![]() A explanation of related IFS Requirements and questions auditors might ask.An overview and update regarding EU legislation and general definitions.A explanation of supply chain communication and responsibilities of the parties involved.In this second updated version of the guideline, you can find a practical approach with: It is a supporting document with the goal of improving the communication and cooperation between IFS certified companies and their packaging suppliers. ![]() 2018 doi:10.1111/ new IFS Packaging Guideline helps food companies to identify potential risks and ensure their packaging is safe. Journal of Applied Biobehavioral Research. The neurobiology of central sensitization. 2016 revisions to the 2010/2011 fibromyalgia diagnostic criteria. Rochester, Minn.: Mayo Foundation for Medical Education and Research 2015. Barbara Woodward Lips Patient Education Center.National Center for Complementary and Integrative Health. Treatment of fibromyalgia in adults not responsive to initial therapies. Centers for Disease Control and Prevention. Rochester, Minn.: Mayo Foundation for Medical Education and Research 2017. Fibromyalgia, chronic fatigue syndrome and myofascial pain. Clinical manifestations and diagnosis of fibromyalgia in adults. National Institute of Arthritis and Musculoskeletal and Skin Diseases. The frustration of dealing with an often-misunderstood condition also can result in depression and health-related anxiety. The pain, fatigue, and poor sleep quality associated with fibromyalgia can interfere with your ability to function at home or on the job. If you have osteoarthritis, rheumatoid arthritis or lupus, you may be more likely to develop fibromyalgia. You may be more likely to develop fibromyalgia if a parent or sibling also has the condition. Fibromyalgia is diagnosed more often in women than in men. Prolonged psychological stress may also trigger the condition. Fibromyalgia can sometimes be triggered by a physical event, such as a car accident. ![]() Some illnesses appear to trigger or aggravate fibromyalgia. Because fibromyalgia tends to run in families, there may be certain genetic mutations that may make you more susceptible to developing the disorder. There are likely many factors that lead to these changes, including: In addition, the brain's pain receptors seem to develop a sort of memory of the pain and become sensitized, meaning they can overreact to painful and nonpainful signals. This change involves an abnormal increase in levels of certain chemicals in the brain that signal pain. Many researchers believe that repeated nerve stimulation causes the brain and spinal cord of people with fibromyalgia to change.
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