Dry Needling versus Acupuncture: The Ongoing Debate

2015 ◽  
Vol 33 (6) ◽  
pp. 485-490 ◽  
Author(s):  
Kehua Zhou ◽  
Yan Ma ◽  
Michael S Brogan

Although Western medical acupuncture (WMA) is commonly practised in the UK, a particular approach called dry needling (DN) is becoming increasingly popular in other countries. The legitimacy of the use of DN by conventional non-physician healthcare professionals is questioned by acupuncturists. This article describes the ongoing debate over the practice of DN between physical therapists and acupuncturists, with a particular emphasis on the USA. DN and acupuncture share many similarities but may differ in certain aspects. Currently, little information is available from the literature regarding the relationship between the two needling techniques. Through reviewing their origins, theory, and practice, we found that DN and acupuncture overlap in terms of needling technique with solid filiform needles as well as some fundamental theories. Both WMA and DN are based on modern biomedical understandings of the human body, although DN arguably represents only one subcategory of WMA. The increasing volume of research into needling therapy explains its growing popularity in the musculoskeletal field including sports medicine. To resolve the debate over DN practice, we call for the establishment of a regulatory body to accredit DN courses and a formal, comprehensive educational component and training for healthcare professionals who are not physicians or acupuncturists. Because of the close relationship between DN and acupuncture, collaboration rather than dispute between acupuncturists and other healthcare professionals should be encouraged with respect to education, research, and practice for the benefit of patients with musculoskeletal conditions who require needling therapy.

Author(s):  
Christopher P. Denton ◽  
Bee Laird ◽  
Lizette Moros ◽  
Jose Luis Luna Flores

Abstract Introduction Systemic sclerosis (SSc) is a rare condition that can be complicated by interstitial lung fibrosis (SSc-ILD)—a major cause of mortality. This study explored information and communication needs of patients with SSc-ILD and their carers to understand what they are and whether they are met. Methods Qualitative research was performed, including in-depth individual interviews and observed conversations between pairs of patients, physicians and nurses, and between patients and physicians discussing experiences of SSc-ILD. The study was performed in Germany, Italy, Spain, the UK and the USA. Participants included 42 SSc-treating physicians, 21 patients with diagnosed SSc-ILD, 16 specialist nurses and five carers. Results Prognosis and mortality were the main unspoken topics acknowledged by patients, carers and healthcare professionals. Patients and carers felt afraid to ask physicians about mortality, and most physicians reported avoiding the question because their duty was to give patients hope and avoid causing additional distress. Patients often felt unable to ask physicians about relationships, family and work because of time constraints or because they felt these were not topics physicians would be concerned about. Often, specialist nurses felt that they had insufficient knowledge to provide adequate support. Conclusion Key topics, including mortality and prognosis, are rarely openly discussed, leaving patients uncertain and anxious about the future. By communicating about difficult but important topics, physicians and nurses could help patients and carers manage and plan their lives. This study shows that a multi-professional team-based communication approach is likely to better address patient needs and priorities. Key Points • Key topics in SSc or SSc-ILD, such as mortality and prognosis, are rarely openly discussed in clinical consultations. • By communicating difficult but important topics, physicians and nurses could help patients manage their disease and plan their lives. • A multi-professional team-based communication approach is likely to better address patient needs and priorities and could be easily implemented without the need for significant additional resources.


2003 ◽  
Vol 32 (1) ◽  
pp. 19-35 ◽  
Author(s):  
ALEX WADDAN

The Personal Responsibility and Work Opportunity Act of 1996 was a landmark in American social policy. There were a number of objectives, but the primary purpose was to end the Aid to Families with Dependent Children programme which was a cash benefit paid to poor, very largely single-parent, families. The underlying theme was that AFDC had constituted a ‘something for nothing’ programme which had violated the primacy of work. The Act acknowledged that government had an initial duty to aid those falling on hard times, but also stated that there comes a time when government's obligation diminishes. This legislation has generated much interest in the UK, but there is a danger of important elements of the American story being overlooked. In order to understand, therefore, just what is going on this paper looks at the US welfare-to-work experiment on its own terms. The article looks at the movement behind reform and at why, despite evidence of increased hardship for some, five years on from passage the conventional wisdom is that PRWORA has been a success.


