Thursday, November 28, 2019

Acupuncture as a nonconventional treatment for chronic neck pain Essays

Acupuncture as a nonconventional treatment for chronic neck pain Essays Acupuncture as a nonconventional treatment for chronic neck pain Essay Acupuncture as a nonconventional treatment for chronic neck pain Essay Essay Topic: Whiplash Acupuncture as a nonconventional intervention for chronic cervix hurting Introduction IntroductionNeck hurting has been classified as one of the commonest jobs among the people. This status arises from assorted upsets or it may arise from tissues located at the cervix ( Hush. et Al. . ( 2009 ) . The cervix is besides known as a cervical spinal column. The cervixs construction is characterized by vertebrae which run from the upper trunk to the skull’s base. The stableness of the spinal column is associated to ligaments and musculuss that run along the vertebrae ( National Institutes of Health. ( 2013 ) . A neck’s chief importance is its mobility and the support it accords to the caput. It is prone to hurts because it is non offered much protection like the remainder of the spinal column. Injuries usually cause less and restricted mobility and triggers NAIP. Unfortunately neck hurting are non accorded earnestness. most people treat the cervix hurting as impermanent. There are alone instances where the symptoms do non travel off and therefore diagnosing and corresponding intervention is required ( American Academy of Orthopaedic Surgeons ( 2013 ) . Researchers ( De Loose. V. . Burnotte. F. . Cagnie. B. . Stevens. V. . A ; Van Tiggelen. D. ( 2008 ) . have found out that the strivings are caused by several factors such as wear and tear. sprains and abnormalcies of the cervix tissue. There is grounds of cervix strivings originating from other strivings such as arm or shoulder strivings ( De free. 2008 ) . Normally activities such as utmost decompression sicknesss of the cervix. falls and vehicle accidents can do cervix hurts. In certain state of affairss harm of the cervix can damage the spinal column doing palsy. Research workers have besides found out that Spondylosis which occurs in people above the age of 40. adds strains to make out articulations making a way for chronic cervix hurting. But the status is treatable through both conventional and nonconventional methods. Research workers and physicians have identified stylostixis as a nonconventional intervention method which is a really effectual method for handling chronic cervix strivings. Researcher ( Blosssfeldt. 2004 ) . says that. stylostixis is deriving impulse as a popular nonconventional intervention method for chronic cervix hurting. He besides adds that. the method has been good tolerated and has low hazard of inauspicious effects. ( Liang et al. 2008 ) says that. a combination of both traditional and modern stylostixis technique normally result in a documented and improved cervix hurting forms. ( Blossfeldt. 2004 ) adds that stylostixis is widely accepted and it is utilized as a complementary therapy utile in cervix hurting direction arising from cervical spondylitis. Research workers have carried out surveies associating to acupuncture systematic reappraisal with an purpose to happen out on stylostixis effectivity. The surveies have found effectiveness grounds as inconclusive ( salter et Al. 2004 ) . There are surveies which have produced consequences which are positively favoring stylostixis and there are other consequences which have produced negative findings on the effectual of the method ( salter et Al. 2004 ) . Due to the varying consequences. this research was developed to happen out on the effectivity of stylostixis method as a non-conventional method in intervention of chronic cervix strivings in relation to other research findings. In regard to national wellness statistics and studies. Survey data analysis can be used by medical professionals to mensurate the hurting degrees of patients before and after stylostixis intervention. Gathering consequences from assorted surveies and comparing with the constructions of stylostixis and preventative steps of cervix strivings can assist us find on the effectivity of stylostixis as a intervention method. In this literature reexamine the research worker will reexamine on 1 ) how to set up the viability of stylostixis therapies in the intervention of chronic cervix hurting ; 2 ) apprehension of how assumed. shoal and randomised stylostixis therapies are utilized in the intervention of chronic cervix hurting ; 3 ) supply a conclusive grounds of the success of stylostixis as an ideal method of alleviating hurting ; 4 ) set up the effects of the three stylostixis therapies