Alec B O'Connor

Summary

Affiliation: University of Rochester
Country: USA

Publications

  1. doi request reprint Restructuring an inpatient resident service to improve outcomes for residents, students, and patients
    Alec B O'Connor
    University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
    Acad Med 86:1500-7. 2011
  2. ncbi request reprint Eliminating analgesic meperidine use with a supported formulary restriction
    Alec B O'Connor
    University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
    Am J Med 118:885-9. 2005
  3. ncbi request reprint A cost-effectiveness comparison of desipramine, gabapentin, and pregabalin for treating postherpetic neuralgia
    Alec B O'Connor
    Department of Medicine, School of Medicine and Dentistry, University of Rochester, Rochester, New York, USA
    J Am Geriatr Soc 55:1176-84. 2007
  4. ncbi request reprint Underdosing of morphine in comparison with other parenteral opioids in an acute hospital: a quality of care challenge
    Alec B O'Connor
    Hospital Medicine Division, and Department of Medicine, Palliative Care Program, University of Rochester, School of Medicine and Dentistry, Rochester, New York 14642, USA
    Pain Med 7:299-307. 2006
  5. doi request reprint A cost-utility comparison of four first-line medications in painful diabetic neuropathy
    Alec B O'Connor
    Department of Medicine, University of Rochester School of Medicine and Dentistry, University of Rochester, Rochester, New York 14642, USA
    Pharmacoeconomics 26:1045-64. 2008
  6. doi request reprint The effect of nonteaching services on the distribution of inpatient cases for internal medicine residents
    Alec B O'Connor
    Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
    Acad Med 84:220-5. 2009
  7. doi request reprint Neuropathic pain: quality-of-life impact, costs and cost effectiveness of therapy
    Alec B O'Connor
    Department of Medicine, University of Rochester School of Medicine and Dentistry, New York, USA
    Pharmacoeconomics 27:95-112. 2009
  8. doi request reprint Intravenous opioid dosing and outcomes in emergency patients: a prospective cohort analysis
    Alec B O'Connor
    Department of Internal Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    Am J Emerg Med 28:1041-1050.e6. 2010
  9. doi request reprint Treatment of neuropathic pain: an overview of recent guidelines
    Alec B O'Connor
    Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    Am J Med 122:S22-32. 2009
  10. doi request reprint Outcomes after intravenous opioids in emergency patients: a prospective cohort analysis
    Alec B O'Connor
    Department of Internal Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
    Acad Emerg Med 16:477-87. 2009

Detail Information

Publications56

  1. doi request reprint Restructuring an inpatient resident service to improve outcomes for residents, students, and patients
    Alec B O'Connor
    University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
    Acad Med 86:1500-7. 2011
    ..This study assesses the effects of a resident teaching service restructuring on resident, student, and patient outcomes...
  2. ncbi request reprint Eliminating analgesic meperidine use with a supported formulary restriction
    Alec B O'Connor
    University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
    Am J Med 118:885-9. 2005
    ..The objective of this study was to measure the effects of a meperidine formulary restriction on the prescribing of parenteral opioid analgesics...
  3. ncbi request reprint A cost-effectiveness comparison of desipramine, gabapentin, and pregabalin for treating postherpetic neuralgia
    Alec B O'Connor
    Department of Medicine, School of Medicine and Dentistry, University of Rochester, Rochester, New York, USA
    J Am Geriatr Soc 55:1176-84. 2007
    ..To compare the net health effects and costs resulting from treatment with different first-line postherpetic neuralgia (PHN) medications...
  4. ncbi request reprint Underdosing of morphine in comparison with other parenteral opioids in an acute hospital: a quality of care challenge
    Alec B O'Connor
    Hospital Medicine Division, and Department of Medicine, Palliative Care Program, University of Rochester, School of Medicine and Dentistry, Rochester, New York 14642, USA
    Pain Med 7:299-307. 2006
    ..The present study was undertaken to determine: 1) whether different parenteral opioids are dosed equivalently; 2) which patient factors affect equianalgesic dose; and 3) which patient factors affect opioid choice...
