The Role of Larval Therapy as an Alternative to Conventional Treatment Essay

The Role of Larval Therapy as an Alternative to Conventional Treatment for Acute or Chronic Wounds - Essay Example An official history of larval therapy started in the early 1930s when American surgeon William Baer introduced the maggot therapy into the clinical practice (SMTL, 2003). He and his followers used sterile maggots and proved the efficiency of larval therapy of purulent surgical infection. But in spite of the huge amounts of articles published before the Second World War, we cannot use them for current analysis of evidence. The medicine passed long distance since the first attempts to manage heavy wounds were made and simple methods of maggot sterilization were introduced. When the era of antibiotics started medical community forgot about larvae. When surgeons faced the problem of antibiotic resistance and nosocomial infections they thinks were turned back to the larval therapy. But is this medical technology evidence based? To answer this question there was performed information search in the modern electronic databases Medline, Ovid, Direct Science and CIHAHL. The used keywords are presented as follows: â€Å"larval therapy†, â€Å"wound healing†, â€Å"maggot†, and â€Å"evidence-based practice†. Appropriate Boolean operands â€Å"OR†, â€Å"AND† and â€Å"NOR† were used also. To optimize search results and increase their relevance and pertinence the MeSH (Medical Subject Headings) thesaurus was applied, e.g. subheadings â€Å"Wound Healing/physiology"[MeSH] and "Larva"[MeSH]. The preferences were given to the systematic reviews, meta-analyses and primary data of randomized clinical trials, i.e. to the information sources of the I level of evidence, as well as to the clinical guidelines based on the best evidence. Evidence-based practice can be determined as the concept of integrating the most current scientific evidence in making decisions about the delivery of healthcare services. There are several levels of evidence depending on the qualitative characteristics and the design of study. The highest level of evidence is represented by meta-analyses and/or systematic  reviews.

Comparing the Great Depression to the Great Recession Essay

Comparing the Great Depression to the Great Recession - Essay Example Economists have often compared the two economic bad that have affected people throughout the world. This paper shall provide a comparative discussion on the two economic phenomena and draw parallels and differences on the two. To achieve this, the essay shall provide an outline understanding of the events that lead to the 1930s great depression, and the economic policy responses that were executed to handle the situation, and thereafter provide an understanding of the events that precipitated the 2008-2009 recession and the policy responses. Finally this paper shall provide a discussion of the major points raised by analysis of both phenomena. The exact cause of the market crash that lead to the great depression in the 1930s has been a subject of great debate, in as much as most economists contend that the 1929 New York market crash was just the smokescreen of the great depression; however, the crises are more complicated and multifaceted (Eichengreen et al., 53). The great depression affected every bit of the world economy: manufacturing, agricultural, financial, political and social, and it is deemed the longest crisis with grave consequences. Much like the global financial crisis that occurred in the late 2000s, the United States led the way, and soon spread to the rest of the world. After the First World War, the period in the 1920s was synonymous with a economic boom, and the world economy was enjoying a period of improved growths, and in a similar manner the United States experiencing high growths was being referred to as the roaring twenties. The economic boom created a situation in which stock prices rose in every sector of the United States, and was not only confined to real estate; in fact, Galbraith (16) insists that between May 1924 and December 1925, there was an average of eighty percent rise in stock prices. To maximize their income on investment that were escalating, investors borrowed heavily, but economic theory always predicts