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Sample records for caras-revisada faces pain

  1. Face pain

    Science.gov (United States)

    ... begin in other places in the body. Abscessed tooth (ongoing throbbing pain on one side of the lower face that ... chap 18. Digre KB. Headaches and other head pain. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine . 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap ...

  2. Facing the experience of pain: A neuropsychological perspective

    Science.gov (United States)

    Fabbro, Franco; Crescentini, Cristiano

    2014-09-01

    Pain is an experience that none of us would like to have but that each one of us is destined to experience in our lives. Despite its pervasiveness, the experience of pain remains problematic and complex in its depth. Pain is a multidimensional experience that involves nociception as well as emotional and cognitive aspects that can modulate its perception. Following a brief discussion of the neurobiological mechanisms underlying pain, the purpose of this review is to discuss the main psychological, neuropsychological, cultural, and existential aspects which are the basis of diverse forms of pain, like the pain of separation from caregivers or from ourselves (e.g., connected to the thought of our death), the suffering that we experience observing other people's pain, the pain of change and the existential pain connected to the temporal dimension of the mind. Finally, after a discussion of how the mind is able to not only create but also alleviate the pain, through mechanisms such as the expectation of the treatment and the hope of healing, we conclude by discussing neuropsychological research data and the attitude promoted by mindfulness meditation in relation to the pain. An attitude in which, instead to avoid and reject the pain, one learns to face mindfully the experience of pain.

  3. Subliminal presentation of other faces (but not own face) primes behavioral and evoked cortical processing of empathy for pain.

    Science.gov (United States)

    Ibáñez, Agustín; Hurtado, Esteban; Lobos, Alejandro; Escobar, Josefina; Trujillo, Natalia; Baez, Sandra; Huepe, David; Manes, Facundo; Decety, Jean

    2011-06-29

    Current research on empathy for pain emphasizes the overlap in the neural response between the first-hand experience of pain and its perception in others. However, recent studies suggest that the perception of the pain of others may reflect the processing of a threat or negative arousal rather than an automatic pro-social response. It can thus be suggested that pain processing of other-related, but not self-related, information could imply danger rather than empathy, due to the possible threat represented in the expressions of others (especially if associated with pain stimuli). To test this hypothesis, two experiments considering subliminal stimuli were designed. In Experiment 1, neutral and semantic pain expressions previously primed with own or other faces were presented to participants. When other-face priming was used, only the detection of semantic pain expressions was facilitated. In Experiment 2, pictures with pain and neutral scenarios previously used in ERP and fMRI research were used in a categorization task. Those pictures were primed with own or other faces following the same procedure as in Experiment 1 while ERPs were recorded. Early (N1) and late (P3) cortical responses between pain and no-pain were modulated only in the other-face priming condition. These results support the threat value of pain hypothesis and suggest the necessity for the inclusion of own- versus other-related information in future empathy for pain research. PMID:21624566

  4. Multiple faces of pain: effects of chronic pain on the brain regulation of facial expression.

    Science.gov (United States)

    Vachon-Presseau, Etienne; Roy, Mathieu; Woo, Choong-Wan; Kunz, Miriam; Martel, Marc-Olivier; Sullivan, Michael J; Jackson, Philip L; Wager, Tor D; Rainville, Pierre

    2016-08-01

    Pain behaviors are shaped by social demands and learning processes, and chronic pain has been previously suggested to affect their meaning. In this study, we combined functional magnetic resonance imaging with in-scanner video recording during thermal pain stimulations and use multilevel mediation analyses to study the brain mediators of pain facial expressions and the perception of pain intensity (self-reports) in healthy individuals and patients with chronic back pain (CBP). Behavioral data showed that the relation between pain expression and pain report was disrupted in CBP. In both patients with CBP and healthy controls, brain activity varying on a trial-by-trial basis with pain facial expressions was mainly located in the primary motor cortex and completely dissociated from the pattern of brain activity varying with pain intensity ratings. Stronger activity was observed in CBP specifically during pain facial expressions in several nonmotor brain regions such as the medial prefrontal cortex, the precuneus, and the medial temporal lobe. In sharp contrast, no moderating effect of chronic pain was observed on brain activity associated with pain intensity ratings. Our results demonstrate that pain facial expressions and pain intensity ratings reflect different aspects of pain processing and support psychosocial models of pain suggesting that distinctive mechanisms are involved in the regulation of pain behaviors in chronic pain. PMID:27411160

  5. Vigilance for pain-related faces in a primary task paradigm: an ERP study

    Directory of Open Access Journals (Sweden)

    Lautenbacher S

    2013-06-01

    Full Text Available Stefan Lautenbacher,1 Oliver Dittmar,1 Corinna Baum,1,2 Raphaela Schneider,1 Edmund Keogh,3 Miriam Kunz1 1Physiological Psychology, Otto-Friedrich University Bamberg, Bamberg, Germany; 2Institute of Medical Psychology, Justus-Liebig University Giessen, Giessen, Germany; 3Centre for Pain Research and Department of Psychology, University of Bath, Bath, UK Background: Pain-related stimuli are supposed to be automatically prioritized over other stimuli. This prioritization has often been tested using primary task paradigms in which pain information is irrelevant for completing the explicitly posed task. Task-irrelevant stimuli are only processed if they are very salient, and pain-related stimuli are assumed to be salient enough. Objective: We wanted to further investigate this assumption by assessing event-related brain potentials (ERPs – a very sensitive method for studying attention and reaction times in response to pictures of people in pain and other emotional faces – using a primary task paradigm. In addition, we assumed that individuals describing themselves as vigilant to pain are especially responsive to pain cues. Methods: One hundred pain-free subjects were tested in a primary task paradigm using pictures of facial expressions of pain, anger, happiness, and neutral mood. ERPs were assessed at midline electrodes. Vigilance to pain was assessed by the pain vigilance and awareness questionnaire. Results: In contrast to previous studies (which have used pain words, effects of facial expressions of pain and other emotions on the ERPs and reaction times were surprisingly weak throughout and did not give evidence for a distinct processing of pain-related stimuli. However, hypervigilant subjects appeared to be strongly and cognitively absorbed by all emotional stimuli. Conclusion: Accordingly, it appears that pain-related stimuli are not always of outstanding salience, but that certain characteristics (eg, type of material, emotional richness

  6. Face piercing (body art: choosing pleasure vs. possible pain and posture instability

    Directory of Open Access Journals (Sweden)

    EricMatheron

    2011-09-01

    Full Text Available Piercings (body art, i.e. with jewelry are more and more widespread. They can induce various complications such as infections, allergies, headaches, and various skin, cartilage, or dental problems which will lead to economic effects on health-care systems. We draw attention to other possible side effects resulting from face piercing complications such as eye misalignment, decreased postural control efficiency, and nonspecific chronic back pain. We found that the origin was pierced jewelry on the face. Removing the jewelry restored eye alignment, improved postural control, and alleviated back pain in a lasting way. This observation is important for health; further investigations would be of interest.

  7. The Utility of the Faces Pain Scale in the Assessment of Shoulder Pain in Turkish Stroke Patients: Its Relation with Quality of Life and Psychologic Status

    Science.gov (United States)

    Dogan, Sebnem Koldas; Ay, Saime; Oztuna, Derya; Aytur, Yesim Kurtais; Evcik, Deniz

    2010-01-01

    This study was planned to investigate the utility of the vertical Faces Pain Scale (FPS) in the assessment of pain in stroke patients using the shoulder pain model and to assess its utility in the Turkish patient population. The secondary aim was to analyze the association of FPS with the quality of life and depression in the study population.…

  8. Importance of music for facing the experience of pain. Comment on “Facing the experience of pain: A neuropsychological perspective” by Fabbro and Crescentini

    Science.gov (United States)

    Masataka, Nobuo

    2014-09-01

    Attempts to cope with the experience of pain have been numerous and have had a long history. Among others, mindfulness meditation is one of the oldest of them. It first emerged in ancient India and since then has been practiced up to the present, possibly as one of the most prevalent methods. There is a general consensus that the practice of such meditation can lead to a reduction of perceived pain most effectively, as argued by Fabbro and Crescentini [1]. As a first step of the attempt to practice such meditation, one is required not to defend oneself when faced with a painful experience, or to avoid or withdraw from the experience. However, this is not an easy task for anyone because humans, as Homo loquense[3], are born with an almost predispositional tendency to discard or to devalue conflicting knowledge because simultaneously holding conflicting cognitions makes them feel discomfort. Ancient Greeks already knew that, and in Aesop's fable, when a fox sees high-hanging grapes, his desire to eat grapes and inability to reach them are in conflict. The fox then overcomes this conflict by deciding that the grapes are sour and not worth eating. This conflict is the phenomenon referred to as cognitive dissonance in the field of psychology, and is closely connected to the entirety of human evolution. That is, the emergence of language must have led to the proliferation of cognitive dissonances, and if they had not been overcome, language and knowledge would have been discarded and further human evolution would have been stopped in its tracks. Thus, difficulty of facing pain is a "burden" imposed upon humans, who acquired language as a way to construct divergent and highly sophisticated cultures for their living.

  9. Reports of perceptual distortion of the face are common in patients with different types of chronic oro-facial pain.

    Science.gov (United States)

    Dagsdóttir, L K; Skyt, I; Vase, L; Baad-Hansen, L; Castrillon, E; Svensson, P

    2016-06-01

    Anecdotally, chronic oro-facial pain patients may perceive the painful face area as 'swollen'. Because there are no clinical signs, these self-reported 'illusions' may represent perceptual distortions and can be speculated to contribute to the maintenance of oro-facial pain. This descriptive study investigated whether chronic oro-facial pain patients experience perceptual distortions - a kind of body image disruption. Sixty patients were consecutively recruited to fill in questionnaires regarding i) pain experience, ii) self-reports of perceptual distortion and iii) psychological condition. Perceptual distortions were examined in the total group and in three diagnostic subgroups: i) painful post-traumatic trigeminal neuropathy (PPTN), ii) painful temporomandibular disorder (TMD) or iii) persistent idiopathic facial pain (PIFP). A large proportion of oro-facial pain patients reported perceptual distortions of the face (55·0%). In the diagnostic subgroups, perceptual distortions were most pronounced in PPTN patients (81·5%) but with no significant group differences. In the total group of chronic oro-facial pain patients, the present pain intensity explained 16·9% of the variance in magnitude of the perceptual distortions (R(2) = 16·9, F(31) = 6·3, P = 0·017). This study demonstrates that many chronic oro-facial pain patients may experience perceptual distortions. Future studies may clarify the mechanisms underlying perceptual distortions, which may point towards new complementary strategies for the management of chronic oro-facial pain. PMID:26826628

  10. Face-to-face Information and Emotional Support from Trained Nurses Reduce Pain During Screening Mammography: Results from a Randomized Controlled Trial.

    Science.gov (United States)

    Fernández-Feito, Ana; Lana, Alberto; Cabello-Gutiérrez, Lourdes; Franco-Correia, Sara; Baldonedo-Cernuda, Ricardo; Mosteiro-Díaz, Pilar

    2015-12-01

    Pain and discomfort during breast examination can affect a woman's adherence to breast cancer-screening programs. The aim of this study was to determine whether a nursing intervention protocol that provides verbal information and support to women could reduce pain during mammography. A randomized controlled trial of 436 Spanish women aged 50-69 who attended a breast-screening program was performed. The experimental group received a customized nursing intervention that provided face-to-face information and emotional support during the examination. Pain and anxiety were measured using a visual analogue scale and the State-Trait Anxiety Inventory, respectively. Data regarding several potential confounders were also collected. The adjusted means of pain level in the study group were obtained from multiple linear regressions, and the adjusted odds ratios (OR) and 95% confidence intervals (CI) were obtained via logistic regression. After the intervention, the level of pain was significantly lower (p = .03) in the experimental group (0.98 ± 2.28) compared with the group treated with normal care (1.48 ± 2.29). Consequently, the probability of feeling pain during mammography was lower among women in the experimental group (OR = 0.44; 95% CI: 0.24-0.81). The intervention was more effective among women with the highest anxiety levels (OR = 0.33; 95% CI: 0.11-0.98), who did not expect pain (OR = 0.28; 95% CI: 0.08-0.97), and who did not fear the outcome of the mammography (OR = 0.18; 95% CI: 0.04-0.85). Providing verbal information, as well as supporting the women during the test, is a simple and achievable intervention for nurses and can help to reduce pain during screening mammography. PMID:26362406

  11. Social dimensions of pain. Comment on “Facing the experience of pain: A neuropsychological perspective” by Fabbro and Crescentini

    Science.gov (United States)

    Avenanti, Alessio; Vicario, Carmelo Mario; Borgomaneri, Sara

    2014-09-01

    In this issue, Fabbro and Crescentini [1] provide an integrative review of neuroscientific, psychological, cultural and philosophical aspects of pain experience and discuss some critical examples of its regulation. Here we focus on the two main social phenomena that are addressed in the review, namely the 'pain of separation' and 'empathy for pain' and further support the idea that these phenomena are intrinsically linked to physical pain, which may provide a 'proximal' physiological base to further understand them. In addition, we discuss the evolutionary 'ultimate' bases of such phenomena and suggest that they are linked to the evolution of parental care in social animals and as such support the development of social bonds. We conclude by considering the effect that positive social relationships and empathy have on the experience of pain.

  12. Effects of aromatherapy massage on face-down posture-related pain after vitrectomy: a randomized controlled trial.

    Science.gov (United States)

    Adachi, Naho; Munesada, Minako; Yamada, Noriko; Suzuki, Haruka; Futohashi, Ayano; Shigeeda, Takashi; Kato, Satoshi; Nishigaki, Masakazu

    2014-06-01

    Postoperative face-down posturing (FDP) is recommended to optimize the effects of intraocular gas tamponade after vitrectomy. However, patients undergoing FDP usually experience physical and psychological burdens. This 3-armed, randomized, single-center trial investigated the effects of aromatherapy on FDP-related physical pain. Sixty-three patients under FDP were randomly allocated to one of three treatment groups: aromatherapy massage with essential oil (AT), oil massage without essential oil (OT), and a control group. The AT and OT groups received 10 minutes of massage by ward nurses trained by an aromatherapist, while the control group received usual care. Outcomes were assessed as short-term (pre- to post-intervention) and long-term (first to third postoperative day) changes in physical pain in five body regions using face-scale. The AT and OT groups both revealed similar short-term pain reductions after intervention, compared with the control group. Regarding long-term effects, neither group experienced significant effects until the second day. Significantly more pain reduction compared with usual care occurred on the third day, mainly in the AT group, though there were few significant differences between the AT and OT groups. In conclusion, this study suggests that simple oil massage is an effective strategy for immediate pain reduction in patients undergoing FDP, while aromatherapy may have a long-term effect on pain reduction. PMID:23466193

  13. The Conceptions of Pain and Rehabilitation Questionnaire (CPRQ): development and test of face validity and stability over time.

    Science.gov (United States)

    Mårtensson, L; Archenholtz, B; Dahlin-Ivanoff, S

    2007-12-01

    The heterogeneity of diagnoses included in the concept of chronic pain, as well as differences in adaptation to the situation involving chronic illness, imply the need for a variety of rehabilitation forms. Despite evidence concerning the success of multidisciplinary behaviour-orientated rehabilitation programmes, not all participants experience the expected change. The aim of the present study was to develop and test the face validity and the stability over time of a Swedish self-administered questionnaire: the Conceptions of Pain and Rehabilitation Questionnaire (CPRQ) for persons with chronic pain. The questionnaire is to be used as a guiding tool in planning for rehabilitation. Its purpose is to distinguish between individuals with expectations of and motivation for active rehabilitation and those with expectations of more supportive forms of therapy. The face validity was mainly obtained by target-group discussions including persons with chronic pain and rehabilitation staff with experience in the rehabilitation of persons with chronic pain. The test-retest stability analysis was performed using a model for identifying occasional and systematic disagreement. The questionnaire in its final form showed face validity and reliability in terms of stability over time. Further steps in the development process will include laying down the guiding principles for the questionnaire, based on new focus-group discussions, and completing work on the manual by including information about the origin of the questionnaire and instructions for its administration. Thereafter, the next step in the development process will be a test of responsiveness, i.e. to examine the degree to which the questionnaire really serves its purpose. PMID:17852961

  14. Cultural adaptation to Brazilian Portuguese of the Face, Legs, Activity, Cry, Consolability revised (FLACCr) scale of pain assessment

    OpenAIRE

    Edna Aparecida Bussotti; Ruth Guinsburg; Mavilde da Luz Gonçalves Pedreira

    2015-01-01

    Abstract Objective: to perform the translation into Brazilian Portuguese and cultural adaptation of the Face, Legs, Activity, Cry, Consolability revised (FLACCr) scale, with children under 18 years old, affected by cerebral palsy, presenting or not cognitive impairment and unable to report their pain. Method: methodological development study of translation into Portuguese and cultural adaptation of the FLACCr. After approval by the ethics committee, the process aimed at translation and back-t...

  15. Cultural adaptation to Brazilian Portuguese of the Face, Legs, Activity, Cry, Consolability revised (FLACCr scale of pain assessment

    Directory of Open Access Journals (Sweden)

    Edna Aparecida Bussotti

    2015-08-01

    Full Text Available AbstractObjective: to perform the translation into Brazilian Portuguese and cultural adaptation of the Face, Legs, Activity, Cry, Consolability revised (FLACCr scale, with children under 18 years old, affected by cerebral palsy, presenting or not cognitive impairment and unable to report their pain.Method: methodological development study of translation into Portuguese and cultural adaptation of the FLACCr. After approval by the ethics committee, the process aimed at translation and back-translation, evaluation of translation and back-translation using the Delphi technique and assessment of cultural equivalence. The process included the five categories of the scale and the four application instructions, considering levels of agreement equal to or greater than 80%.Results: it was necessary three rounds of the Delphi technique to achieve consensus among experts. The agreement achieved for the five categories was: Face 95.5%, Legs 90%, Activity 94.4%, Cry 94.4% and Consolability 99.4%. The four instructions achieved the following consensus levels: 1st 99.1%, 2nd 99.2%, 3rd 99.1% and 4th 98.3%.Conclusion: the method enabled the translation and cultural adaptation of the FLACCr. This is a study able to expand the knowledge of Brazilian professionals on pain assessment in children with CP

  16. Different neural correlates of facing pain with mindfulness: Contributions of strategy and skill. Comment on “Facing the experience of pain: A neuropsychological perspective” by Fabbro and Crescentini

    Science.gov (United States)

    Gard, Tim

    2014-09-01

    As Fabbro and Crescentini [1] state at the beginning of their perspective article, pain is an inevitable, complex and multifaceted phenomenon. While acute pain fulfills an important alerting function, persistent pain is considered maladaptive and associated with unnecessary suffering. The definition of pain "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage" indicates the presence of sensory and emotional components [2]. In the brain the sensory aspects of pain, or its intensity, is associated with activations in primary and secondary somatosensory cortex while the emotional aspects of pain or pain unpleasantness are related to brain activation in dorsal anterior cingulate cortex [3,4]. Physical and emotional pain have overlapping mechanisms [5,6] as Fabbro and Crescentini [1] discuss with respect to social exclusion, empathy and the pain of separation including the fear of death.

  17. Facing Fibromyalgia

    Science.gov (United States)

    ... it was, and then I just had a flood of emotions. Because of my history, I was ... Fibromyalgia: medlineplus.gov/fibromyalgia.html Read More "Fibromyalgia" Articles Fibromyalgia: A Puzzling and Painful Condition / Facing Fibromyalgia ...

  18. Cognitive modulation of pain and predictive coding. Comment on “Facing the experience of pain: A neuropsychological perspective” by Fabbro and Crescentini

    Science.gov (United States)

    Pagnoni, Giuseppe; Porro, Carlo A.

    2014-09-01

    Pain is a phenomenologically complex experience whose sensory and psychological dimensions are deeply intertwined. In their perspective article, Fabbro and Crescentini [1] review the physiological and neural mechanisms underlying nociception and its cognitive modulation within the broader concept of suffering, which includes psychological pain [2] in its culturally mediated and existentially nuanced forms. The tight link between affective and cognitive processes, on the one hand, and pain, on the other, is illustrated by examining in turn the placebo effect, empathy for other people's afflictions, clinical depression, and the role that mindfulness-based practices may play in alleviating suffering.

  19. Reduction of head and face pain by challenging lateralization and basic emotions: a proposal for future assessment and rehabilitation strategies

    OpenAIRE

    von Piekartz, Harry; Mohr, Gesche

    2014-01-01

    Chronic facial pain has many of the clinical characteristics found in other persistent musculoskeletal conditions, such as low back and cervical pain syndromes. Unique to this condition, however, is that painful facial movements may result in rigidity or altered ability to demonstrate mimicry, defined as the natural tendency to adopt the behavioral expressions of other persons involved in the interaction. Loss of ability to communicate through emotional expression can lead to impaired process...

  20. Conceptions of reality and the experience of pain. Comment on “Facing the experience of pain: A neuropsychological perspective” by Fabbro and Crescentini

    Science.gov (United States)

    De Anna, Gabriele

    2014-09-01

    A core of neurobiological mechanisms is implicated in different forms of pain. Fabbro and Crescentini [4] show that this fact is significant both on the scientific level and on the philosophical level. Their main philosophical claim is that the existence of a neural circuit devoted to the experience of time suggests that time might not be real. An upshot would be that the objects which populate the world of our experience might not be real either, and hence the attachment to them and the mechanisms of pain for the separation from them that were developed through evolution would be misplaced. By contrast, in their view, we inhabit a Heraclitean or Buddhist world of processes: indeed, by inhibiting our time circuits, mindful meditation releases us from perceiving reality as a world of objects and thereby reliefs us from pain. Fabbro and Crescentini remark on a limitation of attempts to employ mindful meditation as a pain killer in clinical contexts: a long time of meditation practice is needed for a subject to be able to alleviate pain through that method.

  1. Pain Assessment

    Science.gov (United States)

    Introduction Types of Pain Pain Assessment Pain Treatments Integrative Pain Therapy Pain Management Recommendations References September 04, 2016 Pain Assessment Effective pain management begins with a comprehensive ...

  2. Orofacial pain: a primer.

    Science.gov (United States)

    De Rossi, Scott S

    2013-07-01

    Orofacial pain refers to pain associated with the soft and hard tissues of the head, face, and neck. It is a common experience in the population that has profound sociologic effects and impact on quality of life. New scientific evidence is constantly providing insight into the cause and pathophysiology of orofacial pain including temporomandibular disorders, cranial neuralgias, persistent idiopathic facial pains, headache, and dental pain. An evidence-based approach to the management of orofacial pain is imperative for the general clinician. This article reviews the basics of pain epidemiology and neurophysiology and sets the stage for in-depth discussions of various painful conditions of the head and neck. PMID:23809298

  3. On the mutual effects of pain and emotion: facial pain expressions enhance pain perception and vice versa are perceived as more arousing when feeling pain.

    Science.gov (United States)

    Reicherts, Philipp; Gerdes, Antje B M; Pauli, Paul; Wieser, Matthias J

    2013-06-01

    Perception of emotional stimuli alters the perception of pain. Although facial expressions are powerful emotional cues - the expression of pain especially plays a crucial role for the experience and communication of pain - research on their influence on pain perception is scarce. In addition, the opposite effect of pain on the processing of emotion has been elucidated even less. To further scrutinize mutual influences of emotion and pain, 22 participants were administered painful and nonpainful thermal stimuli while watching dynamic facial expressions depicting joy, fear, pain, and a neutral expression. As a control condition of low visual complexity, a central fixation cross was presented. Participants rated the intensity of the thermal stimuli and evaluated valence and arousal of the facial expressions. In addition, facial electromyography was recorded as an index of emotion and pain perception. Results show that faces per se, compared to the low-level control condition, decreased pain, suggesting a general attention modulation of pain by complex (social) stimuli. The facial response to painful stimulation revealed a significant correlation with pain intensity ratings. Most important, painful thermal stimuli increased the arousal of simultaneously presented pain expressions, and in turn, pain expressions resulted in higher pain ratings compared to all other facial expressions. These findings demonstrate that the modulation of pain and emotion is bidirectional with pain faces being mostly prone to having mutual influences, and support the view of interconnections between pain and emotion. Furthermore, the special relevance of pain faces for the processing of pain was demonstrated. PMID:23541426

  4. Face to Face

    DEFF Research Database (Denmark)

    Jungfalk, Michael; Rossen, Svend

    2008-01-01

    Blended learning in education is the combination of face‐to‐face seminars and on‐line work based on the internet. We have investigated which factors that we found were important in designing and conducting face‐to‐face seminars in order to facilitate learning processes in the periods of on...

  5. Groin pain

    Science.gov (United States)

    Pain - groin; Lower abdominal pain; Genital pain; Perineal pain ... Common causes of groin pain include: Pulled muscle, tendon, or ligaments in the leg: This problem often occurs in people who play sports such as ...

  6. Vivências de mulheres à dor no infarto do miocárdio Vivencias de mujeres frente al dolor en el infarto del miocardio Experiences of women in face of pain from acute myocardial infarction

    Directory of Open Access Journals (Sweden)

    Fernanda Carneiro Mussi

    2006-06-01

    to understand the meanings of the experience of pain suffered by women during acute myocardial infarction (AMI and to identify their immediate actions in face of pain. This qualitative research used the Symbolic Interactionism theory and the Grounded Theory methodology. Forty-three wo-men were interviewed at the University Hospital. The central category expressing the pain experience was that it was "a break with day-to-day life". The categories that expressed such break revealed that in face of increasing pain those women felt dominated and afraid of dying because they had lost control over their bodies and their lives. They did not recognize the occurrence of AMI and at first resisted to look for assistance by attempting to alleviate the pain. In face of the unbearable pain and their impotence to control it, they asked for God's salvation and help from surrounding people and finally resorted to medical assistance.

  7. Pain indicators in newborns

    Directory of Open Access Journals (Sweden)

    Spasojević Slobodan

    2008-01-01

    Full Text Available Definition of pain. The International Association for the Study of Pain has defined pain as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage." The interpretation of pain is subjective. Each person forms an internal construct of pain through encountered injury. Pain and newborn. The issue of pain perception in newborns, its management and prevention has been neglected for decades. The inability of "self-report" of painful experience has contributed significantly to misunderstanding of the importance of this problem and in­adequate treatment. The main characteristic of this 'critical window of brain development' period is rapid enlargement of brain volume and its great plasticity. Harmful short-term and long-term consequences can arise as a consequence of disturbance of the sophisticated balance between newborn and its surrounding. Neonatal pain indicators. As a response to a present painful stimulus, the newborn adapts to this acute stress with changes in endocrine, vegetative, immune and behavioral area. An ideal pain indicator in neonatal period does not exist. There are several different groups o them, namely contextual and developmental indicators (gestational age, contributed illness, medication, for example, physiological (heart rate, vagal tone, breathing rate, blood pressure, oxygen saturation, transcutaneous partial pressures of oxygen and carbon-dioxide, intracranial pressure, palm sweating and behavioral ones (face expression, movements of limbs, cry, several neonatal pain scales were constructed on the basis of these indicators. .

  8. Face To Face

    OpenAIRE

    Laursen, Lea Holst; Eilertzen, Freja Nissen; Repsdorph, Helene Reck; Gerelsaikhan, Gerelmaa; Otkjær, Mia Jo; Søndergaard, Ditte Klerens

    2008-01-01

    The face-to-face (F2F) strategy is a method which entails groups of so-called ‘facers’ standing in a public space trying to recruit people to the organisation and informing about the organisation’s work. In combination with the possibility of reaching large numbers of people, this technique provides a steady and ongoing flow of money, something which is vital for the NGO’s when planning future activities. In spite of ethical regulations the use of facers is a very controversial strat...

  9. Animal Models of Cancer Pain

    OpenAIRE

    Pacharinsak, Cholawat; Beitz, Alvin

    2008-01-01

    Modern cancer therapies have significantly increased patient survival rates in both human and veterinary medicine. Since cancer patients live longer they now face new challenges resulting from severe, chronic tumor-induced pain. Unrelieved cancer pain significantly decreases the quality of life of such patients; thus the goal of pain management is to not only to alleviate pain, but also to maintain the patient's physiological and psychological well-being. The major impediment for developing n...

  10. Face To Face

    OpenAIRE

    Robert Leckey

    2014-01-01

    This paper uses Queer theory, specifically literature on Bowers v. Hardwick, to analyze debates over legislation proposed in Quebec regarding covered faces. Queer theory sheds light on legal responses to the veil. Parliamentary debates in Quebec reconstitute the polity, notably as secular and united. The paper highlights the contradictory and unstable character of four binaries: legislative text versus social practice, act versus status, majority versus minority, and knowable versus unknowabl...

  11. Flank pain

    Science.gov (United States)

    Pain - side; Side pain ... Flank pain can be a sign of a kidney problem. But, since many organs are in this area, other causes are possible. If you have flank pain and fever , chills, blood in the urine, or ...

  12. Face to Face

    Institute of Scientific and Technical Information of China (English)

    子非

    2004-01-01

    <正> 子非 1.“We know that we’ve alreadybeaten Chelsea and that we can doit again if we perform at our bestds We‘ve shown that before.They havealways been hard games againstChelsea but maybe we’ve had theDsyChlongical advantage.All runseventually have to come to an end!We will treat it as a normal game,1ike the semi-finals of the FA Cup.The good thing is that there willbe an Engllsh team 1n the semi-finals.But the negative thing isthat 1t takes a bit of the charmaway from a European CUP tie.Youexpect to Play a team from anothercountry.No matter which team doesit,they are worthy winners.Butat the moment,we have a big taskin the Quarter-finals and it’S notsure that the winners will faceReal Madrid."

  13. Chronic Pain: Where the Body Meets the Brain

    OpenAIRE

    Crofford, Leslie J

    2015-01-01

    Chronic musculoskeletal pain is one of the most intractable clinical problems faced by clinicians and can be devastating for patients. Central pain amplification is perceived pain that cannot be fully explained on the basis of somatic or neuropathic processes and is due to physiologic alterations in pain transmission or descending pain modulatory pathways. In any individual, central pain amplification may complicate nociceptive or neuropathic pain. Furthermore, patients with somatic symptom d...

  14. Eye pain

    Science.gov (United States)

    Ophthalmalgia; Pain - eye ... Pain in the eye can be an important symptom of a health problem. Make sure you tell your health care provider if you have eye pain that does not go away. Tired eyes or ...

  15. Wrist pain

    Science.gov (United States)

    Pain - wrist; Pain - carpal tunnel; Injury - wrist; Arthritis - wrist; Gout - wrist; Pseudogout - wrist ... Carpal tunnel syndrome: A common cause of wrist pain is carpal tunnel syndrome . You may feel aching, ...

  16. Ankle pain

    Science.gov (United States)

    Pain - ankle ... Ankle pain is often due to an ankle sprain. An ankle sprain is an injury to the ligaments, which ... the joint. In addition to ankle sprains, ankle pain can be caused by: Damage or swelling of ...

  17. Elbow pain

    Science.gov (United States)

    Pain - elbow ... Elbow pain can be caused by many problems. A common cause in adults is tendinitis . This is inflammation and ... a partial dislocation ). Other common causes of elbow pain are: Bursitis -- inflammation of a fluid-filled cushion ...

  18. Heel pain

    Science.gov (United States)

    Pain - heel ... Heel pain is most often the result of overuse. Rarely, it may be caused by an injury. Your heel ... on the heel Conditions that may cause heel pain include: When the tendon that connects the back ...

  19. Postoperative pain

    DEFF Research Database (Denmark)

    Kehlet, H; Dahl, J B

    1993-01-01

    Treatment of postoperative pain has not received sufficient attention by the surgical profession. Recent developments concerned with acute pain physiology and improved techniques for postoperative pain relief should result in more satisfactory treatment of postoperative pain. Such pain relief may...... also modify various aspects of the surgical stress response, and nociceptive blockade by regional anesthetic techniques has been demonstrated to improve various parameters of postoperative outcome. It is therefore stressed that effective control of postoperative pain, combined with a high degree of...

  20. Pediatric pain management: the multidisciplinary approach

    Directory of Open Access Journals (Sweden)

    Odell S

    2013-11-01

    Full Text Available Shannon Odell,1,2 Deirdre E Logan1,21Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, 2Department of Psychiatry, Harvard Medical School, Boston, MA, USAAbstract: Chronic pain in children and adolescents is a growing problem and one that is increasingly being addressed with multidisciplinary treatment teams. This review summarizes different multidisciplinary clinics, focusing specifically on intensive pediatric pain rehabilitation centers. This review offers a summary of the challenges faced by these programs and areas for future study.Keywords: pediatric pain rehabilitation, pediatric chronic pain, interdisciplinary, pain associated disability

  1. Barriers to Pain Management: Caregiver Perceptions and Pain Talk by Hospice Interdisciplinary Teams

    OpenAIRE

    OLIVER, DEBRA PARKER; Wittenberg-Lyles, Elaine; Demiris, George; Washington, Karla; Porock, Davina; Day, Michele

    2008-01-01

    As patients are cared for in their home by family caregivers, several challenges arise in effective pain and symptom management. Despite hospice’s reputation as the gold standard for terminal care, there is still a need to improve pain management practices including challenges that caregivers face, related to pain assessment, reluctance and fear of administering medication, noncompliance with pain medicine regimens, and hesitance to report pain. The hospice philosophy of care promotes service...

  2. Pelvic Pain

    Science.gov (United States)

    Pelvic pain occurs mostly in the lower abdomen area. The pain might be steady, or it might come and go. If the pain is severe, it might get in the way ... re a woman, you might feel a dull pain during your period. It could also happen during ...

  3. Shoulder pain

    Science.gov (United States)

    Pain - shoulder ... changes around the rotator cuff can cause shoulder pain. You may have pain when lifting the arm above your head or ... The most common cause of shoulder pain occurs when rotator cuff tendons ... The tendons become inflamed or damaged. This condition ...

  4. Losing Face

    OpenAIRE

    Hugh-Jones, David; Reinstein, David

    2010-01-01

    When person A makes an offer to person B and B rejects it, then A may “lose face.” This loss of face is assumed to occur only if B knows for sure of A’s offer. While under some circumstances loss of face can be rationalized by the consequences for future reputation, it may also enter directly into the utility function. Loss of face concerns can lead to fewer offers and inefficiency in markets that involve matching, discrete transactions, and offers/proposals in both directions, su...

  5. Face-to-face coalition

    OpenAIRE

    Andrews, Timothy J.; Thompson, Peter

    2010-01-01

    The perception and recognition of familiar faces are thought to depend critically on an analysis of the internal features of the face. However, other studies have shown that combining highly familiar internal features with an inappropriate set of familiar external features produces a composite face whose identity is dominated by the external features. Here, we show that this illusion depends on the distinctiveness of the external features.

  6. Pharmacological Strategies to Control Post-operative Endodontic Pain

    OpenAIRE

    Alireza Farhad; Zahed Mohammadi

    2007-01-01

    Patients typically associate dental care with pain. Pain has both physiological and psychological components. Endodontic post-treatment pain continues to be a significant problem facing the dental profession. For those patients presenting with preoperative pain, it has been reported that up to 80% of this population will continue to report pain after endodontic treatment. Many studies have demonstrated that endodontic treatment is efficacious in reducing post-treatment pain. Despite the fact ...

  7. Finger pain

    Science.gov (United States)

    Pain - finger ... Nearly everyone has had finger pain at some time. You may have: Tenderness Burning Stiffness Numbness Tingling Coldness Swelling Change in skin color Redness Many conditions, such ...

  8. Elbow pain

    Science.gov (United States)

    Pain - elbow ... Elbow pain can be caused by many problems. A common cause in adults is tendinitis . This is ... injure the tendons on the outside of the elbow. This condition is commonly called tennis elbow . Golfers ...

  9. Testicle pain

    Science.gov (United States)

    ... pain include: Injury Infection or swelling of the sperm ducts ( epididymitis ) or testicles ( orchitis ) Twisting of the ... Cyst in the epididymis that often contains dead sperm cells ( spermatocele ) Fluid surrounding the testicle ( hydrocele ) Pain ...

  10. Pain Management

    Science.gov (United States)

    ... opiates such as morphine could relieve pain and chemist Felix Hoffmann developed aspirin from a substance in ... sensory and emotional experience associated with actual or potential tissue damage.” TODAY Pain affects more Americans than ...

  11. Face Forward

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Last November, surgeons in France successfully performed the world's first face transplant surgery. Ten days later, Chen Huanran in Beijing began soliciting patients who were ready to accept a face transplant, searching for China's first such patient through an advertisement on his website and other channels. Chen, chief orthopedic surgeon at the Plastic Surgery Hospital under the Chinese Academy of Medical Sciences, has conducted more than 300 transsexual operations and was considered one of the top com...

  12. Urination Pain

    Science.gov (United States)

    ... more often bad-smelling, bloody, or discolored urine (pee) fever or chills decreased appetite or activity irritability nausea or vomiting lower back pain or abdominal (belly) pain wetting accidents (in potty-trained kids) What to Do Call the doctor if your child has pain while urinating or can't ...

  13. Abdominal Pain

    Science.gov (United States)

    ... relaxation. Guided imagery for abdominal pain About self-hypnosis and kids See YourChild : Pain and Your Child or Teen for more detail ... how to help your baby cope with the pain of medical procedures, circumcision, and teething. ... Helping Kids YourChild : A Look at Biofeedback YourChild : ...

  14. Reading faces and Facing words

    DEFF Research Database (Denmark)

    Robotham, Julia Emma; Lindegaard, Martin Weis; Delfi, Tzvetelina Shentova;

    unilateral lesions, we found no patient with a selective deficit in either reading or face processing. Rather, the patients showing a deficit in processing either words or faces were also impaired with the other category. One patient performed within the normal range on all tasks. In addition, all patients...... performed within normal range on at least one test of visual categorisation, strongly suggesting that their abnormal performance with words and faces does not represent a generalised visuo-perceptual deficit. Our results suggest that posterior areas in both hemispheres may be critical for both reading...

  15. Spinal pain

    Energy Technology Data Exchange (ETDEWEB)

    Izzo, R., E-mail: roberto1766@interfree.it [Neuroradiology Department, A. Cardarelli Hospital, Naples (Italy); Popolizio, T., E-mail: t.popolizio1@gmail.com [Radiology Department, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo (Fg) (Italy); D’Aprile, P., E-mail: paoladaprile@yahoo.it [Neuroradiology Department, San Paolo Hospital, Bari (Italy); Muto, M., E-mail: mutomar@tiscali.it [Neuroradiology Department, A. Cardarelli Hospital, Napoli (Italy)

    2015-05-15

    Highlights: • Purpose of this review is to address the current concepts on the pathophysiology of discogenic, radicular, facet and dysfunctional spinal pain, focusing on the role of the imaging in the diagnostic setting, to potentially address a correct approach also to minimally invasive interventional techniques. • Special attention will be given to the discogenic pain, actually considered as the most frequent cause of chronic low back pain. • The correct distinction between referred pain and radicular pain contributes to give a more correct approach to spinal pain. • The pathogenesis of chronic pain renders this pain a true pathology requiring a specific management. - Abstract: The spinal pain, and expecially the low back pain (LBP), represents the second cause for a medical consultation in primary care setting and a leading cause of disability worldwide [1]. LBP is more often idiopathic. It has as most frequent cause the internal disc disruption (IDD) and is referred to as discogenic pain. IDD refers to annular fissures, disc collapse and mechanical failure, with no significant modification of external disc shape, with or without endplates changes. IDD is described as a separate clinical entity in respect to disc herniation, segmental instability and degenerative disc desease (DDD). The radicular pain has as most frequent causes a disc herniation and a canal stenosis. Both discogenic and radicular pain also have either a mechanical and an inflammatory genesis. For to be richly innervated, facet joints can be a direct source of pain, while for their degenerative changes cause compression of nerve roots in lateral recesses and in the neural foramina. Degenerative instability is a common and often misdiagnosed cause of axial and radicular pain, being also a frequent indication for surgery. Acute pain tends to extinguish along with its cause, but the setting of complex processes of peripheral and central sensitization may influence its evolution in chronic

  16. Spinal pain

    International Nuclear Information System (INIS)

    Highlights: • Purpose of this review is to address the current concepts on the pathophysiology of discogenic, radicular, facet and dysfunctional spinal pain, focusing on the role of the imaging in the diagnostic setting, to potentially address a correct approach also to minimally invasive interventional techniques. • Special attention will be given to the discogenic pain, actually considered as the most frequent cause of chronic low back pain. • The correct distinction between referred pain and radicular pain contributes to give a more correct approach to spinal pain. • The pathogenesis of chronic pain renders this pain a true pathology requiring a specific management. - Abstract: The spinal pain, and expecially the low back pain (LBP), represents the second cause for a medical consultation in primary care setting and a leading cause of disability worldwide [1]. LBP is more often idiopathic. It has as most frequent cause the internal disc disruption (IDD) and is referred to as discogenic pain. IDD refers to annular fissures, disc collapse and mechanical failure, with no significant modification of external disc shape, with or without endplates changes. IDD is described as a separate clinical entity in respect to disc herniation, segmental instability and degenerative disc desease (DDD). The radicular pain has as most frequent causes a disc herniation and a canal stenosis. Both discogenic and radicular pain also have either a mechanical and an inflammatory genesis. For to be richly innervated, facet joints can be a direct source of pain, while for their degenerative changes cause compression of nerve roots in lateral recesses and in the neural foramina. Degenerative instability is a common and often misdiagnosed cause of axial and radicular pain, being also a frequent indication for surgery. Acute pain tends to extinguish along with its cause, but the setting of complex processes of peripheral and central sensitization may influence its evolution in chronic

  17. Orofacial pain management: current perspectives

    Directory of Open Access Journals (Sweden)

    Romero-Reyes M

    2014-02-01

    Full Text Available Marcela Romero-Reyes, James M Uyanik Orofacial and Head Pain Service, Department of Oral and Maxillofacial Pathology Radiology and Medicine, New York University College of Dentistry, New York, NY, USA Abstract: Some of the most prevalent and debilitating pain conditions arise from the structures innervated by the trigeminal system (head, face, masticatory musculature, temporomandibular joint and associated structures. Orofacial pain (OFP can arise from different regions and etiologies. Temporomandibular disorders (TMD are the most prevalent orofacial pain conditions for which patients seek treatment. Temporomandibular disorders include a number of clinical problems that involve the masticatory musculature, the temporomandibular joint (TMJ or both. Trigeminal neuropathic pain conditions can arise from injury secondary to dental procedures, infection, neoplasias, or disease or dysfunction of the peripheral and/or central nervous system. Neurovascular disorders, such as primary headaches, can present as chronic orofacial pain, such as in the case of facial migraine, where the pain is localized in the second and third division of the trigeminal nerve. Together, these disorders of the trigeminal system impact the quality of life of the sufferer dramatically. A multidisciplinary pain management approach should be considered for the optimal treatment of orofacial pain disorders including both non-pharmacological and pharmacological modalities. Keywords: pain, orofacial, neuropathic, TMD, trigeminal, headache

  18. Face Processing & Frontal Face Verification

    OpenAIRE

    Sanderson, Conrad

    2003-01-01

    In this report we first review important publications in the field of face recognition; geometric features, templates, Principal Component Analysis (PCA), pseudo-2D Hidden Markov Models, Elastic Graph Matching, as well as other points are covered; important issues, such as the effects of an illumination direction change and the use of different face areas, are also covered. A new feature set (termed DCT-mod2) is then proposed; the feature set utilizes polynomial coefficients derived from 2D D...

  19. A Comparison of Two Pain Scales in the Assessment of Dental Pain in East Delhi Children

    Science.gov (United States)

    Khatri, Amit; Kalra, Namita

    2012-01-01

    Pain is the most common symptom of oral diseases. Pain perception in children is highly variable and unreliable due to poor communication. Therefore we designed a study to compare pain measurement techniques, that is, visual analogue scale (VAS) and Wong-Baker faces pain rating scale (WBFPS) among Delhi children aged 3 to 14 years undergoing dental extraction. Method. A cross-sectional study was conducted on 180 patients aged 3 to 14 years who had undergone dental extraction. Children were assessed for their pain sensitivity using visual analogue scale (VAS) and Wong-Baker faces pain rating scale (WBFPS ). Result and Conclusion. Pain threshold tends to decline, and the self-management of pain becomes more effective with increasing age. Genderwise result shows that communication ability of boys and girls is similar in all age groups. PMID:22461986

  20. Face diarization

    OpenAIRE

    Salinas Ventalló, Xènia

    2015-01-01

    [ANGLÈS] The Face Diarization project is a comparative analysis between two methods already developed. This project aims to determine if, using this procedure, the video sequence scenes limits can be determined. For face detection a 69.78% recall and a 65.78% precision are achieved. Using the LBPH classification system a 74.34% of detections are correctly classified; while, using the system algorithm that also considers the cloth, a 62.57% are classified. For the scenes separation system, usi...

