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Papers by Paul Walker
Journal of Pain and Symptom Management, 1996
Journal of Pain and Symptom Management, 1998
Journal of Pain and Symptom Management, 1998
The efficacy of baclofen in the treatment of chronic hiccup is demonstrated in two cases. These c... more The efficacy of baclofen in the treatment of chronic hiccup is demonstrated in two cases. These cases highlight the present state of knowledge related to hiccup. This discussion focuses on the definition and classification of hiccup, etiologies, postulated theories to explain its function, the few studies performed to date, and non-pharmacologic and pharmacologic treatment. Baclofen appears to be the agent most efficacious in the treatment of chronic hiccup. Its commonest side effect is sedation; insomnia, dizziness, weakness, ataxia, and confusion also can occur. Following regular use, abrupt discontinuation can lead to withdrawal symptoms, such as seizure, and gradual discontinuation is recommended.
Journal of Pain and Symptom Management, 2001
The Edmonton Labeled Visual Information System (ELVIS) is a novel method of documenting clinical ... more The Edmonton Labeled Visual Information System (ELVIS) is a novel method of documenting clinical information because it is a pictorial method of representing cancer burden and treatment. This randomized, crossover, multiperiod trial involved 16 physicians who each reviewed two ELVIS and two control (text) cancer patient cases (total 32 ELVIS and 32 text cases). Short-answer questionnaires were administered immediately and 18-24 hours following. Mean (Ϯ SD) recall of basic disease and treatment information was superior immediately following the ELVIS cases (83% Ϯ 14%) versus text cases (60% Ϯ 14%, P Ͻ 0.0001) and 18-24 hours later (ELVIS cases 65% Ϯ 21% versus text cases 43% Ϯ 21%, P Ͻ 0.0001). Mean (Ϯ SD) time required to memorize information was reduced in the ELVIS cases (4 Ϯ 2 min) versus text cases (13 Ϯ 6 min, P Ͻ 0.0001). Ratings of overall physician preference strongly favored the ELVIS over text. The data indicate that ELVIS aids the process of learning complex cancer patient histories.
Journal of Pain and Symptom Management, 1996
Journal of Pain and Symptom Management, 1998
Journal of Pain and Symptom Management, 1998
The efficacy of baclofen in the treatment of chronic hiccup is demonstrated in two cases. These c... more The efficacy of baclofen in the treatment of chronic hiccup is demonstrated in two cases. These cases highlight the present state of knowledge related to hiccup. This discussion focuses on the definition and classification of hiccup, etiologies, postulated theories to explain its function, the few studies performed to date, and non-pharmacologic and pharmacologic treatment. Baclofen appears to be the agent most efficacious in the treatment of chronic hiccup. Its commonest side effect is sedation; insomnia, dizziness, weakness, ataxia, and confusion also can occur. Following regular use, abrupt discontinuation can lead to withdrawal symptoms, such as seizure, and gradual discontinuation is recommended.
Journal of Pain and Symptom Management, 2001
The Edmonton Labeled Visual Information System (ELVIS) is a novel method of documenting clinical ... more The Edmonton Labeled Visual Information System (ELVIS) is a novel method of documenting clinical information because it is a pictorial method of representing cancer burden and treatment. This randomized, crossover, multiperiod trial involved 16 physicians who each reviewed two ELVIS and two control (text) cancer patient cases (total 32 ELVIS and 32 text cases). Short-answer questionnaires were administered immediately and 18-24 hours following. Mean (Ϯ SD) recall of basic disease and treatment information was superior immediately following the ELVIS cases (83% Ϯ 14%) versus text cases (60% Ϯ 14%, P Ͻ 0.0001) and 18-24 hours later (ELVIS cases 65% Ϯ 21% versus text cases 43% Ϯ 21%, P Ͻ 0.0001). Mean (Ϯ SD) time required to memorize information was reduced in the ELVIS cases (4 Ϯ 2 min) versus text cases (13 Ϯ 6 min, P Ͻ 0.0001). Ratings of overall physician preference strongly favored the ELVIS over text. The data indicate that ELVIS aids the process of learning complex cancer patient histories.