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94-751: Hurts may refer to: Pain , injury or suffering Hurts (duo) , British musical duo "Hurts" (song) , by Emeli Sandé, 2016 "Hurts", a song by Lany from LANY , 2017 "Hurts", a song by Mika from No Place in Heaven , 2016 "Hurts", a song by Wafia featuring Louis the Child and Whethan, 2019 Jalen Hurts (born 1998), American football quarterback See also [ edit ] All pages with titles beginning with Hurts All pages with titles containing Hurts Hertz (disambiguation) Herz (disambiguation) Hurt (disambiguation) Hurtz ,

188-486: A decreased appetite and decreased nutritional intake. A change in condition that deviates from baseline, such as moaning with movement or when manipulating a body part, and limited range of motion are also potential pain indicators. In patients who possess language but are incapable of expressing themselves effectively, such as those with dementia, an increase in confusion or display of aggressive behaviors or agitation may signal that discomfort exists, and further assessment

282-826: A Gaulish substrate, although there is some debate. One of these is considered certain, because this fact is clearly attested in the Gaulish-language epigraphy on the pottery found at la Graufesenque ( A.D. 1st century). There, the Greek word paropsid-es (written in Latin) appears as paraxsid-i . The consonant clusters /ps/ and /pt/ shifted to /xs/ and /xt/, e.g. Lat capsa > *kaxsa > caisse ( ≠ Italian cassa ) or captīvus > *kaxtivus > OF chaitif (mod. chétif ; cf. Irish cacht 'servant'; ≠ Italian cattiv-ità , Portuguese cativo , Spanish cautivo ). This phonetic evolution

376-488: A credible and convincing signal of the need for relief, help, and care. Idiopathic pain (pain that persists after the trauma or pathology has healed, or that arises without any apparent cause) may be an exception to the idea that pain is helpful to survival, although some psychodynamic psychologists argue that such pain is psychogenic, enlisted as a protective distraction to keep dangerous emotions unconscious. In pain science, thresholds are measured by gradually increasing

470-431: A damaged body part while it heals, and to avoid similar experiences in the future. Most pain resolves once the noxious stimulus is removed and the body has healed, but it may persist despite removal of the stimulus and apparent healing of the body. Sometimes pain arises in the absence of any detectable stimulus, damage or disease. Pain is the most common reason for physician consultation in most developed countries. It

564-421: A definitive influence on the development of Old French, which partly explains why the earliest attested Old French documents are older than the earliest attestations in other Romance languages (e.g. Strasbourg Oaths , Sequence of Saint Eulalia ). It is the result of an earlier gap created between Classical Latin and its evolved forms, which slowly reduced and eventually severed the mutual intelligibility between

658-420: A fraindre, Fors Sarragoce qu'est en une montaigne; Li reis Marsilies la tient, ki Deu nen aimet, Mahomet sert ed Apolin reclaimet: Ne·s poet guarder que mals ne l'i ataignet! ˈt͡ʃarləs li ˈre͜is, ˈnɔstr‿empəˈræðrə ˈmaɲəs ˈsɛt ˈant͡s ˈtot͡s ˈple͜ins ˈað esˈtæθ en esˈpaɲə ˈtræs k‿en la ˈmɛr konˈkist la ˈtɛr alˈta͜iɲə t͡ʃasˈtɛl ni ˈaθ ki dəˈvant ˈly͜i rəˈma͜iɲəθ ˈmyrs nə t͡siˈtæθ n‿i ˈɛst rəˈmæs

752-525: A higher risk of being stigmatized, leading to less urgent treatment of women based on social expectations of their ability to accurately report it. This has been postulated to lead to extended emergency room wait times for women and frequent dismissal of their ability to accurately report pain. Pain is a symptom of many medical conditions. Knowing the time of onset, location, intensity, pattern of occurrence (continuous, intermittent, etc.), exacerbating and relieving factors, and quality (burning, sharp, etc.) of

846-1242: A new orthography for the latter; among the earliest examples are parts of the Oaths of Strasbourg and the Sequence of Saint Eulalia . Some Gaulish words influenced Vulgar Latin and, through this, other Romance languages. For example, classical Latin equus was uniformly replaced in Vulgar Latin by caballus 'nag, work horse', derived from Gaulish caballos (cf. Welsh ceffyl , Breton kefel ), yielding ModF cheval , Occitan caval ( chaval ), Catalan cavall , Spanish caballo , Portuguese cavalo , Italian cavallo , Romanian cal , and, by extension, English cavalry and chivalry (both via different forms of [Old] French: Old Norman and Francien ). An estimated 200 words of Gaulish etymology survive in Modern French, for example chêne , 'oak tree', and charrue , 'plough'. Within historical phonology and studies of language contact , various phonological changes have been posited as caused by