  1. Pain genes.

    Directory of Open Access Journals (Sweden)

    Tom Foulkes

    Full Text Available Pain, which afflicts up to 20% of the population at any time, provides both a massive therapeutic challenge and a route to understanding mechanisms in the nervous system. Specialised sensory neurons (nociceptors signal the existence of tissue damage to the central nervous system (CNS, where pain is represented in a complex matrix involving many CNS structures. Genetic approaches to investigating pain pathways using model organisms have identified the molecular nature of the transducers, regulatory mechanisms involved in changing neuronal activity, as well as the critical role of immune system cells in driving pain pathways. In man, mapping of human pain mutants as well as twin studies and association studies of altered pain behaviour have identified important regulators of the pain system. In turn, new drug targets for chronic pain treatment have been validated in transgenic mouse studies. Thus, genetic studies of pain pathways have complemented the traditional neuroscience approaches of electrophysiology and pharmacology to give us fresh insights into the molecular basis of pain perception.

  2. Phantom limb pain

    Science.gov (United States)

    ... shooting pain Achy pain Burning pain Cramping pain Phantom limb pain will lessen over time for most people. ... Elsevier; 2012:chap 44. Bang MS, Jung SH. Phantom limb pain. In: Frontera, WR, Silver JK, eds. Essentials ...

  3. Low back pain - chronic

    Science.gov (United States)

    Nonspecific back pain; Backache - chronic; Lumbar pain - chronic; Pain - back - chronic; Chronic back pain - low ... Low back pain is common. Almost everyone has back pain at some time in their life. Often, the exact cause of ...

  4. Autoantibody pain.

    Science.gov (United States)

    Goebel, Andreas

    2016-06-01

    As autoantibodies bind to target tissues, Fc-region dependent inflammation can induce pain via mediators exciting nociceptors. But recently another possibility has emerged, where autoantibody binding to nociceptors can directly cause pain, without inflammation. This is thought to occur as a result of Fab-region mediated modification of nerve transduction, transmission, or neuropeptide release. In three conditions, complex regional pain syndrome, anti-voltage gated potassium channel complex autoimmunity, and chronic fatigue syndrome, all associated with no or only little inflammation, initial laboratory-, and clinical trial-results have suggested a potential role for autoantibody-mediated mechanisms. More research assessing the pathogenic roles of autoantibodies in these and other chronic pain conditions is required. The concept of autoantibody-mediated pain offers hope for the development of novel therapies for currently intractable pains. PMID:26883460

  5. Ocular neuropathic pain.

    Science.gov (United States)

    Rosenthal, Perry; Borsook, David

    2016-01-01

    As the biological alarm of impending or actual tissue damage, pain is essential for our survival. However, when it is initiated and/or sustained by dysfunctional elements in the nociceptive system, it is itself a disease known as neuropathic pain. While the critical nociceptive system provides a number of protective functions, it is unique in its central role of monitoring, preserving and restoring the optical tear film in the face of evaporative attrition without which our vision would be non-functional. Meeting this existential need resulted in the evolution of the highly complex, powerful and sensitive dry eye alarm system integrated in the peripheral and central trigeminal sensory network. The clinical consequences of corneal damage to these nociceptive pathways are determined by the type and location of its pathological elements and can range from the spectrum known as dry eye disease to the centalised oculofacial neuropathic pain syndrome characterised by a striking disparity between the high intensity of symptoms and paucity of external signs. These changes parallel those observed in somatic neuropathic pain. When seen through the neuroscience lens, diseases responsible for inadequately explained chronic eye pain (including those described as dry eye) can take on new meanings that may clarify long-standing enigmas and point to new approaches for developing preventive, symptomatic and disease-modifying interventions for these currently refractory disorders. PMID:25943558

  6. Phantom pain

    OpenAIRE

    Duca, Kristina; Muscat, Richard

    2016-01-01

    Almost anyone with a limb amputation experiences phantom sensations. Moreover, the majority of amputees experience pain. This phenomenon is known as ‘Phantom pain’ and is described as the pain felt from a body part, usually a limb, which is no longer present. Several mechanisms have been proposed in attempt to explain this phenomenon with some being more prevalent than others. Cortical remapping seems to explain a substantial part of the occurrence of phantom pain and will be focu...

  7. Imaging Pain.

    Science.gov (United States)

    Martucci, Katherine T; Mackey, Sean C

    2016-06-01

    The challenges and understanding of acute and chronic pain have been illuminated through the advancement of central neuroimaging. Through neuroimaging research, new technology and findings have allowed us to identify and understand the neural mechanisms contributing to chronic pain. Several regions of the brain are known to be of particular importance for the maintenance and amplification of chronic pain, and this knowledge provides novel targets for future research and treatment. This article reviews neuroimaging for the study of chronic pain, and in particular, the rapidly advancing and popular research tools of structural and functional MRI. PMID:27208709

  8. Quantified Faces

    DEFF Research Database (Denmark)

    Sørensen, Mette-Marie Zacher

    2016-01-01

    Abstract: The article presents three contemporary art projects that, in various ways, thematise questions regarding numerical representation of the human face in relation to the identification of faces, for example through the use of biometric video analysis software, or DNA technology. The Dutch...... and critically examine bias in surveillance technologies, as well as scientific investigations, regarding the stereotyping mode of the human gaze. The American artist Heather Dewey-Hagborg creates three-dimensional portraits of persons she has “identified” from their garbage. Her project from 2013...... entitled Stranger Visions involves extracting DNA from discarded items she finds in public spaces in New York City, such as cigarette butts and chewing gum. She has the DNA that is extracted from these items analysed for specific genomic sequences associated with physical traits such as hair and eye colour...

  9. Support vector machine for automatic pain recognition

    Science.gov (United States)

    Monwar, Md Maruf; Rezaei, Siamak

    2009-02-01

    Facial expressions are a key index of emotion and the interpretation of such expressions of emotion is critical to everyday social functioning. In this paper, we present an efficient video analysis technique for recognition of a specific expression, pain, from human faces. We employ an automatic face detector which detects face from the stored video frame using skin color modeling technique. For pain recognition, location and shape features of the detected faces are computed. These features are then used as inputs to a support vector machine (SVM) for classification. We compare the results with neural network based and eigenimage based automatic pain recognition systems. The experiment results indicate that using support vector machine as classifier can certainly improve the performance of automatic pain recognition system.

  10. Face Recognition

    OpenAIRE

    Haugen, Liv Merete; Olavsbråten, Inge

    2007-01-01

    Machine based face recognition has been a popular research area for several years, and has numerous applications. This technology has now reached a point where there already exists good algorithms for recognition for standardized still images - which have little variation in e.g. lighting, facial expression and pose. We are however in lack of good algorithms that are able to do recognition from live video. The low quality of most surveillance cameras, together with non-standardized imaging c...

  11. Face Value

    OpenAIRE

    Catherine C. Eckel; Ragan Petrie

    2011-01-01

    There is growing evidence of systematic heterogeneity in behavior by observable characteristics, such as what one would see in a face. We ask, is there informational value in knowing these characteristics in a strategic interaction? Subjects are given the opportunity to purchase a photograph of their partner in the play of a trust game. Not everyone purchases the photo, even at prices as low as $0.20. Senders (first movers in the game) have a more inelastic demand for pictures than responders...

  12. Face Off

    OpenAIRE

    Busby, Lisa

    2010-01-01

    Face off explored and expanded the perceptions of where the DJ could be found by collaborating with the artist David Dixon to create an equipment set up and performance which was a sonic and structural intervention of his work Entangled Practice. This work is part of the Shit! I can DJ project which explores the fringes of what might be considered DJ practice, and seeks to explore and promote experimental DJ practices across fields.

  13. EAU guidelines on pain management.

    Science.gov (United States)

    Francesca, Francesco; Bader, Pia; Echtle, Dieter; Giunta, Francesco; Williams, John

    2003-10-01

    Pain is the most common symptom of any illness; the physician's therapeutic task is twofold: to discover and treat the cause of pain and the pain itself, whether or not the underlying cause is treatable, to provide relief and reduce the suffering caused by pain. Although we use the term of pain to define all sensations that hurt or are unpleasant, actually two quite different kinds of pain exist. The first (nociceptive) is associated with tissue damage or inflammation, the second (neuropathic) results from a lesion to the peripheral or central nervous systems. Pain can also be divided in acute and chronic. Caregivers are to face pain in two main settings: after surgery and in cancer patients. These tasks require a multidisciplinary team, able to properly assess and treat pain. Postoperative pain is to be treated early and aggressively. Several drug options are available, to be tailored on the surgical procedure and the patient. Pain in cancer patients consists of different aspects: it can be caused by the cancer itself or may be secondary to muscular spasm or cancer treatments. The management involves mainly pharmacotherapy, but also primary treatments as surgery, radiochemotherapy or even antibiotics can provide an adequate relief. Analgesics are to be employed according to an ascending scale, but other options can be combined to improve the outcome when a satisfactory balance between relief and side effects is not achieved; they include invasive techniques, physical and psychological therapy. The mainstay of pain management entails a interdisciplinary cooperation; it requires a full knowledge of the methods of evaluation and treatment of this condition. PMID:14499670

  14. Painful shoulder

    Directory of Open Access Journals (Sweden)

    Benno Ejnismann

    2008-03-01

    Full Text Available Many factors can be involved in the painful shoulder. Beyond articularcauses other pathologies such as artrosis, periarticular diseases as rotadorcuff tears, long head of the biceps tendinitis, adhesive capsulitis, calcifyingtendinitis, degenerative arthritis of the acromioclavicular joint, cervicalradiculopathy and nervous injuries can cause pain in the shoulder.

  15. Neuropathic pain

    Directory of Open Access Journals (Sweden)

    Giuseppe Re

    2009-02-01

    Full Text Available Neuropathic pain is the expression of a dysfunction or primary lesion of a nerve in the peripheral or central nervous system, or both, rather than the biological signal transmitted by the nerve following peripheral nociceptor activation. It represents about 20% of all painful syndromes, with an estimated prevalence of 1.5%, however is actual incidence is hard to pinpoint due to the difficulties encountered in distinguishing it from chronic pain, of which it represents a significant percentage, on account of the not infrequent concurrence of conditions. It is crucial to recognise the variety of symptoms with which it can present: these can be negative and positive and, in turn, motor, sensitive and autonomic. In public health terms, it is important to emphasise that the diagnosis of neuropathic pain does not in most cases require sophisticated procedures and does not therefore weigh on health expenditure. In clinical practice, a validated scale (the LANSS is mentioned is useful for identifying patients presenting neuropathic pain symptoms. Therapy is based on three categories of medication: tricyclic antidepressants, anti-epileptics and opioids at high doses: neuropathic pain has a bad reputation for often resisting common therapeutic approaches and responding less well that nociceptor pain to monotherapy. Therapeutic strategies are all the more adequate the more they are based on symptoms and therefore on the pain generation mechanisms, although the recommendations are dictated more by expert opinions that double-blind randomised trials.

  16. Pain frequency moderates the relationship between pain catastrophizing and pain

    Science.gov (United States)

    Kjøgx, Heidi; Zachariae, Robert; Pfeiffer-Jensen, Mogens; Kasch, Helge; Svensson, Peter; Jensen, Troels S.; Vase, Lene

    2014-01-01

    Background: Pain frequency has been shown to influence sensitization, psychological distress, and pain modulation. The present study examined if pain frequency moderates the relationship between pain catastrophizing and pain. Method: A non-clinical (247 students) and a clinical (223 pain patients) sample completed the Danish versions of the Pain Catastrophizing Scale (PCS), Beck Depression Inventory, and the State Trait Anxiety Inventory and rated pain intensity, unpleasantness and frequency. Results: In both samples, high pain frequency was found to moderate the association between pain catastrophizing and pain intensity, whereas low pain frequency did not. The psychometric properties and the factor structure of the Danish version of the PCS were confirmed. Conclusions: This is the first study to validate the Danish version of the PCS and to show that pain frequency moderates the relationship between pain catastrophizing and reported pain in both non-clinical and clinical populations. PMID:25646089

  17. Pain frequency moderates the relationship between pain catastrophizing and pain

    Directory of Open Access Journals (Sweden)

    Heidi eKjøgx

    2014-12-01

    Full Text Available Background Pain frequency has been shown to influence sensitization, psychological distress and pain modulation. The present study examined if pain frequency moderates the relationship between pain catastrophizing and pain. Method A non-clinical (247 students and a clinical (223 pain patients sample completed the Danish versions of the Pain Catastrophizing Scale, Beck Depression Inventory and the State Trait Anxiety Inventory and rated pain intensity, unpleasantness and frequency Results In both samples, high pain frequency was found to moderate the association between pain catastrophizing and pain intensity, whereas low pain frequency did not. The psychometric properties and the factor structure of the Danish version of the PCS were confirmed.Conclusions This is the first study to validate the Danish version of the PCS and to show that pain frequency moderates the relationship between pain catastrophizing and reported pain in both non-clinical and clinical populations.

  18. [Hypnosis for chronic pain of children].

    Science.gov (United States)

    Célestin-Lhopiteau, Isabelle

    2014-01-01

    A child or adolescent can suffer from chronic pain. Whatever the causes, it can trap the child in a specific process whereby they focus on the pain, fearing that it will appear and experiencing anxiety. Hypno-analgesia and hypnotherapy enable them to escape this process and find within themselves the capacity to face up to the pain. Moreover, these techniques offer them an autonomy which they can use in all areas of their life. PMID:24779171

  19. Orofacial pain management: current perspectives.

    Science.gov (United States)

    Romero-Reyes, Marcela; Uyanik, James M

    2014-01-01

    Some of the most prevalent and debilitating pain conditions arise from the structures innervated by the trigeminal system (head, face, masticatory musculature, temporomandibular joint and associated structures). Orofacial pain (OFP) can arise from different regions and etiologies. Temporomandibular disorders (TMD) are the most prevalent orofacial pain conditions for which patients seek treatment. Temporomandibular disorders include a number of clinical problems that involve the masticatory musculature, the temporomandibular joint (TMJ) or both. Trigeminal neuropathic pain conditions can arise from injury secondary to dental procedures, infection, neoplasias, or disease or dysfunction of the peripheral and/or central nervous system. Neurovascular disorders, such as primary headaches, can present as chronic orofacial pain, such as in the case of facial migraine, where the pain is localized in the second and third division of the trigeminal nerve. Together, these disorders of the trigeminal system impact the quality of life of the sufferer dramatically. A multidisciplinary pain management approach should be considered for the optimal treatment of orofacial pain disorders including both non-pharmacological and pharmacological modalities. PMID:24591846

  20. Company Face

    Institute of Scientific and Technical Information of China (English)

    李天田

    2011-01-01

    有些演员长得不好看但上镜,这叫有Camera Face;而有些企业有明星企业家,这叫有Company Face.塑造一张Company Face对企业来说是非常合算的,因为公众对于枯燥的商业概念和数据并无兴趣,把企业人格化才是建立沟通的捷径.然而,究竟你的CompanyFace是杂志封面的人物还是客户走进公司会接触的保安、保洁和秘书?听说一个绿色八卦:张艺谋在《山楂树之恋》选角时,为了“静秋”可谓是踏破铁鞋.当时分了若干组人马四处寻访,但是带回来的候选人张艺谋统统看不上.张艺谋讽刺一位选角的同事:你选出来的女孩儿,一打开电视满眼都是!这位同事立即反唇相讥:你选的呢?连电视都不让上!

  1. FACE RECOGNITION FROM FRONT-VIEW FACE

    Institute of Scientific and Technical Information of China (English)

    Wu Lifang; Shen Lansun

    2003-01-01

    This letter presents a face normalization algorithm based on 2-D face model to recognize faces with variant postures from front-view face. A 2-D face mesh model can be extracted from faces with rotation to left or right and the corresponding front-view mesh model can be estimated according to the facial symmetry. Then based on the inner relationship between the two mesh models, the normalized front-view face is formed by gray level mapping. Finally, the face recognition will be finished based on Principal Component Analysis (PCA). Experiments show that better face recognition performance is achieved in this way.

  2. FACE RECOGNITION FROM FRONT-VIEW FACE

    Institute of Scientific and Technical Information of China (English)

    WuLifang; ShenLansun

    2003-01-01

    This letter presents a face normalization algorithm based on 2-D face model to rec-ognize faces with variant postures from front-view face.A 2-D face mesh model can be extracted from faces with rotation to left or right and the corresponding front-view mesh model can be estimated according to facial symmetry.Then based on the relationship between the two mesh models,the nrmalized front-view face is formed by gray level mapping.Finally,the face recognition will be finished based on Principal Component Analysis(PCA).Experiments show that better face recognition performance is achieved in this way.

  3. [Spiritual pain].

    Science.gov (United States)

    Sato, Satoru

    2011-09-01

    We defined a spiritual pain as feelings of failure and regret at end-of-life, followed by hopelessness and worthlessness in patient's own life. In Japanese, spiritual pain should be assessed in patient's dignity, psycho-social factor, and prognostic stage, not only in religious context. And patient's spirituality should be supported with providing pain and symptom relief based on human relationships. "Sterbebegleitung" is a German proverb, introduced by Alfons Deeken, and seemed to be a suggestive word for such hope-recovering relationships. PMID:21950035

  4. Painful TV

    OpenAIRE

    Pahlen, Kai Graf von

    2011-01-01

    There is a new and profitable market for the infliction of real pain on television, most notably in the British reality television shows ‘Balls of Steel’ and ‘Dirty Sanchez’, which involve two men, known as the ‘Pain Men’, who deliberately inflict consensual pain on each other in order to entertain their television audience. The law says that the consent of the ‘victim’ to an infliction of actual bodily harm does not usually prevent criminal liability of the ‘perpetrator’. The leading case au...

  5. What a Pain! Kids and Growing Pains

    Science.gov (United States)

    ... Here's Help White House Lunch Recipes What a Pain! Kids and Growing Pains KidsHealth > For Kids > What a Pain! Kids and ... something doctors call growing pains . What Are Growing Pains? Growing pains aren't a disease. You probably ...

  6. Chronic Pelvic Pain

    Science.gov (United States)

    ... Events Advocacy For Patients About ACOG Chronic Pelvic Pain Home For Patients Search FAQs Chronic Pelvic Pain ... Pain FAQ099, August 2011 PDF Format Chronic Pelvic Pain Gynecologic Problems What is chronic pelvic pain? What ...

  7. What Is Chronic Pain?

    Medline Plus

    Full Text Available ... Programs Resource Guide to Chronic Pain Treatments Pain Awareness Toolkits Partners for Understanding Pain September is Pain Awareness Month Home Pain Management Tools Videos What Is ...

  8. Joint pain

    Science.gov (United States)

    ... or conditions. It may be linked to arthritis , bursitis , and muscle pain . No matter what causes it, ... Autoimmune diseases such as rheumatoid arthritis and lupus Bursitis Chondromalacia patellae Crystals in the joint: gout (especially ...

  9. Penis pain

    Science.gov (United States)

    Pain - penis ... Bites, either human or insect Cancer of the penis Erection that does not go away (priapism) Genital herpes Infected hair follicles Infected prosthesis of the penis Infection under the foreskin of uncircumcised men ( balanitis ) ...

  10. Chronic Pain

    Science.gov (United States)

    ... who have chronic pain may also have low self-esteem, depression, and anger. Causes & Risk Factors What causes ... as stretching and strengthening activities) and low-impact exercise (such as walking, swimming, or biking) can help ...

  11. Abdominal pain

    Science.gov (United States)

    ... What makes the pain better? For example, drinking milk, having a bowel movement, or taking an antacid? What medications are you taking? OTHER MEDICAL HISTORY Have you had a recent injury? Are you ...

  12. Chronic Pain

    Science.gov (United States)

    ... NINDS). NINDS Trigeminal Neuralgia Information Page Trigeminal Neuralgia (tic doloreaux) information compiled by NINDS, the National Institute ... Complex Regional Pain Syndromes (CRPS): State-of-the-Science A workshop on Reflex Sympathetic Dystrophy/ Complex Regional ...

  13. Heel Pain

    Science.gov (United States)

    ... improperly fitted or excessively worn shoes, or obesity. Plantar Fasciitis: Both heel pain and heel spurs are frequently associated with plantar fasciitis, an inflammation of the band of fibrous connective ...

  14. Shoulder pain

    Science.gov (United States)

    Pain - shoulder ... The shoulder is the most movable joint in the human body. A group of 4 muscles and their tendons, called the rotator cuff, give the shoulder its wide range of motion. Swelling, damage, or ...

  15. Cancer pain: Classification and pain syndromes

    Directory of Open Access Journals (Sweden)

    Grujičić Danica

    2004-01-01

    Full Text Available In spite the new information's about the physiology and biochemistry of pain, it remains true that pain is only partially understood. Cancer pain is often experienced as several different types of pain, with combined somatic and neuropathic types the most frequently. If the acute cancer pain does not subside with initial therapy, patients experience pain of more constant nature, the characteristics of which vary with the cause and the involved sites. Chronic pain related to cancer can be considered as tumor-induced pain, chemotherapy-induced pain, and radiation therapy induced pain. Certain pain mechanisms are present in cancer patients. These include inflammation due to infection, such as local sepsis or the pain of herpes zoster, and pain due to the obstruction or occlusion of a hollow organ, such as that caused by large bowel in cancer of colon. Pain also is commonly due to destruction of tissue, such as is often seen with bony metastases. Bony metastases also produce pain because of periostal irritation, medullar pressure, and fractures. Pain may be produced by the growth of tumor in a closed area richly supplied with pain receptors (nociceptors. Examples are tumors growing within the capsule of an organ such as the pancreas. Chest pain occurring after tumor of the lung or the mediastinum due to invasion of the pleura. Certain tumors produce characteristic types of pain. For example, back pain is seen with multiple myeloma, and severe shoulder pain and arm pain is seen with Pancoast tumors.

  16. Written Pain Neuroscience Education in Fibromyalgia : A Multicenter Randomized Controlled Trial

    NARCIS (Netherlands)

    van Ittersum, Miriam W.; van Wilgen, C. Paul; van der Schans, Cees P.; Lambrecht, Luc; Groothoff, Johan W.; Nijs, Jo

    2014-01-01

    Mounting evidence supports the use of face-to-face pain neuroscience education for the treatment of chronic pain patients. This study aimed at examining whether written education about pain neuroscience improves illness perceptions, catastrophizing, and health status in patients with fibromyalgia. A

  17. Pain relief can be painful

    Directory of Open Access Journals (Sweden)

    Ashish Bindra

    2015-01-01

    Full Text Available Mandibular nerve block is periodically used procedure used to treat neuralgic pain in the distribution of trigeminal nerve. It is a commonly performed block in outpatient settings at our institute. We present a case of an elderly edentulous patient with trigeminal neuralgia who suffered recurrent temporomandibular joint (TMJ dislocation following mandibular nerve block. The patient presented with complaints of severe pain, inability to close mouth, and eat food since 2 days. Anterior closed reduction of TMJ resulted in reduction of joint and immediate pain relief. However, the maneuver failed due to recurrent dislocation of the joint. A Barton dressing was applied to prevent another dislocation. This was followed by autologous blood injection into the joint. This case focuses on the preponderance of clinical evaluation and accentuates the need for additional forethought to be taken during pain procedures, particularly in the geriatric population.

  18. The impact of pain on quality of life and the unmet needs of pain management: results from pain sufferers and physicians participating in an Internet survey.

    Science.gov (United States)

    McCarberg, Bill H; Nicholson, Bruce D; Todd, Knox H; Palmer, Trish; Penles, Leslie

    2008-01-01

    Pain is one of the most common medical complaints, but despite its prevalence, many individuals still suffer with unrelieved or undertreated pain. This marketing research survey was designed to determine the physical, psychological, and economic impact pain has on the lives of individuals suffering with pain and to identify the unmet needs of patients who have taken opioid medications to treat their pain. In addition, the survey sought to address the challenges physicians face when treating patients with pain. Pain sufferers were recruited through e-mail invitation to an Internet survey; 173,854 invitations were sent out, 22,018 people responded (12.7%), and 606 met the criteria for inclusion in the survey as pain sufferers. Of these, 359 people had moderate to moderately severe chronic pain and 247 people had moderate to moderately severe acute pain. Additionally, physicians currently treating pain were recruited through e-mail and postal mail invitations and 492 met eligibility criteria: 241 specialists (orthopedic or general surgeons, pain specialists or anesthesiologists), 125 primary care, and 126 emergency medicine physicians. Results of this survey supported what many physicians observe in their practice and hear from their patients, that pain has a negative impact on daily activities in the majority of pain sufferers. Many chronic pain sufferers reported that pain had deleterious effects on their mental health, employment status, sleep, and personal relationships. The impact of pain on patient quality of life and the unmet needs in pain management were recognized by the majority of physicians surveyed, with inadequate pain control, end-of-dose pain, and side effects associated with increased dosing reported as negative factors influencing their choice of pain medication. In conclusion, effective communication between physicians and patients is encouraged to not only improve overall pain management but also to establish shared treatment goals with functional

  19. An Implementation Study to Improve Cancer Pain Management in Jordan Using a Case Study

    OpenAIRE

    Al Qadire, Mohammad

    2011-01-01

    An Implementation Study to Improve Cancer Pain Management in Jordan using a Case StudyManaging the symptoms of cancer effectively is one of the most important challenges facing health care providers. Many symptoms are reported by cancer patients, including, pain, depression, distress and change in life style. Pain continues to be the most frequently reported symptom, however, cancer pain is treated inadequately and cancer patients continue to suffer pain. The use of pain assessment tools is e...

  20. Self-report of alcohol use for pain in a multi-ethnic community sample

    OpenAIRE

    Riley, Joseph L.; King, Christopher

    2009-01-01

    This study examined the occurrence of alcohol use to manage pain in community-dwelling adults with tooth pain, jaw joint/face pain, and arthritis. Race/ethnicity, sex, and age were examined to determine their associations with alcohol use for pain. Community-dwelling adults from South Florida with tooth pain (n=1767), jaw joint/face pain (n=1199), or arthritis pain (n=1355) completed a structured telephone interview. Logistic regression models indicted that, similar to population rates, non-H...

  1. Habituating pain

    DEFF Research Database (Denmark)

    Ajslev, Jeppe Zielinski Nguyen; Lund, Henrik Lambrecht; Møller, Jeppe Lykke;

    2013-01-01

    In this article, we investigate the relations between discursive practices within the Danish construction industry and the perceived pain, physical deterioration, and strain affecting the construction workers. Of central importance is the widely accepted hegemonic discourse on physical strain and...... musculoskeletal deterioration within construction work and also sheds light on some of the difficulties in addressing and changing occupational health and safety practices in the construction industry.......In this article, we investigate the relations between discursive practices within the Danish construction industry and the perceived pain, physical deterioration, and strain affecting the construction workers. Of central importance is the widely accepted hegemonic discourse on physical strain and...... pain as unavoidable conditions in construction work. Based on 32 semi-structured interviews performed in eight case studies within four different construction professions, workers’ descriptions of physical strain and its relation to the organizational and social context are analyzed through concepts of...

  2. The language of pain: A short study

    Directory of Open Access Journals (Sweden)

    Arun Rathnam

    2010-01-01

    Full Text Available Background: Pain perception is a very controversial topic in child patients. It is affected by various factors such as fear, anxiety, previous experiences, parental factors, and pain threshold. The communication of such pain by the child to the parent is also very confusing with children having rudimentary and developing communication skills. A study to evaluate the pain perception of children and the parental understanding of the children′s pain would be helpful in this scenario. The effect on behavior due to pain is also attempted in this particular study. Materials and Methods: A cross-sectional study of 100 children aged between 5-13 years accompanied by either parent was performed. Data collection was done with the help of questionnaires, which assessed the parental understanding of the child′s pain. Pain perception recording was done with the Visual Analog Scale of Faces (VASOF. The behavior of the child was noted using the Frankl′s behavior rating scale. Data was collated and statistical analysis was performed using the SPSS (version 10 software. Results and conclusion: The results show that parental factors such as education, work culture, influence parental understanding of pain. VASOF proves to be a reliable tool for pain perception in children. Behavior of the child shows a positive correlation to pain perception.

  3. WIDER FACE: A Face Detection Benchmark

    OpenAIRE

    Yang, Shuo; Luo, Ping; Loy, Chen Change; Tang, Xiaoou

    2015-01-01

    Face detection is one of the most studied topics in the computer vision community. Much of the progresses have been made by the availability of face detection benchmark datasets. We show that there is a gap between current face detection performance and the real world requirements. To facilitate future face detection research, we introduce the WIDER FACE dataset, which is 10 times larger than existing datasets. The dataset contains rich annotations, including occlusions, poses, event categori...

  4. Comunicação não-verbal de idosos frente ao processo de dor Comunicación no verbal de ancianos frente al proceso del dolor Nonverbal communication of elderly patients facing the pain process

    Directory of Open Access Journals (Sweden)

    Ana Carolina Araújo Machado

    2006-04-01

    Full Text Available Este estudo de natureza qualitativa tem por objetivo identificar por meio da interpretação dos enfermeiros, quais os mecanismos encontrados pelos pacientes idosos para expressar a dor quando estão impossibilitados de utilizar a comunicação verbal. Foi realizado com seis enfermeiros, em uma unidade de clínica médica de um hospital de São Paulo, destinada ao atendimento de idosos. Os dados foram coletados por meio de entrevista com um roteiro semi estruturado, gravadas e transcritas para análise hermenêutica. Os dados foram agrupados em categorias analíticas selecionadas sobre dor e comunicação, onde foi verificado que interagindo com o paciente, o enfermeiro percebe atitudes e alterações (sinais e sintomas de dor, que ao serem interpretadas e identificadas rapidamente propiciam melhoria da assistência de enfermagem.Este estudio de naturaleza cualitativa tuvo como objectivo identificar por medio de la interpretación de los enfermeros, cuales mecanismos encontrados por los enfermos ancianos para expresar el dolor cuando se inhabilitan de utilizar la comunicación verbal. Fue llevada con seis enfermeros, en una unidad de la clínica medica de un hospital de São Paulo, direccionado a la atención de ancianos. Los datos fueron recogidos por medio de entrevista con una planilla semi estructurada generadas o transcritas para el analisis hermenéutica. Los datos fueron agrupados en categorías analíticas seleccionadas en dolor y la comunicación, donde fue verificado que obrando recíprocamente con el enfermo, el enfermero percibe actitudes y las alteraciones (señales y síntomas del dolor, que al seren interpretadas y identificadas rápidamente ellas mejoran la atención de enfermería.This qualitative study aims at identifying which mechanisms are used by elderly patients to express pain when they are not able to use verbal communication. It relies on the accounts and interpretations of 6 nurses working in a clinical service unit

  5. Foot pain

    OpenAIRE

    Formosa, Aaron

    2005-01-01

    Foot complaints are very common in general practice and their incidence increases with age. Three out of four people complain of foot pain during the course of a lifetime, while approximately 20% of people aged 65 years or older complain of non-traumatic foot problems.

  6. Knee pain

    Science.gov (United States)

    ... time, overuse, or injury. Dislocation of the kneecap Fracture of the kneecap or other bones Iliotibial band syndrome . Injury to the thick band that runs from your hip to the outside of your knee. Pain in the front of your knee around ...

  7. Pain Control

    Science.gov (United States)

    ... you are able. Any movement, such as light walking, will help. ■■ Call your doctor if you have not had a bowel movement in 2 days or more. Drowsiness Some opioids cause drowsiness. Or, if your pain has kept you from sleeping, you may sleep more at first when you ...

  8. Pain (PDQ)

    Science.gov (United States)

    ... intravenous chemotherapy. Mucositis (sores or inflammation in the mouth or other parts of the digestive system ) caused by chemotherapy or targeted therapy. Skin pain, rash, or hand-foot syndrome (redness, tingling, or burning in the palms of the hands and/or ...

  9. Eros-Face

    OpenAIRE

    Jammal, Elias

    2011-01-01

    In diesem Papier werden Face-Konzepte im arabischen Kontext vorgestellt, die mit der Bezeichnung Eros-Face belegt werden. Dieses wurde bislang in der Face-Literatur nicht berücksichtigt. Es werden zwei Typen des Eros-Face diskutiert: Das individuelle und das kollektivistische Eros-Face. This paper introduces face concepts in the Arab context for which the notion Eros face has been given. Literature on face did not consider the Eros face so far. Two types of Eros face are discussed: The ind...

  10. American Pain Society

    Science.gov (United States)

    ... Adjuvant Analgesic for Cancer Pain Drug Treatments for Heroin Addiction Heighten Pain Sensitivity Genetic Alteration Predicts Pain Recovery After Sexual Assault Health Care Reforms Will Change How Pain Is Assessed ...

  11. What Is Chronic Pain?

    Medline Plus

    Full Text Available Already a member? Log In or Sign Up Home About Us Support the ACPA Contact Us Shop ... for Understanding Pain September is Pain Awareness Month Home Pain Management Tools Videos What Is Chronic Pain? ...

  12. Employees with Chronic Pain

    Science.gov (United States)

    ... Home | Accommodation and Compliance Series: Employees with Chronic Pain By Beth Loy, Ph.D. Preface Introduction Information ... at http://AskJAN.org/soar. Information about Chronic Pain How prevalent is chronic pain? Chronic pain has ...

  13. Abdominal Pain or Cramping

    Science.gov (United States)

    ... Body & lifestyle changes > Abdominal pain or cramping Abdominal pain or cramping E-mail to a friend Please ... signs of severe pain. What causes mild belly pain in pregnancy? There are different causes for mild ...

  14. What Is Chronic Pain?

    Medline Plus

    Full Text Available ... ACPA Contact Us Shop FAQs The Art of Pain Management Resources Going to the ER Glossary Surveys What We Have Learned Communication Tools Videos Pain Management Programs Resource Guide to Chronic Pain Treatments Pain ...

  15. When Sex Is Painful

    Science.gov (United States)

    ... AQ FREQUENTLY ASKED QUESTIONS GYNECOLOGIC PROBLEMS FAQ020 When Sex Is Painful • How common is painful sex? • What causes pain during sex? • Where is pain during sex felt? • When should ...

  16. What Is Chronic Pain?

    Medline Plus

    Full Text Available ... Contact Us Shop FAQs The Art of Pain Management Resources Going to the ER Glossary Surveys What We Have Learned Communication Tools Videos Pain Management Programs Resource Guide to Chronic Pain Treatments Pain ...

  17. Alternative medicine - pain relief

    Science.gov (United States)

    Acupuncture - pain relief; Hypnosis - pain relief; Guided imagery - pain relief ... you repeat a positive statement over and over. Hypnosis may help relieve pain for: After surgery or labor Arthritis Cancer Fibromyalgia ...

  18. Chronic pain, substance abuse and addiction.

    Science.gov (United States)

    Compton, Peggy; Athanasos, Peter

    2003-09-01

    Health care professionals face numerous challenges in assessing and treating chronic pain patients with a substance abuse history. Societal perspectives on morality and criminality, imprecise addiction terminology, litigation fears, and genuine concern for a patient's relapse into or escalation of substance abuse result in unrelieved and under-relieved pain in precisely the population that--as increasing evidence indicates--is generally intolerant of pain. Before adequate pain relief can occur in chronic pain patients with current or past substance abuse issues, it is imperative that the clinician recognize addiction as a disease with known symptoms and treatments. Further, the clinician must realize the difference between true addiction and similar conditions, so the patient's condition can be monitored and regulated properly. Although clinicians are often reluctant to medicate with opioids, it is always best to err on the side of adequate pain relief. Withholding opioids from chronic pain patients in order to avoid the onset or relapse of addiction is contrary to the growing body of evidence and results only in unnecessary pain for the patient. Chronic pain in patients with a history of addictive disease can be treated successfully with opiate analgesia; it just requires caution and careful monitoring of medication use. If addiction is treated as a known risk when providing opioid analgesia to a recovering addict, its development can be minimized while pain relief is provided. PMID:14567207

  19. Effect of Face Tampering on Face Recognition

    OpenAIRE

    Aruni Singh; Sanjay Kumar Singh

    2013-01-01

    Modern face recognition systems are vulnerable to spoofing attack. Spoofing attack occurs when a persontries to cheat the system by presenting fake biometric data gaining unlawful access. A lot of researchershave originated novel techniques to fascinate these types of face tampering attack. It seems that nocomparative studies of different face recognition algorithms on same protocols and fake data have beenincorporated. The motivation behind this paper is to present the effect of face tamperi...

  20. Cuidado humanístico e percepções de enfermagem diante da dor do recém-nascido Atención humanística y percepciones de enfermería delante de dolor del recién nacido Humanistic care and nursing perceptions facing the pain of newborns

    Directory of Open Access Journals (Sweden)

    Ana Luíza Paula de Aguiar Lélis

    2011-12-01

    predominantemente no farmacológicas, involucrando acciones desarrolladas al recién nacido y ambiente de la unidad.This study aimed to apprehend the meaning of the care provided by nurses to newborns in painful procedures and know the interventions performed by nurses to relieve the pain of newborns. Descriptive study carried out in the Neonatal Intensive Care Unit of a public hospital in Fortaleza-CE-Brazil in July 2010. The subjects were ten nurses and the data collection happened through a questionnaire. Data were organized in three categories: The meaning of care facing the pain of newborns; Humanized care with newborns; and Nursing interventions facing the pain of newborns. These were analyzed under the light of the humanistic theory of Paterson and Zderad. It was verified that the care to newborns should be addressed to minimize the stress factors during the painful situation, and the interventions mentioned were predominantly non-pharmacological, involving actions developed with newborns and the Unit environment.

  1. Shoulder pain

    OpenAIRE

    Dorinson, S. Malvern

    2010-01-01

    “Topics in Primary Care Medicine” presents articles on common diagnostic or therapeutic problems (such as dizziness, pruritus, insomnia, shoulder pain and urinary tract infections) encountered in primary care practice that generally do not fall into well-defined subspecialty areas and are rarely discussed thoroughly in medical school, house staff training, textbooks and journals. Often the pathophysiology is poorly understood and clinical trials to assess the effectiveness of diagnostic tests...

  2. Pain Management: Post-Amputation Pain

    Science.gov (United States)

    Pain Management Post-Amputation Pain Volume 8 · Issue 2 · March/April 1998 Text size Larger text Smaller text Java Required Print page Save and share ... by G. Edward Jeffries, MD, FACS Post-Amputation Pain Post-amputation pain is one of the most ...

  3. Dissociated Neural Representations of Pain Expressions of Different Races.

    Science.gov (United States)

    Sheng, Feng; Han, Xiaochun; Han, Shihui

    2016-03-01

    To investigate whether coding pain expressions of own-race and other-race individuals engages overlapping or distinct neuronal populations, we recorded event-related brain potentials from Chinese and Caucasian adults when viewing an adaptor face (with pain or neutral expressions) and a target face (with only pain expression) presented in rapid succession. If distinct neuronal populations are engaged in coding pain expressions of different races, repetition suppression (RS) of neural activity to pain expressions, that is, decreased neural responses to target faces preceded by pain versus neutral adaptors, should occur when an adaptor and a target are of the same race but not when they are of different races. We found that neural responses to adaptor faces at 128-188 ms (P2) and 200-300 ms (N2) over the frontal/central areas were positively shifted by pain versus neutral expressions. Moreover, RS of neural responses to target faces in the P2/N2 windows occurred when an adaptor and a target were of the same race but not when their racial identities differed, and these effects were observed in both Chinese and Caucasian participants. Our results suggest that perception of pain expressions of different races may recruit distinct neuronal assemblies at a specific stage of the processing stream. PMID:25576533

  4. The Composite Face Illusion

    OpenAIRE

    Murphy, J.; Gray, K.; Cook, R

    2016-01-01

    Few findings in cognitive science have proved as influential as the composite face effect. When the top half of one face is aligned with the bottom half of another, and presented upright, the resulting composite arrangement induces a compelling percept of a novel facial configuration. Findings obtained using composite face procedures have contributed significantly to our understanding of holistic face processing, the detrimental effects of face inversion, the development of face perception, a...

  5. Central hypersensitivity in chronic musculoskeletal pain

    DEFF Research Database (Denmark)

    Curatolo, Michele; Arendt-Nielsen, Lars

    2015-01-01

    Clinical research has consistently detected alteration in central pain processing leading to hypersensitivity. Most methods used in humans are reliable and have face validity to detect widespread central hypersensitivity. However, construct validity is difficult to investigate due to lack of gold...... standards. Reference values in the pain-free population have been generated, but need replication. Research on pain biomarkers that reflect specific central hypersensitivity processes is warranted. Few studies have analyzed the prognostic value of central hypersensitivity. Most medications acting at central...... level and some non-pharmacological approaches, including psychological interventions, are likely to attenuate central hypersensitivity....

  6. Non-invasive quick diagnosis of cardiovascular problems from visible and invisible abnormal changes with increased cardiac troponin I appearing on cardiovascular representation areas of the eyebrows, left upper lip, etc. of the face & hands: beneficial manual stimulation of hands for acute anginal chest pain, and important factors in safe, effective treatment.

    Science.gov (United States)

    Omura, Yoshiaki; Jones, Marilyn K; Duvvi, Harsha; Shimotsuura, Yasuhiro; Ohki, Motomu; Rodriques, Aaron

    2014-01-01

    Our previous study indicated that there are at least 7 cardiovascular representation areas on the face, including the "Eyebrows", both sides of the "Nose", "Lelt Upper Lip" and the "Outside of the corner of both sides of the mouth," in addition to 2 areas in each hand. When there are cardiovascular problems, some of the heart representation areas of these areas often show the following changes: 1) Most distinctive visible changes such as the initial whitening with or without long white hair, then hair loss and complete disappearance of the hairs of the heart representation area of "Eyebrows" 2) Invisible biochemical changes that happen in heart representation areas at the "Left Upper Lips", 3) "Nose" below eye level as well as 4) "3rd segment of Middle Finger of Hands." Most distinctive visible & invisible changes are found in heart representation areas on the "Eyebrow", located nearest to the midline of face, where the color of the hairs becomes white compared with the rest of the Eyebrow. Then the cardiovascular problem advances, and hair starts disappearing. When there are no hairs at the heart representation areas of the Eyebrow, usually Cardiac Troponin I is increased to a very serious, abnormal high value. Most of the cardiovascular representation areas of the face show, regardless of presence or absence of visible change. When there is a cardiovascular problem, not only simple Bi-Digital O-Ring Test can detect without using any instrument in several minutes but also, corresponding biochemical changes of abnormally increased Cardiac Troponin I level can often be detected non-invasively from these Organ Representation Areas of Face & Hands, although changes in Eyebrows, L-Upper Lip & 3rd segment of middle fingers are clinically the most reliable changes & easy to identify the locations. Manual Stimulation of Hand's heart representation areas often eliminated acute anginal chest pain before medical help became available. Important factors for safe, effective

  7. Pharmacological Strategies to Control Post-operative Endodontic Pain

    Directory of Open Access Journals (Sweden)

    Alireza Farhad

    2007-01-01

    Full Text Available Patients typically associate dental care with pain. Pain has both physiological and psychological components. Endodontic post-treatment pain continues to be a significant problem facing the dental profession. For those patients presenting with preoperative pain, it has been reported that up to 80% of this population will continue to report pain after endodontic treatment. Many studies have demonstrated that endodontic treatment is efficacious in reducing post-treatment pain. Despite the fact that the pain relief afforded by endodontic treatment is effective,it is rarely immediate and complete. Therefore, it is evident that post-treatment analgesic intervention is required in a variable percentage of endodontic cases. The purpose of this review article was to assess three main pharmacologic approaches in the control of post-treatment endodontic pain.

