A novel fast-acting sub-perception spinal cord stimulation therapy enables rapid onset of analgesia in patients with chronic pain,

Background: Given the range of subjective experiences reported by patients with chronic pain, Spinal Cord Stimulation (SCS) systems designed for tailored delivery of analgesic therapy may help improve treatment effectiveness and satisfaction. Research design and methods: This case-series evaluated 420 patients with chronic back and/or leg pain implanted with an SCS device capable of sequential or simultaneous delivery of neurostimulation (i.e. combination therapy) as well as multiple waveforms and/or field shapes. Following implantation, an array of standard programs (e.g. paresthesia-based SCS), and a custom set of sub-perception programs were provided per patient feedback. Pain scores (Numeric Rating Scale, NRS) were collected at baseline and during follow-up. Results: In this multicenter, observational series (n = 420, 53.1% female; Age: 64.2 ± 13.4 years), a mean overall pain score of 7.2 ± 1.8 (SD) was reported pre-trial (Baseline). At a mean follow-up duration of 208 ± 200 (SD) days, the mean overall pain score reduced to 2.4 (p < 0.0001). Overall pain was reduced by 5.1 ± 2.4 and 4.5 ± 2.4 points (NRS) at 3-months (N = 256) and at 12-months post-implant (N = 122) respectively (p < 0.0001). Conclusions: These results suggest that highly 'customizable' SCS approaches may allow for highly effective pain relief within the real-world clinical setting.

Bio: Jim Burns holds a Ph.D. in Industrial Engineering from Western Michigan University, and has more than 10 years industry experience in the manufacturing sector in a variety of roles including process engineering, operations management, and technical sales. His area of expertise centers on applying OR/MS and Simulation techniques to Supply Chain & Operations Management problems, and has also conducted research in the areas of Human Factors and Work Design for evaluating time and motion efficiencies of operations. Jim also holds an undergraduate IE degree and a Six Sigma Greenbelt. Prior to joining the faculty at Western Michigan, Jim was an Assistant Professor for the Industrial Engineering Technology program at Purdue Polytechnic Institute.

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The purpose of this publication is to provide a 4-H project book that discusses honey bees and their importance to our nation’s agriculture. The intent is to introduce the world of honey bees to youth ages 8 to 12, with or without any previous beekeeping background or knowledge. This book consists of six sections that familiarize youth with the honey bee’s basic anatomy and life cycle, the three members of the honey bee colony, their roles and responsibilities, and colony communication. Each section has been designed to give youth a brief introduction to a topic and offers activities building on that topic. Written by Megan Hammond, Amy T. Vu, Mary Bammer, Emily Helton, Karen Henry, Jessica Sullivan, and James D. Ellis; 56 pp.https://edis.ifas.ufl.edu/4h419

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