UCSF 15th Pediatric Pain Master Class 2024

UCSF 15th Pediatric Pain Master Class 2024

format : 52 videos + 238 pdfs, size: 15.3 GB

+ Target Audience: pediatric physicians, pain medicine physicians

+ Information:

December 7-13, 2024
UCSF Mission Bay Conference Center • San Francisco, CA
Course# MPD25005 – Department: Pediatrics

Learning Objectives

By the end of this program, participants will be able to:

1. Describe best practice strategies and overview evidence supporting best practice strategies for the management of pediatric pain, including acute, procedural, disease-specific, and complex/persistent pain.
2. Detail evidence based and best practice strategies for management of pain and distressing symptoms in pediatric palliative situations.
3. Select and appropriately dose medications for pediatric pain management, including ability to explain evidence and rationale for medication choice, cross-rotation of medication, and management of side effects and safety concerns.
4. Employ at least two integrative medicine strategies for pain management.
5. Understand the importance of language when communicating with patients and their parents, particularly for complex/persistent pain and palliative care situations.
6. Identify the barriers to changing pediatric pain management at existing institution and develop strategies to overcome these barriers (strategies include, but not limited to knowledge of myths and misperceptions of pediatric pain management and research demonstrating evidence based practices).

+ Topics:

• 00 SAT Pediatric Medication Starting Doses.pdf
• 01 SAT Glossary 2024.pdf
• 02 SAT Opioid Case Example 1 & 2.pdf
• 02b SAT IM Handout Pain Master 12_24.pdf
• 02b SAT IM Resources Pain Master 12_24.pdf
• 03 SUN Case Example Neuropathic Pain.pdf
• 04 MON Handout Comfort Promise.key.pdf
• 04 MON Handout Comfort Promise2.pdf
• 04 MON Needle Pain Comfort Promise.pdf
• 04b MON Murphy – Flyer with coping card.pdf
• 05 Opioid Conversion.pdf
• 05 TUE Case Examples Opioid Rotation.pdf
• 05 TUE Opioid Rotation.pdf
• 05b TUE 20240417-PAC-EDU-FAM-CognitiveBehavioralTherapy-Doc1-v1.0.pdf
• 05b TUE Meg Foundation_UNDERSTANDING_PAIN_all_audiences.pdf
• 05b TUE Who-are-you-Feb-22.pdf
• 06 FRI Methadone Case.pdf
• 06 FRI Methadone Cases.pdf
• 06 WED Kuttner,L. Lang. of Hypnosis.Phrases.Handout.pdf
• 07 THUR 12 December 2024. The Magic Glove Handout.Kuttner.The Magic Glove.Practic &QR code Leora Kuttner.pdf
• 07b THUR 12 Dec Hauer Irritability medication rank ordering SNI Hauer handout Julie Hauer.pdf
• 2024-12 Bernal Seth- Pain Rehab.pdf
• Acupressure Pain Points 7_24 (1).pdf
• Article 1999 Ouchless Schechter.pdf
• Article 2005 BMJ Parachute use to prevent death.pdf
• Article 2005 WhyMostPublishedResearchFindingsAreFalse Ioannidis.pdf
• Article 2007 Anaesthetic neurotoxicity in rodents- is the ketamine controversy real_ Bhutta_et_al-2007-Acta_Paediatrica.pdf
• Article 2007 Breakthrough Pain in Children with Cancer Friedrichsdorf.pdf
• Article 2007 Managing Non_Pain Symptoms in Pediatric Palliative Care FRIEDRICHSDORF.pdf
• Article 2007 Ped Clinics of N America FRIEDRICHSDORF.pdf
• Article 2008 Peds IMMPACT Consensus McGrath.pdf
• Article 2008 Ouchless2 Schechter.pdf
• Article 2010 Appendix1 Reducing the Pain of Childhood Vaccinations Taddio.pdf
• Article 2010 Appendix2 Reducing the Pain of Childhood Vaccinations Taddio.pdf
• Article 2010 Appendix3 Reducing the Pain of Childhood Vaccinations Taddio.pdf