  8. Pain and Nociception

    DEFF Research Database (Denmark)

    Falk, Sarah; Dickenson, Anthony H

    2014-01-01

    Cancer pain, especially pain caused by metastasis to bone, is a severe type of pain, and unless the cause and consequences can be resolved, the pain will become chronic. As detection and survival among patients with cancer have improved, pain has become an increasing challenge, because traditional...... therapies are often only partially effective. Until recently, knowledge of cancer pain mechanisms was poor compared with understanding of neuropathic and inflammatory pain states. We now view cancer-induced bone pain as a complex pain state involving components of both inflammatory and neuropathic pain but...... also exhibiting elements that seem unique to cancer pain. In addition, the pain state is often unpredictable, and the intensity of the pain is highly variable, making it difficult to manage. The establishment of translational animal models has started to reveal some of the molecular components involved...

  9. Central Neuropathic Pain Syndromes.

    Science.gov (United States)

    Watson, James C; Sandroni, Paola

    2016-03-01

    Chronic pain is common in patients with neurologic complications of a central nervous system insult such as stroke. The pain is most commonly musculoskeletal or related to obligatory overuse of neurologically unaffected limbs. However, neuropathic pain can result directly from the central nervous system injury. Impaired sensory discrimination can make it challenging to differentiate central neuropathic pain from other pain types or spasticity. Central neuropathic pain may also begin months to years after the injury, further obscuring recognition of its association with a past neurologic injury. This review focuses on unique clinical features that help distinguish central neuropathic pain. The most common clinical central pain syndromes-central poststroke pain, multiple sclerosis-related pain, and spinal cord injury-related pain-are reviewed in detail. Recent progress in understanding of the pathogenesis of central neuropathic pain is reviewed, and pharmacological, surgical, and neuromodulatory treatments of this notoriously difficult to treat pain syndrome are discussed. PMID:26944242

  10. Face lift postoperative recovery.

    Science.gov (United States)

    Mottura, A Aldo

    2002-01-01

    measures which prevent extensive edemas are: avoiding transection of the temporal pedicle, or to realizing platysma plication too tight by using strong aspirative drainage instead of elastic bandages. In the post-op, the manual lymphatic drainage is initiated on the third or fifth day, but must be done by a trained professional, in a method contrary to that specified in the books for non-operated individuals. An aesthetician washes the hair and applies decongestive cold tea on the face the second day, and on the fifth, moisturizes the skin and cosmetically conceals any signs of bruising. The psychological support provided by the staff keeps the patient calm and relaxed. Five years experience with this protocol has enabled us to minimize post-op pain. The edema can be predicted with certain consistency (in which surgery there will be more or less edema) and the proper technique can be selected, permitting the patient to choose the best moment for a FL while the surgeon can avoid intra and postoperative measures that increase the edema. After surgery, the patient receives the daily assistance of the staff, which rapidly and efficiently improves this condition. We can predict and control the post-op recovery and the patient feels fine, unlike the past when recovery was abandoned to its natural evolution. If the patient perceived an intensive, positive support on behalf of the entire staff that kept him or her content, then we have succeeded in doing an excellent marketing. This may encourage others to undergo aesthetic surgery, especially those who are convinced that after surgery they might have to endure considerable suffering. PMID:12140694

  11. Measuring postoperative pain

    NARCIS (Netherlands)

    Dijk, J.F.M. van

    2015-01-01

    Many patients experience pain after surgery. Adequate pain treatment begins with a reliable pain assessment. The Numeric Rating Scale (NRS) is often used for this purpose; patients are asked to score their pain on a scale from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable

  12. Poststroke Pain – but Multiple Pain Mechanisms

    Directory of Open Access Journals (Sweden)

    Vinjamuri Chari

    2010-01-01

    Full Text Available A 42-year-old man presented with acute left hemiplegia due to a right frontotemporal hemorrhagic stroke and left-sided pain. While the initial presentation suggested central poststroke pain, subsequent investigations also implicated heterotopic ossification of the left hip and amplification of previous low back pain by the new central pain. While heterotopic ossification has been commonly associated with brain injury, spinal cord injury or osseous injury, it is only rarely associated with stroke. Poststroke pain may be multifactorial, and discovering the pain mechanisms has important implications for treatment.

  13. Pain and pain management in dermatology.

    Science.gov (United States)

    Beiteke, Ulrike; Bigge, Stefan; Reichenberger, Christina; Gralow, Ingrid

    2015-10-01

    It is estimated that 23 million Germans suffer from chronic pain. A recent survey has revealed that 30 % of chronic pain patients are dissatisfied with their pain management. Furthermore, five million Germans suffer from neuropathic pain, 20 % of whom are inadequately treated. Pain is also a symptom of many dermatologic diseases, which is mostly somatic and may be classified as mild in the majority of cases. Nevertheless, research on the quality of life (QoL) has increasingly shown a marked impairment of QoL by moderate pain such as in psoriatic arthritis. -Severe pain is associated with herpes zoster (shingles), leg ulcers, and pyoderma gangrenosum. This article addresses the basics of pain classification and, in a short excerpt, pain transduction/transmission and modulation. The use of standardized diagnostic -scales is recommended for the purpose of recording and monitoring pain intensity, which allows for the optimization of therapy and consistent interdisciplinary -communication. Any dermatology residency program includes the acquisition of knowledge and skills in pain management. This review therefore aims to present fundamental therapeutic concepts based on the expanded WHO analgesic ladder, and describes a step-wise therapeutic approach and combination therapies. The article focuses on the pain management of the above-mentioned severely painful, conservatively treated dermatoses. Besides well-established therapeutic agents and current -therapeutic standards, it discusses specific options based on guidelines (where available). Current knowledge on peri- and postoperative pain management is briefly outlined. This article addresses: ▸ The fundamentals of the classification and neurophysiology of pain; ▸ Standards for pain documentation in children and adults; ▸ General standards for pharmaceutical pain management; ▸ Current specific treatment options for postherpetic neuralgia, leg ulcers, and -pyoderma gangrenosum in conjunction with the expanded WHO

  14. Familiar face + novel face = familiar face? Representational bias in the perception of morphed faces in chimpanzees.

    Science.gov (United States)

    Matsuda, Yoshi-Taka; Myowa-Yamakoshi, Masako; Hirata, Satoshi

    2016-01-01

    Highly social animals possess a well-developed ability to distinguish the faces of familiar from novel conspecifics to induce distinct behaviors for maintaining society. However, the behaviors of animals when they encounter ambiguous faces of familiar yet novel conspecifics, e.g., strangers with faces resembling known individuals, have not been well characterised. Using a morphing technique and preferential-looking paradigm, we address this question via the chimpanzee's facial-recognition abilities. We presented eight subjects with three types of stimuli: (1) familiar faces, (2) novel faces and (3) intermediate morphed faces that were 50% familiar and 50% novel faces of conspecifics. We found that chimpanzees spent more time looking at novel faces and scanned novel faces more extensively than familiar or intermediate faces. Interestingly, chimpanzees looked at intermediate faces in a manner similar to familiar faces with regards to the fixation duration, fixation count, and saccade length for facial scanning, even though the participant was encountering the intermediate faces for the first time. We excluded the possibility that subjects merely detected and avoided traces of morphing in the intermediate faces. These findings suggest a bias for a feeling-of-familiarity that chimpanzees perceive familiarity with an intermediate face by detecting traces of a known individual, as 50% alternation is sufficient to perceive familiarity. PMID:27602275

  15. Dysmenorrhea: Painful Periods

    Science.gov (United States)

    ... Management Education & Events Advocacy For Patients About ACOG Dysmenorrhea: Painful Periods Home For Patients Search FAQs Dysmenorrhea: ... Dysmenorrhea: Painful Periods FAQ046, January 2015 PDF Format Dysmenorrhea: Painful Periods Gynecologic Problems What is dysmenorrhea? How ...

  16. What Is Chronic Pain?

    Medline Plus

    Full Text Available ... acute pain and both naturally expect that some cause will be found, and when it’s found, it ... pain even in the absence of an apparent cause. But chronic pain has a physiological or neurological ...

  17. Central Pain Syndrome

    Science.gov (United States)

    ... Enhancing Diversity Find People About NINDS NINDS Central Pain Syndrome Information Page Table of Contents (click to ... being done? Clinical Trials Organizations What is Central Pain Syndrome? Central pain syndrome is a neurological condition ...

  18. Back Pain During Pregnancy

    Science.gov (United States)

    ... Education & Events Advocacy For Patients About ACOG Back Pain During Pregnancy Home For Patients Search FAQs Back ... During Pregnancy FAQ115, January 2016 PDF Format Back Pain During Pregnancy Pregnancy What causes back pain during ...

  19. Pain medications - narcotics

    Science.gov (United States)

    Painkillers; Drugs for pain; Analgesics; Opioids ... Narcotics are also called opioid pain relievers. They are used only for pain that is severe and is not helped by other types of painkillers. When used ...

  20. Palliative care - managing pain

    Science.gov (United States)

    End of life - pain management; Hospice - pain management ... or if you have side effects from your pain treatments. ... Bookbinder M, McHugh ME. Symptom management in palliative care and ... Medicine . 1st ed. Philadelphia, PA: Elsevier Saunders; 2008:chap ...

  1. Pain Information Brochure

    Science.gov (United States)

    ... of Arthritis and Musculoskeletal and Skin Diseases Top Back Pain Back Pain Information Page National Institute of Neurological Disorders and Stroke Low Back Pain Fact Sheet National Institute of Neurological Disorders and ...

  2. 'Hip' pain.

    Science.gov (United States)

    Zacher, Josef; Gursche, Angelika

    2003-02-01

    'Hip' pain is usually located in the groin, upper thigh or buttock and is a common complaint. Slipped capital femoral epiphysis, avascular femoral head necrosis and apophyseal avulsion are the most common diagnoses in childhood and adolescents. Strains and fractures are common in sport-active adults. Osteoarthritis occurs in middle-aged and older adults. Trauma may result in femoral head fracture or typical muscle and tendon sprains and bursitis. Septic or inflammatory arthritis can occur at every age. Septic arthritis, fractures and acute epiphyseal slipping are real emergency cases. Congenital dysplasia of the hip joint may lead to labral tears and early osteoarthritis. The most important hip problems in children, adolescents, adult and older people are discussed; these problems originate from intra-articular disorders and the surrounding extra-articular soft tissues. Medical history, clinical examination and additional tests, including imaging, will be demonstrated. Principles of treatment are given for specific disorders. PMID:12659822

  3. Dental (Odontogenic) Pain

    Science.gov (United States)

    Renton, Tara

    2011-01-01

    This article provides a simple overview of acute trigeminal pain for the non dentist. This article does not cover oral mucosal diseases (vesiculobullous disorders) that may cause acute pain. Dental pain is the most common in this group and it can present in several different ways. Of particular interest for is that dental pain can mimic both trigeminal neuralgia and other chronic trigeminal pain disorders. It is crucial to exclude these disorders whilst managing patients with chronic trigeminal pain. PMID:26527224

  4. Poststroke Pain – but Multiple Pain Mechanisms

    OpenAIRE

    Vinjamuri Chari; Eldon Tunks

    2010-01-01

    A 42-year-old man presented with acute left hemiplegia due to a right frontotemporal hemorrhagic stroke and left-sided pain. While the initial presentation suggested central poststroke pain, subsequent investigations also implicated heterotopic ossification of the left hip and amplification of previous low back pain by the new central pain. While heterotopic ossification has been commonly associated with brain injury, spinal cord injury or osseous injury, it is only rarely associated with str...

  5. Peripheral Pain Mechanisms in Chronic Widespread Pain

    OpenAIRE

    Staud, Roland

    2011-01-01

    Clinical symptoms of chronic widespread pain (CWP) conditions including fibromyalgia (FM), include pain, stiffness, subjective weakness, and muscle fatigue. Muscle pain in CWP is usually described as fluctuating and often associated with local or generalized tenderness (hyperalgesia and/or allodynia). This tenderness related to muscle pain depends on increased peripheral and/or central nervous system responsiveness to peripheral stimuli which can be either noxious (hyperalgesia) or non-noxiou...

  6. Pain inhibits pain; human brainstem mechanisms.

    Science.gov (United States)

    Youssef, A M; Macefield, V G; Henderson, L A

    2016-01-01

    Conditioned pain modulation is a powerful analgesic mechanism, occurring when a painful stimulus is inhibited by a second painful stimulus delivered at a different body location. Reduced conditioned pain modulation capacity is associated with the development of some chronic pain conditions and the effectiveness of some analgesic medications. Human lesion studies show that the circuitry responsible for conditioned pain modulation lies within the caudal brainstem, although the precise nuclei in humans remain unknown. We employed brain imaging to determine brainstem sites responsible for conditioned pain modulation in 54 healthy individuals. In all subjects, 8 noxious heat stimuli (test stimuli) were applied to the right side of the mouth and brain activity measured using functional magnetic resonance imaging. This paradigm was then repeated. However, following the fourth noxious stimulus, a separate noxious stimulus, consisting of an intramuscular injection of hypertonic saline into the leg, was delivered (conditioning stimulus). During this test and conditioning stimulus period, 23 subjects displayed conditioned pain modulation analgesia whereas 31 subjects did not. An individual's analgesic ability was not influenced by gender, pain intensity levels of the test or conditioning stimuli or by psychological variables such as pain catastrophizing or fear of pain. Brain images were processed using SPM8 and the brainstem isolated using the SUIT toolbox. Significant increases in signal intensity were determined during each test stimulus and compared between subjects that did and did not display CPM analgesia (pmechanisms responsible for the maintenance of persistent pain conditions thought to involve altered analgesic circuitry. PMID:26343321

  7. Face powder poisoning

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002700.htm Face powder poisoning To use the sharing features on this page, please enable JavaScript. Face powder poisoning occurs when someone swallows or breathes ...

  8. Facts and Figures on Pain

    Science.gov (United States)

    ... Room Position Statements AAPM Facts and Figures on Pain Overview What is Chronic Pain? Incidence of Pain, ... of them. Back to Top What is Chronic Pain? While acute pain is a normal sensation triggered ...

  9. Adolescents' approach-avoidance behaviour in the context of pain.

    Science.gov (United States)

    Fisher, Emma; Keogh, Edmund; Eccleston, Christopher

    2016-02-01

    Adolescents who experience pain often face competing goals and have to choose whether to approach (confront) or avoid pain. This study investigates the decisions adolescents make when their pain conflicts with a valued goal. Adolescents between the ages of 15 and 18 years (N = 170) completed questionnaires on general and pain-specific anxiety, courage, and dispositional avoidance. Adolescents were presented with 16 vignettes (8 high pain intensity, 8 low pain intensity), which described pain conflicting with a goal (eg, doing well at school, seeing friends). Adolescents rated goals for importance and reported how likely they would be to approach or avoid each pain. Adolescents were more likely to avoid and were more fearful of high pain intensity than low pain intensity vignettes. Pain anxiety predicted higher levels of avoidance for both pain intensities. General anxiety was not a significant predictor of avoidance for either pain intensity. Goal importance promoted approach of goals, but only when pain was described as intense. However, pain anxiety predicted avoidance beyond the importance of goals for high pain intensity vignettes. In addition, we compared approach-avoidance of adolescents with and without chronic pain; analyses revealed no differences in approach-avoidance behaviour. We also found that behavioural endurance was predictive of approach and dispositional avoidance predicted higher avoidance, but courage was not predictive of behaviour in this task. We adopt a motivational perspective when interpreting the findings and consider whether the fear-avoidance model should be extended to include the function of avoidance or approach in the pursuit of a desired goal. PMID:26458091

  10. Series Facing Radiation. 2 Facing radiation is facing residents

    International Nuclear Information System (INIS)

    The series is to report how general people, who are not at all radiological experts, have faced and understood the problems and tasks of radiation given by the Fukushima Daiichi Nuclear Power Plant Accident (Mar. 2011). The section 2 is reported by an officer of Date City, which localizes at 60 km northern west of the Plant, borders on Iitate Village of Fukushima prefecture, and is indicated as the important area of contamination search (IACS), which the reporter has been conducted for as responsible personnel. In July 2011, the ambient dose was as high as 3.0-3.5 mc-Sv/h and the tentative storage place of contaminated materials was decided by own initiative of residents of a small community, from which the real decontamination started in the City. The target dose after decontamination was defined to be 1.0 mc-Sv/h: however, 28/32 IACS municipalities in the prefecture had not defined the target although they had worked for 2 years after the Accident for their areas exceeding the standard 0.23 mc-Sv/h. At the moment of decontamination of the reporter's own house, he noticed that resident's concerns had directed toward its work itself, not toward the target dose, and wondered if these figures had obstructed to correctly face the radiation. At present that about 2.5 years have passed since the Accident, all of Date citizens have personal accumulated glass dosimeters for seeing the effective external dose and it seems that their dose will not exceed 1 mSv/y if the ambient dose estimated is 0.3-5 mc-Sv/h. Media run to popularity not to face radiation, experts tend to hesitate to face media and residents, and radiation dose will be hardly reduced to zero, despite that correct understanding of radiation is a shorter way for residents' own ease: facing radiation is facing residents. (T.T.)

  11. Lightweight Face Relighting

    OpenAIRE

    Paris, Sylvain; Sillion, François X.; Quan, Long

    2003-01-01

    International audience In this paper we present a method to relight human faces in real time, using consumer-grade graphics cards even with limited 3D capabilities. We show how to render faces using a combination of a simple, hardware-accelerated parametric model simulating skin shading and a detail texture map, and provide robust procedures to estimate all the necessary parameters for a given face. Our model strikes a balance between the difficulty of realistic face rendering (given the v...

  12. Learning Deep Face Representation

    OpenAIRE

    Fan, Haoqiang; Cao, Zhimin; Jiang, Yuning; Yin, Qi; Doudou, Chinchilla

    2014-01-01

    Face representation is a crucial step of face recognition systems. An optimal face representation should be discriminative, robust, compact, and very easy-to-implement. While numerous hand-crafted and learning-based representations have been proposed, considerable room for improvement is still present. In this paper, we present a very easy-to-implement deep learning framework for face representation. Our method bases on a new structure of deep network (called Pyramid CNN). The proposed Pyrami...

  13. Stable face representations

    OpenAIRE

    Jenkins, Rob; Burton, A. Mike

    2011-01-01

    Photographs are often used to establish the identity of an individual or to verify that they are who they claim to be. Yet, recent research shows that it is surprisingly difficult to match a photo to a face. Neither humans nor machines can perform this task reliably. Although human perceivers are good at matching familiar faces, performance with unfamiliar faces is strikingly poor. The situation is no better for automatic face recognition systems. In practical settings, automatic systems have...

  14. Generic Face Animation

    OpenAIRE

    Cerda, Mauricio; Valenzuela, Renato; Hitschfeld-Kahler, Nancy; Terissi, Lucas; Gomez, Juan C.

    2010-01-01

    International audience In computer vision, the animation of objects has attracted a lot attention, specially the animations of 3D face models. The animation of face models requires in general to manually adapt each generic movement (open/close mouth) to each specific head geometry. In this work we propose a technique for the animation of any face model avoiding most of the manual intervention. In order to achieve this we assume that: (1) faces, despite obvious differences are quite similar...

  15. GPU accelerated face detection

    OpenAIRE

    Mäkelä, J.

    2013-01-01

    Graphics processing units have massive parallel processing capabilities, and there is a growing interest in utilizing them for generic computing. One area of interest is computationally heavy computer vision algorithms, such as face detection and recognition. Face detection is used in a variety of applications, for example the autofocus on cameras, face and emotion recognition, and access control. In this thesis, the face detection algorithm was accelerated with GPU using OpenCL. The goal was...

  16. About (above) a face - a face

    OpenAIRE

    Diego Cervelin

    2009-01-01

    This text intents to unfold some considerations regardind the perception of the image of the Lóri’s face, from the book Uma aprendizagem ou o livro dos prazeres, published by Clarice Lispector in 1969. For that, will be studied the politicians devices who involve the apprehension of the face as a qualifying of the subject and, at the same time, its relation with the lenguage.

  17. Unilateral facial pain and lung cancer

    Energy Technology Data Exchange (ETDEWEB)

    Shakespeare, T.P.; Stevens, M.J. [Royal North Shore Hospital, Crows Nest, NSW (Australia)

    1996-02-01

    Facial pain in lung cancer patients may be secondary to metastatic disease to the brain or skull base. Since 1983 there have been 19 published reports of hemi-facial pain as a non-metastatic complication of lung carcinoma. This report describes an additional case in whom unilateral face pain preceded the diagnosis of lung cancer by 9 months. A clinical diagnosis of trigeminal neuralgia was made after a normal brain CT scan. Later on the patient complained of global lethargy, weight loss and haemoptysis. A chest X-ray disclosed a 6 cm right hilar mass that was further defined with a whole body CT scan. The neural mechanism of the unilateral facial pain is discussed and the literature reviewed. 14 refs., 1 tab.

  18. Cancer Pain Physiology

    DEFF Research Database (Denmark)

    Falk, Sarah; Bannister, Kirsty; Dickenson, Anthony

    2014-01-01

    Mechanisms of inflammatory and neuropathic pains have been elucidated and translated to patient care by the use of animal models of these pain states. Cancer pain has lagged behind since early animal models of cancer-induced bone pain were based on the systemic injection of carcinoma cells. This...... precluded systematic investigation of specific neuronal and pharmacological alterations that occur in cancer-induced bone pain. In 1999, Schwei et al. described a murine model of cancer-induced bone pain that paralleled the clinical condition in terms of pain development and bone destruction, confined to...... the mouse femur. This model prompted related approaches and we can now state that cancer pain may include elements of inflammatory and neuropathic pains but also unique changes in sensory processing. Cancer induced bone pain results in progressive bone destruction, elevated osteoclast activity and...

  19. Multiview Face Detection

    OpenAIRE

    Sauquet, Tiffany; Rodriguez, Yann; Marcel, Sébastien

    2005-01-01

    In this document, we address the problem of multiview face detection. This work extends the frontal face detection system developed at the IDIAP Research Institute to multiview face detection. The main state-of-the art techniques are reviewed and a novel architecture is presented, based on a pyramid of detectors that are trained for different views of faces. The proposed approach robustly detects faces rotated up to -67.5 degree in the image plane and up to -90 degree out of the image plane. ...

  20. Painful peripheral neuropathy

    OpenAIRE

    Sun, Bo; Xu-sheng HUANG

    2013-01-01

    Painful peripheral neuropathy (PPN) is characterized by neuropathic pain (NP), which is accompanied by dysfunction of motor, sensory and autonomic nervous system. It always involves small nerve fibers, including A δ and C fibers. PPN can be classified into two types according to etiology: hereditary and acquired. Pain of PPN can manifest as spontaneous pain and stimulus-evoked pain (allodynia, hyperalgesia and hyperpathia). The manifestation of typical cases is length-dependent, which firstly...

  1. Dental (Odontogenic) Pain

    OpenAIRE

    Renton, Tara

    2011-01-01

    This article provides a simple overview of acute trigeminal pain for the non dentist.This article does not cover oral mucosal diseases (vesiculobullous disorders) that may cause acute pain.Dental pain is the most common in this group and it can present in several different ways.Of particular interest for is that dental pain can mimic both trigeminal neuralgia and other chronic trigeminal pain disorders.It is crucial to exclude these disorders whilst managing patients with chronic trigeminal p...

  2. Painful Hip Prosthesis: Definition

    OpenAIRE

    Ferrata, P.; Carta, S.; Fortina, M.; Scipio, D.; Riva, A.; Di Giacinto, S.

    2010-01-01

    Pain is the main reason inducing patients to undergo surgery and persistence of pain after the operation is a major concern, both for the patient and the surgeon. Up to 10% of patients report pain five years after hip arthroplasty. An analysis of the literature reveals numerous causes of pain localised to the replacement hip. In assessing a painful hip it is fundamental to arrive at a definite diagnosis before starting any treatment. Intrinsic causes can be identified, such as unrecognised as...

  3. Chronic pain after hysterectomy

    DEFF Research Database (Denmark)

    Brandsborg, B; Nikolajsen, L; Kehlet, Henrik;

    2008-01-01

    BACKGROUND: Chronic pain is a well-known adverse effect of surgery, but the risk of chronic pain after gynaecological surgery is less established. METHOD: This review summarizes studies on chronic pain following hysterectomy. The underlying mechanisms and risk factors for the development of chronic...... post-hysterectomy pain are discussed. RESULTS AND CONCLUSION: Chronic pain is reported by 5-32% of women after hysterectomy. A guideline is proposed for future prospective studies. Udgivelsesdato: 2008-Mar...

  4. Untying chronic pain

    OpenAIRE

    Häuser, Winfried; Wolfe, Frederik; Henningsen, Peter; Schmutzer, Gabriele; Brähler, Elmar; Hinz, Andreas

    2014-01-01

    Background: Chronic pain is a major public health problem. The impact of stages of chronic pain adjusted for disease load on societal burden has not been assessed in population surveys. Methods: A cross-sectional survey with 4360 people aged ≥ 14 years representative of the German population was conducted. Measures obtained included demographic variables, presence of chronic pain (based on the definition of the International Association for the Study of Pain), chronic pain stages (by chronic ...

  5. Relation of the factor to menstrual pain and musculoskeletal pain

    OpenAIRE

    Lee, Jang-Won; Park, Hye-Sang

    2015-01-01

    The purpose of the present study is to investigate the relationship between the regions of menstrual pain and of myofascial pain syndrome, which is the main cause of musculoskeletal pain, as well as to examine the changes and relationships among the menstrual pain-related factors, which are pain level, pain area, activity, appetite, mood, and sleeping pattern. The subjects were 13 sufferers of musculoskeletal pain and 17 non-sufferers. Pain diary and pain chart systems were used for the measu...

  6. The problem of pain.

    Science.gov (United States)

    Nicholson, Keith; Martelli, Michael F

    2004-01-01

    Pain problems, especially posttraumatic headache, are very common following head trauma. Pain may be the most significant problem, more disabling than any brain or other injuries, and interfering with aspects of cognition or other function. However, posttraumatic headache and most other chronic posttraumatic pain problems remain poorly understood. This article reviews fundamental issues that should be considered in understanding the nature of chronic pain including the distinction between acute and chronic pain; neurobiological distinctions between the lateral and medial pain system; nociceptive versus neuropathic or other central pain; sensitization effects; the widely accepted view of chronic pain as a multidimensional subjective experience involving sensory, motivational-affective and cognitive-behavioral components; the problem of mind-body dualism; the role of psychosocial factors in the onset, maintenance, exacerbation or severity of pain; plus issues of response bias and malingering. PMID:14732827

  7. Face Animation with Kinect Face Tracking

    OpenAIRE

    Forns Gutierrez, Oriol

    2015-01-01

    El projecte consisteix en obtenir les dades d'un Kinect, tractar-les amb el SDK Kinect FaceTracking per obtenir les expressions facials i la inclinació del cap d'una persona que aparegui a la imatge, per finalment animar un avatar 3D amb aquestes dades This project involves obtaining data from a Kinect, treat them with FaceTracking Kinect SDK to obtain facial expressions and head tilt of a person who appears in the picture, finally animate a 3D avatar with these data.

  8. Pain and the ethics of pain management.

    Science.gov (United States)

    Edwards, R B

    1984-01-01

    In this article I clarify the concepts of 'pain', 'suffering', 'pains of body', 'pains of soul'. I explore the relevance of an ethic to the clinical setting which gives patients a strong prima facie right to freedom from unnecessary and unwanted pain and which places upon medical professionals two concomitant moral obligations to patients. First, there is the duty not to inflict pain and suffering beyond what is necessary for effective diagnosis, treatment and research. Next, there is the duty to do all that can be done to relieve all the pain and suffering which can be alleviated. I develop in some detail that individuality of pain sensitivity must be taken into account in fulfilling these obligations. I explore the issue of the relevance of informed consent and the right to refuse treatment to the matter of pain relief. And I raise the question of what conditions, if any, should override the right to refuse treatment where pain relief is of paramount concern. PMID:6710192

  9. Pediatric pain management.

    Science.gov (United States)

    Lederhaas, G

    1997-01-01

    It is now recognized that from the newborn period onwards, children are capable of experiencing pain. This includes the premature infant. The challenge for healthcare providers is to incorporate methods of pain assessment and treatment into their daily practices. The child's understanding of pain closely follows the cognitive and behavioral model developed by Jean Piaget. Based on these developmental stages, pain assessment measures have been developed. Pharmacologic advances have accompanied this improved understanding of infant, child, and adolescent psychology. While acute pain accounts for the majority of children's experiences, recurrent/chronic pain states do occur (e.g. sickle cell related and neuropathic) and can be effectively treated. PMID:9037997

  10. [Muscle-skeletal pain].

    Science.gov (United States)

    Vygonskaya, M V; Filatova, E G

    2016-01-01

    The paper is devoted to the most complicated aspects of low back pain. The differences between specific and nonspecific low back pain using the "red flags" system is highlighted. The authors consider the causes of pain chronification (the "yellow flags" system) and the necessity of using a biopsychosocial model. Main pathogenetic mechanisms of chronic muscle/skeletal pain are considered and the possible involvement of several mechanism in the pathogenesis of chronic pain as well as the use of complex therapy is discussed. The high efficacy and safety of ketorolac in treatment of nonspecific muscle/skeletal pain is demonstrated. PMID:27042717

  11. Face-Guarding Polyhedra

    OpenAIRE

    Viglietta, Giovanni

    2013-01-01

    We study the Art Gallery Problem for face guards in polyhedral environments. The problem can be informally stated as: how many (not necessarily convex) windows should we place on the external walls of a dark building, in order to completely illuminate its interior? We consider both closed and open face guards (i.e., faces with or without their boundary), and we study several classes of polyhedra, including orthogonal polyhedra, 4-oriented polyhedra, and 2-reflex orthostacks. We give upper and...

  12. Oracle ADF Faces cookbook

    CERN Document Server

    Gawish, Amr

    2014-01-01

    This is a cookbook that covers more than 80 different recipes to teach you about different aspects of Oracle ADF Faces. It follows a practical approach and covers how to build your components for reuse in different applications. This book will also help you in tuning the performance of your ADF Faces application. If you are an ADF developer who wants to harness the power of Oracle ADF Faces to create exceptional user interfaces and reactive applications, this book will provide you with the recipes needed to do just that. You will not need to be familiar with Oracle ADF Faces, but you should be

  13. Learning discriminant face descriptor.

    Science.gov (United States)

    Lei, Zhen; Pietikäinen, Matti; Li, Stan Z

    2014-02-01

    Local feature descriptor is an important module for face recognition and those like Gabor and local binary patterns (LBP) have proven effective face descriptors. Traditionally, the form of such local descriptors is predefined in a handcrafted way. In this paper, we propose a method to learn a discriminant face descriptor (DFD) in a data-driven way. The idea is to learn the most discriminant local features that minimize the difference of the features between images of the same person and maximize that between images from different people. In particular, we propose to enhance the discriminative ability of face representation in three aspects. First, the discriminant image filters are learned. Second, the optimal neighborhood sampling strategy is soft determined. Third, the dominant patterns are statistically constructed. Discriminative learning is incorporated to extract effective and robust features. We further apply the proposed method to the heterogeneous (cross-modality) face recognition problem and learn DFD in a coupled way (coupled DFD or C-DFD) to reduce the gap between features of heterogeneous face images to improve the performance of this challenging problem. Extensive experiments on FERET, CAS-PEAL-R1, LFW, and HFB face databases validate the effectiveness of the proposed DFD learning on both homogeneous and heterogeneous face recognition problems. The DFD improves POEM and LQP by about 4.5 percent on LFW database and the C-DFD enhances the heterogeneous face recognition performance of LBP by over 25 percent. PMID:24356350

  14. What Is Chronic Pain?

    Medline Plus

    Full Text Available ... the ER Glossary Surveys What We Have Learned Communication Tools Videos Pain Management Programs Resource Guide to ... pain is real. Site Map Terms & Conditions Privacy Policy Advertising Policy Language Disclaimer Endorsement Policy Development of ...

  15. Treatments for Managing Pain

    Science.gov (United States)

    ... Expect Patient Stories FAQs Anesthesia Topics Treatments for Managing Pain Share PRINT Print Home > Anesthesia Topics > Detail Page Treatments for Managing Pain Medication alone may not be enough to ...

  16. Acupuncture for Pediatric Pain

    Directory of Open Access Journals (Sweden)

    Brenda Golianu

    2014-08-01

    Full Text Available Chronic pain is a growing problem in children, with prevalence as high as 30.8%. Acupuncture has been found to be useful in many chronic pain conditions, and may be of clinical value in a multidisciplinary treatment program. The basic principles of acupuncture are reviewed, as well as studies exploring basic mechanisms of acupuncture and clinical efficacy. Conditions commonly treated in the pediatric pain clinic, including headache, abdominal pain, fibromyalgia, juvenile arthritis, complex regional pain syndrome, cancer pain, as well as perioperative pain studies are reviewed and discussed. Areas in need of further research are identified, and procedural aspects of acupuncture practice and safety studies are reviewed. Acupuncture can be an effective adjuvant in the care of pediatric patients with painful conditions, both in a chronic and an acute setting. Further studies, including randomized controlled trials, as well as trials of comparative effectiveness are needed.

  17. What Is Chronic Pain?

    Medline Plus

    Full Text Available ... Resources Going to the ER Glossary Surveys What We Have Learned Communication Tools Videos Pain Management Programs ... pain is different. And because it is different, we need to think about it in very different ...

  18. Perspectives in Pancreatic Pain

    Directory of Open Access Journals (Sweden)

    A. S. Salim

    1997-01-01

    Full Text Available This review describes some of the mechanisms which are thought to be important in the causation of pain in chronic pancreatitis. Both medical and surgical techniques for treating this pain are described.

  19. What Is Back Pain?

    Science.gov (United States)

    ... component. Other diseases. Some types of arthritis and cancer can cause back pain. Your job. If you ... pain. Spinal stenosis. This condition causes the spinal canal to become ... or a nerve root problem called cauda equina syndrome, surgery is needed ...

  20. What Is Chronic Pain?

    Medline Plus

    Full Text Available ... chronic pain there may be no apparent physical injury or illness to explain it. The physician and ... expected period of healing for an illness or injury. You can experience pain even if you are ...

  1. Prevent Back Pain

    Science.gov (United States)

    ... Prevent Back Pain Print This Topic En español Prevent Back Pain Browse Sections The Basics Overview Am ... at Risk? 3 of 5 sections Take Action: Prevent Injuries Focus on good posture. Good posture can ...

  2. Endometriosis and pain

    Directory of Open Access Journals (Sweden)

    Guido Orlandini

    2011-03-01

    Full Text Available In some patients endometriosis causes persistent or chronic pain and is a specialistic algologic problem. Considering various possible pathogenic pain mechanisms, when pain therapy of endometriosis cannot be etiologic, far from be only symptomatic, it is based on a pathogenetic criterion. We must consider that in endometriosis can be a pain due to activation of nociceptors sensibilized by endometriosic tissues (tissutal nociceptive pain unresponding to NSAIDs and opioids or a pain due to the nerve damage by nerve compression from endometriosic cistis or by involvement of nerve structures in scar tissue (neuropathic pain unresponding to antinociceptive therapy but responding, at least partially, to some neuropathic specific pain drugs and to electrostimulation of the nerve system.

  3. Phytotherapy for pain relief.

    Science.gov (United States)

    Zareba, Grazyna

    2009-06-01

    Pain is considered the third most common healthcare problem disabling more individuals than heart disease and cancer together. Although pharmacological pain management offers a significant relief in several pain-related diseases, many patients turn to its supplementation with complementary and alternative medicine. Botanicals used in pain therapy can contribute to restoring the quality of life to a patient and may effect and enhance conventional pain management. Herbal analgesic use in several pain-related diseases such as rheumatologic diseases, back pain, cancer, diabetic peripheral neuropathy and migraine will be discussed. In addition, this review describes botanicals with known analgesic activity for which randomized, placebo-controlled, double-blind trials assessing their efficacy in different pain-related diseases have been published and which have been recently evaluated in many systematic reviews with well-described methodology. PMID:19649334

  4. Pain in Down's Syndrome

    Directory of Open Access Journals (Sweden)

    Federica Mafrica

    2006-01-01

    Full Text Available Pain is a homeostatic mechanism that intervenes to protect the organism from harmful stimuli that could damage its integrity. It is made up of two components: the sensory-discriminative component, which identifies the provenance and characteristics of the type of pain; and the affective-motivational component, on which emotional reflexes, following the painful sensation, depend.There is a system for pain control at an encephalic and spinal level, principally made up of the periaqueductal grey matter, the periventricular area, the nucleus raphe magnus, and the pain-inhibition complex situated in the posterior horns of the spinal cord. Through the activation of these pain-control systems, the nervous system suppresses the afference of pain signals. Endogenous opioids represent another analgesic system.In the course of various studies on pain transmission in Down patients, the reduced tolerance of pain and the incapacity to give a qualitative and quantitative description emerged in a powerful way. All of these aspects cause difficulty in evaluating pain. This is linked to several learning difficulties. However, it cannot be excluded that in these anomalies of pain perception, both the anatomical and the neurotransmitter alteration, typical of this syndrome, may hold a certain importance.This fact may have important clinical repercussions that could affect the choice of therapeutic and rehabilitative schemes for treatment of pathologies in which pain is the dominant symptom, such as postoperative pain. It could influence research on analgesics that are more suitable for these patients, the evaluation of the depth of analgesia during surgical operation, and ultimately, absence of obvious pain manifestations. In conclusion, alterations of the central nervous system, neurotransmitters, pain transmission, and all related problems should be considered in the management of pain in patients with Down's syndrome, especially by algologists and

  5. Contemporary treatment neuropathic pain

    OpenAIRE

    Cvijanović Milan; Simić Svetlana; Banić-Horvat Sofija; Jovin Zita; Slankamenac Petar; Ilin Miroslav

    2011-01-01

    Introduction. Neuropathic pain, or pain associated with disease or injury to the peripheral or central nervous system, is a common symptom of a heterogeneous group of conditions, including diabetic neuropathy, trigeminal neuralgia, postherpetic neuralgia and spinal cord injury. Chronic neuropathic pain should not be thought of as a symptom. It should truly be thought of as a disease with a very complicated pathophysiology. Pathophysiology. The mechanisms involved in neuropathic pain are...

  6. Ketogenic Diets and Pain

    OpenAIRE

    Masino, Susan A.; Ruskin, David N.

    2013-01-01

    Ketogenic diets are well-established as a successful anticonvulsant therapy. Based on overlap between mechanisms postulated to underlie pain and inflammation, and mechanisms postulated to underlie therapeutic effects of ketogenic diets, recent studies have explored the ability for ketogenic diets to reduce pain. Here we review clinical and basic research thus far exploring the impact of a ketogenic diet on thermal pain, inflammation, and neuropathic pain.

  7. Acupuncture for Pediatric Pain

    OpenAIRE

    Brenda Golianu; Ann Ming Yeh; Meredith Brooks

    2014-01-01

    Chronic pain is a growing problem in children, with prevalence as high as 30.8%. Acupuncture has been found to be useful in many chronic pain conditions, and may be of clinical value in a multidisciplinary treatment program. The basic principles of acupuncture are reviewed, as well as studies exploring basic mechanisms of acupuncture and clinical efficacy. Conditions commonly treated in the pediatric pain clinic, including headache, abdominal pain, fibromyalgia, juvenile arthritis, complex re...

  8. Pain in Down's Syndrome

    OpenAIRE

    Federica Mafrica; Daniela Schifilliti; Vincenzo Fodale

    2006-01-01

    Pain is a homeostatic mechanism that intervenes to protect the organism from harmful stimuli that could damage its integrity. It is made up of two components: the sensory-discriminative component, which identifies the provenance and characteristics of the type of pain; and the affective-motivational component, on which emotional reflexes, following the painful sensation, depend.There is a system for pain control at an encephalic and spinal level, principally made up of the periaqueductal grey...

  9. Facing Sound - Voicing Art

    DEFF Research Database (Denmark)

    Lønstrup, Ansa

    2013-01-01

    This article is based on examples of contemporary audiovisual art, with a special focus on the Tony Oursler exhibition Face to Face at Aarhus Art Museum ARoS in Denmark in March-July 2012. My investigation involves a combination of qualitative interviews with visitors, observations of the audience...

  10. Definitions and Types of Pain

    Science.gov (United States)

    ... 2016 Definitions and Types of Pain Defining Pain Pain is a perception that signals the individual that tissue damage has ... in the body that are involved in the perception of pain are called "nociception." Basic and clinical research during ...

  11. On this side of language, pain.

    Science.gov (United States)

    Masullo, Aldo

    2008-01-01

    Pain and pleasure, when profound, totalizing, leave one without voice. Under the violence of pure suffering, language is annihilated and therefore the protective falseness of its game vanishes. The impenetrable nakedness of our life, as pain and as pleasure, forces the thought, without protection, to the redde rationem and makes it free of the irreparable unrest due to philosophizing. We can say with Hegel that: "Pain is the privilege of living natures (...). One can say that the contradiction is not thinkable, but the living organisms, while suffering, effectively live". The relationship between pain and language assumes a link between death and pain. There would be no anxiety towards our own death if we did not have an idea of its occurrence, and no idea is possible without language. The soul is the human on the move, the continuous flow of symbolic communication, it is history, it is our acting community. Thought, love and joy are faces of this movement and are in a relation of reciprocity. I, you, we have a dialog; I, you, we love each other; I, you and we have delight in each other. Therefore anyone of us has pleasure since the others have pleasure. Physical pain breaks this essential reciprocity. PMID:18446728

  12. Managing your chronic pain

    Science.gov (United States)

    ... your chronic back pain To use the sharing features on this page, please enable JavaScript. Managing chronic pain means finding ways to make your back pain tolerable so you can live your life. You may not be able to ...

  13. Spinal pain in adolescents

    DEFF Research Database (Denmark)

    Aartun, Ellen; Hartvigsen, Jan; Wedderkopp, Niels;

    2014-01-01

    BACKGROUND: The severity and course of spinal pain is poorly understood in adolescents. The study aimed to determine the prevalence and two-year incidence, as well as the course, frequency, and intensity of pain in the neck, mid back, and low back (spinal pain). METHODS: This study was a school...

  14. Physiotherapy for pain

    DEFF Research Database (Denmark)

    Ginnerup-Nielsen, Elisabeth; Christensen, Robin; Thorborg, Kristian;

    2016-01-01

    OBJECTIVES: To empirically assess the clinical effects of physiotherapy on pain in adults. DESIGN: Using meta-epidemiology, we report on the effects of a 'physiotherapy' intervention on self-reported pain in adults. For each trial, the group difference in the outcome 'pain intensity' was assessed...

  15. Hepatitis C: Managing Pain

    Science.gov (United States)

    ... using visualization techniques to change your focus from pain to something else self-hypnosis--a way of teaching your body to relax biofeedback--using a machine to measure how much certain muscles are tensed, and ... chronic or intermittent pain is very difficult. What's more, chronic pain often ...

  16. [Pain in edentulous patients

    NARCIS (Netherlands)

    Baat, C. de

    2006-01-01

    In daily social life, orofacial pain is strongly associated with teeth. However, edentulousness is no lifetime guarantee of being pain-free in the orofacial region. Common oral pains in edentulous people are caused by denture misfits or occlusal errors, by alveolar ridge atrophy, by (sharp) exostose

  17. Face Time: Educating Face Transplant Candidates

    OpenAIRE

    Lamparello, Brooke M.; Bueno, Ericka M.; Diaz-Siso, Jesus Rodrigo; Sisk, Geoffroy C.; Pomahac, Bohdan

    2013-01-01

    Objective: Face transplantation is the innovative application of microsurgery and immunology to restore appearance and function to those with severe facial disfigurements. Our group aims to establish a multidisciplinary education program that can facilitate informed consent and build a strong knowledge base in patients to enhance adherence to medication regimes, recovery, and quality of life. Methods: We analyzed handbooks from our institution's solid organ transplant programs to identify top...

  18. Development of Recognition of Face Parts from Unfamiliar Faces

    OpenAIRE

    Liu, Shaoying; Anzures, Gizelle; Ge, Liezhong; Quinn, Paul C.; Pascalis, Olivier; Slater, Alan M.; Tanaka, James W.; Lee, Kang

    2012-01-01

    The present study examined developmental changes in the ability to recognize face parts. In Experiment 1, participants were familiarized with whole faces and given a recognition test with old and new eyes, noses, mouths, inner faces, outer faces, or whole faces. Adults were above chance in their recognition of the eye and mouth regions. However, children did not naturally encode and recognize face parts independently of the entire face. In addition, all age groups showed comparable inner and ...