  5. doi request reprint A cost-utility comparison of four first-line medications in painful diabetic neuropathy
    Alec B O'Connor
    Department of Medicine, University of Rochester School of Medicine and Dentistry, University of Rochester, Rochester, New York 14642, USA
    Pharmacoeconomics 26:1045-64. 2008
    ..Painful diabetic neuropathy is common and adversely affects patients' quality of life and function. Several treatment options exist, but their relative efficacy and value are unknown...
  6. doi request reprint The effect of nonteaching services on the distribution of inpatient cases for internal medicine residents
    Alec B O'Connor
    Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
    Acad Med 84:220-5. 2009
    ..Nonteaching services (NTSs) are becoming increasingly prevalent in academic hospitals. This study was designed to determine whether the presence of an NTS is associated with higher acuity and altered case mix on the teaching service...
  7. doi request reprint Neuropathic pain: quality-of-life impact, costs and cost effectiveness of therapy
    Alec B O'Connor
    Department of Medicine, University of Rochester School of Medicine and Dentistry, New York, USA
    Pharmacoeconomics 27:95-112. 2009
    ..The full costs to society of NP, including productivity loss costs, have not been determined for chronic NP. Improved relative efficacy, utility and cost estimates would facilitate future cost-effectiveness research in NP...
  8. doi request reprint Intravenous opioid dosing and outcomes in emergency patients: a prospective cohort analysis
    Alec B O'Connor
    Department of Internal Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    Am J Emerg Med 28:1041-1050.e6. 2010
    ..This study sought to (1) describe the variability in intravenous opioid dosing and (2) compare the outcomes that result from the most commonly prescribed opioid doses...
  9. doi request reprint Treatment of neuropathic pain: an overview of recent guidelines
    Alec B O'Connor
    Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    Am J Med 122:S22-32. 2009
    ..For all treatments for neuropathic pain, long-term studies, head-to-head comparisons, and studies of treatment combinations are a priority for future research...
  10. doi request reprint Outcomes after intravenous opioids in emergency patients: a prospective cohort analysis
    Alec B O'Connor
    Department of Internal Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
    Acad Emerg Med 16:477-87. 2009
    ..The objectives of this study were to measure the outcomes following administration of intravenous (IV) opioids and to identify clinical factors that may predict poor analgesic outcomes in these patients...
  11. pmc Recommendations for the pharmacological management of neuropathic pain: an overview and literature update
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, NY 14642, USA
    Mayo Clin Proc 85:S3-14. 2010
    ..The objectives of the current article are to review the Neuropathic Pain Special Interest Group guidelines for the pharmacological management of neuropathic pain and to provide a brief overview of these recent studies...
  12. ncbi request reprint Skin biopsy and quantitative sensory testing do not predict response to lidocaine patch in painful neuropathies
    David N Herrmann
    Department of Neurology, University of Rochester Medical Center, 601 Elmwood Ave, Box 673, Rochester, NY 14642, USA
    Muscle Nerve 33:42-8. 2006
    ..Further studies are required to clarify precisely the mechanism and site of action of the lidocaine patch in patients with peripheral neuropathic pain...
  13. ncbi request reprint A randomized, placebo-controlled trial of bupropion sustained release in chronic low back pain
    Jennifer Katz
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    J Pain 6:656-61. 2005
    ..placebo. These results suggest that bupropion SR was not significantly better than placebo in the treatment of patients with non-neuropathic chronic low back pain...
  14. doi request reprint Health care expenditure burden of persisting herpes zoster pain
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    Pain Med 9:348-53. 2008
    ....
  15. ncbi request reprint Risk factors for postherpetic neuralgia in patients with herpes zoster
    Beth F Jung
    University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    Neurology 62:1545-51. 2004
    ....
  16. ncbi request reprint Clinical trial outcome in neuropathic pain: relationship to study characteristics
    Jennifer Katz
    Department of Psychology, State University of New York College at Geneseo, NY, USA
    Neurology 70:263-72. 2008
    ..It is unclear whether these trials were unsuccessful because the medications truly lack efficacy or whether characteristics of the trials compromised the demonstration of treatment benefits...
  17. ncbi request reprint Rash severity in herpes zoster: correlates and relationship to postherpetic neuralgia
    Elna M Nagasako
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, New York, USA
    J Am Acad Dermatol 46:834-9. 2002
    ..The results indicate that severe rash is more common in patients with herpes zoster who are older and who have more severe acute pain and confirm that severe rash is a risk factor for prolonged pain...
