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Some people believe that if you seek medical treatment, you are denying God’s power to heal.
Yes we should seek God’s power in prayer, also make use of all that He provides to us for our healing including the medicines and medical healers-physician and surgeons.
Jubilee Hospital is not a profit making place, not run by public limited company where making profit is the main motive. ENT department in Jubilee Hospital is well equipped to a world class standard with most modern facilities. If you would like to get affordable treatment, visit the Hospital, the Road map is given below. Dr Paulose FRCS, DLO is a Consultant ENT Plastic & Laser Surgeon with over 38 years of world class experience in Ear, Nose, Throat and Laser Surgery treating patients across the world from UK, US, Middle East to Asia. The cashback normally gets tracked within 48 hour and the cashback gets paid in cash within 60 days. Sri Sathya Sai Mobile Hospital Wins the CNBC-TV 18 Healthcare Award - A Radio Sai Exclusive interview with the Messiah of the Mobile Medicine a€“ Dr. On 23 December 2013, the Sri Sathya Sai Mobile Hospital was recognised by the jury of CNBC-TV18 Health Care Awards, for its use of innovation to transform lives.
Delhi where the Sri Sathya Sai Mobile Hospital was presented the CNBC-TV18 Healthcare Award. DN: Yes, normally as you all know we take seva as sadhana, a spiritual exercise meant for our own individual evolution. So on that day in the hall, the other hospitals and the other award winners must have been surprised, and at the same time felt happy deep within.
DN: The gist of his speech was mainly that these institutions were started by Baba and that they don't charge even a penny from the beneficiaries. The innovation and the transformation has been going on at three different planes the physical, the mental and the spiritual. Now, when we talk about how this project was initiated and how it is being delivered, it is all really a miracle of Bhagawan himself. The second side of the tricky triangle was the reluctance of the doctors to go to rural areas. This apparently simple but highly innovative solution has revolutionised the concept of rural healthcare delivery in India.
While going through the pictures of this function that you were at, I noticed that the Deputy Chairman of the Planning Commission of India, Dr. DN: He was on the stage for most of the time and it was on the stage itself that he asked me if we had similar institutions all over the country or if we were confined only to Puttaparthi and Bangalore? KM: Now for the sake of our listeners, can you please go down memory lane and tell us a little bit about the start of this wonderful project, the Sri Sathya Sai Mobile Hospital.
One interesting thing which I would mention is, normally when Swami executes a project, He assembles all the three Ms - the Man-power, Material and Money (or resources) so that the work just begins in the way that it is thought of. Through my experience I learnt that it is service which attracts people to come and join in. Swami was very clear when He told me that He was naming this project the Sri Sathya Sai Mobile Hospital, and not a clinic or a camp.
The second was 'Skilled Manpower', because the credibility of our project or service would grow only when eminent people join the team.
Fourthly I thought we needed a 'Well-stocked Pharmacy', because one may have the best experts who do advanced tests and give the most accurate diagnosis, but at the end of the day if you give the villager a prescription he’s not going to do anything about it.
Every month a public school silently metamorphoses into a multi-speciality medical centre in rural Andhra Pradesh. DN: The fifth and final requirement was that the service should be the 'Holistic approach', which is so essential that even Swami mentioned it. The next limb of the triangle is the 'Preventive Service', so each limb of this triangle supports and supplements the other. So we try to educate them on health issues like diabetes control and managing their blood pressure.
DN: Yes, just 15 to 20 minutes of edited video and then we try to encourage the habit of namasmarana writing.
So with this triangular ideology, I feel that the words which they (CNBC-TV18) have used, 'innovation and transformation' really apply beautifully to this initiative. I remember when I went to Swami with an album in which we had described this concept of the Divine Triangle, the limbs of which we named as, Curative Drive, Preventive Focus and Spiritual Base, Swami saw this and started patting me on my back, and He continued to do this.
KM: You talked about having a fixed schedule, so as to have a good degree of certainty in the activities; what are the days that the mobile hospital operates? DN: The 1st to 12th of every month has been fixed for curative services and the last day of every month is for preventive service.
