Needles

Publication Title: 
Journal of Pediatric Psychology

OBJECTIVE: To report the results of a systematic review of randomized controlled trials (RCTs) of psychological interventions for children and adolescents undergoing needle-related procedures. METHODS: A variety of cognitive-behavioral psychological interventions for managing procedural pain and distress in children and adolescents between 2 and 19 years of age were examined. Outcome measures included pain and distress as assessed by self-report, observer report, behavioral/observational measures, and physiological correlates.

Author(s): 
Uman, Lindsay S.
Chambers, Christine T.
McGrath, Patrick J.
Kisely, Stephen
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Needle-related procedures are a common source of pain and distress for children. Several psychological (cognitive-behavioral) interventions to help manage or reduce pain and distress are available; however, a previous comprehensive systematic review of the efficacy of these interventions has not been conducted. OBJECTIVES: To assess the efficacy of cognitive-behavioral psychological interventions for needle-related procedural pain and distress in children and adolescents.

Author(s): 
Uman, L. S.
Chambers, C. T.
McGrath, P. J.
Kisely, S.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: This review is an updated version of the original Cochrane review published in Issue 4, 2006. Needle-related procedures are a common source of pain and distress for children. Our previous review on this topic indicated that a number of psychological interventions were efficacious in managing pediatric needle pain, including distraction, hypnosis, and combined cognitive behavioural interventions. Considerable additional research in the area has been published since that time.

Author(s): 
Uman, Lindsay S.
Birnie, Kathryn A.
Noel, Melanie
Parker, Jennifer A.
Chambers, Christine T.
McGrath, Patrick J.
Kisely, Steve R.
Publication Title: 
Journal of Pediatric Psychology

OBJECTIVE: To systematically review the evidence (and quality) for distraction and hypnosis for needle-related pain and distress in children and adolescents. To explore the effects of distraction characteristics (e.g., adult involvement, type of distracter), child age, and study risk of bias on treatment efficacy. METHODS: 26 distraction and 7 hypnosis trials were included and self-report, observer-report, and behavioral pain intensity and distress examined. Distraction studies were coded for 4 intervention characteristics, and all studies coded for child age and study risk of bias.

Author(s): 
Birnie, Kathryn A.
Noel, Melanie
Parker, Jennifer A.
Chambers, Christine T.
Uman, Lindsay S.
Kisely, Steve R.
McGrath, Patrick J.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

Criteria for therapeutic efficacy and safety include significant amelioration of symptoms and, ideally, cure (i.e., patients' belief in effective improvement of symptoms and quality of life, durable impact on symptoms, verifiable subjective and objective changes); improved patient management (e.g., diminishing, or ceasing medication, physiotherapy, and other interventions); safety for patient and practitioner and an acceptable side effect profile; cost-effectiveness of the therapy in practice and to teach to others.

Author(s): 
Jobst, K. A.
Publication Title: 
Rheumatology (Oxford, England)

OBJECTIVE: To establish whether there is evidence for or against the efficacy of acupuncture in the treatment of neck pain. METHODS: A systematic literature review was undertaken of studies that compared needle or laser acupuncture with a control procedure for the treatment of neck pain. Two reviewers independently extracted data concerning study methods, quality and outcome. RESULTS: Overall, the outcomes of 14 randomized controlled trials were equally balanced between positive and negative.

Author(s): 
White, A. R.
Ernst, E.
Publication Title: 
Complementary Therapies in Medicine

CONTEXT: Many Japanese cases of adverse events after acupuncture are not listed in medical databases such as Medline. Therefore, they are not easily accessible to researchers outside Japan. OBJECTIVE: To complement existing reviews of adverse events after acupuncture in the West and to provide more detailed discussion and analysis. DATA SOURCES: Literature search using 'Igaku Chuo Zasshi (Japana Centra Revuo Medicina) CD-ROM version' covering the period of 1987-1999.

Author(s): 
Yamashita, H.
Tsukayama, H.
White, A. R.
Tanno, Y.
Sugishita, C.
Ernst, E.
Publication Title: 
Journal of Gastroenterology and Hepatology

OBJECTIVE: Acupuncture has been repeatedly associated with infectious hepatitis. The aim of the present systematic review was therefore to critically evaluate such data from epidemiological investigations. METHODS: Four independent literature searches were carried out to identify all epidemiological evidence linking acupuncture with hepatitis. All studies were validated by the authors and data extracted according to predefined criteria. RESULTS: Fifteen investigations fulfilled our inclusion criteria. Most studies originated from Asia.

Author(s): 
Ernst, E.
Sherman, K. J.
Publication Title: 
Complementary Therapies in Medicine

BACKGROUND AND OBJECTIVES: For non-drug interventions such as acupuncture, it is difficult to establish placebo or sham controls that are both inert and indistinguishable. We reviewed sham-controlled clinical trials of acupuncture to investigate (a) which types of sham interventions have been used in the past; (b) in what respects true and sham interventions differed; and (c) whether trials using different types of sham yielded different results.

Author(s): 
Dincer, F.
Linde, K.
Publication Title: 
Zhongguo Zhen Jiu = Chinese Acupuncture & Moxibustion

In the present paper, the authors review the influences of time factor in single treatment session, duration of needle retention and needling sequence on acupuncture effects in literatures of recent 20 years. In the aspect of relation between the duration of needle retention and acupuncture effect, more is laid on the exploring the proper duration of needle retention for different diseases through clinical and experimental researches.

Author(s): 
Ma, Liang-Xiao
Zhu, Jiang

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