Littérature scientifique sur le sujet « Pain and suffering »

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Articles de revues sur le sujet "Pain and suffering"

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Spillane, William F., et James C. Eisenach. « Pain and Suffering. » Anesthesiology 91, no 6 (1 décembre 1999) : 1971. http://dx.doi.org/10.1097/00000542-199912000-00066.

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Siler, Shaunna, Tami Borneman et Betty Ferrell. « Pain and Suffering ». Seminars in Oncology Nursing 35, no 3 (juin 2019) : 310–14. http://dx.doi.org/10.1016/j.soncn.2019.04.013.

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Loeser, John D. « Pain and Suffering ». Clinical Journal of Pain 16, Supplement (juin 2000) : S2—S6. http://dx.doi.org/10.1097/00002508-200006001-00002.

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Manfredi, P. L. « Pain and Suffering ». Archives of Neurology 57, no 3 (1 mars 2000) : 421. http://dx.doi.org/10.1001/archneur.57.3.421.

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Turk, Dennis C., et Hilary D. Wilson. « Pain, Suffering, Pain-related Suffering—Are These Constructs Inextricably Linked ? » Clinical Journal of Pain 25, no 5 (juin 2009) : 353–55. http://dx.doi.org/10.1097/ajp.0b013e31819c62e7.

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Lipman, Arthur G. « NARRATIVE, PAIN, AND SUFFERING ». Journal of Pain & ; Palliative Care Pharmacotherapy 25, no 1 (15 mars 2011) : 78. http://dx.doi.org/10.3109/15360288.2010.546497.

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Noble, T. W. « Narrative, Pain and Suffering ». British Journal of Anaesthesia 96, no 2 (février 2006) : 274. http://dx.doi.org/10.1093/bja/aei633.

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Larsson, Jan-Olov. « Narrative, pain and suffering ». Acta Paediatrica 95, no 5 (2 janvier 2007) : 638–39. http://dx.doi.org/10.1111/j.1651-2227.2006.tb02308.x.

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Wilson, Peter R. « Narrative, Pain, and Suffering ». Pain Medicine 7, no 3 (mai 2006) : 276–81. http://dx.doi.org/10.1111/j.1526-4637.2006.00161.x.

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Eisendrath, Stuart J. « Pain, avoidance, and suffering ». Pain 153, no 6 (juin 2012) : 1134–35. http://dx.doi.org/10.1016/j.pain.2012.01.031.

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Thèses sur le sujet "Pain and suffering"

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Rodness, Roshaya. « Embodying suffering : the autobiographical pain narrative ». Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=104760.

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This study offers an analysis of the representation of chronic and episodic pain in narrative life-writing. I have surveyed six contemporary memoirs that are each concerned with the author's chronic pain experience. In the field of pain studies – both in the humanities and medical sciences – the adequacy of language to represent pain is a vexed issue. Many assert that pain is difficult to represent in language because, in part, we fail to experience it as a meaningful event. Narrative is the most common mode of communication with which we express events that happened in the past; it thus offers writers ways to represent their pain in the same respect, with the same effects, as other less problematic past happenings. In pain studies there is rarely a distinction made between the varying representability of acute pain (temporary) and chronic or episodic pain (long term), when in fact each form affects a life in radically different ways. Chronic or episodic pain implies a temporal element and will become a fixture in an individual's long-term experiences. As a mode that encodes change over time in space, narrative is ideal for the representation of both chronic and episodic pain. In this study I have isolated three types of autobiographical pain narratives that exhibit different ways chronic pain is represented. Chapter one describes the "triangulation of pain," in which narrators talk about their own pain obliquely by referring to the pain of others. Chapter two looks at the "translation of pain," in which narrators try to describe their pain as directly as possible. Chapter three observes the journey or quest pattern found in pain narratives that tend to focus on the pursuit of cures. Although pain can be difficult to articulate, there are a diversity of narrative methods that give it self-determined meaning that works to supersede the limitations we face when trying to come to terms with such an inexorable and interior phenomenon.
Cette étude présente une analyse de la représentation de la douleur chronique et épisodique dans les récits de vie en mode narratif. J'ai compulsé six ouvrages contemporains de mémoires, chacun s'intéressant à l'expérience de douleur chronique de l'auteur. Dans le domaine de l'étude de la douleur – en sciences humaines et médicales –, la capacité de la langue à représenter la douleur est un enjeu controversé. Plusieurs affirment que la douleur est difficile à transmettre par le langage parce que, d'une part, nous échouons à en faire l'expérience en tant qu'événement significatif. La narration est le mode de communication le plus courant par lequel nous exprimons des événements qui se sont produits dans le passé; elle offre par conséquent aux écrivains des moyens de représenter leur douleur de la même manière et avec les mêmes effets que lorsqu'ils relatent des événements passés moins problématiques. Les études sur la douleur font rarement une distinction entre la représentabilité variable de la douleur aiguë (temporaire) et celle de la douleur chronique et épisodique (à long terme), alors que, dans les faits, chaque forme influence la vie de manières radicalement différentes. La douleur chronique ou épisodique est accompagnée d'un élément temporel et deviendra un repère parmi les expériences à long terme d'une personne. En tant que mode qui marque l'évolution dans le temps et l'espace, la narration est idéale pour représenter la douleur chronique et épisodique. Pour réaliser cette étude, j'ai isolé trois types de récits narratifs autobiographiques traitant de la douleur, ces récits présentant différentes façons utilisées pour exprimer la douleur. Le Chapitre I décrit la « triangulation de la douleur » grâce à laquelle les narrateurs parlent indirectement de leur propre douleur en faisant référence à celle de tiers. Le Chapitre II examine la « traduction de la douleur » grâce à laquelle les narrateurs décrivent leur douleur le plus directement possible. Le Chapitre III observe le cheminement ou le modèle de quête découverts dans des récits sur la douleur qui tendent à se concentrer sur la recherche de traitements. Même s'il peut être difficile d'exprimer la douleur, il existe une diversité de méthodes narratives qui lui donnent une signification autodéterminée qui contribue à faire tomber les limites auxquelles nous sommes confrontés quand nous essayons d'assumer un phénomène aussi inexorable et intérieur.
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Hopkins, Alexandra Elizabeth. « Suffering needless pain : a Delphi study of pain management for nurse education ». Thesis, University of Wolverhampton, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.394005.