This pattern is practical too, because if one puts ten points on a circle, for every point there are two points that are quite close to it. KM: This redefines the very concept of patient care, it is as though the patient is God Himself.
DN: As I told you earlier, I had a good team of 150 doctors before, most of them had never seen Bhagawan and were not devotees in the general sense of the word, but they were people who were attracted to the idea of service. Once a few doctors started coming, we tried to expand that number by using, I would say, a few tricks! And the third and final phase was all about diversification; which is where we try to improve the depth of the service. KM: If you have patients who require further specialised care, what do you do for their referral? So while dealing with the ailments which require further care, after identifying the patient we do all the necessary tests, especially if it is a surgical case, we do what is called a surgical profile, that is; how is his heart?
Still, I would like to stress on the fact that I have no words to express my gratitude to this gentleman, Mr Rommel. Mahatma Gandhi’s words, he said that in the bigger aspects of life everybody is magnanimous, but one should try to be magnanimous in the smaller things of life as well. KM: Going back to the mobile hospital, we notice that whenever the big mobile hospital goes out of the Gopuram gate it is followed by a whole lot of trucks carrying food.
The Mobile Hospital includes the bus, but we also have a transport vehicle in which the diagnostics pertaining to each department are carried, like in the case of the department of ophthalmology, we have a slit lamp, an auto refractometer, a tonometer, etc. We stop the bus a little away from the main mobile hospital which is lodged at a village school. DN: We have nine specialities on any particular day, and as a doctor with experience in public health I can tell you that these nine specialities are enough to cover most of the ailments prevalent in the society. Now coming to the nine specialities, we have Radiology, which is really important, so we have installed a 2D echo ultrasound machine and an x-ray machine in the bus. DN: Yes, in fact in one of the annual reports of the Central Trust, in the section about the mobile hospital, they had published a comment made by one Dr. KM: Never mind being a villager, even if educated people go to a new city looking for a hospital, quite a few of them will be so lost. DN: I have worked in a corporate hospital in Hyderabad and I can tell you that it is not possible to meet so many specialists in one day, but here it is just across the room. As I sit here in front of Swami I can sincerely say that every single thing which is in the mobile hospital has come about after deliberate planning keeping the patient in mind, as though he or she is our father or mother.
DN: Well, when Swami Himself takes so much interest in His projects even though they are well set up and the people who have to do the jobs are doing them, still Swami always takes a lot of interest. We also have another adjunct service; the Easwaramma trust sends patients who require an ultra sound scan or a special blood test or a consultation and we perform those for them.
I'm happy to give you some information about myself and my work and I'm looking forward to meet you in person.
Starting as a nurse for adults and children in Switzerland, I was looking for ways to prevent sickness and related pain, and also to prevent stays in the hospital and skyrocketing bills.
When God completed His creation of people, he pronounced the work very good (Genesis 1:31).
But God is the creator, the ultimate source of the knowledge and wisdom which allows people to design remedies and procedures that will heal people. 19000BUYCollectible India 11" Large Medicine Buddha Statue - Buddhist Healing Shakyamuni Figurine for Peace and Relaxation Nepal Showpiece Rs. 1405BUYCollectible India - 14" Large Buddha Idol Turquoise Brass Sculpture Medicine Statue Diwali Home Decor Gift Rs. Homeopathic individualized medicines versus fluoxetine for moderate to severe depression: double-blind, randomized non-inferiority trial. Today Radio Sai is pleased to bring to you a special conversation between the Director of this project, Dr. Now let’s just go back to the moment when you received the news about the award, can you recreate that moment for us. Please tell us all more about this function at the Taj Palace Hotel in the national capital New Delhi, that you attended with Mr. The CNBC group and the ICICI group outsource the work of screening and shortlisting over three thousand hospitals to the Indian Medical Research Bureau. Mohan from Chennai, the internationally renowned Diabetologist, and the Chairman of the Sathya Sai State Trust of Tamil Nadu was there (incidentally, his Diabetes Specialities Centre in Chennai was also one of the winners in the Single Speciality Hospital Category). He talked about the various types of hospitals which are running under the Sathya Sai Central Trust. This is very much in line with the World Health Organisation's revised vision that health is not just the absence of disease but a state of complete physical, mental and spiritual well-being. Even as per the early Indian philosophy, they say that the most subtle part of the food becomes the thought. He started it in 2006, and at the time the rural healthcare delivery system in India was literally in shambles.
