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Cultural diversity in healthcare
Medieval medicine and modern medicine historians
Cultural diversity in healthcare
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For the past few centuries western medicine has made significant improvements in medical technologies; however, as the pendulum swings we are obliged to remember that eastern medicine has been prevalent for numerous centuries. Eastern medicine includes many medical avenues that are slowly becoming more popularized in the western world. For example, I have noticed therapies such as acupuncture becoming much more accepted that in previous decades. Moreover, in the past year I have learned a great deal about the therapeutic effects of magnets, including transcranial magnetic stimulation (TMS) which is also known as repetitive transcranial magnetic stimulation (rTMS).
During the later part of the 19th century magents were used to induce neuronal activity; however, in the later part of the 20th century, Barker and his colleagues illustrated that magnetic stimulation in human motor cortexes produces depolarization of cortical areas (Eitan, & Lerer, 2006). TMS is a noninvasive therapeutic technique where an electromagnetic coil is put above the awake patient’s scalp and then magnetic pulses are moved throughout the brain (George, Lisanby, & Sackeim, 1999). The magnetic pulses and coil combine to create an electrical activity in the cortical tissue which can cause localized neuronal depolarization. Not only has TMS been the topic of many recent research studies, but deep transcranial magnetic stimulation (deepTMS) has also been researched to decipher the effectiveness for treating depression. DeepTMS is when the coils have been designed to create a more intense electrical field deep in the brain tissue. DeepTMS uses several separate points of projection around the periphery of the brain while minimizing the electrical charge to the br...
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... to western medications. Moreover, the United States continues to become more multicultural with people moving here from other countries. Therefore, it si our responsibility to be able to not only actively participate in conversations about alternative therapies, but I also believe that we should be able to perform alternative therapies which are in our scope of treatments. In conclusion, I intend to learn more about using TMS with my future clients.
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The magnetic pulses easily pass through the skull and causes small electrical currents that stimulate nerve cells in the targeted brain region. The magnetic field that is produced lasts 100 to 200 microseconds, and the procedure is less invasive than the ECT. rTMS may increase blood flow and the metabolism of glucose in the prefrontal cortex. It like ECT can additionally be a treatment option for mania but continues to be
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The purpose of this paper is to inform the reader about Wilder Penfield and his research over electric brain stimulation. This essay will give a brief biography of Wilder Penfield, a description of his research, and finally discuss the insight his experiments provided and the influence they had on our body and behavior in general.
The placebo effect according to Shapiro, is ‘The nonspecific psychological or physiological therapeutic effect produced by a placebo or the effect of spontaneous improvement attributed to the placebo treatment’ (Shapiro, 1968, cited in Harrington, 1997)
The original use of electricity as a cure for “insanity” dates back to the beginning of the 16th century when electric fish were used to treat headaches. Electroconvulsive therapy on humans originates from research in the 1930’s into the effects of camphor-induced seizures in people with schizophrenia (Guttmacher, 1994). In 1938, two Italian researchers, Ugo Cerletti and Lucio Bini, were the first to use an electric current to induce a seizure in a delusional, hallucinating, schizophrenic man. The man fully recovered after eleven treatments. This led to a rapid spread of the use of ECT as a way to induce therapeutic convulsions in the mentally ill. Lothar Kalinowsky, Renato Almansi, and Victor Gonda are further responsible in spreading ECT from Italy to North America (Endler, 1988). Although there is some confusion as to who exactly is credited for administering the first ECT in America, it is known that it occurred in the early 1940.
The detection of neural activation in fMRI relies on perturbations of the water magnetization that are associated with the hemodynamic change (3).
Several strides have been made in the medical field in regards to electroconvulsive therapy. The treatment is defined as “a medical procedure in which a brief electrical stimulus is used to induce a cerebral seizure under controlled conditions” (Enns, Reiss & Chan, 2010). It is used for a handful of mental illnesses, such as major depressive disorder, bipolar disorder, and schizophrenia, but when it was introduced in 1938 by Ugo Cerletti and Lucio Bin, its main use was to treat schizophrenia (Enns, Reiss & Chan, 2010). ECT can indeed be effective for schizophrenia, but the best results are when the “… duration of [the] illness is relatively brief or when catatonic or affective symptoms are prominent” (Enns, Reiss & Chan, 2010). Unlike schizophrenia, the best results from ECT have come from treatments with patients who have been diagnosed with major depressive disorder and alternative methods are no longer working...