940-454: A non-communicative person, observation becomes critical, and specific behaviors can be monitored as pain indicators. Behaviors such as facial grimacing and guarding (trying to protect part of the body from being bumped or touched) indicate pain, as well as an increase or decrease in vocalizations, changes in routine behavior patterns and mental status changes. Patients experiencing pain may exhibit withdrawn social behavior and possibly experience

1034-655: A radical change had the effect of rendering Latin sermons completely unintelligible to the general Romance-speaking public, which prompted officials a few years later, at the Third Council of Tours , to instruct priests to read sermons aloud in the old way, in rusticam romanam linguam or 'plain Roman[ce] speech'. As there was now no unambiguous way to indicate whether a given text was to be read aloud as Latin or Romance, various attempts were made in France to devise

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1128-556: A reduction in negative affect . Across studies, participants that were subjected to acute physical pain in the laboratory subsequently reported feeling better than those in non-painful control conditions, a finding which was also reflected in physiological parameters. A potential mechanism to explain this effect is provided by the opponent-process theory . Before the relatively recent discovery of neurons and their role in pain, various body functions were proposed to account for pain. There were several competing early theories of pain among

1222-707: A result of decreased sensation. A much smaller number of people are insensitive to pain due to an inborn abnormality of the nervous system, known as " congenital insensitivity to pain ". Children with this condition incur carelessly-repeated damage to their tongues, eyes, joints, skin, and muscles. Some die before adulthood, and others have a reduced life expectancy. Most people with congenital insensitivity to pain have one of five hereditary sensory and autonomic neuropathies (which includes familial dysautonomia and congenital insensitivity to pain with anhidrosis ). These conditions feature decreased sensitivity to pain together with other neurological abnormalities, particularly of

1316-448: A state known as pain asymbolia, described as intense pain devoid of unpleasantness, with morphine injection or psychosurgery . Such patients report that they have pain but are not bothered by it; they recognize the sensation of pain but suffer little, or not at all. Indifference to pain can also rarely be present from birth; these people have normal nerves on medical investigations, and find pain unpleasant, but do not avoid repetition of

1410-495: A surname Topics referred to by the same term [REDACTED] This disambiguation page lists articles associated with the title Hurts . If an internal link led you here, you may wish to change the link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=Hurts&oldid=1235560481 " Categories : Disambiguation pages Disambiguation pages with surname-holder lists Hidden categories: Short description

1504-557: A very distinctive identity compared to the other future Romance languages. The first noticeable influence is the substitution of the Latin melodic accent with a Germanic stress and its result was diphthongization , differentiation between long and short vowels, the fall of the unaccented syllable and of the final vowels: Additionally, two phonemes that had long since died out in Vulgar Latin were reintroduced: [h] and [w] (> OF g(u)- , ONF w- cf. Picard w- ): In contrast,

1598-505: A ˈfra͜indrə ˈfɔrs saraˈgot͡sə k‿ˈɛst en ˈynə monˈtaɲə li ˈre͜is marˈsiʎəs la ˈti͜ɛnt, ki ˈdɛ͜u nən ˈa͜iməθ mahoˈmɛt ˈsɛrt eð apoˈlin rəˈkla͜iməθ nə‿s ˈpu͜ɛt gwarˈdær kə ˈmals nə l‿i aˈta͜iɲəθ Charles the king, our great emperor, Has been in Spain for seven full years: He has conquered the lofty land up to the sea. No castle remains standing before him; No wall or city is left to destroy Other than Saragossa, which lies atop

1692-432: Is "pain that extends beyond the expected period of healing". Chronic pain may be classified as " cancer-related " or "benign." Allodynia is pain experienced in response to a normally painless stimulus. It has no biological function and is classified by characteristics of the stimuli as cold, heat, touch, pressure or a pinprick. Phantom pain is pain felt in a part of the body that has been amputated , or from which

1786-701: Is a common, reproducible tool in the assessment of pain and pain relief. The scale is a continuous line anchored by verbal descriptors, one for each extreme of pain where a higher score indicates greater pain intensity. It is usually 10 cm in length with no intermediate descriptors as to avoid marking of scores around a preferred numeric value. When applied as a pain descriptor, these anchors are often 'no pain' and 'worst imaginable pain". Cut-offs for pain classification have been recommended as no pain (0–4mm), mild pain (5–44mm), moderate pain (45–74mm) and severe pain (75–100mm). The Multidimensional Pain Inventory (MPI)

1880-647: Is a major symptom in many medical conditions, and can interfere with a person's quality of life and general functioning. People in pain experience impaired concentration, working memory , mental flexibility , problem solving and information processing speed, and are more likely to experience irritability, depression, and anxiety. Simple pain medications are useful in 20% to 70% of cases. Psychological factors such as social support , cognitive behavioral therapy , excitement, or distraction can affect pain's intensity or unpleasantness. First attested in English in 1297,