in the intervention of persons with chronic hurting of the cervix ; 5 ) offer recommendation of the viability of stylostixis as a intervention option that can be used by people with chronic cervix strivings. The research worker will besides compare the continuance of stylostixis intervention with other methods and besides the cost associated and hazard factors thereof. METHODOLOGYTarget PopulationThe research informations collected in this survey focused on patients enduring from chronic cervix hurting. The persons used in the research fell within the age of 21 and 55 old ages old. Although there are many patients who report about cervix hurting complaints in different wellness attention installations across the United States. patients withinthe ages of 21 and 55 old ages old were ideal for this research survey. This was due to the fact that they were easier to track their advancement of mending over a longer period of clip. Aged patients over the age of 55 old ages were non best placed in this research sing the assorted properties in the healing procedures of such people. which was proven to be comparatively lower. Most of the information aboutindividuals with chronic hurting of the cervix was indiscriminately collected in wellness attention installations in the State of California. United States. The bulk of these patients were diagnosed with chr onic cervix hurting and were put under a particular focal point while three stylostixis methods of therapies were performed ( Witt 2004. p. 99 ) . The survey by and large involved a thorough probe of 191 patients in California’s wellness attention. It is of import to admit that the assorted patients were intentionally initiated to acupuncture intervention as their determination to seek the alternate medical pattern after unsuccessful interventions in the mainstream medical processs. There were surely no restriction on the sex of the patients ; hence the research involved both male and female patients. Additionally. there was no specified figure of male or females in the survey. as patients. intervention and advancement of intervention of patients was indiscriminately taken. Further. it was assumed that both male and female patients presented similar responses to the different stylostixis therapies performed in the survey ( Sun et al. 2009. p. 850 ) . The research was non limited by either ethnicity or race. although believed to hold different features in respect to assorted medical processs. Variables of the studyThe dependant variables in this survey included the cervix hurting as an complaint caused by assorted facets such as physical hurt and disease or status among others. The rates of instances affecting chronic cervix strivings during the period of this survey were by and large unprecedented as the causes of such complaints greatly varied. Chronic cervix hurting among the patients varied in respect to the specific causes. which in this instance included degenerative phonograph record disease. neck hurt. cervix strain. herniated phonograph record every bit good as pinched cervix ( Sun et al. 2009. p. 850 ) . The first measure in the intervention process involved a thorough diagnosing of common cervix infections that caused the chronic hurting. The research exploits intervention of such cervix strivings utilizing stylostixis which falls into three classs including optimized stylostixis. shallow stylostixis and assumed stylostixis. Research LimitationsThe cardinal restrictions were based on cervix hurting due to common infection like virus infection of the cervix and lymph nope swelling. every bit good as other infections such as TB of the cervix. meningitis. and infection of spine castanetss around the cervix. It was hard in the survey since some of patients did non present themselves on the twenty-four hours of the survey. The survey besides used a big figure of patients which was a challenge for the research worker. The different patients involved in this survey had chronic cervix strivings attributed to highly different causes. which included physical hurts. some rare infections. and virus infections among others ( Witt 2004. p. 99 ) . The patients with this job are by and large taken through the three stylostixis therapies. regardless of the cause of their status ( Hush 2004. p. 1533 ) . The fact that all patients are uniformly taken into similar medical processs without being categorized in relation to th eir specific cause of chronic cervix hurting remain as the greatest restricting property of this research. Additionally. clip was a confining factor since the clip allowed for the research was non plenty to expeditiously undertake critically the