biomedical waste management ppt 2019

A degree of case control was established by active patients being assessed twice prior to and following intervention. Rheum Dis Clin North Am. Only the treatment group received 9 Activator treatments. Assessments were made at baseline and 1, 2, 6, and 12 months later. 2008;31(3):230-236. Colloca and Polkinghorn (2003) described the use of CBP protocols in conjunction with other chiropractic techniques in 2 persons with Ehlers-Danlos syndrome. American Chiropractic Association (ACA). The investigator concluded that the use of an instrument would be expected to reduce human inconsistency and result in reduced variation in magnitude and duration of force among operators. Sensitivity of trigger points was assessed by numeric pain intensity and by use of a digital force gauge (FG 5020). Spine. 20109;18:20. Turow VD. Third, an RCT with a cross-over design is needed in order to more accurately identify that patients receiving lumbar extension traction applications for lumbar hypo-lordosis are the ones who indeed have the optimum improvement for their back pain and related disabilities. However, there is insuficient evidence to support the clinicalvalue of the Therapeutic (Wobble) Chair. Trapezius upper portion trigger points treatment purpose in positional release therapy with electromyographic analysis. The fact that the ATM2 did not significantly decrease LBP more than the mat exercise is not surprising as abdominal hollowing exercises are often prescribed for patients with LBP. In a systematic review, Phang and colleagues (2018) summarized all good quality RCTs using CAM interventions in patients with rheumatic diseases. Gene, Chromosome, Genotype, Phenotype, Population and fitness Function.Jenetics allows you to minimize and maximize the given fitness function without tweaking it. The authors concluded that no therapeutic option was identified as having sufficient evidence to make a clear recommendation. Chiropractors treat disease without the use of medications or surgery. Chiropr Osteopat. OL OL OL OL LI { No statistically significant differences were found among treatment groups at either at the 3-week or 6-month reassessments. Surface, linear-enveloped sEMG was recorded from the erector spinae musculature at L3 and L5 during a trunk extension procedure. Jackson BL, Harrison DD, Robertson GA, Barker WF. A total of 20 patients (7 male and 13 female; mean ± SD age of 39 ± 13 years), with a clinical diagnosis of CeH and active TrPs in the sternocleidomastoid muscle were randomly divided into 2 groups. Two hundred patients with subacute low back pain were randomly assigned to one of four treatments for 3 weeks: back school, joint manipulation, myofascial therapy, and combined joint manipulation and myofascial therapy. In a case report, Joachim (2014) described combined treatment utilizing Cox distraction manipulation and guided rehabilitation for a patient with spine pain and post-surgical C6 to C7 fusion with spondylotic myelopathy and L5 to S1 radiculopathy. The primary end-point was the number of migraine days per month, whereas secondary end-points were migraine duration, migraine intensity and HI, and medicine consumption. In a systematic review, Weis and colleagues (2020) (SR) examined the effectiveness of specific chiropractic care options commonly used for postpartum-related LBP, PGP, or combination (LBP and PGP) pain. DMX allows clinicians to view the spine and extremity articulations in real-time at 30 exposures per second, and evaluate several aspects of the body’s structures such as intervertebral flexion and extension to determine the presence or absence of abnormalities. This Clinical Policy Bulletin may be updated and therefore is subject to change. This study is limited in that it did not report on clinical outcomes of manual versus instrumented manipulation in humans. There were no treatment-related adverse events. J Manipulative Physiol Ther. 2010;9(3):107-114. Manual manipulation is more effective than mechanical-assisted manipulation in managing low back pain. The investigators reported that mediators of inflammation (IL-6 and high-sensitivity CRP) were modified by the intervention received in the treatment group, and the effect size demonstrated a tendency toward the control group values. Arch Pediatr Adolesc Med. Meyer AL, Amorim MA, Schubert M, et al. J Am Osteopath Assoc. The member has a neuromusculoskeletal disorder; and The medical necessity for … The PulStarFRAS is designed to generate an objective and repeatable analysis of the mobility (compliance) of the spinal structure. Functional neurology, a mainly chiropractic approach, promotes the use of spinal manipulation to improve "brain function" as if it were a proven construct. Ohm J. Dynamic motion study of the whole lumbar spine by videofluoroscopy. } Copyright Aetna Inc. All rights reserved. More effort needs to be put into future trials, with the assistance of qualified CAM professionals to ensure conformation to their therapeutic principles. This