  19. Emotional mimicry signals pain empathy as evidenced by facial electromyography.

    Science.gov (United States)

    Sun, Ya-Bin; Wang, Yu-Zheng; Wang, Jin-Yan; Luo, Fei

    2015-01-01

    Facial mimicry has been suggested to be a behavioral index for emotional empathy. The present study is the first to investigate the link between facial muscle activity and empathy for pain by facial electromyographic (EMG) recording while observers watched videos depicting real-life painful events. Three types of visual stimulus were used: an intact painful scene and arm-only (needle injection) and face only (painful expression) scenes. Enhanced EMG activity of the corrugator supercilii (CS) and zygomaticus major (ZM) muscles was found when observers viewed others in pain, supporting a unique pain expression that is distinct from the expression of basic emotions. In the intact video stimulus condition, CS activity was correlated positively with the empathic concern score and ZM activity, suggesting facial mimicry mediated empathy for pain. Cluster analysis of facial EMG responses revealed markedly different patterns among stimulus types, including response category, ratio, and temporal dynamics, indicating greater ecological validity of the intact scene in eliciting pain empathy as compared with partial scenes. This study is the first to quantitatively describe pain empathy in terms of facial EMG data. It may provide important evidence for facial mimicry as a behavioral indicator of pain empathy. PMID:26647740

  20. [Neurorehabilitation for Neuropathic Pain].

    Science.gov (United States)

    Hozumi, Jun; Osumi, Michihiro; Ogata, Toru; Sumitani, Masahiko

    2015-07-01

    Deafferentation, like as in limb amputation, brachial plexus avulsion injury and spinal cord injury, is usually followed by neuropathic pain. Neuropathic pain is a debilitating condition and it impairs the quality of life profoundly. Based on recent advances in the cognitive neuroscience, we explain intimate relationships among neuropathic pain, reorganization of primary sensory and motor cortices and the sensorimotor integration of the deafferentated limb. From the standpoint of the sensorimotor integration theory for emerging phantom limb pain, we further discuss the analgesic mechanism of neurorehabilitation techniques such as mirror visual feedback treatment and its related neurorobotics advancement for neuropathic pain. PMID:26422941

  1. Heel pain and phonophoresis.

    Science.gov (United States)

    Deshpande, Milind M; Patil, C B

    2010-06-01

    A review of 25 cases of heel pain treated conservatively with phonophoresis, using the anti-inflammatory gel containing a combination of flufenamic acid, salicylic acid and mucopolysaccharide polysulphate is being reported here. The purpose of the study was to assess the effectiveness of a noninvasive procedure called phonophoresis in treating hell pain. It involved usage of ultrasound waves to deliver anti-inflammatory drugs to the painful site. The heel pain subsided in all the cases and did not recur for a period of one year till last reviewed indicating the definite role of phonophoresis in heel pain. PMID:21121387

  2. The Pain of Labour

    OpenAIRE

    Labor, Simona; Maguire, Simon

    2008-01-01

    Labour is an emotional experience and involves both physiological and psychological mechanisms.The pain of labour is severe but despite this its memory diminishes with time.Labour pain has two components: visceral pain which occurs during the early first stage and the second stage of childbirth, and somatic pain which occurs during the late first stage and the second stage.The pain of labour in the first stage is mediated by T10 to L1 spinal segments, whereas that in the second stage is carri...

  3. Effects of context and individual predispositions on hypervigilance to pain-cues: an ERP study

    Directory of Open Access Journals (Sweden)

    Dittmar O

    2015-08-01

    Full Text Available Oliver Dittmar,1 Corinna Baum,1,2 Raphaela Schneider,1 Stefan Lautenbacher1 1Physiological Psychology, University of Bamberg, Bamberg, 2Institute of Psychology, Technical University of Darmstadt, Darmstadt, Germany Background: Hypervigilance to pain is the automatic prioritization of pain-related compared with other stimuli. The processing of threat information is influenced by negative contexts. Therefore, we intended to explore such context effects on hypervigilance to pain-cues, taking individual differences in self-reported vigilance to pain into consideration. Methods: In all, 110 healthy subjects viewed task-irrelevant emotional facial expressions (anger, happy, neutral, and pain overlaid in half of the trials with a fine grid. The instructed task was to indicate the presence/absence of this grid. A threatening context was established by applying electrical stimuli slightly below pain-threshold. Using scores of Pain Vigilance and Awareness Questionnaire, the sample was divided into high vs low pain vigilant subjects. Reaction times and event-related brain potentials were recorded. Results: No distinct attentional processing of pain faces (based on the event-related brain potentials was observed as a function of high levels of self-reported vigilance to pain and contextual threat induction. High pain vigilant subjects showed generally enhanced processing of emotional and neutral faces as indicated by parameters of early (early posterior negativity and late (late positive complex processing stages. This enhancement was abolished when electro-stimuli were presented. Conclusion: Contextual threat does not enhance the attentional capture of pain-cues when they are presented concurrently with competing task demands. The study could, however, replicate a generally enhanced attentional processing of emotional cues in high pain vigilant subjects. This underpins that hypervigilance to pain is related to changes in emotional processing. Keywords

  4. Electrocortical evidence for preferential processing of dynamic pain expressions compared to other emotional expressions.

    Science.gov (United States)

    Reicherts, Philipp; Wieser, Matthias J; Gerdes, Antje B M; Likowski, Katja U; Weyers, Peter; Mühlberger, Andreas; Pauli, Paul

    2012-09-01

    Decoding pain in others is of high individual and social benefit in terms of harm avoidance and demands for accurate care and protection. The processing of facial expressions includes both specific neural activation and automatic congruent facial muscle reactions. While a considerable number of studies investigated the processing of emotional faces, few studies specifically focused on facial expressions of pain. Analyses of brain activity and facial responses elicited by the perception of facial pain expressions in contrast to other emotional expressions may unravel the processing specificities of pain-related information in healthy individuals and may contribute to explaining attentional biases in chronic pain patients. In the present study, 23 participants viewed short video clips of neutral, emotional (joy, fear), and painful facial expressions while affective ratings, event-related brain responses, and facial electromyography (Musculus corrugator supercilii, M. orbicularis oculi, M. zygomaticus major, M. levator labii) were recorded. An emotion recognition task indicated that participants accurately decoded all presented facial expressions. Electromyography analysis suggests a distinct pattern of facial response detected in response to happy faces only. However, emotion-modulated late positive potentials revealed a differential processing of pain expressions compared to the other facial expressions, including fear. Moreover, pain faces were rated as most negative and highly arousing. Results suggest a general processing bias in favor of pain expressions. Findings are discussed in light of attentional demands of pain-related information and communicative aspects of pain expressions. PMID:22795483

  5. Face the voice

    DEFF Research Database (Denmark)

    Lønstrup, Ansa

    2014-01-01

    In this article I will make some analytical sketches – describe, comment on and contextualize my experience with four examples of his works of art recently presented in a large Tony Oursler exhibition Face to Face (March-July 2012) at Aarhus Art Museum ARoS in Denmark . The analytical description......Belle, Neumark). Finally, the article will discuss the specific artistic combination and our auditory experience of mediated human voices and sculpturally projected faces in an art museum context under the general conditions of the societal panophonia of disembodied and mediated voices, as promoted by Steven...

  6. Handbook of Face Recognition

    CERN Document Server

    Li, Stan Z

    2011-01-01

    This highly anticipated new edition provides a comprehensive account of face recognition research and technology, spanning the full range of topics needed for designing operational face recognition systems. After a thorough introductory chapter, each of the following chapters focus on a specific topic, reviewing background information, up-to-date techniques, and recent results, as well as offering challenges and future directions. Features: fully updated, revised and expanded, covering the entire spectrum of concepts, methods, and algorithms for automated face detection and recognition systems

  7. The measurement of pain.

    Science.gov (United States)

    Frampton, C L; Hughes-Webb, P

    2011-08-01

    Pain has been studied in depth for decades, yet the pain associated with cancer is still frequently under treated. The measurement of pain in patients with terminal cancer is imperative, because failure to carry it out is recognised as an important reason for inadequate treatment. Although pain is characterised as a symptom, it is a subjective personal experience or a perception. This perception is influenced by both nociceptive transmission and central nervous system modulation; and psychological, social and other environmental factors. It is a complex issue most simply described by the phrase 'Pain is whatever the experiencing person says it is, existing whenever he says it does'. With such complex interplays between pathophysiological and biopsychosocial factors, it is unsurprising that an objective assessment of pain remains elusive. Despite this, many subjective measures of pain have been developed that produce consistent and reliable results when used properly and appropriately. PMID:21571514

  8. Back Pain in Children

    Directory of Open Access Journals (Sweden)

    Sadi Kayiran ; Sinan Mahir Kayiran;

    2011-02-01

    Full Text Available Contrary to popular knowledge, back pain is quite frequently seen in children. While very rare in the pre-school age group, frequency reaches 30% in the adolescent period. In many cases, the causes of back pain in childhood cannot be exactly determined and the pain disappears by itself in a short time. It should be remembered that back pain that persists for more than two weeks may be associated with organic causes. Whether or not there have been disruptions in neurological functions should be definitely probed in the medical history. Keeping in mind that back pain could be a part of a systemic disease, a systemic examination should be carried out in cases where there has been long-term back pain. The complaint of childhood back pain should be assessed with a thorough history, a careful physical examination and advanced testing tools. [TAF Prev Med Bull 2011; 10(1.000: 115-118

  9. THE MANY FACES OF CARING IN NURSING.

    Science.gov (United States)

    Farrow, Jennifer

    2016-02-01

    Nonverbal communication is essential with children. Nurses are challenged when answers to assessment questions include shoulder shrugs and descriptions of 'ouchies' and pain all over that feels 'bad.' Pediatric nursing requires creativity and eliciting expression of emotions nonverbally. One way our patients express themselves is through art therapy. The art therapist on our unit uses masks with children who choose not to express themselves with words. I chose to create a mask as sculpture to nonverbally share my values, feelings, and compassion, just like my pediatric patients. As I worked with the mask, many faces of nursing emerged. PMID:27062865

  10. Protective Face Mask

    Science.gov (United States)

    1981-01-01

    Mask to protect the physically impaired from injuries to the face and head has been developed by Langley Research Center. It is made of composite materials, usually graphite or boron fibers woven into a matrix. Weighs less than three ounces.

  11. Back pain and low back pain

    International Nuclear Information System (INIS)

    In patients with back pain there is only a poor correlation between clinical and radiological symptoms. Therefore the interpretation of radiological findings is only possible with respect to the natural history of the disease. Indication for radiological examination is given for early diagnosis and treatment of malinformation of the spine; diagnosis and treatment of functional disturbances of the spine with back- and low back pain and diagnosis and treatment of diseases which affect the stability of the vertebrae. (orig.)

  12. Face Detection using Ferns

    OpenAIRE

    Marcel, Sébastien; Subburaman, Venkatesh Bala

    2011-01-01

    This paper discusses the use of ferns (a set of binary features) for face detection. The binary feature used here is the sign of pixel intensity difference. Ferns were first introduced for keypoint recognition and showed good performance, and improving the speed of recognition. Keypoint recognition deals with classification of few hundred different classes, while face detection is a two-class problem with an unbalanced data. For keypoint recognition random pixel pairs proved to be good enoug...

  13. A new face

    OpenAIRE

    Vasilic, D

    2012-01-01

    The ethical barriers seem to pose the greatest challenge to performing facial transplantation with proponents and critics fiercely debating their positions. Chapter 1 outlines the main ethical issues and events that have preluded clinical facial transplantation. In particular, human hand transplantation programs and their impact on face transplantation have been reviewed. Although the first face transplants already have been performed, the social and psychological debates concerning the ethic...

  14. to face the music

    Institute of Scientific and Technical Information of China (English)

    宗华

    2002-01-01

    When someone says,“Well,i guess i'll have to go face the music”it does not mean he is planning to go to a concert .it is something far less pleasant,like being called in by your boss to explain why you did this and did that,and why you did not do to this or that sour music indeed,but it has to be faced.

  15. In your face!

    OpenAIRE

    Katzeff, Ask

    2010-01-01

    Throughout time the face of power has constituted a favourite target of demon¬strations of dissent and social revolt. The face of the King, the Emperor, the President, the Sultan as objects of scorn and ridicule. This article investigates this particular form of physiognomic humiliation as an activist strategy, as a modifica¬tion of the image of power that attempts to establish a rupture in the prevailing social order and thus open up a new field of political potential.

  16. Conducting rehabilitation groups for people suffering from chronic pain

    OpenAIRE

    Dysvik, Elin; Stephens, Paul

    2010-01-01

    The aim of this study was to offer guidelines for counsellors who work with rehabilitation groups of patients with chronic pain. The sample involved nine counsellors engaged in a multidisciplinary pain management programme. Two focus group interviews were conducted. Data was analysed using qualitative content analysis. These indicate that main challenges facing counsellors were related to maintaining constructive group processes and being mentally prepared. The counsellors reported that knowl...

  17. A Rare Cause of Abdominal Pain in Children: Hereditary Angioedema

    Directory of Open Access Journals (Sweden)

    Deniz Özçeker

    2015-03-01

    Full Text Available Hereditary angioedema (HA is a rare, autosomal-dominant genetic disorder presenting with recurrent attacks of angioedema. The most commonly involved organs include the extremites, face, neck, upper respiratory tract, genital region and the gastrointestinal tract. Edema of the intestinal mucosa can cause temporary obstruction and severe abdominal pain that can be confused with acute abdomen. Pediatricians and emergency physicians should keep in mind this rare disease in the differential diagnosis of severe abdominal pain.

  18. Recognizing one's own face.

    Science.gov (United States)

    Kircher, T T; Senior, C; Phillips, M L; Rabe-Hesketh, S; Benson, P J; Bullmore, E T; Brammer, M; Simmons, A; Bartels, M; David, A S

    2001-01-01

    We report two studies of facial self-perception using individually tailored, standardized facial photographs of a group of volunteers and their partners. A computerized morphing procedure was used to merge each target face with an unknown control face. In the first set of experiments, a discrimination task revealed a delayed response time for the more extensively morphed self-face stimuli. In a second set of experiments, functional magnetic resonance imaging (fMRI) was used to measure brain activation while subjects viewed morphed versions of either their own or their partner's face, alternating in blocks with presentation of an unknown face. When subjects viewed themselves (minus activation for viewing an unknown face), increased blood oxygenation was detected in right limbic (hippocampal formation, insula, anterior cingulate), left prefrontal cortex and superior temporal cortex. In the partner (versus unknown) experiment, only the right insula was activated. We suggest that a neural network involving the right hemisphere in conjunction with left-sided associative and executive regions underlies the process of visual self-recognition. Together, this combination produces the unique experience of self-awareness. PMID:11062324

  19. 21. Phantom pain.

    Science.gov (United States)

    Wolff, Andre; Vanduynhoven, Eric; van Kleef, Maarten; Huygen, Frank; Pope, Jason E; Mekhail, Nagy

    2011-01-01

    Phantom pain is pain caused by elimination or interruption of sensory nerve impulses by destroying or injuring the sensory nerve fibers after amputation or deafferentation. The reported incidence of phantom limb pain after trauma, injury or peripheral vascular diseases is 60% to 80%. Over half the patients with phantom pain have stump pain as well. Phantom pain can also occur in other parts of the body; it has been described after mastectomies and enucleation of the eye. Most patients with phantom pain have intermittent pain, with intervals that range from 1 day to several weeks. Even intervals of over a year have been reported. The pain often presents itself in the form of attacks that vary in duration from a few seconds to minutes or hours. In most cases, the pain is experienced distally in the missing limb, in places with the most extensive innervation density and cortical representation. Although there are still many questions as to the underlying mechanisms, peripheral as well as central neuronal mechanisms seem to be involved. Conservative therapy consists of drug treatment with amitriptyline, tramadol, carbamazepine, ketamine, or morphine. Based on the available evidence some effect may be expected from drug treatment. When conservative treatment fails, pulsed radiofrequency treatment of the stump neuroma or of the spinal ganglion (DRG) or spinal cord stimulation could be considered (evidence score 0). These treatments should only be applied in a study design. PMID:21447079

  20. Pain without nociceptors?

    DEFF Research Database (Denmark)

    Minett, Michael S; Falk, Sarah; Santana-Varela, Sonia;

    2014-01-01

    Nav1.7, a peripheral neuron voltage-gated sodium channel, is essential for pain and olfaction in mice and humans. We examined the role of Nav1.7 as well as Nav1.3, Nav1.8, and Nav1.9 in different mouse models of chronic pain. Constriction-injury-dependent neuropathic pain is abolished when Nav1.7.......8-positive nociceptors. Thus, similar pain phenotypes arise through distinct cellular and molecular mechanisms. Therefore, rational analgesic drug therapy requires patient stratification in terms of mechanisms and not just phenotype.......Nav1.7, a peripheral neuron voltage-gated sodium channel, is essential for pain and olfaction in mice and humans. We examined the role of Nav1.7 as well as Nav1.3, Nav1.8, and Nav1.9 in different mouse models of chronic pain. Constriction-injury-dependent neuropathic pain is abolished when Nav1.......7 is deleted in sensory neurons, unlike nerve-transection-related pain, which requires the deletion of Nav1.7 in sensory and sympathetic neurons for pain relief. Sympathetic sprouting that develops in parallel with nerve-transection pain depends on the presence of Nav1.7 in sympathetic neurons...

  1. Comparison of face Recognition Algorithms on Dummy Faces

    Directory of Open Access Journals (Sweden)

    Aruni Singh

    2012-09-01

    Full Text Available In the age of rising crime face recognition is enormously important in the contexts of computer vision, psychology, surveillance, fraud detection, pattern recognition, neural network, content based video processing, etc. Face is a non intrusive strong biometrics for identification and hence criminals always try to hide their facial organs by different artificial means such as plastic surgery, disguise and dummy. The availability of a comprehensive face database is crucial to test the performance of these face recognition algorithms. However, while existing publicly-available face databases contain face images with a wide variety of poses, illumination, gestures and face occlusions but there is no dummy face database is available in public domain. The contributions of this research paper are: i Preparation of dummy face database of 110 subjects ii Comparison of some texture based, feature based and holistic face recognition algorithms on that dummy face database, iii Critical analysis of these types of algorithms on dummy face database.

  2. Buzz: face-to-face contact and the urban economy

    OpenAIRE

    Storper, Michael; Venables, Anthony J.

    2003-01-01

    This paper argues that existing models of urban concentrations are incomplete unless grounded in the most fundamental aspect of proximity; face-to-face contact. Face-to-face contact has four main features; it is an efficient communication technology; it can help solve incentive problems; it can facilitate socialization and learning; and it provides psychological motivation. We discuss each of these features in turn, and develop formal economic models of two of them. Face-to-face is particular...

  3. [Physiological Basis of Pain Mechanisms for Pain Management].

    Science.gov (United States)

    Kawamata, Mikito

    2016-05-01

    Physician anesthesiologists should ensure a future leadership position in perioperative medicine and pain medicine. In order to establish the missions, anesthesiologists need to know how to relieve pain in surgical patients, critically ill patients and patients with cancer and non-cancer chronic pain. Thus, anesthesiologists should realize physiology of pain representation from pain management I will review physiological basis of pain mechanisms in this manuscript which includes 1) evolutional aspect of pain perception, 2) transduction of noxious stimuli, 3) the types of nociceptors and conduction of noxious stimuli, 4) the ascending pathway of pain and central modulation of pain, 5) the descending inhibitory pain system, and 6) various types of pain. Finally, anesthesiologists should manage pain from physiological basis of pain mechanisms. PMID:27319092

  4. Abdominal pain - children under age 12

    Science.gov (United States)

    Stomach pain in children; Pain - abdomen - children; Abdominal cramps in children; Belly ache in children ... When your child complains of abdominal pain, see if they can describe ... kinds of pain: Generalized pain or pain over more than half ...

  5. Neonatal pain management

    Directory of Open Access Journals (Sweden)

    Tarun Bhalla

    2014-01-01

    Full Text Available The past 2-3 decades have seen dramatic changes in the approach to pain management in the neonate. These practices started with refuting previously held misconceptions regarding nociception in preterm infants. Although neonates were initially thought to have limited response to painful stimuli, it was demonstrated that the developmental immaturity of the central nervous system makes the neonate more likely to feel pain. It was further demonstrated that untreated pain can have long-lasting physiologic and neurodevelopmental consequences. These concerns have resulted in a significant emphasis on improving and optimizing the techniques of analgesia for neonates and infants. The following article will review techniques for pain assessment, prevention, and treatment in this population with a specific focus on acute pain related to medical and surgical conditions.

  6. [Palliative pain therapy, cannabinoids].

    Science.gov (United States)

    Radbruch, L; Elsner, F

    2005-10-01

    Cancer pain treatment should follow the recommendations of the World Health Organisation. Treatment should be with oral application, regular application times and following the analgesic step-ladder. Non-opioids such as dipyrone or non-steroids are used for slight to moderate pain, step-2 opioids such as tramadol or tilidine/naloxone for moderate pain and step-3 opioids such as morphine, oxycodone or hydromorphone for severe pain. Transdermal application of fentanyl or buprenorphine offer a non-invasive parenteral alternative for patients with stable pain syndromes. Cannabinoids such as tetrahydrocannabinol offer a valuable add-on option for cancer patients with refractory pain, spasticity, nausea or appetite loss. PMID:15965665

  7. Thoracic spine pain

    Directory of Open Access Journals (Sweden)

    Aleksey Ivanovich Isaikin

    2013-03-01

    Full Text Available Thoracic spine pain, or thoracalgia, is one of the common reasons for seeking for medical advice. The epidemiology and semiotics of pain in the thoracic spine unlike in those in the cervical and lumbar spine have not been inadequately studied. The causes of thoracic spine pain are varied: diseases of the cardiovascular, gastrointestinal, pulmonary, and renal systems, injuries to the musculoskeletal structures of the cervical and thoracic portions, which require a thorough differential diagnosis. Facet, costotransverse, and costovertebral joint injuries and myofascial syndrome are the most common causes of musculoskeletal (nonspecific pain in the thoracic spine. True radicular pain is rarely encountered. Traditionally, treatment for thoracalgia includes a combination of non-drug and drug therapies. The cyclooxygenase 2 inhibitor meloxicam (movalis may be the drug of choice in the treatment of musculoskeletal pain.

  8. Persistent facial pain conditions

    DEFF Research Database (Denmark)

    Forssell, Heli; Alstergren, Per; Bakke, Merete;

    2016-01-01

    Persistent facial pains, especially temporomandibular disorders (TMD), are common conditions. As dentists are responsible for the treatment of most of these disorders, up-to date knowledge on the latest advances in the field is essential for successful diagnosis and management. The review covers...... TMD, and different neuropathic or putative neuropathic facial pains such as persistent idiopathic facial pain and atypical odontalgia, trigeminal neuralgia and painful posttraumatic trigeminal neuropathy. The article presents an overview of TMD pain as a biopsychosocial condition, its prevalence......, clinical features, consequences, central and peripheral mechanisms, diagnostic criteria (DC/TMD), and principles of management. For each of the neuropathic facial pain entities, the definitions, prevalence, clinical features, and diagnostics are described. The current understanding of the pathophysiology...

  9. Characterizing individual painDETECT symptoms by average pain severity

    Science.gov (United States)

    Sadosky, Alesia; Koduru, Vijaya; Bienen, E Jay; Cappelleri, Joseph C

    2016-01-01

    Background painDETECT is a screening measure for neuropathic pain. The nine-item version consists of seven sensory items (burning, tingling/prickling, light touching, sudden pain attacks/electric shock-type pain, cold/heat, numbness, and slight pressure), a pain course pattern item, and a pain radiation item. The seven-item version consists only of the sensory items. Total scores of both versions discriminate average pain-severity levels (mild, moderate, and severe), but their ability to discriminate individual item severity has not been evaluated. Methods Data were from a cross-sectional, observational study of six neuropathic pain conditions (N=624). Average pain severity was evaluated using the Brief Pain Inventory-Short Form, with severity levels defined using established cut points for distinguishing mild, moderate, and severe pain. The Wilcoxon rank sum test was followed by ridit analysis to represent the probability that a randomly selected subject from one average pain-severity level had a more favorable outcome on the specific painDETECT item relative to a randomly selected subject from a comparator severity level. Results A probability >50% for a better outcome (less severe pain) was significantly observed for each pain symptom item. The lowest probability was 56.3% (on numbness for mild vs moderate pain) and highest probability was 76.4% (on cold/heat for mild vs severe pain). The pain radiation item was significant (P<0.05) and consistent with pain symptoms, as well as with total scores for both painDETECT versions; only the pain course item did not differ. Conclusion painDETECT differentiates severity such that the ability to discriminate average pain also distinguishes individual pain item severity in an interpretable manner. Pain-severity levels can serve as proxies to determine treatment effects, thus indicating probabilities for more favorable outcomes on pain symptoms.

  10. The Perception and Estimation of Others' Pain according to Children.

    Science.gov (United States)

    Grégoire, Mathieu; Bruneau-Bhérer, Rosée; Morasse, Karine; Eugène, Fanny; Jackson, Philip L

    2016-01-01

    Accurate interpretation of pain expressed by others is important for socialization; however, the development of this skill in children is still poorly understood. Empathy for pain models propose two main components (affective and cognitive), which develop at different stages of life. The study's objective was to investigate the children's ability between 3 and 12 years of age to detect and assess the pain intensity in others using visual stimuli depicting either facial expressions of pain or hands in painful contexts. 40 preschool children and 62 school-aged children were recruited. Children observed series of stimuli and evaluated the pain intensity depicted. Results demonstrated that children as young as three years old were able to detect and assess pain in both types of stimuli and this ability continued to improve until the age of 12. Participants demonstrated better detection performance with hands than with faces. Results were coherent with the idea that the two types of stimuli presented recruit different processes. Pain detection in hands appears to rely mostly on affective sharing processes that are effective early in life, while older children's higher ability to perceive pain in facial expressions suggests that this ability is associated with the gradual development of cognitive processes. PMID:27493478

  11. Oral and Facial Pain

    OpenAIRE

    Mock, David

    1988-01-01

    Diagnosis of oral and facial pain is often difficult because several anatomical structures within this small area are capable of producing similar symptoms, and pain referred from cranial or distant sites and emotional or psychiatric disturbances complicate matters further. This article summarizes some of the more common causes of orofacial pain, with the exception of disorders of the temporomandibular joint and associated musculature, which are covered in a separate article.

  12. Pain research in China

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    In addition to investigating the anatomy,neurochemistry and neurophysiology of pain pathways,Chinese researchers have extended their work into the molecular and cellular mechanisms of sensory afferent transmission at the spinal cord level as well as cognitive processing in the brain.The mechanism underlying acupuncture analgesia remains a subject of special interest for Chinese pain researchers,with the aim of combining clinical practice with the understanding of pain transmission and analgesic mechanism.

  13. Posterior knee pain

    OpenAIRE

    English, S.; Perret, D.

    2010-01-01

    Posterior knee pain is a common patient complaint. There are broad differential diagnoses of posterior knee pain ranging from common causes such as injury to the musculotendinous structures to less common causes such as osteochondroma. A precise understanding of knee anatomy, the physical examination, and of the differential diagnosis is needed to accurately evaluate and treat posterior knee pain. This article provides a review of the anatomy and important aspects of the history and physical ...

  14. Ways of Coping With Pain in The Elderly: Turkey Sample

    Directory of Open Access Journals (Sweden)

    Gülbu Tanriverdi

    2013-01-01

    Full Text Available Background: The study presented, widespread pain is prevalent in the community such as headache, toothache, stomach pain, backache, knee and leg pain which the elderly seek treatment for at health care organizations as well as traditional medicine.Objective: This research was conducted to identify ways of coping with pain in the elderly aged 65 and above.Methodology:This study is descriptive. The study population was taken from those aged 65 and above in thecity centers of Canakkale, Mersin, Malatya and Erzurum out of 61.857 a total of 1053 participants took place in the study. Data was collected using a questionnaire which was conducted in a face to face interview method. The study was completed with volunteers. The data was evaluated using frequencies and means on the computer.Results: According to the results 35.9% of the elderly used analgesic that were in the home to cope with pain, 26.9 % resorted to a health care provider, 20.0% waited for the pain to go away 17.2 % used various Traditional Methods (TMs of relieving pain at home other than medication.Conclusions: Based on these results, there is a lack of desire in seeking assistance from a health care provider.Which is thought to be a key factor in why TM delays early diagnosis and treatment in the elderly.

  15. Extraversion and pain.

    Science.gov (United States)

    Barnes, G E

    1975-09-01

    According to Eysenck's (1957, 1960, 1967) theory of personality, extroverts are posited as having higher pain thresholds and greater pain tolerance than introverts. The evidence for these hypothesized relationships is reviewed. Findings appear inconclusive in both cases. Probability pooling (Mosteller & Bush, 1954) is therefore performed, grouping the comparable studies and carrying out overall tests of significance. Results support the hypothesized relationships between extraversion and pain threshold and between extraversion and pain tolerance. Possible reasons why certain studies failed to find these results are discussed. PMID:1182410

  16. Hypnosis for pain management.

    Science.gov (United States)

    Valente, Sharon M

    2006-02-01

    Nurses are in a key position to learn and use hypnosis with patients to reduce pain and enhance self-esteem. However, most nurses lack knowledge about the clinical effectiveness of hypnosis and may seek continuing education to become skilled in its use. Painful procedures, treatments, or diseases remain a major nursing challenge, and nurses need complementary ways to relieve pain from surgery, tumors, injuries, and chemotherapy. This article examines the evidence base related to hypnosis for pain management, as well as how to assess and educate patients about hypnosis. PMID:16526529

  17. Acute pain assessment

    LENUS (Irish Health Repository)

    Clear, Elaine

    2016-05-01

    The International Association for the Study of Pain defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage” (IASP, 1997). This definition of pain emphasises that it is neither a sensory nor an emotional experience, but a combination of both. It is a subjective experience influenced by physical, psychological and environmental factors that is assessed from a biopsychosocial perspective. The gold standard in assessing pain however is always what the patient says it is.

  18. face the music

    Institute of Scientific and Technical Information of China (English)

    周立

    2003-01-01

    [英语对话] A:How do you comment on those people who dare to do wrong things but not courageous enough to face the music? B:It’s human nature that nobody likes punishment.When people go into something,they may either see an angle in it or not know the conse- quence.They chance the ducks. But when they realize they have to take the consequences,nine out of ten will try to escape punishment. A:But there are people who are daring:daring to do,and daring to face the music. B:There must be a reward in daring to face the music.I mean,there must

  19. Low back pain among female nurses in Yemen

    OpenAIRE

    Khaled Ghilan; Abdulla Al-Taiar; Nuha Al Yousfi; Rania Al Zubaidi; Iman Awadh; Zaher Al-Obeyed

    2013-01-01

    Objectives: This study aimed to investigate the prevalence of Low Back Pain (LBP) among female nursing staff and explore the potential risk factors associated with LBP. Methods: An analytical cross-sectional study was conducted on randomly selected female nurses using payroll as a sampling frame in all public hospitals in Sana'a City, Yemen. Data was collected through face-to-face interview using a structured, pre-coded questionnaire that was available in Arabic and English. Weight and height...

  20. Molecular pain, a new era of pain research and medicine

    Directory of Open Access Journals (Sweden)

    Neugebauer Volker

    2005-01-01

    Full Text Available Abstract Molecular pain is a relatively new and rapidly expanding research field that represents an advanced step from conventional pain research. Molecular pain research addresses physiological and pathological pain at the cellular, subcellular and molecular levels. These studies integrate pain research with molecular biology, genomics, proteomics, modern electrophysiology and neurobiology. The field of molecular pain research has been rapidly expanding in the recent years, and has great promise for the identification of highly specific and effective targets for the treatment of intractable pain. Although several existing journals publish articles on classical pain research, none are specifically dedicated to molecular pain research. Therefore, a new journal focused on molecular pain research is needed. Molecular Pain, an Open Access, peer-reviewed, online journal, will provide a forum for molecular pain scientists to communicate their research findings in a targeted manner to others in this important and growing field.

  1. Voicing on Virtual and Face to Face Discussion

    Science.gov (United States)

    Yamat, Hamidah

    2013-01-01

    This paper presents and discusses findings of a study conducted on pre-service teachers' experiences in virtual and face to face discussions. Technology has brought learning nowadays beyond the classroom context or time zone. The learning context and process no longer rely solely on face to face communications in the presence of a teacher.…

  2. Pain Experiences and Pain Management in Postoperative Patients

    OpenAIRE

    Suza, Dewi Elizadiani

    2010-01-01

    Pain is a subjective experience that can be perceived directly only by the sufferer. It is a multidimensional phenomenon that can be described by pain location, intensity, quality, impact, and meaning. Acute pain following a surgical procedure is the combination of pain as a specific sensation due to a nociceptive response to tissue damage and pain as suffering. Uncontrolled pain in the postoperative period could have detrimental physiologic effects. It can slow the patients’ recovery from su...

  3. Real Time Face Quality Assessment for Face Log Generation

    DEFF Research Database (Denmark)

    Kamal, Nasrollahi; Moeslund, Thomas B.

    2009-01-01

    Summarizing a long surveillance video to just a few best quality face images of each subject, a face-log, is of great importance in surveillance systems. Face quality assessment is the back-bone for face log generation and improving the quality assessment makes the face logs more reliable....... Developing a real time face quality assessment system using the most important facial features and employing it for face logs generation are the concerns of this paper. Extensive tests using four databases are carried out to validate the usability of the system....

  4. Pose estimation and frontal face detection for face recognition

    Science.gov (United States)

    Lim, Eng Thiam; Wang, Jiangang; Xie, Wei; Ronda, Venkarteswarlu

    2005-05-01

    This paper proposes a pose estimation and frontal face detection algorithm for face recognition. Considering it's application in a real-world environment, the algorithm has to be robust yet computationally efficient. The main contribution of this paper is the efficient face localization, scale and pose estimation using color models. Simulation results showed very low computational load when compare to other face detection algorithm. The second contribution is the introduction of low dimensional statistical face geometrical model. Compared to other statistical face model the proposed method models the face geometry efficiently. The algorithm is demonstrated on a real-time system. The simulation results indicate that the proposed algorithm is computationally efficient.

  5. Recognition of pain as another deficit in young males with high callous-unemotional traits.

    OpenAIRE

    Wolf, S.; Centifanti (née Muñoz), L.C.

    2013-01-01

    Prior research on callous-unemotional (CU) traits supports a deficit in recognizing fear in faces and body postures. Difficulties recognising others’ emotions may impair the typical behavioural inhibition for violent behaviour. However, recent research has begun to examine other distress cues such as pain. The present study examined emotion recognition skills, including pain, of school-excluded boys aged 11–16 years (N = 50). Using dynamic faces and body poses, we examined the relation betwee...

  6. Face recognition system and method using face pattern words and face pattern bytes

    Energy Technology Data Exchange (ETDEWEB)

    Zheng, Yufeng

    2014-12-23

    The present invention provides a novel system and method for identifying individuals and for face recognition utilizing facial features for face identification. The system and method of the invention comprise creating facial features or face patterns called face pattern words and face pattern bytes for face identification. The invention also provides for pattern recognitions for identification other than face recognition. The invention further provides a means for identifying individuals based on visible and/or thermal images of those individuals by utilizing computer software implemented by instructions on a computer or computer system and a computer readable medium containing instructions on a computer system for face recognition and identification.

  7. A Face Farce?

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Some people proclaim the success of the facial transplant operation marks the advent of a new era, one in which changing face will be as normal as changing clothing. Teng Li, a doctor with the Plastic Surgery Hospital affiliated with the Chinese Academy of Medical Sciences, believes facial transplant surgery should be encouraged as a scientific exploration, though he cautioned that experiments on animals

  8. Wavelets and Face Recognition

    OpenAIRE

    Dai, Dao-Qing; Yan, Hong

    2007-01-01

    Wavelets have been successfully used in image processing. Their ability to capture localized spatial-frequency information of image motivates their use for feature extraction. We give an overview of using wavelets in the face recognition technology. Due to limit of space the use of Gabor wavelets is not covered in this survey. Interested readers are referred to section 8.3 for references.

  9. Faced with a dilemma

    DEFF Research Database (Denmark)

    Christensen, Anne Vinggaard; Christiansen, Anne Hjøllund; Petersson, Birgit

    2013-01-01

    supported women's legal right to choose TOP and considerations about the foetus' right to live were suppressed. Midwives experienced a dilemma when faced with aborted foetuses that looked like newborns and when aborted foetuses showed signs of life after a termination. Furthermore, they were critical of how...

  10. Face the Music

    Institute of Scientific and Technical Information of China (English)

    张文新

    2005-01-01

    When someone says, “Well, Iguess I'll have to go and face the music, ”it does not mean he is planning to go to a concert. It is something far less pleasant, like being called in by your boss to explain why you did this and did that,

  11. PrimeFaces blueprints

    CERN Document Server

    Jonna, Sudheer

    2014-01-01

    If you are a Java developer with experience of frontend UI development, and want to take the plunge to develop stunning UI applications with the most popular JSF framework, PrimeFaces, then this book is for you. For those with entrepreneurial aspirations, this book will provide valuable insights into how to utilize successful business models.

  12. Lightweight Face Mask

    Science.gov (United States)

    Cason, W. E. I.; Baucom, R. M.; Evans, R. C.

    1982-01-01

    Lightweight face mask originally developed to protect epileptic patients during seizures could have many other medical and nonmedical applications such as muscular distrophy patients, football linesmen and riot-control police. Masks are extremely lightweight, the lightest of the configurations weighing only 136 grams.

  13. Pain in Parkinson's Disease

    Science.gov (United States)

    ... for increased overall health care costs. A person’s perception of pain can be affected by emotional factors. Scientists have ... medications such as levodopa can affect a person’s perception of pain. People with Parkinson’s who are in the “on” ...

  14. Attachment Security and Pain

    DEFF Research Database (Denmark)

    Andersen, Tonny Elmose; Lahav, Yael; Defrin, Ruth;

    2015-01-01

    The present study assesses for the first time, the possible disruption effect of posttraumatic stress symptoms (PTSS) with regard to the protective role of attachment on pain, among ex-POWs. While secure attachment seems to serve as a buffer, decreasing the perception of pain, this function may be...

  15. Bladder pain syndrome

    DEFF Research Database (Denmark)

    Hanno, Philip; Nordling, Jørgen; Fall, Magnus

    2011-01-01

    Bladder pain syndrome is a deceptively intricate symptom complex that is diagnosed on the basis of chronic pelvic pain, pressure, or discomfort perceived to be related to the urinary bladder, accompanied by at least one other urinary symptom. It is a diagnosis of exclusion in a patient who has...

  16. Chemical Interventions for Pain.

    Science.gov (United States)

    Aronoff, Gerald M.; And Others

    1986-01-01

    Reviews properties and pharmacological effects of medications for pain, including peripherally acting analgesics, centrally acting narcotics, and adjuvant analgesics including antidepressants. Discusses the role of the endogenous opioid system in pain and depression. Explores clinical management issues in both inpatient and outpatient settings,…

  17. Bladder pain syndrome

    DEFF Research Database (Denmark)

    Hanno, Philip; Nordling, Jørgen; Fall, Magnus

    2011-01-01

    Bladder pain syndrome is a deceptively intricate symptom complex that is diagnosed on the basis of chronic pelvic pain, pressure, or discomfort perceived to be related to the urinary bladder, accompanied by at least one other urinary symptom. It is a diagnosis of exclusion in a patient who has ex...

  18. Patients' perspectives on pain.

    Science.gov (United States)

    Norrbrink, Cecilia; Löfgren, Monika; Hunter, Judith P; Ellis, Jaqueline

    2012-01-01

    Nociceptive and neuropathic pain (NP) are common consequences following spinal cord injury (SCI), with large impact on sleep, mood, work, and quality of life. NP affects 40% to 50% of individuals with SCI and is sometimes considered the major problem following SCI. Current treatment recommendations for SCI-NP primarily focus on pharmacological strategies suggesting the use of anticonvulsant and antidepressant drugs, followed by tramadol and opioid medications. Unfortunately, these are only partly successful in relieving pain. Qualitative studies report that individuals with SCI-related long-lasting pain seek alternatives to medication due to the limited efficacy, unwanted side effects, and perceived risk of dependency. They spend time and money searching for additional treatments. Many have learned coping strategies on their own, including various forms of warmth, relaxation, massage, stretching, distraction, and physical activity. Studies indicate that many individuals with SCI are dissatisfied with their pain management and with the information given to them about their pain, and they want to know more about causes and strategies to manage pain. They express a desire to improve communication with their physicians and learn about reliable alternative sources for obtaining information about their pain and pain management. The discrepancy between treatment algorithms and patient expectations is significant. Clinicians will benefit from hearing the patient´s voice. PMID:23459087

  19. Breakthrough cancer pain

    DEFF Research Database (Denmark)

    Davies, Andrew; Buchanan, Alison; Zeppetella, Giovambattista;

    2013-01-01

    Breakthrough pain is common in patients with cancer and is a significant cause of morbidity in this group of patients.......Breakthrough pain is common in patients with cancer and is a significant cause of morbidity in this group of patients....

  20. Neural synchronization during face-to-face communication

    OpenAIRE

    Jiang, J; Dai, B; Peng, D.; C. Zhu; L. Liu; Lu, C

    2012-01-01

    Although the human brain may have evolutionarily adapted to face-to-face communication, other modes of communication, e.g., telephone and e-mail, increasingly dominate our modern daily life. This study examined the neural difference between face-to-face communication and other types of communication by simultaneously measuring two brains using a hyperscanning approach. The results showed a significant increase in the neural synchronization in the left inferior frontal cortex during a face-to-...

  1. Chronic Pain: Symptoms, Diagnosis, & Treatment

    Science.gov (United States)

    ... in the treatment. Treatment With chronic pain, the goal of treatment is to reduce pain and improve ... some treatments used for chronic pain. Less invasive psychotherapy, relaxation therapies, biofeedback, and behavior modification may also ...

  2. Epidural injections for back pain

    Science.gov (United States)

    ESI; Spinal injection for back pain; Back pain injection; Steroid injection - epidural; Steroid injection - back ... pillow under your stomach. If this position causes pain, you either sit up or lie on your ...

  3. Cancer treatment: dealing with pain

    Science.gov (United States)

    ... ency/patientinstructions/000827.htm Cancer treatment: dealing with pain To use the sharing features on this page, ... health care provider about your options. What Causes Pain The pain from cancer can have a few ...

  4. Complex Regional Pain Syndrome (CPRS)

    Science.gov (United States)

    ... a Hand Therapist? Media Find a Hand Surgeon Complex Regional Pain Syndrome - CRPS Email to a friend * ... DESCRIPTION Formerly Known as Reflex Sympathetic Dystrophy (RSD) Complex regional pain syndrome (CRPS) is a pain condition ...

  5. Pain Management and the Amputee

    Science.gov (United States)

    ... have very individual beliefs about pain and its meaning. When you have severe pain, it may be ... trapped by other tissue, such as muscle. In contrast, phantom pain is thought to originate in the ...

  6. Spinal cord injury pain.

    Science.gov (United States)

    Beric, Aleksandar

    2003-01-01

    Awareness that SCI pain is common emerged during the past decade. However, there are a number of unresolved issues. There is a need for variety of experimental models to reflect diversity of SCI pains. Current classification is not as user-friendly as it should be. More attention should be given to a condition of the spinal cord below and above the SCI lesion. A consensus for what is an optimal SCI functional assessment for patients with sensory complaints and pain should be developed. Further extensive SCI pain research is needed prior to spinal cord regeneration trials in order to be able to cope with a potential for newly developed pains that may appear during incomplete spinal cord regenerative attempts. PMID:12821403

  7. An archaeology of pain

    Science.gov (United States)

    Gruber, Dennis Michael

    Pain is a discursive construct of science and medicine. Through the discourses of biopower and technoscience pain is used to construct and maintain the social body. Biopower and technoscience are discursive practices that are enveloped within the disciplines of Western society. Specifically, the disciplines of education, science, and medicine use biopower and technoscience to normalize the body and construct binaries which create the abnormal. The cyborg is a discursive practice used to implode the binaries of the disciplines which maintain the social body. Through the implosion of binaries, the binary of mind/body is no longer plausible in the explanation of pain. Neuropathic chronic pain and phantom limb pain become cyborg discourses which operate to deconstruct the pedagogies of science and medicine.

