#16
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Ìåòîäîâ ìíîãî. Ïðàâèëüíî ïîëüçîâàòüñÿ ìåòîäàìè, êîòîðûìè âëàäååøü. Íî íåïðàâèëüíî ïðåçðèòåëüíî îòíîñèòñÿ ê ìåòîäàì è ïðèåìàì êîòîðûì íå íàó÷èëñÿ.
Ñïàñèáî. Ýòî ÿ ïî÷òè ïîøóòèë. Ïîâåäàë, ÷òî òå íîâîñòè ïðî ãðûæè, êîòîðûå Âû ìíå çà÷åì-òî, è íå ê ìåñòó ïðèâåëè, ÿ 16 ëåò íàçàä îïèñàë â ýòîì îäîáðåííîì Âàìè òåêñòå. Êñòàòè, íå âñòðå÷àë, áîëåå ðàííåãî îïèñàíèÿ ýòèõ ñðîêîâ ýâîëþöèîíèðîâàíèÿ ãðûæ.
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Êîãäà çíàåøü ïî÷åìó íåëüçÿ, òî óæå ìîæíî (ñ) Ñ óâàæåíèåì, Ãóñåéíîâ Òèìóð Þñóôîâè÷ Ñàéò dr-timur.ru |
#17
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Ìåíÿ íå íàäî àãèòèðîâàòü çà äîêàçàòåëüíóþ ìåäèöèíó. Íî è òåêóùóþ ïðàêòèêó íèêóäà íå äåíåøü. Íèêàêèõ êëèíè÷åñêè çíà÷èìûõ îòëè÷èé îò òåïëà, ìàññàæà è "ïðîñòî ïîäîæäàòü" íå âèäíî, êàê ÿ î÷êè íå ïðîòèðàþ.
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#18
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Öèòàòà:
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Ñ îðòîïåäè÷åñêîé òî÷êè çðåíèÿ âîïðîñ î÷åíü ïðîñòîé - íàäî äåëàòü îïåðàöèþ èëè ñåðüåçíûå èíâàçèâíûå ïðîöåäðû, èëè íå íàäî. Åñëè íå íàäî, òî ïàöèåíòó íåëüçÿ ïðîñòî ñêàçàòü - ïîòåðïè 2-3 ìåñÿöà, áóäåò ëó÷øå. Îí äîëæåí áûòü ÷åì-òî çàíÿò äî ñòèõàíèÿ îáîñòðåíèÿ - ôèçèî, ëåêàðñòâà, äëÿ æàæäóùèõ àëüòåðíàòèâíûõ ïóòåé - è èõ åñòü. Åñòü íåìàëî òåõ, êòî "èäåéíî" ïðîòèâ ëåêàðñòâ, íàïðèìåð. Íå òðàòÿ âðåìÿ íà åãî ïðîñâåùåíèå è íå óäëèíÿÿ ýòèì âðåìÿ àìáóëàòîðíîãî âèçèòà, äàåøü íàïðàâëåíèå â îòäåëåíèå ôèçèîòåðàïèè èëè, åñëè âûñêàçûâàåò ñêëîííîñòü - àëüòåðíàòèâíîé ìåäèöèíû. Äà, çíàÿ, ÷òî ýòî "òåàòðàëèçîâàííîå ïëàöåáî". Íî òàê ðàáîòàåò ñèñòåìà. |
#19
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Ñòîèò âíèìàòåëüíåé ïî÷èòàòü ïðèâåäåííûå äàííûå äîêàçàòåëüíîé ìåäèöèíû, çà êîòîðóþ Âàñ àãèòèðîâàòü íå íóæíî. "..it further improved function when contrasted with an inactive control.". Òàê, ÷òî, îäíàêî, âèäíî.
