RESUMEN
Operation Wake-Up Call was a simulated bioterrorism exercise conducted in Waukesha County, Wisconsin (Metropolitan Milwaukee) on November 6, 1999. The purpose of the exercise was to test and evaluate the emergency response capability of local municipal, county, state, federal, and reserve military agencies to a weapons of mass destruction terrorist act. The exercise simulated a biological agent (Bacillus anthracis spores) release, a hostage-taking event, and the management of multiple biological and conventional weapons casualties that overwhelmed local first responders' capability. The exercise involved local, county, state, and federal agencies in a joint operational environment featuring integrated command and control systems. This report describes the primary purpose, goals, and assumptions of the exercise and reports on the evaluation of Wake-Up Call by the participating agencies.
Asunto(s)
Bioterrorismo , Planificación en Desastres/métodos , Programas de Gobierno , HumanosRESUMEN
Thirty-three patients previously treated for a variety of chronic pain syndromes (largely non-surgical back problems) were selected for study on the basis of 2 years or greater post-discharge status. A patient profile was developed revealing an 86% successful return-to-work rate and minimal use of narcotics 4 years after discharge. In addition, there was relatively low use of either inpatient or outpatient medical services after treatment. These patient behaviors were specific goals of the pain management program in which these patients had participated. Interesting data were also collected on medication use after treatment and methods of pain control used most successfully. Selected outcome variables were also studied across specific diagnostic categories (surgical v non-surgical back problems, amputee pain, reflex sympathetic dystrophy, and others) for this group. In general, rather compelling positive outcomes are shown for the long-term effects of multi-disciplinary pain management.
Asunto(s)
Manejo del Dolor , Adulto , Enfermedad Crónica , Femenino , Humanos , Masculino , Resultado del TratamientoRESUMEN
The benefits of hypnotic analgesia as an adjunct to childbirth education were studied in 60 nulliparous women. Subjects were divided into high and low hypnotic susceptibility groups before receiving 6 sessions of childbirth education and skill mastery using an ischemic pain task. Half of the Ss in each group received a hypnotic induction at the beginning of each session; the remaining control Ss received relaxation and breathing exercises typically used in childbirth education. Both hypnotic Ss and highly susceptible Ss reported reduced pain. Hypnotically prepared births had shorter Stage 1 labors, less medication, higher Apgar scores, and more frequent spontaneous deliveries than control Ss' births. Highly susceptible, hypnotically treated women had lower depression scores after birth than women in the other 3 groups. We propose that repeated skill mastery facilitated the effectiveness of hypnosis in our study.
Asunto(s)
Anestesia Obstétrica , Hipnosis Anestésica , Trabajo de Parto , Adolescente , Adulto , Femenino , Humanos , Recién Nacido , MMPI , Dimensión del Dolor , EmbarazoAsunto(s)
Adaptación Psicológica , Neoplasias/psicología , Humanos , Imaginación , Neoplasias/terapiaRESUMEN
An inpatient chronic pain management unit stressing a multidimensional behavioral approach has been in operation since April 1979 at a 405-bed community hospital. Components of the program include chemical detoxification, physical, occupational, and relaxation therapies, group meetings, and family therapy. The first 13 patients to complete the program achieved 100 percent success in medication reduction and experienced decreases in depression, hysteria, hypochondriasis, and self-ratings of pain intensity. Many have returned to work. Follow-up at 1, 3, 6, and 12 months shows maintenance of improvement.