E-News Archive Index

APS E-News
February 2006

Allen Lebovits, PhD, Editor

25th Annual Scientific Meeting: Register Online Today!

In This Issue:

APS 25th Annual Scientific Meeting

National Election Update

APS Volunteer Spotlight: Kathleen Sluka, PhD

Mayday Pain & Society Fellowship: Call for Applications for 2006

APS 2005 Future Leaders in Pain Small Research Grants

APS Young Investigator Travel Support Information

News Highlights from The Journal of Pain

IASP Call for Applications

Join APS in San Antonio!

 


Acknowledgment:
APS E-News is made possible through an unrestricted educational grant from Purdue Pharma, L.P.

American Pain Society
4700 W. Lake Avenue
Glenview, IL 60025-1485
Phone: 847/375-4715
Fax: 877/734-8758
E-mail: info@ampainsoc.org

 

 

 

 

 

 

 

 

 

 

 

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APS 25th Annual Scientific Meeting
Register online today!

Plenary Speakers

In addition to the named award lecturers featured in last month’s APS E-news, the APS Annual Scientific Meeting will also include the following distinguished plenary speakers and presentations.

Endocannabinoids and Other Lipid Modulators of Pain
Michael Walker, PhD

 


Chronic Pain: Lessons from the Pains of Endometriosis
Karen J. Berkley, PhD

 


The Science of Migraine
Rami Burstein, PhD

 

 

Diagnostic Evaluation of Low Back Pain and Disc Degeneration
Eugene Carragee, PhD

 

 

Special Interest Group Meetings

Several of the APS Special Interest Groups (SIGs) will meet onsite during the Annual Scientific Meeting. These meetings provide opportunities for focused sharing and learning. Read more about what these groups are offering.

Thursday, May 4
5–6 pm

Ethics
Come for a lively discussion of the most pressing ethical issues in pain management. Speakers will frame ethical considerations and facilitate audience discussion.

Forensic
Issues of “Abandonment” in Pain Practice

Palliative Care
This annual meeting will feature Kathleen Puntillo, DNSc RN FAAN, whose presentation “Comfort at Time of Death in an ICU: An Art or a Science?” will address the withholding or withdrawing of life support. Such actions are estimated to precede up to 75% of deaths in intensive care unit (ICU) settings. She will examine current practices related to ensuring patient comfort and family satisfaction during withdrawal of life-sustaining therapies in ICUs. In addition, the annual business meeting will include goal setting and election of new chairs for the upcoming year. There will be ample opportunity for networking and collegiality.

Psychosocial
During this meeting a data blitz will be conducted in which researchers will briefly present new data on psychosocial pain research.

The Nursing SIG and Pain in Infants, Children, and Adolescents SIG will also meet at this time.

Friday, May 5
4:30–6:30 pm

Disparities in Pain
The meeting will begin with ratification of a slate of officers for next year and a review of the activities of the past year, including publication of a mission statement in the APS Bulletin and development of several symposium submissions for the conference. Efforts also were made to improve communication between the steering committee and the general membership, including increased use of a listserv and the APS Web site. After discussing these activities, the meeting will focus on activities to be pursued in the upcoming year, especially those that might involve subgroups of the membership.

The Clinical Trials SIG will also meet at this time.

4:30–7 pm

Genetics and Pain
Strategies for writing National Institutes of Health (NIH) grant applications for genetics and pain research will be shared. Program officers from the different institutes of the NIH (NIDCR, NINDS, NINR, NIDA, NCI) will present the following topics: (a) identification of relevant NIH grant mechanisms, (b) strategies for writing applications, (c) common strengths of successful applications and common mistakes, and (d) strategies for responding to reviews of applications.

Saturday, May 6
12:15–1:45 pm

Basic Science
The Basic Science annual business meeting will be held during lunch on Saturday. This meeting will feature a few short presentations by new faculty. We will also select topics for the 2007 Basic Science Dinner Symposium. Selection of a new Basic SIG cochair will take place at that time.

The Genetics and Pain SIG will meet a second time.
Steve Pechous from the National Center for Biotechnology Information of the NIH will present “Identification and Correlation of Disease Genes to Phenotypes.” This mini-lecture deals with the identification of a disease gene using NCBI’s human genome assembly. The reference genome assembly, along with integrated maps, literature, and expression information comprises a powerful discovery system for exploring candidate human disease genes. The presentation will begin with EST sequences obtained from a patient, identify the gene(s) expressing them, download their sequences, determine the exon-intron structure and identify known SNPs in the ESTs, if any, that may contribute to the disease phenotype.
We will also learn to determine what is known about a disease and associated genes and elucidate the biochemical and structural basis for the phenotype caused by the mutant protein.