2017 ◽  
Vol 2 (2) ◽  
pp. 83
Author(s):  
Łukasz Marzec

ROMAN LAW AS A PART OF THE ENGLISH DOCTRINE AND PRACTICE OF THE INTERNATIONAL LAWSummary This paper presents views on the role played by Roman Law as a factor in creating the roots of international law which developed within the English legal doctrine from the 16,h to the 19th century. In addition, it exemplifies applications of the institutions of Roman law in international legal practice. The general theory discounts the influence of Roman law on the British system of law. This, however, should be reviewed, as the evidence shows that Roman law has always played a vital role in the English legal system (e. g. Courts of Chancery, Admiralty, Constable and Marshall, Ecclesiastical Courts, Doctors’ Commons organisation). The Roman influences on the doctrine of English international law (Gentilis, Zouche, Duck, Wiseman, Westlake, Maine, Phillimore) indicate a positive, or even enthusiastic attitude towards the use of Roman law as a source of international law. One of the public branches where English practitioners and theorists of civil law could always find employment was in HM Foreign Service, which had a strong need for lawyers qualified in Roman law who were often educated and trained at English universities.One of the earliest authors describing the use of the theory and practice of Roman law in international law was Alberigo Gentili. Although he was Italian, his professional life and career was bound to England as both a Regius Professor at Oxford University and as a legal counsellor for the Privy Council. He gained much prominence and his works on international law, De Jure Belli, De Legationibus and Advocationis Hispanicae have become frequently quoted in the theory of international law. Another Oxford Regius Professor, and a judge in the Admiralty Court, Sir Richard Zouche, together with Gentili and Grotius, is regarded as the father of international law. Among his many works, Jus inter Gentes and Juris et Judicii Fecialis illustrate the influences of Roman law on the developing theory (and practice) of international law. The Roman ideas are particularly visible in Jus Inter Gentes, where Zouche had used the Roman systematic of status, dominium., delictum and judicium to classify and explain international law theory. Another 17th century civil lawyer, Sir Robert Wiseman, in The Excellency o f the Civil Law above all other Human Law glorifies the Roman law as universal law for all nations, applicable to many international debates. One of the most famous British civilians and international law experts, Sir Henry Maine considered the Roman law as an important resource and element of the 19th century doctrine of international law. According to Sir Robert Phillimore, the Roman law could be used in the controversies between independent States. As an example he described the cases between the USA and Spain concerning navigation in the Mississipi River, boundary disputes and arbitration. He proposed application of the Roman law to numerous cases concerning overseas properties.Apart from theory, hundreds of international cases bear traces of successful application of the Roman law to resolve situations when there was no actual law institution to bridge the legal divide. This paper presents five international cases in which an important role was played by Roman law. Arbitration of the Behring Sea dispute in 1893, where the UK and the USA argued about the UK’s right to hunt seals outside the three miles boundary area of the Pribilof s Isles. Both sides used arguments based on Roman law. The Americans view was that seals born on the isles would always return to the shore, not losing animus revertendi of Roman law, thus not becoming res nullius and not subject to „occupation” by the UK fishermen. The British delegates claimed that the seals were born ferae naturae (another Roman law category), and so everyone should be entitled to hunt them.The Alaskan Boundary Tribunal proceedings of 1903 declared that Roman law rules, as a source of international law, should take precedence over the rules of common law.During the Venezuelan arbitration before the Hague Tribunal in 1903, the opponents dealt with many Roman law institutes (like pignus> hypotheca, cessio bonorum, negotiorum gestio and others), trying to adjust them to their actual position.In 1910 the Arbitration Tribunal concerning fishing on the North Atlantic coast allowed the Roman definition of servitude and attempted to treat a state’s territory as a Roman property.The last case dealt with in the paper is the famous Indian Oil Corp. Ltd v. Greenstone Shipping dispute of 1987. The British judge applied the Roman law of confusioy declaring that no previous common law precedent was applicable to this case in which crude oil had been accidentally mixed on board the tanker.Taking into consideration these examples, one may draw the conclusion that Roman law has been an inspiration for European lawyers, as well as English common lawyers, in both the theory and practice of international law.