They said that there was no infrastructure available to match their qualifications and their professional reputations.
Chidambaram the Principal Scientific advisor to the Prime Minister and Government of India! Instead of just starting off by recruiting twenty to thirty doctors, one needs to begin with two or three really good doctors. He told us that other than surgeries which require general anesthaesia, we should be able to do everything.
So we came up with a method where we started giving medicines for a month to patients with diabetes, hypertension, epilepsy, thyroid, and all such chronic ailments. We realised that we are entering into the community to serve, and that we are not like a static hospital. But we try to do it using different tools and at different levels, through a lot of innovation. Swami has always talked about spirituality as something which is much higher than any religiosity or orthodoxy.
You will be surprised to know that we have around ten thousand likhita nama japa books completed by the patients. I said this because in Rishikesh in Sivananda Ashram I have seen mandirs where only likhita japa is done by devotees. What this does is that it allows us to do periodic reviews on patients who require it, like for a patient who’s suffering from hypertension or diabetes we need to do a review after a week to check whether the dose is sufficient or lacking. He said that it is only the remaining 40% where, if the doctor does a good job, Swami's grace will flow. And with all sincerity I can tell you madam, and I don’t just say this because I am a doctor, but every doctor has this genuine urge or an instinct within to give back through selfless service, to that society that has nourished and nurtured him or her.
I would tell them, “When you go on a tour or vacation you generally take along a few friends or relatives isn't it? We don’t want to increase the width of the service because as I said earlier, it is not possible for us to go beyond 50 kms radius for logistical reasons.
In fact, I think that is the benchmark of any outreach service, the extent to which complex problems can be catered to.
When I left my previous job, from where I used to receive a very comfortable salary, my father was a little apprehensive at first because he came from very humble beginnings.
So the mobile hospital has diagnostics pertaining to what we call imageology, that is x-ray, ultrasound and pathology or haematology the blood tests. There are five divisions, namely medicine, surgery, obstetrics and gynaecology, paediatrics, dentistry and ophthalmology.
But still, there are two more specialities which are still missing, psychiatry and dermatology. Second is medicine, wherein we have doctors who have not just completed an MBBS but also an MD in General Medicine, the third is General Surgery, fourth Orthopaedics, fifth ENT, the sixth is Obstetrics and Gynaecology, seventh is paediatrics, eighth dentistry and ninth ophthalmology. And the experience is even worse when your pocket is empty and you can’t read or write. If a physician feels that a particular case of abdominal pain needs surgical consultation he goes himself to the surgeon.
Sometimes this may not be possible, because these are idealistic things but this thought and feeling is prevalent, and that is the guiding spirit.
On one side we have an organisation that has Swami’s motivation, His spectacular vision and His selfless love as the guiding force, but on the other is a small group of men and women who have a website which displays their goal and mission. Like when sports meet is round the corner, Swami used to come to the mandir and then go to the stadium to personally take a look at things. Now if Bhagawan were here in His physical form, what would you tell Him about the recent development? Bhagawan wanted us to perform our service to the patients with a lot of love, and to tell you the truth, I am not totally satisfied with our work on this aspect, and that we need to improve on this front.
I, myself had many bodywork sessions and I can assure you, what you will go through in my treatments, I have been through and I know how miserable you can feel, especially after the first treatment.
I consider blessed to be working in a place where there is the presence of the Holy Spirit everywhere.
Ubiratan Cardinalli Adler, UNIFESP (Federal University of SA?o Paulo, Brazil), Av Rouxinol, 1041 cj.
But after a while I felt reasonably happy, because the award is more a form of recognition that will make people aware of the extraordinary medical services being provided even today by Bhagawan Sri Sathya Sai Baba’s institutions.