Measurement in Pain and Its Impact
During this meeting a review of work accomplished will be conducted and suggestions for new initiatives and forums will be solicited. All members of the SIG are invited to provide suggestions and comments by e-mail prior to the meeting to backonja@neurology.wisc.edu or in person at the meeting.

Host Hotels

APS secured a limited number of sleeping rooms at a special rate at the following two hotels. Make your reservations early to ensure that you obtain the special room rate. Call before April 5, 2006, because after this date, reservations will be taken on a space- and rate-available basis only. Be sure to indicate your participation in the APS conference. To confirm a reservation, the hotel requires a deposit equal to 1 night’s stay. Your deposit will confirm the reservation for the date(s) indicated and, upon check-in, will be applied to the first night of the reserved stay. All major credit cards accepted.

San Antonio Marriott Rivercenter
101 Bowie Street
San Antonio, TX 78205
Reservations: 800/648-4462
210/223-1000
Rate: $199 single / $209 double
Cutoff Date: April 5, 2006
www.stayatmarriott.com/aps2006/

Hilton Palacio del Rio
200 South Alamo Street
San Antonio, TX 78205
800/HILTONS
210/222-1400
Rate: $179 single/double
Cutoff Date: April 5, 2006
Visit www.palaciodelrio.hilton.com to make your reservations and when prompted, enter the group code APS to receive the group rate.

 

National Election Update

The national election slate is set. Thanks to your nominations and the hard work of the APS Nominating Committee, the membership will have little trouble making a good choice in this election—all candidates are outstanding and dedicated APS members, and deeply believe in the mission of your organization. The candidates for the 2006 national election follow:

Secretary

Timothy Brennan, MD PhD
Lonnie Zeltzer, MD

Directors at Large
(3 open positions)

Robert (Bob) Jamison, PhD
David Williams, PhD

Srinivasa Raja, MD
Sean Mackey, MD PhD

George Wilcox, PhD
Michael Gold, PhD

Nominating Committee—Past Presidents
(3 open positions)

Ron Dubner, DDS PhD
William Willis, Jr., MD PhD

Charles Cleeland, PhD
Peter Vicente, PhD

Christine Miaskowski, PhD RN FAAN
James Campbell, MD

Nominating Committee—Members at Large
(4 open positions)

Elie Al-Chaer, PhD JD MS
Laura Stone, PhD

Knox Todd, MD MPH
Misha-Miroslav Backonja, MD

Paul Arnstein, PhD RN
Marion Good, PhD RN FAAN

Michael Clark, PhD
Beverly Thorn, PhD

Once again, the election will be held online, using secure online technology. In February, e-mail invitations will be sent to all voting members with active e-mail addresses. A letter of invitation about how to access the online ballot will be mailed to those without e-mail. Please take this time to add or update your e-mail address using the APS online directory or by calling an APS member services representative at 847/375-4715.

Thank you in advance for doing your part to make this a record-breaking election year. Your vote matters!

 

APS Volunteer Spotlight: Kathleen Sluka, PhD

Kathleen Sluka joined APS approximately 15 years ago at the start of her academic career at the University of Iowa. An active researcher, Sluka is an associate professor of physical therapy and rehabilitative sciences and teaches a course on the basic science and management of pain.

APS attracted Sluka because of her long-time interest in pain management and research and the organization’s unique embrace of clinical and scientific perspectives on pain. “APS offers researchers and clinicians a wide array of opportunities to collaborate in meaningful ways, which helps researchers obtain the clinical understanding they need and vice versa.”

Sluka’s extensive volunteer efforts have enhanced and strengthened multidisciplinary information-sharing in APS. She has participated in numerous sessions at the APS Annual Scientific Conference and served on the APS Scientific Program Committee. She currently serves as a co-chair of the APS Basic Science SIG and recently was appointed to the APS Board of Directors as a nonvoting member representing the International Association for the Study of Pain.

Sluka believes that the perspectives of physical therapists are underrepresented in the pain management field, and one of her key goals is to increase the ranks of physical therapists within APS. “Almost everyone with chronic pain sees a physical therapist, so it’s critical for PT practitioners to understand pain mechanisms,” she said. “And APS is a wonderful place for pain researchers to interact and stay in touch, and also keep up with clinical management trends and issues.”

