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Last update: doc. RNDr. Anna Yamamotová, CSc. (25.11.2008)
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Last update: doc. RNDr. Anna Yamamotová, CSc. (30.05.2008)
The course will cover the anatomical and functional basis of pain disorders. Presentation of the neurobiology of pain and analgesia, clinical pain conditions, basic and applied research methods in the study of pain, and the theory and practice of pain management. Of special interest will be information describing clinical examination, evaluation, interpretation, and treatment of pain disorders. |
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Last update: doc. RNDr. Anna Yamamotová, CSc. (25.11.2008)
Textbook of Pain. P. D. Wall and R. Melzack, Eds. Edinburgh: Churchill Livingston 1999, 4th edition. Sarafino, E. P.: Health psychology. New York: Wiley and Sons 1994, 1998 (chapters 11, 12). Katzung BG et al.: Basic and Clinical Pharmacology, A Lange medical book, 1998 Rang HP et al.: Pharmacology, Churchil Livingstone, 1997 Harvey RA et al.: Lippincott?s Illustrated Reviews Pharmacology, Lippincott-Raven, 1997 Marco Mumenthaler: Neurology. Georg Thieme Verlag, Stuttgart, 1990. Anne G. Osborn: Diagnostic Neuroradiology. Mosby, St. Louis, Baltimore, Boston, 1994. |
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Last update: doc. RNDr. Anna Yamamotová, CSc. (30.05.2008)
The course will be conducted in lecture and seminars. |
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Last update: doc. RNDr. Anna Yamamotová, CSc. (25.11.2008)
Test from pharmacology, final credit test. |
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Last update: doc. RNDr. Anna Yamamotová, CSc. (30.05.2008)
Pathophysiology and psychophysiology of pain Terminology used in pain physiology Peripheral mechanisms of pain Central mechanisms of pain Central pain inhibitory mechanism, its neuroanatomical substrates and neurotransmitter systems Classification of opioid receptors and their distribution in CNS Measurement of pain
Psychological approaches to pain Pain as a psychological phenomenon Psychological factors influencing the rise and course of pain and reactions to it Indication and application of psychological (counselling and psychotherapeutic) approaches in pain control
Aspects of pain in children Pathophysiological and psychological aspects of pain in children Pain measurement in children in regard of the age Contact with the child with acute and chronic pain: as a source of information Non-pharmacological approach to the pain in children
Pharmacology of pain Opioid analgesics Nonopioid analgesics Determining of exemplary case studies Schedule of pharmacotherapeutical design (problem, selection of drug group, concrete drug, drug form, doses, risks, individualization, economical aspects, further control) Individual elaboration of appropriate case studies
Surgery of pain Spinothalamic chordotomy - transsection of tractus spinothalamicus lateralis comissurotomy ? transsection of comissura anterior (mediolongitudinal myelotomy) central myelothermocoagulation ? thermal lesion at C1 or Th12 level thermocoagulation in dorsal root entry zone ? exclusion of the secondary pain pathway neuron in the dorsal roots of spinal cord electrostimulation methods stereotaxic methods in thalamic region intrathecal opiate application ? application of opiates into liquor spaces using permanent reservoirs
Anaesthesiological care and postsurgical pain Anaesthesiological methods in pain therapy Postoperative pain Chronic and malignant pain Obstetric analgesia
Therapy of pain in neurology Acute and chronic pain Headache Primary headache: (migraine, tension type headache and related syndromes, cluster headache and related syndromes) Secondary headache due to another cranial or extracranial disease. Pains of Vertebral Column (vertebrogenic (spondylogenic) pain, radicular (neurogenic) pain
Pain control in cancer patients Various types of pain in cancer patient ? somatic, visceral Pain characteristics (acute and chronic pain) The difference in pain control in cancer patient in comparison with non-cancer patient Surgical therapy of pain (types of surgery) Radiation therapy of pain (analgesic radiotherapy using external beam radiotherapy, ?half body irradiation?, brachytherapy using radioactive strontium in therapy of multiple bone involvement Painkillers used in cancer patients Psychotherapy as a part of complex care of cancer patient in pain General rules for pain control in cancer patient
Psychiatric approach to pain Psychiatric aspects of pain: Psychogenic pain - somatoform pain disorder (ICD 10 category-F45.4) Pain and pain treatment in the cognitive behavioural therapy Psychopharmacology of pain Case story clinical presentation |