  8. Victimization and pain

    Directory of Open Access Journals (Sweden)

    Małgorzata K. Szerla

    2013-12-01

    Full Text Available Pain has several causes. It can be caused not only by operative trauma or cancer. Some patients suffer from pain as a result of being victims of violence. The aim of the study was to introduce diagnosis and treatment of pain problems in patients who are victims of violence, from a physician’s and a psychologist’s common perspective. Physical pain-related primary effects experienced by the victims of domestic violence go far beyond the results which are noticeable directly and confirmed visually in a forensic examination. In the present paper we introduce an ‘invisible’ group of secondary effects of violence. They appear in time, often after several years, in the form of a variety of psychosomatic disorders. The body is devastated insidiously and the secondary effects are visible as vegetative symptoms, a variety of psychosomatic disorders and pain, difficult to diagnose and treat.

  9. Methadone for Cancer Pain

    Directory of Open Access Journals (Sweden)

    Eric E. Prommer

    2010-07-01

    Full Text Available Pain is one of the most common and incapacitating symptoms experienced by patients with advanced cancer. Methadone is a potent opioid with strong affinity for the µ opioid receptor. In addition to being a potent µ opioid receptor ligand, methadone blocks the N-methyl-D-aspartic acid receptor and modulates neurotransmitters involved in descending pain modulation. These 3 properties enhance analgesic activity. Methadone’s lack of active metabolites makes it an attractive option when opioid responsiveness declines and renal insufficiency complicates opioid therapy. A lipophilic opioid, methadone can be given by multiple routes. Clinical trial data show equivalence with morphine as an analgesic in moderate to severe cancer pain. Further investigations are needed to define the role of methadone in the management of breakthrough pain and neuropathic pain and to determine whether it is truly superior to morphine, the gold standard of cancer analgesia.

  10. Perception of pain and its control: all that we don’t know yet

    Directory of Open Access Journals (Sweden)

    Mario Tiengo

    2008-04-01

    Full Text Available Neurophysiology of pain is comprehensible (at least within certain levels until events related to classic physics are concerned. In order to face the topic of the perception of the pain we have to analyze the mental factors like the suggestion (placebo, the emotional events and the tone of humor. The perception of the pain can be explored in the world of quanti.

  11. Written pain neuroscience education in fibromyalgia: a multicenter randomized controlled trial.

    Science.gov (United States)

    van Ittersum, Miriam W; van Wilgen, C Paul; van der Schans, Cees P; Lambrecht, Luc; Groothoff, Johan W; Nijs, Jo

    2014-11-01

    Mounting evidence supports the use of face-to-face pain neuroscience education for the treatment of chronic pain patients. This study aimed at examining whether written education about pain neuroscience improves illness perceptions, catastrophizing, and health status in patients with fibromyalgia. A double-blind, multicenter randomized controlled clinical trial with 6-month follow-up was conducted. Patients with FM (n = 114) that consented to participate were randomly allocated to receive either written pain neuroscience education or written relaxation training. Written pain neuroscience education comprised of a booklet with pain neuroscience education plus a telephone call to clarify any difficulties; the relaxation group received a booklet with relaxation education and a telephone call. The revised illness perception questionnaire, Pain Catastrophizing Scale, and fibromyalgia impact questionnaire were used as outcome measures. Both patients and assessors were blinded. Repeated-measures analyses with last observation carried forward principle were performed. Cohen's d effect sizes (ES) were calculated for all within-group changes and between-group differences. The results reveal that written pain neuroscience education does not change the impact of FM on daily life, catastrophizing, or perceived symptoms of patients with FM. Compared with written relaxation training, written pain neuroscience education improved beliefs in a chronic timeline of FM (P = 0.03; ES = 0.50), but it does not impact upon other domains of illness perceptions. Compared with written relaxation training, written pain neuroscience education slightly improved illness perceptions of patients with FM, but it did not impart clinically meaningful effects on pain, catastrophizing, or the impact of FM on daily life. Face-to-face sessions of pain neuroscience education are required to change inappropriate cognitions and perceived health in patients with FM. PMID:24251724

  12. Pain Assessment and Management in Infants and Young Children with Developmental Disabilities.

    Science.gov (United States)

    Oberlander, Tim F.

    2001-01-01

    This article reviews the nature and source of pain in young children with disabilities, challenges facing the clinician, and approaches for assessing and managing pain in infants and young children with significant neurologic impairments. The need for continued research to improve professional awareness and establish practice guidelines is urged.…

  13. The Caledonian face test: A new test of face discrimination.

    Science.gov (United States)

    Logan, Andrew J; Wilkinson, Frances; Wilson, Hugh R; Gordon, Gael E; Loffler, Gunter

    2016-02-01

    This study aimed to develop a clinical test of face perception which is applicable to a wide range of patients and can capture normal variability. The Caledonian face test utilises synthetic faces which combine simplicity with sufficient realism to permit individual identification. Face discrimination thresholds (i.e. minimum difference between faces required for accurate discrimination) were determined in an "odd-one-out" task. The difference between faces was controlled by an adaptive QUEST procedure. A broad range of face discrimination sensitivity was determined from a group (N=52) of young adults (mean 5.75%; SD 1.18; range 3.33-8.84%). The test is fast (3-4min), repeatable (test-re-test r(2)=0.795) and demonstrates a significant inversion effect. The potential to identify impairments of face discrimination was evaluated by testing LM who reported a lifelong difficulty with face perception. While LM's impairment for two established face tests was close to the criterion for significance (Z-scores of -2.20 and -2.27) for the Caledonian face test, her Z-score was -7.26, implying a more than threefold higher sensitivity. The new face test provides a quantifiable and repeatable assessment of face discrimination ability. The enhanced sensitivity suggests that the Caledonian face test may be capable of detecting more subtle impairments of face perception than available tests. PMID:26607479

  14. [Face necrotizing fasciitis following spinocellular epithelioma excision].

    Science.gov (United States)

    Gindre, S; Dellamonica, J; Couadau, E; Carles, M; Vandenbos, F; Delgiudice, P; Grimaud, D; Ichai, C

    2005-06-01

    Necrotizing fasciitis is a bacterial dermo-hypodermitis with superficial aponevrosis necrosis due to Streptococcus pyogenes. Head and neck region are some rare localization of this infection especially after surgery. We report herein a case of a face necrotizing fasciitis following minor face surgery. A 86 year-old Caucasian male without any antecedents, nor treatment, has been operated for a fronthead spinocellular epithelioma under local anesthesia. Twelve hours later, a severe pain localized to the face occurred, with sleeplessness, followed up with a face orbitary oedema and fever. Twenty-four hours later, an intravenous antibiotherapy was therefore started and surgical treatment was performed as soon as the diagnosis of necrotizing fasciitis was considered. An important inflammatory oedema was noticed, associated to a large necrotic softening of the face, the eyelid and the neck sub-cutaneous tissues. Then, the patient has been transferred in intensive care unit because multi-organ failure clinical and biological signs occurred. Pre-operatory bacteriological samples culture identified Streptococcus pyogenes. Repeated surgical explorations and debridement (excision, cleaning, draining and bandages recovery) were performed daily as needed until all the necrotic tissue was all eradicated. The antibiotherapy was prescribed to totalised 15 days. Our report underlines the importance of an early recognition of the diagnosis of soft tissue infection, because early surgical treatment has a better prognosis and antibiotic treatment alone is inefficient for the recovery. Alert is delivered by the local signs quickly followed up by skin changes. Anti-inflammatory therapy must be avoid in case of any soft tissue infection sign: they may increase the lesions, hide alarm signs and delay surgical treatment. PMID:15963844

  15. Finding Faces Among Faces: Human Faces are Located More Quickly and Accurately than Other Primate and Mammal Faces

    OpenAIRE

    Simpson, Elizabeth A.; Buchin, Zachary; Werner, Katie; Worrell, Rey; Jakobsen, Krisztina V.

    2014-01-01

    We tested the specificity of human face search efficiency by examining whether there is a broad window of detection for various face-like stimuli—human and animal faces—or whether own-species faces receive greater attentional allocation. We assessed the strength of the own-species face detection bias by testing whether human faces are located more efficiently than other animal faces, when presented among various other species’ faces, in heterogeneous 16-, 36-, and 64-item arrays. Across all a...

  16. Paediatric investigation plans for pain: painfully slow!

    OpenAIRE

    Davies, Elin H.; Ollivier, Cecile M.; Saint Raymond, Agnes

    2010-01-01

    Abstract Purpose To examine the early impact of the Paediatric Regulation, which entered into force in Europe on 27 January 2007, on the development of pharmaceutical drugs in the therapeutic field of pain submitted to the Paediatric Committee (PDCO) and to the European Medicines Agency (EMA). Methods Paediatric Investigations Plans (PIPs) submitted with a Decision (outcome) reached between September 2007 ...

  17. American Academy of Pain Medicine

    Science.gov (United States)

    ... Patient Get Started AAPM... the Voice of Pain Medicine Become part of the distinguished multimodal, interdisciplinary community of pain medicine clinicians. Join Today! Welcome The American Academy of ...

  18. MRI and low back pain

    Science.gov (United States)

    Backache - MRI; Low back pain - MRI; Lumbar pain - MRI; Back strain - MRI; Lumbar radiculopathy - MRI; Herniated intervertebral disk - MRI; Prolapsed intervertebral disk - MRI; Slipped disk - MRI; Ruptured ...

  19. Pain Catastrophising Affects Cortical Responses to Viewing Pain in Others.

    Directory of Open Access Journals (Sweden)

    Nicholas Fallon

    Full Text Available Pain catastrophising is an exaggerated cognitive attitude implemented during pain or when thinking about pain. Catastrophising was previously associated with increased pain severity, emotional distress and disability in chronic pain patients, and is also a contributing factor in the development of neuropathic pain. To investigate the neural basis of how pain catastrophising affects pain observed in others, we acquired EEG data in groups of participants with high (High-Cat or low (Low-Cat pain catastrophising scores during viewing of pain scenes and graphically matched pictures not depicting imminent pain. The High-Cat group attributed greater pain to both pain and non-pain pictures. Source dipole analysis of event-related potentials during picture viewing revealed activations in the left (PHGL and right (PHGR paraphippocampal gyri, rostral anterior (rACC and posterior cingulate (PCC cortices. The late source activity (600-1100 ms in PHGL and PCC was augmented in High-Cat, relative to Low-Cat, participants. Conversely, greater source activity was observed in the Low-Cat group during the mid-latency window (280-450 ms in the rACC and PCC. Low-Cat subjects demonstrated a significantly stronger correlation between source activity in PCC and pain and arousal ratings in the long latency window, relative to high pain catastrophisers. Results suggest augmented activation of limbic cortex and higher order pain processing cortical regions during the late processing period in high pain catastrophisers viewing both types of pictures. This pattern of cortical activations is consistent with the distorted and magnified cognitive appraisal of pain threats in high pain catastrophisers. In contrast, high pain catastrophising individuals exhibit a diminished response during the mid-latency period when attentional and top-down resources are ascribed to observed pain.

  20. The painful shoulder

    International Nuclear Information System (INIS)

    The painful shoulder syndrome is very common. Diagnosis and differential diagnosis may be difficult. Shoulder pain may be caused by local processes or systemic diseases or can be referred. Periarthritis humeroscapularis (frozen shoulder) is the most common cause of painful shoulder syndrome. Biomechanical factors concerning the rotator cuff are involved in the etiopathogenesis of these pain syndromes. The therapy of frozen shoulder includes physical treatment, antirheumatic drugs, or X-ray treatment. Surgical measures may become necessary. In the course of rheumatoid arthritis the shoulder may be involved. Milwaukee-shoulder-syndrome has been described recently in crystal deposit diseases. Shoulder pain may be referred by mechanical irritations of nerve roots in the course of degenerative lesions of the cervical spine and also in the course of internal diseases of the heart, the lungs, or the gastrointestinal tract. In cases of shoulder pain without pathological data from arthrological, radiological or laboratory studies, one should always consider localized fibromyalgia in the shoulder-neck-region. The precise diagnosis of shoulder pain is an important prerequisite for treatment, the success of which should not be judged as pessimistic as it has been commonly done in the past. (orig.)

  1. Contemporary treatment neuropathic pain

    Directory of Open Access Journals (Sweden)

    Cvijanović Milan

    2011-01-01

    Full Text Available Introduction. Neuropathic pain, or pain associated with disease or injury to the peripheral or central nervous system, is a common symptom of a heterogeneous group of conditions, including diabetic neuropathy, trigeminal neuralgia, postherpetic neuralgia and spinal cord injury. Chronic neuropathic pain should not be thought of as a symptom. It should truly be thought of as a disease with a very complicated pathophysiology. Pathophysiology. The mechanisms involved in neuropathic pain are complex and involve both peripheral and central pathophysiologic phenomenon. The underlying dysfunction may involve deafferentation within the peripheral nervous system (e.g. neuropathy, deafferentation within the central nervous system (e.g. post-thalamic stroke or an imbalance between the two (e.g. phantom limb pain. Clinical characteristics. Neuropathic pain is non-nociceptive, in contrast to acute nociceptive pain, and it can be described as ”burning”, ”electric”, ”tingling”, and ”shooting” in nature. Treatment. Rational polypharmacy is often necessary and actually it is almost always the rule. It would be an exception if a patient was completely satisfied with his treatment. Treatment goals should include understanding that our patients may need to be titrated and managed with more than one agent and one type of treatment. There should be the balance of safety, efficacy, and tolerability. Conclusion. There are many new agents and new applications of the existing agents being currently studied which will most certainly lead to even more improved ways of managing this very complicated set of disorders.

  2. [Multimodal pain therapy].

    Science.gov (United States)

    Böger, A

    2014-06-01

    Chronic pain has both high prevalence and a significant economic impact in Germany. The most common chronic pain types are low back pain and headache. On the one hand, the management of chronic pain patients is incomplete, yet it is often overtreated in orthopaedic surgical settings with interventional procedures. The reason for this is the structure of outpatient management and the way it is paid for in Germany. Pain management of patients with private insurance cover is no better because of "doctor shopping". Medical guidelines could be of some help in improving the situation, but they are widely unknown, and have still to demonstrate whether they have any impact on GP treatment pathways. The "gold standard" multimodal pain therapy shows significant improvement in many studies compared to monomodal therapy regimes and interventional regimes, but is too rarely recommended by the patients' physicians, whether GPs or specialists. Because of the huge number of institutions nowadays that, for the sake of form, offer such multimodal therapies, these need to be differentiated in terms of their structural and process quality. A first step is the "k edoq" project. It is essential to improve knowledge of the principles of modern pain management. This includes better networking and communication between doctors, physiotherapists and psychologists, and at the grassroots level, providing the public with more detailed and better information. PMID:25000627

  3. Facing the Crises

    OpenAIRE

    Moira Baker

    2014-01-01

    Timely, provocative, and theoretically sophisticated, the essays comprising In the Face of Crises: Anglophone Literature in the Postmodern World situate their work amid several critical global concerns: the devastation wreaked by global capitalism following the worldwide financial crash, the financial sector’s totalizing grip upon the world economy, the challenge to traditional definitions of “human nature” and identity posed by technologies of the body and of warfare, the quest of indigenou...

  4. Deciphering the Face

    OpenAIRE

    Martinez, Aleix M

    2011-01-01

    We argue that to make robust computer vision algorithms for face analysis and recognition, these should be based on configural and shape features. In this model, the most important task to be solved by computer vision researchers is that of accurate detection of facial features, rather than recognition. We base our arguments on recent results in cognitive science and neuroscience. In particular, we show that different facial expressions of emotion have diverse uses in human behavior/cognition...

  5. IntraFace

    OpenAIRE

    de la Torre, Fernando; Chu, Wen-Sheng; Xiong, Xuehan; Vicente, Francisco; Ding, Xiaoyu; Cohn, Jeffrey

    2015-01-01

    Within the last 20 years, there has been an increasing interest in the computer vision community in automated facial image analysis algorithms. This has been driven by applications in animation, market research, autonomous-driving, surveillance, and facial editing among others. To date, there exist several commercial packages for specific facial image analysis tasks such as facial expression recognition, facial attribute analysis or face tracking. However, free and easy-to-use software that i...

  6. Infrared face recognition

    OpenAIRE

    Lee, Colin K.

    2004-01-01

    Approved for public release, distribution is unlimited This study continues a previous face recognition investigation using uncooled infrared technology. The database developed in an earlier study is further expanded to include 50 volunteers with 30 facial images from each subject. The automatic image reduction method reduces the pixel size of each image from 160 120 to 60 45 . The study reexamines two linear classification methods: the Principal Component Analysis (PCA) and Fisher ...

  7. MMI Face Database

    OpenAIRE

    Maat, L.M.; Sondak, R.C.; Valstar, M.F.; Pantic, M.; Gaia, P.

    2005-01-01

    The automatic recognition of human facial expressions is an interesting research area in AI with a growing number of projects and researchers. In spite of repeated references to the need for a reference set of images that could provide a basis for benchmarking various techniques in automatic facial expression analysis, a readily accessible and complete enough database of face images does not exist yet. This lack represented our main incentive to develop a web-based, easily accessible, and eas...

  8. Robust Statistical Face Frontalization

    OpenAIRE

    Sagonas, Christos; Panagakis, Yannis; Zafeiriou, Stefanos; Pantic, Maja

    2015-01-01

    Recently, it has been shown that excellent results can be achieved in both facial landmark localization and pose-invariant face recognition. These breakthroughs are attributed to the efforts of the community to manually annotate facial images in many different poses and to collect 3D facial data. In this paper, we propose a novel method for joint frontal view reconstruction and landmark localization using a small set of frontal images only. By observing that the frontal facial image is the on...

  9. The Asian Face Lift

    OpenAIRE

    Bergeron, Léonard; Chen, Yu-Ray

    2009-01-01

    The face-lift procedure (rhytidectomy) is increasingly popular in Asia. There is extensive literature on different techniques in Western patients. Cultural and anthropomorphologic differences between Asian and Caucasians require the adaptation of current techniques to obtain a satisfactory outcome for both the patient and the surgeon. This article therefore attempts to define important differences between Asians and Caucasians in terms of signs of facial aging, perception of beauty, and surgi...

  10. Characterizing individual painDETECT symptoms by average pain severity

    Directory of Open Access Journals (Sweden)

    Sadosky A

    2016-07-01

    Full Text Available Alesia Sadosky,1 Vijaya Koduru,2 E Jay Bienen,3 Joseph C Cappelleri4 1Pfizer Inc, New York, NY, 2Eliassen Group, New London, CT, 3Outcomes Research Consultant, New York, NY, 4Pfizer Inc, Groton, CT, USA Background: painDETECT is a screening measure for neuropathic pain. The nine-item version consists of seven sensory items (burning, tingling/prickling, light touching, sudden pain attacks/electric shock-type pain, cold/heat, numbness, and slight pressure, a pain course pattern item, and a pain radiation item. The seven-item version consists only of the sensory items. Total scores of both versions discriminate average pain-severity levels (mild, moderate, and severe, but their ability to discriminate individual item severity has not been evaluated.Methods: Data were from a cross-sectional, observational study of six neuropathic pain conditions (N=624. Average pain severity was evaluated using the Brief Pain Inventory-Short Form, with severity levels defined using established cut points for distinguishing mild, moderate, and severe pain. The Wilcoxon rank sum test was followed by ridit analysis to represent the probability that a randomly selected subject from one average pain-severity level had a more favorable outcome on the specific painDETECT item relative to a randomly selected subject from a comparator severity level.Results: A probability >50% for a better outcome (less severe pain was significantly observed for each pain symptom item. The lowest probability was 56.3% (on numbness for mild vs moderate pain and highest probability was 76.4% (on cold/heat for mild vs severe pain. The pain radiation item was significant (P<0.05 and consistent with pain symptoms, as well as with total scores for both painDETECT versions; only the pain course item did not differ.Conclusion: painDETECT differentiates severity such that the ability to discriminate average pain also distinguishes individual pain item severity in an interpretable manner. Pain

  11. Foil Face Seal Testing

    Science.gov (United States)

    Munson, John

    2009-01-01

    In the seal literature you can find many attempts by various researchers to adapt film riding seals to the gas turbine engine. None have been successful, potential distortion of the sealing faces is the primary reason. There is a film riding device that does accommodate distortion and is in service in aircraft applications, namely the foil bearing. More specifically a foil thrust bearing. These are not intended to be seals, and they do not accommodate large axial movement between shaft & static structure. By combining the 2 a unique type of face seal has been created. It functions like a normal face seal. The foil thrust bearing replaces the normal primary sealing surface. The compliance of the foil bearing allows the foils to track distortion of the mating seal ring. The foil seal has several perceived advantages over existing hydrodynamic designs, enumerated in the chart. Materials and design methodology needed for this application already exist. Also the load capacity requirements for the foil bearing are low since it only needs to support itself and overcome friction forces at the antirotation keys.

  12. Decoding of faces and face components in face-sensitive human visual cortex

    Directory of Open Access Journals (Sweden)

    David F Nichols

    2010-07-01

    Full Text Available A great challenge to the field of visual neuroscience is to understand how faces are encoded and represented within the human brain. Here we show evidence from functional magnetic resonance imaging (fMRI for spatially distributed processing of the whole face and its components in face-sensitive human visual cortex. We used multi-class linear pattern classifiers constructed with a leave-one-scan-out verification procedure to discriminate brain activation patterns elicited by whole faces, the internal features alone, and the external head outline alone. Furthermore, our results suggest that whole faces are represented disproportionately in the fusiform cortex (FFA whereas the building blocks of faces are represented disproportionately in occipitotemporal cortex (OFA. Faces and face components may therefore be organized with functional clustering within both the FFA and OFA, but with specialization for face components in the OFA and the whole face in the FFA.

  13. Greater Trochanteric Pain Syndrome.

    Science.gov (United States)

    Redmond, John M; Chen, Austin W; Domb, Benjamin G

    2016-04-01

    Patients who have lateral hip pain historically have been diagnosed with trochanteric bursitis and treated with nonsteroidal anti-inflammatory medications, corticosteroid injections, and physical therapy. Although this strategy is effective for most patients, a substantial number of patients continue to have pain and functional limitations. Over the past decade, our understanding of disorders occurring in the peritrochanteric space has increased dramatically. Greater trochanteric pain syndrome encompasses trochanteric bursitis, external coxa saltans (ie, snapping hip), and abductor tendinopathy. A thorough understanding of the anatomy, examination findings, and imaging characteristics aids the clinician in treating these patients. Open and endoscopic treatment options are available for use when nonsurgical treatment is unsuccessful. PMID:26990713

  14. Morphine for cancer pain

    OpenAIRE

    Klepstad, Pål

    2002-01-01

    The objectives of the present study were:I. To assess the effect from start of morphine treatment to cancer pain patients in respect to time needed for dose-finding, dose needed for pain control and adverse symptoms.II. To assess the effects from start of morphine treatment to cancer pain patients on health related quality of life.III. To compare the efficacy of start of morphine treatment with sustained vs. immediate release morphine.IV. To investigate the relationship between serum concentr...

  15. Nonspecific Arm Pain

    Directory of Open Access Journals (Sweden)

    Ali Moradi

    2013-12-01

    Full Text Available Nonspecific activity-related arm pain is characterized by an absence of objective physical findings and symptoms that do not correspond with objective pathophysiology. Arm pain without strict diagnosis is often related to activity, work-related activity in particular, and is often seen in patients with physically demanding work. Psychological factors such as catastrophic thinking, symptoms of depression, and heightened illness concern determine a substantial percentage of the disability associated with puzzling hand and arm pains. Ergonomic modifications can help to control symptoms, but optimal health may require collaborative management incorporating psychosocial and psychological elements of illness.

  16. Nonspecific Arm Pain

    Directory of Open Access Journals (Sweden)

    Ali Moradi

    2013-12-01

    Full Text Available   Nonspecific activity-related arm pain is characterized by an absence of objective physical findings and symptoms that do not correspond with objective pathophysiology. Arm pain without strict diagnosis is often related to activity, work-related activity in particular, and is often seen in patients with physically demanding work. Psychological factors such as catastrophic thinking, symptoms of depression, and heightened illness concern determine a substantial percentage of the disability associated with puzzling hand and arm pains. Ergonomic modifications can help to control symptoms, but optimal health may require collaborative management incorporating psychosocial and psychological elements of illness.

  17. Painful/unstable shoulder

    International Nuclear Information System (INIS)

    This paper reports on the diagnostic performance of CT-arthrography of the painful/unstable shoulder that was evaluated in more than 300 patients. We have encountered a great variety of painful shoulder pathology, including impingement syndrome, cuff tear arthropathy, lesions of the long head of the biceps tendon, calcifying tendinitis, adhesive capsulitis, dead arm syndrome, and degenerative joint disease. Lesions related to instability include cases of capsular avulsions, disruption of the glenohumeral ligaments, labral pathology, glenoid fractures, Hill-Sachs lesions, and changes in glenoid angulation. CT-arthrography is an accurate exploration for both unstable and painful shoulders

  18. Assessment of pain

    DEFF Research Database (Denmark)

    Forrest, M; Hermann, G; Andersen, B

    1989-01-01

    In a trial based on 52 patients admitted because of acute abdominal pain, we compared the assessment of pain intensity by doctors and patients according to a visual analogue scale. We found significant differences with regard to the median score of the doctors (3.4 cm) compared to the patients (6.......1 cm). The correlation was 0.64 while the differences in dispersion were insignificant. Our findings indicate that it is far from unimportant who makes the pain assessment--the patient who experiences it or the doctor who evaluates it--but they also suggest that the differences could be a matter of...

  19. Maintenance of pain in children with functional abdominal pain

    Science.gov (United States)

    A significant proportion of children with functional abdominal pain develop chronic pain. Identifying clinical characteristics predicting pain persistence is important in targeting interventions. We examined whether child anxiety and/or pain-stooling relations were related to maintenance of abdomina...

  20. Measurement of Trigeminal Neuralgia Pain: Penn Facial Pain Scale.

    Science.gov (United States)

    Lee, John Y K

    2016-07-01

    Pain is a subjective experience that cannot be directly measured. Therefore, patient-reported outcome is one of the currently accepted methods to capture pain intensity and its impact on activities of daily living. This article focuses on five patient-reported outcomes that have been used to measure trigeminal neuralgia pain-Visual Analog Scale, numeric rating scale, Barrow Neurological Institute Pain Intensity Score, McGill Pain Questionnaire, and Penn Facial Pain Scale. Each scale is evaluated for its practicality, applicability, comprehensiveness, reliability, validity, and sensitivity to measuring trigeminal neuralgia pain. PMID:27324999

  1. Pain Management Following Spinal Cord Injury

    Science.gov (United States)

    ... makes the pain worse. The pain stems from Pain management usually includes treatment with compression of a nerve ... nerve root pain that is but an effective pain management program can lessen described as a burning feeling ...

  2. Questioning the Search for Illness Narratives in Medical Anthropology: Can we talk about actual pain experiences?

    DEFF Research Database (Denmark)

    Tørring, Marie Louise

    BACKGROUND: This critique stems from a self-experienced frustration with the perspectives offered by current medical anthropology, when faced with informants in severe, acute pain. AIM: By shifting between discussing former and current academic approaches to pain in anthropology and examining...... anthropological literature on pain from the 1950's up to today. RESULTS: The anthropological focus on pain has changed considerably during the last century from exotic tales of cultural codes of pain behaviour to illness narratives of pain experience. This shift in focus not only mirrors changes in our profession...... (the urge to escape cultural essentialism) but also reflects a current epistemological trend in much medical anthropology, namely the fascination by illness narratives. The illness narrative (of the patient) is said to offer unique insights into the human experience of pain, and is equally believed to...

  3. Postamputation pain: studies on mechanisms.

    Science.gov (United States)

    Nikolajsen, Lone

    2012-10-01

    Amputation is followed by both painful and non-painful phantom phenomena in a large number of amputees. Non-painful phantom sensations rarely pose any clinical problem, but 60-80% of all amputees also experience painful sensations (i.e. phantom pain) located to the missing limb. The severity of phantom pain usually decreases with time, but severe pain persists in 5-10% of patients. Pain in the residual limb (i.e. stump pain) is another consequence of amputation. Both stump and phantom pain can be very difficult to treat. Treatment guidelines used for other neuropathic pain conditions are probably the best approximation, especially for the treatment of stump pain. The aim of the present doctoral thesis was to explore some of the mechanisms underlying pain after amputation. Ten studies were carried out (I-X). My PhD thesis from 1998 dealt with pain before the amputation and showed that preamputation pain increases the risk of phantom pain after amputation (I). A perioperative epidural blockade, however, did not reduce the incidence of pain or abnormal sensory phenomena after amputation (II, III). The importance of sensitization before amputation for the subsequent development of pain is supported by study IV, in which pressure pain thresholds obtained at the limb before amputation were inversely related to stump and phantom pain after 1 week. Afferent input from the periphery is likely to contribute to postamputation pain as sodium channels were upregulated in human neuromas (VI), although neuroma removal did not always alleviate phantom pain (V). Sensitization of neurons in the spinal cord also seems to be involved in pain after amputation as phantom pain was reduced by ketamine, an NMDA-receptor antagonist. Another NMDA-receptor antagonist, memantine, and gabapentin, a drug working by binding to the δ2α-subunit of voltage-gated calcium channels, had no effect on phantom pain (VII-IX). Supraspinal factors are also important for pain after amputation as

  4. The human face as a dynamic tool for social communication

    OpenAIRE

    Rachael E Jack; Philippe G Schyns

    2015-01-01

    As a highly social species, humans frequently exchange social information to support almost all facets of life. One of the richest and most powerful tools in social communication is the face, from which observers can quickly and easily make a number of inferences — about identity, gender, sex, age, race, ethnicity, sexual orientation, physical health, attractiveness, emotional state, personality traits, pain or physical pleasure, deception, and even social status. With the advent of the digit...

  5. What Is Chronic Pain?

    Medline Plus

    Full Text Available ... but we may be looking in the wrong time. And what I mean by that is that ... pain problem which exists for some period of time can actually change the nervous system so that ...

  6. Knee pain (image)

    Science.gov (United States)

    ... front of the knee can be due to bursitis, arthritis, or softening of the patella cartilage as ... knee. Overall knee pain can be due to bursitis, arthritis, tears in the ligaments, osteoarthritis of the ...

  7. Pain management in photoepilation.

    Science.gov (United States)

    Aimonetti, Jean-Marc; Ribot-Ciscar, Edith

    2016-06-01

    The hair follicle is a complex, hormonally active structure with permanent and cyclically renewed parts which are highly innervated by myelinated and unmyelinated afferent fibers. Hair removal, a very ancient practice, affects this sensory network and causes both acute and diffuse pain associated with inflammatory reaction. Optic permanent hair removal is becoming a popular alternative to traditional methods such as shaving, waxing, among other methods. These optical removal devices thermally destroy the target chromophore, that is, melanin, without damaging the surrounding skin. The increase in the skin surface temperature causes mild-to-severe pain, and optical hair removal has to be combined with pain relieving devices. Pain management relies on topical anesthetic agents, cooling devices, or non-noxious cutaneous stimulation whose mechanisms of action and efficiency are discussed in this article. PMID:26589969

  8. [Phantom limb pains].

    Science.gov (United States)

    Giraux, Pascal

    2015-03-01

    With the radical experience of an amputation, the adaptation of body image is often incomplete. Some people experience phantom body perceptions, often painful and difficult to treat, after the amputation of a limb. PMID:26145132

  9. Complex Regional Pain Syndrome

    Science.gov (United States)

    ... an important role in sustaining the pain. Another theory is that CRPS is caused by a triggering ... Neurological Disorders and Stroke or any other Federal agency. Advice on the treatment or care of an ...

  10. What Is Chronic Pain?

    Medline Plus

    Full Text Available ... after a period of time the spinal cord has changed, after a period of time there are ... absence of an apparent cause. But chronic pain has a physiological or neurological basis even when we ...

  11. Pain and your emotions

    Science.gov (United States)

    ... gov/ency/patientinstructions/000417.htm Pain and your emotions To use the sharing features on this page, ... or hurting yourself What to do About Your Emotions A common type of therapy for people with ...

  12. Migraines: What a Pain!

    Science.gov (United States)

    ... Quizzes Kids' Dictionary of Medical Words En Español What Other Kids Are Reading Back-to-School Butterflies? ... Homework? Here's Help White House Lunch Recipes Migraines: What a Pain! KidsHealth > For Kids > Migraines: What a ...

  13. Painful Bruising Syndrome

    Directory of Open Access Journals (Sweden)

    Kalla G

    2001-01-01

    Full Text Available Painful bruising syndrome (PBS is a distinctive but rare clinical entity. We are reporting a case of PBS in a 26 year old hysterical woman who responded excellently to oral cyproheptadine and psychotherapy.

  14. Pain: Hope through Research

    Science.gov (United States)

    ... an effect is mysterious and somewhat controversial. Although placebos have no direct effect on the underlying causes of pain, evidence from ... a placebo. One large component responsible for the effect of placebo is the degree to which people expect the ...

  15. Abdominal Pain Syndrome

    Science.gov (United States)

    ... inspection of a drop of urine), and urine culture for bacterial infection. Stools can be analyzed for ... Hepatitis C Inflammatory Bowel Disease Irritable Bowel Syndrome Obesity Digestive Health Topics Abdominal Pain Syndrome Belching, Bloating, ...

  16. Anterior knee pain

    Science.gov (United States)

    Patellofemoral syndrome; Chondromalacia patella; Runner's knee; Patellar tendinitis; Jumper's knee ... or playing soccer). You have flat feet. Anterior knee pain is more ... skiers, bicyclists, and soccer players who exercise often ...

  17. Mechanisms of postoperative pain

    Institute of Scientific and Technical Information of China (English)

    YUE Yun

    2007-01-01

    @@ The practice of modern anaesthesiology has extended into perioperative medicine. Due to their expertise in analgesic drug pharmacology and peripheral nerve blocking, anaesthesiologists have pioneered in the management of acute postoperative pain. Effective postoperative analgesia reduces the incidence of postoperative chronic pain, improves the functioning of organs following surgery and shortens the hospital stay.1,2 Although a variety of analgesic techniques and preventative approaches are at the disposal of modem aneasthesiologists, including patient controlled epidural analgesia (PCEA), patient controlled intravenous analgesia, multimodal analgesia and pre-empty analgesia.Despite this array of strategies, these predominantly opioid based techniques are still limited by side-effects such as vomiting, nausea, itching and urinary retention.To optimize further the management of acute postoperative pain, basic mechanisms of postoperative pain must be explored and new treatments must continue to be developed.

  18. Anterior knee pain

    Science.gov (United States)

    ... or playing soccer). You have flat feet. Anterior knee pain is more common in: People who are overweight People who have had a dislocation, fracture, or other injury to the kneecap Runners, jumpers, ...

  19. Low Back Pain

    Science.gov (United States)

    ... body in numerous ways, including causing muscle tension. Backpack overload in children : Low back pain unrelated to ... is unusual in pre-teen children. However, a backpack overloaded with schoolbooks and supplies can strain the ...

  20. Pain in photodynamic therapy

    Directory of Open Access Journals (Sweden)

    Mircea Tampa

    2016-04-01

    Full Text Available Photodynamic therapy is a modern treatment with applications in several medical specialties, which has been intensely studied in the last years. The main indications in dermatology are actinic keratosis, superficial basal cell carcinoma and Bowen's disease- common skin disorders in which photodynamic therapy proved its efficacy. At present, the use of photodynamic therapy for the treatment of other skin disorders is profoundly researched. Pain is the most common and redoubtable adverse effect of photodynamic therapy and it is the most important factor affecting the patient's adherence to treatment. The aim of this article is to look over the most recent medical studies regarding pain in PDT, with emphasis on the factors affecting the occurrence of pain and the most recent strategies for controlling photodynamic therapy- related pain.

  1. Low back pain - acute

    Science.gov (United States)

    ... Fracture of the spinal cord Muscle spasm (very tense muscles) Ruptured or herniated disk Sciatica Spinal stenosis ( ... as ice, mild painkillers, physical therapy, and proper exercises. Most of the time, back pain will get ...

  2. Low back pain - acute

    Science.gov (United States)

    ... narrowing of the spinal canal) Spine curvatures (like scoliosis or kyphosis), which may be inherited and seen ... TD Jr, eds. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation . 3rd ed. Philadelphia, ...

  3. Registration of 3D Face Scans with Average Face Models

    OpenAIRE

    Salah, Albert Ali; Alyuz, N.; Akarun, L.

    2008-01-01

    The accuracy of a 3D face recognition system depends on a correct registration that aligns the facial surfaces and makes a comparison possible. The best results obtained so far use a costly one-to-all registration approach, which requires the registration of each facial surface to all faces in the gallery. We explore the approach of registering the new facial surface to an average face model (AFM), which automatically establishes correspondence to the pre-registered gallery faces. We propose ...

  4. Exercise Based- Pain Relief Program

    DEFF Research Database (Denmark)

    Zadeh, Mahdi Hossein

    Exercise-based pain management programs are suggested for relieving from musculoskeletal pain; however the pain experienced after unaccustomed, especially eccentric exercise (ECC) alters people´s ability to participate in therapeutic exercises. Subsequent muscle pain after ECC has been shown to...

  5. Electronic diary assessment of pain-related fear, attention to pain, and pain intensity in chronic low back pain patients.

    NARCIS (Netherlands)

    Roelofs, J.; Peters, M.L.; Patijn, J.; Schouten, E.G.; Vlaeyen, J.W.

    2004-01-01

    The present study investigated the relationships between pain-related fear, attention to pain, and pain intensity in daily life in patients with chronic low back pain. An experience sampling methodology was used in which electronic diary data were collected by means of palmtop computers from 40 chro

  6. Pain among professional orchestral musicians

    DEFF Research Database (Denmark)

    Nygaard Andersen, Lotte; Roessler, Kirsten K; Eichberg, Henning

    2013-01-01

    Professional musicians experience high rates of musculoskeletal pain, but only few studies have investigated how this pain is accepted by musicians.......Professional musicians experience high rates of musculoskeletal pain, but only few studies have investigated how this pain is accepted by musicians....

  7. Methadone for Pain Relief.

    Science.gov (United States)

    Johnson, Joseph; Sheth, Samir

    2016-06-01

    Questions from patients about pain conditions and analgesic pharmacotherapy and responses from authors are presented to help educate patients and make them more effective self-advocates. In reply to a question, the authors discuss the use of methadone for pain management, outline how the body processes methadone, list interactions and side effects, and emphasize the importance of taking the medication as prescribed. PMID:27159280

  8. Back pain and parenthood.

    OpenAIRE

    Finkelstein, M M

    1995-01-01

    OBJECTIVE--To test the hypothesis that reports of back pain in a working population are associated with parenthood. METHODS--A questionnaire survey of back pain in municipal fire fighters and police officers in a municipality in Ontario, Canada. The questionnaire was distributed to current employees of fire and police departments. The survey was completed by 129 fire fighters (68% of the active force) and 346 police officers (74% of the force). RESULTS--36% of the respondents complained of a ...

  9. Groin pain in athletes.

    Science.gov (United States)

    Macintyre, Jim; Johson, Chris; Schroeder, Erik L

    2006-12-01

    Groin pain is a common and often frustrating problem in athletes who engage in sports involving kicking, rapid accelerations and decelerations, and sudden direction changes. The most common problems are adductor strain, osteitis pubis, and sports hernia. Other causes must be considered, including nerve pain, stress fractures, and intrinsic hip pathology. There is significant overlap and multiple problems frequently coexist. Accurate diagnosis leads to directed treatment, with rehabilitation focused on functional closed-chain strengthening and core stability. PMID:17067496

  10. Face reconstruction from image sequences for forensic face comparison

    NARCIS (Netherlands)

    Dam, van Chris; Veldhuis, Raymond; Spreeuwers, Luuk

    2015-01-01

    The authors explore the possibilities of a dense model-free three-dimensional (3D) face reconstruction method, based on image sequences from a single camera, to improve the current state of forensic face comparison. They propose a new model-free 3D reconstruction method for faces, based on the Lambe

  11. Robust Face Recognition via Multimodal Deep Face Representation

    OpenAIRE

    Ding, Changxing; Tao, Dacheng

    2015-01-01

    Face images appeared in multimedia applications, e.g., social networks and digital entertainment, usually exhibit dramatic pose, illumination, and expression variations, resulting in considerable performance degradation for traditional face recognition algorithms. This paper proposes a comprehensive deep learning framework to jointly learn face representation using multimodal information. The proposed deep learning structure is composed of a set of elaborately designed convolutional neural ne...

  12. TRPs and pain.

    Science.gov (United States)

    Dai, Yi

    2016-05-01

    Nociception is the process of transmission of painful signals by nociceptors in the primary afferent nerve fibers, which specifically respond to noxious stimuli. These noxious stimuli are detected by nociceptors and converted into electrical signals, which are then transmitted to the spinal cord, thalamus, and the cerebral cortex, where pain is finally sensed. Transient receptor potential (TRP) ion channels have emerged as a family of evolutionarily conserved ligand-gated ion channels that function as molecular detectors of physical stimuli. Several member of this family, at least six channels from three TRP family subtypes (TRPV1-4, TRPM8, and TRPA1), are expressed in nociceptors, where they act as transducers for signals from thermal, chemical, and mechanical stimuli and play crucial roles in the generation and development of pathological pain perception. This review focuses on the increasing evidence of TRP channel involvement and contribution in nociceptive pain and the pain hypersensitivity associated with peripheral inflammation or neuropathy, and on the renewed interest in targeting TRP channels for pain relief. PMID:26374740

  13. Mechanisms of Myofascial Pain

    Science.gov (United States)

    Jafri, M. Saleet

    2014-01-01

    Myofascial pain syndrome is an important health problem. It affects a majority of the general population, impairs mobility, causes pain, and reduces the overall sense of well-being. Underlying this syndrome is the existence of painful taut bands of muscle that contain discrete, hypersensitive foci called myofascial trigger points. In spite of the significant impact on public health, a clear mechanistic understanding of the disorder does not exist. This is likely due to the complex nature of the disorder which involves the integration of cellular signaling, excitation-contraction coupling, neuromuscular inputs, local circulation, and energy metabolism. The difficulties are further exacerbated by the lack of an animal model for myofascial pain to test mechanistic hypothesis. In this review, current theories for myofascial pain are presented and their relative strengths and weaknesses are discussed. Based on new findings linking mechanoactivation of reactive oxygen species signaling to destabilized calcium signaling, we put forth a novel mechanistic hypothesis for the initiation and maintenance of myofascial trigger points. It is hoped that this lays a new foundation for understanding myofascial pain syndrome and how current therapies work, and gives key insights that will lead to the improvement of therapies for its treatment. PMID:25574501

  14. Prayer and physical pains

    Directory of Open Access Journals (Sweden)

    Nahid Mehran

    2014-06-01

    Full Text Available Background and Objectives: Prayer is one of the most important religious ordinances and is one of the necessities of Islam. In spite of the progression of medicine science, it is sometimes seen that the mundane subjects become hopeless in curing physical diseases and this time, the hopeless man appeals to the Lord God. This review study was conducted to examine the positive and negative views regarding effectsof prayer on physical pains. Methods: This review article was carried on by studying about 30 related original articles and different scientific texts.  Results:In various studies, it is demonstrated that Islamic worships especially prayer are effective in treating most acute and chronic pains. But despite this, some studies indicate that there is no effectiveness or even there are negative effects of prayer on some physical pains. Conclusion: With regard to the above mentioned results,most studies support the positive effects of prayer on physical pains. So the medical staffs should alsopay attention to this besides medicinal remedies. In addition, by emphasizing on and advertising aboutthe advantages of practices likeprayer in the treatment of chronic pains, it would be possible to prevent people, especially the youth, from taking inadmissible drugs such as alcohol, narcotics or other illegal drugs. Further studies are recommended to explore the effects of prayer on different acute and chronic physical pains.

