Tricyclic antidepressant use to mitigate chronic low back pain has been investigated by researchers as a form of treatment for decades. Some articles go as far back as 1986. The types of antidepressants tested for efficacy in treatment of chronic low back pain have been either tricyclic or tetracyclic. Systematic reviews from twelve years ago noted antidepressants treat pain via inhibition of norepinephrine reuptake (Staiger, Gaster, Sullivan, & A Deyo, 2003. Antidepressants that failed to inhibit norepinephrine reuptake did not provide any benefit in pain relief. New modalities of treatment with antidepressants use not just one, but a combination of tricyclic antidepressants like Pregabalin and Amitriptyline.
Pregabalin, otherwise known as Lyrica, is a nerve pain medication. Uses for the drug include treatment of seizures, fibromyalgia and nerve and muscle pain. Amitripyline (Elavil), is a standard treatment for depression and works as a never pain medication. Some medical practitioners have also prescribed…...

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References

Atkinson, J. H., & Sullivan, M. D. (2013). Antidepressant Analgesics in Pain Management. Encyclopedia of Pain, 165-175. doi:10.1007/978-3-642-28753-4_247

Jacobson, E. E., Meleger, A. L., Bonato, P., Wayne, P. M., Langevin, H. M., Kaptchuk, T. J., & Davis, R. B. (2015). Structural Integration as an Adjunct to Outpatient Rehabilitation for Chronic Nonspecific Low Back Pain: A Randomized Pilot Clinical Trial. Evidence-Based Complementary and Alternative Medicine, 2015, 1-19. doi:10.1155/2015/813418

Kalita, J., Kohat, A., Misra, U., & Bhoi, S. (2014). An open labeled randomized controlled trial of pregabalin versus amitriptyline in chronic low backache. Journal of the Neurological Sciences, 342(1-2), 127-132. doi:10.1016/j.jns.2014.05.002

Kanukula, R., Bansal, D., & Ghai, B. (2014). Efficacy And Safety Of Combination Of Pregabalin And Amitriptyline In Patients With Chronic Low Back Pain In Indian Population. Value in Health, 17(3), A224. doi:10.1016/j.jval.2014.03.1312

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 spine…...

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References

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

Therefore, the research offers reliable data supporting the emerging medication.
The sample included 878 patients with low back pain or pain from osteoarthritis of the knee or hip. Patients were randomly assigned to Tapentadol or control drug oxycodone and took their medications for 90 days Doses for Tapentadol were flexible with either 50 or 100 mg offered every 4 to 6 hours, up to a maximum of 600 mg/day. Instances of nausea, vomiting, and constipation were significantly lower in the Tapentadol group vs. The oxycodone group. Doses were flexible and mimicked real life administrations of the medications.

However, the control group was given 10 mg or 15 mg of oxycodone IR every four to six hours. The lack of standardization of doses and the flexible administration of the drugs compromise the reliability and validity of the study. Nurses should also take note that rates of other side-effects such as drowsiness and…...

Benchmark-esearch Critique and PICOT statement
This article is a research critique on the paper titled 'Home Telehealth for Patients with Chronic Obstructive Pulmonary Disease (COPD): An Evidence-Based Analysis' by J. Franek. The research paper under review was published by the Ontario Health Technology Assessment Series.

Although there isn't a direct statement that refers to Problem statement, there is a title that highlights the "Objective of the Analysis." There is an excerpt of the objectives below. The discussion in the objective statement is only centred on the evaluation steps. There is evidence in the literature that the effects of COPD were openly revealed as being core elements of the problem statement in the first place.

"For patients experiencing multiple comorbidities, it is essential to observe routine self-management support. Such support consists of the necessary education to enlighten parents to pick out the symptoms in good time. They will consequently manage their medical gadgets, pinpoint…...

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References

Bernocchi, P., Scalveni, S., Galli, T., Volterani, M., & Vitacca, M. (2016). A multidisciplinary telehealth program in patients with combined chronic obstructive pulmonary disease and chronic heart failure: study protocol for a randomized controlled trial. Trials.

Brown, J. (2014). Improving care for COPD. North East Quality Observatory System.

Irzarry, R., Peng, R., & Leek, J. (2013, August 28). Evidence-based Data Analysis: Treading a New Path for Reproducible Research. Retrieved from Simply Statistics:  http://simplystatistics.org/2013/08/28/evidence-based-data-analysis-treading-a-new-path-for-reproducible-research-part-2/ 

Riva, J., Malik, K., Burnie, S., Endicott, A., & Busse, J. (2012). What is your research question? An introduction to the PICOT format for clinicians. Journal of the Canadian Chiropractic Association, 167-171.

