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Related Concept Videos

Pain01:20

Pain

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Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
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Protein Complex Assembly02:41

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Proteins can form homomeric complexes with another unit of the same protein or heteromeric complexes with different types.  Most protein complexes self-assemble spontaneously via ordered pathways, while some proteins need assembly factors that guide their proper assembly. Despite the crowded intracellular environment, proteins usually interact with their correct partners and form functional complexes.
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Protein Complexes with Interchangeable Parts01:57

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Groups of proteins may form a complex where each protein in this complex has a different role in the overall execution of the complex’s function. Often some of the proteins in the complex can be replaced by a closely related variant to give a complex that contains many of the same components yet is functionally distinct.
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Complex Numbers01:29

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The real number system cannot represent the square root of a negative number, which restricts solutions for certain equations, such as quadratics with negative discriminants. To address this, the complex number system was developed, introducing the imaginary unit i, where i = √(-1). This extension allows for the representation of all roots, including those involving negative radicands.A complex number is written in the form x + yi, where x and y are real numbers. Here, x represents the...
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Formation of Complex Ions03:45

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A type of Lewis acid-base chemistry involves the formation of a complex ion (or a coordination complex) comprising a central atom, typically a transition metal cation, surrounded by ions or molecules called ligands. These ligands can be neutral molecules like H2O or NH3, or ions such as CN− or OH−. Often, the ligands act as Lewis bases, donating a pair of electrons to the central atom. These types of Lewis acid-base reactions are examples of a broad subdiscipline called coordination...
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Analgesia and Pain Management01:25

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Author Spotlight: Quantifying Pain Experience &#8211; An Illustrative Approach Using the Pain Body Diagram
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Complex Cancer Pain Assessment.

Regina M Fink1, Jeannine M Brant2

  • 1General Internal Medicine, University of Colorado Anschutz Medical Campus School of Medicine, College of Nursing, 12631 East 17th Avenue, B-180, Aurora, CO 80045, USA.

Hematology/Oncology Clinics of North America
|May 7, 2018
PubMed
Summary
This summary is machine-generated.

Effective cancer pain management begins with thorough pain assessment. Routine screening and comprehensive reassessment are crucial for addressing this distressing symptom, prioritizing patient self-report.

Keywords:
BarriersBreakthrough painCancer painPain assessmentPain behaviorsPain syndromes

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Area of Science:

  • Oncology
  • Pain Management
  • Clinical Practice

Background:

  • Cancer pain is a prevalent and distressing symptom impacting patient quality of life.
  • Inadequate pain assessment remains a significant barrier to effective cancer pain management.
  • Established evidence-based practice guidelines emphasize the importance of pain assessment.

Purpose of the Study:

  • To highlight the critical role of pain assessment in optimizing cancer pain management.
  • To underscore the necessity of routine screening and comprehensive reassessment for cancer-related pain.
  • To advocate for the adherence to established frameworks in pain assessment.

Main Methods:

  • Routine screening for pain at each patient encounter.
  • Comprehensive pain assessment and reassessment for new, worsening, or persistent pain.
  • Utilizing patient self-report as the gold standard, including for nonverbal or cognitively impaired individuals.
  • Application of the Hierarchy of Pain Assessment Framework.

Main Results:

  • Inadequate pain assessment is identified as a barrier to optimal pain management.
  • Routine screening and regular, documented reassessment are recommended for effective communication of pain.
  • Patient self-report is the primary method for pain assessment.

Conclusions:

  • Pain assessment is foundational for effective cancer pain management.
  • Systematic and consistent pain assessment practices are essential for improving patient outcomes.
  • Clinicians should integrate the Hierarchy of Pain Assessment Framework into their practice.