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Countering Opioid Overdoses
Words: 1660 Length: 6 Pages Document Type: Essay Paper #: 23341731
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Public Health: Countering Opioid Overdoses
The opioid epidemic is a severe public health crisis that must be attended to with urgency in the U.S. It has spread in due part to the problem of care providers over-prescribing strong and addictive opioids or pain relief to patients, who in turn become long-term opioid addicts (Brummett et al., 2017). Illegal opioids are also hitting the streets from other sources, compounding the problem; however, since many health care providers are unable to impact what happens on the streets (in terms of keeping drugs out of the country), they can make a difference by intervening in their facilities. It is true that patients have a right to expect pain relief, but the short-sightedness of health care professionals who prescribe opioids to patients is often a major setback for the fight against opioid abuse. One solution is to cut back on the strength of…

Brummett, C. M., Waljee, J. F., Goesling, J., Moser, S., Lin, P., Englesbe, M. J., ... & Nallamothu, B. K. (2017). New persistent opioid use after minor and major surgical procedures in US adults. JAMA surgery, 152(6), e170504-e170504.
Harbaugh, C. M., Lee, J. S., Hu, H. M., McCabe, S. E., Voepel-Lewis, T., Englesbe, M.J., ... & Waljee, J. F. (2018). Persistent opioid use among pediatric patients after surgery. Pediatrics, 141(1), e20172439.
Kemper, K. J., & Danhauer, S. C. (2005). Music as therapy. South Med J, 98(3), 282-8.
Rowsell, L., Wong, K., Yee, B., Eckert, D. J., Somogyi, A., Duffin, J., ... & Wang, D. (2016). Identifying obstructive sleep apnea patients vulnerable to opioid-induced respiratory depression-a randomized double-blind placebo-controlled crossover trial. Am J Respir Crit Care Med, 193, A4321.
Volkow, N. D., & McLellan, A. T. (2016). Opioid abuse in chronic pain—misconceptions and mitigation strategies. 
Welch, H., Schwartz, L. & Woloshin, S. (2011). Overdiagnosed. Beacon Hill.

Words: 1853 Length: 6 Pages Document Type: Research Paper Paper #: 19708054
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Causes and Treatments for Sciatica
One of the harsh realities of the frail human condition is the fact that most people will suffer from some degree of low back pain at some point in their lives. Even people with relatively sedentary lifestyle can experience debilitating injuries to their lower back, and the potential for such injuries is exacerbated further when individuals engage in various sports activities. One such lower back and hip problem is sciatica, which is caused by spinal nerve root compression. Fortunately, there are a number of evidence-based interventions available for treating this condition, including both pharmacological and psychotherapeutic modalities. The purpose of this paper was to provide a review of the relevant peer-reviewed and scholarly literature concerning the common mechanisms of injury, anatomy of the injury (which structures are involved), presenting signs/symptoms, diagnostic procedures and/or special tests, and the basic healing process, rehabilitation, or surgery that needs…

Abitbol, J. J. (2018). Six leading causes of sciatica. Spine Universe. Retrieved from
Hamilton, L. (2012, May). Q & A. Dance Magazine, 86(5), 24.
Lau, A. & Han, J. (2010, July). The truth about treating low back pain. Current Psychiatry, 9(7), 38-44.
Onac, I. A. & Moldovan, A. R. (2012, March). Medication, physiotherapy and cognitive behavior therapy for the treatment of chronic back pain: A clinical trial. Journal of Evidence-Based Psychotherapies, 12(1), 23-27.
Sciatica. (2018). Merck Manual. Retrieved from musculoskeletal-and-connective-tissue-disorders/neck-and-back-pain/sciatica.
Sciatica overview. (2018). Mayo Clinic. Retrieved from https://www.mayoclinicorg/diseases-conditions/sciatica/symptoms-causes/syc-20377435.
Singh, A. & Singh, O. (2013, January-June). A preliminary clinical evaluation of external snehan and asanas in the patients of sciatica. International Journal of Yoga, 6(1), 71-74.

Imagery Literature Review Guided Imagery
Words: 1189 Length: 3 Pages Document Type: Literature Review Paper #: 38369494
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Participants filled out a Short-Form McGill Questionnaire, an Arthritis Self-Efficacy Scale, and Fibromyalgia Impact Questionnaire in order to measure their levels of pain over the past few weeks. What the researchers found through statistical analysis was self-management strategies that reduced pain over time were most effective in the group that was exposed to guided imagery techniques. The level of guided imagery therapy was not itself significant, but more of the fact of whether or not it was present in the patient's therapy or not. This helps illustrate the effectiveness of guided imagery in managing long-term chronic pain when there are no fundamental cures present within traditional therapeutic practices. Pain management symptoms improved, but the symptoms overall remained. This shows that guided imagery is not a cure in and of itself, but rather an effective way to reduce and manage the pain that is present in chronic conditions like fibromyalgia.