aims of the survey. Research standards and Database usedIn this survey. the points were collected through seeking equal reviewed journal articles and hence. the research worker exhaustively searched in assorted databases for article that provided information for patients enduring from chronic cervix strivings. specifically those persons between the age of 21 and 55 old ages old. The research worker farther categorized the informations collected to organize two groups of patients of the age bracket of 21 and 34 old ages and those between 35 and 55 old ages old. The creative activity of these two groups was indispensable as taking a wider scope of people of ages 21 to 55 old ages old would show comparatively a higher divergence in the healing processes of the patients. as those above the age of 35 old ages present a much longer period of mending as compared to the vernal 21 to 34 old ages group. The research worker focused the hunt on SPORT Discus. Academic Search Premier. BMJ Research Articles and Gov. . database. Keywords used in the studyThe key footings the research worker normally used while seeking for the relevant articles included: Chronic cervix hurting. cervical hurting types of stylostixis. alternate medical specialty. Sham stylostixis. Shallow stylostixis and Randomized stylostixis. OVERVIEW OF ACUPUNCTURE PRACTICEPracticing stylostixis started many centuries ago as a type of medicine in China. It is the pattern of engrafting acerate leafs at certain points of the human tegument as a signifier of therapy. In stylostixis patterns. there is no engagement of drugs but merely the acerate leafs are adequate to carry through the therapy ( Liang et al. 8 ) . The pattern originated from China and has been noted to distribute all over west of Europe ( Liang et al. 8 ) . As argued by the theoretical account on Chinese medical specialty. the specific topographic points that the stylostixis acerate leafs are placed prevarications on the way named acmes where the dynamic energy goes through. hence leting its entree to command and modulate the flow of energy which is believed to be the cause of force instability ( Willich et Al. 2006. p. 98 ) . Populations and AcupunctureAcupuncture has been practiced in several parts globally. particularly in Europe even though it is in its origin phases in the United States. Harmonizing to NHI study done in the twelvemonth 2007 that besides considered the usage of CAM in America. where 1. 4 % of the respondents were found to be utilizing stylostixis before so. The 3. 1 million of the American population claimed they merely pattern it majorly for terrible megrim and insistent hurting. The survey showed that half of the respondents used stylostixis to handle chronic cervix hurting ( Sun et al. 2009. p. 850 ) . The pattern should evidently be regarded by doctors as an ideal intervention penchant due to the backup it has received from those persons who have used it in the intervention of chronic cervix hurting. Subsequently. the survey did non curtail the grownups establishing on their gender due to limited research. CHRONIC NECK PAINChronic cervix hurting is an complaint that is characterized by hurting in the cervix that lasts for an remarkably long period of clip. normally over a period of three months ( Blossfeldt. 2004 ) . Although different from the common medical conditions of cervix strivings that last for lone yearss. chronic cervix hurting is typically an complaint that takes even old ages without success in its intervention in the mainstream medical patterns ( Irnich. 2002 ) . Chronic cervix hurting is normally associated with a figure of upsets. every bit good as diseases that can affect any of the tissues around the cervix ( Witt 2004. p. 99 ) . For case. the common causes of this status are strains of the cervix. hurt of the cervix like a herniated phonograph record. pinched phonograph record. or whiplash. and degenerative phonograph record disease. In add-on. chronic cervix hurting is besides linked to common infection like virus infection of the cervix and lymph nope swelling. eve ry bit good as other infections such as TB of the cervix. meningitis. and infection of spine castanetss around the cervix. Some patients besides had chronic cervix strivings caused by highly different causes. which include physical hurts. some rare infections. and virus infections among others. Further. chronic cervix hurting is besides caused by certain infections like virus infection of the cervix and lymph nope swelling. every bit good as other infections such as TB of the cervix. meningitis. and infection of spine castanetss around the cervix. RISK FACTORS OF CHRONIC NECK PAINSChronic cervix hurting is by and large caused by legion factors runing from physical hurt to certain infections around the cervix organic structure tissues. Since cervix hurting affects the musculuss around the organic structure countries of the cervix. it becomes painful to travel the cervix ( De Loose. 