• Article 2010 ChildKind Description – PPL.pdf
• Article 2010 Reducing the Pain of Childhood Vaccination Taddio.pdf
• Article 2010 Weaning ANAND.pdf
• Article 2011 Nitrous Gas ZIER.pdf
• Article 2011 Pain assessment & management in the non_communicating child. pain versus neuroirritability.pdf
• Article 2012 Voepel-Lewis Pain as a Social Transaction.pdf
• Article 2012 Whats the score von Baeyer.pdf
• Article 2013 Pain Is Like- Metaphors for Chronic Pain Coakley Schechter.pdf
• Article 2013 Chronic pain is like.Schechter.pdf
• Article 2013 Codeine Death FRIEDRICHSDORF.pdf
• Article 2013 Expect analgesic failure BMJ.pdf
• Article 2013 Neuropathic cancer pain FRIEDRICHSDORF.pdf
• Article 2013 Pain Score Reliability & Validity – Voepel_Lewis.pdf
• Article 2014 Breakthrough Pain FRIEDRICHSDORF.pdf
• Article 2014 Exposure to Home Based Pediatric Palliative and Hospice Care POSTIER.pdf
• Article 2014 Functional pain Schechter.pdf
• Article 2014 International Research in Pain Management FRIEDRICHSDORF.pdf
• Article 2014 Opioid Antagonists.pdf
• Article 2014 Opioid Rotation AAHPM FRIEDRICHSDORF.pdf
• Article 2014 Primary Pain Disorder SCHECHTER.pdf
• Article 2014 Ten Apps that distract FRIEDRICHSDORF.pdf
• Article 2015 Acute Pain Management- The Scientific Evidence Australian New Zealand.pdf
• Article 2015 Bellieni_et_al-2015-Acta_Paediatrica.pdf
• Article 2015 Blitz Day Hospital Pediatrics FRIEDRICHSDORF.pdf
• Article 2015 Home Pediatric Palliative Care Friedrichsdorf.pdf
• Article 2015 Imprecision Hypothesis Moseley.pdf
• Article 2015 Pain and Prejudice.pdf
• Article 2015 Pharmacological_and_Combined_Interventions TADDIO.pdf
• Article 2015 PPC Pain Management Downing.pdf
• Article 2015 Racial Disparities in Pain Management of Children With Appendicitis in Emergency Departments.pdf
• Article 2015 Tramadol Tonsilectomy FRIEDRICHSDORF.pdf
• Article 2015 Twycross TVL Debate Gold Standard.pdf
• Article 2016 Implementing a TIC approach in pediatric healthcare networks_Marsac et al.pdf
• Article 2016 PTSD Symptoms in Youth _Noel et al.pdf
• Article 2016 Chronic Pain Children FRIEDRICHSDORF.pdf
• Article 2016 JOM Methadone Conversion FRIEDRICHSDORF.pdf
• Article 2016 JPSM Comparison Inpatient PPC FRIEDRICHSDORF.pdf
• Article 2016 Lancet GAS.pdf
• Article 2016 Lancet General Anesthesia Commentary Case closed_ copy.pdf
• Article 2016 Pain Commentary Friedrichsdorf Sidman Krane.pdf
• Article 2016 PPL Commentary Comfort Promise FRIEDRICHSDORF.pdf
• Article 2017 ACEs and Pediatric Chronic Pain_Nelson et al.pdf
• Article 2017 Blitz Day Denmark WALTER_LARSEN.pdf
• Article 2017 CDC is the devil in the data.pdf
• Article 2017 Evidenced-based psychotherapy for pediatric chronic pain_Coakley & Wihak.pdf
• Article 2017 JPR-138153-pain-reporting-and-analgesia-management-in-270-children-with_073117.pdf
• Article 2017 Myths in PPC FRIEDRICHSDORF.PDF
• Article 2017 Nitrous Gas for LPs FRIEDRICHSDORF.pdf
• Article 2017 Pain in kids with neurodegenerative Dx Friedrichsdorf.pdf
• Article 2017 Pediatrics Wong Systematic Review Cannabinoids.pdf
• Article 2017 TVL-JAMA Viewpoint 2017 -Consequence of the Clinical Pain Score_.pdf
• Article 2018 Comfort Promise – Friedrichsdorf.pdf
• Article 2018 Denial to Palliactive FRIEDRICHSDORF BRUERA.pdf
• Article 2018 PAIN Reports Comfort Promise FRIEDRICHSDORF.pdf
• Article 2018 Special_considerations_in_conducting_clinical.99927.pdf
