Dorsal root ganglion stimulation (DRG-S) is a form of selective neuromodulation therapy that targets the dorsal root ganglion. DRG-S offers analgesia in a variety of chronic pain conditions and is approved for treatment of complex regional pain syndrome (CRPS) by the US Food and Drug Administration (FDA). There has been increasing utilization of DRG-S to treat various neuropathic pain syndromes of the lower extremity, although evidence remains limited to one randomized controlled trial and 39 observational studies. In this review, we appraised the current evidence for DRG-S in the treatment of lower extremity neuropathic pain using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) criteria. The primary outcome was change in pain intensity after DRG-S compared to baseline. We stratified presentation of results based of type of neuropathy (CRPS, painful diabetic neuropathy, mononeuropathy, polyneuropathy) as well as location of neuropathy (hip, knee, foot). Future powered randomized controlled trials with homogeneous participants are warranted.
This talk will trace the growing influence of fundamental ideas from computer science on the nature of research in a number of scientific fields. There is a growing awareness that information processing lies at the heart of the processes studied in fields as diverse as quantum mechanics, statistical physics, nanotechnology, neuroscience, linguistics, economics and sociology. Increasingly, mathematical models in these fields are expressed in algorithmic languages and describe algorithmic processes. The speaker will briefly describe connections between quantum computing and the foundations of quantum mechanics, and between statistical mechanics and phase transitions in computation. He will indicate how the growth of the Web has created new phenomena to be investigated by sociologists and economists. He will then focus in greater detail on computational molecular biology, where the view of living cells as complex information processing systems has become the dominant paradigm, and will discuss specific algorithmic problems arising in the sequencing of genomes, the comparative analysis of the resulting genomic sequences, the modeling of networks of interacting proteins, and the associations between genetic variation and disease. " showed that many of the most commonly studied combinatorial problems are NP-complete, and hence likely to be intractable. Much of his work has concerned parallel algorithms, the probabilistic analysis of combinatorial optimization algorithms and the construction of randomized algorithms for combinatorial problems. His current activities center around algorithmic methods in genomics and computer networking. He has supervised thirty-six Ph.D. dissertations. His honors and awards include: U.
This case series aims to highlight the efficacy of peripheral nerve stimulation (PNS) in the treatment of phantom limb pain, as well as provide an alternative method for the treatment of this pain syndrome. In this report, we describe three amputee patients with severe phantom limb pain who obtained substantial analgesia and improvement in physical functionality after implantation of a temporary PNS device. Future studies should assess predictors of successful response or poor response to PNS therapy, such as mental health, environmental stressors, coping skills, and procedural factors. These factors may facilitate an individualized approach for each patient to ensure appropriate candidacy for PNS and better prognosis. Considering that patients in our cohort did not achieve long-lasting benefit after removal of temporary PNS, future research should assess if patients with phantom limb pain would benefit from permanent PNS, rather than temporary PNS.
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