Use Of Manual Therapy Treatments For Patients With Neck...

Reviewer #3: Thank you for the opportunity to review this paper. The research question is valuable with respect to the use of manual therapy treatments for patients with neck pain. The ability to ascertain the effects of mobilization on blood pressure has not had a lot of attention and therefore the research brings new knowledge to the topic. The outcome of the research indicating a reduction in systolic BP with a unilat PA mobilization is also of interest and in contrast to other research, even if this is a non neck pain group. The paper is well written, the methodology clear and robust. The results are clearly presented and the conclusion is sound. There are no typographical or grammatical errors that I could see. Comment #1: My only comment is perhaps the authors could discuss either in the introduction or conclusion a little more the relationship with blood pressure and vertebral artery insufficiency (VBI). Response: We agree that discussing the relationship between blood pressure and vertebral artery risks would be helpful. (â€Å"Introduction† section in the middle of page 5) Instead of VBI, we discussed the relationship between high blood pressure and vertebral artery dissection: â€Å"This hypertensive phenomenon becomes increasingly relevant because it has been associated as a risk factor for vertebral artery dissection or VAD (Rushton et al., 2014, Pezzini et al, 2006). Notwithstanding, the overall incidence of VAD is approximately 1-1.5 per 100,000 (Lee et al., 2006,Show MoreRelatedEssay On Soft Tissue Mobilizationation1496 Words   |  6 Pagesinitial presentation and pain level during the evaluation, soft-tissue mobilization and myofascial release was performed. The patient was positioned supine with one pillow and a bolster placed under bilateral lower extremities. Extreme stiffness in bilateral sternocleidomastoid muscles consisted as the main focus of the initial treatment. The manual strokes were applied with moderate pressure in a superior to inferior fashion along the direction of the muscle fibers. Treatment duration lasted 15 minutesRead MoreDifferential Diagnosis And Treatment Of A Patient With Posterior Upper Thoracic Pain1047 Words   |  5 PagesThis article review is over the case report â€Å"Differential Diagnosis and Treatment in a Patient with Posterior Upper Thoracic Pain,† found in the Journal of the American Physical Therapy Association. The purpose of this article case report is to propose that CV/CT mobilization and active Trigger point release can be helpful in reducing pain and increasing ROM back to functional limitations. Not only does this article provide interventions but it also describes clinical decision making which I foundRead MoreEvaluation Of A Form Of Manual Therapy ( Mt ) Affects Conditioned Pain Modulation Essay1071 Words   |  5 Pagesform of manual therapy (MT) affects conditioned pain modulation (CPM) among adults with chronic idiopathic neck pain (CINP). Scope of the problem: â€Å"Why is the study important?† Chronic neck pain is common, costly, and a leading cause of disability. Literature suggests that ascending pain pathways (i.e. pain pressure threshold or PPT) and/or descending pain pathways (i.e. CPM) may be impaired in those with chronic pain [please see Appendix for illustration of ascending and descending pain pathways]Read MoreMoreover, The Substance Abuse And Mental Health (2011)712 Words   |  3 Pagesthat 27–60 percent of chronic pain patients use CAM.† Nonetheless, clinicians are urged to learn about this alternative treatment for pain which raise the possibility of interactions with conventional treatments. Cheatle et al., reports that acupuncture, one of the most widely used CAM therapies for substance abuse, yoga, and optimal healing environment are some of the many options currently being used and studied in the literature as options for treatment of patients with SUDs (2014, p. 46-47). ResearchesRead MoreManual Therapy, Traction, And Exercise For Patients With Cervical Radiculopathy1007 Words   |  5 PagesTitle: Manual therapy, traction, and exercise for patients with cervical radiculopathy: a randomized clinical trial. Author of CAT (Date): Russell Leighty (2/16/15) Clinical Scenario: Adult female accountant complaints of right-sided lateral upper extremity numbness and tingling, pain, weakness, and dropping things held in right hand. PICO (Clinical) Question: For adult patients with cervical radiculopathy, is manual therapy plus exercise superior to mechanical traction plus exercise? ClinicalRead MoreProfessionalism And The Medical Profession Essay1315 Words   |  6 Pagesrequiring two rounds of surgery to mend the broken bones. Unfortunately, I continued to suffer from the side effects of the surgical procedures. My neck and shoulder pain, headache, and indigestion worsened to the point that I had difficulty carrying out normal social and academic activities. I frequented several hospitals and underwent numerous exams and treatments, but my symptoms remained. Frustrated and disappointed, Ilost confidence in myself and motivation to overcome this challenge. While I was unableRead MoreObservation Of The Client, The Head1318 Words   |  6 Pagesmotion examination of the cervical spine indicates pain 2 type on active and passive extension. Similarly, pain 2 type is reproduced on right side flexion on both active and passive movement. On passive accessory intervertebral movement examination, Postero-anterior central pressure (PA) reproduces pain before resistance at the 6th cervical vertebrae. Postero-anterior unilateral pressure on the right articular processes patient experiences pain before resistance at the 6th and 7th cervical vertebraeRead MoreA Research On The Musculoskeletal System905 Words   |  4 Pagesjoint’s range of motion, a buildup of calcium, the formation of scar tissue and pain. Chiropractors use various methods and treatments to return the joint to its proper position. Injuries Chiropractors at Icon Medical Centers near Hialeah Frequently Treat The licensed chiropractors at Icon Medical Centers frequently treat: frozen shoulders; runner’s knee; tennis elbow; other injuries to the extremities; neck injuries (including whiplash); and back injuries. Chiropractic CareRead MoreWhat Is The Categorisation Of Preparation Of Synthesis Of Evidence Of Quantitative Studies1147 Words   |  5 PagesCategorisation of Synthesis of evidence of quantitative studies Treatment aspects: The clinical trial of Ferreira et al. (2013) identified that therapeutic relationship was more strongly influenced patients with chronic low back pain (CLBP) who had received spinal manipulative therapy or exercise therapy than patient received motor control exercise. Chronic neck pain patient received the traditional bone setting technique (TBS) (which is a soft manual mobilization technique focusing on the muscles, jointsRead MoreNursing Case Study1214 Words   |  5 Pagesacute unilateral neck pain resulted in a significant decrease (P .001) in self-reported level of pain at worst. This reduction in pain across all subjects almost reached clinical significance. Additionally, the reduction in worst pain reported from pre- to post-treatment was significantly different (P = .027) between the two groups with the AP group experiencing a greater reduction in pain than the LAT group. Therefore, the AP glide may be a better treatment option for reducing pain in individuals