When you were at this function what sort of a reaction did you sense from the gathering there? But to tell you frankly I would’ve liked to say a few words especially about CNBC's criteria for recognising us a€“ that is the two words they used - 'Innovation' to bring 'transformation' in lives. They also said that it was not possible for them to adequately educate their children in those rural places.
Chakravarthi and asked him whether we can have a bus in which we can have a scanning machine, a lab, an ECG machine and other such equipment. Chakravarthi perhaps told Swami that it may not be readily available off the shelf, but one could get it fabricated on order. I told him that there were two things, first off a€“ all Sai devotees understand that when Swami makes a sankalpa it has to happen. As time progresses, people realise that this service is transparent and has a pure motive, and using Bhagawan’s name only enhances its credibility.
Thirdly, I wanted that we have a proper 'On-site Diagnostic Support System', for which Bhagawan had already given His consent. This is one subset of illness in the population that requires constant and continuous help. So we thought of having a triangular approach, we decided to convert this tricky triangle into a Divine Triangle. The morning speech is very formal and direct, the people who come are patients, we are the doctors; but in the evening, the talk is more humorous and interactive. We tell the patients that spirituality only pertains to positive thoughts, and adherence to the five cardinal human values that Swami has laid emphasis on. Because even though we do this as sadhaks who take seva as a sadhana, and aren’t really generally concerned about rewards and recognition, what this award has done is that it has made people aware about the stellar role that the Sathya Sai Institutions are playing and also about the beautiful ideology of the mobile hospital. Most NGOs have a mission statement or background or underlying ideology, but Swami did not give us any. What we did is that we took a radius of 50 kilometres around Puttaparthi, which was the upper limit because the diagnostic bus moves very slowly. So at our small monthly meeting with the team, I always tell them that even if we are not able to do much else we must do our duty of looking at, talking to and taking care of the patients with love. If only we can provide a mechanism through which he or she can convert that sense of responsibility into a noble activity, they will definitely come forward.
So when I say that we are trying to improve the quality I’m talking about the introduction of new gadgets like EEG (Electroencephalography), Colour Doppler machine, and a new machine for doing hearing tests, and other such diagnostic facilities.
In this context, one can broadly bifurcate the ailments into six types, common, chronic, asymptomatic, preventable ones, intractable ones, (these require a higher degree of care like one might need a surgery) and finally emergency problems.
He comes frequently with the mobile hospital, and he looks after the cancer patients we send. Actually I just want to deviate a bit and I want to ask you a€“ your motivation is so high, your vision is huge, your leadership qualities are obviously unparalleled and you are unbelievably dedicated to what you do, what did you grow up on? On Shivaratri day Swami called me and gave me a Ganesha vigraha (idol) and told me that he will take care of everything. But believe me, at the time I began none of my family members were devotees of Bhagawan as we understand. Now, the whole of Ananthapur district has only two or three qualified psychiatrists, fortunately, one of them who is the Head of the Department at the Government Hospital at Anantapur comes on the first Sunday of every month. He was the Director of Medical Education which is the highest post for a doctor in the Government machinery. Then if the patient is a lady the Gynaecologist enters the discussion, and then if they require a scan the radiologist enters. One may not be successful all the time in something like this, but when you genuinely harbour this thought in your heart one day or the other it will become the way of the working of all the institutions. He had the best of architects and the best of engineers but would still go Himself (during constructions). Medicare is when you treat the patients with love and if you don’t do that, He said you are committing a sin a€“ Medi-sin. After learning and understanding the oriental side of bodywork I wondered about the insights, the feelings and the soul.
The new hospital provides more than 320,000 square feet of space for patient services, radiation therapy, radiology, and mammography.
This particular project was started by Bhagawan eight years ago, and it has stood the test of time. Bhagawan, in all His grace gave me the privilege to play an important role in this project, but still it is the Mobile Hospital that has got this highly prestigious award.


So it’s amazing - the IMRB actually visits all these hospitals over the span of a year in a very discreet and confidential way. It was the Who’s Who from the Indian healthcare industry and most of them represented private hospitals. It was almost as if all the people felt that doing such a service for free was a very noble thing.