 

Mayday Pain & Society Fellowship: Call for Applications for 2006

The Mayday Fund, a New York City foundation dedicated to alleviating the incidence, degree, and consequence of human physical pain, announced today that it will begin accepting applications for the 2006 Mayday Pain & Society Fellowship; A Media & Policy Fellows Initiative. This is the third year of the program designed to equip physicians, nurses, pharmacists, social workers, scientists, and legal scholars with the necessary skills to become effective advocates and spokespeople about pain issues in the United States and Canada. Developing their communications skills, the six experts chosen will be poised to move the field forward with their willingness to educate and work with the media, policymakers, advocates, and health and business leaders.

Once selected, the six fellows will attend a 4-day training in Washington, D.C. (October 22–25, 2006), and have the opportunity for 6 months of one-on-one coaching with communications professionals. They will learn how to connect with local and national media, write opinion editorials, develop relationships with university public affairs and government relations leadership, and talk with state legislators and members of Congress.

Apply online at painandhealth.org/maydayfellows/fellows.html or read more.

Last year’s Mayday Fellows have done everything from publishing an opinion piece in a national paper, to submitting testimony for a congressional hearing on pain, to organizing a statewide “pain summit.” They have used the tools they received in training to advance their advocacy goals.

The Fellowship Program is steered by an advisory committee made up of some of the nation’s leading experts in the field. Russell Portenoy, MD, Chairman of the Department of Pain Medicine and Palliative Care at Beth Israel Medical Center in New York City, chairs the committee.

The fellows will develop skills to advocate and communicate on many of the pain issues they know most closely including pediatric pain, chronic pain, the treatment of pain with prescription pain medications, nonmedicinal treatment for pain, pain policy, clinical and basic science research on pain, and disparities in treating pain.

Candidates for the fellowship must be accomplished experts in pain management, established at an institution with peer-reviewed research, and able and willing to devote a significant amount of time to using the skills learned in the fellowship. They must show an interest in going beyond their professional pursuits to inspire change or express an opinion about issues related to pain management.

 

APS 2005 Future Leaders in Pain Small Research Grants

In 2005, APS inaugurated its Future Leaders in Pain Small Research Grants program, funded by a $50,000 grant from Endo. An APS Small Grants Committee was established, under the chairmanship of Sandra Ward, PhD RN. Members of the committee included Misha-Miroslav Backonja, MD, C. Richard Chapman, PhD, James Eisenach, MD, Roger Fillingim, PhD, Gerald Gebhart, PhD, Keela Herr, PhD RN, and Mitchell Max, MD.

The grant program was announced in May, with a deadline for application of July 1. Three grants of $16,000 were offered and grant proposals could be submitted in one of several categories of research (i.e., use of analgesic medications, unwanted effects of pain treatment related to analgesic therapy, neuropathic pain, mechanisms of pain, education, and nonpharmacologic interventions or approaches to improve pain management). Eligible applicants were required to be APS members who were doctorally prepared, within 6 years of their terminal degree and who had not yet been awarded major grant funding from NIH.

Thirty-six eligible applications were received and reviewed by the committee. Three applications were selected for funding:

Ethnic Differences in Acute Pain and Analgesic Side Effects
Barbara A. Hastie, PhD MA
University of Florida
College of Dentistry

Individual Differences in Pain Modulation as a Predictor of Long-Term Pain and Analgesic Use in Women Following Surgical Management of Breast Cancer
Robert R. Edwards, PhD MSPG
Johns Hopkins University
School of Medicine

Development of a Mouse Model of HIV Therapy-Induced Painful Peripheral Neuropathy
Susan G. Dorsey, PhD MS
University of Maryland, Baltimore
School of Nursing

 

APS Young Investigator Travel Support Information

For the 2006 meeting, APS is offering funding for up to 50 young investigators. Funding awards are $750 each and are available to individuals presenting paper or poster abstracts at the meeting, May 3–6, 2006 in San Antonio. Applicants may be from any research training background (basic or clinical science, psychology, medicine, or biostatistics) and may be at any level in training, including students, residents, predoctoral trainees, postdoctoral fellows, or those who have completed their postdoctoral training within the last 3 years. Applicants must be APS members.

To apply for funding, complete the Young Investigator Travel Stipend Application. Applications must be completed online by February 13, 2006. If you have difficulty completing the application, contact Jennifer Reinard at jreinard@amctec.com or 847/375-4833. Applications will be reviewed by the APS Scientific Program Planning Committee, and stipends will be awarded by March 10, 2006. Notifications will be sent to all applicants after March 10, 2006. All eligible young investigators will receive their travel grants at the Annual Meeting.

