a self-report survey methodology, we examined among 243 primary-care outpatients a history of being bullied in childhood (yes/no) in relationship to three pain ratings (now, past month, past year) and catastrophic thoughts and feelings about pain as assessed by the Pain Catastrophizing Scale (PCS).

Results: Being bullied in childhood was statistically significantly associated with present pain ratings (p < .