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1

Jürgen, Fischer. Atlas of injection therapy in pain management. Thieme, 2012.

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2

Inter-American Court of Human Rights. Opinion consultiva OC-10/89 del 14 de julio de 1989: Interpretacion de la Declaración americana de los derechos y deberes del hombre en el marco del articulo 64 de la Convención americana sobre derechos humanos. Secretaria de la Corte, 1990.

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3

Rosenbaum, James T. Extra-articular manifestations: uveitis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198734444.003.0016.

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Acute anterior uveitis (AAU) is the most common, extra-articular, clinical manifestation of spondyloarthritis. In some patients, it is the dominant manifestation. This chapter reviews the definition of uveitis, the epidemiology of uveitis, the differential diagnosis, the relationship of HLA-B27 to uveitis, laboratory testing for suspected HLA-B27-associated uveitis, treatment considerations, and experimental models in which both uveitis and spondylitis co-exist. Although acute anterior uveitis rarely precedes spondyloarthritis, acute anterior uveitis is often the clue that chronic back pain is
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4

Vydyanathan, Amaresh, Karina Gritsenko, Samer N. Narouze, and Allan L. Brook. Cervical Intra-Articular Facet Injection: Computed Tomography. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0009.

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Intra-articular facet joint injections commonly refer to the injection of a contrast media and local anesthetic solution, with or without corticosteroids, directly into the facet joint space. The purpose of this procedure is pain relief as well as to establish an etiological diagnosis for surgical interventions such as joint denervation or radiofrequency ablation. Medial branch block, or facet nerve block, refers to injection of local anesthetic and possible corticosteroids along the medial branch nerve supplying the facet joints. Cervical intra-articular and facet nerve block injections are o
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5

Waldman, Steven D. Atlas of Pain Management Injection Techniques. 2nd ed. Saunders, 2007.

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6

Hashemi-Nejad, Aresh. Hip pain in the radiologically normal hip. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.007017.

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♦ Patients who present with hip pain can have multiple origins of pathology—this may be intra- or extra-articular in origin♦ In the majority, a definable diagnosis can be obtained through a detailed history, examination, and subsequent radiological evaluation♦ However, there remains a group of patients who have intractable hip pain without a definitive diagnosis despite extensive non-invasive radiological investigation.
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7

Malik, Ahmad K., and Aresh Hashemi-Nejad. Surgical options excluding total hip replacement for hip pain. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.007009.

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♦ Intra-articular steroid and local anaesthetic♦ Soft tissue releases♦ Synovectomy• Open• Arthroscopically♦ Acetabular osteotomy• Bernese periacetabular osteotomy• Triple• Dial• Chiari• Shelf♦ Femoral osteotomy• Varus• Valgus♦ Hip arthroscopy♦ Open surgical dislocation of the hip♦ Hip arthrodesis
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8

van Eerd, Maarten, Arno Lataster, and Maarten van Kleef. Cervical Facet Nerve Block and Radio Frequency Ablation: Fluoroscopy. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0007.

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In the cervical spinal column local anesthetic can be injected intra-articularly or adjacent to the ramus medialis (medial branch) of the ramus dorsalis of the segmental nerve. Nerve blocks of the ramus medialis are preferred to an intra-articular block, because it is sometimes technically difficult to position a needle into the facet joint. These procedures are typically performed under fluoroscopy, but there are increasing numbers of studies that describe these procedures with the help of ultrasound. Reports regarding the effects of intra-articular (steroid) injections are limited. There are
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9

Gibbons, John. The vital glutes: Connecting the gait cycle to pain and dysfunction. 2014.

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10

Narouze, Samer N. Atlanto-Axial Joint Injection: Ultrasound. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0011.

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The atlanto-axial joint accounts for up to 16% of patients with occipital headache. Distending the lateral atlanto-axial joint with contrast agent produces occipital pain, and injection of local anesthetic into the joint relieves the headache. The clinical presentation of atlanto-axial joint pain is not specific and therefore cannot be used alone to establish the diagnosis. The only means of establishing a definite diagnosis is a diagnostic block with intra-articular injection of local anesthetic. Intra-articular steroids are effective in short-term relief of pain originating from the lateral
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11

Gaston, Hill. Seronegative spondyloarthropathy. Edited by Patrick Davey and David Sprigings. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199568741.003.0268.

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Spondyloarthropathies consist of several rheumatic conditions, initially grouped together on the basis of shared clinical features, later reinforced by their strong association with HLA-B27. The distinctive features are axial involvement, including sacroiliac joints, and enthesitis—inflammation at ligament and tendon insertions—together with certain extra-articular manifestations. The presentation of a patient with combinations of inflammatory spinal pain, peripheral synovitis and/or enthesitis, and typical extra-articular manifestations, often with a family history, is characteristic.
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12

Souzdalnitski, Dmitri, Adam Kramer, and Maged Guirguis. Sacroiliac Joint Injections: Fluoroscopy. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0038.

