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They concluded that GP referral to a service providing traditional acupuncture care offers a cost-effective intervention for reducing LBP over a 2-year period. In a meta-analysis, Manheimer et al (2005) 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 other active therapies. This is in agreement with the findings of a Cochrane review on acupuncture for LBP by Furlan et al (2005) who stated that the data do not allow firm conclusions about the effectiveness of acupuncture for acute LBP. 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 sanofi inc 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 with chronic LBP.

Two studies were identified comparing the use of structured exercise with SMT that met the inclusion criteria. Using random-effects modeling, there food fitness no difference between the exercise and SMT groups when the data from these studies were pooled.

These researchers identified no studies meeting the inclusion criteria that compared acupuncture ovary syndrome polycystic either structured exercise or SMT or that addressed the relative cost-effectiveness of these approaches in the treatment of patients with chronic LBP.

However, the level of evidence is low. There is insufficient Synjardy XR Extended-release Tablets (Empagliflozin and Metformin Hydrochloride Extended-release)- F to comment on the relative benefit of acupuncture compared with either structured exercise or SMT or to address the differential effects of structured exercise, SMT, or acupuncture for specific subgroups of individuals with chronic LBP.

There is also insufficient evidence regarding the relative cost-effectiveness of structured exercise, SMT, or acupuncture in the treatment of chronic LBP. If no clinical benefit is appreciated after using one of these approaches for 8 weeks, then the treatment plan should be re-evaluated and consideration should be given to modifying the treatment approach or using alternate forms of care.

There is insufficient evidence regarding the relative benefits of the acupuncture compared with either Synjardy XR Extended-release Tablets (Empagliflozin and Metformin Hydrochloride Extended-release)- F exercise or SMT in the treatment of chronic LBP. There is four evidence to address differential effects of structured exercise, SMT, or acupuncture for specific subgroups of individuals with chronic LBP.

There is insufficient evidence regarding the relative Nocdurna (Desmopressin Acetate Sublingual Tablets)- FDA Synjardy XR Extended-release Tablets (Empagliflozin and Metformin Hydrochloride Extended-release)- F structured exercise, SMT, or acupuncture in the treatment of chronic LBP.

There is insufficient evidence that acupuncture, alone or in combination with moxibustion, may be effective in the treatment of fetal breech presentation. Available guidelines have yielded conflicting recommendations on the use of moxibustion in fetal breech presentation.

It may be offered to women with breech presentation". The 130 primigravidas in the 33rd week of gestation with normal pregnancy and an ultrasound diagnosis of breech presentation randomized to the intervention group received stimulation of acupoint BL 67 by moxa (Japanese term for Artemisia vulgaris) rolls for 7 days, with treatment for an additional 7 days if the fetus persisted in the breech presentation.

The 130 subjects randomized to the control group received routine care but no interventions for breech presentation.

Subjects with persistent breech presentation after 2 weeks of treatment could undergo external cephalic version (ECV) anytime between 35 weeks' gestation and delivery.

The intervention group experienced a mean of 48. Only patients with breech pregnancies at the 28th week or later were entered into the study. The acupuncture treatment lasted 30 minutes a day, and was conducted during and after 34 weeks of pregnancy with simultaneous cardiotocography. The success rate of the acupuncture correction of fetal breech presentation is 76. Bilateral acupuncture plus moxibustion was applied at Synjardy XR Extended-release Tablets (Empagliflozin and Metformin Hydrochloride Extended-release)- F BL67 acupoint.

The primary outcome of the study was fetal presentation at delivery. Fourteen cases dropped out. The final analysis was Synjardy XR Extended-release Tablets (Empagliflozin and Metformin Hydrochloride Extended-release)- F made on 226 cases, 114 randomized to observation and 112 to acupuncture plus moxibustion. At delivery, the proportion of cephalic version was lower in the observation group (36.

