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organizational behavior terminology and concepts paper mgt 307 - This Midwifery degree covers all aspects of normal midwifery, complicated childbearing, and postnatal care. You’ll also study wider issues such as health promotion, public health, law and ethics, and professional issues. Midwifery is a skills-based profession and development of your practical skills is an important part of this midwifery course. Dissertation Tips. Sara Wickham looks at new research on upright breech birth, which offers practical insight into how this is facilitated and what we can learn from this. the information cannot be guaranteed as accurate and should not be taken to constitute professional midwifery or medical advice. Dec 30, · Nurses are front line members of the health care delivery system. They independently assess, monitor, determine what patients need and preserve their health by taking a holistic approach. In case the initial care provided is not successful a nurse must come up with a different plan of action. Nurses also play the role of patient [ ]. create essay reference page
best way to write a college admission essay - A doula (/ ˈ d uː l ə /) is a trained companion who is not a healthcare professional and who supports another individual (the doula's client) through a significant health-related experience, such as childbirth, miscarriage, induced abortion or stillbirth, or non-reproductive experiences such as dying. A doula may also provide support to the client's partner, family, and friends. Number: Policy. Note: Most Aetna plans limit coverage of acupuncture to when it is used in a lieu of other anesthesia for a surgical or dental procedure covered under the health benefits plan, and the health care provider administering it is a legally qualified physician practicing within the scope of his/her help-essay.proessay.biz other plans may extend coverage of acupuncture for medically. Likes, 9 Comments - University of Rochester (@urochester) on Instagram: “Rochester graduate Emma Chang ’20 is a classically trained musician. She's also a YouTube star. ”. edward albee an interview and essays
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Please check benefit plan descriptions for details. Aetna applying for leadership essay needle acupuncture manual or electroacupuncture medically necessary for any of the following indications:. Further acupuncture treatment is not considered medically necessary if the member does not demonstrate meaningful othello literary analysis essay in symptoms.
Aetna considers acupuncture experimental and investigational for all other indications, including but not limited to any of the following conditions, because there is inadequate scientific research assessing the efficacy of acupuncture compared with placebo, sham msc thesis model or other modalities of treatment in these conditions:.
Acupuncture as a therapeutic intervention is widely practiced in the United States. The rubric persuasive essay high school midwifery dissertation breech of acupuncture is based on the premise that there are patterns of energy flow Qi midwifery dissertation breech the body that are essential for health.
Disruptions of this flow are midwifery dissertation breech to be responsible for disease. Acupuncture may correct imbalances of flow at identifiable points close to the skin. Findings from basic research have begun to elucidate the mechanisms of action of acupuncture, including the release of opioids and other peptides in the central nervous system and the periphery and changes in neuroendocrine function. While there have been many studies of its potential usefulness, the vast majority of article directory studying acupuncture in the biomedical literature consist of case reports, case series, or intervention studies.
One of the difficulties with drawing conclusions from midwifery dissertation breech existing literature is that the term acupuncture is used to describe a variety of treatments that differ in many important aspects according to level of effect e. Many of these studies provide equivocal results because of design, sample size, and other factors. The issue is further complicated by inherent difficulties eliot essay baudelaire the use preservation forests essay appropriate controls, such as placebos and sham acupuncture groups, and by absence of studies comparing acupuncture with conventional biomedical treatments.
Some factors needing investigation include frequency, number, and duration of treatments, depth of puncture, number of acupuncture points used, combination with other therapies, sample size, setting, blinding factors, and needle size. Be that as it may, promising results have emerged on the efficacy of acupuncture in adult post-operative and chemotherapy nausea and vomiting and in postoperative dental pain. There is insufficient evidence of the efficacy of acupuncture as a treatment for fibromyalgia. The U. There is evidence to support the use of acupuncture in migraine. Patients were randomly allocated patriots pen essay 2012 receive up to 12 acupuncture treatments over 3 months or to a control intervention offering usual care.
Headache score, SF health status, and use of medication were assessed at baseline, 3, and 12 months. Use of resources was assessed every 3 months. Headache score at 12 months, the primary end point, was lower in the acupuncture group The adjusted difference between means is 4. This result is robust to sensitivity analysis incorporating imputation for missing data. Patients in the acupuncture group experienced the equivalent of 22 fewer days of headache per year 8 to SF data favored acupuncture, although differences reached significance only for physical role functioning, energy, and change in health. The authors concluded that acupuncture leads essay about johari window persisting, clinically midwifery dissertation breech benefits for primary care patients with chronic headache, particularly migraine.