1974-496: Is a questionnaire designed to assess the psychosocial state of a person with chronic pain. Combining the MPI characterization of the person with their IASP five-category pain profile is recommended for deriving the most useful case description. Non-verbal people cannot use words to tell others that they are experiencing pain. However, they may be able to communicate through other means, such as blinking, pointing, or nodding. With

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2068-475: Is also associated with increased depression, anxiety, fear, and anger. If I have matters right, the consequences of pain will include direct physical distress, unemployment, financial difficulties, marital disharmony, and difficulties in concentration and attention… Although pain is considered to be aversive and unpleasant and is therefore usually avoided, a meta-analysis which summarized and evaluated numerous studies from various psychological disciplines, found

2162-490: Is called Vulgar Latin , the common spoken language of the Western Roman Empire . Vulgar Latin differed from Classical Latin in phonology and morphology as well as exhibiting lexical differences; however, they were mutually intelligible until the 7th century when Classical Latin 'died' as a daily spoken language, and had to be learned as a second language (though it was long thought of as the formal version of

2256-561: Is caused by stimulation of sensory nerve fibers that respond to stimuli approaching or exceeding harmful intensity ( nociceptors ), and may be classified according to the mode of noxious stimulation. The most common categories are "thermal" (e.g. heat or cold), "mechanical" (e.g. crushing, tearing, shearing, etc.) and "chemical" (e.g. iodine in a cut or chemicals released during inflammation ). Some nociceptors respond to more than one of these modalities and are consequently designated polymodal. Old French The mid-14th century witnessed

2350-609: Is common in its later stages with the shift of the Latin cluster /kt/ in Old French ( Lat factum > fait , ≠ Italian fatto , Portuguese feito , Spanish hecho ; or lactem * > lait , ≠ Italian latte , Portuguese leite , Spanish leche ). This means that both /pt/ and /kt/ must have first merged into /kt/ in the history of Old French, after which this /kt/ shifted to /xt/. In parallel, /ps/ and /ks/ merged into /ks/ before shifting to /xs/, apparently under Gaulish influence. The Celtic Gaulish language

2444-582: Is different from Wikidata All article disambiguation pages All disambiguation pages Pain Pain is a distressing feeling often caused by intense or damaging stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage." Pain motivates organisms to withdraw from damaging situations, to protect

2538-547: Is distinctly located also activates the primary and secondary somatosensory cortex . Spinal cord fibers dedicated to carrying A-delta fiber pain signals and others that carry both A-delta and C fiber pain signals to the thalamus have been identified. Other spinal cord fibers, known as wide dynamic range neurons , respond to A-delta and C fibers and the much larger, more heavily myelinated A-beta fibers that carry touch, pressure, and vibration signals. Ronald Melzack and Patrick Wall introduced their gate control theory in

2632-474: Is essential for protection from injury, and recognition of the presence of injury. Episodic analgesia may occur under special circumstances, such as in the excitement of sport or war: a soldier on the battlefield may feel no pain for many hours from a traumatic amputation or other severe injury. Although unpleasantness is an essential part of the IASP definition of pain, it is possible in some patients to induce

2726-403: Is initially described as burning or tingling but may evolve into severe crushing or pinching pain, or the sensation of fire running down the legs or of a knife twisting in the flesh. Onset may be immediate or may not occur until years after the disabling injury. Surgical treatment rarely provides lasting relief. Breakthrough pain is transitory pain that comes on suddenly and is not alleviated by

2820-507: Is necessary. Changes in behavior may be noticed by caregivers who are familiar with the person's normal behavior. Infants do feel pain , but lack the language needed to report it, and so communicate distress by crying. A non-verbal pain assessment should be conducted involving the parents, who will notice changes in the infant which may not be obvious to the health care provider. Pre-term babies are more sensitive to painful stimuli than those carried to full term. Another approach, when pain

2914-421: Is often described as shooting, crushing, burning or cramping. If the pain is continuous for a long period, parts of the intact body may become sensitized, so that touching them evokes pain in the phantom limb. Phantom limb pain may accompany urination or defecation . Local anesthetic injections into the nerves or sensitive areas of the stump may relieve pain for days, weeks, or sometimes permanently, despite

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3008-412: Is suspected, is to give the person treatment for pain, and then watch to see whether the suspected indicators of pain subside. The way in which one experiences and responds to pain is related to sociocultural characteristics, such as gender, ethnicity, and age. An aging adult may not respond to pain in the same way that a younger person might. Their ability to recognize pain may be blunted by illness or

3102-542: Is thought to have survived into the 6th century in France, despite considerable cultural Romanization. Coexisting with Latin, Gaulish helped shape the Vulgar Latin dialects that developed into French, with effects including loanwords and calques (including oui , the word for "yes"), sound changes shaped by Gaulish influence, and influences in conjugation and word order. A computational study from 2003 suggests that early gender shifts may have been motivated by