Essay on Characteristics that Accompany Fetal Alcohol...

Characteristics that Accompany Fetal Alcohol Syndrome There are different characteristics that accompany fetal alcohol syndrome or FAS in the different stages of a childs life. At birth, infants with intrauterine exposure to alcohol frequently have low birth rate; pre-term delivery; a small head circumference; and the characteristic facial features of the eyes, nose, and mouth (Phelps, 1995). Some of the facial abnormalities that are common of children with FAS are: small head size, small eye openings, broad nasal bridge, flattened mid-faces, thin upper lip, skin folds at the corners of the eyes, indistinct groove on the upper lip, low nasal ridge, and an abnormal smallness of the lower jaw (Wekselman, Spiering, Hetteberg,†¦show more content†¦There are many behavioral characteristics that are common among children with FAS. The most common characteristic is hyperactivity (Phelps, 1995). Hyperactivity is found in 85% of FAS-affected children regardless of IQ(Wekeselman 1995). School failure, behavior management difficulties , and safety issues are some of the problems associated with hyperactivity and attention deficit disorder. Another behavioral abnormality of with children with FAS, is social problems. Specific difficulties included inability to respect personal boundaries, inappropriately affectionate, demanding of attention, bragging, stubborn, poor peer relations, and overly tactile in social interactions (Phelps, 1995). Children are sometimes not diagnosed with FAS until they reach kindergarten and are in a real school setting. School-aged children with FAS still have most of the same physical and mental problems that were diagnosed when they were younger. The craniofacial malformations is one of the only physical characteristic that diminishes during late childhood (Phelps, 1995). Several studies have evaluated specific areas of cognitive dysfunction in school-age children exposed parentally to alcohol. Researchers have substantiated: (a) short term memory deficits in verbal and visual ma terial; (b) inadequate processing of information, reflected sparse integration of information and poor quality of responses; (c) inflexible approaches to problem solving; and (d)Show MoreRelatedAlcohol Use For Disease Control And Prevention1446 Words   |  6 Pagesâ€Å"Alcohol Use in Pregnancy.† CDC. 17 April 2014. Web. 20 April 2016. Centers for Disease Control and Prevention states that there is no known safe amount of alcohol use during pregnancy or while trying to get pregnant. The article suggests that â€Å"women also should not drink alcohol if they are sexually active and do not use effective contraception (birth control). This is because a women might get pregnant and expose her baby to alcohol before the mother knows she is pregnant.Read MoreThe Problem Of Being Born Addicted937 Words   |  4 Pagesevery couple, whether they be newlyweds or not, at some point discusses and dreams of having a little bundle of joy to bring into the world and expand their little family. They long for the gift of a baby and the responsibilities of parenthood that accompany it. Most couples or single parents will do anything and everything to protect their child/children and give them the world. However, not everyone does so. A growing problem, not only in my area, but across the United States is infant s being bornRead MoreFetal Alcohol Syndrome Essay1984 Words   |  8 PagesFetal Alcohol Syndrome (FAS) and Fetal Alcohol Spectrum Disorder (FASD) are identified as a category of birth disorders caused by prenatal alcohol exposure. 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Fetal alcohol spectrumRead MoreEffects of Alcohol on the Family2174 Words   |  9 PagesAlcohol Dependence, also known as alcoholism, is a very widespread disabling addictive disorder, affecting 4% of Canadians. Alcoholism may start innocuously, due to the acceptability of social drinking, but over time, can lead to serious health problems, including brain, kidney and liver damage. Although alcoholics seem to be doing the most damage to themselves, they are hurting their families even more. Lesser-known, but just as serious victims of alcohol abuse are the alcoholics’ children. TheRead MoreSummary Of All Families In Later Life1723 Words   |  7 Pagesgiven metropolitan area is arguably not a labor market characteristic per se, it is a structural factor (much like welfare benefit levels) that varies across labor markets and that m ay modify individual labor market outcomes. Increasing