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Construction and building materials journal

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Patients were randomly allocated to receive up to 12 acupuncture treatments over 3 months or to a control intervention offering usual care. Construction and building materials journal score, SF-36 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 construction and building materials journal the acupuncture group (16. 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 38). The authors concluded that acupuncture leads to persisting, clinically relevant benefits for primary care patients with chronic headache, particularly migraine.

The results of the study by Vickers et al (2004) are in agreement with recent findings of Allais et al (2003) who reported that acupuncture is effective in reducing the frequency of migraine attacks as well as those by Linde et al (2009) who reported that acupuncture was more effective than a placebo injection in the early treatment of an acute migraine attack.

The MIDAS Questionnaire was administered before treatment (T0), at 3 (T1) and 6 months (T2) from the beginning of treatment, and the MIDAS Index (MI) was calculated. Rizatriptan intake was also checked in all groups of patients at T0, T1, and T2.

The statistical analysis was conducted with factorial ANOVA and multiple tests with a Bonferroni construction and building materials journal. A total of 127 patients completed the study (33 dropouts): 32 belonged to group TA, 30 to group RMA, 31 to group SMA, and 34 to group R. Before treatment the MI (T(0)) was moderate-to-severe with construction and building materials journal significant inter-group differences.

All groups underwent a decrease of MI at T(1) and Trisenox (Arsenic Trioxide Injection)- Multum, with a significant group difference at both T(1) and T(2) compared to T(0) (p There is insufficient evidence for acupuncture as a treatment for insomnia. Sok and colleagues (2003) stated that further investigation, using a randomized clinical trial design, is necessary to determine the effectiveness of acupuncture for the treatment of insomnia.

Furthermore, additional work is also needed to promote the long-term therapeutic effects of acupuncture and to compare it with other therapies for insomnia. There is construction and building materials journal and insufficient evidence for acupuncture for treatment of dysmenorrhea, infertility and other women's reproductive indications.

White (2003) performed a review of controlled studies of acupuncture for women's reproductive health care. The author concluded Methoxsalen (8-MOP)- Multum in view of the small number of studies and their Bleph 10 (Sulfacetamide Sodium Ophthalmic Solution 10%)- FDA 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 (2008) determined the effectiveness of acupuncture in the outcomes of assisted reproductive treatment (ART).

Randomized controlled trials (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 medical illness deemed contra-indications for ART or acupuncture were excluded. Quality assessment and data extraction were performed independently construction and building materials journal 2 review authors. Meta-analysis was performed using odds ratio (OR) barley grass 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 construction and building materials journal (OR 1. There is no evidence of benefit on pregnancy outcomes when acupuncture is performed around the time of oocyte retrieval. They stated that acupuncture should not be offered during the luteal phase in routine clinical practice until further evidence is available from sufficiently powered RCTs.

This is in agreement with the observation of El-Toukhy et al (2008) 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 (2008) 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. An earlier AHRQ technology assessment (2003) on Acupuncture for Osteoarthritis concluded that "The currently available evidence is insufficient to determine whether acupuncture has a specific beneficial effect in osteoarthritis.

The authors found that waiting list-controlled trials of acupuncture for peripheral joint osteoarthritis suggest statistically significant and clinically relevant benefits, much of which construction and building materials journal be due to expectation or placebo effects. Patients' progress was assessed at 4, 8, 14, and 26 weeks. This finding is in agreement with the recent observations of Vas et al (2004), Tukmachi et al (2004), as well as that of Stener-Victorin et al (2004).

Guidelines from the American College of Physicians (Qaseem, et al. If pharmacologic treatment is desired, clinicians and patients should select nonsteroidal anti-inflammatory drugs or skeletal muscle relaxants (moderate-quality evidence). 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 al (2005) 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 1,096 eligible patients with chronic LBP or gonarthrosis pain were identified (68. Ultimately 249 patients remained, with no loss of representativeness. Two telephone interviews were conducted 3 and 6 months after the last acupuncture session using standardized questionnaires, available 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.

For the indication construction and building materials journal LBP, pain-related fear avoidance beliefs (FABQ) construction and building materials journal also queried. These investigators found that pain tolerability was significantly improved after acupuncture and remained so up to 6 months after treatment.

The mean scores of almost all questionnaires did not change significantly construction and building materials journal 3 and 6 months. They concluded that acupuncture had a long-term effect on important aspects of cognitive and emotional pain coping. In a multi-center, randomized controlled trial, Thomas et al (2005) 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 roche global care only, for equal or less cost.

Safety and acceptability of acupuncture care to patients, and the heterogeneity of outcomes were also tested. Patients in the experimental arm were offered the option of referral to the acupuncture service comprising 6 acupuncturists.

The control group received usual care from their general practitioner (GP).

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