  15. Effect Supermint oil (Peppermint oil on children's pain during Colonoscopy

    Directory of Open Access Journals (Sweden)

    M Najafi

    2014-04-01

    Full Text Available Introduction: Pain during colonoscopy, especially in children, including the challenges faced by the medical team. The aim of study was investigation the analgesic effect Supermint oil (peppermint oil on pain in children during colonoscopy. Methods and Materials: In this clinical trial study, 101 children (7-14 years old candidate colonoscopy were randomly divided into two groups, respectively. About half an hour before the colonoscopy case group (n=51 was administrated oral drops Supermint oil (peppermint oil. Patients were filled a pediatric pain questionnaire. In control group (n=50 filled a questionnaire without any administration. Data were analyzed using SPSS version 11.5 and (T-test and Paired sample t-test, Corraletion,Man withney. Results: Mean value of pain, duration of colonoscopy in control group was 5/60+1/85 and in case group was 4/20+1/70 and this diference was significant (P

  16. BACK PAIN AND ITS TREATMENT

    Directory of Open Access Journals (Sweden)

    Ekaterina Vladimirovna Podchufarova

    2009-06-01

    source of pain and there is a great deal of treatments for this condition. Unlike chronic pain, acute musculoskeletal pain in the back is a benign and generally self-limited condition. To set off nonspecific back pain, i.e. pain associated with musculoskeletal disorders without signs of involvement of cervical, thoracic, lumbar, and sacral roots and specific spinal lesions (spondylolisthesis, osteoporosis, tumors, inflammatory spondyloarthropathies, etc. is convenient and warranted in most cases when a patient with acute back pain is examined by a general practitioner. The paper gives the data of the current guidelines for the management of patients with nonspecific back pain

  17. Face the music

    Institute of Scientific and Technical Information of China (English)

    何玲

    2004-01-01

    英语中的很多词语是不能望文生义的,如“face the music”这个短语。如果你认为是“面对、应付音乐”的话,就大错特错了。这个短语已有百年以上的历史了,是美国男女老少都非常熟悉的短语。最早使用这个表现法的是

  18. Face Avulsion and Degloving

    OpenAIRE

    Panse, Nikhil; Sahasrabudhe, Parag; Joshi, Namrata

    2014-01-01

    There have been sparse reports in literature of avulsion and degloving injuries of individual areas of face like the nose, eyelids, ear and even mandible. Hemi-facial degloving is extremely rare. We present a case of post-assault degloving of the nose, part of forehead with anterior wall of frontal sinus, entire upper and lower eyelids and the cheek. Proper planning and staging of the surgical procedures and use of local flaps, meticulous and proper alignment of tissues gave us good aesthetic...

  19. On toric face rings

    OpenAIRE

    Ichim, Bogdan; Roemer, Tim

    2006-01-01

    Following a construction of Stanley we consider toric face rings associated to rational pointed fans. This class of rings is a common generalization of the concepts of Stanley--Reisner and affine monoid algebras. The main goal of this article is to unify parts of the theories of Stanley--Reisner- and affine monoid algebras. We consider (non-pure) shellable fan's and the Cohen--Macaulay property. Moreover, we study the local cohomology, the canonical module and the Gorenstein property of a tor...

  20. Préface

    OpenAIRE

    Naugrette, Jean-Pierre

    2016-01-01

    Il y a pour moi une double fidélité à écrire quelques mots de Préface au livre d'Hélène Machinal sur la fiction de Conan Doyle, qui va de Sherlock Holmes au professeur Challenger en passant par les textes fantastiques. Mon premier article de critique, paru en 1981 dans Études Anglaises, portait sur « Énigme et spectacle chez Conan Doyle ». Rencontrant à cette occasion le pionnier des études doyliennes qu'est Pierre Nordon, et constatant avec lui que nous étions encore trop rares en France à n...

  1. Massignon face au sionisme

    OpenAIRE

    Mayeres, Agathe

    2010-01-01

    En 1916, Louis Massignon participe aux négociations franco-britanniques qui envisagent, dans la perspective de la capitulation probable des empires centraux, le futur partage de l’Empire ottoman. Dans ce contexte, Massignon cherche à se situer face la question sioniste qui, pour lui, est avant tout un problème de politique orientale.Sous l’influence d'Aaron Aaronsohn, l’islamologue éprouve d’abord pour les pionniers d’Eretz Israel, au regard de leurs réalisations agricoles, une sympathie enth...

  2. Challenges facing production grids

    Energy Technology Data Exchange (ETDEWEB)

    Pordes, Ruth; /Fermilab

    2007-06-01

    Today's global communities of users expect quality of service from distributed Grid systems equivalent to that their local data centers. This must be coupled to ubiquitous access to the ensemble of processing and storage resources across multiple Grid infrastructures. We are still facing significant challenges in meeting these expectations, especially in the underlying security, a sustainable and successful economic model, and smoothing the boundaries between administrative and technical domains. Using the Open Science Grid as an example, I examine the status and challenges of Grids operating in production today.

  3. Cancer pain management: Basic information for the young pain physicians

    Directory of Open Access Journals (Sweden)

    SPS Rana

    2011-01-01

    Full Text Available Cancer pain is multifactorial and complex. The impact of cancer pain is devastating, with increased morbidity and poor quality of life, if not treated adequately. Cancer pain management is a challenging task both due to disease process as well as a consequence of treatment-related side-effects. Optimization of analgesia with oral opioids, adjuvant analgesics, and advanced pain management techniques is the key to success for cancer pain. Early access of oral opioid and interventional pain management techniques can overcome the barriers of cancer pain, with improved quality of life. With timely and proper anticancer therapy, opioids, nerve blocks, and other non-invasive techniques like psychosocial care, satisfactory pain relief can be achieved in most of the patients. Although the WHO Analgesic Ladder is effective for more than 80% cancer pain, addition of appropriate adjuvant drugs along with early intervention is needed for improved Quality of Life. Effective cancer pain treatment requires a holistic approach with timely assessment, measurement of pain, pathophysiology involved in causing particular type of pain, and understanding of drugs to relieve pain with timely inclusion of intervention. Careful evaluation of psychosocial and mental components with good communication is necessary. Barriers to cancer pain management should be overcome with an interdisciplinary approach aiming to provide adequate analgesia with minimal side-effects. Management of cancer pain should comprise not only a physical component but also psychosocial and mental components and social need of the patient. With risk-benefit analysis, interventional techniques should be included in an early stage of pain treatment. This article summarizes the need for early and effective pain management strategies, awareness regarding pain control, and barriers of cancer pain.

  4. Face-painting and Japan

    OpenAIRE

    Macfarlane, Alan.

    2004-01-01

    We see the elaborate application of whitner to the face and neck of a young trainee geisha (maiko). The colouring of the rest of the face is followed by the dressing in robes and exit into the street.

  5. Aging changes in the face

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/004004.htm Aging changes in the face To use the sharing ... Changes in face with age References Brodie SE. Aging and disorders of the eye. In: Fillit HM, ...

  6. Electronic momentary assessment in chronic pain (I): pain and psychological pain responses as predictors of pain intensity.

    OpenAIRE

    Sorbi, M.J.; Peters, M.L.; Kruise, D.A.; Maas, C.J.M.; Kerssens, J. J.; Verhaak, P.F.M.; Bensing, J M

    2006-01-01

    Objectives and Methods: Electronic momentary assessment was employed to substantiate the relevance of psychological functioning in chronic pain. More than 7100 electronic diaries from 80 patients with varying IASP classified types of chronic pain served to investigate to what extent fear-avoidance, cognitive and spousal solicitous and punishing pain responses explained fluctuations in pain intensity and whether patients with pre-chronic, recently chronic and persistently chronic pain differed...

  7. Racial bias in neural empathic responses to pain.

    Directory of Open Access Journals (Sweden)

    Luis Sebastian Contreras-Huerta

    Full Text Available Recent studies have shown that perceiving the pain of others activates brain regions in the observer associated with both somatosensory and affective-motivational aspects of pain, principally involving regions of the anterior cingulate and anterior insula cortex. The degree of these empathic neural responses is modulated by racial bias, such that stronger neural activation is elicited by observing pain in people of the same racial group compared with people of another racial group. The aim of the present study was to examine whether a more general social group category, other than race, could similarly modulate neural empathic responses and perhaps account for the apparent racial bias reported in previous studies. Using a minimal group paradigm, we assigned participants to one of two mixed-race teams. We use the term race to refer to the Chinese or Caucasian appearance of faces and whether the ethnic group represented was the same or different from the appearance of the participant' own face. Using fMRI, we measured neural empathic responses as participants observed members of their own group or other group, and members of their own race or other race, receiving either painful or non-painful touch. Participants showed clear group biases, with no significant effect of race, on behavioral measures of implicit (affective priming and explicit group identification. Neural responses to observed pain in the anterior cingulate cortex, insula cortex, and somatosensory areas showed significantly greater activation when observing pain in own-race compared with other-race individuals, with no significant effect of minimal groups. These results suggest that racial bias in neural empathic responses is not influenced by minimal forms of group categorization, despite the clear association participants showed with in-group more than out-group members. We suggest that race may be an automatic and unconscious mechanism that drives the initial neural responses to

  8. The periodontal pain paradox: Difficulty on pain assesment in dental patients (The periodontal pain paradox hypothesis

    Directory of Open Access Journals (Sweden)

    Haryono Utomo

    2006-12-01

    Full Text Available In daily dental practice, the majority of patients’ main complaints are related to pain. Most patients assume that all pains inside the oral cavity originated from the tooth. One particular case is thermal sensitivity; sometimes patients were being able to point the site of pain, although there is neither visible caries nor secondary caries in dental radiograph. In this case, gingival recession and dentin hypersensitivity are first to be treated to eliminate the pain. If these treatments failed, pain may misdiagnose as pulpal inflammation and lead to unnecessary root canal treatment. Study in pain during periodontal instrumentation of plaque-related periodontitis revealed that the majority of patients feel pain and discomfort during probing and scaling. It seems obvious because an inflammation, either acute or chronic is related to a lowered pain threshold. However, in contrast, in this case report, patient suffered from chronic gingivitis and thermal sensitivity experienced a relative pain-free sensation during probing and scaling. Lowered pain threshold which accompanied by a blunted pain perception upon periodontal instrumentation is proposed to be termed as the periodontal pain paradox. The objective of this study is to reveal the possibility of certain factors in periodontal inflammation which may involved in the periodontal pain paradox hypothesis. Patient with thermal hypersensitivity who was conducted probing and scaling, after the relative pain-free instrumentation, thermal hypersensitivity rapidly disappeared. Based on the successful periodontal treatment, it is concluded that chronic gingivitis may modulate periodontal pain perception which termed as periodontal pain paradox

  9. Picasso: (in)human face

    OpenAIRE

    Cox, Neil

    2011-01-01

    Rejecting the notion that Picasso's representations of faces should always be considered in a biographical context as portraits, it is argued that in considering them as human faces we encounter a crisis in the idea of an essential humanity. The essay then discusses Picasso's faces relation to Georges Bataille's treatment of vernacular portrait photography and of animality in human emotional expression, arguing that Picasso's human faces court the inhuman. This inhuman countenance, bred so ef...

  10. IntraFace

    Science.gov (United States)

    De la Torre, Fernando; Chu, Wen-Sheng; Xiong, Xuehan; Vicente, Francisco; Ding, Xiaoyu; Cohn, Jeffrey

    2016-01-01

    Within the last 20 years, there has been an increasing interest in the computer vision community in automated facial image analysis algorithms. This has been driven by applications in animation, market research, autonomous-driving, surveillance, and facial editing among others. To date, there exist several commercial packages for specific facial image analysis tasks such as facial expression recognition, facial attribute analysis or face tracking. However, free and easy-to-use software that incorporates all these functionalities is unavailable. This paper presents IntraFace (IF), a publicly-available software package for automated facial feature tracking, head pose estimation, facial attribute recognition, and facial expression analysis from video. In addition, IFincludes a newly develop technique for unsupervised synchrony detection to discover correlated facial behavior between two or more persons, a relatively unexplored problem in facial image analysis. In tests, IF achieved state-of-the-art results for emotion expression and action unit detection in three databases, FERA, CK+ and RU-FACS; measured audience reaction to a talk given by one of the authors; and discovered synchrony for smiling in videos of parent-infant interaction. IF is free of charge for academic use at http://www.humansensing.cs.cmu.edu/intraface/.

  11. ITER plasma facing components

    International Nuclear Information System (INIS)

    This document summarizes results of the Conceptual Design Activities (1988-1990) for the International Thermonuclear Experimental Reactor (ITER) project, namely those that pertain to the plasma facing components of the reactor vessel, of which the main components are the first wall and the divertor plates. After an introduction and an executive summary, the principal functions of the plasma-facing components are delineated, i.e., (i) define the low-impurity region within which the plasma is produced, (ii) absorb the electromagnetic radiation and charged-particle flux from the plasma, and (iii) protect the blanket/shield components from the plasma. A list of critical design issues for the divertor plates and the first wall is given, followed by discussions of the divertor plate design (including the issues of material selection, erosion lifetime, design concepts, thermal and mechanical analysis, operating limits and overall lifetime, tritium inventory, baking and conditioning, safety analysis, manufacture and testing, and advanced divertor concepts) and the first wall design (armor material and design, erosion lifetime, overall design concepts, thermal and mechanical analysis, lifetime and operating limits, tritium inventory, baking and conditioning, safety analysis, manufacture and testing, an alternative first wall design, and the limiters used instead of the divertor plates during start-up). Refs, figs and tabs

  12. The Pharmacology of Visceral Pain.

    Science.gov (United States)

    Johnson, Anthony C; Greenwood-Van Meerveld, Beverley

    2016-01-01

    Visceral pain describes pain emanating from the internal thoracic, pelvic, or abdominal organs. Unlike somatic pain, visceral pain is generally vague, poorly localized, and characterized by hypersensitivity to a stimulus such as organ distension. While current therapeutics provides some relief from somatic pain, drugs used for treatment of chronic visceral pain are typically less efficacious and limited by multiple adverse side effects. Thus, the treatment of visceral pain represents a major unmet medical need. Further, more basic research into the physiology and pathophysiology of visceral pain is needed to provide novel targets for future drug development. In concert with chronic visceral pain, there is a high comorbidity with stress-related psychiatric disorders including anxiety and depression. The mechanisms linking visceral pain with these overlapping comorbidities remain to be elucidated. However, persistent stress facilitates pain perception and sensitizes pain pathways, leading to a feed-forward cycle promoting chronic visceral pain disorders. We will focus on stress-induced exacerbation of chronic visceral pain and provide supporting evidence that centrally acting drugs targeting the pain and stress-responsive brain regions may represent a valid target for the development of novel and effective therapeutics. PMID:26920016

  13. Forensic Face Recognition: A Survey

    NARCIS (Netherlands)

    Ali, Tauseef; Spreeuwers, Luuk; Veldhuis, Raymond; Quaglia, Adamo; Epifano, Calogera M.

    2012-01-01

    The improvements of automatic face recognition during the last 2 decades have disclosed new applications like border control and camera surveillance. A new application field is forensic face recognition. Traditionally, face recognition by human experts has been used in forensics, but now there is a

  14. Pain as social glue: shared pain increases cooperation.

    Science.gov (United States)

    Bastian, Brock; Jetten, Jolanda; Ferris, Laura J

    2014-11-01

    Even though painful experiences are employed within social rituals across the world, little is known about the social effects of pain. We examined the possibility that painful experiences can promote cooperation within social groups. In Experiments 1 and 2, we induced pain by asking some participants to insert their hands in ice water and to perform leg squats. In Experiment 3, we induced pain by asking some participants to eat a hot chili pepper. Participants performed these tasks in small groups. We found evidence for a causal link: Sharing painful experiences with other people, compared with a no-pain control treatment, promoted trusting interpersonal relationships by increasing perceived bonding among strangers (Experiment 1) and increased cooperation in an economic game (Experiments 2 and 3). Our findings shed light on the social effects of pain, demonstrating that shared pain may be an important trigger for group formation. PMID:25193943

  15. Pain assessment: global use of the Brief Pain Inventory.

    Science.gov (United States)

    Cleeland, C S; Ryan, K M

    1994-03-01

    Poorly controlled cancer pain is a significant public health problem throughout the world. There are many barriers that lead to undertreatment of cancer pain. One important barrier is inadequate measurement and assessment of pain. To address this problem, the Pain Research Group of the WHO Collaborating Centre for Symptom Evaluation in Cancer Care has developed the Brief Pain Inventory (BPI), a pain assessment tool for use with cancer patients. The BPI measures both the intensity of pain (sensory dimension) and interference of pain in the patient's life (reactive dimension). It also queries the patient about pain relief, pain quality, and patient perception of the cause of pain. This paper describes the development of the Brief Pain Inventory and the various applications to which the BPI is suited. The BPI is a powerful tool and, having demonstrated both reliability and validity across cultures and languages, is being adopted in many countries for clinical pain assessment, epidemiological studies, and in studies of the effectiveness of pain treatment. PMID:8080219

  16. Electronic momentary assessment in chronic pain 1: psychological pain responses as predictors of pain intensity

    OpenAIRE

    Sorbi, M.J.; Peters, M.L.; Kruise, D.A.; Maas, C.J.M.; Kerssens, J. J.; Verhaak, P.F.M.; BENSING, J

    2006-01-01

    Objectives and Methods: Electronic momentary assessment was employed to substantiate the relevance of psychological functioning in chronic pain. More than 7100 electronic diaries from 80 patients with varying IASP classified types of chronic pain served to investigate to what extent fear-avoidance, cognitive and spousal solicitous and punishing pain responses explained fluctuations in pain intensity and whether patients with pre-chronic, recently chronic and persistently chronic pain differed...

  17. Face to Face: Anthropometry-Based Interactive Face Shape Modeling Using Model Priors

    OpenAIRE

    Yu Zhang; Edmond C. Prakash

    2009-01-01

    This paper presents a new anthropometrics-based method for generating realistic, controllable face models. Our method establishes an intuitive and efficient interface to facilitate procedures for interactive 3D face modeling and editing. It takes 3D face scans as examples in order to exploit the variations presented in the real faces of individuals. The system automatically learns a model prior from the data-sets of example meshes of facial features using principal component analysis (PCA) an...

  18. EFFECT OF MYOFASCIAL RELEASE THERAPY ON PAIN RELATED DISABILITY, QUALITY OF SLEEP AND DEPRESSION IN OLDER ADULTS WITH CHRONIC LOW BACK PAIN

    Directory of Open Access Journals (Sweden)

    Dr. B.Arun, MPT, PhD

    2014-02-01

    Full Text Available Low back pain was experienced by 50% of older adults that has threatened to quality of life. The economic cost of low back pain is more in older adults. Various literatures found that there is strong relationships exist between the low back pain and the psychosocial factors like sleep disturbances, depression, mood sway and chronic illness. Studies has found that depression is one of the commonest psychological problem faced by older adults which relates to other factors like pain, sleep disturbances ect.. Physiotherapy has been shown very effective in the management of chronic low back pain. Various approaches in physiotherapy play a major role in rehabilitation of patients with chronic low back pain. This study estimates to find out the effect of myofascial release therapy on pain related disability, quality of sleep and depression in older adults with chronic low back pain. Study is a single group pre test and post test design. 37 Patients with chronic low back pain were selected from a community setup. Selected subjects were undergone 6 weeks of myofascial release therapy along with moist heat therapy. At the end the outcome measured are pain related disability using pain disability index, Quality of sleep using Insomnia severity index and depression using beck depression inventory. The paired ‘t’ test was used to find out the differences between variables. The result showed that there was a significant improvement in the pre test and post test variables. The beck depression inventory was 21.3 (p<0.05%, and the pain disability index was 24.9 (p<0.05%. The study concludes that the myofascial release therapy is very effective in reducing the pain related disability, quality of sleep and depression on older adults with chronic low back pain.

  19. The First National Pain Medicine Summit--final summary report.

    Science.gov (United States)

    Lippe, Philipp M; Brock, Charles; David, Jose; Crossno, Ronald; Gitlow, Stuart

    2010-10-01

    Pain is ubiquitous. At some point in time it affects everyone. For many millions pain becomes chronic, a scourge that impacts every facet of life-work, hobbies, family relations, social fabric, finances, happiness, mood, and even the very essence of identity. According to the National Institutes of Health (NIH), pain is one of our most important national public health problems, a silent epidemic. In 1998, NIH reported that the annual amount spent on health care, compensation, and litigation related to pain had reached one hundred billion dollars ($100,000,000,000). Considering that health care costs have doubled since then, it is not unreasonable to assume that the costs related to pain care have doubled as well. Millions of patients suffer needlessly with acute pain, with cancer pain, and with chronic pain. The ineffective management of pain results in an escalating cascade of health care issues. Acute pain that is not treated adequately and promptly results in persistent pain that eventually causes irreversible changes in the nervous system. This translates into progressive bio-psycho-social epiphenomena resulting in further pain and disability. It creates a vicious cycle transforming a functional human being into an invalid who becomes a burden to family, to society, and to oneself. In the face of adequate medical science, adequate technical skills, and adequate resources the reality of delayed and inadequate pain care is paradoxical. This dilemma deserves close scrutiny and effective remediation. The American Medical Association (AMA), long dedicated to the need to improve pain care in this country, has been faced with this reality. It was from this vision that the idea of holding a Pain Medicine Summit was conceived. Resolution 321 (A-08) set in motion a process that would bring together a diverse group of stakeholders for the purpose of discussing the present and future status of pain care; a process that culminated in a broad-based coalition of physicians

  20. Préface

    OpenAIRE

    Noiriel, Gérard

    2014-01-01

    L’Introduction aux études historiques de Charles-Victor Langlois et Charles Seignobos a été rééditée en 1992 par les éditions Kimé, avec une préface de Madeleine Rebérioux qui a été ma directrice de thèse. Recommencer l’exercice vingt ans après, c’est une manière de transmettre le « témoin » d’une génération d’historiens à la suivante, tout en essayant d’apporter quelques éclairages nouveaux sur un manuel qui a pourtant déjà fait couler beaucoup d’encre. Les auteurs précisent dans leur introd...

  1. Energy conservation using face detection

    Science.gov (United States)

    Deotale, Nilesh T.; Kalbande, Dhananjay R.; Mishra, Akassh A.

    2011-10-01

    Computerized Face Detection, is concerned with the difficult task of converting a video signal of a person to written text. It has several applications like face recognition, simultaneous multiple face processing, biometrics, security, video surveillance, human computer interface, image database management, digital cameras use face detection for autofocus, selecting regions of interest in photo slideshows that use a pan-and-scale and The Present Paper deals with energy conservation using face detection. Automating the process to a computer requires the use of various image processing techniques. There are various methods that can be used for Face Detection such as Contour tracking methods, Template matching, Controlled background, Model based, Motion based and color based. Basically, the video of the subject are converted into images are further selected manually for processing. However, several factors like poor illumination, movement of face, viewpoint-dependent Physical appearance, Acquisition geometry, Imaging conditions, Compression artifacts makes Face detection difficult. This paper reports an algorithm for conservation of energy using face detection for various devices. The present paper suggests Energy Conservation can be done by Detecting the Face and reducing the brightness of complete image and then adjusting the brightness of the particular area of an image where the face is located using histogram equalization.

  2. Learning Compact Binary Face Descriptor for Face Recognition.

    Science.gov (United States)

    Lu, Jiwen; Liong, Venice Erin; Zhou, Xiuzhuang; Zhou, Jie

    2015-10-01

    Binary feature descriptors such as local binary patterns (LBP) and its variations have been widely used in many face recognition systems due to their excellent robustness and strong discriminative power. However, most existing binary face descriptors are hand-crafted, which require strong prior knowledge to engineer them by hand. In this paper, we propose a compact binary face descriptor (CBFD) feature learning method for face representation and recognition. Given each face image, we first extract pixel difference vectors (PDVs) in local patches by computing the difference between each pixel and its neighboring pixels. Then, we learn a feature mapping to project these pixel difference vectors into low-dimensional binary vectors in an unsupervised manner, where 1) the variance of all binary codes in the training set is maximized, 2) the loss between the original real-valued codes and the learned binary codes is minimized, and 3) binary codes evenly distribute at each learned bin, so that the redundancy information in PDVs is removed and compact binary codes are obtained. Lastly, we cluster and pool these binary codes into a histogram feature as the final representation for each face image. Moreover, we propose a coupled CBFD (C-CBFD) method by reducing the modality gap of heterogeneous faces at the feature level to make our method applicable to heterogeneous face recognition. Extensive experimental results on five widely used face datasets show that our methods outperform state-of-the-art face descriptors. PMID:26340256

  3. FACE DETECTION USING EIGEN METHOD

    Directory of Open Access Journals (Sweden)

    HASHAAM NAEEM

    2012-03-01

    Full Text Available As continual research is being conducted in the area of computer vision, one of the most practical applications under vigorous development is in the construction of a robust face detection system. While the problem of detecting faces under various variations remains largely unsolved, a demonstration system as proof of concept that such systems are now becoming practical have been developed. A system capable of reliable detection, with reduced constraints in regards to the position and orientation of the face and the illumination and background of the image, has been implemented. Those face detection system is based upon “eigenfaces”, which has been separated into three major modules – pre-processing, construction of face space and face localization. A completely robust real-time face detectionsystem is still under heavy investigation and development, the implemented systems are still serving as an extendable foundation for future research.

  4. Acetaminophen for Chronic Pain

    DEFF Research Database (Denmark)

    Ennis, Zandra Nymand; Dideriksen, Dorthe; Vaegter, Henrik Bjarke;

    2016-01-01

    conducted according to PRISMA guidelines. All studies were conducted in patients with hip- or knee osteoarthritis and six out of seven studies had observation periods of less than three months. All included studies showed no or little efficacy with dubious clinical relevance. In conclusion, there is little......Acetaminophen (paracetamol) is the most commonly used analgesic worldwide and recommended as first-line treatment in all pain conditions by WHO. We performed a systematic literature review to evaluate the efficacy of acetaminophen when used for chronic pain conditions. Applying three broad search...... evidence to support the efficacy of acetaminophen treatment in patients with chronic pain conditions. Assessment of continuous efficacy in the many patients using acetaminophen worldwide is recommended. This article is protected by copyright. All rights reserved....

  5. Hypnosis and pain management.

    Science.gov (United States)

    Sharma, Suresh K; Kaur, Jasbir

    2006-06-01

    Nurses have used complementary therapies for many years to relieve anxiety, promote comfort, and reduce or alleviate pain. Physical therapies are most commonly used in our scenario but behavioral approach had been less customary, since familiarity of health personnel is very less (36%) with these techniques (Zaza et al, 1999). Hypnosis is empirically proved best therapy for pain management. Hypnosis is a process involving a hypnotist and a subject who agrees to be hypnotized. Being hypnotized is usually characterized by intense concentration, extreme relaxation and high suggestibility. This paper initially address hypnosis from an historical perspective to give the reader a decent background in which to view current trends in research in the field. Then will explain how hypnosis work followed by the empirical evidences and problems encountered in use of hypnosis when used for pain management. PMID:17058581

  6. [Painful ejaculation: a review].

    Science.gov (United States)

    Pescatori, E S; Pirozzi Farina, Furio

    2009-01-01

    Pain at ejaculation/orgasm perceived in perineum, urethra and/or urethral meatus, has a profound impact on the quality of life of the affected man. Although underestimated, this condition is reported to have a 1-9.7% prevalence over the general population. METHODS. Structured review of the relevant available literature. RESULTS. Among the main causes of pain experienced at ejaculation/orgasm are: prostatevesicular causes (LUTS/BPH, prostatitis, ejaculatory duct obstruction, vesicular stone), postsurgical causes (radical prostatectomy, inguinal hernioplasty), pharmacologic causes (antidepressants), psychogenic causes (psychosexual conflicts, sexual abuse), rare causes. For these pathologies, diagnostic and therapeutic strategies have been proposed. CONCLUSIONS. Ejaculatory pain is associated with a high level of personal distress, and represents a possible request for help within the andrologic/urologic area. Each field specialist should be competent in correctly interpreting every single case, in order to manage it appropriately. PMID:21086282

  7. Intergroup relationships do not reduce racial bias in empathic neural responses to pain.

    Science.gov (United States)

    Contreras-Huerta, Luis Sebastian; Hielscher, Emily; Sherwell, Chase S; Rens, Natalie; Cunnington, Ross

    2014-11-01

    Perceiving the pain of others activates similar neural structures to those involved in the direct experience of pain, including sensory and affective-motivational areas. Empathic responses can be modulated by race, such that stronger neural activation is elicited by the perception of pain in people of the same race compared with another race. In the present study, we aimed to identify when racial bias occurs in the time course of neural empathic responses to pain. We also investigated whether group affiliation could modulate the race effect. Using the minimal group paradigm, we assigned participants to one of two mixed-race teams. We examined event-related potentials from participants when viewing members of their own and the other team receiving painful or non-painful touch. We identified a significant racial bias in early ERP components at N1 over frontal electrodes, where Painful stimuli elicited a greater negative shift relative to Non-Painful stimuli in response to own race faces only. A long latency empathic response was also found at P3, where there was significant differentiation between Painful and Non-Painful stimuli regardless of Race or Group. There was no evidence that empathy-related brain activity was modulated by minimal group manipulation. These results support a model of empathy for pain that consists of early, automatic bias towards own-race empathic responses and a later top-down cognitive evaluation that does not differentiate between races and may ultimately lead to unbiased behaviour. PMID:25281885

  8. Man and pain: eternal partners.

    Science.gov (United States)

    Hyson, J M

    2001-11-01

    Morris (1991) divides pain into two categories--physical and mental; he calls it the "Myth of Two Pains." He rationalizes that it is difficult to separate the pain of mind and body and that they are interdependent, e.g. one mind and body. However, this paper will limit itself to the history, philosophy, and psychology of physical pain (both acute and chronic) from ancient days to the twentieth century. It will not discuss mental or psychosomatic pain; nor will it include the anatomical, biochemical, pharmacological, and physiological aspects of modern methods of chronic pain control, e.g. psychotherapy, psychoanalysis, biofeedback, etc. PMID:11813376

  9. Pain and Coping in Rituals

    DEFF Research Database (Denmark)

    Jegindø, Else-Marie Elmholdt

    by biological, psychological, social and cultural factors, which indicates that a bottom-up and a top-down approach in the study of pain and religion should interact instead of co-exist. This paper presents the initial framework of an interdisciplinary study of pain and coping in the religious mind......Both pain and religious rituals are complex phenomena. On the one hand pain is often understood as an object for natural science, but on the other hand pain is always defined as a psychological and subjective experience, leaving room for psychology and the humanities. Rituals, like pain, are framed...

  10. Increased pain intensity is associated with greater verbal communication difficulty and increased production of speech and co-speech gestures.

    Directory of Open Access Journals (Sweden)

    Samantha Rowbotham

    Full Text Available Effective pain communication is essential if adequate treatment and support are to be provided. Pain communication is often multimodal, with sufferers utilising speech, nonverbal behaviours (such as facial expressions, and co-speech gestures (bodily movements, primarily of the hands and arms that accompany speech and can convey semantic information to communicate their experience. Research suggests that the production of nonverbal pain behaviours is positively associated with pain intensity, but it is not known whether this is also the case for speech and co-speech gestures. The present study explored whether increased pain intensity is associated with greater speech and gesture production during face-to-face communication about acute, experimental pain. Participants (N = 26 were exposed to experimentally elicited pressure pain to the fingernail bed at high and low intensities and took part in video-recorded semi-structured interviews. Despite rating more intense pain as more difficult to communicate (t(25  = 2.21, p =  .037, participants produced significantly longer verbal pain descriptions and more co-speech gestures in the high intensity pain condition (Words: t(25  = 3.57, p  = .001; Gestures: t(25  = 3.66, p =  .001. This suggests that spoken and gestural communication about pain is enhanced when pain is more intense. Thus, in addition to conveying detailed semantic information about pain, speech and co-speech gestures may provide a cue to pain intensity, with implications for the treatment and support received by pain sufferers. Future work should consider whether these findings are applicable within the context of clinical interactions about pain.

  11. Increased pain intensity is associated with greater verbal communication difficulty and increased production of speech and co-speech gestures.

    Science.gov (United States)

    Rowbotham, Samantha; Wardy, April J; Lloyd, Donna M; Wearden, Alison; Holler, Judith

    2014-01-01

    Effective pain communication is essential if adequate treatment and support are to be provided. Pain communication is often multimodal, with sufferers utilising speech, nonverbal behaviours (such as facial expressions), and co-speech gestures (bodily movements, primarily of the hands and arms that accompany speech and can convey semantic information) to communicate their experience. Research suggests that the production of nonverbal pain behaviours is positively associated with pain intensity, but it is not known whether this is also the case for speech and co-speech gestures. The present study explored whether increased pain intensity is associated with greater speech and gesture production during face-to-face communication about acute, experimental pain. Participants (N = 26) were exposed to experimentally elicited pressure pain to the fingernail bed at high and low intensities and took part in video-recorded semi-structured interviews. Despite rating more intense pain as more difficult to communicate (t(25)  = 2.21, p =  .037), participants produced significantly longer verbal pain descriptions and more co-speech gestures in the high intensity pain condition (Words: t(25)  = 3.57, p  = .001; Gestures: t(25)  = 3.66, p =  .001). This suggests that spoken and gestural communication about pain is enhanced when pain is more intense. Thus, in addition to conveying detailed semantic information about pain, speech and co-speech gestures may provide a cue to pain intensity, with implications for the treatment and support received by pain sufferers. Future work should consider whether these findings are applicable within the context of clinical interactions about pain. PMID:25343486

  12. Complex regional pain syndrome

    Directory of Open Access Journals (Sweden)

    Sandeep J Sebastin

    2011-01-01

    Full Text Available Complex regional pain syndrome (CRPS previously known as reflex sympathetic dystrophy is a chronic neurological disorder involving the limbs characterized by disabling pain, swelling, vasomotor instability, sudomotor abnormality, and impairment of motor function. CRPS is not uncommon after hand surgery and may complicate post-operative care. There is no specific diagnostic test for CRPS and the diagnosis is based on history, clinical examination, and supportive laboratory findings. Recent modifications to diagnostic criteria have enabled clinicians to diagnose this disease more consistently. This review gives a synopsis of CRPS and discusses the diagnosis, pathophysiology, and treatment options based on the limited evidence in the literature.

  13. Groin pain in athletes.

    Science.gov (United States)

    Hureibi, K A; McLatchie, G R

    2010-05-01

    Groin pain in athletes is a common problem in sport medicine, and remains a diagnostic challenge. It is more common with sports that involve kicking, rapid accelerations and decelerations, and sudden direction changes. There is an extensive differential diagnosis and overlap in signs between possible diagnoses. It is important to appreciate the anatomy of the groin and undertake a careful history and examination. Adductor strain, groin disruption and osteitis pubis are among the common causes. The aim of this article is to briefly review the most common causes of groin pain in athletes. The diagnosis and management of these conditions are briefly discussed. PMID:20533693

  14. Persistent postsurgical pain

    DEFF Research Database (Denmark)

    Werner, Mads Utke; Bischoff, Joakim Mutahi

    2014-01-01

    debilitating impairment in the aftermath of BCS, GHR, and LCS. Data across the three surgical procedures indicate a 35-65 % decrease in prevalence of PPP at 4-6 years follow-up. However, this is outweighed by late-onset PPP, which appears following a pain-free interval. The consequences of PPP include severe......, depression, and psychological vulnerability have been identified as significant predictors of PPP. The quest to identify improved surgical and anesthesiological techniques to prevent severe pain and functional impairment in patients after surgery continues....

  15. Pain Treatment in Arthritis-Related Pain: Beyond NSAIDs

    NARCIS (Netherlands)

    Laar, van de Mart A.F.J.; Pergolizzi Jr., Joseph V.; Mellinghoff, Hans-Ulrich; Merchante, Ignacio Morón; Nalamachu, Srinivas; O'Brien, Joanne; Perrot, Serge; Raffa, Robert B.

    2012-01-01

    Managing pain from chronic conditions, such as, but not limited to, osteoarthritis and rheumatoid arthritis, requires the clinician to balance the need for effective analgesia against safety risks associated with analgesic agents. Osteoarthritis and rheumatoid arthritis pain is incompletely understo

  16. The face, beauty, and symmetry: Perceiving asymmetry in beautiful faces

    OpenAIRE

    Zaidel, Dr. Dahlia W.; Cohen, Jennifer A.

    2005-01-01

    The relationship between bilateral facial symmetry and beauty remains to be clarified. Here, straight head-on photographs of “beautiful” faces from the collections of professional modeling agencies were selected. First, beauty ratings were obtained for these faces. Then, the authors created symmetrical left-left and right-right composites of the beautiful faces and asked a new group of subjects to choose the most attractive pair member. “Same” responses were allowed. No difference between the...

  17. Pain Management: Part 1: Managing Acute and Postoperative Dental Pain

    Science.gov (United States)

    Becker, Daniel E.

    2010-01-01

    Abstract Safe and effective management of acute dental pain can be accomplished with nonopioid and opioid analgesics. To formulate regimens properly, it is essential to appreciate basic pharmacological principles and appropriate dosage strategies for each of the available analgesic classes. This article will review the basic pharmacology of analgesic drug classes, including their relative efficacy for dental pain, and will suggest appropriate regimens based on pain intensity. Management of chronic pain will be addressed in the second part of this series. PMID:20553137

  18. Neurophysiology of pain and hypnosis for chronic pain

    OpenAIRE

    Dillworth, Tiara; Mendoza, M. Elena; Jensen, Mark P.

    2011-01-01

    In the past decade there has been a dramatic increase in (1) understanding the neurophysiological components of the pain experiences, (2) randomized clinical trials testing the efficacy of hypnotic treatments on chronic pain, and (3) laboratory research examining the effects of hypnosis on the neurophysiological processes implicated in pain. Work done in these areas has not only demonstrated the efficacy of hypnosis for treating chronic pain but is beginning to shed light on neurophysiologica...

  19. Pain Mechanisms and Centralized Pain in Temporomandibular Disorders.

    Science.gov (United States)

    Harper, D E; Schrepf, A; Clauw, D J

    2016-09-01

    Until recently, most clinicians and scientists believed that the experience of pain is perceptually proportional to the amount of incoming peripheral nociceptive drive due to injury or inflammation in the area perceived to be painful. However, many cases of chronic pain have defied this logic, leaving clinicians perplexed as to how patients are experiencing pain with no obvious signs of injury in the periphery. Conversely, there are patients who have a peripheral injury and/or inflammation but little or no pain. What makes some individuals experience intense pain with minimal peripheral nociceptive stimulation and others experience minimal pain with serious injury? It is increasingly well accepted in the scientific community that pain can be generated and maintained or, through other mechanisms, suppressed by changes in the central nervous system, creating a complete mismatch between peripheral nociceptive drive and perceived pain. In fact, there is no known chronic pain condition where the observed extent of peripheral damage reproducibly engenders the same level of pain across individuals. Temporomandibular disorders (TMDs) are no exception. This review focuses on the idea that TMD patients range on a continuum-from those whose pain is generated peripherally to those whose pain is centralized (i.e., generated, exacerbated, and/or maintained by central nervous system mechanisms). This article uses other centralized chronic pain conditions as a guide, and it suggests that the mechanistic variability in TMD pain etiology has prevented us from adequately treating many individuals who are diagnosed with the condition. As the field moves forward, it will be imperative to understand each person's pain from its own mechanistic standpoint, which will enable clinicians to deliver personalized medicine to TMD patients and eventually provide relief in even the most recalcitrant cases. PMID:27422858

  20. Pain: A Culturally Informed Experience

    Directory of Open Access Journals (Sweden)

    David Ng

    2002-01-01

    Full Text Available I was raised in North America - a culture and society in which the education emphasizes knowledge about science, its methods and its principles. The scientific method of understanding, coupled with the rudimentary knowledge that I was taught in high school biology, resulted in my conceptualization of pain as an objective truth. Pain, as I believed for a long time, was a bodily sensation with an expression that was more or less universal; to me, pain was simply the sensation that the brain experiences as a response to noxious stimuli. The pain sensation protects us from things that can hurt us; it is a warning sign that something in us is physically amiss. Thus, everybody physically reacts to the touch of a flame or experiences abdominal pain when there is appendicitis. Even now, in medical school, the pain education that I have received so far has only involved the physiology or mechanics of pain. Pain, as a physiological condition, operates independent of cultural context. However, in considering the experience of pain that my grandmother has endured, I realize that pain is much more than a mechanical bodily sensation effected by the nervous system in response to stimulus. Pain is a human experience, and as such, it is highly individualized and subjective. The proper diagnosis, care and treatment of pain necessitate a holistic understanding of pain, its physiology and its context (1.

  1. Widespread pain in chronic epicondylitis.

    Science.gov (United States)

    Pienimäki, Tuomo; Siira, Pertti; Vanharanta, Heikki

    2011-10-01

    We studied the associations of widespread pain with other pain and functional measures among patients with chronic epicondylitis. A total of 190 patients (66% females) participated in the study; with a mean age 43.7, mean duration of symptoms 48weeks, chronic lateral (n=160) and medial (n=30) epicondylitis. We analysed clinical status, grip strength and cubital pain thresholds and interviewed pain and disability, leisure time physical activity, strenuous hobby activities for arms, duration of symptoms, other systemic and upper extremity disorders, arm operations, and work ability. The location of pain was analysed using a whole-body pain drawing, categorized into three groups; the highest of which was classified as widespread pain. A total of 85 patients (45%) reported widespread pain. It was highly associated with female gender, high pain scores, decreased grip strength and pain thresholds (p<0.001 for all), with increased number of positive manual tests, low level of hobby strain for arms and physical activity, long duration of symptoms, and sick leave (p for all <0.05). It was also related to upper extremity disorders and arm surgery, but not with operated epicondylitis, other systemic diseases, workload or work ability. In addition, 39% of patients without other disease reported widespread pain. Widespread pain is common in chronic epicondylitis with and without other diseases, and is related to high pain scores, decreased function of the arm, long duration of symptoms, sick leave, and with a low level of physical activity. PMID:21565536

  2. From face to face to e-learning

    OpenAIRE

    Svedberg, Anna

    2014-01-01

    The aim of this project is to evaluate whether the e-learning material, that has been converted from face-to-face course material to e-learning materialon the basis of the revised version of Bloom's taxonomy and learning strategies, is pedagogical in the sense that the students realize the categories of the three domains of learning in Bloom's taxonomy. To achieve the aim of this project a face-to-face course will be converted to an e-learning course; that will then be evaluated. The results ...

  3. Face-n-Food: Gender Differences in Tuning to Faces.

    Directory of Open Access Journals (Sweden)

    Marina A Pavlova

    Full Text Available Faces represent valuable signals for social cognition and non-verbal communication. A wealth of research indicates that women tend to excel in recognition of facial expressions. However, it remains unclear whether females are better tuned to faces. We presented healthy adult females and males with a set of newly created food-plate images resembling faces (slightly bordering on the Giuseppe Arcimboldo style. In a spontaneous recognition task, participants were shown a set of images in a predetermined order from the least to most resembling a face. Females not only more readily recognized the images as a face (they reported resembling a face on images, on which males still did not, but gave on overall more face responses. The findings are discussed in the light of gender differences in deficient face perception. As most neuropsychiatric, neurodevelopmental and psychosomatic disorders characterized by social brain abnormalities are sex specific, the task may serve as a valuable tool for uncovering impairments in visual face processing.

  4. Face To Face Or E-Learningin Turkish Efl Context

    OpenAIRE

    SOLAK, Ekrem; Recep CAKIR

    2014-01-01

    This purpose of this study was to understand e-learners and face to face learners’ views towards learning English through e-learning in vocational higher school context and to determine the role of academic achievement and gender in e-learning and face to face learning. This study was conducted at a state-run university in 2012-2013 academic year and subjects were 221 students from two different Vocational Higher Schools taking up English course through e-learning and traditional learning. Th...

