AbstractBackgroundLittle is known about the epidemiology of pain in head and neck cancer, the effects of curative treatment on this pain, and the impact that pain experience may have on patients' quality of life (QL).MethodThe prevalence and severity of pain was studied in 93 patients who were first seen with a diagnosis of head and neck cancer, were treated, and remained disease free at two years. QL assessment utilised the life-satisfaction scale and the General Health Questionnaire as specific measures. Pain was assessed by a linear analogue scale anchored by words and numbers.ResultsForty-eight percent had head and neck pain when first seen, whereas only 25% and 26% had such pain at 12 and 24 months. Approximately 8% of patients rated the pain as severe when first seen, whereas 3% had severe pain at 12 months and 4% at 2 years. The prevalence of shoulder and arm pain increased from 14% at diagnosis to 37% at a year and 26% at 24 months, but the percentage of patients with severe pain at any stage postoperatively was only 5% and 2%, respectively. Any pain (pain in either in the head and neck or shoulder and arm or both) at 2 years was strongly predicted by earlier posttreatment pain (at 3 months or at 12 months.) Shoulder and arm pain at 2 years was strongly correlated with surgical treatment of the neck, although no difference in pain experience was noted between those who had radical neck dissections and those who had more conservative procedures. There was no correlation between radiotherapy to the neck and subsequent shoulder and arm pain. Pain had an adverse effect on the general well-being and psychological distress of head and neck cancer patients who were free of disease.ConclusionsPain is common among those presenting with curable head and neck cancer. Pain can be reduced by curative treatment but neck dissection may cause increased shoulder and arm pain. Ongoing pain is predictable and impacts adversely on patients QL. 1999 John Wiley & Sons, Inc. Head Neck 21: 531537, 1999.(*) This paper was presented (in a preliminary form) by Dr. John M. Chaplin at the 4th International Conference on Head and Neck Cancer in Toronto, Canada, July-August 1996Available at: http://onlinelibrary.wiley.com/doi/10.1002/(SICI)1097-0347(199909)21:6%3C531::AID-HED6%3E3.0.CO;2-M/abstractAccess in 08/12/16 Voce sabe o que e estenose?Estenose e o nome dado para o estreitamento do canal vertebral, um processo que ocorre com o envelhecimento e que pode causar muita dor. Entretanto, e possivel tratar a estenose e dar um chega pra la no incomodo, explica o medico ortopedista Delio Martins.Descubra como pelo artigo em Ufa! Chega de dor, no link abaixo.http://www.chegadedor.com/2015/05/05/o-que-fazer-quando-a-estenose-causa-dor/?utm_content=bufferc2297&utm_medium=social&utm_source=facebook.com&utm_campaign=buffer Formato : exeTamanho : 313.78 KBServidor : MediaFireDowload DiretoMINECRAFTDownload MediaFireMINECRAFT Slender s Woods e um jogo de horror acerca de um homem criatura mitica Magro e tem lugar na floresta. O desenvolvimento comecou um mes depois do jogo original Magro pelo agente Parsec saiu. Uma das principais razoes este jogo foi feito e mostrar uma atmosfera diferente e jogabilidade feito com o carater do homem Magro. O objetivo nao e recolher uma certa quantidade de objetos para ganhar, como nos tributos mais