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Sacroiliac joint (SIJ) injections are valuable tools for diagnosing the source of low back pain and selecting patients for a radiofrequency ablation procedure, which tends to provide long-term relief for low back pain associated with SIJ dysfunction. Sacroiliac joint injections are generally safe and well-tolerated procedures. The most common complication is initial pain from distension of the joint capsule with contrast and local anesthetic. Despite adequate intra-articular needle placement, extravasation of local anesthetic may diffuse to lumbosacral nerve roots and/or the sciatic nerve, cau
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13

Costandi, Shrif, Youssef Saweris, Michael Kot, and Nagy Mekhail. Thoracic Facet Nerve Block: Fluoroscopy. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0015.

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The benefit of intra-articular local anaesthetic and steroid injections for the diagnosis and treatment of facet joint pain is controversial. Thoracic facet medial branch blocks are mainly used to confirm the diagnosis of thoracic facet arthropathy. Anatomic variability is blamed for failed treatments. Conventionally, thermal radiofrequency (RF) has been used to denervate thoracic facet joints. Cooled radiofrequency ablation (c-RFA) of the thoracic medial branch is emerging as a novel promising technique that provides relatively larger lesions that could compensate for the anatomic variation o
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14

Herman, Mira, Amaresh Vydyanathan, and Allan L. Brook. Sacroiliac Joint Injections: Computed Tomography. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199908004.003.0039.

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Sacroiliac (SI) joint disease is a common cause of low back pain. It is not easily diagnosed by physical examination, as the joint has limited mobility and referral patterns are not sufficiently delineated from other pathological conditions implicated in low back pain. The accuracy of provocative testing of the sacroiliac joint is controversial. Many physicians use injection of the SI joint with local anesthetic and/or steroid as a diagnostic and therapeutic tool in treating SI joint–related pain. Historically, SI joint intra-articular injections have been performed without imaging guidance. I
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15

Wenham, Claire Y. J., and Philip G. Conaghan. Osteoarthritis—management. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199642489.003.0140.

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Osteoarthritis (OA) is a common condition which often causes pain and functional limitation, significantly impacting on a person's quality of life. A comprehensive assessment of the impact of OA should be performed before selecting therapies and treatment goals. Current recommended therapies include a combination of pharmacological and non-pharmacological therapies, which should be considered for all people with OA, regardless of anatomical site of involvement. Non-pharmacological treatments include education, muscle strengthening and aerobic exercises, weight loss if appropriate, splints and
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16

Como Vencer Los Dolores Articulares. La Grulla Editora, 2000.

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17

Wilson-MacDonald, James, and Andrew James. Complications of fractures. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.012002.

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♦ Fat embolism syndrome is defined as the presence of globules of fat in the lungs and in other tissues and occurs occasionally in long bone fractures♦ Reflex sympathetic dystrophy is characterized by intense prolonged pain, vasomotor disturbance, delayed functional recovery, and trophic changes♦ Avascular necrosis typically affects intra-articular bone after fracture and can occur in up to 70% of displaced talar neck fractures♦ Immobility associated with recovery from fracture is associated with deep vein thrombosis, which carries a risk of pulmonary embolism, and should be treated with anti-
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18

Gaston, J. S. Hill. Reactive arthritis and enteropathic arthropathy. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199642489.003.0115.

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Reactive arthritis (ReA), and enteropathic arthritis secondary to inflammatory bowel disease, are forms of spondyloarthritis, all of which share an association with HLA B27 and can involve both axial and peripheral joints. Genetic studies strongly implicate the cytokines IL-17 and IL-23 in their pathogenesis, and evidence for autoimmunity is lacking. ReA is triggered by particular bacteria, mainly affecting the gut and genitourinary tract, though infections are sometimes asymptomatic. Classically an acute oligo- or monoarthritis with enthesitis occurs, often with inflammatory back pain, though
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19

Gaston, J. S. Hill. Reactive arthritis and enteropathic arthropathy. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199642489.003.0115_update_002.

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Reactive arthritis (ReA), and enteropathic arthritis secondary to inflammatory bowel disease, are forms of spondyloarthritis, all of which share an association with HLA B27 and can involve both axial and peripheral joints. Genetic studies strongly implicate the cytokines IL-17 and IL-23 in their pathogenesis, and evidence for autoimmunity is lacking. ReA is triggered by particular bacteria, mainly affecting the gut and genitourinary tract, though infections are sometimes asymptomatic. Classically an acute oligo- or monoarthritis with enthesitis occurs, often with inflammatory back pain, though
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20

van Gaalen, Floris, Désirée van der Heijde, and Maxime Dougados. Diagnosis and classification of axial spondyloarthritis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198734444.003.0003.

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Axial spondyloarthritis (axSpA) is a potentially disabling chronic inflammatory disease affecting the spine and sacroiliac (SI) joints. Lead symptoms are chronic back pain and stiffness. The disease is called radiographic axSpA or ankylosing spondylitis (AS) when, on plain radiographs, bone changes consistent with sacroiliitis are present. When no evidence of sacroiliitis is seen on radiographs, it is called non-radiographic axSpA. In such cases, diagnosis is made based on evidence of active inflammation of SI joints on magnetic resonance imaging (MRI) and clinical and laboratory features, or
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21

Siebert, Stefan, Sengupta Raj, and Alexander Tsoukas. What are axial spondyloarthritis and ankylosing spondylitis? Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198755296.003.0001.

