Charles Sanders Peirce proposed a semiotic that directed attention to the person or people who are providing interpretation, making place for the social and cultural. Following Peirce, we consider the meanings and consequences the term "community" has in an international context. We argue that English affords a richer set of meanings to community, which was not paralleled in the languages of Southeast Asia. The encounter between English and Southeast Asian languages has lexical consequences, but more momentous are the cultural changes they index. In Southeast Asian cultures, there is less need for "community" to take on broader meanings, since those cultures assume social relationality. Thus, the spread of English "community" could be associated with a rise of individualism in these other cultures, but it could also impoverish the Anglophone West, which would be denied alternative frameworks in which associational and affective meanings of community are unnecessary.The question whether the genus homo has any existence except as individuals, is the question whether there is anything of any more dignity, worth, and importance than individual happiness, individual aspirations, and individual life. Whether men really have anything in common, so that the community is to be considered as an end in itself, and if so, what the relative value of the two factors is, is the most fundamental practical question in regard to every public
Neuropathic pain is thought to affect up to 8% of the adult population in the UK. The condition can severely impact on patients' quality of life and can be difficult to treat. The capsaicin 8% patch has been developed to directly target the source of peripheral neuropathic pain and has been shown to provide pain relief for up to 3 months from a single 30- or 60-minute application. Adherence to the capsaicin 8% patch application procedure is important to achieve effective treatment. The authors are a group of health professionals experienced in using the capsaicin 8% patch. In this article the authors describe the optimal patch application procedure from their real-world clinical experience and provide recommendations on how to optimize the therapeutic benefit of the patch. Other key aspects of the application procedure are also addressed, including the importance of patient management, the ideal treatment setting, the best way to manage application-associated discomfort and post-treatment care. The observations and learning that the authors have gained from their clinical experience with the capsaicin 8% patch will help others to maximize the benefit gained with this novel treatment option.
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