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Êîãäà çíàåøü ïî÷åìó íåëüçÿ, òî óæå ìîæíî (ñ) Ñ óâàæåíèåì, Ãóñåéíîâ Òèìóð Þñóôîâè÷ Ñàéò dr-timur.ru |
#20
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Äîñòóï ê Pubmed áûë ïðåêðàñíûé íå òî ÷òî 16 ëåò íàçàä, à äàæå è 25. The natural history of lumbar intervertebral disc extrusions treated nonoperatively. Saal JA, Saal JS, Herzog RJ. Spine (Phila Pa 1976). 1990 Jul;15(7):683-6 Lumbar disk herniation: MR imaging assessment of natural history in patients treated without surgery. Bozzao A, Gallucci M, Masciocchi C, Aprile I, Barile A, Passariello R. Radiology. 1992 Oct;185(1):135-41 è ò.ä. è ò.ï. |
#21
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#22
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Êîãäà çíàåøü ïî÷åìó íåëüçÿ, òî óæå ìîæíî (ñ) Ñ óâàæåíèåì, Ãóñåéíîâ Òèìóð Þñóôîâè÷ Ñàéò dr-timur.ru |
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#23
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Óáåäèëè. Ãîìåîïàòèÿ äîêàçàòåëüíîé áàçû íå èìååò. Ñîãëàñåí. Ìåíÿþ äîâîä íà ïðîòèâîïîëîæíûé.
Ýòî ïðàâèëüíî ïðåçðèòåëüíî îòíîñèòñÿ ê ìåòîäàì è ïðèåìàì êîòîðûì íå íàó÷èëñÿ. Öèòàòà:
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Êîãäà çíàåøü ïî÷åìó íåëüçÿ, òî óæå ìîæíî (ñ) Ñ óâàæåíèåì, Ãóñåéíîâ Òèìóð Þñóôîâè÷ Ñàéò dr-timur.ru |
#24
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Êîãäà çíàåøü ïî÷åìó íåëüçÿ, òî óæå ìîæíî (ñ) Ñ óâàæåíèåì, Ãóñåéíîâ Òèìóð Þñóôîâè÷ Ñàéò dr-timur.ru |
#25
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Öèòàòà:
Òàê æå, ê ñëîâó, êàê SMT and sham SMT. Öèòàòà:
Êàê è àêóïóíêòðùèêè, êîòîðûå ñàìè ïðî ñåáÿ ïóáëèêóþò RCT, è ïîòîì ïî íèì ìåòà-àíàëèçû, â êîòîðûõ ïîääåðæèâàåòñÿ ñêàçêà ïðî "äîêàçàòåëüíóþ áàçó ïîëîæèòåëüíîãî ýôôåêòà". Öèòàòà:
Îïÿòü æå, âûãëÿäèò âïîëíå ðàçóìíî, íàïðèìåð, äâèæåíèå - ýòî æèçíü, è äâèãàòüñÿ ëó÷øå, ÷åì íà ìåñÿöû çàìåðåòü. Íàäî ëè ýòî íàçûâàòü óìíûìè ñëîâàìè, è ïîäâîäèòü ïîä ýòî ôàíòàñòè÷åñêèå òåîðèè? Áûòèå îïðåäåëÿåò ñîçíàíèå. |
#26
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Íå óâåðåí, ÷òî "ñâÿçè ýòèõ ïåðèîäîâ ñ ëå÷åíèåì è ïîâåäåíèåì" ÿâëÿþòñÿ ÷åì-òî áîëüøèì, ÷åì óìîçðèòåëüíûå ðàññóæäåíèÿ. |
#27
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Êàê è â ïðàâèëüíîé íàó÷íîé ñòàòüå, â ïðàâèëüíîé áåñåäå âàæíî ïîäâåñòè èòîãè. Ðåçþìå òàê ñêàçàòü.