3196-594: The langue d'oïl as early as the 9th century and is attested as a distinct Gallo-Romance variety by the 12th century. Dialects or variants of Old French include: Some modern languages are derived from Old French dialects other than Classical French, which is based on the Île-de-France dialect. They include Angevin , Berrichon , Bourguignon-Morvandiau , Champenois , Franc-Comtois , Gallo, Lorrain, Norman , Picard, Poitevin , Saintongeais , and Walloon. Beginning with Plautus ' time (254–184 b.c. ), one can see phonological changes between Classical Latin and what

3290-531: The Bibliothèque bleue – that a standardized Classical French spread throughout France alongside the regional dialects. The material and cultural conditions in France and associated territories around the year 1100 triggered what Charles Homer Haskins termed the " Renaissance of the 12th century ", resulting in a profusion of creative works in a variety of genres. Old French gave way to Middle French in

3384-509: The Roman de Fauvel in 1310 and 1314, a satire on abuses in the medieval church, filled with medieval motets , lais , rondeaux and other new secular forms of poetry and music (mostly anonymous, but with several pieces by Philippe de Vitry , who would coin the expression ars nova to distinguish the new musical practice from the music of the immediately preceding age). The best-known poet and composer of ars nova secular music and chansons of

3478-597: The Levant . As part of the emerging Gallo-Romance dialect continuum, the langues d'oïl were contrasted with the langues d'oc , at the time also called "Provençal", adjacent to the Old French area in the southwest, and with the Gallo-Italic group to the southeast. The Franco-Provençal group developed in Upper Burgundy, sharing features with both French and Provençal; it may have begun to diverge from

3572-527: The autonomic nervous system . A very rare syndrome with isolated congenital insensitivity to pain has been linked with mutations in the SCN9A gene, which codes for a sodium channel ( Na v 1.7 ) necessary in conducting pain nerve stimuli. Experimental subjects challenged by acute pain and patients in chronic pain experience impairments in attention control, working memory capacity , mental flexibility , problem solving, and information processing speed. Pain

3666-525: The chansons de geste is The Song of Roland (earliest version composed in the late 11th century). Bertrand de Bar-sur-Aube in his Girart de Vienne set out a grouping of the chansons de geste into three cycles : the Geste du roi centering on Charlemagne, the Geste de Garin de Monglane (whose central character was William of Orange ), and the Geste de Doon de Mayence or the "rebel vassal cycle",

3760-405: The medial , paleospinothalamic tract . The neospinothalamic tract carries the fast, sharp A-delta signal to the ventral posterolateral nucleus of the thalamus . The paleospinothalamic tract carries the slow, dull C fiber pain signal. Some of the paleospinothalamic fibers peel off in the brain stem—connecting with the reticular formation or midbrain periaqueductal gray—and the remainder terminate in

3854-473: The 1965 Science article "Pain Mechanisms: A New Theory". The authors proposed that the thin C and A-delta (pain) and large diameter A-beta (touch, pressure, vibration) nerve fibers carry information from the site of injury to two destinations in the dorsal horn of the spinal cord, and that A-beta fiber signals acting on inhibitory cells in the dorsal horn can reduce the intensity of pain signals sent to

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3948-447: The 19th-century development of specificity theory . Specificity theory saw pain as "a specific sensation, with its own sensory apparatus independent of touch and other senses". Another theory that came to prominence in the 18th and 19th centuries was intensive theory , which conceived of pain not as a unique sensory modality, but an emotional state produced by stronger than normal stimuli such as intense light, pressure or temperature. By

4042-415: The C fibers. These A-delta and C fibers enter the spinal cord via Lissauer's tract and connect with spinal cord nerve fibers in the central gelatinous substance of the spinal cord . These spinal cord fibers then cross the cord via the anterior white commissure and ascend in the spinothalamic tract . Before reaching the brain, the spinothalamic tract splits into the lateral , neospinothalamic tract and

4136-596: The Gallo-Romance that prefigures French – after the Reichenau and Kassel glosses (8th and 9th centuries) – are the Oaths of Strasbourg (treaties and charters into which King Charles the Bald entered in 842): Pro Deo amur et pro Christian poblo et nostro commun salvament, d'ist di en avant, in quant Deus savir et podir me dunat, si salvarai eo cist meon fradre Karlo, et in aiudha et in cadhuna cosa ... (For

