Mayo Health Care
Bladder Pain Syndrome: A Guide for Clinicians provides a comprehensive update in the pathophysiology, epidemiology, terminology, evaluation and treatment of patients with pelvic pain perceived to be related to the urinary bladder. The volume covers the tremendous evolution during the last decade in our understanding of pain syndromes and their diagnosis and treatment. It is now clear that Bladder Pain Syndrome belongs to the family of pain syndromes, and therefore treatment has moved from the treatment of the bladder to the treatment of a pain syndrome with the special problems this presents when the pain syndrome involves urinary symptoms. Interstitial Cystitis was poorly defined and the interpretation and patient selection differed enormously around the world in many ways, making exchange of information unreliable and confusing. Bladder Pain Syndrome is clearly defined and the result is a much better patient selection. This volume provides state of the art background for making a correct evaluation and diagnosis of patients with pelvic pain and voiding problems resulting in a more focused treatment to the benefit of the patients. The volume also covers the close relationship between different pain syndromes including those outside the pelvis. Bladder Pain Syndrome: A Guide for Clinicians will be of great utility to urologists, gynecologists and all health professionals dealing with patients with pelvic pain.
Back pain is a leading cause of suffering, high medical costs, and loss of productivity in the workplace. Through a multidisciplinary approach, this book addresses the widespread problem of musculoskeletal injuries in general and lower back injury in particular. It presents the principles of ergonomics and bioengineering and their application to the prevention and rehabilitation of lower back injuries. Special attention is given to ergonomic methodologies such as human performance analysis and functional capacity assessment. Ways to structure workplaces and job tasks so as to minimize stresses to the back and improve productivity are presented. Case studies and population profiles are drawn from ergonomic research performed at the Comprehensive Pain and Rehabilitation Center at the University of Miami. The authors discuss the origins of low back pain, events that lead to injury, and the consequences to employers. Back pain is correlated with specific occupational factors. Nearly 150 illustrations further these discussions. Among the important preventive and therapeutic measures explored are:<br> * Bodymechanics education and muscle reeducation<br> * Workplace design and biomechanics<br> * Functional electrical stimulation, electromyography, and biofeedback<br> * Management of low back pain during rehabilitation and post-rehabilitation stages<br> Extensive epidemiological data show the devastating effects of low back pain on the economy, industry, and healthcare delivery. Also examined are the role of medical personnel in the evaluation and treatment of back pain and the contributions that can be made by an ergonomist who is part of a multidisciplinary healthcare delivery team. Ergonomics in Back Pain is intended for use by ergonomists, physicians, physical therapists, occupational therapists, vocational counselors, chiropractors, osteopaths, and rehabilitation medicine specialists, as well as by engineers, workplace designers, and people working on the implementation of the Americans with Disabilities Act.
Patients with chronic pain present a unique set of challenges to the primary care clinician. In Chronic Pain: A Primary Care Guide to Practical Management, Second Edition, leading pain specialist Dawn A. Marcus, MD, again offers practical, clear, and succinct evidence-based approaches to the diagnosis and treatment of the myriad painful conditions clinicians see in their offices every day, such as headache, back pain, arthritis, fibromyalgia, and abdominal pain. Sections addressing pain management in children, pregnant women, and seniors are also included. This new edition is designed to provide a pragmatic approach to assessing and treating the complex issues and characteristics of chronic pain patients. New chapters expand upon the evidence-based recommendations and practical office tools previously provided, with the addition of new chapters addressing risk management; pain syndromes in the shoulder, upper extremity, and lower extremity; and cancer and end-of-life pain. Of special value, the charting forms and patient educational materials on CD-ROM have been expanded to include ready-to-use screening tools for depression and anxiety, neuropathic pain tools, and fibromyalgia assessment tools. Chronic Pain: A Primary Care Guide to Practical Management, Second Edition provides strategies and techniques that are designed to improve the confidence with which the primary care physician can approach patients with complex pain complaints, reduce staff stress, and improve patient success.
Soon we were laughing and crying at the same time. That's how it is sometimes. The laughter can be as healing as tears.'
Awarded the Juame Vicens Vives Prize by the Spanish Association of Economic History, this study analyses the development of the Spanish domestic market from 1650-1800, which transformed the country from a pseudocolonial territory, politically and economically dependent on its European neighbours, to a significant European power.
The Emergence of a National Market in Spain, 1650-1800 places Spain firmly in a European context, arguing that the origins of a sophisticated economy must be understood through the complex diplomacy of the period, namely the competition between Britain and France for dominance in the Iberian peninsula. It was in response to this rivalry that the Spanish state actively promoted the conditions for economic development in the 18th century, aided by autonomous commercial networks of Catalan merchants, Navarrese tradesmen and migrant French businessmen.
This original interpretation by one of Spain's leading economic historians, available in English for the first time, is indispensable reading for students and scholars of Spanish history.
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