• Article 2018 The_Incidence_of_Adverse_Childhood_Experiences_Nelson, Simons, and Logan.pdf
• Article 2018 Traumatic Stress & Peds Pain _ Kao, Bhandari, Huestis, Golianu.pdf
• Article 2019 Tramadol Methadone Clin J Pain Friedrichsdorf.pdf
• Article 2020 Adverse_childhood_experiences_and_chronic_pain.2.pdf
• Article 2020 Children Post-Cardiotomy Bupivacaine.pdf
• Article 2020 Pediatric_pain_treatment_and_prevention.pdf
• Article 2020 The Golden Half Hour in Chronic Pediatric Pain Schechter.pdf
• Article 2020 Tonsillectomy pain Postier Friedrichsdorf.pdf
• Article 2021 Low Dose Ketamine Pediatric Hem Onc Agrawal Long.pdf
• Article 2021 Methadone IV to PO Conversion.pdf
• Article 2021 Neuropathic Pain. FINNERUP.pdf
• Article 2021 Pediatrics Opioids Ethics Rounds.pdf
• Article 2022 Adjuvant low-dose ketamine for paediatric and young adult sickle cell vaso-occlusive.pdf
• Article 2022 Low-dose Ketamine Infusion for Pediatric Hematology_Oncology Patients Case Series and Literature Review.pdf
• Article 2022 Nitrous Gas. Dev Med Child Neurol. FRIEDRICHSDORF.pdf
• Article 2022 Pediatric Delirium.pdf
• Article 2023 Gabapentin in PPC JPSM.pdf
• Article 2024 Cancers-16-01025 copy.pdf
• Article 2024 Prevalence Chronic Pain in Children. Chambers.pdf
• Bad Presenter Bingo copy.jpg
• Book 2018 Integrating palliative care and symptom relief into paediatrics. a WHO guide.pdf
• Book Chapter 2011 GI Symptoms FRIEDRICHSDORF.pdf
• Book Chapter 2012 Palliative Care for Children with Advanced Cancer Friedrichsdorf Zeltzer.pdf
• Book Chapter 2013 Hypnosis.Palliative_Care Kuttner & Friedrichsdorf.pdf
• Book Chapter 2016 IASP Pain Chapter 33 FRIEDRICHSDORF.pdf
• Book Chapter 2019 Long Agrawal Pediatric Cancer Pain Management.pdf
• Dec 10 10-minute Experiential “Soothing Color Muscle Relaxation”.mp4
• Dec 10 Back to the Future Where did we come from, where do we go to in pain medicine Looking into the crystal ball.mp4
• Dec 10 Back to the Future Where did we come from, where do we go to in pain medicine Looking into the crystal ball.pdf
• Dec 10 Meditation Experiential From focusing, wandering or clearing your mind.mp4
• Dec 10 Opioid Selection in the Pediatric Population. Part II.mp4
• Dec 10 Opioid Selection in the Pediatric Population. Part II.pdf
• Dec 10 Opioid-Rotation in Infants & Children- The complete crux of the incomplete cross-tolerance.mp4
• Dec 10 Opioid-Rotation in Infants & Children- The complete crux of the incomplete cross-tolerance.pdf
• Dec 10 Psychotherapy for Kids in Pain- From Skills-based training to CBT and ACT.mp4
• Dec 10 Psychotherapy for Kids in Pain- From Skills-based training to CBT and ACT.pdf
• Dec 10 Regional anesthesia modalities to treat and prevent pain in children.mp4
• Dec 10 Regional anesthesia modalities to treat and prevent pain in children.pdf
• Dec 10 The Neurobiology of Pain Generation and its Control.mp4
• Dec 10 The Neurobiology of Pain Generation and its Control.pdf
• Dec 11 Beyond Nitrous Gas Pediatric sedation & anxiolysis for painful procedures.mp4
• Dec 11 Beyond Nitrous Gas Pediatric sedation & anxiolysis for painful procedures.pdf
• Dec 11 Hypnosis and Hypnotic Language to Treat and Prevent Pain and Anxiety in Pediatric Patients.mp4
• Dec 11 Hypnosis and Hypnotic Language to Treat and Prevent Pain and Anxiety in Pediatric Patients.pdf
• Dec 11 Pediatric Pain Rehabilitation Treating Pain by Restoring Function (1).mp4
• Dec 11 Pediatric Pain Rehabilitation Treating Pain by Restoring Function (1).pdf