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Braband, Barbara J. Hawkins Peggy L. Clark Connie L. Morin Patricia J. « The suffering journey lived experiences of persons who have endured life-impacting suffering events / ». Click here for access, 2009. http://www.csm.edu/Academics/Library/Institutional_Repository.

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Thesis (Ed. D)--College of Saint Mary -- Omaha 2009.
A dissertation submitted by Barbara J. Braband to College of Saint Mary in partial fulfillment of the requirement for the degree of Doctor in Education with an emphasis on Health Professions Education. This dissertation has been accepted for the faculty of College of Saint Mary by: Peggy L. Hawkins, PhD, RN, B.C., CNE, chair ; Connie L. Clark, PhD, RN, committee member ; Pat Morin, PhD, RN, committee member. Includes bibliographical references.
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Gregory, David Michael. « Narratives of suffering in the cancer experience ». Diss., The University of Arizona, 1994. http://hdl.handle.net/10150/186965.

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Suffering is a fundamental experience of the human condition. Whereas the arts and humanities have struggled to make sense of this condition, no concerted effort has taken place in nursing. Suffering is painfully absent within the cancer nursing research literature, a place where suffering should be conspicuous. The purpose of this study was to explore suffering inherent in the cancer experience. The concurrent use of Travelbee's Human-To-Human Relationship Model and narrative theory provided the conceptual underpinning for this prospective ethnography. Narratives of suffering were explored among seven patients diagnosed with cancer (breast, n = 4; brain; malignant melanoma; and ovarian cancer). Five women and two men were interviewed weekly (N = 89 interviews) for a period of up to five months. Participant observation supplemented the interview data. Seven richly textured narratives revealed the suffering endured in the living-of-cancer. The narratives also detailed the informant as person, the cancer trajectory, and explanatory models of cancer causation. A second level analysis of the narratives provided an intra-group comparison of suffering. "Cascade of losses" was the overarching theme. The undermining of personhood, and a loss of faith and trust in the medical system characterized this cascade of losses. Losses were further encountered: the dismissal of symptoms presented to physicians, the failure of treatment as cure, the death of other cancer patients, and the false reassurance that "cancer can be beaten". The remaining themes were "cancer as torture" and "the work of suffering--the beauty of cancer". The findings of this study suggest that nurses may not be capable of alleviating patient suffering. Patients' lives intersect at the suffering experience; their suffering is shaped by the past, present, and future. Nurses may influence these intersections of suffering to some extent, however, it is the individual who ultimately determines the living and outcome (if any) of their suffering. In the lives of the informants, it was the love of spouses and children, faith and trust in God, and satisfaction with life's accomplishments which permitted the endurance of suffering. Competent, comfort-care provided by compassionate nurses is needed by patients who suffer with cancer.
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Busby, Cathy J. « Tragedies, transgressions, and transformations : memory, suffering, pain, and recovery culture ». Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ47695.pdf.

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Dial, Howard E. « The role of suffering in the life of the Christian ». Theological Research Exchange Network (TREN), 1992. http://www.tren.com.