The problems at the work place were detected over a long period of time and are a part of the history of development. The development of technology was very rapid which must also have brought in the needed changes in the workplace functions and norms. Unfortunately the basic structure of health protection came to be discussed only in the beginning of 1960s. The occupational medicine became a separate field of study since then and the occupational health service was born. The motto which the service wanted to achieve was an ergonomic system that could fit the job and the worker and simultaneously identify and eliminate health hazards. (Wilkinson, 50) There were many statues passed that created safety at the workplace. The greatest step in this regard was the OSHA regulations.
OSHA Implications

The OSHA act of 1970 was the single piece of legislation that gave an impetus to the work place…...

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Reference:

N.A. Comparative table of pain distribution. ( http://www.aans.org/education/journal/neurosurgical/may98/4-5-p1/8204f3.GIF )

References

Charlton, Samuel G; O'brien, Thomas G. Handbook of Human Factors Testing and Evaluation. Lawrence Erlbaum Associates. Mahwah, NJ. 2002.

Harrington, Lisa. H. The Safety Zone.  http://www.inboundlogistics.com/articles/features/0506_feature01.shtml

Ankylosing Spondylitis is a chronic inflammatory condition that attacks young males. It may lead to the fusion of the spine (Sarker, 2016). The fusion can result in the spin being rigid thereby making the patient develop a hunched back. Subsequently, the patient may have breathing problems because of the posture. Other inflammatory signs may show up in other parts of the body such as the eyes (Sieper & Braun, 2010).
Etiology and Incidences

Ankylosing's etiology is still unknown but there are pointers to a genetic risk and component. esearchers have highlighted the association it has with the HLA B27 gene. They have proposed ineffective mechanisms but they are seen to be less apparent as is the case with reactive arthritis.

The prevalence of Ankylosing spondylitis in the general population is low (0.1% to 1.4%). It is more prevalent among Caucasians than in members of other races. Those suffering from chronic lower back pain…...

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References

Ebringer, A., & Ebringer, A. (2012). Muscle Changes in Ankylosing Spondylitis. Ankylosing spondylitis and Klebsiella, 45-50. doi:10.1007/978-1-4471-4300-0_6

Gaidukova, I. Z., & Rebrov, A. P. (2016). THE RISK OF CORONARY ARTERY DISEASE DEVELOPMENT IN PATIENTS WITH ANKYLOSING SPONDYLITIS (BECHTEREW'S DISEASE) AND PSORIATIC ARTHRITIS: A 10-YEAR PROSPECTIVE FOLLOW-UP STUDY. The Clinician, 10(3), 26-31. doi:10.17650/1818-8338-2016-10-3-26-31

Moon, K., & Kim, Y. (2014). Medical Treatment of Ankylosing Spondylitis. Hip & Pelvis, 26(3), 129. doi:10.5371/hp.2014.26.3.129

Sarker, H. (2016). Case-45 Back Pain and Stiffness (Ankylosing Spondylitis). Short & Long Cases in Clinical Medicine, 354-357. doi:10.5005/jp/books/12920_46

Hydrocodone: An overview of a highly addictive drug
If you have ever had a cough and taken over-the-counter medications, you know sometimes Tylenol and gargling with salt water is not enough to alleviate the discomfort and the nagging unpleasantness of a lingering cough. Hydrocodone is often prescribed as a temporary pain remedy for relief in combination with other drugs to reduce pain and coughing. The drug is present in a number of medications, almost inevitably compounded with other drugs to relieve pain. Hydrocodone is classified as an opiate as well as an antitussive which inhibits cough. "Hydrocodone relieves pain by changing the way the brain and nervous system respond to pain. Hydrocodone relieves cough by decreasing activity in the part of the brain that causes coughing" ("Hydrocodone Combination Products," Medline Plus). However, despite its potential benefits the drug also has an addictive potential which cannot be disregarded. The potential palliative benefits…...

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Works Cited

"The Effects of Hydrocodone Use." Coalition Against Drug Abuse. Web. 29 Dec 2014.

"Hydrocodone Combination Products." Medline Plus. Oct 2014. Web. 29 Dec 2014.

Liebelson, Dana. "Defying Medical Board, FDA Approves Painkiller That Could Be the Next

OxyContin." Mother Jones. 13 Nov 2013. Web. 29 Dec 2014.

Running on pavement that is cantilevered, such as on a road that is designed to 'run off' rainwater, is more apt to be a culprit in developing patellofemoral pain, regardless of the individual's foot type, while running downhill may exacerbate the tendency of an individual to develop IB syndrome. Improper running shoes for the individual's foot type can also exacerbate both conditions -- inflexible new running shoes again heightening the chance of developing IB syndrome (Hunter, Dolan & Davis, 1995, p.31).
Stress fractures are another common orthopedic plague. They are small fractures of the bone that develop over time, again often from overuse activities like running. Medical literature suggests that certain foot types are more apt to develop stress fractures in certain places than other areas of the body. For example, some believe that flat-footedness may actually guard against overuse injuries in certain places. One clinical study of fifty healthy…...