To help humanity better its health and to better understand the placebo effect. If over the counter medicine performs better than the placebo, then it won’t be allowed to enter the market. Scientist should follow the key points to achieve a positive effect of the placebo effect. There are many limits to the placebo effect but to better humanity’s understanding on the placebo effect there should be more research and studies on the placebo effect in accordance to modern medicine, it will be every beneficial for society in the long
Franz Anton Mesmer, a German physician in the 1700s is said to have brought animal magnetism (hypnosis) to light. However, since many people were beginning to seek out Mesmer and his fellow colleagues, King Louis of France at the time asked Benjamin Franklin and others to delve deeper into this new practice. Which led to a setback into hypnotism, brought on by the brought to light doubt surrounding this new found practice, as being a medically beneficial method. The full acceptance of hypnosis in medicine did not come about until 1847 and in 1958 the American Medical Association (AMA) approved and published a 2-year study written by the Council on Mental Health. In the report it stated that there could be, “definite and proper uses of hypnosis in medical and dental practice and the establishment of necessary training facilities in the United States” (James, 2008). Some of the multiple t...
Kiniry, Malcolm, and Mike Rose, eds. Critical Strategies, 3rd Ed. Boston, MA: St. Martin’s, 1998. Print.
Easthope, G., 2005. Alternative Medicines. In: Germov, ed. An Introduction to Health Sociology. Melbourne :Oxford University Press, pp. 332-348.
Although brain or memory enhancing drugs, also known as ‘smart drugs’, are said to improve memory, however, no pharmaceutical compounds have been verified to be very effective over the long-term as a permanent solution. One of the potential alternative solutions to this is Transcranial Magnetic Stimulation (TMS). TMS guides a magnetic field at a particular part outside the skull to create feeble electric currents in the brain which help with some learning tasks. However, TMS has a limited reach which makes the hippocampus too deeply placed into the brain to be affected by TMS, making it efficient enough for areas just near the surface of the
Most of the time when going to the doctor’s office they will prescribe a prescription drug to the patient to help manage their pain. This pain can be described as a “sensation of physical or mental suffering or hurt that usually causes distress or agony to the one experiencing it.” (Taylor, Lillis, LeMone, and Lynn, 2011) However, there are some instances where medication may not be enough for some patients; they may require more relief than what a prescription drug can offer. This is why many patients may benefit from complementary and alternative therapies (CAT). These types of interventions are “complementary therapies (they can be used with traditional medical interventions and thus complement them).” (Taylor et al., 2011)
In the case of shamanism described by Levi-Strauss, it is “a psychological manipulation of the sick organ, and it is precisely from this manipulation that a cure is expected” (Levi-Strauss 1963: 192), whereas, in the case of nocebo, it is a psychological manipulation on the negative side effect of the drug that leads to negative outcome. The same for placebo effect but in a positive way. In these cases, one common factor is the patient expectations and beliefs toward a treatment. “Patient expectations influence outcomes of both placebo and active treatment” (Kaptchuk 2002:818). The pregnant is only able to give childbirth with ease because “she believes in myth…accepts the mythical beings in the stories and never questions their existences”
Introduction Clinical trials are a gateway to proven practical medical treatment, so it requires accuracy and validity of the outcomes. Placebo control trials are therefore employed in clinical trials as nearly half of academic physicians have answered in a questionnaire that they had used a placebo in their clinical trials (Sherman and Hickner, 2007). To have the higher scientific validity of results on the clinical trials requires that prospective, carefully selected subjects and endpoints, a control group, randomly allocated subjects into a treatment group and a control group, blinded both subject groups and investigators, sufficient sample size, and an approved independent ethics committee and monitoring by data safety and monitoring board to have stronger the scientific validity on the clinical trials (Brody, 1997). The use of placebos will enable more scientifically reliable outcomes. However, unnecessarily or ineffectiveness of placebo use is also claimed, therefore considering appropriate conditions and suitable cases would be needed for placebo use. .