2008. p. 475 ) . In order to avoid or to forestall cervix strivings for the patients. it is ever indispensable to see remaining off from activities may writhe the cervix and later aggravate the already painful subdivision of the cervix ( Witt 2004. p. 99 ) . Therisk factors for the hurting normally include hurt from engagement in activities like motor vehicle accidents. Equus caballus siting. contact athleticss and bull equitation among others. devolution of cervical phonograph record besides known as Spondylitis. neck dead set and writhing places ( De Loose. 2008. p. 475 ) . In add-on. it is besides advisable to hold activities that will heighten ce rvix beef uping exercising. every bit good as cervix brace. cut down Television watching use of safety belts in motor vehicles and traveling to the gym for exercising. TYPES OF ACUPUNCTURE USED IN CHRONIC NECK PAIN TREATMENTOptimized stylostixis therapyThe pattern of optimized stylostixis therapy involves the use of traditional stylostixis. which is normally followed by intradermic needle therapy. normally referred to as INT ( Hush 2004. p. 1533 ) . The usage of OAT normally consists of the usage of nine stylostixis points typically selected for an optimized stylostixis therapy group on the advice and consensus of the national adept commission of the OAT processs. In this instance. four points are later located by physician meaning to execute the OAT. The points selected are normally the cervical positive reactions planes found in the top and underside of the cervical planes every bit good as horizontally off from the corresponding cervical vertebra ( Witt 2004. p. 99 ) . The survey found that this type of stylostixis pattern is extremely sensitive and therefore the demand to be performed by an person with more than five of pattern experiences Sham stylostixis therapyThe pattern is put into usage merely as a tool for control in the scientific research in order to mensurate the efficiency of existent stylostixis in assorted disease intervention. This type of stylostixis involves the usage of tegument perforating shallow acerate leafs on the specified fake groups’ stamp points. The stamp points that are used in this method of stylostixis therapy are categorized as the cardinal countries recommended for the stylostixis. which are the Ah Shee. besides referred to as oh yes point . The points are important in this therapy and have to be used throughout the intervention process. Typically. the location of fake points is normally defined by 25mm sidelong widening to the standard location used for the OAT group. They include: the assumed point of Dazhui ( GV14 ) 25mm. which is 25 millimeter vertically below the usual criterion GV14. fake points of ( S115 ) Jianzhongshu and Huatuojiaji. which is 25 mm sidelong to standard S1 15 ( Liang et al. 8 ) . After the assumed stylostixis. persons undergoing the procedure or patients are treated through the usage of point pressure ( De Loose. 2008. p. 475 ) . The findings show that a patient does non detect whether it is assumed or existent stylostixis being used. The consequences showed that the fluctuation between existent and assumed patterns are caused by addiction or the control effects. If the existent stylostixis is efficient compared to the fake. so the addiction and control effects such as outlooks of the patient. behaviour and beliefs are present. Shallow stylostixis therapyShallow stylostixis group undergoes similar processs as the other OAT groups. However. the doctors are required to infix the acerate leafs in a perpendicular mode in order to make the hypodermic degree at a specified deepness of non more than 3 millimeter ( Salter et al. 2004 ) . Needle use or any other esthesis is prohibited in this peculiar group. Ultimately. after the shallow stylostixis. the patients are to boot treated by INT through the usage of a similar method as in the other OAT groups. It was found that the therapy do non to the full handle the hurting to the full due to its shallow incursion hence the demand for extra intervention that follow the same processs. It consequences to a more efficient intervention in comparing to other therapies though takes much clip ( Salter et al. 2004 ) . ACUPUNCTURE AS AN IDEAL METHOD COMPARED TO PHYSIOTHERAPYZhuang ( 2012 ) ; Robertshawe. ( 2008 ) . compares the usage of stylostixis and physical therapy in the