THU0474 NEUROPATHIC SYMPTOMS IN ITALIAN PATIENTS WITH FIBROMYALGIA: RESULTS FROM A NATIONAL ON-LINE SURVEY

Background:Fibromyalgia (FM) is the second most frequent disorder in rheumatic patients. Other than widespread pain, fatigue, sleep disturbance and cognitive impairments, patients complain also symptoms of suspected neuropathic origin, like burning pain, thermal sensitive skin, hyperalgesia, pins and needles sensations. Recent studies highlighted the presence of small- fibers pathology (SFP) and/or large-nerve fibers involvement in about 50% of FM patients, which could be the cause of neuropathic pain.Objectives:The aim of the study was to investigate the prevalence of neuropathic pain and symptoms indicative for the presence of SFP in Italian FM patients, studying the association with clinical variables.Methods:An on-line survey was designed according to the Checklist for Reporting Results of Internet E-Surveys guidelines (CHERRIES) and Strengthening the Reporting of Observational Studies in Epidemiology (STROBE). The on-line Survey Monkey® platform was adopted to collect data. We calculated a-priori minimum number of 800 responders.We administered the survey by involving 7 FM patients’ associations distributed nationwide between July and September 2019. We explored demographic and clinical variables including pain and stiffness intensity, symptoms duration, and counting of painful sites. Neuropathic Pain Symptoms Inventory (NPSI) and Fibromyalgia Impact Questionnaire (FIQ) were administered. To study the presence of symptoms indicative of potential SFP we asked for the presence of 8 signs and symptoms reported in literature as characteristics of SFPs. Two groups of FM patients were considered: those positive (FM+) to the Fibromyalgia Research Criteria (FRC) (Wolfe et al., 2011), and those complaining typical FM symptoms but not fulfilling the FRC (FM-).Results:The survey was correctly completed by 76% of participants (892/1173). A total sample of 854 patients (749 in FM+ and 105 in FM-) was analyzed after the exclusion of subjects with major comorbidities. The mean NPSI score was significantly higher in FM+ (56.3/100) respect to FM- (34.2/100). NPSI score was ≥50/100 in 62.4% of FM+ patients and in 21.0% of FM-. More than 3 symptoms indicative for SFP were found in 51% of FM+ patients and in 15.2% of FM-. Dry eyes/mouth, allodynia and changed pattern of sweating on body were the 3 most frequently reported symptoms. We found statistically significant strong associations (p<0.001) for the NPSI score with disability (rho=0.53) and pain (rho=0.63), and a moderate correlation with stiffness levels (rho=0.45) and counting of painful sites (rho=0.33). Symptoms indicative for SFP were significantly correlated (p<0.001) with all clinical variables with low grade of association (Cramer’s V orrho<0.30). Although the higher prevalence of neuropathic pain and symptoms potentially indicative for SFPs, electromyography and electroneurography were performed in 40%-44% of cases, and skin biopsy in 1%-2% of the sample, as well as the assumption of gabapentinoids (12.6% in FM+ and 18% in FM-).Conclusion:This findings highlight the importance of neuropathic pain symptoms identification, since we found a high prevalence and a strong correlation with clinical variables in our cohort of FM patients. The assessment of the neuropathic dimension of pain through self-administered questionnaire should be part of the routine clinical practice.References:[1]Wolfe, F., et al., 2011. Fibromyalgia Criteria and Severity Scales for Clinical and Epidemiological Studies: A Modification of the ACR Preliminary Diagnostic Criteria for Fibromyalgia. The Journal of Rheumatology 38, 1113–1122.Disclosure of Interests: :Antonello Viceconti: None declared, Tommaso Geri: None declared, Simone De Luca: None declared, Filippo Maselli: None declared, Alberto Sulli Grant/research support from: Laboratori Baldacci, Marco Testa: None declared, Giacomo Rossettini: None declared

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Neuropathic pain and symptoms of potential small-fiber neuropathy in fibromyalgic patients: A national on-line survey

Joint Bone Spine ◽

10.1016/j.jbspin.2021.105153 ◽

2021 ◽

Vol 88 (4) ◽

pp. 105153 ◽

Cited By ~ 1

Author(s):

Antonello Viceconti ◽

Tommaso Geri ◽

Simone De Luca ◽

Filippo Maselli ◽

Giacomo Rossettini ◽

...

Keyword(s):

Neuropathic Pain ◽

Small Fiber Neuropathy ◽

Small Fiber ◽

On Line ◽

Line Survey

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MARKETING DE RELACIONAMENTO EM SERVIÇOS ODONTOLÓGICOS

Revista Gestão Inovação e Negócios ◽

10.29246/2358-9868.2018v4i2.p29-48 ◽

2018 ◽

Vol 4 (2) ◽

pp. 29-48

Author(s):

Soffia Raquel Ferreira Vilela ◽

Ieso Costa Marques

Keyword(s):

