Publications by authors named "Alessandra A Pratt"

Background: Patients with co-occurring chronic pain and PTSD are especially vulnerable to debilitating symptoms and frustrating experiences seeking healthcare. The complicated nature of the health conditions and their treatments present a challenge for providers to communicate their treatment recommendations and rationale.

Objective: This qualitative study explored Veterans' views on communication with their providers during clinical visits related to their chronic pain and PTSD treatments, so that we may understand their experiences and identify opportunities to improve clinical communication and patient satisfaction.

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Introduction: The aim is to elucidate approaches to care for comorbid chronic pain and PTSD (CP + PTSD) in the Veterans Administration (VA). These conditions are co-magnifying and highly comorbid but traditionally treated in separate clinical settings.

Materials And Methods: This multimethod analysis examined care for CP + PTSD via administrative data analyses and qualitative interviews of VA-served veterans.

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Study Objective: The objective of this study was to evaluate the optimal duration of monitoring for patients with presumed opioid overdoses prior to a non-ICU admission, particularly in the context of the increasing prevalence of fentanyl analogs and other potent synthetic opioids. Given the critical role of emergency physicians in managing this public health crisis, the study aims to inform clinical decisionmaking regarding patient disposition after the initial overdose treatment.

Methods: The Fentalog Study, conducted through the American College of Medical Toxicology's Toxicology Investigators Consortium, is a prospective, multi-institutional project designed to identify patients presenting to the emergency department with acute opioid overdose, gather clinical details, and confirm substances through biologic testing.

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Transnasal flexible laryngoscopy is considered an aerosol generating procedure. A negative pressure face shield (NPFS) was developed to control aerosol from the patient during laryngoscopy. The purpose of this study was to determine the effectiveness of the NPFS at controlling virus aerosol compared to a standard disposable plastic face shield.

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Background: Patients diagnosed with coronavirus disease 2019 (COVID-19) aerosolize severe acute respiratory coronavirus virus 2 (SARS-CoV-2) via respiratory efforts, expose, and possibly infect healthcare personnel (HCP). To prevent transmission of SARS-CoV-2 HCP have been required to wear personal protective equipment (PPE) during patient care. Early in the COVID-19 pandemic, face shields were used as an approach to control HCP exposure to SARS-CoV-2, including eye protection.

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Article Synopsis
  • Chronic pain exacerbates PTSD symptoms in veterans, leading to a higher likelihood of being prescribed multiple medications that affect the central nervous system (CNS).
  • A study involving over 637,000 veterans showed those with chronic pain had significantly more changes in psychiatric medications (average of 1.8 changes) compared to those without chronic pain (average of 1.6 changes).
  • Veterans with chronic pain were also prescribed more CNS-active medications (average of 2.7) than those without chronic pain (average of 2.0), indicating a need for careful management of their treatment.
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Background: Our aim was to determine rates of postpartum mood and anxiety disorders (PMADs) among U.S. women Veterans and the overlap among PMADs.

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