  18. doi request reprint Broadening the spectrum of controls for skin biopsy in painful neuropathies
    David N Herrmann
    Department of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    Muscle Nerve 42:436-8. 2010
    ..Distal-leg ENFD/morphology in MS DLLBP patients did not differ significantly from that of healthy controls. This study extends the range of ENFD controls and further supports use of ENFD assessment in SFSN...
  19. ncbi request reprint Risk factors for acute pain and its persistence following breast cancer surgery
    Jennifer Katz
    Department of Psychology, State University of New York College at Geneseo, Geneseo, NY, USA
    Pain 119:16-25. 2005
    ....
  20. ncbi request reprint Pharmacologic management of neuropathic pain: evidence-based recommendations
    Robert H Dworkin
    University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    Pain 132:237-51. 2007
    ..Long-term studies, head-to-head comparisons between medications, studies involving combinations of medications, and RCTs examining treatment of central NP are lacking and should be a priority for future research...
  21. ncbi request reprint Effectiveness, tolerability, and impact on quality of life of the 5% lidocaine patch in diabetic polyneuropathy
    Richard L Barbano
    Department of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    Arch Neurol 61:914-8. 2004
    ..The treatment of painful diabetic polyneuropathy (DPN) is often inadequate and frequently limited by the systemic adverse effects of medications, necessitating the evaluation of novel treatments...
  22. doi request reprint Diagnosis and assessment of pain associated with herpes zoster and postherpetic neuralgia
    Robert H Dworkin
    Department of Anesthesiology and Neurology, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Rochester, NY 14642, USA
    J Pain 9:S37-44. 2008
    ..PERSPECTIVE: Comprehensive assessments of pain are necessary for clinical research on the epidemiology, natural history, pathophysiologic mechanisms, treatment, and prevention of pain in herpes zoster and PHN...
  23. ncbi request reprint Placebo response in clinical trials of depression and its implications for research on chronic neuropathic pain
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    Neurology 65:S7-19. 2005
    ....
  24. pmc The tampon test for vulvodynia treatment outcomes research: reliability, construct validity, and responsiveness
    David C Foster
    Department of Obstetrics and Gynecology, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    Obstet Gynecol 113:825-32. 2009
    ..We report upon the reliability, validity, and responsiveness to change of the Tampon Test as an outcome measure for vulvodynia clinical trials...
  25. ncbi request reprint Advances in neuropathic pain: diagnosis, mechanisms, and treatment recommendations
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Meedicine and Dentistry, Rochester, NY 14642
    Arch Neurol 60:1524-34. 2003
    ..Continued progress in basic and clinical research on the pathophysiologic mechanisms of neuropathic pain may make it possible to predict effective treatments for individual patients by application of a pain mechanism-based approach...
  26. doi request reprint Polyunsaturated fatty acids and their potential therapeutic role in multiple sclerosis
    Lahar R Mehta
    Neuroimmunology Unit, University of Rochester Medical Center, 601 Elmwood Avenue, Box 605, Rochester, NY 14586, USA
    Nat Clin Pract Neurol 5:82-92. 2009
    ..We propose that the potential role of PUFAs as disease-modifying, anti-inflammatory treatments for MS should be revisited in proof-of-concept trials that use accepted MRI outcome measures...
  27. doi request reprint A randomized, placebo-controlled trial of oxycodone and of gabapentin for acute pain in herpes zoster
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 604, Rochester, NY 14642, USA
    Pain 142:209-17. 2009
    ....
  28. doi request reprint Impact of postherpetic neuralgia and painful diabetic peripheral neuropathy on health care costs
    Robert H Dworkin
    Departments of Anesthesiology and Neurology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    J Pain 11:360-8. 2010
    ..The results also increase understanding of the economic burden of PHN and painful DPN and provide a basis for evaluating the impact on health care costs of new interventions for their treatment and prevention...
  29. ncbi request reprint Pharmacotherapy of painful diabetic neuropathy
    Richard Barbano
    University of Rochester, Department of Neurology, 601 Elmwood Avenue, Rochester, NY 14642, USA
    Curr Pain Headache Rep 7:169-77. 2003
    ..There is great hope that the future may hold treatments that would prevent nerve damage...
