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A diplomatic mission is an organization like no other. Its members live and work away from home, and the line between their professional and personal lives is blurred to an extent most outsiders do not fully understand or appreciate. In the average workplace, a supervisor is not concerned with what employees do at home. That is not the case in a diplomatic mission. Its staff is a community, and excessive drinking, a nasty divorce, threats of violence or a suicide is not just one family’s problem. It affects the section in which that person works, and often the entire mission. The chief of mission has not only authority over almost everyone at post, but also responsibility for their security and well-being. So managing such a workplace is a unique and daunting task, made even more difficult by being in a foreign country.
Early modern Europe was the scene of near-constant streams of religious exiles. When Protestantism emerged and was condemned as a heresy, followers were forced to flee from Catholic society. As the tide turned, many Catholics found themselves having to take flight from religious intolerance. Jews and Muslims, too, were forced from their country of birth as legislation or growing public pressure made exile inevitable. This collection of essays looks at the shared experience of exile across different groups during the sixteenth and seventeenth centuries. Contributors argue that exile is a useful analytical tool in the study of a wide variety of peoples previously examined in isolation.
As interventionalists become more involved with patients as care providers rather than solely as proceduralists, understanding and treating pain is a vital part of daily practice. This book provides an overview of the multiple techniques used in the management of pain in interventional radiology suites. Topics include techniques for the treatment and prevention of pain caused by interventional procedures, as well as minimally invasive techniques used to treat patients with chronic pain symptoms. Approximately half of the book is dedicated to the diagnosis and treatment of spinal pain; other chapters focus on intraprocedural and post-procedural pain management, embolization and ablation techniques used to treat patients with uncontrollable pain, and alternative treatments for pain relief. This book is a practical resource for anyone looking to acquire skills in locoregional or systemic pain control and wishing to improve the quality of life for patients undergoing procedures or suffering from disease-related pain.
Everyone feels pain. Everyone feels physical pain, to one degree or another. Pain, or simply the thought of being in pain, often changes our actions as no other physical sensation can. While often a necessary physical response to keep us out of harm's way (touching the hot handle of a pot, for example), pain becomes its own entity when it is associated with an underlying disease process.
Why is pain associated with disease? From an evolutionary perspective, was pain necessary for some reason to let the individual know that something was amiss (even though nothing could be done about it)? Was disease-associated pain used for some other, perhaps subconscious, purpose? Perhaps understanding the “why” is not all that important in today's world; after all, the bottom line is that pain simply hurts! And disease-associated pain can hurt most of all. We as health care providers should be able to do something about it – shouldn't we?
From one perspective, medicine (traditional or “Western” medicine in particular) has done relatively little to abate pain. Most of the major advances in pain control over the past 150 years have been in the field of pharmacology; general anesthesia is the prime example of pain control. With the exception of medications, however, little progress has been made in managing disease-associated pain over the past few decades. More work – much more work – remains. Shouldn't minimaliy invasive techniques spearhead this effort?