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Ankylosing spondylitis (AS) is a chronic inflammatory arthritis affecting mainly the sacroiliac joints and spine, resulting in pain, stiffness, and reduced movement. AS has a major negative impact on patients’ quality of life. AS is part of a larger group of related spondyloarthritis (SpA) conditions and patients with AS often have extra-articular manifestations of these conditions. Over the past decade, there have been major advances in the understanding of the genetics and pathophysiology of the disease. Advances in imaging have allowed patients to be diagnosed without having to develop the
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22

Siebert, Stefan, Raj Sengupta, and Alexander Tsoukas, eds. Axial Spondyloarthritis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198755296.001.0001.

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Ankylosing spondylitis (AS) is a chronic inflammatory arthritis affecting mainly the sacroiliac joints and spine, resulting in pain, stiffness, and reduced movement. Over the past decade there have been major advances in many aspects of the disease, including a broadening of the disease description to axial spondyloarthritis (axSpA). While the many advances have transformed the lives of patients with axSpA, they have also increased complexity for non-specialists in this area. This handbook contains a timely update of the key developments and current state of play in axSpA. It is intended prima
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23

Schofield, Pat. Assessment and management of pain in older adults. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199689644.003.0012.

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Key points• Chronic persistent pain affects at least 50% of community-dwelling older adults.• Physiological changes that occur as a result of the ageing process need to be considered when dealing with pain in the older adult.• Assessment of pain can be complicated when the older adult is unable to articulate their pain; for example, in the presence of cognitive impairment.• Much of the research into pain management has been carried out among the younger population and simply translated across.
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24

Investigaciones Sobre Historia Medieval del Pais Vasco, 1965-2005: 20 Articulos y Una Entrevista. Not Avail, 2005.

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25

Burdmann, Emmanuel A., and Vivekanad Jha. Rickettsiosis. Edited by Vivekanand Jha. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0193.

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Rickettsiae are obligate intracellular bacteria transmitted by arthropods to a vertebrate host. Clinically relevant rickettsioses have a similar clinical pattern, manifesting as an acute febrile disease accompanied by headache, articular and muscle pain, and malaise.Epidemic typhus is a worldwide distributed disease caused by the Rickettsia prowazekii, with a human louse as a vector. Data on epidemic typhus-related renal injury is extremely scarce.Murine typhus is caused by the Rickettsia typhi and has a rodent flea as the vector. It is one of the most frequent rickettsioses, and is usually a
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26

Pollmann, Judith. Remembering Violence: Trauma, Atrocities, and Cosmopolitan Memories. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198797555.003.0008.

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This chapter explores memories of violence, and asks to what extent we can uncover early modern trauma. Early modern Europeans did not have a psychological theory to account for the lasting mental damage caused by violence. We also find little trace of post-traumatic stress disorder (PTSD) in early modern sources, either because early modern people also struggled to articulate such pain in ways that we recognize, or because the widespread belief in providence made them more resilient, and enabled many to turn pain into something that could also be remembered as beneficial. At the same time, th
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27

Del Socorro Castañeda-Liles, María. Why Do They Paint Her This Way? She Is Our Mother. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190280390.003.0009.

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Chicana feminist interpretations of Our Lady of Guadalupe tend to depart from traditional representations and have caused controversy. This chapter examines the responses of three different groups of women of different ages and backgrounds to some of these feminist artistic representations of Our Lady of Guadalupe in order to explore how the women articulate feminism and how their own definitions relate to their understanding of this sacred figure. The chapter analyzes how Las Damas, Las Madres, and Las Mujeres’ understanding of La Virgen informs their responses, revealing much about their und
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28

Farrukhi, Asif. People All Around You. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780190656546.003.0002.

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This chapter by Asif Farrukhi pays tribute to the Karachi-based poet Azra Abbas. Farrukhi presents a poignant selection of eleven of Abbas’ poems. These poems address experiences of fear, loneliness, grief, death and shock, in ways that political and random acts of violence insinuate themselves into domestic, commonplace experiences of “ordinary” everyday life in Karachi. Farrukhi shows how, in moving away from the traditional ghazal form of Urdu poetry, Abbas carved out a distinctive, unconventional style of gritty resistance. His relationship to Abbas’ work, and to the poems themselves, rais
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29

Park, Simon. Poets, Patronage, and Print in Sixteenth-Century Portugal. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780192896384.001.0001.

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Portugal was not always the best place for poets in the sixteenth century. Against the backdrop of an expanding empire, poets struggled to articulate their worth to rulers and patrons. Many of their works considered what poetry could do and what its value was. The answers that poets like Luís de Camões, Francisco de Sá de Miranda, António Ferreira, and Diogo Bernardes offered to these questions ranged from lofty ideals to more practical concerns of making ends meet. This book articulates a ‘pragmatics of poetry’ that combines literary analysis and book history with methods from sociology to ex
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