The Government was contending that it was not possible to take technology in the form of these high-tech equipments like CT scanners and MRI machines to villages, and install, run, maintain, and service them as per requirements. And the base of this tricky triangle was that the villagers were not able to access even the small facilities which were available in the towns. But Swami again asked him to check on the internet, and when he did, to his surprise he found that Siemens India was already on the job and they had delivered two such buses in the state of Uttaranchal to a non-governmental organisation. Rajiv Mahajan, who is more than a brother to me, is one who has played a pivotal role in not only getting the bus but also its subsequent maintenance and other such aspects. So as a result of all this, people tend to rally around you and there is a greater buy-in by likeminded professionals. It included facilities like ultra sound, x-ray and a lab; all this put together would cost about a crore Indian rupees. The first limb of this triangle represents Curative Service, which is fundamental because unless we cure or help people from illness they would not be ready to listen to anything else that we’d say.
So providing education about health in a way that brings a definite improvement in the general awareness of the people, became an important component of the mobile hospital.
We tell them that prayer and meditation are not to appease God, but for one’s own health. This area comprised of six mandals (wards) which we further sub-divided into what we call nodal points. Although we can never handle all types of emergency problems, there are a few that we can, like a scorpion sting or a snake bite, etc. So at the Sri Sathya Sai General Hospital, here in Prasanthi Nilayam, we do general surgeries, ENT and gynaecological surgeries. Now, once the surgery is done, and the treatment is over, these patients come back to us; so that the loop is always maintained. You must have tremendous motivation to be doing what you do every single day, there is no repeat-action-injury, instead there is repeat-action-inspiration here. When I went back home and told my father about this, he was convinced and never worried about me after that.
They are the reception section where the people come, the waiting section from where about 15 or 20 are brought in, then the doctors section, the diagnostic section for which we use the bus and fifth is the pharmacy. He drives down all the way from Ananthapur to a particular nodal point, and we send all the psychiatry patients to that nodal point where he attends to 100 to 120 patients in one visit. So many specialists working under one roof makes it an integrated multi-speciality facility. SV Giri (Central Trust member and former Vice Chancellor, SSSIHL) was taking a lot of interest in the mobile hospital and sent him the requisite notes and a CD about all this, but what we quickly learnt is that it is not the technical men in India who carry the power, it is the bureaucrats.
As I told you we started with simple general surgeries, then we have started doing cancer surgeries and now we have started with laparoscopic surgeries.
My job will be to inspire you on your journey, to help you find your way and to help you deepen the understanding for it. After learning about acupressure and process acupressure I wondered about the very subtle rhythm and learned craniosacral work. 7600BUYCollectible India - Medicine Buddha Statue, for Healing Peace and Relaxation, Brass Buddhism Figurine Rs. There is a need for large-scale longitudinal data on treatment utilization and outcomes, stress, emotion, and pain.
And all of Bhagawan’s institutions are not only doing well but are also expanding and diversifying, and have shown to the world that it is the teachings and principles of Baba which drives them, and not just His physical frame. Initially I didn’t know much about the award but when I went to that ceremony and heard the organisers describe as to how the winner is chosen, I was really dumbfounded. Even though these corporate hospitals are themselves profit driven, I think, in the heart of hearts these people (who were from such hospitals) knew that it is good to provide good healthcare free of cost to the needy patients. This was because of various reasons like the fact that they lived on daily wages, old people had nobody to take them, the general ignorance about health and disease, etc. During the talk he said that on the previous day he had witnessed the best innovation being made by Baba, where a school is converted into a hospital and the most complicated services are rendered there, and at the end of the day the hospital becomes a school again.
I told them that Bhagawan had said on a number of occasions that He has not come to solve the medical problems or the other social problems.
So when he got back to Swami with this information, things started moving forward, and with Bhagawan you know, they go at a very rapid pace. Most rural medical programs elsewhere are just weekend excursions where people go for just a day and give a Crocin or a B complex tablet and come back. I thought about this deeply and came up with five points, which I have always believed to be my lucky number because it represents Bhagawan’s Abhayahasta.