4230-747: The Italian, Portuguese and Spanish words of Germanic origin borrowed from French or directly from Germanic retain /gw/ ~ /g/ , e.g. Italian, Spanish guerra 'war', alongside /g/ in French guerre ). These examples show a clear consequence of bilingualism, that sometimes even changed the first syllable of the Latin words. One example of a Latin word influencing an OLF loan is framboise 'raspberry', from OF frambeise , from OLF *brāmbesi 'blackberry' (cf. Dutch braambes , braambezie ; akin to German Brombeere , English dial. bramberry ) blended with LL fraga or OF fraie 'strawberry', which explains

4324-565: The Old French dialects diverged into a number of distinct langues d'oïl , among which Middle French proper was the dialect of the Île-de-France region. During the Early Modern period , French was established as the official language of the Kingdom of France throughout the realm, including the langue d'oc -speaking territories in the south. It was only in the 17th to 18th centuries – with the development especially of popular literature of

4418-497: The Renaissance short story ( conte or nouvelle ). Among the earliest works of rhetoric and logic to appear in Old French were the translations of Rhetorica ad Herennium and Boethius ' De topicis differentiis by John of Antioch in 1282. In northern Italy, authors developed Franco-Italian , a mixed language of Old French and Venetian or Lombard used in literary works in the 13th and 14th centuries. Old French

4512-429: The affective-motivational dimension. Thus, excitement in games or war appears to block both the sensory-discriminative and affective-motivational dimensions of pain, while suggestion and placebos may modulate only the affective-motivational dimension and leave the sensory-discriminative dimension relatively undisturbed. (p. 432) The paper ends with a call to action: "Pain can be treated not only by trying to cut down

4606-407: The ancient Greeks: Hippocrates believed that it was due to an imbalance in vital fluids . In the 11th century, Avicenna theorized that there were a number of feeling senses, including touch, pain, and titillation. In 1644, René Descartes theorized that pain was a disturbance that passed along nerve fibers until the disturbance reached the brain. The work of Descartes and Avicenna prefigured

4700-471: The brain no longer receives signals. It is a type of neuropathic pain. The prevalence of phantom pain in upper limb amputees is nearly 82%, and in lower limb amputees is 54%. One study found that eight days after amputation, 72% of patients had phantom limb pain, and six months later, 67% reported it. Some amputees experience continuous pain that varies in intensity or quality; others experience several bouts of pain per day, or it may reoccur less often. It

4794-506: The brain. In 1968, Ronald Melzack and Kenneth Casey described chronic pain in terms of its three dimensions: They theorized that pain intensity (the sensory discriminative dimension) and unpleasantness (the affective-motivational dimension) are not simply determined by the magnitude of the painful stimulus, but "higher" cognitive activities can influence perceived intensity and unpleasantness. Cognitive activities may affect both sensory and affective experience, or they may modify primarily

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4888-590: The development of northern French culture in and around Île-de-France , which slowly but firmly asserted its ascendency over the more southerly areas of Aquitaine and Tolosa ( Toulouse ); however, the Capetians ' langue d'oïl , the forerunner of modern standard French, did not begin to become the common speech of all of France until after the French Revolution . In the Late Middle Ages,

4982-413: The drug wearing off in a matter of hours; and small injections of hypertonic saline into the soft tissue between vertebrae produces local pain that radiates into the phantom limb for ten minutes or so and may be followed by hours, weeks, or even longer of partial or total relief from phantom pain. Vigorous vibration or electrical stimulation of the stump, or current from electrodes surgically implanted onto

5076-480: The emergence of Middle French , the language of the French Renaissance in the Île-de-France region; this dialect was a predecessor to Modern French . Other dialects of Old French evolved themselves into modern forms ( Poitevin-Saintongeais , Gallo , Norman , Picard , Walloon , etc.), each with its linguistic features and history. The region where Old French was spoken natively roughly extended to

5170-754: The first such text. At the beginning of the 13th century, Jean Bodel , in his Chanson de Saisnes , divided medieval French narrative literature into three subject areas: the Matter of France or Matter of Charlemagne ; the Matter of Rome ( romances in an ancient setting); and the Matter of Britain ( Arthurian romances and Breton lais ). The first of these is the subject area of the chansons de geste ("songs of exploits" or "songs of (heroic) deeds"), epic poems typically composed in ten-syllable assonanced (occasionally rhymed ) laisses . More than one hundred chansons de geste have survived in around three hundred manuscripts. The oldest and most celebrated of

5264-757: The gender of the corresponding word in Gaulish. The pronunciation, vocabulary, and syntax of the Vulgar Latin spoken in Roman Gaul in late antiquity were modified by the Old Frankish language , spoken by the Franks who settled in Gaul from the 5th century and conquered the future Old French-speaking area by the 530s. The name français itself is derived from the name of the Franks. The Old Frankish language had

5358-539: The incipient Middle French period was Guillaume de Machaut . Discussions about the origins of non-religious theater ( théâtre profane )—both drama and farce—in the Middle Ages remain controversial, but the idea of a continuous popular tradition stemming from Latin comedy and tragedy to the 9th century seems unlikely. Most historians place the origin of medieval drama in the church's liturgical dialogues and "tropes". Mystery plays were eventually transferred from