On Line ◽

Survey Monkey ◽

Line Survey

O mercado da prestação de serviços odontológicos tem se tornado cada vez mais competitivo devido à grande quantidade de profissionais e clínicas em funcionamento no Brasil. Para se destacar neste mercado, é preciso estabelecer diferenciais de tratamento e relacionamento com o paciente. Nesse sentido, o marketing de relacionamento pode colaborar para que haja personalização do atendimento, demonstrando uma prestação de serviço de excelência, fidelizando e aprofundando a relação com o paciente. A partir da pesquisa de campo utilizando a ferramenta de questionário on-line Survey Monkey, o presente artigo procurou responder ao seguinte problema de pesquisa: Até que ponto a utilização do marketing de relacionamento pode colaborar com o sucesso das empresas que prestam serviços odontológicos? O objetivo geral deste trabalho foi compreender os fatores críticos que podem contribuir para o sucesso de uma clínica de prestação de serviços odontológicos. E como objetivos específicos: compreender a relação entre a evolução do marketing nível 1.0 ao 3.0, as demandas atuais e sua relação com o marketing de relacionamento em serviços; identificar os fatores mais relevantes para a fidelização de clientes que buscam por serviços odontológicos; e levantar a frequência e os critérios utilizados pelos pacientes a buscarem uma clínica odontológica. O resultado da pesquisa indicou que a aplicação do marketing de relacionamento pode ser de grande importância na fidelização do cliente. Isso é demonstrado nas respostas recebidas, posto que os principais aspectos encontrados nos resultados mostram que características não concernentes à parte técnica da Odontologia, como a confiança transmitida pelo profissional, qualidade em geral, formas de pagamento flexíveis, são pontos altamente considerados pelo paciente na escolha e retorno ao mesmo profissional e/ou clínica odontológica.

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Analysis of occupational pathology physician competencies as part of professional standard development

Russian Journal of Occupational Health and Industrial Ecology ◽

10.31089/1026-9428-2020-60-12-925-935 ◽

2020 ◽

Vol 60 (12) ◽

pp. 925-935

Author(s):

Evgeny E. Shigan ◽

Lyudmila M. Saarkoppel' ◽

Pavel V. Serebryakov ◽

Irina N. Fedina

Keyword(s):

Occupational Medicine ◽

Professional Training ◽

Professional Community ◽

Professional Standard ◽

Knowledge And Skills ◽

On Line ◽

Survey Results ◽

Line Survey ◽

Primary Focus ◽

Standard Development

Improving professional training and optimizing the work of doctors who provide medical care to patients who come into contact with harmful occupational factors require the approval of a professional standard for the occupational pathology physician. The purpose of the study was to analyze the opinion of the professional community about the importance of various labor functions and labor actions, priority knowledge and skills of occupational pathologists in the development of a professional standard. To achieve this goal, an on-line survey of physicians in occupational pathology and occupational medicine was conducted. Analysis of the survey results showed that the significance of professional competencies is evaluated by specialists to varying degrees. Primary focus is on examination of professional suitability and the link between diseases and the profession. However, correlations of competencies of various blocks indicate the importance of all areas of work of a professional pathologist, which should be taken into account when training specialists in this profile.

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The impact of the COVID-19 pandemic on the psychosocial condition of students in Poland and Ukraine

10.31234/osf.io/wz8s7 ◽

2020 ◽

Author(s):

Piotr Długosz ◽

Yana

Keyword(s):

Distance Learning ◽

Negative Impact ◽

Well Being ◽

Survey Method ◽

Psychosocial Condition ◽

On Line ◽

Line Survey ◽

The Impact ◽

Emotional Condition ◽

Double Measurement

The article presents the results of research on psychosocial condition among Polish and Ukrainian students during the quarantine. The aim of the research was to verify the impact of the pandemic and its accompanying phenomena on the well-being of youth. In order to achieve this goal, the CAWI on-line survey method with double measurement was used. The first measurement carried out at the beginning of the quarantine resulted in 3659 filled out surveys in Poland and 739 in Ukraine. The second measurement conducted at the end of distance learning brought 1978 filled out surveys in Poland and 411 in Ukraine. The results of research indicate that the quarantine had a negative impact on the psychosocial condition of youth. The deterioration of emotional condition and the increase in mental disorders has been observed. Due to the pandemic and distance learning, the mental health of youth deteriorated significantly. Polish youth were negatively influenced by the pandemic to a greater extent than young Ukrainians.

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RECYCLED WATER RISK PERCEPTION - A COMPARISON OF TWO CASE STUDIES

Water Practice & Technology ◽

10.2166/wpt.2007.068 ◽

2007 ◽

Vol 2 (4) ◽

Author(s):

A. Hurlimann

Keyword(s):

Risk Perception ◽

Case Studies ◽

Perceived Risk ◽

Capital City ◽

Recycled Water ◽

Urban Centre ◽

On Line ◽

Line Survey ◽

Water Uses

This paper reports results from a study comparing perceived risk associated with various recycled water uses in two Australian locations, both in the state of Victoria: the capital city Melbourne, and Bendigo a regional urban centre. Both locations are experiencing ‘drought’, but Bendigo is experiencing this in a more acute manner. A case study is used in each location. Both case studies involve future use of recycled water in new commercial buildings. An on-line survey was used to measure attitudes to recycled water of the future occupants of both buildings. The study found perceived risk associated with 11 uses of recycled water increased as the use became increasingly personal. Interestingly, no difference in perceived risk associated with 11 uses of recycled water was found between locations. Prior experience (use) of recycled water was found to be a significant and positive factor in reducing risk perception. Various attitudinal variables were found to be significant influences on perceived risk. Results indicate that reducing perceived risk of recycled water use may increase satisfaction with its use.