Ferrell, Betty R., et al. "Pain management for elderly patients with cancer at home." CANCER-PHILADELPHIA- 74 (1994): 2139-2139.

Menzies, V., Taylor, a.G., & Bourguignon, C. (2006). Effects of guided imagery on outcomes of pain, functional status, and self-efficacy in persons diagnosed with fibromyalgia. Journal of Alternative & Complementary Medicine, 12(1), 23-30.

Weydert, J.A., Shapiro, D.E., Acra, S.A., Monheim, C.J., Chambers, a.S., & Ball, T.M. (2006). Evaluation of guided imagery as treatment for recurrent abdominal pain in children: a randomized controlled trial. BMC pediatrics, 6(1), 29.

Birth and Dealing With the
Words: 764 Length: 2 Pages Document Type: Essay Paper #: 1142260
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Her life has been a hard one. She raises the children, walks half a mile to a well in rural Mexico to fetch water every day. When she leaves three days a week to serve as a domestic in a nearby motel, her oldest daughter, 11, looks after the children.

Maria makes tortillas every morning and boils the water for purification. Her hands are strong, her skin is leathery, the result of a lifetime of hard work and painful experiences. Her husband is working in the fields in California so she doesn't see him very often, but he sends her money through Western Union so she can pay the rent on their little home. He knows a baby is expected but the grape crops in California must be picked when they are ready, so he can't leave to come home and be with his wife. His back is permanently painful…

Manipulative Thrust Techniques in Lower
Words: 3037 Length: 7 Pages Document Type: Data Analysis Chapter Paper #: 594913
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The practice of manipulative thrust therapy can be dangerous and cases of injuries and tragic events have been recorded. Cases of vertebral artery dissection (VAD) have been recorded in people that had the cervical spine manipulation technique done and research on the cases from 1966 to 1993 concluded 30% could be attributed to the procedure (Cleland 2007). VADs are spontaneous and can be normally present at the initial onset of headaches or neck pain. This represents the conclusion that the VAD was present before the technique is performed on a patient complaining of neck pain. The debate over the truth is still being waged. Even authors have joined the debate but they are touted as biased and do not support the evidenced based in research (User's Guide 2008).

Other debates rage as well. The risks of the manipulative thrusts therapies are actually no worse the risks from NSAIDs and cervical…


Anonymous. "Activator turns 35." Dynamic Chiropractic. Dynamic Chiropractic CA. 2001. HighBeam Research. 24 Apr. 2010 .

Anonymous. "Study Finds "Manual Therapy" Effective for Shoulder Dysfunction/Pain." Dynamic Chiropractic. Dynamic Chiropractic CA. 2004. HighBeam Research. 24 Apr. 2010 .

Anonymous. "Journal of Manipulative and Physiological Therapeutics." Dynamic Chiropractic. Dynamic Chiropractic CA. 2006. HighBeam Research. 24 Apr. 2010 .

Australian Journal of Physiotherapy 2001 Vol. 47-163-24 April 2010

Healing Touch Annotated Bib Bardia A et al
Words: 1673 Length: 6 Pages Document Type: Essay Paper #: 8043171
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Healing Touch Annotated Bib

Bardia, A., (2006). Efficacy of Complementary and Alternative Medicine Therapies in elieving Cancer Pain: A Systematic eview. Journal of Clinical Oncology. 24 (34): 457-64.

Anecdotal evidence abounds regarding the use of complementary and alternative medicine therapies when dealing with issues of pain. One of the clear issues is that there is a lack of rigorous and well-developed scholarly literature on the subject. In this study, 18 trials were reviewed totaling 1,499 patients. Seven trials reported significant benefits using CAM, seven reported intermediate or short-term benefits, and four studies reported no benefits. The researchers conclude that there are a number of variables and a number of types of CAM, all which require more methodologically sound studies in order to determine actual efficacy of individual interventions.

Jones, T., Glover, L. (2012). Exploring the Psychological Processes Underlying Touch:

Lessons From the Alexander Technique. Clinical Psychology and Psychotherapy. EPub:…


Bardia, A., (2006). Efficacy of Complementary and Alternative Medicine Therapies in Relieving Cancer Pain: A Systematic Review. Journal of Clinical Oncology. 24 (34): 457-64.

Jones, T., Glover, L. (2012). Exploring the Psychological Processes Underlying Touch:

Lessons From the Alexander Technique. Clinical Psychology and Psychotherapy. EPub: doi 10.1002/cpp.1824.