That was something which really hit me, and it made me realise that we must maintain that mind-frame throughout. This nodal point is a village which we use as a base, because it is the centre point of about 40 to 50 villages surrounding it. Then I wrote a letter to all the District Presidents of the Sri Sathya Sai Seva Organisation asking them to send a list of few more doctors.
However, unless an outreach service is able to take care of the other four or five it’s not worth its name, in my opinion. All this is not to show people what all we could do, but we do want to prove that an outreach service even if it is of the nature of a mobile hospital, should be able to handle things which has to be done back home. Again in dermatology we have the same issue, but here we have a dermatologist who comes for four days every month. Why is it that the government and the other NGOs are not biting this bait and following it? We did send them a write up but nothing has come out of it, Perhaps we as an organisation are not proactive enough, may be they should come and see it themselves. I try to have knowledge of the minutest of things, like how many tents we have, how many chairs we have, and all.
Sometimes it takes more than one healing session to get to the bottom of the problem, normally I recommend to come for about ten sessions. In fact we did try to ask the jury as to who it was that came to us for screening, but they were reluctant to disclose it. In fact, even before I came to Prasanthi Nilayam, when I was a part of a team in Hyderabad that did free service in the villages, whenever I would make a call to any of the leading surgeons, for a patient that needs treatment, they would never say no. That He believed in setting models and these models can be replicated by any other government or private Organisation. Chakravarthi and other administrators asked Swami two or three times, as to how they were to run the project as no recruitments had been made up to that point. Initially, many eye brows were raised and the administrators were also worried, but then it has stood the test of time.
Every morning, I go to the village at 7 o’clock because more than three hundred patients usually are waiting, and I can complete the exercise of health education before the other doctors come. So we begin each day's activity with a prayer to Bhagawan, that He reminds us again and again of these three aspects of health care delivery.
We have fixed dates for visiting each nodal point, so on that particular date of every month we visit the same village. It need not be quantitatively up to the mark, because the volume of cases which we have is three or four times our capacity but what is important is that we create a mechanism to provide that service. We have an EEG (Electroencephalography) facility also, which is used to measure the electrical currents in the brain. It’s a beautifully thought out, considerate and loving model which has the best of the professional and the best of spiritual component infused in it. And knowing all of this actually brings to you a lot of respect from the group, especially paramedics.
When I told Swami that we were doing service for 12 days, and asked for permission to further expand it, Swami said no. I will give you broad guidelines, I have given you three senses - Common sense at the mind level, Intelligence at the intellect level and Conscience at the soul level. Randomized long-term trial of camel milk as an adjunct to insulin therapy in type-1 diabetes.
This makes it even more special because as you know, in the Sri Sathya Sai Organisation we do not make any overt or subtle claims about our pattern of working.
They were only looking for an Organisation which is transparent in its motive, pure in its conduct and really helping poor people.
Thanks to Bhagawan's divine vision and guidance, from the beginning the mobile hospital has been taking this definition as the guiding principle for planning its activities.
Swami made a very simple point, He said that there was no need to install all the machines in villages, instead we should carry them in mobile vehicles, and take the doctors in such vehicles. For example, on the 2nd of every month we visit a village called Byrapuram and this being a nodal point 600 to 700 patients are attended to. When I look at the way the Sri Sathya Sai Mobile Hospital has progressed, I can see three distinct phases.
That, by having a regular ambulance facility which doesn’t cater to even the common ailments is like missing even the tip of the iceberg, the iceberg being all the six types of ailments. From the 1st to 5th of every month the General Hospital gives its theatre and its nursing staff to us.
We did this because we felt that it was highly inconvenient for the patients with say an epilepsy problem or a neuro problem, to go all the way to Bangalore just to get an EEG done.
He told us to create makeshift hubs at the village school which would serve as a mini-hospital.
He believed that even for individuals, these institutions would act as an outlet to do their daily seva or daily sadhana for their own evolution.