Íàïîìèíàþ, ÷òî îñíîâàíèåì äëÿ áåñåäû ïîñëóæèëî ìíåíèå âðà÷à (êîëëåãè) ÷òî Öèòàòà:
Ïîýòîìó, áûëî ïðåäñòàâëåíî ìíåíèå ìèðîâîé äîêàçàòåëüíîé ìåäèöèíû î ìåñòå ìàíóàëüíîé òåðàïèè, è åå ýôôåêòèâíîñòè, â ëå÷åíèè áîëåâûõ ñèíäðîìîâ. Ëþáîé æåëàþùèé ìîæåò îçíàêîìèòüñÿ. Âûÿñíèëîñü, ÷òî îïïîíåíò íå ñîãëàñåí ñ ïðèçíàííûìè èñòî÷íèêàìè äîñòîâåðíîé èíôîðìàöèè, èõ ðåêîìåíäàöèÿìè è ìíåíèÿìè. Îïïîíåíòîì âûñêàçàíî ìíåíèå, ÷òî òóò íå îáîøëîñü áåç ðóê àäåïòîâ êóëüòîâ. È èõ ó÷àñòèÿ â ïîäòàñîâêå äîêàçàòåëüíûõ áàç, ðåçóëüòàòû êîòîðûõ äëÿ îïïîíåíòà áûëè íåîæèäàííîñòüþ. Ïîñòàâëåííóþ çàäà÷ó ñ÷èòàþ âûïîëíåííîé. Ñèòóàöèþ - ÿñíîé.  ïðîäîëæåíèè ñîòðÿñàíèÿ èíòåðíåòà íåò íåîáõîäèìîñòè.
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Êîãäà çíàåøü ïî÷åìó íåëüçÿ, òî óæå ìîæíî (ñ) Ñ óâàæåíèåì, Ãóñåéíîâ Òèìóð Þñóôîâè÷ Ñàéò dr-timur.ru |
#28
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==== Spinal manipulation The efficacy and safety of spinal manipulation are uncertain.[3][76] A 2008 review found that with the possible exception of chronic back pain, chiropractic manipulation has not been shown to be effective for any medical condition.[3] The efficacy and safety of chiropractic for children are particularly doubtful. A 2009 review found that "the best evidence available to date fails to demonstrate clinically relevant benefits of chiropractic for paediatric patients, and some evidence even suggests that chiropractors can cause serious harm to children".[77] According to David Colquhoun, chiropractic is no more effective than conventional treatment at its best, has a disadvantage of being "surrounded by gobbledygook about 'subluxations'", and, more seriously, it does kill patients occasionally.[23] A 2009 defense of chiropractic, written by chiropractor Alan Breen, stated there is consistent evidence that manual therapies such as chiropractic manipulations are "helpful and generally produce moderate but significant and sustained improvement for back pain"[78] and dismissed the suggestion that chiropractic does more harm than good as "specious". The author admitted, however, the possibility that chiropractic manipulation can cause strokes and even death.[78] Although rare,[8] spinal manipulation, particularly of the neck, can result in complications that lead to permanent disability or death.[79][80] These events can occur in both adults[9] and children.[10] A 2010 systematic review found that numerous deaths since 1934 have been recorded after chiropractic neck manipulation typically associated with vertebral artery dissection.[81] ==== |
#29
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Åñëè áóäóåò âîçìîæíîñòü, ïîñìîòðèòå ïîæàëóéñòà ÌÐÒ. Õî÷åòñÿ ïîíèìàòü ñåðüåçíîñòü ïðîáëåìû.
Google Äèñê: [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Dropbox: [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Ñïàñèáî! |
#30
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Öèòàòà:
Íà MRI åñòü äåãåíåðàòèâíûå èçìåíåíèÿ, ïðèëè÷íûõ ðàçìåðîâ ïðîòðóçèè Ñ3-Ñ4, C6-C7, íî æèâóò áåç îïåðàöèè è ñ êóäà áîëüøèìè ïî ðàçìåðó. Åñëè ïðè îñìîòðå ïðèçíàêîâ ìèåëîïàòèè íåò, êðîìå îáåçáîëèâàíèÿ+ÍÏÂÑ è ôèçèîòåðàïèè, íà äàííîì ýòàïå íå íóæíî íè÷åãî. È ïðîäîëæàòü íàáëþäåíèé ñåìåéíîãî âðà÷à. |