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Reesor, Kenneth Alan. « Medically incongruent back pain presentation : an indication of physical restriction, suffering, and ineffective coping with pain ». Thesis, University of British Columbia, 1986. http://hdl.handle.net/2429/27189.

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Chronic low back pain (CLBP) patients who display or report pain that is deemed incongruent and anatomically non-conforming relative to known organic impairment and expected symptomatology have been found to have a poorer outcome to medical treatment and rehabilitation, and to use health care resources excessively. The present investigation sought to contrast CLBP patients who displayed either multiple non-organic physical signs, multiple inappropriate symptoms, and/or anatomically incongruent pain drawings with a control CLBP patient sample in which these criteria were absent. A total of 80 CLBP patients, 40 with 'medically incongruent' pain and 40 'control' pain patients, completed as part of their assessment at a back pain clinic, a psychometric battery, a physical examination, a videotaped sequence of motor movements and positions, and an assessment with an experimental pressure pain induction task. Videotaped pain behavior observations and transcribed reports of cognitions during the pain induction were coded independently of pain group status. Dependent measures and other patient variables were subjected to 2 X 2 (pain group by sex) MANOVAs and appropriate univariate analyses. While there were no interaction effects in these analyses, and only minimal effects for sex, there were a number of significant effects for pain group. No differences emerged between pain groups on demographic, pain history, financial disincentives, or medication consumption, but self report and physical examination measures of physical limitation were higher in the incongruent pain group. The incongruent pain group also received higher scores on measures of pain intensity and depression, received higher global judgment ratings of pain, displayed more ambulatory/postural pain behavior, and reported more dysfunctional cognitions during pain experiences than the control group. When physical impairment/limitation was introduced as a covariate in MANCOVAs on the dependent variables, incongruent pain patients emerged as significantly different from control pain patients on the cognitive variables, but behavioral and self-report differences failed to emerge as significant. A discriminant analysis revealed that sense of control during the experimental task was the most important discriminator between the groups. These results highlight the role of cognition in CLBP patients who present with medically incongruent pain signs and support the idea that physically based interventions may fail with these patients because dysfunctional cognitive mediation of pain may not be altered. These results also suggest that these patients may be better conceptualized as being ineffective and overwhelmed in their attempts to cope with their chronic pain condition.
Arts, Faculty of
Psychology, Department of
Graduate
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Biro, David Eric. « The rhetoric of pain : literary and theoretical representations of bodily suffering ». Thesis, University of Oxford, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357322.

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Seruyange, Henry. « The psychological impact of pain on adolescents suffering from HIV/AIDS ». Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/11373.

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Includes bibliographical references (leaves 69-74).
The study combined both qualitative and quantitative methods and it involved eight HIV/AIDS adolescents who knew their HIV status. The adolescents were purposively sampled from a total of 87 adolescents who complained of pain during the period of four weeks. Eight subjects out of the 87 adolescents met the selection criteria and were therefore eligible for the study.
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Toru, Asakawa. « Kitamori Kazō : theologian of the pain of god ». Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84463.

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This study introduces Kitamori's concept of "the Pain of God" and provides an occasion to dialogue between a pioneering Japanese theologian and theologians interested in the theologia crucis. By "the Pain of God," Kitamori attempted to reorient the Christian account of God to the cross of Jesus Christ. As this expression had in the beginning a personal character but later became theological and critical, this study also follows the same line of development.
Part I explains how the notion of "the Pain of God" was formulated in Kitamori's personal life. His search for the certainty of faith culminated in a mystical encounter with the crucified Christ. Kitamori was convinced that through the crucified Christ God embraced him who, being "outside" of God, was therefore an enemy of God. This contradictory embrace was experienced by Kitamori as "the Pain of God." Part I explores the ways in which Kitamori tried to incorporate this insight into his own itinerary of faith and into his early theological education.
Part II shows how Kitamori elaborated a soteriological model based on the "pain of God" through critical engagement with Reformed thinkers, such as Calvin, Schleiermacher, and Barth. It traces his attempt to give the concept of the pain of God an axiomatical place in the doctrines of creation, justification and sanctification, and to explain the inner relation between the immediate love of the creator, the mediate love of Christ and the victorious love of the Spirit.
Part III turns to Kitamori's engagement with church and culture in Japan. Kitamori was convinced that all nations are invited to take part in the history of deepening and actualizing the message of the Gospel in and through their own culture. Regional contributions and limits must be taken in account according to an adequate criterion. This criterion is, according to Kitamori, the pain of God. His critique of the Non-church movement, and his analysis of leading Japanese novelists, provide two windows into his approach.
Part IV offers some critical evaluation. After examination of both the favorable and unfavorable receptions of Kitamori's theology, it asks to what extent Kitamori was influenced by Buddhism, by Nishida's philosophy and by Hegel. It also places Kitamori's ideas over against some contemporary thinkers on divine impassibility. Then it concludes with a brief recapitulation of his theological contribution.
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Livres sur le sujet "Pain and suffering"

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Livingston, W. K. Pain and suffering. Sous la direction de Fields Howard L. Seattle : IASP Press, 1998.

