Fibromyalgia Research Paper Example | Topics and Well Written Essays - 1250 words

Fibromyalgia - Research Paper Example Typically, the pain that patients face should have been ongoing for a minimum of three months for a correct diagnosis. However, as disabling as the pain is, it does not result in any deformity or damage to internal organs. This is what differentiates fibromyalgia from numerous other rheumatic conditions for instance, systemic lupus, rheumatoid arthritis and polymyositis. This is because these conditions are typified by tissue inflammation that results in damage to muscles or internal organs and deformity to joints (Shiel, 2012). During diagnosis, pain is mapped out from the upper and lower parts of the waist, either sides of the body and the axial skeleton; this accompanied with fatigue, sleep interruptions and non-restorative sleep should lead the physician to diagnosing the patient with fibromyalgia. In addition, the incidence and intensity of the pain is noted to verify the progression of the condition (Lesley et al, pg. 458). Furthermore, in establishing fibromyalgia in patients, the tenderness and pain should be verified using a force of 4kg on a minimum of 11 of 18 tender points within the body. Generally, the diagnosis of fibromyalgia relies on information from the patient, since its existence cannot be determined by objective medical findings, radiographic anomalies or regular laboratory tests. The information provided by the patient indicates the exact location of the pain and its severity as this will help in finding the proper treatment (Lawson, 2009). Notably also, is that even though there are no blood tests or X-Rays that specifically point to diagnosis of fibromyalgia, there is a need to carry out blood tests to exclude other medical conditions and laboratory tests to explain causes of certain symptoms (Lesley et al, pg. 462). Causes and Risk factors Because of the condition being present within families, for example, between mothers and their daughters, researchers have arrived at the conclusi on that a genetic component may be the cause. It is commonly preceded by a physical trauma in the form of a rigorous disease/injury. This sets off the progression of the condition with the central nervous system acting as the point of origin as patients experience pain to stimuli that are not ordinarily experienced by other individuals (â€Å"Fibromyalgia Fact Sheet†, n.d). Over 80% of persons affected by fibromyalgia are women that fall under the age bracket of 35-55. The condition is onset by pathological conditions in some patients while in others by somatization subsequent to traumatic events. Although not recurrent, the elderly, men and children have been seen to be affected by the condition. Conditions such as rheumatoid arthritis and systemic lupus contribute to the risk of developing this condition (â€Å"What causes fibromyalgia†, 2012). Continuous studies have also shown that fibromyalgia patients have advanced levels of a chemical signal known as substance P found in the nervous system, and within their spinal fluid a nerve growth factor. Moreover, patients exhibit levels that are minimal, of chemical serotonin that originates in the brain. This suggests super-sensitivity in the central nervous system particularly around the brain, due to the severity of the pain that patients experience. This has led scientists to highlight that pain perception among fibromyalgia patients is distorted (â€Å"What causes Fibromyalgia†, 2012). Symptoms The primary symptom of fibromyalgia, which is pain, is attributed to

Timing Mediation Initiatives Essay Example | Topics and Well Written Essays - 250 words

Timing Mediation Initiatives - Essay Example tween Israel and Hamas, where neither party could overcame one another, hence the need of secret negotiations for purposes of stopping the war (Zartman & De Soto, 2010). This was a stalemate, and hence it is a proof that when it occurs, then the time is ripe for mediation. In determining a stalemate, and making a decision on whether it is ripe for mediation, there is a need of assessing the costs of the conflict, and analyzing the losses that both parties have suffered (Zartman & De Soto, 2010). If the organizations have suffered numerous losses, and the costs of maintaining the conflict is becoming expensive, then this is the right time of mediation. Furthermore, there is a need of looking if there are changes in the leadership of an organization. If these changes occur, chances are high that the new leadership would embrace peace, and hence there is a need of starting the process of mediation (Zartman & De Soto, 2010). An example is the end of the 1992 war between Israel and Palestine, with the emergence of a new leader, Itzak Rabin. It is important to explain that if a new leadership that does not embrace dialogue and reconciliation come to power, chances are high that the mediation efforts would fail. For instance, the emergence of Tassos Papadopoulos as the Greek leader of the Cypriots was able to reduce any chances of a peaceful settlement between the Greek Cypriots, and the Turkish Cypriots (Zartman & De Soto, 2010). Subjective indicators also play a role in determining whether a conflict is ripe of mediation or not. This includes the utterances of influential leaders within the parties to a conflict. This is because these leaders have the capability of influencing the party leadership into entering into a negotiation or