27, p smaller than .001) and pain-related disability ( = .38, p smaller than .001). However, neither pain ( = .10, p = .126) nor pain-related disability ( = -.01, p = .790) predicted depression/anxiety. Conclusions Among adult patients with chronic pain treated at specialty pain clinics, high levels of depression and anxiety may worsen pain and pain-related

disability.”
“There is general consensus in national and societal guidelines that training for sedation should be part of basic training for JIB-04 mw endoscopy. There is no clear consensus, however, on the structure of that training. More importantly, these same guidelines are often silent on the specific requirements to demonstrate competency for administration of sedation, ways to document that competency and measures to assure that competency is maintained. In the absence of data demonstrating improved outcomes with specific approaches,

the process and principles in this paper are proposed as a starting point to be modified by future research and data. Copyright (C) 2010 S. Karger AG, Basel”
“Acute myocardial infarction (AN) is a common disease with serious consequences in mortality and morbidity. An association between gaseous air pollution and AMI has been suggested, but the epidemiological evidence is still limited. For the study period 1998-2010, daily counts of AMI deaths were collected, as well as daily air pollution data including concentrations of particulates (PM10), nitrogen dioxide (NO2), sulfur dioxide (SO2), ozone (O-3) and carbon monoxide (CO) were also obtained. The associations between gaseous air pollutants and AMI mortality MEK162 research buy were estimated using time-stratified case-crossover analyses. NO2 and SO2 were found to be significantly associated with increased AMI mortality. The odds ratios (ORs) were 1.0455 (95% confidence interval (CI): 1.017-1.0748) and 1.0256 (95% Cl: 1.0027-1.0489) for an interquartile range (IQR) increase in the current day’s

NO2 and SO2 concentration, respectively, and this association persisted in 2-pollutant models; and no association was observed for CO and O-3. It is likely that exposure to elevated ambient NO2 and SO2 air pollution contributed to increased AMI mortality. (C) 2012 Elsevier Ltd. All rights reserved.”
“To determine the patients perceived degree of continuity of care between primary and secondary care check details and to identify contextual and individual factors that influence patients perceptions of continuity of care.\n\nCross-sectional study by means of a survey of patients attended to in primary and secondary care.\n\nThree health-care areas of the Catalonian public health-care system.\n\nA random sample of 1500 patients.\n\nRelational, informational and managerial continuity of care measured by means of Likert scales, using the CCAENA questionnaire.\n\nOverall, 93.8 and 83.8 of patients perceived an ongoing relationship with primary and secondary care physicians, respectively (relational continuity), 71.