intervention of chronic cervix hurting in a research that took topographic point in China. The research involved showing of a sum of 310 patients. The patients were so indiscriminately split into two equal groups. where one group was treated utilizing stylostixis method. while the other group received intervention through physical therapy. The result of the intervention of the two processs revealed that patients treated under stylostixis processs had better consequences in alleviating cervix hurting. peculiarly after a period of three months. It is indispensable to admit that physical therapy is an alternate medical pattern that can be used in the intervention of chronic cervix hurting. While stylostixis therapies by and large used sterilizes acerate leafs that are normally inserted in the country around the cervix depending o n the type of stylostixis used. physical therapy does non affect the usage of acerate leafs. Physiotherapy utilizes several types of use every bit good as exercising to alleviate hurting. The common illustration of the usage of physical therapy is the stretch. strengthen and unbend up exercising motions of the cervix ( Robertshawe. 2008 ; Willich. 2006 ) . Effects OF ACUPUNCTURE TREATMENTWhite. ( 2001 ) ; Ji-Eun. ( 2010 ) . researched about the inauspicious effects following a usage of stylostixis to handle patients with chronic cervix hurting. In his study. which included a prospective study of 32. 000 audiences with physical therapists and physicians. the research worker. Adrian White aimed at determining the incidence of inauspicious effects that are related to acupuncture intervention. as practiced by British physicians during that clip. The research utilised informations that were collected for the June of 1998 to February of 2000. from a sum of 78 acupuncturists. Altogether the resulting important effects were 43. later giving merely a rate of merely 14 patients of the 10. 000 patients included in the information. The consequences of this survey showed that merely 0. 14 per centum of the patients who used stylostixis in the intervention of chronic hurting experience inauspicious effects ( White. 2001 ) . All the inauspicious effe cts were reported to hold had cleared within the period of one hebdomad after the therapy. Similar decreasing effects were characterized at a longer period. except for merely one incident that lasted for several hebdomads. The consequence derived from the information of stylostixis intervention did non describe any serious inauspicious effects. The rates can merely be classified as minimum sing that it was merely 14 inauspicious effects out of the entire 10. 000 patients who were analyzed with the informations provided ( White. 2001 ; Ji-Eun. 2010 ) . By and large. these consequence rates do non give important hazard per single patient. Recommendation ON ACUPUNCTURE’S VIABILITYThe article by Chen. et Al. . ( 2010 ) . offers sole positions on stylostixis given by assorted doctors. The research by Chen among other writers who contributed to the article. there study marks roll uping information that addresses the function of stylostixis in the direction of hurting in respect to sentiments of doctors who manage such conditions. The research was conducted between 2007 and 2008 utilizing a countrywide electronic mail to 1083 doctors who were in active stylostixis pattern in the United States. Chan et Al. . ( 2010 ) found that the overpoweringly bulk of the respondents of the study had a positive attitude and favourable experience of the usage of stylostixis as an alternate mode in the direction of chronic hurting. The consequences of the study later indicate that stylostixis is considered effectual by doctors in the direction of chronic cervix hurting. CASE STUDIES: Acupuncture for patients with chronic cervix painWitt et Al. . ( 2006 ) undertook the survey in analyzing how effectual stylostixis as an alternate intervention for cervix hurting intervention in comparing to patients who used everyday medical attention. The survey used a random attack of more than 14000 persons aged above 18 enduring from cervix hurting symptoms within a period of 6 months. Besides took a non-acupuncture for 15 Sessionss within a period of 3 months. The stylostixis class were given injections without any other stylostixis intervention. The group which was controlled was non treated utilizing stylostixis but both groups could utilize any other manner of intervention. The survey found out that patients utilizing everyday attention and add on stylostixis intervention showed important betterments in both hurting and quality of their lives in comparing to patients who merely used