Conclusions. In this safety review, percutaneous lumbar decompression proved to be a safe procedure. Compared with other more invasive lumbar decompression techniques, percutaneous lumbar decompression has demonstrated significantly better safety. This high level of safety is particularly vital for the rapidly growing elderly

LSS patient population with increased treatment risks related to comorbid medical issues.”
“P>Objective:

To assess the impact of chronic condition (CC) status and CC severity, respectively, on the odds of receiving dental treatment under general anesthesia (GA) for Medicaid-enrolled children by age group.

Methods:

This was a retrospective analysis of Iowa Medicaid-enrolled 17-AAG cell line children < 15 years (n = 62 721) from 2005 to 2008. 3M Clinical Risk Grouping Software identified each child’s CC status (yes/no) and assigned children with a CC into a hierarchal CC severity group (episodic/life-long/complex). Multiple variable logistic regression models were used to identify the determinants of dental treatment under GA.

Results:

Less than 1% of children received dental treatment under GA. While there was no significant difference in dental treatment under GA by CC status for children < 6, those with a life-long CC were twice as likely to receive dental treatment

under GA as demographically similar children MK5108 inhibitor with an episodic CC (P < 0.05). Children ages 6-14 with a CC were three times as likely as those without a CC to receive treatment under GA (P = 0.001). There was also a direct relationship between CC severity and dental treatment under GA use for older children. Those living in nonmetropolitan areas were more likely to receive treatment under GA as were children who previously received dental treatment under GA.

Conclusions:

Chronic condition status and severity were more important determinants of dental treatment under GA for Medicaid-enrolled children ages 6-14 than for those < 6. Understanding these relationships is a critical step in developing clinical strategies and interventions aimed APR-246 order at preventing dental

disease for Medicaid-enrolled children whose reasons for needing dental treatment under GA are modifiable.”
“Objective. To compare fibromyalgia (FM) and chronic non-specific low back pain (LBP) patients narratives about symptom onset. This investigation aimed to better understand how patients with FM relate to their pain problem and the physicians in charge of making the diagnosis. Design. Qualitative study. Subjects and Methods. We included 56 female patients with FM and 29 with LBP. Semi-structured interviews were conducted, eliciting patients representations of symptom onset. Interviews were tape-recorded and transcribed, and content analysis was performed. Results. Patients with FM and LBP were comparable for socio-demographic characteristics and pain duration.