It wasn’t possible to plan beyond that because the activity of a mobile hospital is very complicated and beyond two weeks the area of operation becomes very large, so a lot of time is lost in transportation. If we put ourselves in their shoes, we can understand how really tough it is for them; to go with a health problem to a new city seeking treatment. Provide the services here from morning to evening, so by evening, the doctors could come back to the city and also the servicing and maintenance of the machinery can be done. The second step was streamlining the work in a way that each worker got to do what he or she was good at and enjoyed doing. We have the resources, the contacts of people and it is easy for us but, what about these villagers?
Those are big budgets which the government has for the primary health and rural development sector.
Patients are recruited from web sites for patient advocacy and health enhancement programs. And most NGOs talk so much, usually hunting to make headline news, but Swami never cared for awards or recognition, and silently a revolution has been taking place. Therefore this long-term study was undertaken to assess the efficacy, safety and acceptability of camel milk as an adjunct to insulin therapy in type 1 diabetic patients. Methods: In this 2-year randomized clinical parallel design study, 24 patients with type 1 diabetes were enrolled and divided in 2 groups. For example, when I went on leave when my mother passed away, even in my absence, the regular working of the hospital didn’t stop or lag behind in any way.
Group I (n=12) received usual care (ie, diet, exercise, and insulin), and group II (n=12) received 500 mL camel milk in addition to diet, exercise, and insulin. Previous studies have found that between 30% and 60% of pediatric neurology patients have used CAM at some point in their lives.
Whereas, the effect of vitamin C on conventional photodynamic therapy (PDT) of tumor cells has been documented, the mechanism of vitamin C induced increase in tumor cell response to PDT is unclear. In this report we demonstrate the presence of vitamin C during photo-oxidation of MC540 significantly increases its apoptotic activity in tumor cells.
Interestingly, we observed that the presence of vitamin C during photo-oxidation of MC540 only and not its addition to a prior photo-exposed mixture to MC540 is critical for its enhanced sensitivity. These findings provide impetus to the approach in developing ROS generating small molecule compounds with potent apoptosis inducing activity.
These data could have implications in the use of vitamin C in photo-sensitizer-mediated reactions with the view to favorably tailoring the cancer cell milieu for efficient apoptotic execution. Many patients are still not discussing their CAM use with their doctors and are using CAM alongside their conventional medicines, thereby increasing the likelihood for potential interactions. One limitation of this study is that our ability to determine between-site differences is limited by the difference in sample size. Electrodermal measures as clinical markers: Jing-point electrical impedance in adolescent women with chronic pelvic pain. Consequently, skin electrical measures at Jing points are commonly obtained and interpreted for diagnostic purposes. Denise Adams, University of Alberta, 1047 RTF Building, University of Alberta, Edmonton, AB, T6G 2E1, Canada.
The objective of this study is to determine whether electrodermal measures at Jing-points are associated with clinical outcomes in adolescents with chronic pelvic pain in a randomized, sham-controlled acupuncture trial. Methods: We recruited 18 adolescent women aged 13 to 22 years of age suffering from chronic pelvic pain and laparoscopically diagnosed with Stage I-III endometriosis. Using a Hibiki-7 device, normalized electrical impedance values were obtained at all 24 Jing-points for each treatment session. Phase II: CAM research networks in Canada and the US will notify CAM providers of this study, so they may alert patients. Left-right asymmetry and measures for statistical dispersion (standard deviation and Gini coefficient) of Jing-point impedance values were calculated. Parents or legal guardians may self-identify and reply on behalf of patients under 18 year of age if they meet the criteria for Phase I. With a generalized estimating equation method, we evaluated the association between the electrodermal-derived measures and clinical outcomes while accounting for treatment designation and time.
Phase III: The methods for phase II were utilized but CAM associations and training organizations were substituted for CAM research networks.
The majority of the cases involved the use of Traditional Chinese Medicine to improve quality of life.
Preliminary analyses indicate that, over time, subjects in the active acupuncture arm were more likely to have reduced left-right asymmetry and statistical dispersion of Jing-point measures compared to subjects in the sham-control arm. Further analyses with multivariable models will be performed to assess whether this difference is statistically significant for each electrodermal measure.
The chiropractic care of children with otitis media: a systematic review of the literature utilizing whole systems research evaluation and meta-synthesis.