approach supposedly makes the body function more efficiently by allowing previously wasted energy to be used for healing. London, UK: BMJ Publishing Group; October 2003. van Tulder M, Koes B. Zhang B, Mao Q, Zhang X, et al. Similar between-group results were found for pain: MTM (94%; 76%); MAM (69%; 47%); and UMC (56%; 41%). The resulting computerized differential compliance (CDC) scans are used as an aid in the identification of spinal joint dysfunction. Olympia, WA: Washington State Department of Heatlh; December 11, 2014. Salehi A, Hashemi N, Imanieh MH, Saber M. Chiropractic: Is it efficient in treatment of diseases? The RCT was conducted at Akershus University Hospital, Oslo, Norway. For all instrument applications, the standard deviation represented 4 % of the mean applied force and 5 % of the mean force duration. J Manipulative Physiol Ther. The authors concluded that encouraging equipoise in the PPE and balancing expectancy across treatment groups may protect against some confounding related to the absence of blinding in a randomized controlled trial of pain. A total of 30 patients with active trigger points in cervical muscles entered to the study. P ST.JOHN'S MEDICAL COLLEGE , BANGALORE 2. A total of 19 studies were selected for full review: 7 RCTs, 7 case-series studies, 3 cohort studies, 1 service evaluation study and 1 qualitative study. Status of activator methods chiropractic technique, theory, and practice. Gordon JS. list-style-type: upper-roman; In a 10-year follow-up study of neck x-ray findings in asymptomatic patients, Gore (2001) found no relationship between the loss of neck curvature and the development of pain or degenerative changes. J Chiropr Med. Carmon KS, Baltus RE, Luck LA. list-style-type: lower-roman; We are happy to help. Moore and colleagues (2017b) evaluated the prevalence and characteristics of chiropractors who frequently manage patients with migraine. PulStar differential compliance spinal instrument: A randomized interexaminer and intraexaminer reliability study. A 3-way analysis of variance with time (pre-post) and side (ipslateral, contralateral to the intervention) as within-group variable and intervention (manipulation or sham) as between-group variable was used to evaluate changes in PPT. A randomized trial of chiropractic and medical care for patients with low back pain: Eighteen-month follow-up outcomes from the UCLA low back pain study. The authors concluded that these findings may suggest interconnectivity between the CCJ and an individual's occlusal contacts and support the need for further integration between chiropractors and dentists seeking to co-manage temporo-mandibular joint (TMJ) disorders. 1996;54(7):2205-2212, 2218-2220. In a randomized clinical trial, Llamas-Ramos et al (2014) compared the effects of TrP dry needling (DN) and TrP manual therapy (MT) on pain, function, pressure pain sensitivity, and cervical range of motion in subjects with chronic mechanical neck pain. All patients received high-velocity low-amplitude spinal manipulation. Schneider et al (2015) reported on a randomized controlled trial comparing manual-thrust manipulation (MTM) versus mechanical-assisted manipulation (MAM) with Activator; and manipulation versus usual medical care (UMC). follow-up analyses at the end of intervention and 3, 6 and 12 months. The remaining 10 studies, generally of "low" or "medium" quality, compared spinal manipulation to "inactive control" or "another physical stimulus" and similarly reported significant between-group differences but inconsistently. Methods. 2018;37:143-157. Complement Ther Clin Pract. Medical evidence supports a multi-disciplinary approach (i.e., pharmacological and psychosocial) for the best clinical outcomes. The other half of the study subjects were assigned to medical care with or without physical therapy modalities. The authors concluded that both procedures were equally effective according to the study. Hestboek L, Leboeuf-Yde C. Are chiropractic tests for the lumbo-pelvic spine reliable and valid: A systematic critical literature review. The author concluded that further study in this area should be made via large scale studies organized in an academic research setting. The manipulative therapies: Osteopathy and chiropractic. Arlington, VA: ACA; 2002. The authors concluded that restoration of Atlas alignment was associated with marked and sustained reductions in BP similar to the use of 2-drug combination therapy. Publication Number 641-042. Only 5 had baseline BBS scores less than 45, indicating increased risk for falls. 