Author(s):  
Nataliya Horuk ◽  

The article describes differences in the implementation of adult education practice in the American and European traditions (the USA and the UK mainly) and the competences of those who provide the adult education process. The study draws upon the existing theories on adult education which include continuing (the USA) or further (the UK) education, community education, recurrent education, non-formal education, popular education, lifelong education etc. This diversity makes it difficult to describe the profession of adult educators and their roles, because their activity defines itself in terms of their clientele. Comparative analysis reveals that in American and European countries adult educator’s roles have overlapping meanings, which depends mostly on the activity the educators perform. It is argued that in both analyzed countries researchers indicate a lack of training for adult educators, and a huge number of volunteers and part-time educators, who often do not view themselves as adult educators. Among the roles that are recognized in the UK, except the traditional teaching role, adult educators are often involved as tutors, organizers, administrators, managers, entrepreneurs, animators, advisors, campaigners, leaders of the group, moral leaders, and “change agents”. In the USA the roles of adult educators are distinguished within the context they appear in. Their spectrum is wider and the responsibilities are better defined. They include teaching, program development, training and human resources development, community actions, but those roles also mean active participation in the educational process, where educators of adults perform as critical analysts, provocateurs, co-learners, consultants, activators and “change agents”, whose responsibility is to empower. The description and comparison of those overlapping adult educators’ roles are vital and very important for promoting the concept of adult education “professionalization” in Ukraine. Those roles should be reflected also in training that adult educators receive. Keywords: adult education, adult educator, adults, adult educators’ roles and competencies.


2005 ◽  
Vol 20 (2) ◽  
pp. 168-182 ◽  
Author(s):  
Timothy J. Dixon

Recent ‘best practice’ research and guidance has emphasised the important role that can be played by retail-led urban regeneration projects, particularly in ‘under-served markets’ in the UK. This builds on ideas first formulated in the USA by Michael Porter through his close relationship with the Initiative for the Competitive Inner City (ICIC). This paper critically examines the role of retailing in urban regeneration nationally and locally in the UK, focusing on in-town shopping centres located in inner city areas of the UK. The paper is based on case study research in these centres, and was completed during 2003 for The Office of Science and Technology. The paper examines how employment impact in retail-led regeneration is commonly measured, and calls for more research to determine the real impact of retail in deprived communities using other, relevant measures.


QJM ◽  
2020 ◽  
Vol 113 (10) ◽  
pp. 713-714 ◽  
Author(s):  
I Yoshida ◽  
T Tanimoto ◽  
N Schiever ◽  
F Patelli ◽  
M Kami

Abstract Under the coronavirus disease 2019 (COVID-19) pandemic, the deaths of healthcare professionals have been increasingly reported worldwide. We performed a cross-sectional, observational study using news reports on the websites among selected countries as of April 2020. We found 120 dead medical doctors due to COVID-19 in Western Europe and Asia-Pacific countries; 67 in Italy (47 in the Northern part), 34 in China (22 in Hubei), 6 in France, 4 in the UK, the USA and Spain and 1 in South Korea, respectively. Among them, 90% were men, and specialties were reported as general practitioners for 30% and as physicians for 11.6%. The overall proportions of dead medical doctors amounted to 1.9 per 10 000 confirmed cases and 30.2 per 10 000 dead cases, respectively. Proactive measures are warranted to protect doctors especially who often encounters with COVID-19 patients.