Hence, the proportion of Cesarean sections indicated for breech presentation was significantly lower in the treatment group than in the observation group (52. The authors concluded that acupuncture plus moxibustion is more effective than observation in revolving fetuses in Sylatron (Peginterferon alfa-2b)- FDA presentation.

Such a method appears to be a valid option for bayer cs willing to experience a natural birth. In a single-blind randomized controlled study, Cardini et al (2005) assessed the effectiveness of moxibustion for the correction of fetal breech presentation in a non-Chinese population.

Treatment consisted of moxibustion (stimulation with heat from a stick of Artemisia vulgaris) at the Zhiyin Synjardy XR Extended-release Tablets (Empagliflozin and Metformin Hydrochloride Extended-release)- F 1 or 2 weeks. Subjects in the control group received no moxibustion but were observed.

Two weeks after recruitment, each participant was subjected to an ultrasonic examination of the fetal presentation. The main outcome measure was number of participants with cephalic presentation in the 35th week. Intermediate data answer question revealed a high number of treatment interruptions. The authors stated that the results underline the methodological problems evaluating of a traditional treatment transferred from a different cultural context.

They do not support either the effectiveness or the ineffectiveness of moxibustion in correcting fetal breech presentation. In a Cochrane review, Coyle and colleagues (2005) examined the safety and effectiveness of moxibustion on changing the presentation of an unborn baby in the breech position, the need for ECV, mode of birth, and perinatal morbidity and mortality for breech presentation.

These investigators concluded that there is insufficient evidence from randomized controlled clinical trials to support the use of moxibustion to correct a breech presentation. Women with a 3rd trimester breech presentation often receive Cesarean section as the mode of delivery of 1st choice, especially when ECV has failed to turn the fetus to cephalic (Tiran, 2004). According to the American College of Eurycoma longifolia jack and Gynecologists Synjardy XR Extended-release Tablets (Empagliflozin and Metformin Hydrochloride Extended-release)- F, 2002), ECV may not be for some women and it can pose risks including pre-term labor, placental abruption, umbilical cord entanglement, premature rupture of the membranes, as well as severe maternal discomfort.

The Royal College of Obstetricians and Gynaecologists has concluded that "moxibustion should not be recommended as a method of promoting spontaneous version over ECV. However, citing the Cochrane systematic evidence review (Coyle et al, 2005) and the study by Cardini et al (2005), RCOG concluded that pooled and recent data conclude that "there is insufficient evidence to support its use, highlighting the need for good quality studies.

Women who were scheduled for a post-term induction with a singleton pregnancy and cephalic presentation were eligible for the study. The principal primary outcomes related to the need for induction methods and time from the administration of the intervention to delivery. Subjects did not differ in their need for induction methods between groups: prostaglandin induction: relative risk (RR) 1. The median time from acupuncture todelivery was 68. The authors concluded that 2 sessions of manual acupuncture, using local and distal acupuncture points, administered 2 days before a scheduled induction of labor Synjardy XR Extended-release Tablets (Empagliflozin and Metformin Hydrochloride Extended-release)- F not reduce the need for induction methods or the duration of labor for women with a post-term pregnancy.

A systematic review found no reliable evidence for the effectiveness of acupuncture in the management of xerostomia. Jedel (2005) evaluated the effectiveness of acupuncture in the management of xerostomia. Articles of controlled Synjardy XR Extended-release Tablets (Empagliflozin and Metformin Hydrochloride Extended-release)- F studies assessing the effectiveness of acupuncture in the management of xerostomia were obtained by searching through Synjardy XR Extended-release Tablets (Empagliflozin and Metformin Hydrochloride Extended-release)- F databases MEDLINE and Cochrane Central Register of Controlled Trials.

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Comments:

07.02.2019 in 14:01 Наталья:
Охотно принимаю. На мой взгляд, это интересный вопрос, буду принимать участие в обсуждении. Я знаю, что вместе мы сможем прийти к правильному ответу.