The APS travel stipend program is made possible through grants from the National Institutes of Health and Pfizer, Inc., as well as an allocation of operating funds from the American Pain Society.

 

News Highlights from The Journal of Pain

The following highlights summarize selected articles from the January 2006 issue (volume 7, number 1) of The Journal of Pain.

Opioid Tolerance and Hyperalgesia in Chronic Pain Patients After 1 Month of Oral Morphine Therapy
Larry F. Chu, Stanford University School of Medicine;
David J. Clark, Stanford University School of Medicine and Palo Alto Veterans Affairs Hospital; and Martin S. Angst, Stanford University School of Medicine

There are no prospective studies documenting the development of opioid tolerance in chronic pain patients. In this study, Stanford researchers sought preliminary prospective evidence for the development of tolerance or hyperalgesia from sustained-acting oral opioids. Six patients with chronic low back pain were assessed before and after 1 month of oral morphine therapy. Cold pressor and experimental heat pain were used to measure pain sensitivity. Cold pressor test participants became hyperalgesic and tolerant after 1 month of morphine treatment, but the heat pain patients showed no hyperalgesia, and drug tolerance could not be evaluated.

The authors believe the study validates their prospective methodology for larger trials in the future. In addition, they determined from their evidence that opioid tolerance and opioid-induced hyperalgesia might limit the clinical utility of opioids in controlling chronic pain.

Asking the Community About Cutpoints Used to Describe Mild, Moderate, and Severe Pain
Guadalupe R. Palos, Tito R. Mendoza, Gary M. Mobley, Scott B. Cantor, and Charles Cleeland, University of Texas M. D. Anderson Cancer Center

Clinical practice guidelines recommend that adults use a numeric scale (0–10) to rate the severity of pain. However, in most instances, patients and clinicians use the terms mild, moderate, and severe to classify pain. This study assessed how well numeric scales correlate with the tri-level classification to identify numeric boundaries used by 287 adults to describe mild, moderate, and severe pain. Ranges reported for each pain level were 1.3–3.6 for mild pain, 4.3–6.5 for moderate pain, and 7.5–9.8 for severe pain. These findings support using numeric scales more extensively in clinical practice. The authors concluded that having standard categories to describe pain severity might increase clinician confidence in using numeric scales to make treatment decisions.

Pain and Attention: Attentional Disruption or Distraction?
Dieuwke S. Veldhuijzen, J. Leon Kenemans, C. Martine de Bruin, Berend Oliver, Edmund R. Volkerts, Hemholtz Research Institute, Utrecht University

For this study, the authors hypothesized that pain would negatively influence task performance under different load manipulations. Some studies have shown allocating attention to a cognitive task can modulate pain perception, and difficult tasks are more successful in altering pain perception. Conversely, there is research showing that when the task difficulty is high, patients in moderate-to-severe pain performed worse compared with patients with low or no pain.

Two experiments were performed using high and low task loads combined with a painfully cold or neutral cold pressor test. The researchers found that pain processing interferes with highly demanding attentional task performance as a result of difficulties in allocating attention. Clinically this is relevant because patients might be able to distract attention from their pain by performing a highly demanding task.

 

IASP Call for Applications

International Association for the Study of Pain (IASP) is pleased to announce a call for applications for the IASP Research Grants funded by the Scan/Design by Inger and Jens Bruun Foundation, which were awarded for the first time in 2005. Two grants will be awarded—one for clinical research and one for basic research. These will be small, collaborative grant awards with a maximum of U.S. $10,000 each, subject to the conditions described below. Deadline for receipt of applications by IASP is April 30, 2006. Awards will be announced by June 30, 2006. For more information or an application, please contact IASP at kathyh@iasp-pain.org, 206/283-0311, or visit www.iasp-pain.org.

 

Join APS in San Antonio!

San Antonio is a rich and lively blend of culture, fun and flavor—colorful and slightly spicy! Be prepared for a wonderful combination of history, cuisine, arts, music, and fun. In May, the average temperature during the day is in the mid-80s and the low around 65°. It will be a delightful time of year to stroll along one of San Antonio’s jewels—the Paseo del Rio. Better known as the “River Walk,” these cobblestone and flagstone paths border both sides of the San Antonio River as it winds its way through the middle of the business district. The River Walk has multiple personalities—quiet and park-like in some stretches, full of activity with European-style sidewalk cafes, specialty boutiques, nightclubs, and gleaming high-rise hotels in others. At night, when the stars are big and bright, the clubs overflow with music, dancing, and visitors from around the world. The river’s floating transportation system provides a novel method of sightseeing and people watching in downtown San Antonio.