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Cyberservices: What's Important and How Are We Doing?

NASPA Journal ◽

10.2202/0027-6014.1225 ◽

2003 ◽

Vol 40 (2) ◽

Cited By ~ 4

Author(s):

Joan B Hirt ◽

Darrell Cain ◽

Brad Bryant ◽

Eric Williams

Keyword(s):

Distance Learning ◽

Colleges And Universities ◽

Distance Learners ◽

Threaded Discussion ◽

Learning Programs ◽

On Line ◽

Line Survey ◽

Class Status

As colleges and universities develop distance learning programs, administrators have scrambled to provide on-line services for distance learners. But do learners need such services? The present study examined how important services were for distance learners and how satisfied they were with the services provided to them. Data were collected through a national on-line survey and threaded discussion. Results revealed that services overall were not particularly important to participants, though there were significant differences by age and class status.

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Predictors of Mental Health after the First Wave of the COVID-19 Pandemic in Poland

Brain Sciences ◽

10.3390/brainsci11050544 ◽

2021 ◽

Vol 11 (5) ◽

pp. 544

Author(s):

Piotr Długosz

Keyword(s):

Mental Health ◽

Survey Method ◽

Hierarchical Regression ◽

Secondary Effects ◽

Research Material ◽

Polish Society ◽

On Line ◽

Line Survey ◽

Psychological Features ◽

Society Research

The aim of the article is to determine the predictors of mental health among Polish society. Research was conducted after the first wave of the pandemic. Due to such an approach, it was possible to determine whether the secondary effects of the pandemic have impacted on mental health, in addition to socio-demographic and psychological factors. In order to gather the research material, the CAWI on-line survey method was applied and carried out within the framework of the Ariadna Research Panel on a sample of 1079 Poles, aged 15 and over. The FCV-19S scale, which is used to measure the fear of COVID-19 was applied in the measurement. It is a verified diagnostic instrument used to measure mental health across a range of countries. The results of a hierarchical regression analysis have shown that the factors which increase the level of fear of COVID-19 are demographic, social and psychological features, as well as attitudes towards the pandemic. The results of research indicate the significance of social context in the analysis, and contribute to the explanation of the effects of disasters and cataclysms.

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Incidence, Aetiology, and Associated Fracture Patterns of Infraorbital Nerve Injuries Following Zygomaticomaxillary Complex Fractures: A Retrospective Analysis of 272 Patients

Craniomaxillofacial Trauma & Reconstruction ◽

10.1177/19433875211022569 ◽

2021 ◽

pp. 194338752110225

Author(s):

Kathia Dubron ◽

Maarten Verbist ◽

Eman Shaheen ◽

Titiaan Jacob Dormaar ◽

Reinhilde Jacobs ◽

...

Keyword(s):

Neuropathic Pain ◽

Interpersonal Violence ◽

Fracture Line ◽

Infraorbital Nerve ◽

Type B ◽

Treatment Methods ◽

Infraorbital Canal ◽

Pain Symptoms ◽

Fracture Types ◽

Zygomaticomaxillary Complex

Study Design: Retrospective study. Objective: Zygomaticomaxillary complex (ZMC) fractures are common facial injuries with heterogeneity regarding aetiologies, fracture types, infraorbital nerve (ION) involvement, and treatment methods. The aim of this study was to identify associations between aetiologies, fracture types, and neurological complications. Additionally, treatment methods and recovery time were investigated. Methods: Medical files of 272 patients with unilateral and bilateral ZMC fractures were reviewed, whose cases were managed from January 2014 to January 2019 at the Department of Oral and Maxillofacial Surgery, University hospitals Leuven, Belgium. History of ION sensory dysfunction and facial nerve motoric dysfunction were noted during follow-up. Results: ION hypoaesthesia incidence was 37.3%, with the main causes being fall accidents, road traffic accidents, and interpersonal violence. Significant predictors of ION hypoaesthesia were Zingg type B fractures ( P = 0.003), fracture line course through the infraorbital canal ( P < .001), orbital floor fracture ( P < 0.001), and ZMC dislocation or mobility ( P = 0.001). Conclusion: Of all ZMC fractures, 37.3% exhibited ION hypoaesthesia. Only ZMC Zingg type B fractures (74.0%) were significantly more associated with ION hypoaesthesia. ION hypoesthesia was more likely (OR = 2.707) when the fracture line course ran through the infraorbital canal, and was less dependent on the degree of displacement. Neuropathic pain symptoms developed after ZMC fractures in 2.2% patients, posing a treatment challenge. Neuropathic pain symptoms were slightly more common among women, and were associated only with type B or C fractures. No other parameters were found to predict the outcome of this post-traumatic neuropathic pain condition.

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