An overview of treatment approaches for chronic pain management

Pain which persists after healing is expected to have taken place, or which exists in the absence of tissue damage, is termed chronic pain. By definition chronic pain cannot be treated and cured in the conventional biomedical sense; rather, the patient who is suffering from the pain must be given the tools with which their long-term pain can be managed to an acceptable level. This article will provide an overview of treatment approaches available for the management of persistent non-malignant pain. As well as attempting to provide relief from the physical aspects of pain through the judicious use of analgesics, interventions, stimulations, and irritations, it is important to pay equal attention to the psychosocial complaints which almost always accompany long-term pain. The pain clinic offers a biopsychosocial approach to treatment with the multidisciplinary pain management programme; encouraging patients to take control of their pain problem and lead a fulfilling life in spite of the pain. © 2016 Springer-Verlag Berlin Heidelber

Si la-Substitution of Alkyl Nitrates: Synthesis, Structural Characterization, and Sensitivity Studies of Highly Explosive (Nitratomethyl)-, Bis(nitratomethyl)-, and Tris(nitratomethyl)silanes and Their Corresponding Carbon Analogues

Evangelisti C, Klapoetke TM, Krumm B, et al. Si la-Substitution of Alkyl Nitrates: Synthesis, Structural Characterization, and Sensitivity Studies of Highly Explosive (Nitratomethyl)-, Bis(nitratomethyl)-, and Tris(nitratomethyl)silanes and Their Corresponding Carbon Analogues. INORGANIC CHEMISTRY. 2010;49(11):4865-4880.A series of analogous nitratomethyl compounds of carbon and silicon of the formula types Me3EICH2ONO2 (1a/1b), Me2EI(CH2ONO2)(2) (2a/2b), MeEI(CH2ONO2)(3) (3a/3b), (CH2)(4)EI(CH2ONO2)(2) (4a/4b), and (CH2)(5)EI(CH2ONO2)(2) (5a/5b) were synthesized [El = C (a), Si (b); (CH2)(4)EI = (sila)cyclopentane-1,1-diy1; (CH2)(5)EI = (sila)cyclohexane-1,1-diy1]. All compounds were characterized by using NMR, IR, and Raman spectroscopy and mass spectrometry. In addition, the crystal structures of Me2C(CH2ONO2)(2) (2a), (CH2)(4)C(CH2ONO2)(2) (4a), Me2Si(CH2ONO2)(2) (2b), and (CH2)(5)Si(CH2ONO2)(2) (5b) were determined by single-crystal X-ray diffraction. The gas-phase structures of the C/Si analogues la and lb were determined by electron diffraction and compared with the results of quantum chemical calculations at different levels of theory. The thermal stabilities of the C/Si pairs la/lb-5a/5b were investigated by using DSC. In addition, their friction and impact sensitivities were measured with standard BAM methods. The extreme sensitivities of the silicon compounds lb 5b compared to those of the corresponding carbon analogues 1a 5a were discussed in terms of the structures of the C/Si analogues and possible geminal Si center dot center dot center dot O interactions

A COMPARATIVE ANALYSIS OF MEDICINAL AND AROMATIC PLANTS USED IN THE TRADITIONAL MEDICINE OF IGDIR (TURKEY), NAKHCHIVAN (AZERBAIJAN), AND TABRIZ (IRAN)

WOS: 000429180900040A total of 341 naturally distributed taxa belonging to 65 families are used in the traditional medicine in Igdir (Turkey), Nakhchivan (Azerbaijan), and Tabriz (Iran). Local people in three different regions generally use herbal remedies for digestive, respiratory, urogenital systems, as well as dermal, neurological and psyschological diseases. On the basis of localities three highly prevelant usesin Igdir are colds (32 taxa), stomach disorders (28 taxa), and cough (24 taxa); in Nakhchivan rheumatism (24 taxa), gastrointestinal disorders (24 taxa), and anthelmintic (20 taxa), and in Tabriz diuretic (24 taxa), fever (22 taxa), and cough (20 taxa). Our findings reveal that in these three areas belonging to three neighbouring countries 4 taxa are widely distributed and used almost forthe same applications; Glycyrrhiza glabra (for digestive and respiratory systems), Malus sylvestris ssp. orientalis (for respiratory system), Rosa canina (for digestive and urinogenital systems), and Urtica dioica (for digestive system). The studied areas show several resemblances from cultural and other aspects

A comparative analysis of medicinal and aromatic plants used in the traditional medicine of Iğdir (Turkey), Nakhchivan (Azerbaijan), and Tabriz (Iran)

A total of 341 naturally distributed taxa belonging to 65 families are used in the traditional medicine in Iğdır (Turkey), Nakhchivan (Azerbaijan), and Tabriz (Iran). Local people in three different regions generally use herbal remedies for digestive, respiratory, urogenital systems, as well as dermal, neurological and psyschological diseases. On the basis of localities three highly prevelant usesin Iğdır are colds (32 taxa), stomach disorders (28 taxa), and cough (24 taxa); in Nakhchivan rheumatism (24 taxa), gastrointestinal disorders (24 taxa), and anthelmintic (20 taxa), and in Tabriz diuretic (24 taxa), fever (22 taxa), and cough (20 taxa). Our findings reveal that in these three areas belonging to three neighbouring countries 4 taxa are widely distributed and used almost forthe same applications; Glycyrrhiza glabra (for digestive and respiratory systems), Malus sylvestris ssp. orientalis (for respiratory system), Rosa canina (for digestive and urinogenital systems), and Urtica dioica (for digestive system). The studied areas show several resemblances from cultural and other aspects. © 2018, Pakistan Botanical Society. All Rights Reserved