• Dec 11 Pediatric Pain Rehabilitation Treating Pain by Restoring Function (2).mp4
• Dec 11 Primary Pain Disorders Chronic pain in head, abdomen, muscles, and joints.mp4
• Dec 11 Primary Pain Disorders Chronic pain in head, abdomen, muscles, and joints.pdf
• Dec 11 Welcome, Announcements, Reflection, Teach-Back.mp4
• Dec 12 10-minute Experiential “Ear Seeds”.mp4
• Dec 12 Bias and Pediatric Pain Care.mp4
• Dec 12 Bias and Pediatric Pain Care.pdf
• Dec 12 Chronic intractable pain and irritability in children with neurological impairment.mp4
• Dec 12 Chronic intractable pain and irritability in children with neurological impairment.pdf
• Dec 12 Drowning in Sea of Pain Advances in the Management of Pain in Sickle Cell Disease.mp4
• Dec 12 Drowning in Sea of Pain Advances in the Management of Pain in Sickle Cell Disease.pdf
• Dec 12 Intractable Pain and Suffering in Children with Advanced Diseases.mp4
• Dec 12 Intractable Pain and Suffering in Children with Advanced Diseases.pdf
• Dec 12 Pain – nothing but a memory.mp4
• Dec 12 Pain – nothing but a memory.pdf
• Dec 12 Software problems unrelated to a hardware problem The Broken Smoke Detector and other analogies explaining chronic pain to kids and their parents.mp4
• Dec 12 Software problems unrelated to a hardware problem The Broken Smoke Detector and other analogies explaining chronic pain to kids and their parents.pdf
• Dec 12 The Magic Glove A versatile hypnotic technique.mp4
• Dec 12 The Magic Glove A versatile hypnotic technique.pdf
• Dec 13 10-minute Experiential Active Progressive Muscle Relaxation.mp4
• Dec 13 Called to Arms- The adventure of pediatric pain management & next steps.mp4
• Dec 13 Called to Arms- The adventure of pediatric pain management & next steps.pdf
• Dec 13 How to grow your pain program Part 1 & 2.mp4
• Dec 13 How to grow your pain program Part 1- The Institutional Vision and Mission (Wilson).pdf
• Dec 13 How to grow your pain program Part 2- Strategies to Improve the Pain Care of Children in Hospital- The ChildKind Initiative (Zempsky).pdf
• Dec 13 Is it Pain, Withdrawal, and or Delirium Assessment and Treatment of Pain Behavior in Infants, Toddlers and Children on an Intensive Care Unit.mp4
• Dec 13 Is it Pain, Withdrawal, and or Delirium Assessment and Treatment of Pain Behavior in Infants, Toddlers and Children on an Intensive Care Unit.pdf
• Dec 13 It’s all in our bodies AND heads- Addressing mental health in children with pain.mp4
• Dec 13 It’s all in our bodies AND heads- Addressing mental health in children with pain.pdf
• Dec 13 Long COVID, dysautonomia and chronic fatigue in patients with primary pain disorders.mp4
• Dec 13 Long COVID, dysautonomia and chronic fatigue in patients with primary pain disorders.pdf
• Dec 13 Methadone in Pediatrics Taming of the shrew.mp4
• Dec 13 Methadone in Pediatrics Taming of the shrew.pdf
• Dec 13 Rare things are rare. and difficult to treat. From Erythromelalgia to Charcot-Marie-Tooth disease – Addressing pain in rare diseases.mp4
• Dec 13 Rare things are rare. and difficult to treat. From Erythromelalgia to Charcot-Marie-Tooth disease – Addressing pain in rare diseases.pdf
• Dec 13 Welcome, Announcements, Reflection, Teach-Back.mp4
• Dec 7 Does prescribing opioids to children in acute pain increase the risk of substance use disorder in adulthood.mp4
• Dec 7 Does prescribing opioids to children in acute pain increase the risk of substance use disorder in adulthood.pdf