Kelly, A., (2004). Therapeutic Touch, Quiet Time, and Dialogue: Perceptions of Women With Breast Cancer. Oncology Nursing Forum. 31 (3): 625-31.

Elaine Cole Antonia Lynch and
Words: 1036 Length: 4 Pages Document Type: Article Review Paper #: 23669473
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This strength, however, comes at the price of an explanation of the detailed mechanisms by which abdominal pain is created by each of the identified illnesses. The article's primary strength is found in its directness and its effective summary of necessary information, in the brevity through which this is achieved necessarily limits the scope of the article. Though the article would perhaps have been more interesting with more in depth explanations, it was still a highly interesting read and provided an effective and concise review of some knowledge already obtained as well as presenting new knowledge.

The health assessment strategies described in this article would be highly beneficially in any practice not already using similar assessment methods. The efficiency and reliability of the methods the authors describe would be of great benefit to patients and staff alike, saving abundant time, energy, and resources that can then be devoted to treatment…


Cole, E.; Lynch, a. & Cugnoni, H. (2006). Assessment of the patient with acute abdominal pain. Nursing standard 20(38), 56-61.

Macpherson Thorpe and Thomas 2006 Reported an
Words: 2481 Length: 8 Pages Document Type: Article Review Paper #: 58109216
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MacPherson, Thorpe, and Thomas (2006) reported an interesting qualitative study on the use of acupuncture in the treatment of low back pain. They report the results of a qualitative study nested within a large quantitative study (there were actually tow qualitative studies performed but the current study only addresses one of them). The quantitative study design was one of a large randomized controlled trial that compared acupuncture against typical general practitioner care. The study was carried out York between the years 1999 and 2003. The acupuncture treatment for the study was founded on the principles of Traditional Chinese Medicine (TCM) using six acupuncturists who all had a minimum of three years of post-qualification clinical experience. The acupuncturists were encouraged by the researchers to provide their typical treatment so that the study would evaluate the effect of routine care for lower back pain, each acupuncturist making meticulous notes of the aspects…


Campbell, A. (2006). Point specificity of acupuncture in the light of recent myofascial pain.

Acupuncture Medicine, 24(3), 118-122.

MacPherson, H., Thorpe, L., & Thomas, K. (2006). Beyond needling therapeutic processes in acupuncture care: A qualitative study nested within a low-back pain trial. Journal of Alternative and Complementary Medicine, 12, 873-880.

Julian Norwich Both Margery Kempe and the
Words: 1254 Length: 4 Pages Document Type: Thesis Paper #: 44444165
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Julian Norwich

Both Margery Kempe and the woman who can be called her mentor, Julian of Norwich, highlight the roles that women have played in Christian history. Although the Roman Catholic Church has officially canonized neither of them, the Anglican Church recognizes and honors both. Margery Kempe and Julian of Norwich both wrote extensively, and their writings have survived as testimony of the hardships women especially endured given their low social status, and how religion helped women to attain personal power and peace. Moreover, their writings reveal a mature theology that can be considered humanist as well as feminist. Margery Kempe and Julian of Norwich both share in common experiences of hallucinations related to near death experiences. Their both having near-death experiences linked the two women and anchored them to Christ as well. Kempe eventually came to visit Julian of Norwich, and the two shared in common a visionary love…

Works Cited

Julian of Norwich. The Shewings of Julian of Norwich. Retrieved online: 

Kempe, Margery. The Book of Margery Kempe. Retrieved online:

Smith CA & Crowther CA 2009 Acupuncture
Words: 1079 Length: 4 Pages Document Type: Essay Paper #: 34818684
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mith, CA & Crowther, CA (2009) Acupuncture for induction of labour, Cochrane Database of ystematic Reviews, 1, 1-26

The pregnant woman is induced when the pregnancy is becoming dangerous either for herself or for the unborn child. Generally done by drugs, mith and Crowther (2009) reviewed the effects of induction that has been impelled by acupuncture which has been historically used to help induce labor and to reduce labor pain. mith and Crowther (2009) conducted a review that included three trials involving 212 women. They concluded that clinical evidence of the effectiveness of acupuncture as applied to this situation is limited, although some qualitative small studies do suggest that women who receive acupuncture receive fewer methods of induction than do women who receive the standard care of induction.

This article is particularly significant given that we are living in a period when increasingly more people turn to holistic or alternative…


Ernst, E. (2002), A systematic review of systematic reviews of homeopathy, British Journal of Clinical Pharmacology 54 (6): 577 -- 82

Eysenck, HJ (1994) Systematic Reviews: Meta-analysis and its problems BMJ,309:789 How does massage therapy work?