2000;78(2):252-257. These treatment protocols – over 500 specific moves – are unique to ART. Biomedical waste management_ppt 1. Carnes and colleagues (2018) carried out a systematic review and meta-analyses to examine the effect of manual therapy for healthy but unsettled, distressed and excessively crying infants and to provide information to help clinicians and parents to make informed-decisions regarding care. Manipulation is considered experimental and investigational when it is rendered for non-neuromusculoskeletal conditions (e.g., attention-deficit hyperactivity disorder, asthma, autism spectrum disorder, depression, dizziness/vertigo, dysmenorrhea, epilepsy, female infertility, gastro-intestinal disorders, improvement of brain function, and menopause-associated vasomotor symptoms); not an all-inclusive list) because its effectiveness for these indications is unproven. Haas M, Aickin M, Vavrek D. A preliminary path analysis of expectancy and patient-provider encounter in an open-label randomized controlled trial of spinal manipulation for cervicogenic headache. Policy. Spine. Group 1 (limited schedule) was treated for 8 weeks, group 2 (extended schedule) was treated for 8 weeks and then once-monthly for 10 months, and group 3 received no treatment. Outcomes included the modified Oswestry questionnaire and PCT measurements in the prone position after an 8-minute acclimation period. Br Med J. J Manipulative Physiol Ther. According to the Disc Institute, the IntraDiscNutrosis program is a non-invasive, innovative treatment that can repair seriously damaged discs, providing lasting relief where other treatments have failed. The author concluded that a patient with a prior C6 to C7 fusion with spondylotic myelopathy and concurrent L5 to S1 radiculopathy improved after a course of rehabilitation and Cox distraction manipulation. Kjellman GV, Skargren EI, Oberg BE. This report high-lighted the rewarding outcomes from spinal adjustment in certain neuropsychiatric disorders. The authors concluded that in the absence of a robust body of primary data literature, the use of spinal manipulation for the management of female infertility should be approached with caution. Another limitation of this study by Schneider, et al. Cranio. In cases where lumbar disc herniation is accompanied by radicular symptoms, electrodiagnostic testing has been used to provide objective clinical information on nerve function. In a subsequent report on the 18-month outcomes of the UCLA Back Pain Study, 89.6 % of the original cohort were followed through 18 months (Hurwitz et al, 2006). The secondary outcome measures chosen were the DSM-IV: Inattentive, the DSM-IV: Hyperactive-Impulsive, and the DSM-IV: Total subscales from the Conners' Rating Scales, monitoring changes in inattention, hyperactivity and impulsivity. Restoring lumbar lordosis: A systematic review of controlled trials utilizing Chiropractic Bio Physics ® (CBP ®) non-surgical approach to increasing lumbar lordosis in the treatment of low back disorders. J Manipulative Physiol Ther. Ernst (2009) noted that some chiropractors claim that spinal manipulation is an effective treatment for infant colic. Conlon J. Chiropractic treatment of neck and back disorders: A review of selected studies. Yu et al (2010) investigated the effects of Activator treatment targeted to the low-back region on changes in pressure pain thresholds (PPTs) and basal electromyographic activity (BEA) in asymptomatic participants. Jenetics is designed with a clear separation of the several concepts of the algorithm, e.g. When relief care ends, CBP practitioners switch patients to rehabilitative care, which consists of weekly mirror image adjustments, neck and low back extension traction, as well as mirror image exercises intended to modify spinal curvature over a longer period of time. Using a digitized infrared segmental thermometry (DIST) to measure cutaneous temperature (CT), Roy, et al. The authors found that a body of basic science and clinical research has been generated on the AAI since its first peer-reviewed publication in 1986. The primary focus of chiropractic is the relationship of the spinal column and the nervous system, as it relates to the restoration and maintenance of health. Spine. Chiropractic care for children. The most important key figures provide you with a compact summary of the topic of "Waste management in India" and take you straight to the corresponding statistics. However, this latitude could also be interpreted as a weakness, since definitions of unsettledness, distress and excessive crying and otherwise healthy were not always clear. Wang P, Zuo G, Du S-Q, et al. Treatments for female infertility. The authors concluded that the results of this clinical trial suggested that 2 sessions of TrP DN and TrP MT resulted in similar outcomes in terms of pain, disability, and cervical ROM. Beck and colleagues (2006) compared a piezoelectric contact sensor with an accelerometer for measuring the mechanomyographic (MMG) signal from the biceps brachii during sub-maximal to maximal isokinetic and isometric forearm flexion muscle actions. The low frequency-high frequency ratio increase was 0.13 for the sham pain group, 0.04 for the control group, and 0.34 for the treatment pain-free group. Chiropractic spinal manipulative therapy for migraine: A three-armed, single-blinded, placebo, randomized controlled trial. 