Browsing by Subject "Migraine"
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Item Choosing the Right Medication to Prevent Migraine Headaches(2012-07-26) Roy, DavidItem Leveraging Informatics To Understand Online Communication Patterns Between Migraine Sufferers On Social Media(2021-03) Gomaa, BasmaSocial Network Sites (SNS) have been widely used by patients to exchange emotional support and health information in several health conditions. However, migraine patients’ use of social media is under- investigated. In this study, we investigated migraine patients’ behavior on two social media platforms by applying “Content” and “Social Network Analysis” techniques. The study aimed to compare the connectivity by describing the network structure, tie characteristics, in addition to identifying conversational themes. The migraine network on Twitter is more connected than the Facebook network, indicating more information and emotional support exchanged on Twitter. The informational theme dominated over the emotional theme on both platforms. However, the quality of information exchanged on Facebook was better than on Twitter which contained misinformation, spam and advertisements. The study highlights the vital role of moderators and sheds light on the technical features unique to each platform and impact on the users’ engagement patterns. The study provides guidance to intervention designers, online community managers and public health officials regarding the appropriate platform with specific technical features that will address the unique needs for migraine patients. More studies are needed, however, about the connection between technology, patients and disease conditions.Item Migraine As Predictor For Pain Intensity For Tmd Patients Undergoing Treatment(2015-08) Nascimento, ThiagoIntroduction: Temporomandibular disorders (TMD) occur in about 10% of the adult general population, which makes it a considerable public health problem. Some factors affect treatment outcome of TMD patients seeking care, and among the factors influencing the prognosis of TMD pain, are comorbid pain conditions. Headaches, particularly migraine, have long been reported to be more frequently associated in TMD patients. However, evidence is lacking whether migraine is a prognostic factor for TMD pain at follow-up for patients undergoing TMD treatment. Objective: To determine in TMD pain patients who undergo common non-surgical treatments whether the presence of migraine at time of diagnosis is associated with worse TMD pain intensity at follow-up over a time period of 18 months. Materials and Methods: In this prospective cohort study, a consecutive sample of 99 patients with a diagnosis of TMD pain consisting of MFP, arthralgia, and/or TMJ osteoarthritis according to RDC/TMD seeking care at the TMD and Orofacial Pain Clinic, University of Minnesota - School of Dentistry and undergoing common non- surgical treatments for TMD were recruited. Participants received a diagnosis of migraine according to International Classification of Headache Disorders 2nd edition (ICHD-II, 2004), the study exposure, at baseline. Characteristic pain intensity, the study outcome, was measured at 1, 6, 12 and 18 month follow-up and CPI differences at follow-up between patients with and without migraine were analyzed with several generalized equation estimation models and model selection was performed with QIC (Quasilikelihood under the Independence model Criterion). Baseline CPI status and sociodemographic variables were added to improve the model. Results: At time of diagnosis (baseline), patients with migraine had a CPI level of 53.9 (95% CI: 43.2-64.6) and patients without migraine had a CPI level of 55.8 (95% CI: 51- 60.5). At follow-up, CPI had decreased in both groups but patients with migraine had more pain. The statistically best fitting model predicted CPI values of 45.8, 38.4, 34.8 and 29.2 at 1, 6, 12, and 18 months, respectively for patients without migraine. Patients with migraine showed model-predicted differences, additional CPI compared to patients without migraine, of 10.6 (95% CI: -1.6 -22.9), 8.7 (95% CI: -8.0-25.4), 5.4 (95% CI: - 7.3-18.2) and 16.5 (95% CI: 5.2-27.8) at 1, 6, 12, and 18 months, respectively. According to guidelines to interpret effect sizes, the effect was "small."� A simple, more interpretable and still statistically well fitting model predicted that CPI decreases 0.96 per month during follow-up and patients with migraine have 11.6 (95% CI: 2.7-20.4) more CPI over the time period of 1.5 years than patients without migraine. Conclusion: For TMD patients who undergo common non-surgical treatments, migraine is a potential prognostic factor for TMD pain intensity at follow-up. Patients with migraine at the time of diagnosis have statistically significant more TMD pain intensity over a time period of 1.5 years than patients without. While the migraine effect is small, it suggests that treatment for migraine could possibly be incorporated in the overall treatment plan to improve patient outcomes.Item Migraine with Aura: More Than Just a Bad Headache?(2010-07-22) Tyner, HarmonyMigraine with aura is common among women in the primary care setting. In addition to being uncomfortable and inconvenient, migraine with aura is also an independent risk factor for stroke in some women, particularly those below the age of 55, with low blood pressure and cholesterol. This patient education tool is a tri-fold brochure designed to help the reader identify who is at risk, how big the risk is, and what can be done to mitigate the risk of stroke in women who experience migraine with aura.Item Migraine: A Guide For Patients(2008-04-07) Freeman, LauraMigraine headaches are common in the primary care setting. Young adult patients experiencing new onset headaches are often puzzled by how to differentiate migraines from other types of headaches. On the other hand, patients who have suffered from migraines for many years are often frustrated by the suboptimal relief of their pain. This patient education tool gives the reader a general idea of what migraines are, what causes them, and what different treatment modalities are available. Websites where patients may investigate specific questions are provided.