levels of racial residential segregation may increase minority poverty by limiting access to employment opportunities. Furthermore, in highly segregated areas, the racial discrimination that often accompanies segregation (Massey and Denton 1993) often makes it harderRead MoreHistorical Perspective of Alcoholism2104 Words   |  9 PagesIntroduction Alcohol is the oldest and still probably the most widely used drug today. Some consider alcohol as an opponent but many consider it as an ally. Moderate amounts stimulate the mind and relax the muscles, but larger amounts impair coordination and judgment, finally producing coma and death. It is an addictive drug leading to alcoholism. Alcohol is known since antiquity to have some therapeutic value. Opium and alcohol had long been used as analgesics. Greek medicine had employed wineRead MoreHesi Practice31088 Words   |  125 PagesIneffective coping. B. Imbalanced nutrition: Less than body requirements. C. Imbalaneed nutrition: More than body requirements. D. Interrupted family processes. 5. The nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to A. restrict fluid intake to 1 qt (1,000 mL)/day. B. drink liquids only with meals. C. don t drink liquids 2 hours before meals. D. drink liquids only between m eals. 6. A client seeks care for low back painRead MorePsy 244 Essay10464 Words   |  42 Pagesthe child) Continuity vs. discontinuity- each new event builds on earlier experiences vs. series of discrete steps or stages in which behaviors get reorganized into qualitatively new set of behaviors Situational influences vs. individual characteristics Cultural universals vs. cultural relativism Risk and resilience What are the contrasting ideas, or principles, about development to which each theme refers? 2. In his theory of mental development, what position on the theme of continuity-discontinuityRead MoreUnit 2 study guide8637 Words   |  35 Pagesneuropathies. neuropathic pain- results from primary injury to the peripheral or central nervous system and is not the result of pain signaling from peripheral tissues or organs peripheral neuropathic pain- caused by peripheral nerve trauma, diabetic or alcohol abuse-induced neuropathy, carcinoma, nutritional deficiencies, and HIV. central neuropathic pain- caused by a lesion or dysfunction in the CNS hemiagnosia pain- form of central pain associated with stroke that produces paralysis and hypersensitivity/allodynia

Should Prostitution Be Legalized Canada - 1379 Words

Sexual services have been part of societies for millennia. They date back to as early as ancient Mesopotamia, in which females were spiritually obligated to demonstrate Babylonian hospitality by engaging foreigner in sexual intercourse. Over time, the subject of prostitution has surfaced in spiritual and social discussion, and more recently into legal and moral discourses with an emphasis on the rights of sex workers. Since the recent phenomenon of advanced women’s rights through rigorous activist groups in the late nineteenth to early twentieth century, propelling the advancement of women’s rights movements began to immerge in the first world. At its core, prostitution is not an individual issue, but rather, a societal issue, and†¦show more content†¦Such statistics demonstrate the urgent need for increased protection of these sex workers while on the job. Lack of legal recognition of prostitution as an industry only leaves sex workers vulnerable to abuse in a n unregulated system without safety standards. Prostitutes do not report most assaults to police due to fear of further abuse or being charged for soliciting. Therefore, decriminalization is necessary in order to detach the social stigma from being employed in the sex industry, as it is only then that police will be able to take the cases of these victims seriously, and allow them to experience the full benefits of the justice system. According to the Network of Sex Work Projects, â€Å"historically, anti-trafficking measures have been more concerned with protecting women’s ‘purity’ than with ensuring [sex workers’] human rights.† Therefore, it is essential to decriminalize prostitution should sex workers receive adequate working and human rights. The 2010 case of Bedford v. Canada, Terri Bedford, along with several other prostitutes, argued to the courts that the criminalization of prostitution placed their lives and safety at risk. Criminalizati on of prostitution impartially prosecutes exploiters and protectors, such as bodyguards, further intercepting prostitute’s attempts to