2005;345(2):277-283. ktu new updated 2019 syllabus for s1 s2, download ktu new syllabus pdf for all 2019 regulation subjects. Participants underwent an 8-minute acclimatizing period. In a multi-center, prospective, randomized, placebo-controlled, and blinded study, Borusiak and colleagues (2010) examined the effectiveness of cervical spine manipulation in children and adolescents with suspected cervicogenic headaches. padding: 10px; Four databases were searched and 3 randomized controlled trials met all the inclusion criteria. Furman JM, Barton JJS. cursor: pointer; Chiropractic manipulation in asymptomatic persons or in persons without an identifiable clinical condition is considered not medically necessary. A critical review of manual therapy use for headache disorders: Prevalence, profiles, motivations, communication and self-reported effectiveness. 2006;31(6):611-622. In a pilot study, Hawk et al (2009) collected preliminary information on the effect of a limited and extended course of chiropractic care on balance, chronic pain, and associated dizziness in a sample of older adults with impaired balance. 2009;32(5):344-351. Seminars on biogeometric integration provide an understanding of the innate geometry of the body and force dynamics surrounding the creation and release of subluxations. Treatment of vertigo. Each study was reviewed in terms of contribution to knowledge and critiqued with regard to quality. padding-bottom: 4px; N Am J Med Sci. Definition Waste generated during the diagnosis, testing, treatment, research or production of biological products for humans or animals (WHO) 13-10 … } Chiropractic biophysics technique: A linear algebra approach to posture in chiropractic. The investigators concluded that contacting the skin with the instrument with (treatment group TRP(30)) or without (sham group TRP(30)) a thrust with a sustained pressure stronger than the loading principle taught in the Activator protocol or a thrust respecting the standard loading principle (treatment group TRP(8)) of the instrument produced a CT cooling immediately after the adjustment. Comparison of a piezoelectric contact sensor and an accelerometer for examining mechanomyographic amplitude and mean power frequency versus torque relationships during isokinetic and isometric muscle actions of the biceps brachii. Open university chemistry essential concepts module s215. Sufferers of TTH with more than 10 headaches per month were randomly assigned to 4 groups: A baseline period of 4 weeks was followed by a treatment period of 14 weeks. During the 8 months following the treatment she was without pain, and did not use any medication. Continuation of chiropractic care is considered medically necessary until maximum therapeutic benefit has been reached, when the patient fails to progress clinically between treatments, or when pre-injury/illness status has been reached. Berman BM, Singh BB, Hartnoll SM, et al. Women reporting pelvic pain (PP), and who were diagnosed with dominating one-sided PGP after a clinical examination, were invited to participate in the intervention study. assessed the effect the Activator on cutaneous temperature during 2 different time recording periods (TRPs). Spine J. The reduction in migraine days was not significantly different between the groups (p > 0.025 for interaction). The investigators concluded that adjusting the lumbar vertebrae affected the lumbar parasympathetic nervous system output for this group of participants. The digitized images are then put in order using a computer program and played on a video monitor, creating a moving image of the body. A selected inventory of abstracts for systematic reviews on chiropractic services. They were randomly assigned to PRT or medical therapy group. 2014;13(2):110-115. The authors state that piezoelectric quartz crystal biosensors have been used in various settings such as environmental monitoring (e.g., detection of organophosphate levels in river water), foods sanitary control (e.g., detection of sulfamethoxazole residue or Salmonella in milk), as well as medical laboratory diagnosis (e.g., DNA biosensor, biosensor for estrogenic substances, and micro-array immunosensor for quantitative detection of serum or urine human chorionic gonadotropin). All groups decreased in value except the control group that reacted in the opposite direction, when comparing the pretests and posttests for the high-frequency component. Chiropractors use broadly accepted diagnostic procedures to assess diseases and adverse health conditions. Chiropractic is a popular alternative therapy for children with constipation. N Zealand Med J. The FAKTR (Functional and Kinetic Treatment with Rehab) Approah was developed about 9 years ago by Greg Doerr, D.C. and Tom Hyde, D.C. who began to experiment with treating soft tissue/fascial disorders through the use of instruments. A biosensor for estrogenic substances using the quartz crystal microbalance. Nonhormonal management of menopause-associated vasomotor symptoms: 2015 position statement of The North American Menopause Society.

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