Sergio F. Breña

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Difficulties in assessing and quantifying the biomedical signs and symptoms that may be related to patients' reports of pain are well recognized. Although there appears to be some consensus among physicians as to the potential utility of examination and diagnostic tests frequently used to evaluate chronic pain patients, little attention has been paid to the(More)
Phantom urinary phenomena are a relatively rare disease entity. Literature search has revealed only one case following cystectomy, seven cases following spinal cord injury and several other cases in hemodialysis patients. This report presents a case of painful phantom bladder following cystectomy for chronic kidney and urinary tract infection. Treatment was(More)
Physicians are frequently called upon to evaluate patients with chronic pain to (1) establish the etiology, (2) determine the extent of impairment and disability, and (3) prescribe treatment. In many cases, there is little agreement as to what evaluation procedures should be used or how to weight and integrate these findings. Two studies were conducted to(More)
The technical committees responsible for ACI committee reports and standards strive to avoid ambiguities, omissions, and errors in these documents. In spite of these efforts, the users of ACI documents occasionally find information or requirements that may be subject to more than one interpretation or may be incomplete or incorrect. Users who have(More)
In a double-blind study, 67 chronic low back pain patients received 4 lumbar sympathetic nerve blocks, two given with bupivacaine and two given with saline. It was hypothesized that patients showing evidence of 'learned helplessness,' as measured by dependence on habit-forming medications for the pain, low activity levels, and elevated MMPI scores on(More)
Tree failure may cause significant economic and societal disruptions in urban environments. A better understanding of the relationship between branches and stem as they affect the dynamic response of decurrent trees under wind loading is needed to reduce the risk of tree failure. Finite element (FE) models were used to identify the parameters that primarily(More)
One hundred patients were selected who had completed an outpatient rehabilitation program designed to teach competent coping with chronic pain. Data at follow-up periods averaging 21 months posttreatment indicated statistically significant decreases in subjective pain intensity and increases in activities of daily living with substantial reductions in use(More)
We model varying decay in tree cross-sections by considering bending theory to estimate moment capacity loss (MCL) for the sections. We compare MCL with experiments on selected oak trees. Tree failures can damage property and injure people, sometimes with fatal consequences. Arborists assess the likelihood of failure by examining many factors, including(More)
A consecutive sample of chronic pain patients presenting themselves for evaluation was studied. A set of 25 bi-polar adjectives was developed from medical records of previous pain patients' descriptions of their pain. Using the Semantic Differential (S-D) method, each patient rated the extent to which his/her pain was best described by either of the(More)