everyday interventions. Therefore. the consequences concludes that stylostixis can be used aboard everyday interventions to accomplish optimum consequences. Efficacy and safety of acupunctureVas. et Al. ( 2006 ) conducted a survey to set up the effectivity of stylostixis vis a vis placebo. Both methods were to be utilized to handle chronic cervix strivings that were non complicated. ( N=123 ) patients. who were over the ages 17 and who possessed chronic cervix strivings for over 3 months were used. They were indiscriminately selected into 2 groups. the stylostixis group and placebo group. For 3 hebdomads. the stylostixis group was treated with 5 stylostixis interventions. The intervention features were. 30 proceedingss intervention followed by 10 proceedingss manual interventions. While the placebo group was subjected to transdermal nervus stimulation. which was characterized by 30 proceedingss of intervention and the potentiometer was being adjusted after every 10 proceedingss. The findings from this survey were that. stylostixis as a signifier of cervix intervention had minimum side effects. For overall effectivity. stylostixis was found to hold higher effectivity than placebo. Researchers once and for all said that. stylostixis was effectual. DISCUSSIONIn its wide context. this research has dwelled in covering all the related stuff on stylostixis and particularly its effectivity in intervention of stylostixis. Most are the surveies which have found considerable effectivity and a few surveies have found less important betterment in stylostixis usage. The research workers ( salter et al. 2006 ; Liang et Al 2012 ; Chen et al 2010 ; vas et al 2006 ) have favourably recognized stylostixis as an effectual non-conventional intervention method. From the reappraisal above. it is apparent that all the methods of stylostixis are effectual in intervention of chronic cervix strivings. Sham. optimisation and shallow stylostixis all have a capacity of effectivity when administered good. The assorted surveies by salter have provided solid practical grounds and information on patients’ wellness upon utilizing all the three types of stylostixis in intervention of patients and persons ( salter et al 2004 ) . For illustration in 2007. a national wellness interview study in America found that. 1. 4 % of respondents have used stylostixis to handle chronic cervix strivings. That per centum reported success. which is a testament to stylostixiss effectiveness ( National Center for Complementary and Alternative Medicine 2012 ) . ( Blossfeldt. 2004 ) in his research notes that. acupuncture optimized technique success rate was a favourable 68 % . Blossfeldt besides noted that. on short term footing. stylostixis was 78 % effectual. while on long term footing it was 49 % effectual. Salter besides found out on effectivity of stylostixis. The cervix hurting questionnaire that he used for a period of 3 months. found out that. of the 34 % of the patients who have cervix strivings. 14 % of these have efficaciously used stylostixis therapy ( salter et al 2004 ) another research worker Liang. who conducted surveies in China in association with other bookmans. they found out that optimized stylostixis as a method of handling chronic cervix strivings was really effectual. Although I extensively performed research on a broad scope of databases. there are some articles that may hold been missed out. Since I was separately carry oning this research entirely. it is possible that the big figure of important articles were later overlooked. In add-on. there are many external factors that could hold influenced the full consequence of the usage of stylostixis as an ideal intervention for chronic cervix hurting. The bulk of surveies somewhat differ in a figure of issues such as informations collected. population. or any of combinations of these factors. White ( 2001 ) exactly researched about the inauspicious events following a usage of stylostixis to handle patients with chronic cervix hurting. with an utmost figure of respondents. Chen. L. et Al. . ( 2010 ) . had a comparatively smaller figure of respondents. and besides had aggregation of informations to be collected merely through electronic mail in his research on the effectivity of stylostixis in the dire ction of chronic hurting in the cervix. These are some of the factors that were out of the range of the research. hence finding the effectivity of stylostixis was hard. since the facet of effectivity could easy be isolated from some external factors. The analysis of the specific information provided by the surveies of the literature reappraisal of this research paper indicates that either of