tailieunhanh - Cancer Pain Management: A perspective from the British Pain Society, supported by the Association for Palliative Medicine and the Royal College of General Practitioners

The production of melanin (tanning) accounts for part of the protection against UV radiation, but there is mounting scientific evidence that faculta- tive tan is triggered by UV-induced DNA damage in the skin (Pedeux et al., 1998; Gilchrest & Eller 1999 for a review). Facultative tanning is now considered a better indicator of inducible DNA repair capacity than of efficient photoprotective skin reaction. Inducible DNA repair capacity rather than pigmentation itself could result in the lower incidence of skin cancer observed in darker-skinned individuals (Young et al., 1998; Agar & Young, 2005; Bohm et al., 2005). In subjects who tan easily, exposure to tanning appliances will first lead to the oxidation of. | The British Pain Society s Cancer Pain Management A perspective from the British Pain Society supported by the Association for Palliative Medicine and the Royal College of General Practitioners January 2010 To be reviewed January 2013 2 Published by The British Pain Society 3rd floor Churchill House 35 Red Lion Square London WC1R 4SG Website ISBN 978-0-9551546-7-6 The British Pain Society 2010 3 Contents Page Preface 5 Executive Summary 7 Chapter 1 Introduction 9 Chapter 2 Pathophysiology of cancer pain and opioid tolerance 15 Chapter 3 Cancer pain assessment 25 Chapter 4 Oncological management of cancer pain 31 Chapter 5 Modern pharmacological management of cancer pain 41 Chapter 6 Psychological aspects and approaches to pain management in cancer survivors 49 Chapter 7 Physical therapies for cancer pain 55 Chapter 8 Invasive procedures for cancer pain 63 Chapter 9 Complementary therapies for cancer pain 73 Chapter 10 Cancer pain management in the community 77 Chapter 11 Pain related to cancer treatments 85 Chapter 12 Management of acute pain in cancer patients 91 Chapter 13 Complex problems in cancer pain 95 Chapter 14 Cancer pain recommendations for service design and training 107 Membership of group and expert contributors .

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