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Growing through pain & suffering. Mystic, Conn : Twenty-Third Publications, 1995.

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Narrative, pain, and suffering. Baltimore, Md : The Johns Hopkins University Press, 2005.

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Williams, Ian G. Prayer in pain. Bramcote, Notts : Grove Books, 1985.

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Chronic pain, loss, and suffering. Toronto : University of Toronto Press, 2004.

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Holy power, human pain. Bloomington, IN : Meyer-Stone Books, 1988.

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Understanding pain : Interpretation & philosophy. Malabar, Fla : R.E. Krieger Pub. Co., 1989.

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Tournier, Paul. Creative suffering. London : SCM, 1985.

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Rivard, Marie-Josée. Pain : From suffering to feeling good. Toronto : Dundurn, 2015.

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Betty, Ferrell, dir. Suffering. Sudbury, Mass : Jones and Bartlett Publishers, 1996.

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Chapitres de livres sur le sujet "Pain and suffering"

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Southgate, Christopher. « Pain (Suffering) ». Dans Encyclopedia of Sciences and Religions, 1585–87. Dordrecht : Springer Netherlands, 2013. http://dx.doi.org/10.1007/978-1-4020-8265-8_1368.

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Jacobs, Marilyn S. « Pain and Suffering ». Dans Deer's Treatment of Pain, 109–12. Cham : Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-12281-2_12.

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Scheib, Karen D. « Suffering and Sacred Pain ». Dans Encyclopedia of Psychology and Religion, 2297–301. Cham : Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-24348-7_9291.

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Scheib, Karen D. « Suffering and Sacred Pain ». Dans Encyclopedia of Psychology and Religion, 1743–46. Boston, MA : Springer US, 2014. http://dx.doi.org/10.1007/978-1-4614-6086-2_9291.

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Aikins, Deane E., et Julie Wargo Aikins. « Pain, misery, and suffering ». Dans Working with Attachment Trauma, 82–94. New York : Routledge, 2023. http://dx.doi.org/10.4324/9781003215431-9.

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Levinson, N. Peter. « Pain and Suffering : Views of Jewish Theology ». Dans Pain, 129–31. Vienna : Springer Vienna, 1987. http://dx.doi.org/10.1007/978-3-7091-6975-9_23.

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Schoffeniels, Ernest. « Pain Understanding and Suffering Considered by an Agnostic ». Dans Pain, 154–56. Vienna : Springer Vienna, 1987. http://dx.doi.org/10.1007/978-3-7091-6975-9_28.

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Greene, Gordon M. « Zen, Pain, Suffering, and Death ». Dans Handbook of Zen, Mindfulness, and Behavioral Health, 289–302. Cham : Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-54595-0_22.

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Anderson, Ronald E. « Conceptualizing Human Pain and Suffering ». Dans SpringerBriefs in Well-Being and Quality of Life Research, 1–16. Dordrecht : Springer Netherlands, 2013. http://dx.doi.org/10.1007/978-94-007-7669-2_1.

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Casalone, Carlo. « Pain, Suffering, and Palliative Sedation ». Dans Finding Dignity at the End of Life, 83–90. New York, NY : Routledge, 2020. : Routledge, 2020. http://dx.doi.org/10.4324/9780429280252-10.

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Actes de conférences sur le sujet "Pain and suffering"

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Adaikkammai, S., Manan Singhal, Evangeline Smita, Suhas Sreenivas et M. Abhishek Appaji. « Virtual Reality in Rehabilitating Amputees Suffering from Phantom Limb Pain ». Dans 2019 11th International Conference on Communication Systems & Networks (COMSNETS). IEEE, 2019. http://dx.doi.org/10.1109/comsnets.2019.8711374.

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Karabatic, Sandra, Sanja Pleština, Tanja Zovko et Andreja Šajnic. « Assessment of pain and nutritional status in patients suffering from lung cancer ». Dans ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa1626.

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Riyanti, Eska, et Pudjiati. « Rheumatic Calisthenics To Improve Functional Status Of Elderly Suffering From Joint Pain ». Dans Proceedings of the 5th International Conference on Health Sciences (ICHS 2018). Paris, France : Atlantis Press, 2019. http://dx.doi.org/10.2991/ichs-18.2019.14.