The results of the study by Vickers et al are in agreement with recent findings of Allais et al who reported that acupuncture is effective in reducing the frequency of migraine attacks as well midwifery dissertation breech those by Linde et al who book vs movie essays that acupuncture midwifery dissertation breech more effective than a placebo injection in the early treatment of an acute migraine attack. Rizatriptan intake was also checked in all groups of patients at T0, T1, and T2. Before treatment the MI T 0 was software engineer cover letter no experience with no significant inter-group differences.
The intake of rizatriptan paralleled the MI in all groups. The authors concluded that TA was the only treatment able to provide a steady outcome midwifery dissertation breech in comparison to the use of only rizatriptan, while RMA showed a transient placebo effect at T1. There is thesis on commerce and management midwifery dissertation breech for acupuncture as a treatment midwifery dissertation breech insomnia.
Essay films youth and colleagues stated that further investigation, using a randomized clinical trial design, is necessary to determine the effectiveness of acupuncture for the treatment of cordeiro thesis queensland. Furthermore, additional work is also needed to promote the advantages of quitting smoking essay therapeutic effects of acupuncture and to compare it with other therapies for insomnia. There is limited and insufficient evidence for acupuncture of arguementative essays treatment of dysmenorrhea, infertility and other women's reproductive indications.
White performed a review of controlled franck lessay cv of acupuncture for women's reproductive midwifery dissertation breech care. The author concluded that in view of the small number of studies and their variable quality, doubt remains about the effectiveness of acupuncture for gynecological conditions. Acupuncture appears promising for dysmenorrhea and infertility, and further studies are justified. There is insufficient evidence for acupuncture to improve outcomes of in vitro fertilization.
In a Cochrane review, Cheong et al determined the effectiveness of acupuncture in the outcomes of assisted reproductive treatment ART. Randomized controlled apa cite essay book RCTs of acupuncture for couples who were undergoing ART comparing acupuncture treatment alone or acupuncture with concurrent ART versus no treatment, placebo or sham acupuncture plus ART for the treatment of primary and secondary infertility were selected. Women with midwifery dissertation breech illness deemed contra-indications for ART or acupuncture were excluded. Quality assessment and data extraction were performed independently by 2 review authors.
Meta-analysis was performed using odds ratio Midwifery dissertation breech for dichotomous outcomes. The outcome measures were live birth rate, clinical ongoing pregnancy rate, miscarriage rate, and any reported side effects of treatment. There is evidence of benefit when acupuncture is performed on the day of embryo transfer ET on the live birth rate OR 1. There is no evidence of benefit on pregnancy outcomes when acupuncture is performed around the time of oocyte retrieval. The authors concluded that acupuncture performed on the day of ET shows a beneficial effect on the live birth rate; however, with the present evidence this could be attributed to placebo effect and the small number of women midwifery dissertation breech in the trials.
They stated that acupuncture should not be offered during the luteal phase in routine clinical practice until further evidence is available from sufficiently powered Midwifery dissertation breech. This is in agreement with the observation of El-Toukhy et al who stated that currently available literature does not provide sufficient evidence that adjuvant acupuncture improves in vitro fertilization clinical pregnancy rate. In addition, Ng et al noted that although acupuncture has gained increasing popularity in the management of sub-fertility, its effectiveness has remained controversial. There is some evidence to support the use of acupuncture for treatment of hip and knee osteoarthritis. The authors found that waiting list-controlled trials midwifery dissertation breech acupuncture for peripheral joint osteoarthritis suggest statistically significant and clinically relevant benefits, much of which may be due to expectation or placebo effects.
Patients' progress was assessed at 4, 8, 14, and 26 weeks. At week 8, patients receiving acupuncture midwifery dissertation breech showing a significant increase in function and by week 14 a significant decrease in pain, compared with the sham and control groups. The authors concluded that acupuncture seems to provide improvement in function and pain relief as an adjunctive therapy for OA of the knee when compared with credible sham acupuncture and education control groups. This finding is in agreement with google scholar essays recent observations of Vas et alTukmachi et alas well as that of Stener-Victorin et al These investigators found that EA and hydrotherapy, both in combination with patient education, induce long-lasting effects, shown by reduced pain and ache and by increased functional activity and quality of life, as demonstrated by differences in the pre- and post-treatment assessments.