  5. Predictors of pain resolution after varicocelectomy for painful varicocele

    Institute of Scientific and Technical Information of China (English)

    Hyun Jun Park; Seung Soo Lee; Nam Cheol Park

    2011-01-01

    @@ Varicocelectomy is a management option for patients with painful varicocele.In this study,ere assessed the effectiveness of varicocelectomy for painful varicocele and examined the factors that might be predictive of outcome.All patients who underwent a varicocelectomy for pain between February 2007 and July 2009 were included.A review of patient medical records was conducted;patient age,body mass index WO,grade,location of the varicocele,testicular volume,duration and quality of the pain (dull,dragging,throbbing or sharp) and surgical technique (inguinal versus subinguinal) were documented.All parameters were compared with the resolution of pain (complete,partial or failure).We followed up on [53]of 104 patients (51.0%).Complete postoperative resolution of pain was reported by 28 patients (52.8%),whereas 22(41.5%) reported partial resolution.Only three patients (5.7%) reported failure.No relationship was observed between postoperative pain resolution and age,BMI,grade of varicocele,location of varicocele,lpsilateral testicular hypotrophy,quality of pain or surgical technique.The duration of pain before surgery was the only factor that correlated with postoperative pain resolution (univariate,P=0.004; multivariate,P=0.002).Our results indicate that varicocelectomy is an effective treatment for painful varicocele in properly selected patients,and that duration of pain before surgery may be predictive of outcome.

  6. [Experience in treatment of patients with neuropathic facial pain using ziconotide].

    Science.gov (United States)

    Lux, E A; Rasche, D

    2011-08-01

    We report on the intrathecal use of ziconotide in three patients with idiopathic facial pain after surgery of the mouth, jaw or face and one patient with neuropathic pain after damage of the lingual nerve. The therapy was successful in three patients but one patient with idiopathic facial pain had pain relief only during the test phase of ziconotide with an external pump and not after implanting the Synchromed® pump. With intrathecal morphine therapy this patient achieved good pain relief. We recommend that patients with neuropathic facial pain should be treated with ziconotide after implementation of guideline-based therapy. In the test phase the ziconotide dose should be increased by 0.6 µg/day per week after an initial dose of 0.6-1.2 µg/day to avoid side-effects. PMID:21818721

  7. Face au risque

    CERN Document Server

    Grosse, Christian; November, Valérie

    2007-01-01

    Ce volume collectif sur le risque inaugure la collection L'ÉQUINOXE. Ancré dans l'histoire pour mesurer les continuités et les ruptures, il illustre la manière dont les sciences humaines évaluent et mesurent les enjeux collectifs du risque sur les plans politiques, scientifiques, énergétiques, juridiques et éthiques. Puisse-t-il nourrir la réflexion sur la culture et la prévention du risque. Ses formes épidémiques, écologiques, sociales, terroristes et militaires nourrissent les peurs actuelles, structurent les projets sécuritaires et constituent - sans doute - les défis majeurs à notre modernité. Dans la foulée de la richesse scientifique d'Equinoxe, L'ÉQUINOXE hérite de son esprit en prenant à son tour le pari de contribuer - non sans risque - à enrichir en Suisse romande et ailleurs le champ éditorial des sciences humaines dont notre société a besoin pour forger ses repères. Après Face au risque suivra cet automne Du sens des Lumières. (MICHEL PORRET Professeur Ordinaire à la F...

  8. Facing the Crises

    Directory of Open Access Journals (Sweden)

    Moira Baker

    2014-12-01

    Full Text Available Timely, provocative, and theoretically sophisticated, the essays comprising In the Face of Crises: Anglophone Literature in the Postmodern World situate their work amid several critical global concerns: the devastation wreaked by global capitalism following the worldwide financial crash, the financial sector’s totalizing grip upon the world economy, the challenge to traditional definitions of “human nature” and identity posed by technologies of the body and of warfare, the quest of indigenous communities for healing from the continuing traumatic effects of colonization, and the increasing corporatization of the academy as an apparatus of the neo-liberal state – to specify only a few. Edited by Professors Ljubica Matek and Jasna Poljak Rehlicki, these essays deploy a broad range of contemporary theories, representing recent developments in cultural studies, the new economic criticism, postcolonial film studies, feminism and gender studies, and the new historicism. The eleven essays selected by Matek and Rehlicki offer convincing support for their claim that humanistic research delving into Anglophone literature, far from being a “non-profitable” pursuit in an increasingly technologized society, affords clarifying insights into contemporary “economic, cultural, and social processes in the globalizing and globalized culture of the West” (ix.

  9. Many Faces of Migrations

    Directory of Open Access Journals (Sweden)

    Milica Antić Gaber

    2013-12-01

    We believe that in the present thematic issue we have succeeded in capturing an important part of the modern European research dynamic in the field of migration. In addition to well-known scholars in this field several young authors at the beginning their research careers have been shortlisted for the publication. We are glad of their success as it bodes a vibrancy of this research area in the future. At the same time, we were pleased to receive responses to the invitation from representatives of so many disciplines, and that the number of papers received significantly exceeded the maximum volume of the journal. Recognising and understanding of the many faces of migration are important steps towards the comprehensive knowledge needed to successfully meet the challenges of migration issues today and even more so in the future. It is therefore of utmost importance that researchers find ways of transferring their academic knowledge into practice – to all levels of education, the media, the wider public and, of course, the decision makers in local, national and international institutions. The call also applies to all authors in this issue of the journal.

  10. Characterizing neuropathic pain profiles: enriching interpretation of painDETECT

    Directory of Open Access Journals (Sweden)

    Cappelleri JC

    2016-07-01

    Full Text Available Joseph C Cappelleri,1 Vijaya Koduru,2 E Jay Bienen,3 Alesia Sadosky4 1Pfizer Inc, Groton, CT, USA; 2Eliassen Group, New London, CT, USA; 3Outcomes Research Consultant, New York, NY, USA; 4Pfizer Inc, New York, NY, USA Purpose: To psychometrically evaluate painDETECT, a patient-reported screening questionnaire for neuropathic pain (NeP, for discriminating among sensory pain symptoms (burning, tingling/prickling, light touching, sudden pain attacks/electric shock-type pain, cold/heat, numbness, and slight pressure. Methods: The seven-item version of painDETECT provides an overall score that targets only sensory symptoms, while the nine-item version adds responses on two items to the overall score, covering pain course pattern and pain radiation. Both versions have relevance in terms of characterizing broad NeP. The nine- and seven-item versions of painDETECT were administered to subjects with confirmed NeP across six conditions identified during office visits to US community-based physicians. Responses on the sensory symptom items were dichotomized into “at least moderate” (ie, moderate, strongly, very strongly relative to the combined other responses (never, hardly noticed, slightly. Logistic regression of dichotomized variables on the total painDETECT score provided probabilities of experiencing each symptom across the range of painDETECT scores. Results: Both painDETECT versions discriminated among the symptoms with similar probabilities across the score ranges. Using these data, the probability of moderately experiencing each pain sensory item was estimated for a particular score, providing a pain profile. Additionally, the likelihood of experiencing each sensation was determined for a discrete increase in score, ie, the odds of at least a moderate sensation of burning (versus less than a moderate sensation was 1.29 for a 1-point increase, 3.52 for a 5-point increase, and 12.42 for every 10-point increase in the nine-item painDETECT score

  11. FAKE FACE DATABASE AND PREPROCESSING

    Directory of Open Access Journals (Sweden)

    Aruni Singh

    2013-02-01

    Full Text Available Face plays an ethical role in human interaction compared to other biometrics. It is most popular non-intrusive and non-invasive biometrics whose image can easily be snapped without user co-operation. That is why; criminals and imposters always try to tamper their facial identity. Therefore, face tampering detection is one of the most important bottlenecks for security, commercial and industrial orbit. Face tampering detection is one of the most important bottlenecks for security, commercial and industrial orbit. In particular, few researchers have addressed the challenges for the disguise detection but inadequacy is benchmark database in public domain. This paper addresses these problems by preparing of three category of tampered face database within the framework of FRT (Facial Recognition Technology and evaluates the performance of this database on face recognition algorithms. These categories of database are dummy, colour imposed and masked face.

  12. Pain management in cancer survivorship

    DEFF Research Database (Denmark)

    Kurita, Geana Paula; Sjøgren, Per

    2015-01-01

    BACKGROUND: The number of patients surviving cancer disease has increased in last decades. Consequently, an emerging population with different needs due to long-term or late effects of cancer disease and/or treatment, e.g. chronic pain, is of major concern. EPIDEMIOLOGY: Chronic pain is one of the...... ETIOLOGY: Neuropathic pain seems to be the major pain etiology in cancer survivors and therefore adjuvant analgesics should be the first choice of analgesic treatment. CONTEXT: This article addresses the central aspects of pain epidemiology, mechanisms and the frequent pain syndromes met in cancer...... main problems in this population and prevalence varies between 16% and 50%. Most information derives from breast cancer patients assessed by surveys from national or local institutional databases. A Danish population-based survey estimated that 41.5% of all cancer survivors reported chronic pain. PAIN...

  13. Pain management in veterinary patients

    Directory of Open Access Journals (Sweden)

    H. S. Vedpathak

    Full Text Available The veterinary practitioner has an ethical obligation to help alleviate animal pain. Although most veterinarians accept the fact that animals feel pain, still, postoperative pain relief is not a routine practice in all veterinary hospitals and clinics today. Nociception is a physiological process which involves transduction, transmission, modulation and perception of the noxious stimuli. Chemical mediators are important components of the nociceptive reflex and offer a target of pharmacologic modulation. Assessment of pain in animals is the most important step in the successful management of pain. Choosing appropriate method of pain control would depend upon the type of procedure followed, severity of pain and economic considerations for each individual circumstance. Our understanding of the pain in its manifestation, mechanisms, assessment and alleviation in animals is still although improving, limited. [Vet World 2009; 2(9.000: 360-363

  14. Pain. Part 7: Trigeminal Neuralgia.

    Science.gov (United States)

    Jurge, Sabine

    2016-03-01

    Trigeminal neuralgia (TN) is also known as 'tic douloureux' (in French, 'painful twitch'). It is a rare chronic facial pain syndrome, characterized by severe, brief, stabbing, 'electric shock-like 'recurrent pain attacks felt in one or more divisions of trigeminal nerve innervation areas. So intense is the elicited pain that TN has a significant effect on a sufferer's quality of life, rendering many patients unable to consider a future with the ongoing threat of recurrent pain. The aim of this article is to discuss the diagnosis and management of this disabling facial pain condition. CPD/Clinical Relevance: As general medical practitioners may struggle differentiating TN from toothache, primary care dentists have an important role in excluding odontogenic cause of pain, diagnosing TN and referring patients to a facial pain clinic for further investigations and multidisciplinary team management. PMID:27188129

  15. Other Causes of Leg Pain

    Science.gov (United States)

    ... Past Issues Special Section Other Causes of Leg Pain Past Issues / Summer 2008 Table of Contents For ... a crowd of people walking. Photo: iStock Leg pain can come from a variety of causes. Your ...

  16. Dyspareunia: Painful Sex for Women

    Science.gov (United States)

    ... part of the genitals can cause pain during sex. Some conditions affect the skin around the vagina. ... types of birth control) does not fit correctly, sex may also be painful. Vaginismus (say: "vag-in- ...

  17. Radiographic Assessment for Back Pain

    Science.gov (United States)

    Radiographic Assessment for Back Pain What are Radiographic Assessments? When Should I get an X-ray for Low Back ... How Effective are X-rays? What are Radiographic Assessments? Radiographic assessments for low back pain involve the ...

  18. Other Causes of Leg Pain

    Science.gov (United States)

    ... Home Current Issue Past Issues Special Section Other Causes of Leg Pain Past Issues / Summer 2008 Table ... Leg pain can come from a variety of causes. Your health care professional has specific ways to ...

  19. Phantom pain after eye amputation

    DEFF Research Database (Denmark)

    Rasmussen, Marie L R; Prause, Jan U; Toft, Peter B

    2011-01-01

    Purpose: To characterize the quality of phantom pain, its intensity and frequency following eye amputation. Possible triggers and relievers of phantom pain are investigated. Methods: The hospital database was searched using surgery codes for patients who received ocular evisceration, enucleation...... conducted by a trained interviewer. Results: Of the 173 patients in the study, 39 experienced phantom pain. The median age of patients who had experienced phantom pain was 45 years (range: 19–88). Follow-up time from eye amputation to participation in the investigation was 4 years (range: 2–46). Phantom...... scale, ranging from 0 to 100, was 36 (range: 1–89). One-third of the patients experienced phantom pain every day. Chilliness, windy weather and psychological stress/fatigue were the most commonly reported triggers for pain. Conclusions: Phantom pain after eye amputation is relatively common. The pain...

  20. Pain: You Can Get Help

    Science.gov (United States)

    ... that may help reduce your reaction to pain. Distraction can help you cope with pain by learning ... activities that you find relaxing, like listening to music or doing art, might help take your mind ...

  1. Low back pain - chronic

    Science.gov (United States)

    ... over time. If the spaces between the spinal nerves and spinal cord become narrowed, this can lead to spinal ... not improve with medicine and physical therapy include: Spinal surgery, only if you have nerve damage or the cause of your pain does ...

  2. Complex regional pain syndrome.

    Science.gov (United States)

    Bruehl, Stephen

    2015-01-01

    Complex regional pain syndrome is a chronic pain condition characterized by autonomic and inflammatory features. It occurs acutely in about 7% of patients who have limb fractures, limb surgery, or other injuries. Many cases resolve within the first year, with a smaller subset progressing to the chronic form. This transition is often paralleled by a change from "warm complex regional pain syndrome," with inflammatory characteristics dominant, to "cold complex regional pain syndrome" in which autonomic features dominate. Multiple peripheral and central mechanisms seem to be involved, the relative contributions of which may differ between individuals and over time. Possible contributors include peripheral and central sensitization, autonomic changes and sympatho-afferent coupling, inflammatory and immune alterations, brain changes, and genetic and psychological factors. The syndrome is diagnosed purely on the basis of clinical signs and symptoms. Effective management of the chronic form of the syndrome is often challenging. Few high quality randomized controlled trials are available to support the efficacy of the most commonly used interventions. Reviews of available randomized trials suggest that physical and occupational therapy (including graded motor imagery and mirror therapy), bisphosphonates, calcitonin, subanesthetic intravenous ketamine, free radical scavengers, oral corticosteroids, and spinal cord stimulation may be effective treatments. Multidisciplinary clinical care, which centers around functionally focused therapies is recommended. Other interventions are used to facilitate engagement in functional therapies and to improve quality of life. PMID:26224572

  3. Pain Management Programs

    Science.gov (United States)

    ... person with pain become part of the treatment team and take an active role in regaining control of his or her life ... program is ongoing and the responsibility of all team members Monitoring of ... and performance is provided to you, caregivers, significant others, and ...

  4. Pain and microcrystalline arthritis

    Directory of Open Access Journals (Sweden)

    R. Ramonda

    2014-06-01

    Full Text Available Microcrystals are responsible for some of the most common and complex arthropathies which are often accompanied by intense, severe pain and inflammatory reactions. The main pathogens are crystals of monosodium urate (MSU, responsible for the gout, calcium pyrophosphate (CPP, which deposits also in various clinical forms of arthopathies, and basic calcium phosphate associated with osteoarthritis. In this context, the microcrystal arthritis is characterized by multiple, acute attacks followed by chronic pain, disability, impaired quality of life, and increased mortality. Given their chronic nature, they represent an ever more urgent public health problem. MSU and CPP crystals are also able to activate nociceptors. The pain in mycrocrystalline arthritis (MCA is an expression of the inflammatory process. In the course of these diseases there is an abundant release of inflammatory molecules, including prostaglandins 2 and kinins. Interleukin-1 represents the most important cytokine released during the crystal-induced inflammatory process. Therefore, clinically, pain is the most important component of MCA, which lead to functional impairment and disability in a large proportion of the population. It is fundamental to diagnose these diseases as early as possible, and to this aim, to identify appropriate and specific targets for a timely therapeutic intervention.

  5. Pain palliative Radiopharmaceuticals

    International Nuclear Information System (INIS)

    A pain relieving agents based on β emitters mainly and in some cases a complex preparation are being given for bone metastasis in relation with breast,prostate and lung carcinoma with good performance in clinical practice.Several radionuclides and radiopharmaceuticals are mentioned giving strength to those newly proposed, 153Sm and 186Re.Bibliography

  6. What Is Chronic Pain?

    Medline Plus

    Full Text Available ... with chronic pain is that when we start looking for an explanation it’s not so much that we’re looking in the wrong place, but we may be looking in the wrong time. And what I mean ...

  7. Radiology of back pain

    International Nuclear Information System (INIS)

    The authors give an overview of causes of back pain which may be detected by radiological examinations. They insist on practical points of view such as: main cause, accessory cause, problems arising by multiple causes, congenital malformation of the vertebral arch such as anisocoria, canalar stenosis, cheirolumbar dysostosis. They describe two new signs: the pedicular scalloping and the framed articular process. (orig.)

  8. What Is Chronic Pain?

    Medline Plus

    Full Text Available ... manageable, but chronic pain is different. And because it is different, we need to think about it in very different ways. Ed Covington, M.D.: ... no apparent physical injury or illness to explain it. The physician and the patient are accustomed to ...

  9. A SURVEY ON FACE RECOGNITION

    OpenAIRE

    R.VINODINI; DR.M.KARNAN

    2014-01-01

    Face recognition is one of the most emerging and popular biometric authentication of a person, it presents a challenging problem in the field of image analysis and computer vision. Though there are various biometric traits such as iris, fingerprint and palm print etc., we focused on face recognition as it is socially acceptable and reliable. Here user identity plays a very important role to uniquely verify or authenticate the individual person. Many techniques were implemented in face recogni...

  10. Forensic Face Recognition: A Survey

    OpenAIRE

    Ali, Tauseef; Veldhuis, Raymond; Spreeuwers, Luuk

    2010-01-01

    Beside a few papers which focus on the forensic aspects of automatic face recognition, there is not much published about it in contrast to the literature on developing new techniques and methodologies for biometric face recognition. In this report, we review forensic facial identification which is the forensic experts‟ way of manual facial comparison. Then we review famous works in the domain of forensic face recognition. Some of these papers describe general trends in forensics [1], guidelin...

  11. Alternative Drugs in Pain Therapy

    OpenAIRE

    İlker Kelle

    2006-01-01

    Various treatment modalities of acute and chronic pain have been an area of interest of medicine and investigators for centuries. There are two major classes of drugs that are used to control pain: opioid and non-opioid analgesics. They could be used in the case of monotherapy or combination therapy in pain management. However, these agents are not accepted as ideal drugs in clinical approaches against pain because of their serious side effects such as development of tolerance and addiction, ...

  12. When is a Face a Face? Schematic Faces, Emotion, Attention and the N170

    Directory of Open Access Journals (Sweden)

    Frances A. Maratos

    2015-09-01

    Full Text Available Emotional facial expressions provide important non-verbal cues as to the imminent behavioural intentions of a second party. Hence, within emotion science the processing of faces (emotional or otherwise has been at the forefront of research. Notably, however, such research has led to a number of debates including the ecological validity of utilising schematic faces in emotion research, and the face-selectively of N170. In order to investigate these issues, we explored the extent to which N170 is modulated by schematic faces, emotional expression and/or selective attention. Eighteen participants completed a three-stimulus oddball paradigm with two scrambled faces as the target and standard stimuli (counter-balanced across participants, and schematic angry, happy and neutral faces as the oddball stimuli. Results revealed that the magnitude of the N170 associated with the target stimulus was: (i significantly greater than that elicited by the standard stimulus, (ii comparable with the N170 elicited by the neutral and happy schematic face stimuli, and (iii significantly reduced compared to the N170 elicited by the angry schematic face stimulus. These findings extend current literature by demonstrating N170 can be modulated by events other than those associated with structural face encoding; i.e. here, the act of labelling a stimulus a ‘target’ to attend to modulated the N170 response. Additionally, the observation that schematic faces demonstrate similar N170 responses to those recorded for real faces and, akin to real faces, angry schematic faces demonstrated heightened N170 responses, suggests caution should be taken before disregarding schematic facial stimuli in emotion processing research per se.

  13. Study of Face Recognition Techniques

    Directory of Open Access Journals (Sweden)

    Sangeeta Kaushik

    2014-12-01

    Full Text Available A study of both face recognition and detection techniques is carried out using the algorithms like Principal Component Analysis (PCA, Kernel Principal Component Analysis (KPCA, Linear Discriminant Analysis (LDA and Line Edge Map (LEM. These algorithms show different rates of accuracy under different conditions. The automatic recognition of human faces presents a challenge to the pattern recognition community. Typically, human faces are different in shapes with minor similarity from person to person. Furthermore, lighting condition changes, facial expressions and pose variations further complicate the face recognition task as one of the difficult problems in pattern analysis.

  14. A SURVEY ON FACE RECOGNITION

    Directory of Open Access Journals (Sweden)

    R.VINODINI

    2014-02-01

    Full Text Available Face recognition is one of the most emerging and popular biometric authentication of a person, it presents a challenging problem in the field of image analysis and computer vision. Though there are various biometric traits such as iris, fingerprint and palm print etc., we focused on face recognition as it is socially acceptable and reliable. Here user identity plays a very important role to uniquely verify or authenticate the individual person. Many techniques were implemented in face recognition all having their respective pros and cons. In this paper, we presented an overview of face recognition techniques and its applications.

  15. Pain Control: Support for People with Cancer

    Science.gov (United States)

    ... talk about your pain with your health care team How to make your pain control plan work for you Pain control medicines and side effects Medicine tolerance is not addiction Other ways to control pain ...

  16. Predictive ability of a modified Örebro Musculoskeletal Pain Questionnaire in an acute/subacute low back pain working population

    OpenAIRE

    Gabel, Charles Philip; Melloh, Markus; Yelland, Michael; Burkett, Brendan; Roiko, Anne

    2010-01-01

    The original ‘Örebro Musculoskeletal Pain Questionnaire’ (original-ÖMPQ) has been shown to have limitations in practicality, factor structure, face and content validity. This study addressed these concerns by modifying its content producing the ‘Örebro Musculoskeletal Screening Questionnaire’ (ÖMSQ). The ÖMSQ and original-ÖMPQ were tested concurrently in acute/subacute low back pain working populations (pilot n = 44, main n = 106). The ÖMSQ showed improved face and content validity, which bro...

  17. Smiling in Pain: Explorations of Its Social Motives

    Directory of Open Access Journals (Sweden)

    Miriam Kunz

    2013-01-01

    Full Text Available Studies of facial responses during experimental and clinical pain have revealed a surprising phenomenon, namely, that a considerable number of individuals respond with a smile. So far, it is not known why smiling occurs during pain. It is possible that the “smile of pain” is socially motivated (e.g., reinforcing social bonds while undergoing an unpleasant experience. The present studies were conducted in an attempt to address the role of social motives in smiling during pain. In two studies, we varied the quantitative (level of sociality and qualitative (properties of the relationship between interactants components of the situations in which participants received painful stimulation. Participants’ faces were video-recorded and the occurrence of smiling was assessed. The occurrence of smiling differed depending on stimulus intensity and the properties of the relationship between interactants. Smiling occurred more often during the painful compared to nonpainful stimulation. Whereas the presence of a stranger (experimenter reduced the smiling behavior, the presence of an intimate other increased it. Slight variations in the level of sociality, however, had no effect on the degree of smiling. Social motives possibly aimed at strengthening social bonds and thus ensuring social support appear to underlie smiling during pain.

  18. Blending MOOCs in Face-to-Face Teaching and Studies

    DEFF Research Database (Denmark)

    Nortvig, Anne-Mette; Gynther, Karsten; Gundersen, Peter Bukovica

    2016-01-01

    inspired by grounded theory. The paper will categorise former design experiments with MOOCs in blended settings, and, using design workshops and interviews with educators as our point of departure, we will sketch and discuss various models for blending MOOCs with face-to-face teaching and supporting...

  19. Teaching On-Line versus Face-to-Face.

    Science.gov (United States)

    Smith, Glenn Gordon; Ferguson, David; Caris, Mieke

    2002-01-01

    Investigates and describes the current instructor experience of teaching college courses over the Web versus in face-to-face formats in terms of teaching strategies, social issues, and media effects. Discusses communication styles, relationship between students and instructors, instructor workload, and discussion patterns, and proposes a model…

  20. Registration of 3D Face Scans with Average Face Models

    NARCIS (Netherlands)

    Salah, A.A.; Alyuz, N.; Akarun, L.

    2008-01-01

    The accuracy of a 3D face recognition system depends on a correct registration that aligns the facial surfaces and makes a comparison possible. The best results obtained so far use a costly one-to-all registration approach, which requires the registration of each facial surface to all faces in the g

  1. Electronic momentary assessment in chronic pain (II): pain and psychological pain responses as predictors of pain disability.

    NARCIS (Netherlands)

    Sorbi, M.J.; Peters, M.L.; Kruise, D.A.; Maas, C.J.M.; Kerssens, J.J.; Verhaak, P.F.M.; Bensing, J.M.

    2006-01-01

    Objectives and Methods: More than 7,100 electronic diaries from 80 patients with chronic pain (mean: 89.3, range 30-115) entered multilevel analyses to establish the statistical prediction of disability by pain intensity and by psychological functioning (fear avoidance, cognitive, and spousal pain r

  2. Endpoints in pediatric pain studies

    NARCIS (Netherlands)

    M. van Dijk (Monique); I. Ceelie (Ilse); D. Tibboel (Dick)

    2010-01-01

    textabstractAssessing pain intensity in (preverbal) children is more difficult than in adults. Tools to measure pain are being used as primary endpoints [e.g., pain intensity, time to first (rescue) analgesia, total analgesic consumption, adverse effects, and long-term effects] in studies on the eff

  3. Shoulder pain in general practice

    OpenAIRE

    Vassallo, Kenneth

    2008-01-01

    Case scenario A 65 year old gentleman presented with a 1 week history of pain in the left shoulder. Pain started after spending 2 days painting his house. He was taking paracetamol regularly yet it only gave him minor relief. On examination he had a painful arch and was tender under the acromium.

  4. Implementation of Face Recognition in Cloud Vision Using Eigen Faces

    Directory of Open Access Journals (Sweden)

    Shrihari M R

    2014-07-01

    Full Text Available Cloud computing comes in several different forms and this article documents how service, Face is a complex multidimensional visual model and developing a computational model for face recognition is difficult. The papers discuss a methodology for face recognition based on information theory approach of coding and decoding the face image. Proposed System is connection of two stages – Feature extraction using principle component analysis and recognition using the back propagation Network. This paper also discusses our work with the design and implementation of face recognition applications using our mobile-cloudlet-cloud architecture named MOCHA and its initial performance results. The dispute lies with how to performance task partitioning from mobile devices to cloud and distribute compute load among cloud servers to minimize the response time given diverse communication latencies and server compute powers

  5. Altered pain modulation in patients with persistent postendodontic pain.

    Science.gov (United States)

    Nasri-Heir, Cibele; Khan, Junad; Benoliel, Rafael; Feng, Changyong; Yarnitsky, David; Kuo, Fengshen; Hirschberg, Craig; Hartwell, Gary; Huang, Ching-Yu; Heir, Gary; Korczeniewska, Olga; Diehl, Scott R; Eliav, Eli

    2015-10-01

    Persistent pain may follow nerve injuries associated with invasive therapeutic interventions. About 3% to 7% of the patients remain with chronic pain after endodontic treatment, and these are described as suffering from painful posttraumatic trigeminal neuropathy (PTTN). Unfortunately, we are unable to identify which patients undergoing such procedures are at increased risk of developing PTTN. Recent findings suggest that impaired endogenous analgesia may be associated with the development of postsurgical chronic pain. We hypothesized that patients with PTTN display pronociceptive pain modulation, in line with other chronic pain disorders. Dynamic (conditioned pain modulation, temporal summation) and static (response to mechanical and cold stimulation) psychophysical tests were performed intraorally and in the forearm of 27 patients with PTTN and 27 sex- and age-matched controls. The dynamic sensory testing demonstrated less efficient conditioned pain modulation, suggesting reduced function of the inhibitory endogenous pain-modulatory system, in patients with PTTN, mainly in those suffering from the condition for more than a year. The static sensory testing of patients with PTTN demonstrated forearm hyperalgesia to mechanical stimulation mainly in patients suffering from the condition for less than a year and prolonged painful sensation after intraoral cold stimulus mainly in patients suffering from the condition for more than a year. These findings suggest that PTTN is associated more with the inhibitory rather than the facilitatory arm of pain modulation and that the central nervous system has a role in PTTN pathophysiology, possibly in a time-dependent fashion. PMID:26098442

  6. Pain scores are not predictive of pain medication utilization.

    Science.gov (United States)

    Galloway, Suzanne; Chimhanda, Maryann; Sloan, Jayme; Anderson, Charles; Sinacore, James; Brubaker, Linda

    2011-01-01

    Objective. To compare Visual Analogue Scale (VAS) scores with overall postoperative pain medication requirements including cumulative dose and patterns of medication utilization and to determine whether VAS scores predict pain medication utilization. Methods. VAS scores and pain medication data were collected from participants in a randomized trial of the utility of phenazopyridine for improved pain control following gynecologic surgery. Results. The mean age of the 219 participants was 54 (range19 to 94). We did not detect any association between VAS and pain medication utilization for patient-controlled anesthesia (PCA) or RN administered (intravenous or oral) medications. We also did not detect any association between the number of VAS scores recorded and mean pain scores. Conclusion. Postoperative VAS scores do not predict pain medication use in catheterized women inpatients following gynecologic surgery. Increased pain severity, as reflected by higher VAS scores, is not associated with an increase in pain assessment. Our findings suggest that VAS scores are of limited utility for optimal pain control. Alternative or complimentary methods may improve pain management. PMID:22110938

  7. Pain Scores Are Not Predictive of Pain Medication Utilization

    Directory of Open Access Journals (Sweden)

    Suzanne Galloway

    2011-01-01

    Full Text Available Objective. To compare Visual Analogue Scale (VAS scores with overall postoperative pain medication requirements including cumulative dose and patterns of medication utilization and to determine whether VAS scores predict pain medication utilization. Methods. VAS scores and pain medication data were collected from participants in a randomized trial of the utility of phenazopyridine for improved pain control following gynecologic surgery. Results. The mean age of the 219 participants was 54 (range19 to 94. We did not detect any association between VAS and pain medication utilization for patient-controlled anesthesia (PCA or RN administered (intravenous or oral medications. We also did not detect any association between the number of VAS scores recorded and mean pain scores. Conclusion. Postoperative VAS scores do not predict pain medication use in catheterized women inpatients following gynecologic surgery. Increased pain severity, as reflected by higher VAS scores, is not associated with an increase in pain assessment. Our findings suggest that VAS scores are of limited utility for optimal pain control. Alternative or complimentary methods may improve pain management.

  8. Pain-related catastrophizing in pain patients and people with pain in the general population.

    NARCIS (Netherlands)

    Boer, M.J. de; Struys, M.M.; Versteegen, G.J.

    2012-01-01

    BACKGROUND: Catastrophizing is a defining factor in the pain experience and strongly contributes to the prediction of various aspects of health. Catastrophizing is not just present in pain patients, but may also be present in people with non-clinical pain. The aim of the present study is to investig

  9. Pain-related catastrophizing in pain patients and people with pain in the general population

    NARCIS (Netherlands)

    de Boer, M. J.; Struys, M. M. R. F.; Versteegen, G. J.

    2012-01-01

    Background Catastrophizing is a defining factor in the pain experience and strongly contributes to the prediction of various aspects of health. Catastrophizing is not just present in pain patients, but may also be present in people with non-clinical pain. The aim of the present study is to investiga

  10. Pain after groin hernia repair

    DEFF Research Database (Denmark)

    Callesen, T; Bech, K; Nielsen, R;

    1998-01-01

    -90 years, pain was scored (none, light, moderate or severe) at rest, while coughing and during mobilization, daily for the first postoperative week and after 4 weeks. Pain scores were added together over the first postoperative week. RESULTS: On days 1, 6 and 28, 66, 33 and 11 per cent respectively had...... moderate or severe pain while coughing or mobilizing. Total pain scores were higher while coughing or mobilizing than at rest (P < 0.001). Younger patients had higher total pain scores than older patients while coughing or mobilizing (P0< 0.01), but not at rest. No significant differences were found...

  11. Interventional therapy for neuropathic pain

    Directory of Open Access Journals (Sweden)

    YANG Yang

    2013-10-01

    Full Text Available Neuropathic pain (NP is a common clinical refractory pain for which there are limited methods to treat. In this article, based on typical diseases, such as postherpetic neuralgia (PHN, trigeminal neuralgia, complex regional pain syndrome (CRPS, lower back pain with radiculopathy and failed back surgery syndrome (FBSS, phantom pain, the general treatment principle and method for NP are expatiated. Interventional methods for NP, including intraspinal block, radiofrequeney rhizotomy of trigeminal neuralgia, selective nerve root block, spinal cord stimulation (SCS and motor cortex stimulation (MCS are introduced, especially their indications, complications and matters needing attention.

  12. Hypnosis and pain in children.

    Science.gov (United States)

    Wood, Chantal; Bioy, Antoine

    2008-04-01

    The development of studies on neuroimaging applied to hypnosis and to the study of pain not only helps to validate the existence of a hypnotic state but also to ratify its therapeutic effects. These studies also enable us to understand how hypnosis is effective on the cortical level. It also helps us see, from another perspective, the mechanisms of pain leading perhaps to a different definition of pain. This article develops the latest knowledge in the domain of hypnosis and pain, and approaches the clinical practices and their applications in the management of pain in children. PMID:18243640

  13. Neck pain in different cephalalgias

    OpenAIRE

    E. A. Chechet; G. R. Tabeeva

    2014-01-01

    The paper reviews the literature related to the investigations of neck pain (cervicalgia) in patients with headache (cephalalgia). Neck pain is second to lower back pain as a reason for considerable socioeconomic damage to society. The prevalence of cervicalgia in the population ranges from 5.9 to 38%; the annual incidence is 10.4–21.3%; 14.2 to 71% of people report to have neck pain at some time in their lifetime. Neck pain is concurrent with cephalalgia in 70% of cases. In patients with cer...

  14. Forensic Face Recognition: A Survey

    NARCIS (Netherlands)

    Ali, Tauseef; Veldhuis, Raymond; Spreeuwers, Luuk

    2010-01-01

    Beside a few papers which focus on the forensic aspects of automatic face recognition, there is not much published about it in contrast to the literature on developing new techniques and methodologies for biometric face recognition. In this report, we review forensic facial identification which is t

  15. PrimeFaces beginner's guide

    CERN Document Server

    Reddy, K Siva Prasad

    2013-01-01

    A guide for beginner's with step-by-step instructions and an easy-to-follow approach.PrimeFaces Beginners Guide is a simple and effective guide for beginners, wanting to learn and implement PrimeFaces in their JSF-based applications. Some basic JSF and jQuery skills are required before you start working through the book.

  16. Parallel Processing in Face Perception

    Science.gov (United States)

    Martens, Ulla; Leuthold, Hartmut; Schweinberger, Stefan R.

    2010-01-01

    The authors examined face perception models with regard to the functional and temporal organization of facial identity and expression analysis. Participants performed a manual 2-choice go/no-go task to classify faces, where response hand depended on facial familiarity (famous vs. unfamiliar) and response execution depended on facial expression…

  17. Inversion and Configuration of Faces.

    Science.gov (United States)

    Bartlett, James C.; Searcy, Jean

    1993-01-01

    The Thatcher illusion, in which the inverted mouth and eyes of a face appear grotesque when upright, but not when the whole configuration is inverted, was studied in 3 experiments involving 89 undergraduates. Results suggest that the illusion represents a disruption of encoding of holistic information when faces are inverted. (SLD)

  18. Newborns' Mooney-Face Perception

    Science.gov (United States)

    Leo, Irene; Simion, Francesca

    2009-01-01

    The aim of this study is to investigate whether newborns detect a face on the basis of a Gestalt representation based on first-order relational information (i.e., the basic arrangement of face features) by using Mooney stimuli. The incomplete 2-tone Mooney stimuli were used because they preclude focusing both on the local features (i.e., the fine…

  19. Priming with threatening faces modulates the self-face advantage by enhancing the other-face processing rather than suppressing the self-face processing.

    Science.gov (United States)

    Guan, Lili; Qi, Mingming; Li, Haijiang; Hitchman, Glenn; Yang, Juan; Liu, Yijun

    2015-05-22

    Social emotional information influences self-processing in everyday activities, but few researchers have investigated this process. The current ERP study adopted a prime paradigm to investigate how socially threatening faces impact on the self-face processing advantage. After being primed with emotional faces (happy, angry or neutral), participants judged whether the target face (self, friend, and stranger) was familiar or unfamiliar. Results showed an interaction effect between the prime face and the target face at posterior P3, suggesting that after priming with happy and neutral faces, self-faces elicited larger P3 amplitudes than friend-faces and stranger-faces; however, after priming with angry faces, the P3 amplitudes were not significantly different between self-face and friend-face. Moreover, the P3 amplitudes of self-faces did not differ between priming with angry and neutral faces; however, the P3 amplitude of both friend-faces and stranger-faces showed enhanced responses after priming with angry faces compared to priming with neutral faces. We suggest that the self-face processing advantage (self vs. friend) could be weakened by priming with threatening faces, through enhancement of the other-faces processing rather than suppression of self-faces processing in angry vs. neutral face prime. PMID:25765156

  20. Pain in the hip joint

    Directory of Open Access Journals (Sweden)

    Yuri Aleksandrovich Olyunin

    2013-01-01

    Full Text Available Pathological changes that develop in the hip joints (HJ have different origins and mechanisms of development, but their main manifestation is pain. The nature of this pain cannot be well established on frequent occasions. The English-language medical literature currently classifies such disorders as greater trochanter pain syndrome (GTPS. Its major signs are chronic pain and local palpatory tenderness in the outer part of HJ. The development of GTPS may be associated with inflammation of the synovial bursae situated in the greater tronchanter, as well as with tendinitis, myorrhexis, iliotibial band syndrome, and other local changes in the adjacent tissues or with systemic diseases. So GTPS may be characterized as regional pain syndrome that frequently mimics pain induced by different diseases, including myofascial pain syndrome, osteoarthrosis, spinal diseases, etc.

  1. Interventional radiology in pain treatment

    Energy Technology Data Exchange (ETDEWEB)

    Kastler, B. (ed.) [Univ. de Franche-Comte, Besancon (France). Lab. d' Imagerie ed d' Ingenierie pour la Sante

    2007-07-01

    Disease whether it is acute, chronic, or at end stage, is all too regularly accompanied by pain. Pain is often difficult to control, in malignant disease in particular, even by using appropriate medications. Anesthesiologists and pain therapists have developed new invasive therapies including nerve block, sympatholysis, and neurolysis useful for both diagnosis and pain management. To insure the efficiency and safety of these procedures, and furthermore for elaborate techniques such as vertebroplasty, cementoplasty, and radio frequency bone ablation, imaging guidance becomes mandatory. This state-of-the-art book describes the techniques elaborated by interventional radiologists in the treatment and palliation of a variety of benign and malignant painful conditions. Each chapter written by an expert in the field concentrates on a particular aspect of pain management, with emphasis on practical issues. This book will serve as an invaluable source of information for the radiologist willing to learn about new pain therapy techniques aimed at optimizing or replacing more invasive traditional methods. (orig.)

  2. Management of chronic musculoskeletal pain.

    Science.gov (United States)

    Uhl, Richard L; Roberts, Timothy T; Papaliodis, Dean N; Mulligan, Michael T; Dubin, Andrew H

    2014-02-01

    Chronic musculoskeletal pain results from a complex interplay of mechanical, biochemical, psychological, and social factors. Effective management is markedly different from that of acute musculoskeletal pain. Understanding the physiology of pain transmission, modulation, and perception is crucial for effective management. Pharmacologic and nonpharmacologic therapies such as psychotherapy and biofeedback exercises can be used to manage chronic pain. Evidence-based treatment recommendations have been made for chronic pain conditions frequently encountered by orthopaedic surgeons, including low back, osteoarthritic, posttraumatic, and neuropathic pain. Extended-release tramadol; select tricyclic antidepressants, serotonin reuptake inhibitors, and anticonvulsants; and topical medications such as lidocaine, diclofenac, and capsaicin are among the most effective treatments. However, drug efficacy varies significantly by indication. Orthopaedic surgeons should be familiar with the widely available safe and effective nonnarcotic options for chronic musculoskeletal pain. PMID:24486756

  3. Pain in the hip joint

    Directory of Open Access Journals (Sweden)

    Yuri Aleksandrovich Olyunin

    2013-06-01

    Full Text Available Pathological changes that develop in the hip joints (HJ have different origins and mechanisms of development, but their main manifestation is pain. The nature of this pain cannot be well established on frequent occasions. The English-language medical literature currently classifies such disorders as greater trochanter pain syndrome (GTPS. Its major signs are chronic pain and local palpatory tenderness in the outer part of HJ. The development of GTPS may be associated with inflammation of the synovial bursae situated in the greater tronchanter, as well as with tendinitis, myorrhexis, iliotibial band syndrome, and other local changes in the adjacent tissues or with systemic diseases. So GTPS may be characterized as regional pain syndrome that frequently mimics pain induced by different diseases, including myofascial pain syndrome, osteoarthrosis, spinal diseases, etc.

  4. Trajectories of low back pain

    DEFF Research Database (Denmark)

    Axén, Iben; Leboeuf-Yde, Charlotte

    2013-01-01

    Low back pain is not a self-limiting problem, but rather a recurrent and sometimes persistent disorder. To understand the course over time, detailed investigation, preferably using repeated measurements over extended periods of time, is needed. New knowledge concerning short-term trajectories...... indicates that the low back pain 'episode' is short lived, at least in the primary care setting, with most patients improving. Nevertheless, in the long term, low back pain often runs a persistent course with around two-thirds of patients estimated to be in pain after 12 months. Some individuals never have...... low back pain, but most have it on and off or persistently. Thus, the low back pain 'condition' is usually a lifelong experience. However, subgroups of patients with different back pain trajectories have been identified and linked to clinical parameters. Further investigation is warranted to...

  5. Conducting rehabilitation groups for people suffering from chronic pain.

    Science.gov (United States)

    Dysvik, Elin; Stephens, Paul

    2010-06-01

    The aim of this study was to offer guidelines for counsellors who work with rehabilitation groups of patients with chronic pain. The sample involved nine counsellors engaged in a multidisciplinary pain management programme. Two focus group interviews were conducted. Data were analysed using qualitative content analysis. These indicate that main challenges facing counsellors were related to maintaining constructive group processes and being mentally prepared. The counsellors reported that knowledge concerning self-awareness, theoretical frameworks and counselling techniques was important. Personal learning included: group leadership, teamwork, grasping the inside story and obtaining supervision. The results show how important it is to have trained counsellors that are well prepared to prevent and deal with challenging group processes. Counsellors need to understand the concept of pain and be acquainted with cognitive behavioural framework and group processes. The results indicate that counsellors perceive regular supervision as supportive and is likely to promote good team functioning. PMID:20618532

  6. Pain, Affect, and Attachment

    Directory of Open Access Journals (Sweden)

    Carl Eduard Scheidt

    2015-03-01

    Full Text Available Various psychodynamic processes may underlie the development of psychogenic pain disorder such as conversion, the displacement of affect, or narcissistic defenses. However, many of the processes suggested are related to a disorder of affect regulation. The term affect regulation in psychoanalytic literature refers to phenomena which are often described by the concept of alexithymia. Empirical observations suggest that alexithymia is correlated to insecure attachment, especially an insecure dismissing representation of attachment. Psychodynamic psychotherapy in psychogenic pain disorder should focus on the reintegration of split-off affects which may provoke intensive counter-transference and which in order to be used therapeutically must be linked to attachment experiences within and outside of the therapeutic relationship.