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Works Cited

Burns et al. (2005) Journal of American Podiatry Medicine.

Chuckpaiwong, J. Nunley, N. Mall, R. Queen. (2007). The effect of foot type on in-shoe plantar pressure during walking and running. Gait & Posture. 28 (3) 405-411 B.

Flat feet and running. (2008). Runner's rescue. Retrieved January 2, 2008 at  http://www.runnersrescue.com/Flat_Feet_and_Running.htm 

Hunter, Skip, Michael G. Dolan, & John M. Davis. (1995). Foot orthotics in therapy and sport.

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…...

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References

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.

Thermo Therapy
Application of healing thermal agents to certain body areas that feel wounded or dysfunction is heat treatment. The main use of a heat treatment is to help alleviate pain, support muscle repose, increase function of the tissue cells, improve blood flow, and remove poison from cells and to increase the extensibility of soft tissues. Superficial and deep are the two types of heat treatment. Superficial heat treatments apply heat to the exterior part of the body. Heat aimed at certain inner tissues through ultrasound or by electric current is deep heat treatment. Heat treatments are favorable before exercise, giving a limbering up result to the soft tissues involved. Heat treatment using conduction as a form of heat transfer in hot pacts is very common. Damp heat packs are easily available in most hospitals, physical treatment centers and sports teaching rooms.

For tissue heating many thermal agents are on hand. Superficial…...

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References

Bigos S, Bowyer O, Braen G. et al. Acute lower back problems in adults. Clinical Practice Guideline, Quick Reference Guide Number 14. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, AHCPR Pub. No. 95-0643. December 1994.p.3-6

Biundo JJ Jr., Torres-Ramos FM: Rehabilitation and biomechanics. Curr Opin Rheumatol 1991 April; 3(2): 291-99

Fedorczyk J: The role of physical agents in modulating pain. Journal of Hand Therapy 1997 Apr-June; 10(2): 110-21

Grana WA: Physical agents in musculoskeletal problems: heat and cold therapy modalities. Instructional Course Lecture 1993; 42: 439-42.

For all employees with chronic health problems such as arthritis, asthma, and diabetes, FedEx offered a disease management program to give them guidance. The emphasis is on health improvement and wellness maintenance, rather than treating on treating disease alone. Wellness promotion strategies reduce employee demand for higher-cost health-care services, improve productivity and reduce sick days. Employees get a sense that the company cares about them, which fosters loyalty. An employee will feel more favorably towards a company that supports him or her during a time of sickness with physical therapy and adequate services, so the employee does not have to worry him or herself 'sick' over wondering where he or she will get care.
FedEx offers a telephone hotline staffed by nurses 24-7 so employees can call with health-related questions. As it is a service-based, delivery organization FedEx is in operation around the clock, particularly during the holidays, and this…...

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References

Benefits. (2010). U.S. jobs. Google. Retrieved August 2, 2010 at http://www.google.com/international/en/jobs/lifeatgoogle/benefits/#hw

Fibromyalgia
One might consider fibromyalgia to be one of the most confounding conditions around today. It is debilitating. It results in several quality of life issues. The confounding aspect of this condition is that it is difficult to diagnose. It is also difficult to treat. Most treatment modalities today recourse to treating one or more specific symptoms -- but there is no treatment that can comprehensively treat all the symptoms. (NIAMS, 2004) More holistic treatment modes however, are being researched, explored and considered. Fibromyalgia often presents symptoms of other diseases. Essentially therefore, fibromyalgia is characterized by widespread pain that cannot be localized to any part of the body. It is also associated with fatigue and other specific (though not necessarily widespread) symptoms that will be discussed later in this work.

Fibromyalgia syndrome is often referred to in its abbreviation FMS. Some of the symptoms (though not all) enjoy significant overlap with other…...

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Bibliography

Adiguzel, O., Kaptanoglu, E., Turgut, B., & Nacitarhan, V. (2004). The possible effect of clinical recovery on regional cerebral blood flow deficits in fibromyalgia: a prospective study with semiquantitative SPECT. South Med J, 97, 7, 651-655

Baldry, P. (1993). Complementary medicine. The practice of acupuncture needs tighter safeguards. Bmj, 307, 6899, 326

Baumgartner, E., Finckh, A., Cedraschi, C., & Vischer, T.L. (2002). A six-year prospective study of a cohort of patients with fibromyalgia. Ann Rheum Dis, 61, 7, 644-645

Bennet, Robert. (2000). The Scientific Basis for Understanding Pain in Fibromyalgia. Myalgia.com. Retrieved August 21, 2004, from the World Wide Web:  http://www.myalgia.com/Scientific%20basis.htm