Dumas Method Molecular Weight Determination Example For Students

Dumas Method: Molecular Weight Determination Dumas Method Background of the Study Problem In this experiment, an unknown liquid is in need to be identified and one of the key factors to identify it is to determine its molecular weight. In order to determine the molecular weight of a particular substance which in this experiment’s case is a volatile liquid, the need to convert the liquid into a gas arises. The relation among the pressure, volume, temperature and the number of moles of a gas will be an important key in the conclusion of its molecular weight. However, in the process of vaporization, there is a possibility that some of the vaporized liquid will escape the flask and will be replaced with air. If this happens, it will incorporate error in the measurement of the mass of the vaporized liquid, thus contributing error in the computations for its molecular weight. Objectives The experiment aims to: ï‚ · Determine the molecular weight of benzene and an unknown liquid by applying the simple variation of the Dumas Method which is an appropriate process in the determination of organic volatile substances that are liquid at room temperature. Utilize the Ideal Gas Law and Berthelot’s equation in connection with the experiment Get a hint in the identity of the unknown volatile liquid. II. ï‚ · ï‚ · Research Questions ï‚ · ï‚ · ï‚ · What is the molecular weight of Benzene? What is the molar mass of the unknown liquid? What is the unknown liquid? Conceptual Framework The Dumas method of molecular weight determination was historically a procedure used to determine the molecular weight of an unknown substance. The Dumas method is appropriate to determine the molecular weights of volatile organic substances that are liquids at room temperature. In the early 19th century, Jean-Baptiste Andrà © Dumas, a distinguished French chemist, created a relatively simple method for determination of the molecular weight of a substance. With this method, molecular weight is calculated by measuring the mass of a known volume of a vaporized liquid. Because the concept of the mole had not been developed in Dumas’ era, he computed relative molecular weights based on relative gas densities. Though Dumas got mixed results based on erroneous assumptions concerning elements in the gas phase, he is credited with establishing values for the molecular weights of thirty elements. In the modern version of the Dumas procedure, an Erlenmeyer flask is used rather than the glass bulb of Dumas’ day. The temperature, pressure and volume of the vapor are determined and the molar mass is found utilizing the Ideal Gas Law. The procedure entailed placing a small quantity of the unknown substance into a tared vessel of known volume. The vessel is then heated in a boiling water bath; all the air within the flask would be expelled, replaced by the vapor of the unknown substance. When no remaining liquid can be observed, the vessel may be sealed (e.g. with a flame), dried, and weighed. By subtracting the tare of the vessel, the actual mass of the unknown vapor within the vessel can be calculated. Assuming the unknown compound obeyed the ideal gas equation, the number of moles of the unknown compound, n, can be determined by PV = nRT where the pressure, P, is the atmospheric pressure, V is the measured volume of the vessel, T is the absolute temperature of the boiling water bath, and R is the ideal gas constant. By dividing the mass in grams of the vapor within the vessel by the calculated number of moles, the molecular weight may be obtained. Two major assumptions are used in this method: ï‚ · The compound vapor behaves ideally. Essay About MyselfV References Grider, Douglas J., Tobiason, Joseph D., Tobiason, Fred L. (1988). Molecular Weight Determination by an Improved Temperature Monitored Vapor Density Method. Journal of Chemical Education, 65 (7), 641. Kaya, Julie J., Campbell, J. Arthur (1967). Molecular Weights from Dumas Bulb Experiments. Journal of Chemical Education, 44 (7), 394. APPENDIX A Computations of Data and Results A. Benzene Pcorr = 24.94 inHg – 24.94 inHg 1 + 18.810-5 (24.89) Pcorr = 24.82607485 inHg Mair = (24.82607485 inHg) (1 atm / 29.92 inHg) (0.137 L) (29g/mol) (0.08205 L-atm/K-mol) (298.04 K) Mair = 0.0110609004 g Mvapor = 77.2679 g – 76.8648 g + 0.0110609004 g Mvapor = 0.4141609004 g MW = (0.4141609004g)(0.08205)(298.04K) 128(48.30989391)(298.04) (298.04 )2 MWbenzene = 84.9687g/mol % error = I 78 – 84.9687I x 100% 78 % error = 8.9342 % B. Unknown Liquid Pcorr = 25.14 inHg – 25.14 inHg 1 + 18.810-5 (25.667) Pcorr = 24.02188244 inHg Mair = (24.02188244 inHg) (1 atm / 29.92 inHg) (0.1375 L) (29g/mol) (0.08205 L-atm/K-mol) (298.817 K) Mair = 0.1305756683 g Mvapor = 77.2679 g – 76.8648 g + 0.1305756683 g Mvapor = 0.4237756683 g MWunknown liquid = (0.4237756683 g)(0.08205 L-atm/K-mol)(298.817 K) (24.02188244 inHg)(1 atm/ 29.92 inHg)(0.1375 L) MWunknown liquid = 94.1180 g/mol