  7. Groin pain in athletes.

    Science.gov (United States)

    Weber, M-A; Rehnitz, C; Ott, H; Streich, N

    2013-12-01

    Groin pain in athletes is one of the most difficult to treat clinical entities in sports medicine. The reasons are the amount of differential diagnoses, complexity of pathophysiologic causes and the long time of limited participation in sport. In order to maximize efficient treatment, thorough diagnostics and a clear therapeutic regimen are crucial. To succeed with this issue, a close cooperation between physicians and radiologists is mandatory. MRI is gold standard in the diagnostic work-up of the principal differential diagnoses, such as muscle tears, avulsion injuries, stress fractures, tears of acetabular labrum, and osteitis pubis. The article gives a comprehensive overview of the special anatomy and biomechanics of the pubic region and of typical MRI findings in athletes with groin pain. The use of dedicated imaging protocols is also discussed. PMID:23893752

  8. Anterior hip pain.

    Science.gov (United States)

    O'Kane, J W

    1999-10-15

    Anterior hip pain is a common complaint with many possible causes. Apophyseal avulsion and slipped capital femoral epiphysis should not be overlooked in adolescents. Muscle and tendon strains are common in adults. Subsequent to accurate diagnosis, strains should improve with rest and directed conservative treatment. Osteoarthritis, which is diagnosed radiographically, generally occurs in middle-aged and older adults. Arthritis in younger adults should prompt consideration of an inflammatory cause. A possible femoral neck stress fracture should be evaluated urgently to prevent the potentially significant complications associated with displacement. Patients with osteitis pubis should be educated about the natural history of the condition and should undergo physical therapy to correct abnormal pelvic mechanics. "Sports hernias," nerve entrapments and labral pathologic conditions should be considered in athletic adults with characteristic presentations and chronic symptoms. Surgical intervention may allow resumption of pain-free athletic activity. PMID:10537384

  9. Face, portrait, mask: The virtuality of the synthetic face

    OpenAIRE

    DiPaola, Steve

    2004-01-01

    With new technological artistic tools that allow us to author 3D computer generated faces that can be as real or as abstract or as iconified as we choose, what aesthetic and cultural communication language do we elicit? Is it the historically rich language of the fine art portrait ? the abstracted artifact of the human face? What happens when this portrait animates, conveying lifelike human facial emotion ? does it cease to be a portrait and instead moves into the realm of embodied face ? whe...

  10. Automatic decoding of facial movements reveals deceptive pain expressions

    OpenAIRE

    Bartlett, Marian Stewart; Littlewort, Gwen C.; Mark G. Frank; Lee, Kang

    2014-01-01

    In highly social species such as humans, faces have evolved to convey rich information for social interaction, including expressions of emotions and pain [1–3]. Two motor pathways control facial movement [4–7]. A subcortical extrapyramidal motor system drives spontaneous facial expressions of felt emotions. A cortical pyramidal motor system controls voluntary facial expressions. The pyramidal system enables humans to simulate facial expressions of emotions not actually experienced. Their simu...

  11. Postoperative pain and its management

    Directory of Open Access Journals (Sweden)

    Chaturvedi Sona

    2007-01-01

    Full Text Available Postoperative pain is both distressing and detrimental for the patient. The management of postoperative pain involves assessment of the pain in terms of intensity at rest and activity associated pain, treatment by pharmacological and non pharmacological means as well as monitoring induced side-effects. Besides being physically and emotionally disabling, the pain is associated with various physiological effects involving the increased perioperative stress response. The pain causes the patient to remain immobile, thus becoming vulnerable to DVT, pulmonary atelectasis, muscle wasting and urinary retention. Poor control of postoperative pain could be due to various reasons which may include uniformed prescribing without taking into consideration the individual patient′s physical status, the surgery that has been performed or the site and intensity of pain. Besides, the poor compliance of orders in administrating the analgesics prescribed and the fact that optimal pain relief is not aimed for may also contribute to the inadequate management of the pain occurring in the postoperative period. Thus, despite all efforts, there continues to be inadequate pain relief in a large majority of patients. The introduction of multimodal analgesia including opioids and non-opioids, delivered through various routes, neuraxial use of local anesthetics, either alone or in combination with other drugs, nerve blocks, antihyperalgesics and techniques such as patient controlled analgesia and pre-emptive analgesia have greatly improved the efficacy of pain-control while minimizing the side-effects of any one modality. The recent recommendation of planning the pain services in an organized manner and implementation of Acute Pain Services (APS has proven to be beneficial and rewarding.

  12. Anterior knee pain

    International Nuclear Information System (INIS)

    Anterior knee pain is a common complain in all ages athletes. It may be caused by a large variety of injuries. There is a continuum of diagnoses and most of the disorders are closely related. Repeated minor trauma and overuse play an important role for the development of lesions in Hoffa's pad, extensor mechanism, lateral and medial restrain structures or cartilage surface, however usually an increase or change of activity is referred. Although the direct relation of cartilage lesions, especially chondral, and pain is a subject of debate these lesions may be responsible of early osteoarthrosis and can determine athlete's prognosis. The anatomy and biomechanics of patellofemoral joint is complex and symptoms are often unspecific. Transient patellar dislocation has MR distinct features that provide evidence of prior dislocation and rules our complication. However, anterior knee pain more often is related to overuse and repeated minor trauma. Patella and quadriceps tendon have been also implicated in anterior knee pain, as well as lateral or medial restraint structures and Hoffa's pad. US and MR are excellent tools for the diagnosis of superficial tendons, the advantage of MR is that permits to rule out other sources of intraarticular derangements. Due to the complex anatomy and biomechanic of patellofemoral joint maltracking is not fully understood; plain films and CT allow the study of malalignment, new CT and MR kinematic studies have promising results but further studies are needed. Our purpose here is to describe how imaging techniques can be helpful in precisely defining the origin of the patient's complaint and thus improve understanding and management of these injuries

  13. Pain, Affect, and Attachment

    OpenAIRE

    Carl Eduard Scheidt; Elisabeth Waller

    2015-01-01

    Various psychodynamic processes may underlie the development of psychogenic pain disorder such as conversion, the displacement of affect, or narcissistic defenses. However, many of the processes suggested are related to a disorder of affect regulation. The term affect regulation in psychoanalytic literature refers to phenomena which are often described by the concept of alexithymia. Empirical observations suggest that alexithymia is correlated to insecure attachment, especially an insecure di...

  14. [Hypnosis and pain perception].

    Science.gov (United States)

    Vanhaudenhuyse, A; Boveroux, P; Boly, M; Schnakers, C; Bruno, M A; Kirsch, M; Demertzi, A; Lamy, M; Maquet, P; Laureys, S; Faymonville, M E

    2008-01-01

    Improvement in functional neuroimaging allows researchers to disentangle the brain mechanisms involved in the pain modulation encountered during hypnosis. It has been shown that the anterior cingulate and prefrontal cortices are important in the modulation of incoming sensory and noxious input. Moreover, clinical studies in certain types of surgery (eg thyroidectomy, mastectomy and plastic surgery) have demonstrated that hypnosis may avoid general anesthesia. PMID:18669215

  15. Pain in photodynamic therapy

    OpenAIRE

    Mircea Tampa; Maria Isabela Sârbu; Mădălina-Irina Mitran; Cristina-Iulia Mitran; Adrian Dumitru; Vasile Benea; Simona-Roxana Georgescu

    2016-01-01

    Photodynamic therapy is a modern treatment with applications in several medical specialties, which has been intensely studied in the last years. The main indications in dermatology are actinic keratosis, superficial basal cell carcinoma and Bowen's disease- common skin disorders in which photodynamic therapy proved its efficacy. At present, the use of photodynamic therapy for the treatment of other skin disorders is profoundly researched. Pain is the most common and redoubtable adverse effect...

  16. Postoperative pain in children.

    Science.gov (United States)

    Goddard, J M; Pickup, S E

    1996-06-01

    An audit project was designed to assess and improve the provision of postoperative analgesia in a children's hospital. Pain assessment for all children and analgesia standards for our institution were introduced prior to data collection. Data were collected on consecutive samples of 316 and 325 children undergoing surgery as inpatients during 10-week periods. Change was initiated between the two periods in response to our findings; our action plan involved education, changes to documentation, the widespread use of diclofenac in children over 2 years of age and recommendations for the prescription of analgesia. The initial prescription of analgesia increased from 95% to 98% (p = 0.019), administration of analgesia to children experiencing bad or severe pain increased from 57% to 71% (p = 0.032) and the number of children experiencing severe pain reduced from 17% to 11% (p = 0.050). Application of audit, by a clinical nurse specialist, enabled us to achieve and demonstrate improvements in the prescription, administration and effectiveness of postoperative analgesia. PMID:8694218

  17. New pain-relieving strategies for topical photodynamic therapy

    Science.gov (United States)

    Halldin, Christina B.; Paoli, John; Sandberg, Carin; Ericson, Marica B.; Gonzalez, Helena; Wennberg, Ann-Marie

    2009-06-01

    PDT is an effective method when treating multiple actinic keratoses (field cancerization). The major side effect is pain. Our objectives were to investigate the pain-relieving effect of transcutaneous electrical nerve stimulation (TENS) and peripheral nerve blocks during PDT of field cancerization (FC) of the face and scalp. Patients with field cancerization were included in three studies. In the first study, we examined TENS with an application site on the adjacent dermatome from the PDT area in order to allow the use of water spray during PDT for FC of the scalp and face. In the second study, patients with FC in the facial area received unilateral supraorbital, infraorbital and/or mental nerve blocks. The non-anaesthetised side of the treatment area served as control. In the third study, with similar methodology as in the second study, occipital and supraorbital nerve blocks were combined for FC of the forehead and scalp. The results of the studies strongly support the use of nerve blocks as pain relief during PDT. The use of TENS provided a limited pain reduction, but TENS might be an alternative if the patient disapproves of the use of nerve blocks or is afraid of injections.

  18. Household income determines access to specialized pediatric chronic pain treatment in Germany

    OpenAIRE

    Ruhe, Ann-Kristin; Wager, Julia; Hirschfeld, Gerrit; Zernikow, Boris

    2016-01-01

    Background Families with lower socioeconomic status (SES) often face problems with gaining access to health care services. Information is scarce on the relationship between SES and health care delivery for children suffering from chronic pain. Methods Families presenting to a specialized pain center (N = 1,001) provided information on ‘household income, ‘parental education’ and ‘occupation’ to aid the evaluation of their SES. To assess whether the SES of the clinical sample is representative ...

  19. Pain and cardiorespiratory responses of children during physiotherapy after heart surgery

    OpenAIRE

    Adriana Sanches Garcia Araujo; Jyrson Guilherme Klamt; Walter Villela de Andrade Vicente; Luis Vicente Garcia

    2014-01-01

    Objective: The aim of the present study was to determine the occurrence of pain and changes in blood pressure, heart rate, respiratory rate, and arterial oxygen saturation associated with physiotherapy in children undergoing cardiac surgery. Methods: Eighteen extubated children were assessed for the presence of pain using the face, legs, activity, cry, consolability scale, and blood pressure, heart rate, respiratory rate and arterial oxygen saturation were simultaneously recorded. The physi...

  20. Pain and Laboratory Animals: Publication Practices for Better Data Reproducibility and Better Animal Welfare

    OpenAIRE

    Larry Carbone; Jamie Austin

    2016-01-01

    Scientists who perform major survival surgery on laboratory animals face a dual welfare and methodological challenge: how to choose surgical anesthetics and post-operative analgesics that will best control animal suffering, knowing that both pain and the drugs that manage pain can all affect research outcomes. Scientists who publish full descriptions of animal procedures allow critical and systematic reviews of data, demonstrate their adherence to animal welfare norms, and guide other scienti...

  1. Central poststroke pain: somatosensory abnormalities and the presence of associated myofascial pain syndrome

    OpenAIRE

    de Oliveira Rogério Adas; de Andrade Daniel; Machado André Guelman; Teixeira Manoel

    2012-01-01

    Abstract Background Central post-stroke pain (CPSP) is a neuropathic pain syndrome associated with somatosensory abnormalities due to central nervous system lesion following a cerebrovascular insult. Post-stroke pain (PSP) refers to a broader range of clinical conditions leading to pain after stroke, but not restricted to CPSP, including other types of pain such as myofascial pain syndrome (MPS), painful shoulder, lumbar and dorsal pain, complex regional pain syndrome, and spasticity-related ...

  2. Modeling human dynamics of face-to-face interaction networks

    CERN Document Server

    Starnini, Michele; Pastor-Satorras, Romualdo

    2013-01-01

    Face-to-face interaction networks describe social interactions in human gatherings, and are the substrate for processes such as epidemic spreading and gossip propagation. The bursty nature of human behavior characterizes many aspects of empirical data, such as the distribution of conversation lengths, of conversations per person, or of inter-conversation times. Despite several recent attempts, a general theoretical understanding of the global picture emerging from data is still lacking. Here we present a simple model that reproduces quantitatively most of the relevant features of empirical face-to-face interaction networks. The model describes agents which perform a random walk in a two dimensional space and are characterized by an attractiveness whose effect is to slow down the motion of people around them. The proposed framework sheds light on the dynamics of human interactions and can improve the modeling of dynamical processes taking place on the ensuing dynamical social networks.

  3. Temporal networks of face-to-face human interactions

    CERN Document Server

    Barrat, Alain

    2013-01-01

    The ever increasing adoption of mobile technologies and ubiquitous services allows to sense human behavior at unprecedented levels of details and scale. Wearable sensors are opening up a new window on human mobility and proximity at the finest resolution of face-to-face proximity. As a consequence, empirical data describing social and behavioral networks are acquiring a longitudinal dimension that brings forth new challenges for analysis and modeling. Here we review recent work on the representation and analysis of temporal networks of face-to-face human proximity, based on large-scale datasets collected in the context of the SocioPatterns collaboration. We show that the raw behavioral data can be studied at various levels of coarse-graining, which turn out to be complementary to one another, with each level exposing different features of the underlying system. We briefly review a generative model of temporal contact networks that reproduces some statistical observables. Then, we shift our focus from surface ...

  4. The face, beauty, and symmetry: perceiving asymmetry in beautiful faces.

    Science.gov (United States)

    Zaidel, D W; Cohen, J A

    2005-08-01

    The relationship between bilateral facial symmetry and beauty remains to be clarified. Here, straight head-on photographs of "beautiful" faces from the collections of professional modeling agencies were selected. First, beauty ratings were obtained for these faces. Then, the authors created symmetrical left-left and right-right composites of the beautiful faces and asked a new group of subjects to choose the most attractive pair member. "Same" responses were allowed. No difference between the left-left and right-right composites was revealed but significant differences were obtained between "same" and the left-left or right-right. These results show that subjects detected asymmetry in beauty and suggest that very beautiful faces can be functionally asymmetrical. PMID:16040358

  5. Can Faces Prime a Language?

    Science.gov (United States)

    Woumans, Evy; Martin, Clara D; Vanden Bulcke, Charlotte; Van Assche, Eva; Costa, Albert; Hartsuiker, Robert J; Duyck, Wouter

    2015-09-01

    Bilinguals have two languages that are activated in parallel. During speech production, one of these languages must be selected on the basis of some cue. The present study investigated whether the face of an interlocutor can serve as such a cue. Spanish-Catalan and Dutch-French bilinguals were first familiarized with certain faces, each of which was associated with only one language, during simulated Skype conversations. Afterward, these participants performed a language production task in which they generated words associated with the words produced by familiar and unfamiliar faces displayed on-screen. When responding to familiar faces, participants produced words faster if the faces were speaking the same language as in the previous Skype simulation than if the same faces were speaking a different language. Furthermore, this language priming effect disappeared when it became clear that the interlocutors were actually bilingual. These findings suggest that faces can prime a language, but their cuing effect disappears when it turns out that they are unreliable as language cues. PMID:26209531

  6. Facing Jazz, Facing Trauma: Modern Trauma and the Jazz Archive

    OpenAIRE

    Singleton, Tyfahra Danielle

    2011-01-01

    "Facing Jazz, Facing Trauma" posits American jazz music as a historical archive of an American history of trauma. By reading texts by Gayl Jones, Ralph Ellison, Franz Kafka; music and performances by Louis Armstrong and Billie Holiday; the life, art and films of Josephine Baker, and the film The Jazz Singer (1927), my goal is to give African American experiences of trauma a place within American trauma studies and to offer jazz as an extensive archive of testimony for witnessing and for stud...

  7. Addressee Identification In Face-to-Face Meetings

    OpenAIRE

    Jovanović, Natasa; Akker, op den, Harm; Nijholt, Anton; McCarthy, D.; Wintner, S.

    2006-01-01

    We present results on addressee identification in four-participants face-to-face meetings using Bayesian Network and Naive Bayes classifiers. First, we investigate how well the addressee of a dialogue act can be predicted based on gaze, utterance and conversational context features. Then, we explore whether information about meeting context can aid classifiers’ performances. Both classifiers perform the best when conversational context and utterance features are combined with speaker’s gaze i...

  8. Gaze behavior in face-to-face interaction

    OpenAIRE

    F. Rossano

    2012-01-01

    Wat doen onze ogen als we met andere mensen praten? In zijn proefschrift beschrijft Federico Rossano hoe mensen hun ogen gebruiken tijdens face-to-face interacties. Onze oogbewegingen blijken opvallend geordend en voorspelbaar: zo is het bijvoorbeeld mogelijk om met uitsluitend de ogen een reactie uit te lokken als de gesprekspartner niet direct reageert. Ook wanneer bijvoorbeeld een vraag-antwoordreeks ten einde loopt, coördineren gespreksdeelnemers hun oogbewegingen op een specifieke manier...

  9. Virtually face to face: enriching collaborative learning through multiplayer games

    OpenAIRE

    Bluemink, J. (Johanna)

    2011-01-01

    Abstract This study focused on enriching collaborative learning through pedagogically scripted multiplayer games. Collaborative learning was examined in the synchronous discussions of small group problem-solving activities in face-to-face and virtual game settings. The theoretical approach is socio-cognitive and builds on the contextual and situated nature of learning. Interaction between group members in social situations is a key mechanism fostering students’ collaborative learning. In ...

  10. Pain determinants of pain in autosomal dominant polycystic kidney disease

    Directory of Open Access Journals (Sweden)

    José Luiz Nishiura

    2013-09-01

    Full Text Available Pain is the most common symptom reported by ADPKD patients, afflicting approximately 60% of cases and may result from renal hemorrhage, calculi, urinary tract infections, cyst rupture, or due to stretching of the capsule or traction of the renal pedicle. We have recently investigated pain patterns in AD-PKD patients using a translated version of a pain questionnaire specific for AD-PKD population. The questionnaire revealed that 67% patients with ADPKD exhibited some type of pain. The findings of that study emphasized that pain appeared early in the course of ADPKD, when patients still exhibited preserved renal function. In the present study, a multivariate logistic regression analysis disclosed that renal volume (9-fold increased risk and nephrolithiasis (4-fold increased risk were the most important determinant factors for pain in ADPKD patients with preserved renal function, after adjustments for the presence of hypertension and duration of the disease.

  11. Social pain and physical pain: shared paths to resilience.

    Science.gov (United States)

    Sturgeon, John A; Zautra, Alex J

    2016-01-01

    Although clinical models have traditionally defined pain by its consequences for the behavior and internal states of the sufferer, recent evidence has highlighted the importance of examining pain in the context of the broader social environment. Neuroscience research has highlighted commonalities of neural pathways connecting the experience of physical and social pain, suggesting a substantial overlap between these phenomena. Further, interpersonal ties, support and aspects of the social environment can impair or promote effective adaptation to chronic pain through changes in pain perception, coping and emotional states. The current paper reviews the role of social factors in extant psychological interventions for chronic pain, and discusses how greater attention to these factors may inform future research and clinical care. PMID:26678402

  12. Current advances in orthodontic pain.

    Science.gov (United States)

    Long, Hu; Wang, Yan; Jian, Fan; Liao, Li-Na; Yang, Xin; Lai, Wen-Li

    2016-01-01

    Orthodontic pain is an inflammatory pain that is initiated by orthodontic force-induced vascular occlusion followed by a cascade of inflammatory responses, including vascular changes, the recruitment of inflammatory and immune cells, and the release of neurogenic and pro-inflammatory mediators. Ultimately, endogenous analgesic mechanisms check the inflammatory response and the sensation of pain subsides. The orthodontic pain signal, once received by periodontal sensory endings, reaches the sensory cortex for pain perception through three-order neurons: the trigeminal neuron at the trigeminal ganglia, the trigeminal nucleus caudalis at the medulla oblongata and the ventroposterior nucleus at the thalamus. Many brain areas participate in the emotion, cognition and memory of orthodontic pain, including the insular cortex, amygdala, hippocampus, locus coeruleus and hypothalamus. A built-in analgesic neural pathway-periaqueductal grey and dorsal raphe-has an important role in alleviating orthodontic pain. Currently, several treatment modalities have been applied for the relief of orthodontic pain, including pharmacological, mechanical and behavioural approaches and low-level laser therapy. The effectiveness of nonsteroidal anti-inflammatory drugs for pain relief has been validated, but its effects on tooth movement are controversial. However, more studies are needed to verify the effectiveness of other modalities. Furthermore, gene therapy is a novel, viable and promising modality for alleviating orthodontic pain in the future. PMID:27341389

  13. Pain management in cancer cervix

    Directory of Open Access Journals (Sweden)

    Palat Gayatri

    2005-01-01

    Full Text Available Cancer of the cervix uteri is a common cause of pain among women. On the physical realm, the cancer may cause somatic [soft tissue and bone], visceral and neuropathic pain [lumbosacral plexopathy]. Radiotherapy and chemotherapy may cause neuropathy too. Psychological, social and cultural factors modify the pain. Evaluation of the individual type of pain and a patient-centred approach are fundamental requirements for rational management. Disease modifying treatment like radiotherapy and chemotherapy must be considered when applicable. Pain control is usually achieved by the use of WHO three-step ladder, remembering that possible association of renal dysfunction would necessitate caution in the use of NSAIDs and opioids. Side effects must be anticipated, prevented when possible, and aggressively treated; nausea and vomiting may already be present, and constipation can worsen pain when there is a pelvic mass. Pain emergencies can be treated by quick titration with intravenous morphine bolus doses. Neuropathic pain may warrant the use of usual adjuvants, with particular reference to cortico-steroids and the NMDA antagonist, ketamine. In intractable pain, many neurolytic procedures are tried, but a solid evidence base to justify their use is lacking. Continuous epidural analgesia with local anaesthetic and opioid may be needed when drug therapy fails, and desperate situations may warrant interventions such as neurolysis. Such physical measures for pain relief must be combined with psychosocial support and adequate explanations to the patient and the family.

  14. Pain: history, culture and philosophy.

    Science.gov (United States)

    Khan, Murad Ahmad; Raza, Fauzia; Khan, Iqbal Akhtar

    2015-01-01

    Pain, one of the universals of existence, has a long and venerable history, its origin initially attributed to godly punishment for disbelievers; and, with improved understanding, to physical and psycho-social factors. "Pain is emotion or sensation?" has been a debatable issue. Razes developed pleasure-pain theory, founded on the theories of Socrates, Plato, Aristotle and Epicurus. Descartes' Dualism shifted the centre of pain from the heart to the brain but negated the psychological contribution to its pathogenesis. Gate Control Theory, fascinated with the idea of "neurological gates", highlighted the important role of the brain in dealing with the messages received. The International Association of the Study of Pain, in 1979, coined a definition of pain which is currently in use and was last updated on 6th October 2014. Its validity has been challenged and a new definition has been suggested. Whereas the experience is personalized, immeasurable and unsharable, different cultural groups react differently to pain from relative tolerance to over-reaction. Gender and ethnic differences in the perception of pain are well proven and the effects of various religious beliefs adequately scored. Despite extensive research over centuries, understanding of pain mechanisms is still far from optimal. Untiring efforts to identify a paincentre in the brain have been futile. Had it been possible, millions of pain sufferers would have been relieved of their physical agony and mental anguish by the prick of needle. PMID:26203543

  15. Side-View Face Recognition

    OpenAIRE

    Santemiz, Pinar; Spreeuwers, Luuk J.; Veldhuis, Raymond N. J.; Biggelaar, van den, M.

    2011-01-01

    As a widely used biometrics, face recognition has many advantages such as being non-intrusive, natural and passive. On the other hand, in real-life scenarios with uncontrolled environment, pose variation up to side-view positions makes face recognition a challenging work. In this paper we discuss the use of side-view face recognition in house safety applications. Our goal is to recognize people as they pass through doors in order to estimate their location in the house. In order to preserve p...

  16. Side-View Face Recognition

    OpenAIRE

    Santemiz, Pinar; Spreeuwers, Luuk J.; Veldhuis, Raymond N. J.

    2010-01-01

    Side-view face recognition is a challenging problem with many applications. Especially in real-life scenarios where the environment is uncontrolled, coping with pose variations up to side-view positions is an important task for face recognition. In this paper we discuss the use of side view face recognition techniques to be used in house safety applications. Our aim is to recognize people as they pass through a door, and estimate their location in the house. Here, we compare available databas...

  17. An empirical assessment of pain beliefs.

    Science.gov (United States)

    Williams, D A; Thorn, B E

    1989-03-01

    Pain beliefs represent patients' own conceptualizations of what pain is and what pain means for them. Such beliefs may be discordant with current scientific understanding and may serve to adversely affect compliance with modern methods of chronic pain treatment. This study attempts to assess several of the core dimensions around which pain beliefs develop and examines the relationship between pain beliefs and behavioral manifestations of the pain experience. An empirically and factorially derived product of this study, the Pain Beliefs and Perceptions Inventory (PBAPI) assess 3 dimensions of pain beliefs: (1) self-blame, (2) perception of pain as mysterious, and (3) beliefs about the duration of pain. These core pain beliefs were found to be predictive of subjective pain intensity, multidisciplinary chronic pain treatment compliance, poor self-esteem, somatization and psychological distress, and associated with attributions about health locus of control. PMID:2710564

  18. The relationship between ethnicity and the pain experience of cancer patients: A systematic review

    Directory of Open Access Journals (Sweden)

    Wingfai Kwok

    2014-01-01

    Full Text Available Background: Cancer pain is a complex multidimensional construct. Physicians use a patient-centered approach for its effective management, placing a great emphasis on patient self-reported ratings of pain. In the literature, studies have shown that a patient′s ethnicity may influence the experience of pain as there are variations in pain outcomes among different ethnic groups. At present, little is known regarding the effect of ethnicity on the pain experience of cancer patients; currently, there are no systematic reviews examining this relationship. Materials and Methods: A systematic search of the literature in October 2013 using the keywords in Group 1 together with Group 2 and Group 3 was conducted in five online databases (1 Medline (1946-2013, (2 Embase (1980-2012, (3 The Cochrane Library, (4 Pubmed, and (5 Psycinfo (1806-2013. The search returned 684 studies. Following screening by inclusion and exclusion criteria, the full text was retrieved for quality assessment. In total, 11 studies were identified for this review. The keywords used for the search were as follows: Group 1-Cancer; Group 2- Pain, Pain measurement, Analgesic, Analgesia; Group 3- Ethnicity, Ethnic Groups, Minority Groups, Migrant, Culture, Cultural background, Ethnic Background. Results: Two main themes were identified from the included quantitative and qualitative studies, and ethnic differences were found in: (1 The management of cancer pain and (2 The pain experience. Six studies showed that ethnic groups face barriers to pain treatment and one study did not. Three studies showed ethnic differences in symptom severity and one study showed no difference. Interestingly, two qualitative studies highlighted cultural differences in the perception of cancer pain as Asian patients tended to normalize pain compared to Western patients who engage in active health-seeking behavior. Conclusion: There is an evidence to suggest that the cancer pain experience is different between

  19. 'Imprisoned' in pain: analyzing personal experiences of phantom pain

    OpenAIRE

    Nortvedt, Finn; Engelsrud, Gunn

    2015-01-01

    This article explores the phenomenon of “phantom pain.” The analysis is based on personal experiences elicited from individuals who have lost a limb or live with a paralyzed body part. Our study reveals that the ways in which these individuals express their pain experience is an integral aspect of that experience. The material consists of interviews undertaken with men who are living with phantom pain resulting from a traumatic injury. The phenomenological analysis is inspired by Zahavi (J Co...

  20. Pain Management: Part 1: Managing Acute and Postoperative Dental Pain

    OpenAIRE

    Becker, Daniel E

    2010-01-01

    Safe and effective management of acute dental pain can be accomplished with nonopioid and opioid analgesics. To formulate regimens properly, it is essential to appreciate basic pharmacological principles and appropriate dosage strategies for each of the available analgesic classes. This article will review the basic pharmacology of analgesic drug classes, including their relative efficacy for dental pain, and will suggest appropriate regimens based on pain intensity. Management of chronic pai...

  1. Pain and pain tolerance in professional ballet dancers.

    OpenAIRE

    Tajet-Foxell, B; Rose, F D

    1995-01-01

    Pain experience in sport had been the subject of increasing research in recent years. While sports professionals have generally been found to have higher pain thresholds than control subjects the reasons for this are not entirely clear. The present study seeks to investigate one possible explanatory factor, the importance of the popular image of the physical activity and of the self-image of its participants, by examining pain experience in professional ballet dancers. Like sports professiona...

  2. The "Beautiful" pain: cosmetic surgery and the embodiment of pain

    OpenAIRE

    Alexias, George; Dilaki, Georgija; Tsekeris, Charalambos

    2012-01-01

    This article focuses on women undergoing plastic surgery operations, highlighting their particular attitude toward pain, which is caused by the desperate pursuit of beauty. Extracting data from semi-structured interviews, it is shown how pain is defied, eliminated or even denied by individuals undergoing cosmetic surgery. Since cosmetic procedures are carried out for aesthetic reasons, people disconnect this process from any negative emotion and ignore pain and trauma yielded from surgical op...

  3. Automatic face alignment by maximizing similarity score

    OpenAIRE

    Boom, Bas; Spreeuwers, Luuk; Veldhuis, Raymond; Fred, A.; Jain, A. K.

    2007-01-01

    Accurate face registration is of vital importance to the performance of a face recognition algorithm. We propose a face registration method which searches for the optimal alignment by maximizing the score of a face recognition algorithm. In this paper we investigate the practical usability of our face registration method. Experiments show that our registration method achieves better results in face verification than the landmark based registration method. We even obtain face verification resu...

  4. Pain without Nociceptors? Nav1.7-Independent Pain Mechanisms

    Directory of Open Access Journals (Sweden)

    Michael S. Minett

    2014-01-01

    Full Text Available Nav1.7, a peripheral neuron voltage-gated sodium channel, is essential for pain and olfaction in mice and humans. We examined the role of Nav1.7 as well as Nav1.3, Nav1.8, and Nav1.9 in different mouse models of chronic pain. Constriction-injury-dependent neuropathic pain is abolished when Nav1.7 is deleted in sensory neurons, unlike nerve-transection-related pain, which requires the deletion of Nav1.7 in sensory and sympathetic neurons for pain relief. Sympathetic sprouting that develops in parallel with nerve-transection pain depends on the presence of Nav1.7 in sympathetic neurons. Mechanical and cold allodynia required distinct sets of neurons and different repertoires of sodium channels depending on the nerve injury model. Surprisingly, pain induced by the chemotherapeutic agent oxaliplatin and cancer-induced bone pain do not require the presence of Nav1.7 sodium channels or Nav1.8-positive nociceptors. Thus, similar pain phenotypes arise through distinct cellular and molecular mechanisms. Therefore, rational analgesic drug therapy requires patient stratification in terms of mechanisms and not just phenotype.

  5. Managing painful chronic wounds: the Wound Pain Management Model

    DEFF Research Database (Denmark)

    Price, Patricia; Fogh, Karsten; Glynn, Chris;

    2007-01-01

    the wound should be handled as one of the main priorities in chronic wound management together with addressing the cause. Management of pain in chronic wounds depends on proper assessment, reporting and documenting patient experiences of pain. Assessment should be based on six critical dimensions of...... document persistent wound pain and not to develop a treatment and monitoring strategy to improve the lives of persons with chronic wounds. Unless wound pain is optimally managed, patient suffering and costs to health care systems will increase. Udgivelsesdato: 2007-Apr...

  6. Chronic pain management: nonpharmacological therapies for chronic pain.

    Science.gov (United States)

    Chang, Ku-Lang; Fillingim, Roger; Hurley, Robert W; Schmidt, Siegfried

    2015-05-01

    Nonpharmacologic therapies have become a vital part of managing chronic pain (CP). Although these can be used as stand-alone therapies, nonpharmacologic treatments often are used to augment and complement pharmacologic treatments (ie, multimodal therapy). Nonpharmacologic approaches can be classified as behavioral, cognitive, integrative, and physical therapies. Core principles in developing a treatment plan are explaining the nature of the CP condition, setting appropriate goals, and developing a comprehensive treatment approach and plan for adherence. Clinicians should become familiar with these interventions so that they can offer patients flexibility in the pain management approach. Effective noninvasive treatment modalities for CP include behavioral therapy for short-term pain relief; cognitive behavioral therapy for reducing long-term pain and disability; hypnosis as adjunctive therapy; guided imagery, diaphragmatic breathing, and muscle relaxation, especially for cancer-related pain; mindfulness-based stress reduction for patients with chronic low back pain; acupuncture for multiple pain conditions; combination manipulation, manual therapy, endurance exercise, stretching, and strengthening for chronic neck pain; animal-assisted therapy; and S-adenosyl-L-methionine for joint pain. Guidelines for use of these treatment modalities are based on expert panel recommendations in combination with data from randomized controlled trials. PMID:25970869

  7. Lumbar Disc Screening Using Back Pain Questionnaires: Oswestry Low Back Pain Score, Aberdeen Low Back Pain Scale, and Acute Low Back Pain Screening Questionnaire

    OpenAIRE

    Kim, Do Yeon; Oh, Chang Hyun; Yoon, Seung Hwan; Park, Hyung Chun; Park, Chong Oon

    2012-01-01

    Objective To evaluate the usefulness of back pain questionnaires for lumbar disc screening among Korean young males. Methods We carried out a survey for lumbar disc screening through back pain questionnaires among the volunteers with or without back pain. Three types of back pain questionnaire (Oswestry Low Back Pain Score, Aberdeen Low Back Pain Scale, and Acute Low Back Pain Screeing Questionnaire) were randomly assigned to the examinees. The authors reviewed lumbar imaging studies (simple ...

  8. Borderline Personality and the Pain Paradox

    OpenAIRE

    Sansone, Randy A.; Sansone, Lori A.

    2007-01-01

    Clinical observations and empirical studies indicate that patients with borderline personality are both sensitive and insensitive to pain. This dichotomy may be explained by the context of the pain. For acute self-induced pain, borderline patients seem to experience attenuated pain responses. For chronic endogenous pain, borderline patients appear pain intolerant. In this paper, we explain this unusual paradox. We then discuss the psychiatric assessment of chronic pain, emphasizing the import...

  9. Motor cortex changes after amputation are modulated by phantom limb motor control rather than pain

    DEFF Research Database (Denmark)

    Raffin, Estelle E.; Pascal, Giraux,; Karen, Reilly,; Nathalie, Richard,

    retains a residual M1-c activity when amputees perform phantom limb movements (4-5). Except a correlation between phantom limb pain and M1-c expansion of the face (2-3), the relationship between the ability to voluntary move the phantom hand, the level of phantom limb pain, the degree of M1-c......Amputation of a limb induces reorganization within the contralateral primary motor cortex (M1-c) (1-3). In the case of hand amputation, M1-c areas evoking movements in the face and the remaining part of the upper-limb expand toward the hand area. Despite this expansion, the amputated hand still...

  10. A population-based cohort study on chronic pain: the role of opioids

    DEFF Research Database (Denmark)

    Sjøgren, Per; Grønbæk, Morten; Peuckmann, Vera;

    2010-01-01

    Interview Survey in 2000, which were linked on the individual level with register-based follow-up data. The survey was based on a county-stratified random sample of 16,684 individuals, out of which 10,434 individuals (62.5%) completed a face-to-face interview and returned a self-administered questionnaire......OBJECTIVES: The aims of this study were 2-fold: (1) to investigate the consequences of opioid use in individuals with chronic pain in the Danish population, and (2) to investigate the development of and recovery from chronic pain from 2000 to 2005. METHODS: Data derived from the Danish Health...

  11. Face recognition using Krawtchouk moment

    Indian Academy of Sciences (India)

    J Sheeba Rani; D Devaraj

    2012-08-01

    Feature extraction is one of the important tasks in face recognition. Moments are widely used feature extractor due to their superior discriminatory power and geometrical invariance. Moments generally capture the global features of the image. This paper proposes Krawtchouk moment for feature extraction in face recognition system, which has the ability to extract local features from any region of interest. Krawtchouk moment is used to extract both local features and global features of the face. The extracted features are fused using summed normalized distance strategy. Nearest neighbour classifier is employed to classify the faces. The proposed method is tested using ORL and Yale databases. Experimental results show that the proposed method is able to recognize images correctly, even if the images are corrupted with noise and possess change in facial expression and tilt.

  12. Covert Face Recognition without Prosopagnosia

    Directory of Open Access Journals (Sweden)

    H. D. Ellis

    1993-01-01

    Full Text Available An experiment is reported where subjects were presented with familiar or unfamiliar faces for supraliminal durations or for durations individually assessed as being below the threshold for recognition. Their electrodermal responses to each stimulus were measured and the results showed higher peak amplitude skin conductance responses for familiar than for unfamiliar faces, regardless of whether they had been displayed supraliminally or subliminally. A parallel is drawn between elevated skin conductance responses to subliminal stimuli and findings of covert recognition of familiar faces in prosopagnosic patients, some of whom show increased electrodermal activity (EDA to previously familiar faces. The supraliminal presentation data also served to replicate similar work by Tranel et al (1985. The results are considered alongside other data indicating the relation between non-conscious, “automatic” aspects of normal visual information processing and abilities which can be found to be preserved without awareness after brain injury.

  13. Similarity measures for face recognition

    CERN Document Server

    Vezzetti, Enrico

    2015-01-01

    Face recognition has several applications, including security, such as (authentication and identification of device users and criminal suspects), and in medicine (corrective surgery and diagnosis). Facial recognition programs rely on algorithms that can compare and compute the similarity between two sets of images. This eBook explains some of the similarity measures used in facial recognition systems in a single volume. Readers will learn about various measures including Minkowski distances, Mahalanobis distances, Hansdorff distances, cosine-based distances, among other methods. The book also summarizes errors that may occur in face recognition methods. Computer scientists "facing face" and looking to select and test different methods of computing similarities will benefit from this book. The book is also useful tool for students undertaking computer vision courses.

  14. Face Recognition using Curvelet Transform

    CERN Document Server

    Cohen, Rami

    2011-01-01

    Face recognition has been studied extensively for more than 20 years now. Since the beginning of 90s the subject has became a major issue. This technology is used in many important real-world applications, such as video surveillance, smart cards, database security, internet and intranet access. This report reviews recent two algorithms for face recognition which take advantage of a relatively new multiscale geometric analysis tool - Curvelet transform, for facial processing and feature extraction. This transform proves to be efficient especially due to its good ability to detect curves and lines, which characterize the human's face. An algorithm which is based on the two algorithms mentioned above is proposed, and its performance is evaluated on three data bases of faces: AT&T (ORL), Essex Grimace and Georgia-Tech. k-nearest neighbour (k-NN) and Support vector machine (SVM) classifiers are used, along with Principal Component Analysis (PCA) for dimensionality reduction. This algorithm shows good results, ...

  15. Face Recognition in Various Illuminations

    Directory of Open Access Journals (Sweden)

    Saurabh D. Parmar,

    2014-05-01

    Full Text Available Face Recognition (FR under various illuminations is very challenging. Normalization technique is useful for removing the dimness and shadow from the facial image which reduces the effect of illumination variations still retaining the necessary information of the face. The robust local feature extractor which is the gray-scale invariant texture called Local Binary Pattern (LBP is helpful for feature extraction. K-Nearest Neighbor classifier is utilized for the purpose of classification and to match the face images from the database. Experimental results were based on Yale-B database with three different sub categories. The proposed method has been tested to robust face recognition in various illumination conditions. Extensive experiment shows that the proposed system can achieve very encouraging performance in various illumination environments.

  16. Bracing Zonohedra With Special Faces

    Directory of Open Access Journals (Sweden)

    Nagy Gyula

    2015-12-01

    Full Text Available The analysis of simpler preliminary design gives useful input for more complicated three-dimensional building frame structure. A zonohedron, as a preliminary structure of design, is a convex polyhedron for which each face possesses central symmetry. We considered zonohedron as a special framework with the special assumption that the polygonal faces can be deformed in such a way that faces remain planar and centrally symmetric, moreover the length of all edges remains unchanged. Introducing some diagonal braces we got a new mechanism. This paper deals with the flexibility of this kind of mechanisms, and investigates the rigidity of the braced framework. The flexibility of the framework can be characterized by some vectors, which represent equivalence classes of the edges. A necessary and sufficient condition for the rigidity of the braced rhombic face zonohedra is posed. A real mechanical construction, based on two simple elements, provides a CAD prototype of these new mechanisms.

  17. [Neurosurgical treatment of chronic pain].

    Science.gov (United States)

    Fontaine, D; Blond, S; Mertens, P; Lanteri-Minet, M

    2015-02-01

    Neurosurgical treatment of pain used two kind of techniques: 1) Lesional techniques interrupt the transmission of nociceptive neural input by lesionning the nociceptive pathways (drezotomy, cordotomy, tractotomy…). They are indicated to treat morphine-resistant cancer pain and few cases of selected neuropathic pain. 2) Neuromodulation techniques try to decrease pain by reinforcing inhibitory and/or to limit activatory mechanisms. Chronic electrical stimulation of the nervous system (peripheral nerve stimulation, spinal cord stimulation, motor cortex stimulation…) is used to treat chronic neuropathic pain. Intrathecal infusion of analgesics (morphine, ziconotide…), using implantable pumps, allows to increase their efficacy and to reduce their side effects. These techniques can improve, sometimes dramatically, selected patients with severe and chronic pain, refractory to all other treatments. The quality of the analgesic outcome depends on the relevance of the indications. PMID:25681114

  18. Pain and systemic lupus erythematosus

    Directory of Open Access Journals (Sweden)

    M. Di Franco

    2014-06-01

    Full Text Available Systemic lupus erythematosus (SLE is an autoimmune disease characterized by heterogeneous clinical manifestations involving virtually the entire body. The pain in SLE can have different causes. The SLE classification criteria include mainly the musculoskeletal manifestations of pain, which are commonly reported as initial symptoms of SLE, such as arthralgia, arthritis and/or myalgia. Chronic widespread pain, which is typical of fibromyalgia (FM, is frequently associated with SLE. The aim of this review is to describe widespread pain and fatigue in SLE, and the association of SLE and FM. Although secondary FM is not correlated with the disease activity, it may interfere with the daily activities of SLE patients. Therefore it is necessary to identify its symptoms and treat them promptly to improve the quality of life of patients. In conclusion, it is essential to identify the origin of pain in SLE in order to avoid dangerous over-treatment in patients with co-existing widespread pain and FM.

  19. [Therapy of phantom limb pain].

    Science.gov (United States)

    Schwarzer, Andreas; Zenz, Michael; Maier, Christoph

    2009-03-01

    About 80 % of all extremity amputations suffer from phantom limb pain following the operation. In this context, it is important to differentiate between painful phantom limb sensations, non-painful phantom limb sensations and residual limb pain. The pathophysiology of phantom limb pain is not fully understood. Current research findings ascribe a major pathophysiological role to cortical changes as well as a disturbed body perception. Peripheral and spinal mechanisms appear less relevant in the development of phantom limb pain. An essential part of the therapy is the pharmacological treatment with antidepressants, anticonvulsives and opioids. Another significant aspect of therapy is senso-motory training, important to mention here would be mirror therapy, lateralisation and motor imaging. In case of an elective amputation, an epidural or axiliar plexus catheter should be considered prior to the amputation. The perioperative treatment with ketamine is debated. PMID:19266417

  20. Complex Regional Pain Type 1.

    Science.gov (United States)

    Barrett, Michael Joseph; Barnett, Peter Leslie John

    2016-03-01

    Complex regional pain syndrome is increasingly recognized in the pediatric population. Owing to the nature of presentation with pain, many of these children present to the emergency setting at different stages of the syndrome with or without numerous prior interactions with health professionals. Complex regional pain syndrome type 1 (CRPS1) is a clinical syndrome characterized by amplified musculoskeletal limb pain that is out of proportion to the history and physical findings, or pain due to non-noxious stimuli (allodynia/hyperalgesia), and accompanied by one or more signs of autonomic dysfunction. Differential diagnosis may include significant trauma (eg, fractures), inflammatory conditions, malignancies, and systemic illness. The diagnosis is clinical. The treatment goals for CRPS1 are restoration of function and relief of pain. Education, physical, and occupational therapy with psychotherapy and defined goals of achievement with reward are the mainstay of treatment for this population. Most children with CRPS1 will have a favorable outcome. PMID:26928099