acupuncture

Después de ver a uno de estos ángeles deslizándose por las calles, musitábamos involuntariamente: "qué bobas que son las inglesas que no saben caminar ni vestirse". Y al mismo tiempo, qué feo suena Miss junto a Señorita. Lo siento por todas ustedes, pero a toda la tribu [en referencia a sus hermanas y amigas] le haría mucho bien venir a Buenos Aires». Pero vamos ya al objeto de esta pieza: la relación de Darwin con las matemáticas, una disciplina considerada fundamental en la Universidad de Cambridge, donde no cabía mayor honor para un estudiante que obtener la nota más alta (wrangler) en matemáticas en el concurso anual que incluía todas las materias. Habiendo observado que los mejores especialistas en historia natural tenían una sólida formación matemática, decidió Darwin mejorar la suya, que consideraba insuficiente, durante la travesía, a pesar de no sentir gran pasión por esta materia: «¿tienes algún libro sobre trigonometría esférica? -preguntó a FitzRoy (4/11/1831)- pues espero leer algo de matemáticas durante estos tres años». Aunque le habían asignado un pequeño camarote de popa a compartir con otro oficial, por lo que «la necesidad absoluta de espacio es tan endemoniada que nada la puede superar» (carta a H., 15/10/1831), decidió Darwin cargar con una pequeña biblioteca matemática: «Después de considerar mis 11 libros de Euclides, y la primera parte del álgebra (¿incluyendo los teoremas binomiales?), ¿debería entonces empezar por la trigonometría, después de la cuál empezaría por la [geometría] esférica? ¿Hay realmente partes importantes en las Partes II y III del álgebra de Wood? Es una vergüenza que tenga que preguntarle, pero me sentiría muy agradecido si me escribiera rápidamente de todo ello» (carta a H., 30/10/1831). Un mes después añadía: «Le estoy muy agradecido a usted por su consejo sobre Mathematicis.

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The researchers found that continuous passive motion, preoperative exercise, cryotherapy, electrotherapy, and acupuncture were the most commonly performed interventions. Electrotherapy, Acupuncture Beneficial for Total Knee Arthroplasty Pain Electrotherapy, Acupuncture Beneficial for Total Knee Arthroplasty Pain The researchers found that continuous passive motion, preoperative exercise, cryotherapy, electrotherapy, and acupuncture were the most commonly performed interventions. HealthDay News — Electrotherapy and acupuncture seem to be beneficial for pain management after total knee arthroplasty , according to a meta-analysis published online in JAMA Surgery. Dario Tedesco, MD, from Stanford University in California, and colleagues conducted a systematic review and meta-analysis of evidence relating to nonpharmacological interventions for postoperative pain management after total knee arthroplasty. Data from 39 randomized clinical trials with 2,391 patients were included in the meta-analysis. The researchers found that continuous passive motion, preoperative exercise, cryotherapy, electrotherapy, and acupuncture were the most commonly performed interventions. Electrotherapy was found to reduce the use of opioids (mean difference, −3.50 morphine equivalents in mg/kg per 48 hours) and acupuncture delayed opioid use (mean difference, 46.17 minutes to the first patient-controlled analgesia), based on moderate-certainty evidence. Low-certainty evidence was found for acupuncture improving pain (mean difference −1.14 on a visual analogue scale at 2 days).  Based on very low-certainty evidence, cryotherapy correlated with a reduction in opioid consumption (mean difference, −0.13 morphine equivalents in mg/kg per 48 hours) and in pain improvement (mean difference, −0.51 on the visual analogue scale). Continuous passive motion and preoperative exercise did not improve pain or reduce opioid consumption, based on low-certainty or very low-certainty evidence. "In this meta-analysis, electrotherapy and acupuncture after total knee arthroplasty were associated with reduced and delayed opioid consumption," the authors write.

For the original version including any supplementary images or video, visit http://www.rheumatologyadvisor.com/osteoarthritis/electrotherapy-acupuncture-benefit-knee-arthroplasty-pain/article/682382/

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