• Dec 7 Integrative Medicine in the Treatment of Pain and Distressing Symptoms in Children.mp4
• Dec 7 Integrative Medicine in the Treatment of Pain and Distressing Symptoms in Children.pdf
• Dec 7 Multimodal Analgesia Workshop Advanced pediatric pain treatment and prevention.mp4
• Dec 7 Multimodal Analgesia Workshop Advanced pediatric pain treatment and prevention.pdf
• Dec 7 Responding to Non-Medical Opioid Use in Children and Teenagers.mp4
• Dec 7 Responding to Non-Medical Opioid Use in Children and Teenagers.pdf
• Dec 7 The Global Comfort Promise Prevention of Pain and Anxiety from Needle Procedures in Children with Cancer in Low- and Middle-Income Countries.mp4
• Dec 7 The Global Comfort Promise Prevention of Pain and Anxiety from Needle Procedures in Children with Cancer in Low- and Middle-Income Countries.pdf
• Dec 7 Welcome, Announcements & Introductions.mp4
• Dec 8 Buprenorphine for patients with opioid use disorder.mp4
• Dec 8 Buprenorphine for patients with opioid use disorder.pdf
• Dec 8 Know Pain and Know Gain.mp4
• Dec 8 Know Pain and Know Gain.pdf
• Dec 8 Massage Therapy in Pediatric Pain & Symptom Management.mp4
• Dec 8 Massage Therapy in Pediatric Pain & Symptom Management.pdf
• Dec 8 Opioid Selection in the Pediatric Population (Part I).mp4
• Dec 8 Opioid Selection in the Pediatric Population (Part I).pdf
• Dec 8 Pain Treatment in Neonates and Infants.mp4
• Dec 8 Pain Treatment in Neonates and Infants.pdf
• Dec 8 Pain, Sex, and Death.mp4
• Dec 8 Pain, Sex, and Death.pdf
• Dec 8 Treating Neuropathic Pain in Children.mp4
• Dec 8 Treating Neuropathic Pain in Children.pdf
• Dec 9 10 – minute Experiential Qigong.mp4
• Dec 9 Acutherapy and East Asian Medicine in Pediatric Analgesia.mp4
• Dec 9 Acutherapy and East Asian Medicine in Pediatric Analgesia.pdf
• Dec 9 Cannabis and Cannabinoids for Pain Treatment in Pediatrics Safe and effective.mp4
• Dec 9 Cannabis and Cannabinoids for Pain Treatment in Pediatrics Safe and effective.pdf
• Dec 9 How to Implement RN-Administered Nitrous Oxide Sedation into Clinical Practice.mp4
• Dec 9 How to Implement RN-Administered Nitrous Oxide Sedation into Clinical Practice.pdf
• Dec 9 How to Start a Movement Innovative Physical Therapy Approaches for the Patient with Pain.mp4
• Dec 9 How to Start a Movement Innovative Physical Therapy Approaches for the Patient with Pain.pdf
• Dec 9 Mistakes Were Made How to fix pain research (and treatment).mp4
• Dec 9 Mistakes Were Made How to fix pain research (and treatment).pdf
• Dec 9 The Comfort Promise Preventing Pain and Anxiety Caused by Needle (and Other Painful) Procedures.mp4
• Dec 9 The Comfort Promise Preventing Pain and Anxiety Caused by Needle (and Other Painful) Procedures.pdf
• Dec 9 The Comfort Promise Utilizing quality improvement methodology to bring evidence to the bedside.mp4
• Dec 9 The Comfort Promise Utilizing quality improvement methodology to bring evidence to the bedside.pdf
• ED-comfort-position-guide.pdf
• Essay 2015 When a Baby Dies – The New York Times FRIEDRICHSDORF.pdf
• Guidelines Sickle Cell Disease 2020.pdf
• MPD25005-AgendaFINAL.pdf
• NAS Protocol MN.pdf
• Neuropathic PainDETECT.pdf
• Olga Pantoja. Pediatric Pain Master .pdf
• Pediatric Standards for PPC NHPCO .pdf
• PMC Printed Handouts COMBINED 12.6.24 v2.pdf
• Policy UCSF ProceduralModerateSedation (1).pdf
• Reference 2015 Acute Pain Management- The Scientific Evidence Australian New Zealand.pdf
• Reference 2015 Analgesic starting doses Childrens of MN.pdf
