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Compassion fatigue, secondary traumatic stress and vicarious traumatization have received widespread attention in the literature due to an increased awareness of negative effects mental health workers experience when working with people who have been traumatized. Mental health workers become more vulnerable to significant stress when they work with trauma victims, which can lead to many negative consequences that can affect their own health as well as their treatment of their clients. While there is much that we are learning about the causes and outcomes of mental health workers' exposure to their clients' trauma, there has been less focus on effectiveness of interventions.

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Introduction : Men who have sex with men, particularly those infected by human immunodeficiency virus HIVhave an increased risk of anal cancer. Unlike most opportunistic or AIDS-defining events, data have been contradictory regarding impact of antiretroviral therapy, viral suppression and immunologic reconstitution on HPV infection prevention and related cancers. Vaccination against human papillomavirus HPV is presently recommended in all HIV-infected patients, whereas there is still an on-going debate about the need for anal cancer screening programmes.

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If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Carcinoma of the anal canal is a rare malignancy representing approximately 2. It is estimated in that over 7, patients will be diagnosed with carcinoma of the anal canal in the United States, resulting in greater than 1, deaths 1.

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Steven G. An anal fissure is a linear ulcer usually extending from just below the ano-rectal line to the margin of the anus. The pain associated with fissure disease is disportionate to the size of the lesion with post-defecatory pain intense burning lasting anywhere from minutes to hours.

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Perineal and Anal Sphincter Trauma is a comprehensive text that focuses on the maternal morbidity associated with childbirth. In recognition of the longstanding global diversity in obstetric practice and the management of its sequelae, the authors have compiled the ultimate evidence-based book that includes the diagnosis, pathophysiology, management and prevention of obstetric trauma. Previous surveys have indicated that the majority of doctors and midwives have suboptimal training in anatomy and repair of perineal and anal sphincter trauma.

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The journal is included into The list of leading scientific periodicals. The functions inherent to the rectum and its sphincter apparatus were evaluated in patients who underwent abdominalanal resection of the rectum AARR. The study included 20 patients with rectal cancer who were undergoing AARR. In all patients more than a year has passed after the operation.

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This preview shows page 25 - 29 out of 29 pages. Subscribe to view the full document. I cannot even describe how much Course Hero helped me this summer.

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We offer you:. The anus is the last part of the bowel or large intestine, after the rectum. It is about 1.

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