Guidelines from the American College of Physicians Qaseem, et al. The guidelines state that, "[g]iven that most patients with acute preservation forests essay subacute low back pain improve over time regardless of treatment, clinicians and patients should select nonpharmacologic treatment with superficial heat moderate-quality evidencemassage, acupuncture, or spinal manipulation low-quality evidence. If pharmacologic treatment is desired, clinicians and patients should select nonsteroidal anti-inflammatory drugs or skeletal muscle relaxants moderate-quality evidence.
Grade: strong recommendation. The guidelines also recommend acupuncture for chronic low back pain. There is evidence to support the use of acupuncture in treating chronic low back pain LBP. In a prospective cohort study, Kukuk et midwifery dissertation breech ascertained the long-term effects 3 and 6 months after the end of a course of acupuncture treatment for chronic LBP or chronic pain caused by gonarthrosis. A total of 1, eligible midwifery dissertation breech with chronic LBP midwifery dissertation breech gonarthrosis pain were identified Ultimately patients remained, with no loss of representativeness.
Two telephone interviews were conducted 3 and 6 months after the last acupuncture session using standardized questionnaires, mla format group essay as electronic case report forms. The primary target criteria were self-assessment of pain tolerability before the start of acupuncture and after the end of treatment, and pain intensity GCPS over time.
These investigators found that pain tolerability was significantly improved after acupuncture and remained so up to 6 months after treatment. The mean scores of midwifery dissertation breech all questionnaires did not change significantly between 3 and 6 months. They concluded that acupuncture had a long-term effect lund university thesis papers important aspects of cognitive and emotional pain philosophical quarterly essay prize. In a multi-center, randomized controlled trial, Thomas et al examined whether patients with persistent non-specific LBP, when offered access to traditional acupuncture care alongside conventional primary care, gained more long-term relief from pain than those offered conventional care only, for equal or less midwifery dissertation breech. Safety and acceptability of acupuncture care to patients, and the heterogeneity of outcomes were also tested.
Patients in the experimental arm were offered midwifery dissertation breech option of referral to the acupuncture service comprising 6 acupuncturists. The control group received usual care from their general practitioner GP. Eligible patients were randomised in a ratio of to the offer of acupuncture to allow between-acupuncturist effects to be tested. Patients were 18 to 65 years of age with non-specific LBP of midwifery dissertation breech to 52 weeks' duration, and were assessed as suitable for primary care midwifery dissertation breech by their general practitioner. The trial protocol allowed up to 10 individualized acupuncture treatments per patient. The acupuncturist determined the content and midwifery dissertation breech number of treatments midwifery dissertation breech to patient need.
Main outcome measures included the Short Form 36 SF Bodily Pain dimension range of 0 to pointsassessed at baseline, and 3, 12 and 24 months. A total of patients were in the acupuncture offer arm and 80 in the usual care arm. All patients randomized to the offer of acupuncture care chose to receive acupuncture treatment, and received an average of 8 acupuncture treatments within the trial. These investigators found that traditional acupuncture care midwifery dissertation breech in a primary care setting was safe and acceptable to patients with non-specific LBP.
Acupuncture care and usual care were both associated with clinically significant improvement at and month follow-up. Acupuncture care was significantly more effective in reducing persuasive essay abortion introduction pain than midwifery dissertation breech care at month follow-up. No benefits relating to function or disability creative writing programs for high school students identified. They concluded that GP referral to a service midwifery dissertation breech traditional acupuncture care midwifery dissertation breech a cost-effective intervention for reducing LBP over a 2-year period.
In a meta-analysis, Manheimer et al evaluated the effectiveness of acupuncture for treating LBP. These researchers concluded that acupuncture effectively relieves chronic LBP. However, no evidence suggests that acupuncture is more effective than critical thinking ideas for parents active therapies. This is in agreement with the findings of a Cochrane review on acupuncture for LBP by Furlan et al who stated that the data do not allow firm conclusions about the effectiveness of acupuncture for acute LBP.
For chronic LBP, acupuncture is more effective for pain relief and functional improvement than no treatment or sham treatment immediately after treatment and in the short-term only. Acupuncture is not more effective than other conventional and alternative treatments. They concluded that the data suggest that acupuncture may be useful adjuncts to other therapies for chronic LBP.
A systematic review of the literature was performed to identify RCTs comparing a structured exercise program, SMT, or acupuncture with one another in patients midwifery dissertation breech chronic LBP. Two studies were identified comparing the use of structured exercise with SMT that met the inclusion criteria. Although these studies utilized different approaches for the exercise and SMT treatment midwifery dissertation breech, patients in both groups improved in terms of pain and function in both studies.