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Breuer, Johannes, Jan Willmann et Andreas Mühlenberend. « Interactive graphics for multidimensional pain assessment – a human-centered design and evaluation study with patients suffering from chronic pain ». Dans Human Interaction and Emerging Technologies (IHIET-AI 2022) Artificial Intelligence and Future Applications. AHFE International, 2022. http://dx.doi.org/10.54941/ahfe100898.

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In clinical contexts, pain is normally assessed by self-report using numeric rating scales and questionnaires. This practice reduces the possibility of expressing individual pain experience to a few numeric options. Developed by the research groups of Mühlenberend and Willmann at Bauhaus-Universität Weimar and the Team of the Clinic for Interdisciplinary Multimodal Pain Therapy at the University Hospital in Jena, the approach presented here, fosters an alternative form of qualitative pain documentation using interactive and parametric graphics. These allow to express the pain individually through fluidly adjustable visualizations. In this study, a set of prototypical graphics was used to characterize and validate input combinations, input forms, number of parameters and, ultimately, general visualization strategies. The results indicate that the approach is promising and beneficial in the context of pain therapy, and it could be potentially transferred to mobile and other “smart” applications.
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Rizzo, Skip. « Session details : Fighting Pain and Suffering with Clinical Virtual Reality and Virtual Humans ». Dans VRIC '15 : Virtual Reality International Conference - Laval Virtual 2015. New York, NY, USA : ACM, 2015. http://dx.doi.org/10.1145/3254058.

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Gladović, Neven, Luka Leško et Martina Fudurić. « Effectiveness of manual yumeiho therapy and exercise on depression and neuropathic pain in patients suffering from chronic nonspecific low back pain ». Dans 12th International Conference on Kinanthropology. Brno : Masaryk University Press, 2020. http://dx.doi.org/10.5817/cz.muni.p210-9631-2020-27.

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Introduction: Chronic low back pain is the leading cause of disability, which reduces quality of life and increases the healthcare costs. Psychosocial factors (depression, kinesiophobia and somatization) may also have an important role in the appearance and duration of chronic nonspecific low back pain. Depression may predispose low back pain, while the chronicity of pain affects the degree of disability, which is also related to mental health. Many studies suggest the association between depression and low back pain by explaining a significant physiological link. Different types of manual therapy are used in the treatment of chronic low back pain, but recent studies suggest that a rehabilitation models which combine manual therapy and exercise, provide better results compared to individual (separate) applications. The aim of this research was to examine the effects of the rehabilitation program, which in-cludes manual yumeiho therapy and exercise, on depression in people suffering from chronic nonspecific low back pain. Methods: The study included 21 participants, aged 40 to 60 (M=51.1, SD=5.9) who suffer from chronic nonspecific low back pain. The study included the initial and final depression test and the initial and final neuropathic pain test. Between the initial and the final testing, a three-week therapeutic procedure of yumeiho manual therapy and exercise was performed (15 treatments). Repeated estimates of depression and neuropathic pain were tested 30 and 60 days after the implementation of the rehabilitation protocol. Results: Statistically significant improvements were noted between the initial and the final test in both observed variables. Significant improvements (lower depression and neuropathic pain) have also been noted 30 and 60 days after the implementation of the rehabilitation pro-tocol (in relation to the initial state). Conclusion: The findings indicate that the rehabilitation protocol, involving manual yumeiho therapy and exercise, is an effective method for treating depression and neuropathic pain in people suffering from chronic nonspecific low back pain. Considering the lack of research on the effects of manual therapy by yumeiho technique, the results contribute to a better under-standing of technique which, although used in practice, has not been suficiently explored. Further research is required, on comparing this rehabilitation model to other methods, as well as longer follow-up in the post-rehabilitation period.
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Spyridonis, Fotios, et Gheorghita Ghinea. « A pilot study to examine the relationship of 3D pain drawings with objective measures in mobility impaired people suffering from low back-pain ». Dans 2010 32nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC 2010). IEEE, 2010. http://dx.doi.org/10.1109/iembs.2010.5627668.

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Nogueira, Eduardo Almeida Guimarães, Flávia Rodrigues de Oliveira, Vitor Martinez de Carvalho, Carina Tellaroli et Yara Dadalti Fragoso. « The catastrophization of pain is related to the patient and not to the migraine ». Dans XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.318.