  30. doi request reprint Development and initial validation of an expanded and revised version of the Short-form McGill Pain Questionnaire (SF-MPQ-2)
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 604, Rochester, NY 14642, USA
    Pain 144:35-42. 2009
    ..These results provide a basis for use of the SF-MPQ-2 in future clinical research, including clinical trials of treatments for neuropathic and non-neuropathic pain conditions...
  31. pmc Treatment of herpes zoster and postherpetic neuralgia
    Robert W Johnson
    Pain Management Clinic, Bristol Royal Infirmary, Bristol BS2 8HW, University of Rochester Medical Centre, New York, USA
    BMJ 326:748-50. 2003
  32. doi request reprint Interpreting the clinical importance of group differences in chronic pain clinical trials: IMMPACT recommendations
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    Pain 146:238-44. 2009
    ..Such determinations must be conducted on a case-by-case basis, and are ideally informed by patients and their significant others, clinicians, researchers, statisticians, and representatives of society at large...
  33. doi request reprint Research design considerations for confirmatory chronic pain clinical trials: IMMPACT recommendations
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    Pain 149:177-93. 2010
    ....
  34. ncbi request reprint Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    J Pain 9:105-21. 2008
    ..Provisional benchmarks for identifying clinically important changes in specific outcome measures that can be used for outcome studies of treatments for chronic pain are proposed...
  35. ncbi request reprint Effects of intradermal foot and forearm capsaicin injections in normal and vulvodynia-afflicted women
    David C Foster
    Department of Obstetrics and Gynecology and Department of Anaesthesia, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
    Pain 117:128-36. 2005
    ..Conclusion. VVS patients show enhancement of post-capsaicin pain response extending far beyond the anatomic location of the primary complaint...
  36. ncbi request reprint An open-label study of the lidocaine patch 5% in painful idiopathic sensory polyneuropathy
    David N Herrmann
    Department of Neurology, University of Rochester, Rochester, New York 14642, USA
    Pain Med 6:379-84. 2005
    ..We have therefore conducted a safety, tolerability, and effectiveness study of the lidocaine patch 5% in painful idiopathic distal sensory polyneuropathy...
  37. ncbi request reprint Fibromyalgia from the perspective of neuropathic pain
    Robert H Dworkin
    University of Rochester Medical Center, Rochester, NY, USA
    J Rheumatol Suppl 75:1-5. 2005
  38. ncbi request reprint Ion channel targets and treatment efficacy in neuropathic pain
    John D Markman
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    J Pain 7:S38-47. 2006
    ..Improved efficacy of ion channel modulators hinges upon further elucidation of the relationship between signs and symptoms of pain and underlying pathophysiology...
  39. ncbi request reprint Contributions of physical and sexual abuse to women's experiences with chronic pelvic pain
    Ellen L Poleshuck
    Wynne Center for Family Research, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    J Reprod Med 50:91-100. 2005
    ..To examine the roles of physical and sexual abuse in women with chronic pelvic pain using multi-dimensional pain assessment and to compare the chronic pelvic pain experiences of women with physical abuse to those of women with sexual abuse...
  40. ncbi request reprint An overview of neuropathic pain: syndromes, symptoms, signs, and several mechanisms
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, New York, USA
    Clin J Pain 18:343-9. 2002
    ..An overview is presented of neuropathic pain syndromes, their characteristic symptoms and signs, and recent approaches to identifying their pathophysiologic mechanisms...
  41. ncbi request reprint Symptom profiles differ in patients with neuropathic versus non-neuropathic pain
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    J Pain 8:118-26. 2007
    ....
  42. ncbi request reprint Recommendations for the management of herpes zoster
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY, 14642, USA
    Clin Infect Dis 44:S1-26. 2007
    ..Specific recommendations for the use of these medications are provided. In addition, suggestions are made for treatments that, when used in combination with antiviral therapy, may further reduce pain and other complications of HZ...
  43. ncbi request reprint Core outcome measures for chronic pain clinical trials: IMMPACT recommendations
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    Pain 113:9-19. 2005
  44. ncbi request reprint Acute pain in herpes zoster and its impact on health-related quality of life
    Jennifer Katz
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY, 14642, USA
    Clin Infect Dis 39:342-8. 2004
    ..The increasing incidence of herpes zoster that can be anticipated as the population ages requires that clinical trials that examine interventions to prevent or treat herpes zoster pain be given a high priority...