• Reference 2016 Symptom_Control_Manual_9.5_edition.pdf
• Reference 2019 Peds Acute Headache Guidlines.pdf
• Reference 2019 Peds Migraine Prevention.pdf
• Reference 2020 Pain Lancet Commission report.pdf
• Reference 2023 WHO ESSENTIAL List.pdf
• Reference Acute PCA order set Childrens MN.pdf
• Reference EPEC-Pediatrics Teaching Adult Learners.pdf
• Reference EPEC_Pediatrics Curriculum.pdf
• Reference Faces of Pain copy.pdf
• Reference Faces Pain Scale – Revised FPS-R.pdf
• Reference Guideline 2015 AAP Procedural Pain Neonate.pdf
• Reference Guidelines 2019 AAP Sedation.pdf
• Reference Guidelines Clonidine Infusion.pdf
• Reference Lidocaine Infusion for Pain Management 2015.pdf
• Reference Lidocaine SLCH protocol.pdf
• Reference Methadone Rotation copy.pdf
• Reference NCCPC_PV.pdf
• Reference NCCPC_R.pdf
• Reference nitrous-sedation Childrens MN.pdf
• Reference Opioid Contract DRAFT.pdf
• Reference Opioid Receptor Class Table.pdf
• Reference Opioid rotation Table Friedrichsdorf.pdf
• Reference Opioid Screening CRAFFT.pdf
• Reference Paediatric Pain Profile.pdf
• Reference Pain-free Injections in Babies EN.pdf
• Reference Painfree Injections in Children over 1 year EN.pdf
• Reference palliative PCA Childrens MN.pdf
• Reference Pediatric POLST Form.pdf
• Reference Policy 352.00-nitrous-oxide-sedation Childrens MN.pdf
• Reference Policy 375.01-propofol-ketamine-and-midazolam-use-for-pain-and-symptom-management Childrens MN.pdf
• Reference Policy end of life Childrens MN.pdf
• Reference Policy Ethics Childrens MN.pdf
• Reference Policy pain dying child Childrens MN.pdf
• Reference policy pain-prevention-assessment-and-management Childrens MN.pdf
• Reference The Magic Glove.Handout.pdf
• Reference Tramadol Compunding Script.pdf
• Reference VAS Children.pdf
• Reference WHO 2019 Essential Medicine for Children.pdf
• Reference WHO Ask for treatment.pdf
• Reference WHO Guidelines persisting pain 2012.pdf
• Reference WHO Medical Dosage Card.pdf
• Reference WHO Persisting Pain in Children II.pdf
• Reference WHO Persisting Pain in Children.pdf
• Reference. Children with Autism. Blood Work for Clinicians.pdf
• Reference. Children with Autism. Blood Work for Parents.pdf
• Resource ACEs Screen stage 1 Implementation – Checklist-and-Workbook.pdf
• Resource ACEs Screen stage 2 Implementation-Workbook.pdf
• Resource IP3 Pain Coping Mobile & Web Resources_Oct 2021.pdf
• Resource IP3 Recommended Reading for Parents & Kids_Sep2019.pdf
• Sun and Alley – PPMCsedation2024handout.pdf
• UCSF – Arabic Acupressure Pain Points 2024.pdf
• UCSF – Chinese Simple Acupressure Pain Points 2024.pdf
• UCSF – Chinese Traditoinal Acupressure Pain Points 2024.pdf
• UCSF – English Acupressure Pain Points 2024.pdf
• UCSF – Russian Acupressure Pain Points 2024.pdf
• UCSF – Spanish Acupressure Pain Points 2024.pdf
• UCSF – Tagalog Acupressure Pain Points 2024.pdf
• UCSF – Vietnamese Acupressure Pain Points 2024.pdf
• UCSF- 2 point Ear Acupressure Seed Guide 2024- Arabic.pdf
• UCSF- 2 point Ear Acupressure Seed Guide 2024- English.pdf
• UCSF- 2 point Ear Acupressure Seed Guide 2024- Russian.pdf
• UCSF- 2 point Ear Acupressure Seed Guide 2024- Simplified Chinese.pdf
• UCSF- 2 point Ear Acupressure Seed Guide 2024- Spanish.pdf
• UCSF- 2 point Ear Acupressure Seed Guide 2024-Tagalog.pdf
• UCSF- 2 point Ear Acupressure Seed Guide 2024-Traditional Chinese.pdf
• UCSF- 2 point Ear Acupressure Seed Guide 2024-Vietamese.pdf