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Background: Catastrophization is a psychological aspect of pain that alters its perception and expression. Objective: Assess catastrophization in migraine. Design and setting: Cross-sectional observational study conducted by online survey, 2020. Method: Online survey of individuals suffering from migraine attacks at least twice a month, for at least one year. Confidentiality was assured. The participant gave details of his/her headache (including via a visual analogue pain scale) and answered the Hospital Anxiety and Depression Scale and the Catastrophization Scale questionnaires. Results: The survey identified 242 individuals with migraine attacks at least twice a month. The median scores observed in this group of individuals were 7 for pain, 11 for anxiety, 7 for depression and 2 for catastrophization. Catastrophization had no correlation with the duration or intensity of migraine pain. There was no correlation between catastrophization and headache frequency or the monthly amount of headache medication taken. High scores for catastrophization were identified in one third of the participants. High scores were not associated with age, headache duration, pain severity, frequency of attacks or traits of depression or anxiety. There was a moderate association between both depression and anxiety traits with catastrophization. Conclusion: Catastrophization seems to be a trait of the individual and appears to be unrelated to the characteristics of the migraine.
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Gulba, D., et P. Lichtlen. « FOUR CASES WITH STABILIZATION OF UNSTABLE ANGINA PECTORIS BY THROMBOLYTIC THERAPY ». Dans XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1643007.

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Acute myocardial infarctions in the vast majority of cases are caused by coronary artery thrombosis at the site of complicated arteriosclerotic plaques. By several trials evidence has been given, that myocard can be preserved, when thrombolytic therapy is started within a short period after thrombotic coronary occlusion. Recently, angioscopic evidence has been given, that the unstable angina pectoris syndrome frequently is assciated with coronary artery thrombosis, too. Thus, thrombolytic therapy should be of comparable benefit for patients suffering from unstable angina pectoris syndrome. Up to now, we have treated four patients suffering from unstable angina pectoris syndrome (two with documented spontaneous reversible ST-segment elevations, two with newly complained recurrent nocturnal episodes of severe angina) with thrombolytic therapy (Pat. 1: 1.5 Mio IE Streptokinase; Pat. 2: 100 mg rt-PA; Pat. 3: 150 mg rt-PA; Pat. 4: 60 mg scu-PA plus 200 000 IE UK). After thrombolytic therapy, all four patients were free of symptoms for at least 60 h. Pat. 3 had recurrance of chest pain with spontaneous reversible ST-segment elevations on the third day after therapy. Pat. 1, 2, and 4 were without clinical symptoms until angiography and secondary intervention (angioplasty (PTCA) /bypass operation (CABG)). Cardiac catheterization was performed within one week after thrombolytic therapy. In all four patients, ischemia related coronary artery was patent at angiography. We conclude, that in unstable angina pectoris syndromes with newly developed nocturnal symptoms and/or spontaneous reversible ST-segment elevations in the ECG can be stabilized by thrombolytic therapy. After thrombolysis, however, recurrance of chest pain may be soon, and PTCA or CABG should be performed as soon as possible.
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Wang, Yibo, Jiao Xue (), Ze Chen, Xinyu Zhao, Xiao Hu et Shikang Wen. « Design of Smart Portable Sunshade for Light and Heat Comfort Improvement ». Dans Intelligent Human Systems Integration (IHSI 2022) Integrating People and Intelligent Systems. AHFE International, 2022. http://dx.doi.org/10.54941/ahfe100967.

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With the development of architectural technology, the wide use of floor-to-ceiling windows emerged. The ensuing problem is that more and more students and office workers are suffering from direct sunlight while working at specific areas. Based on the pain points of the working process, this study designs a portable product for improving light and heat comfort through field research and environment simulation. It provides a new personalized design for blocking direct sunlight from working area by using the form of a portable and liftable sunshade curtain, which allows the users to control the height and angle of sunshade curtain through mobile phone application. It can also adjust itself according to environment parameters collected by sensors to block sunlight for certain areas. The study aims to provide solutions to indoor thermal comfort and suggestions for future indoor householding design.
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Rapports d'organisations sur le sujet "Pain and suffering"

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Wen, Bei, Li Xu et Yuguang Huang. Which minimally invasive therapy is most effective for the treatment of postherpetic neuralgia ? An update meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, octobre 2022. http://dx.doi.org/10.37766/inplasy2022.10.0114.