2021 ◽  
Vol 13 (4) ◽  
pp. 2030
Author(s):  
Maria Iglesias-Mendoza ◽  
Akilu Yunusa-Kaltungo ◽  
Sara Hadleigh-Dunn ◽  
Ashraf Labib

We describe two well-established, practice-based Master’s programmes as examples of existing competence development opportunities for practitioners and how such links between theory and practice can be developed and taught within the Higher Education (HE) context. We hypothesise that learning from major failures is essential in linking theory with practice in both engineering and management education. We investigate how to train emergency response teams on coping with, and learning from, rare events; a major challenge to other practitioners in the fields of safety and risk management. Comparison is undertaken between two disasters—Hurricane Katrina in the USA and the relatively recent Grenfell Tower in the UK—using a balanced dual approach of paradoxes, a dichotomy. In this paper, we demonstrate the enhancement of both engineering and management education. This was achieved through using the two case studies to emphasize the relevance of incorporating advanced mental modelling approaches for root cause analysis in training and by comparing the two cases with respect to the black swan and black elephant concepts. It is recommended that future training has a balanced approach that encompasses the outlined features of dichotomies.


2019 ◽  
Vol 9 (4) ◽  
pp. 1-13
Author(s):  
Andrii Harry Shevtsov ◽  
Nataliia Nykonenko

AbstractCarrying out a research within the field being a part of a meta-science, which has the object of the whole education system with relevant educational processes at different levels, educational institutions, factors, dominant and trends in its development, resources, including human capital, and other elements together with the mechanisms of interaction between them, we use the term “educational comparative studies” as more adequate to define the research field mentioned above. It is stated that modernization of the national educational system in Ukraine in the framework of the world mainstream is not possible without unified and well-defined terminological bases, methodological foundations, principles and criteria for comparative studies that meet the current level of the science development and the needs of society. It is proved that the most effective way of fulfillment a comparative analysis of education systems in different countries is a detailed study of theory and practice of their teachers’ preparation for the systems under consideration. Having analyzed different scientific approaches to identifying criteria for a comparative study, the criteria on the development of teachers’ preparation are introduced. It is highlighted that the defined criteria will be applied in the research work on the development of special education teachers’ preparation systems in the USA, the UK and Ukraine. They are introduced in the article: legal support of the educational system for individuals with special needs; national and regional standards of special education teachers’ preparation; curriculums, methods, and technologies for special education teachers’ preparation; system of retraining and licensures of special education teachers; informative and scientific subsystem of special education system; subsystem of special education teachers’ pre-service preparation and in-field practical work management; financial and economic subsystem of training and retraining of special education teachers.


2003 ◽  
Vol 53 (2) ◽  
pp. 195-213 ◽  
Author(s):  
K. Majoros

The study introduces a Hungarian economic thinker, István Varga*, whose valuable activity has remained unexplored up to now. He became an economic thinker during the 1920s, in a country that had not long before become independent of Austria. The role played by Austria in the modern economic thinking of that time was a form of competition with the thought adhered to by the UK and the USA. Hungarian economists mainly interpreted and commented on German and Austrian theories, reasons for this being that, for example, the majority of Hungarian economists had studied at German and Austrian universities, while at Hungarian universities principally German and Austrian economic theories were taught. István Varga was familiar not only with contemporary German economics but with the new ideas of Anglo-Saxon economics as well — and he introduced these ideas into Hungarian economic thinking. He lived and worked in turbulent times, and historians have only been able to appreciate his activity in a limited manner. The work of this excellent economist has all but been forgotten, although he was of international stature. After a brief summary of Varga’s profile the study will demonstrate the lasting influence he has had in four areas — namely, business cycle research and national income estimations, the 1946 Hungarian stabilisation program, corporate profit, and consumption economics — and will go on to summarise his most important achievements.


Author(s):  
Marco M. Fontanella ◽  
Giorgio Saraceno ◽  
Ting Lei ◽  
Joshua B. Bederson ◽  
Namkyu You ◽  
...  
Keyword(s):  
The Usa ◽  

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