the three methods of stylostixis can efficaciously handle the chronic cervix hurting. The procedural pattern of fake. shoal and optimized stylostixis. though different. they present similar manner of executing the stylostixis therapy. every bit offering effectual intervention for chronic cervix hurting. Liang et Al. ( 2012 ) asserts that the three types of stylostixis to be based on the idea that lessening or disaffection of hurting can be enhanced by let go ofing the chemicals responsible for barricading hurting. Issues of age in the survey have been considered as the research merely focused on persons between 21 old ages old and 55 old ages. as they are likely to hold a faster period of mending as compared to adult aged groups of more than 55 old ages old. By and large. the usage of stylostixis is illustrated every bit effectual as it has a ntecedently been used to handle patients with chronic cervix hurting. The loopholes evident in the research include the possibility of a anterior cognition in finding the differences that may emerge upon consideration for gender in the intervention plan. In the full survey. there is no individual account of the ratio of females against the males in happening out the effectivity of stylostixis intervention processs. The survey focused on a general position of patients with chronic cervix hurting regardless of their several sex or gender. The cognition of the differences that exist between males and females could hold some effects on the understanding the usage of stylostixis. In add-on. the paper did non concentrate on the causes of the assorted cervix hurting. which could besides compromise the consequences of the survey. sing that such programs are typically attributed to a broad assortment of causes. Subjects that can be considered for farther research are set uping the component of gender in finding the effectivity of stylostixis while handling chronic cervix job. The assorted surveies illustrated in the research paper did non indicate out the importance of understanding differences in the healing procedure of male and female patients with chronic cervix hurting. I suggest a survey be conducted with a major accent on the facet of gender differences between patients in order to find the effectivity of stylostixis intervention for cervix hurting in male and female patients. If this survey is conducted. it will be possible to compare the effectivity of stylostixis intervention between male and female patients within the same wellness status of chronic cervix hurting. Mentions Blossfeldt. P. ( 2004 ) . Acupuncture for Chronic cervix hurting: a cohort survey in an NHS hurting Clinic. 22 ( 3 ) : 146-151. Retrieved from hypertext transfer protocol: //www. ncbi. nlm. National Institutes of Health. gov/pubmed/15551941Chen. L. . Houghton. M. . Seefeld. L. . Malarick. C. A ; Mao. Jianren. ( 2010 ) . A Survey of SelectedPhysician Positions on Acupuncture in Pain Management. 11 ( 4 ) . 530-534 Salter. G. C. Roman. M. . Bland. M. J A ; MacPherson. H. ( 2006 ) . Acupuncture for chronic hurting: apilot for randomized controlled test. 7 ( 1 ) : 3-14. Retrieved fromhttp: //www. biomedcentral. com/1471-2474/7/99 Liang. Z. H. . Di. Z. . Jiang. S. . Xu. S. J. . Zhu. X. P. . Fu. W. . A ; Lu. A. P. ( 2012 ) . The optimizedacupuncture intervention for cervix hurting caused by cervical spondylosis: a survey protocol of amulticenter randomized controlled test. 13 ( 1 ) : 2-18. Retrieved fromhttp: //www. ncbi. nlm. National Institutes of Health. gov/pubmed/22776567 American Academy of Orthopaedic Surgeons. ( 2013 ) . cervix hurting. Retrieved fromhttp: //orthoinfo. aaos. org/topic. cfm? topic=a00231Chen. L. . Houghton. M. . Seefeld. L. . Malarick. C. . A ; Mao. J. ( 2010 ) . a study of selected physician positions on stylostixis in hurting direction. Pain Medicine. 11 ( 4 ) . 530-534. Retrieved from SPORTDiscus. De Loose. V. . Burnotte. F. . Cagnie. B. . Stevens. V. . A ; Van Tiggelen. D. ( 2008 ) . Prevalence and hazard factors of cervix hurting in military office workers. Military Medicine. 173 ( 5 ) . 474-479. Retrieved from Academic Search Premier. Hush. J. M. . Michaleff. Z. . Maher. C. G. . A ; Refshauge. K. ( 2009 ) . Individual. physical and psychological hazard factors for cervix hurting in Australian office workers: a 1-year longitudinal survey. European Spine Journal. 18 ( 10 ) . 1532-1540. Retrieved from Academic Search Premier. Irnich. D. . Behrens. N. . Gleditsch. J. M. . Stor. W. . Schreiber. M. A. . Schops. P. . A ; †¦ Beyer. A. ( 2002 ) . Immediate effects of dry needling and stylostixis at distant points in chronic cervix hurting: consequences of a randomized. double-blind.