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Review question / Objective: Which minimally invasive therapy is the best choice to alleviate pain for patients suffering from postherpetic neuralgia? Eligibility criteria: The eligibility criteria are interpreted under the PICOS (P, participants; I, interventions; C, comparison; O, outcomes; S, study design) framework. (1) P: ParticipantsInclusion criteria: Patients suffering from postherpetic neuralgia (the pain lasting more than 3 months after the onset of herpes zoster rash eruption or more than 1 month after the vesicles have healed).Exclusion criteria: 1. Patients who had other neuropathic pain; 2. Patients with acute or subacute zoster-related pain.(2) I: Interventions Inclusion criteria: Interventional treatments applied to PHN patients, as follows: 1) nerve block (including epidural block, intrathecal block, dorsal root ganglion block, intercostal nerve block, paravertebral block, erector spinae plane block);2) subcutaneous injection (including subcutaneous injection of normal saline, local anesthetics, corticosteroids, MeB12 as well as local infiltration);3) stellate ganglion block;4) subcutaneous botulinum toxin type A injection;5) pulsed radiofrequency with or without.
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Markov, Smilen. COVID-19 and Orthodoxy : Uncertainty, Vulnerability, and the Hermeneutics of Divine Economy. Analogia 17 (2023), mars 2023. http://dx.doi.org/10.55405/17-4-markov.

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COVID-19 was a great challenge for Orthodox Christians worldwide. As all natural disasters in modernity, the pandemic was explained and combatted on the basis of science. There could be no doubt that death, pain, suffering, despair, imprisonment (the quarantine can indeed be experienced as an imprisonment) are opportunities for the Church to bear witness to Christ. To be ashamed of one’s vulnerability and to neglect the communal aspect of suffering means to render oneself less capable of bearing witness. Hence, it is important to find the conceptual ground for calibrating the truthful reaction to the pandemic in terms of the Christian ethos. To achieve this, we need the proper interpretative lens through which to examine the disaster of the pandemic.
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Götz, Konrad, Ueli Haefeli et Daniel Meierhans. Thematic synthesis “Hydropower and Market” of the NRP “Energy”. Swiss National Science Foundation (SNSF), décembre 2019. http://dx.doi.org/10.46446/publication_nrp70_nrp71.2019.6.en.

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In future, hydropower plants will need to produce more electricity. Glacial melting is creating the conditions to establish new reservoirs while further potential is also offered by heightening dam walls. However, from an economic perspective, the sector as a whole is suffering. New economic approaches are therefore required and, at the same time, greater attention must be paid to ecological considerations.
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Solaun, Kepa, Chiquita Resomardono, Katharina Hess, Helena Antich, Gerard Alleng et Adrián Flores. State of the Climate Report : Suriname : Summary for Policy Makers. Inter-American Development Bank, juillet 2021. http://dx.doi.org/10.18235/0003415.

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Several factors contribute to Surinames particular vulnerability to the effects of climate change. It is dependent on fossil fuels, has forests liable to decay, fragile ecosystems, and its low-lying coastal area accounts for 87% of the population and most of the countrys economic activity. Many sectors are at risk of suffering losses and damage caused by gradual changes and extreme events related to climate change. For Suriname to develop sustainably, it should incorporate climate change and its effects into its decision-making process based on scientific- evidence. The State of the Climate Report analyzes Surinames historical climate (1990-2014) and provides climate projections for three time horizons (2020-2044, 2045-2069, 2070-2094) through two emissions scenarios (intermediate/ SSP2-4.5 and severe/ SSP5-8.5). The analysis focuses on changes in sea level, temperature, precipitation, relative humidity, and winds for the seven subnational locations of Paramaribo, Albina, Bigi Pan MUMA, Brokopondo, Kwamalasamutu, Tafelberg Natural Reserve, and Upper Tapanahony. The Report also analyzes climate risk for the countrys ten districts by examining the factors which increase their exposure and vulnerability on the four most important sectors affected by climate change: infrastructure, agriculture, water, and forestry, as well as examining the effects across the sectors. The State of the Climate provides essential inputs for Suriname to develop and update its climate change policies and targets. These policies and targets should serve as enablers for an adequate mainstreaming of climate change adaptation and resilience enhancement into day-to-day government operations.
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Solaun, Kepa, Gerard Alleng, Adrián Flores, Chiquita Resomardono, Katharina Hess et Helena Antich. State of the Climate Report : Suriname. Inter-American Development Bank, juillet 2021. http://dx.doi.org/10.18235/0003398.