  45. doi request reprint Oral desipramine and topical lidocaine for vulvodynia: a randomized controlled trial
    David C Foster
    Departments of Obstetrics and Gynecology, Biostatistics, Anesthesiology and Neurology, and Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    Obstet Gynecol 116:583-93. 2010
    ..To estimate the efficacy of common treatments for vulvodynia: topical lidocaine monotherapy, oral desipramine monotherapy, and lidocaine-desipramine combined therapy...
  46. ncbi request reprint Treatment and prevention of postherpetic neuralgia
    Robert H Dworkin
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    Clin Infect Dis 36:877-82. 2003
    ..Research on administration of the varicella-zoster vaccine to prevent herpes zoster and on treatment of patients who have herpes zoster with combined antiviral and analgesic therapy to prevent PHN is discussed...
  47. doi request reprint Why do emergency providers choose one opioid over another? A prospective cohort analysis
    Alec B O'Connor
    University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
    J Opioid Manag 8:403-13. 2012
    ..The reasons providers choose one parenteral opioid over another are not well understood. The authors sought to determine why emergency department (ED) providers choose one parenteral opioid over another...
  48. pmc Association between hand-off patients and subject exam performance in medicine clerkship students
    Valerie J Lang
    University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box MED HMD, Rochester, NY 14642, USA
    J Gen Intern Med 24:1018-22. 2009
    ..Teaching hospitals increasingly rely on transfers of patient care to another physician (hand-offs) to comply with duty hour restrictions. Little is known about the impact of hand-offs on medical students...
  49. ncbi request reprint Healthcare costs of acute and chronic pain associated with a diagnosis of herpes zoster
    Robert H Dworkin
    Department of Anesthesiology, School of Medicine and Dentistry, University of Rochester, Rochester, New York 14642, USA
    J Am Geriatr Soc 55:1168-75. 2007
    ..To determine the healthcare costs of acute and chronic pain associated with herpes zoster...
  50. ncbi request reprint Pain associated with multiple sclerosis: systematic review and proposed classification
    Alec B O'Connor
    Department of Medicine, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Rochester, NY 14642, USA
    Pain 137:96-111. 2008
    ..Suggestions for future studies that would increase understanding of the natural history, mechanisms, and treatment of pain in patients with MS are presented...
  51. doi request reprint Natural history and treatment of herpes zoster
    Kenneth E Schmader
    Division of Geriatrics, Department of Medicine, Duke University Medical Center and Geriatric Research, Education and Clinical Center, Durham VA Medical Center, Durham, NC 27705, USA
    J Pain 9:S3-9. 2008
    ..PERSPECTIVE: This article presents information on the clinical features and treatment of herpes zoster. This information will help clinicians diagnose and manage herpes zoster pain...
  52. ncbi request reprint Risk factors for chronic pain following breast cancer surgery: a prospective study
    Ellen L Poleshuck
    Department of Psychiatry, University of Rochester School of Medicine and Dentistry, New York 14642, USA
    J Pain 7:626-34. 2006
    ....
  53. doi request reprint Collaborative development of teaching scripts: an efficient faculty development approach for a busy clinical teaching unit
    Valerie J Lang
    Hospital Medicine Division, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    J Hosp Med 7:644-8. 2012
    ..This study describes a busy hospitalist unit's early experience with the collaborative development of teaching scripts...
  54. ncbi request reprint Psychosocial risk factors for postherpetic neuralgia: a prospective study of patients with herpes zoster
    Jennifer Katz
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA
    J Pain 6:782-90. 2005
    ..These findings indicate that psychosocial variables are risk factors for the development of PHN...
  55. ncbi request reprint Neuropathic pain associated with non-surgical treatment of breast cancer
    Beth F Jung
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 604, Rochester, NY 14642, USA
    Pain 118:10-4. 2005
  56. ncbi request reprint Neuropathic pain following breast cancer surgery: proposed classification and research update
    Beth F Jung
    Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 604, Rochester, NY 14642, USA
    Pain 104:1-13. 2003