Read more about some of San Antonio’s off-the-beaten-path attractions or contact the San Antonio Convention and Visitors Bureau via its Web site, www.sanantoniocvb.com, or at 800/447-3372.

San Antonio: Off the Beaten Path, But Near the River Walk

Southwest School of Art & Craft
Hours, Monday–Saturday, 10 am–5 pm; Sunday, 11 am–4 pm
Tours of the historic buildings and grounds are available Monday–Friday, 10 am–3 pm.
The Southwest School of Art & Craft is a nationally recognized leader in arts education, offering studio programs for more than 4,000 adults, children, and teens annually. Classes and workshops are taught by outstanding local, regional, and national artists in state-of-the-art facilities. The school also organizes contemporary art exhibitions, lectures, and concerts, as well as a History Museum and Visitors Center, a Gallery Shop, and a lunch café.

Hard Rock Cafe in San Antonio
Situated along the city’s famous River Walk area, there are three floors of patios with views of the slow-moving tourist boats below. Inside you’ll find hefty sized gourmet meals and a collection of rock ‘n’ roll memorabilia big enough to fill a Spanish mission.

Rio San Antonio Cruises
315 E. Commerce
Sunday–Thursday, 10 am–8 pm; Friday–Saturday, 10 am–10 pm
800/417-4139
210/244-5740 fax
www.riosanantonio.com
A 35-minute narrated history of the beautiful San Antonio River Walk. Dinner cruises and private tours are also available.

Vbar
Hotel Valencia Riverwalk
150 East Houston St.
210/227-9700
Slip past the metal-bead curtains and step into Vbar. Overlooking the Riverwalk in the neoclassic Hotel Valencia, this intimate and cosmopolitan bar is designed for patrons to converse and sip. Vbar mostly attracts professionals and discerning tourists instead. Local DJs and artists contribute to the relaxing ambience. Vbar is the perfect place to spend a night out.

Howl at the Moon Saloon
111 W. Crockett #201
210/212-4770
210/212-4699 fax
www.howlatthemoon.com
Live nightly entertainment with dueling baby grand pianos, today’s popular songs, parodies, and audience participation. Come early to enjoy the evening festivities and imbibe your favorite libations.

Polly Esther’s/Culture Club
212 College St.
210/220-1972
210/220-1974 fax
www.pollyestherssa.com
Launched in 1991, the club has ignited passion for the past—one that continues to be fueled by growing numbers of nostalgia-crazed adults and the media. Fans of disco music and the 1970s continue to turn out in droves to celebrate the decade of Tony Manero, “Charlie’s Angels,” pet rocks, and mood rings.

Ghost Tours San Antonio
210/271-9600
707/885-7270 fax
www.americabyfoot.com
If you’re interested in finding out things like how the famous pirate Jean Lafitte spent his last days in Texas or the dark stories about San Antonio’s unsettled troubled spirits, let the expert guides of the Ghost and Legends of San Antonio stimulate and fascinate you with their tales.

Ghosts & Legends of San Antonio Tour
Open nightly, 9 am–9 pm
210/271-9600
707/885-7270 fax
www.sanantonioghosts.com
Join us for a walk through the shadows of beautiful downtown San Antonio, where nature, love, lust, and greed have created a history of violent death and troubled spirits unable to settle. Our expert guides will share stories from both past and present times. Learn why La Llorona wails along the San Antonio River, why the sound of a rattlesnake chills the blood, how the famous pirate Jean Lafitte spent his last days in Texas, and many other fascinating stories of lore and legend.

Cementville Laboratory + Cafe
7310 Jones Maltsberger,
210/828-7232
Cementville is among San Antonio’s finest American Nouveau establishments. Themed to the periodic table, the graphics add to Cementville’s scientific appeal. This bar and restaurant sparkle with colorful, modern illuminations, black-and-white tables and a large couch that begins and bends from the bar and wraps to the outer wall. Cementville pours a wide array of cocktails and wines, and the kitchen serves lunch, dinner and hors d’oeuvres. Jazz musicians occasionally perform here.

Connect to more information about San Antonio by visiting the following links:
www.sanantoniocvb.com
heartofsanantonio.com
www.sanantonio.com
www.alamocity.com
www.thealamo.org/main.html
thesanantonioriverwalk.com
www.sapage.com