5452-400: The intensity of a stimulus in a procedure called quantitative sensory testing which involves such stimuli as electric current , thermal (heat or cold), mechanical (pressure, touch, vibration), ischemic , or chemical stimuli applied to the subject to evoke a response. The " pain perception threshold " is the point at which the subject begins to feel pain, and the "pain threshold intensity" is

5546-400: The intralaminar nuclei of the thalamus. Pain-related activity in the thalamus spreads to the insular cortex (thought to embody, among other things, the feeling that distinguishes pain from other homeostatic emotions such as itch and nausea) and anterior cingulate cortex (thought to embody, among other things, the affective/motivational element, the unpleasantness of pain), and pain that

5640-416: The likelihood of reporting pain. Patients may feel that certain treatments go against their religious beliefs. They may not report pain because they feel it is a sign that death is near. Many people fear the stigma of addiction, and avoid pain treatment so as not to be prescribed potentially addicting drugs. Many Asians do not want to lose respect in society by admitting they are in pain and need help, believing

5734-639: The loss of an intervening consonant. Manuscripts generally do not distinguish hiatus from true diphthongs, but modern scholarly transcription indicates it with a diaeresis , as in Modern French: Presented below is the first laisse of The Song of Roland along with a broad transcription reflecting reconstructed pronunciation c.  1050 . Charles li reis, nostre emperedre magnes, Set anz toz pleins at estét en Espaigne. Tres qu'en la mer conquist la tere altaigne, Chastel n'i at ki devant lui remaignet. Murs ne citét n'i est remés

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5828-570: The love of God and for the Christian people, and our common salvation, from this day forward, as God will give me the knowledge and the power, I will defend my brother Karlo with my help in everything ...) The second-oldest document in Old French is the Eulalia sequence , which is important for linguistic reconstruction of Old French pronunciation due to its consistent spelling. The royal House of Capet , founded by Hugh Capet in 987, inaugurated

5922-406: The mid-14th century, paving the way for early French Renaissance literature of the 15th century. The earliest extant French literary texts date from the ninth century, but very few texts before the 11th century have survived. The first literary works written in Old French were saints' lives . The Canticle of Saint Eulalie , written in the second half of the 9th century, is generally accepted as

6016-575: The mid-1890s, specificity was backed primarily by physiologists and physicians, and psychologists mostly backed the intensive theory . However, after a series of clinical observations by Henry Head and experiments by Max von Frey , the psychologists migrated to specificity almost en masse. By the century's end, most physiology and psychology textbooks presented pain specificity as fact. Some sensory fibers do not differentiate between noxious and non-noxious stimuli, while others (i.e., nociceptors ) respond only to noxious, high-intensity stimuli. At

6110-528: The monastery church to the chapter house or refectory hall and finally to the open air, and the vernacular was substituted for Latin. In the 12th century one finds the earliest extant passages in French appearing as refrains inserted into liturgical dramas in Latin, such as a Saint Nicholas (patron saint of the student clercs) play and a Saint Stephen play. An early French dramatic play is Le Jeu d'Adam ( c.  1150 ) written in octosyllabic rhymed couplets with Latin stage directions (implying that it

6204-555: The most famous characters of which were Renaud de Montauban and Girart de Roussillon . A fourth grouping, not listed by Bertrand, is the Crusade cycle , dealing with the First Crusade and its immediate aftermath. Jean Bodel 's other two categories—the "Matter of Rome" and the "Matter of Britain"—concern the French romance or roman . Around a hundred verse romances survive from the period 1150–1220. From around 1200 on,

6298-627: The northern half of the Kingdom of France and its vassals (including parts of the Angevin Empire ), and the duchies of Upper and Lower Lorraine to the east (corresponding to modern north-eastern France and Belgian Wallonia ), but the influence of Old French was much wider, as it was carried to England and the Crusader states as the language of a feudal elite and commerce. The area of Old French in contemporary terms corresponded to

6392-646: The northern parts of the Kingdom of France (including Anjou and Normandy , which in the 12th century were ruled by the Plantagenet kings of England ), Upper Burgundy and the Duchy of Lorraine . The Norman dialect was also spread to England and Ireland , and during the Crusades , Old French was also spoken in the Kingdom of Sicily , and in the Principality of Antioch and the Kingdom of Jerusalem in

6486-480: The noxious stimulus is removed or the underlying damage or pathology has healed. But some painful conditions, such as rheumatoid arthritis , peripheral neuropathy , cancer , and idiopathic pain, may persist for years. Pain that lasts a long time is called " chronic " or "persistent", and pain that resolves quickly is called " acute ". Traditionally, the distinction between acute and chronic pain has relied upon an arbitrary interval of time between onset and resolution;

