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Pain in Women (Hardcover)
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Discovery Miles 31 090
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Pain in Women (Hardcover)
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Total price: R3,119
Discovery Miles: 31 190
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As recently detailed in an Institute of Medicine Report, pain
represents one of the most costly and prevalent public health
conditions in the United States, and the burden of pain is
substantially greater for women than men. Women make up half of the
world's population. Yet, the overall treatment of pain in women
remains challenging to this day. The differences between men and
women are anatomical, physiological and psychosocial in nature.
Consequently, several unique features come to mind when discussing
pain as experienced by women, such as pain related to pregnancy,
pain related specifically to female organs, and chronic painful
conditions which have a higher prevalence in the female population.
The purpose of this book is to address the current understanding of
mechanisms related to sex differences, and the clinical management
of common acute and chronic painful conditions in women, using
up-to-date evidence-based information. The painful conditions
discussed include those that are specific to female anatomy and
physiology and conditions that have a higher female prevalence. The
book is divided into three sections. The first section covers basic
science topics related to sex differences in pain. The epidemiology
of painful conditions with female prevalence; sex differences in
response to pain, and to analgesics; the role of sex hormones and
genotype in pain perception and analgesia; sex differences in
cerebral responses to pain revealed by brain imaging ; and the role
of psychosocial factors, including psychological interventions will
be discussed in this section. The second and third sections are
clinically directed. The second section focuses on pain specific to
female patients. Topics include the management of labor pain; the
management of painful conditions during pregnancy; and the
management of pain in the opioid tolerant pregnant patient. The
latter includes discussion on the impact of pain management on the
fetus in utero, and on the newborn who is breastfed. Chronic pain
specific to females, including dysmenorrhea, chronic pelvic pain
and vulvodynia will be discussed in this section. Cancer-related
pain issues in women will be addressed in the chapter on persistent
pain after breast cancer treatment and the chapter on
interventional management of pelvic cancer pain. The third section
covers painful conditions with high female prevalence. These
include fibromyalgia, chronic fatigue syndrome and neuropathic pain
in complex regional pain syndrome. Visceral pain with female
prevalence such as irritable bowel syndrome, chronic pelvic pain of
undetermined etiology will also be addressed in this section. This
section also includes chapters on the presentation of cardiac pain
in women; headaches including migraine; and temporomandibular joint
disorders and orofacial pain. The book is intended for a wide
readership, including physicians and allied healthcare
professionals who encounter female patients with acute or chronic
painful conditions. In addition, residents and medical students in
training as well as graduate students in health sciences will
benefit greatly from this book as they continue to learn about and
manage difficult and complex issues related to pain in female
patients.
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