Sunday, November 24, 2019

Fiscal policies of president Bush and president Obama

Fiscal policies of president Bush and president Obama Introduction Known as the most successful economy in the globe, the United States has come a long way to achieve its economic prowess. The country is a fairly new economy compared to the rest of the super powers making its case unique.Advertising We will write a custom essay sample on Fiscal policies of president Bush and president Obama specifically for you for only $16.05 $11/page Learn More The United States is known for its aggressive and hard working nature due to its political and economic policies. The policies place emphasis on a democratic system of governance that allows for an immense amount of freedom in all aspects of life. These policies have proved to be an advantage to the growth and sustainability of the country. Despite the spiraling rate of economic growth, the country records a number of economic down turns that have threatened the future sustainability. This has as a result led in implementation of a number of economic bailouts so as to increase the viability of the economy in the long run (Wright, 2010). One of the most discussed fiscal policies is that of George. W. Bush Jr. despite his allegiance to the Republican Party, most of his policies are inspire by President John F. Kennedy. One of the areas where Bush placed emphasis is the federal income tax cuts. At this time the country was highly taxed which in turn, affected the essential functions such as disposable income, the borrowing rate and the investing capability of the nation. The change in the tax cuts enabled individuals to use their extra income to pay off debts and save money in the bank. This turned the economy around owing to the level of growth in terms of the economic strength. Another significant element of his fiscal policy was the allocation and distribution of the national resources to different sectors. The government invested the funding of the army which at this time was heavily populated in the Middle Eastern countries.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More This affected the rest of the vital sectors such as health, education, food, housing and internal security. The policy has served as a disadvantage to the economy recording one of the lowest rates of economic growth. This low performance reached its peak in 2008 when the country’s performance recorded an all time low causing a recession across the globe (Wright, 2010). President Obama made news as the first African American to become president of the United States. His economic policy has as a result become highly scrutinized so as to compare his policies to that of his predecessor. One of the areas that Obama chose to concentrate on was the general welfare of the economy. The government reduced the funding of the army redirecting the finances to healthcare, education and housing. This reduced the strain on the public who had become heavily task ed so as to meet the demands of the army. Obama ensured that the central bank reduced their interest rates on most of the charges so as to release the money to the public. This however is closely monitored so as to regulate some of the policies in the event that there is a colossal circulation of money amongst the public. This varies from Bush’s policies that did not place emphasis on regulation of the money by the central bank. The current regime is thus more observant so that the country does not experience another recession in the future (Wright, 2010). Conclusion President Bush’s fiscal policy is highly concentrated on investment in sectors such as the army and tax cuts making the country lack funding in other sectors. The tax cuts however increased the disposable income of the public increasing the level of investment. Obama on the other hand focuses on the welfare of the general economy redirecting the funds to crucial sectors such as health education and housing . References Wright, R. E. (2010). Bailouts: Public money, private profit. New York: Columbia University PressAdvertising We will write a custom essay sample on Fiscal policies of president Bush and president Obama specifically for you for only $16.05 $11/page Learn More

Thursday, November 21, 2019

Best Practices Essay Example | Topics and Well Written Essays - 1000 words

Best Practices - Essay Example Rather, learning in the hospital I work in includes the needed information on health, medical procedures, diagnostics and the like. Educational materials in this setting can be synonymous to informational materials since these are used to inform and educate the patients, doctors, and nurses alike. Educational technologies can be seen in several sectors in terms of how these are used. These sectors that I am referring to are the patients and the health care providers that include the doctors, nurses, dieticians, therapists etc. Patient education comes in various ways and in various objectives. Patients are educated on the ways to alleviate their health conditions, preventive care, and rehabilitation (Patient education, 2006). They are given instructions on how to take their medications, perform exercises and prepare the prescribed meals and the like. These may be done with the use of simple â€Å"to do† lists or with more complex set of materials that includes pictures, illustrations, and flow charts. For instructions on medications for example, depending on the complexity and number of medicines that the patient needs to take, educational materials can be as simple as chart for the schedule of intake of the medicines and the dosage. For rehabilitation and therapy education, illustrations that show how a particular exercise is done are used. These illustrations may be in the form of a printed material or a video presentation or even a live performance by the therapist or the physician. Back exercise s, for example, can be easily illustrated by the physician or therapist providing the instructions. To serve as a reminder, handouts with the illustrations of the back exercises will be given to the patient. Food guides, recipes, and measurement guides are given to patients with special diet requirements and these are in the form of printed materials, diary