6580-400: The pain should be borne in silence, while other cultures feel they should report pain immediately to receive immediate relief. Gender can also be a perceived factor in reporting pain. Gender differences can be the result of social and cultural expectations, with, in some cultures, women expected to be more emotional and show pain, and men to be more stoic. As a result, female pain may be at

6674-487: The pain stimulus. Insensitivity to pain may also result from abnormalities in the nervous system . This is usually the result of acquired damage to the nerves, such as spinal cord injury , diabetes mellitus ( diabetic neuropathy ), or leprosy in countries where that disease is prevalent. These individuals are at risk of tissue damage and infection due to undiscovered injuries. People with diabetes-related nerve damage, for instance, sustain poorly-healing foot ulcers as

6768-400: The pain will help the examining physician to accurately diagnose the problem. For example, chest pain described as extreme heaviness may indicate myocardial infarction , while chest pain described as tearing may indicate aortic dissection . Functional magnetic resonance imaging brain scanning has been used to measure pain, and correlates well with self-reported pain. Nociceptive pain

6862-497: The patient's regular pain management . It is common in cancer patients who often have background pain that is generally well-controlled by medications, but who also sometimes experience bouts of severe pain that from time to time "breaks through" the medication. The characteristics of breakthrough cancer pain vary from person to person and according to the cause. Management of breakthrough pain can entail intensive use of opioids , including fentanyl . The ability to experience pain

6956-512: The peripheral end of the nociceptor, noxious stimuli generate currents that, above a given threshold, send signals along the nerve fiber to the spinal cord. The "specificity" (whether it responds to thermal, chemical, or mechanical features of its environment) of a nociceptor is determined by which ion channels it expresses at its peripheral end. So far, dozens of types of nociceptor ion channels have been identified, and their exact functions are still being determined. The pain signal travels from

7050-491: The periphery to the spinal cord along A-delta and C fibers. Because the A-delta fiber is thicker than the C fiber, and is thinly sheathed in an electrically insulating material ( myelin ), it carries its signal faster (5–30  m/s ) than the unmyelinated C fiber (0.5–2 m/s). Pain evoked by the A-delta fibers is described as sharp and is felt first. This is followed by a duller pain—often described as burning—carried by

7144-474: The question of why pain should have the quality of being painful. He describes the alternative as a mental raising of a "red flag". To argue why that red flag might be insufficient, Dawkins argues that drives must compete with one another within living beings. The most "fit" creature would be the one whose pains are well balanced. Those pains which mean certain death when ignored will become the most powerfully felt. The relative intensities of pain, then, may resemble

7238-537: The relative importance of that risk to our ancestors. This resemblance will not be perfect, however, because natural selection can be a poor designer . This may have maladaptive results such as supernormal stimuli . Pain, however, does not only wave a "red flag" within living beings but may also act as a warning sign and a call for help to other living beings. Especially in humans who readily helped each other in case of sickness or injury throughout their evolutionary history, pain might be shaped by natural selection to be

7332-504: The replacement [b] > [f] and in turn the final -se of framboise added to OF fraie to make freise , modern fraise (≠ Wallon frève , Occitan fraga , Romanian fragă , Italian fragola , fravola 'strawberry'). Mildred Pope estimated that perhaps still 15% of the vocabulary of Modern French derives from Germanic sources. This proportion was larger in Old French, because Middle French borrowed heavily from Latin and Italian. The earliest documents said to be written in

7426-654: The sensory input by anesthetic block, surgical intervention and the like, but also by influencing the motivational-affective and cognitive factors as well." (p. 435) Pain is part of the body's defense system, producing a reflexive retraction from the painful stimulus, and tendencies to protect the affected body part while it heals, and avoid that harmful situation in the future. It is an important part of animal life, vital to healthy survival. People with congenital insensitivity to pain have reduced life expectancy . In The Greatest Show on Earth: The Evidence for Evolution , biologist Richard Dawkins addresses

7520-535: The spinal cord, all produce relief in some patients. Mirror box therapy produces the illusion of movement and touch in a phantom limb which in turn may cause a reduction in pain. Paraplegia , the loss of sensation and voluntary motor control after serious spinal cord damage, may be accompanied by girdle pain at the level of the spinal cord damage, visceral pain evoked by a filling bladder or bowel, or, in five to ten percent of paraplegics, phantom body pain in areas of complete sensory loss. This phantom body pain

7614-547: The spoken language). Vulgar Latin was the ancestor of the Romance languages , including Old French. By the late 8th century, when the Carolingian Renaissance began, native speakers of Romance idioms continued to use Romance orthoepy rules while speaking and reading Latin. When the most prominent scholar of Western Europe at the time, English deacon Alcuin , was tasked by Charlemagne with improving