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Suriname is highly vulnerable to the effects of climate change. Among the factors that exacerbate its vulnerability are its dependency on fossil fuels, the degradation of important ecosystems (e.g., mangroves), and the fact that 87% of the population, and most of the countrys economic activity is located within the low-lying coastal area. Many sectors are at risk of suffering losses and damage caused by gradual changes and extreme events related to climate change. For Suriname to develop sustainably, it should incorporate climate change and its effects into its decision-making process based on scientific- evidence. The State of the Climate Report analyzes Surinames historical climate (1990-2014) and provides climate projections for three time horizons (2020-2044, 2045-2069, 2070-2094) through two emissions scenarios (intermediate/ SSP2-4.5 and severe/ SSP5-8.5). The analysis focuses on changes in sea level, temperature, precipitation, relative humidity, and winds for the seven subnational locations of Paramaribo, Albina, Bigi Pan MUMA, Brokopondo, Kwamalasamutu, Tafelberg Natural Reserve, and Upper Tapanahony. The Report also analyzes climate risk for the countrys ten districts by examining the factors which increase their exposure and vulnerability on the four most important sectors affected by climate change: infrastructure, agriculture, water, and forestry, as well as examining the effects across the sectors. The State of the Climate Report provides essential inputs for Suriname to develop and update its climate change policies and targets. These policies and targets should enable an adequate mainstreaming of climate change adaptation and resilience enhancementinto day-to-day government operations. It is expected that the Report will catalyze similar efforts in the future to improve decision-making by providing science-based evidence.
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McPhedran, R., K. Patel, B. Toombs, P. Menon, M. Patel, J. Disson, K. Porter, A. John et A. Rayner. Food allergen communication in businesses feasibility trial. Food Standards Agency, mars 2021. http://dx.doi.org/10.46756/sci.fsa.tpf160.

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Background: Clear allergen communication in food business operators (FBOs) has been shown to have a positive impact on customers’ perceptions of businesses (Barnett et al., 2013). However, the precise size and nature of this effect is not known: there is a paucity of quantitative evidence in this area, particularly in the form of randomised controlled trials (RCTs). The Food Standards Agency (FSA), in collaboration with Kantar’s Behavioural Practice, conducted a feasibility trial to investigate whether a randomised cluster trial – involving the proactive communication of allergen information at the point of sale in FBOs – is feasible in the United Kingdom (UK). Objectives: The trial sought to establish: ease of recruitments of businesses into trials; customer response rates for in-store outcome surveys; fidelity of intervention delivery by FBO staff; sensitivity of outcome survey measures to change; and appropriateness of the chosen analytical approach. Method: Following a recruitment phase – in which one of fourteen multinational FBOs was successfully recruited – the execution of the feasibility trial involved a quasi-randomised matched-pairs clustered experiment. Each of the FBO’s ten participating branches underwent pair-wise matching, with similarity of branches judged according to four criteria: Food Hygiene Rating Scheme (FHRS) score, average weekly footfall, number of staff and customer satisfaction rating. The allocation ratio for this trial was 1:1: one branch in each pair was assigned to the treatment group by a representative from the FBO, while the other continued to operate in accordance with their standard operating procedure. As a business-based feasibility trial, customers at participating branches throughout the fieldwork period were automatically enrolled in the trial. The trial was single-blind: customers at treatment branches were not aware that they were receiving an intervention. All customers who visited participating branches throughout the fieldwork period were asked to complete a short in-store survey on a tablet affixed in branches. This survey contained four outcome measures which operationalised customers’: perceptions of food safety in the FBO; trust in the FBO; self-reported confidence to ask for allergen information in future visits; and overall satisfaction with their visit. Results: Fieldwork was conducted from the 3 – 20 March 2020, with cessation occurring prematurely due to the closure of outlets following the proliferation of COVID-19. n=177 participants took part in the trial across the ten branches; however, response rates (which ranged between 0.1 - 0.8%) were likely also adversely affected by COVID-19. Intervention fidelity was an issue in this study: while compliance with delivery of the intervention was relatively high in treatment branches (78.9%), erroneous delivery in control branches was also common (46.2%). Survey data were analysed using random-intercept multilevel linear regression models (due to the nesting of customers within branches). Despite the trial’s modest sample size, there was some evidence to suggest that the intervention had a positive effect for those suffering from allergies/intolerances for the ‘trust’ (β = 1.288, p<0.01) and ‘satisfaction’ (β = 0.945, p<0.01) outcome variables. Due to singularity within the fitted linear models, hierarchical Bayes models were used to corroborate the size of these interactions. Conclusions: The results of this trial suggest that a fully powered clustered RCT would likely be feasible in the UK. In this case, the primary challenge in the execution of the trial was the recruitment of FBOs: despite high levels of initial interest from four chains, only one took part. However, it is likely that the proliferation of COVID-19 adversely impacted chain participation – two other FBOs withdrew during branch eligibility assessment and selection, citing COVID-19 as a barrier. COVID-19 also likely lowered the on-site survey response rate: a significant negative Pearson correlation was observed between daily survey completions and COVID-19 cases in the UK, highlighting a likely relationship between the two. Limitations: The trial was quasi-random: selection of branches, pair matching and allocation to treatment/control groups were not systematically conducted. These processes were undertaken by a representative from the FBO’s Safety and Quality Assurance team (with oversight from Kantar representatives on pair matching), as a result of the chain’s internal operational restrictions.
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