It is evidenced that soon after lapse of two months of treatment about 67% of the patients administered with manual therapy and 27% of the patients administered with exercise therapy could return to work revealing substantial difference through the follow up period. The study concluded that improvements are noticed in both the groups. However, the improvements in respect the patients administered with manual therapy are more prominent than that with exercise therapy. (Aure; Hoel Nilsen; Vasseljen, 2003)
Thus even though manual therapies are beneficial, it has been debated upon. However irrespective of the fact that delaying methods taking into consideration the reality that it compels the athlete to a therapeutic machine, still then it is acknowledged to have the significant techniques in alleviating pain, rehabilitating the common range of motion, and treating specialized conditions like myofascial pain syndrome. (Holt, 2004) However, such advantages are to be exploited from the physical…...

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References

Aure, Olav Frode; Hoel Nilsen, Jens; Vasseljen, Ottar. (15 March, 2003) "Manual Therapy and Exercise Therapy in Patients with Chronic Low Back Pain: A Randomized, Controlled Trial with 1-Year Follow-up" Spine. Vol: 28; No: 6; pp: 525-531.

Beeton, Karen. (2003) "Manual Therapy Masterclasses"

Elsevier Health Sciences.

BMJ: Manual therapy beats out traditional treatment." (August, 2003) Journal of the American

Offered under the same roof are "consultative, diagnostic, and treatment services" which are stated to be provided "by board-certified practitioners in the fields of pulmonary medicine, otolarngology, family medicine and more." (2006)
Smith reports that the laboratories experiencing the most dramatic growth are two which are located the "farthest from the Hillsboro flagship" as they are located in two areas that were "formerly underserved." (2006) Smith additionally reports that the demand is stronger in the areas where the two fastest growing centers are located which supplies "plenty of fuel for expansion."

Smith states that the Sleep Health & Wellness NW is attempting to "fill a gap so that patients who previously were overlooked or not being reached or who fell through the cracks no longer are," she says. "We have no plans to open centers in areas where there are already quality sleep services programs. We only want to go into…...

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References

Inspiration! Sleep Study Results & Analysis (2006) Q&a with Ron Richard, senior vice president of strategic marketing initiatives at ResMed HME Business April 2006. Online at  http://www.hme-business.com/articles/55305/ 

Johnson, Duane, PhD (2008) Are you Really Managing Your Sleep Lab? The Business of Sleep. Focus Journal May/June 2008. Online at  http://www.foocus.com/pdfs/Articles/MayJune08/Duane.pdf 

Kay DC, Pickworth WB, Neider GL. Morphine-like insomnia from heroin in nondependent human addicts. Br J. Clin Pharmacol. 1981;11(2):159-169

MacFarlene, James (2009) the Painful Pursuit of Sleep. Sleep Review Journal Jan/Feb 2009. Online available at  http://www.sleepreviewmag.com/issues/articles/2009-01_07.asp

Ultimately, it may be the greatest measure of humanity that we recognize that the relevance of animal sentience in relation to our needs is not a function of their similarity to us or of our chosen relationships with them.
orks Cited

Coren, Stanley. (1995). The Intelligence Of Dogs: A Guide To The Thoughts, Emotions,

And Inner Lives Of Our Canine Companions. New York: Bantam

Gatchel, Robert J.; Polatin, Peter B.; and Kinney, Regina K. "Predicting Outcome of Chronic Back Pain Using Clinical Predictors of Psychopathology: A Prospective Analysis." Health Psychology, 1995 14 (5): 415-420.

Hoffman, Benson M.; Papas, Rebecca K.; Chatkoff, David K.; and Kerns, Robert D.

"Meta-Analysis Of Psychological Interventions For Chronic Low Back Pain."

Health Psychology, 2007 26 (1): 1-9.

Jensen, Maureen C.; Brant-Zawadzki, Michael N.; Obuchowski, Nancy; Modic, Michael

T. Malkasian, Dennis, and Ross, Jeffrey S. "Magnetic Resonance Imaging of the Lumbar Spine in People without Back Pain." New England Journal of Medicine. 1994: 331:69-73.

Moussaieff-Masson,…...

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Works Cited

Coren, Stanley. (1995). The Intelligence Of Dogs: A Guide To The Thoughts, Emotions,

And Inner Lives Of Our Canine Companions. New York: Bantam

Gatchel, Robert J.; Polatin, Peter B.; and Kinney, Regina K. "Predicting Outcome of Chronic Back Pain Using Clinical Predictors of Psychopathology: A Prospective Analysis." Health Psychology, 1995 14 (5): 415-420.

Hoffman, Benson M.; Papas, Rebecca K.; Chatkoff, David K.; and Kerns, Robert D.