7708-404: The standards of Latin writing in France, not being a native Romance speaker himself, he prescribed a pronunciation based on a fairly literal interpretation of Latin spelling. For example, in a radical break from the traditional system, a word such as ⟨viridiarium⟩ ' orchard ' now had to be read aloud precisely as it was spelled rather than */verdʒjær/ (later spelled as OF 'vergier' ). Such

7802-408: The stimulus intensity at which the stimulus begins to hurt. The " pain tolerance threshold" is reached when the subject acts to stop the pain. A person's self-report is the most reliable measure of pain. Some health care professionals may underestimate pain severity. A definition of pain widely employed in nursing, emphasizing its subjective nature and the importance of believing patient reports,

7896-514: The tendency was increasingly to write the romances in prose (many of the earlier verse romances were adapted into prose versions), although new verse romances continued to be written to the end of the 14th century. The most important romance of the 13th century is the Romance of the Rose , which breaks considerably from the conventions of the chivalric adventure story. Medieval French lyric poetry

7990-460: The two most commonly used markers being 3 months and 6 months since the onset of pain, though some theorists and researchers have placed the transition from acute to chronic pain at 12 months. Others apply "acute" to pain that lasts less than 30 days, "chronic" to pain of more than six months' duration, and "subacute" to pain that lasts from one to six months. A popular alternative definition of "chronic pain", involving no arbitrarily fixed duration,

8084-434: The two. The Old Low Franconian influence is also believed to be responsible for the differences between the langue d'oïl and the langue d'oc (Occitan), being that various parts of Northern France remained bilingual between Latin and Germanic for some time, and these areas correspond precisely to where the first documents in Old French were written. This Germanic language shaped the popular Latin spoken here and gave it

8178-410: The use of medication . Depression may also keep older adult from reporting they are in pain. Decline in self-care may also indicate the older adult is experiencing pain. They may be reluctant to report pain because they do not want to be perceived as weak, or may feel it is impolite or shameful to complain, or they may feel the pain is a form of deserved punishment. Cultural barriers may also affect

8272-412: The verb trobar "to find, to invent"). By the late 13th century, the poetic tradition in France had begun to develop in ways that differed significantly from the troubadour poets, both in content and in the use of certain fixed forms. The new poetic (as well as musical: some of the earliest medieval music has lyrics composed in Old French by the earliest composers known by name) tendencies are apparent in

8366-554: The word peyn comes from the Old French peine , in turn from Latin poena meaning "punishment, penalty" (also meaning "torment, hardship, suffering" in Late Latin) and that from Greek ποινή ( poine ), generally meaning "price paid, penalty, punishment". The International Association for the Study of Pain recommends using specific features to describe a patient's pain: Pain is usually transitory, lasting only until

8460-414: Was constantly changing and evolving; however, the form in the late 12th century, as attested in a great deal of mostly poetic writings, can be considered standard. The writing system at this time was more phonetic than that used in most subsequent centuries. In particular, all written consonants (including final ones) were pronounced, except for s preceding non- stop consonants and t in et , and final e

8554-680: Was indebted to the poetic and cultural traditions in Southern France and Provence —including Toulouse and the Aquitaine region—where langue d'oc was spoken ( Occitan language ); in their turn, the Provençal poets were greatly influenced by poetic traditions from the Hispano-Arab world . Lyric poets in Old French are called trouvères – etymologically the same word as the troubadours of Provençal or langue d'oc (from

8648-553: Was introduced by Margo McCaffery in 1968: "Pain is whatever the experiencing person says it is, existing whenever he says it does". To assess intensity, the patient may be asked to locate their pain on a scale of 0 to 10, with 0 being no pain at all, and 10 the worst pain they have ever felt. Quality can be established by having the patient complete the McGill Pain Questionnaire indicating which words best describe their pain. The visual analogue scale

8742-590: Was pronounced [ ə ] . The phonological system can be summarised as follows: Notes: In Old French, the nasal vowels were not separate phonemes but only allophones of the oral vowels before a nasal consonant. The nasal consonant was fully pronounced; bon was pronounced [bõn] ( ModF [bɔ̃] ). Nasal vowels were present even in open syllables before nasals where Modern French has oral vowels, as in bone [bõnə] ( ModF bonne [bɔn] ). Notes: Notes: In addition to diphthongs, Old French had many instances of hiatus between adjacent vowels because of

8836-617: Was written by Latin-speaking clerics for a lay public). A large body of fables survive in Old French; these include (mostly anonymous) literature dealing with the recurring trickster character of Reynard the Fox . Marie de France was also active in this genre, producing the Ysopet (Little Aesop ) series of fables in verse. Related to the fable was the more bawdy fabliau , which covered topics such as cuckolding and corrupt clergy. These fabliaux would be an important source for Chaucer and for

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