Joel Alcantara, International Chiropractic Pediatric Association, 327 N Middletown Rd, Media, PA 19063. Key words were otitis media and related words (ie, acute otitis media, otitis media with effusion, ear infections, etc) AND chiropractic.
A narrative review of the literature was performed and augmented with a meta-synthesis of the literature with a focus on chiropractic management and the application of a whole systems research (WSR) evaluation. Results: Our systematic review revealed 20 articles consisting of 6 case reports, 5 case series, 1 retrospective cohort, 2 prospective cohorts, 2 reviews of the literature, 2 commentaries, 1 survey study and 1 prospective, parallel-group, observer-blinded, randomized feasibility study.
Due to the lack of higher-level research design, a meta-analysis of the literature was not possible.
This included the use of otoscopy and tympanogram to provide objective pretreatment and comparative outcome measures. Eighty-nine percent of respondents reported treating pediatric patients; patients under the age of 17 made up 12% of chiropractic and 20% of both naturopathic and osteopathic patients.
Activator, Gonstead, Toftness, Chiropractic Biophysics, and Diversified Techniques were utilized with an emphasis on the upper cervical spine (the C1 or C2 vertebral bodies).
Approximately two-thirds of both osteopaths and naturopaths disagree or strongly disagree that immunizations are safe compared to one-third of chiropractors. One paper described utilization of cranial technique, 2 papers described a dietary intervention, and 2 papers utilized soft-tissue massage to augment spinal manipulative therapy. Fifteen studies were amenable to the WSR evaluation resulting in a score of 7.06 from a maximum of 11.
The immunizations of most concern to the 3 professions included MMR, varicella, influenza, DPTP, and hepatitis. The most common reasons for concern were related to safety, including that vaccines may contain dangerous ingredients, may produce side effects, and may be linked to future problems such as neurological damage. Conclusion: This systematic review highlights the need for more higher-level research designs in addition to incorporating new methodologies (ie, whole systems research) reflective of the holistic and vitalistic clinical and theoretical framework of chiropractic. The chiropractic care of children with enuresis: a systematic review of the literature utilizing whole systems research evaluation.
Significantly more naturopaths advised parents against vaccinations (27%), compared to 10% of chiropractors, and 12% of osteopaths (P=.0002). Joel Alcantara, International Chiropractic Pediatric Association, 327 North Middletown Rd, Media, PA 19063. There was no significant difference between groups for those advising parents in favor of vaccinations (15% C, 14% N, 6% O) (P=.1143). Key words were enuresis, nocturnal enuresis, bedwetting as well as related words AND chiropractic. A narrative review of the literature was performed and augmented with an evaluation using WSR evaluation.
Results: Our systematic review revealed 7 articles meeting the eligibility criteria for review.
Four of the 7 papers involve case reports describing the care of children aged 8 to 14 years with primary complaints of nocturnal enuresis. Spinal manipulative therapy involved the use of Toggle recoil, Sacro-Occipital Technique, Activator Methods, Gonstead Technique, and Diversified Technique to address primarily segmental dysfunctions in the lumbosacral spine. We conducted a systematic review to assess the nature and severity of adverse events associated with pediatric acupuncture. A large prospective cohort study (N=171) demonstrated improvement in wet nights per week from baseline following 2 weeks of care.
In a randomized clinical trial, within-group comparison of pretreatment and comparative rates of enuresis subjects demonstrated an improvement.
However, the study was fraught with research design issues such as randomization and biostatistics. Six of the 7 studies were amenable to WSR evaluation and resulted in a scoring of 7.33 from a maximum possible score of 11 points.


One reviewer screened all articles, while the second reviewed all excluded articles to ensure that no article was inappropriately excluded. Full articles of potentially relevant references were retrieved and assessed by two independent reviewers.
The use of Whole Systems Research provides promise in contributing to evidence-based practice and reflects the holistic and vitalistic chiropractic approach to patient care. Results: Seven thousand, two hundred sixty-two potentially relevant articles were identified. Eleven of these studies included adults as the majority of patients; for these studies the age of the patient experiencing the adverse event was never reported. Most of the adverse events that have been identified in children were mild and included pain, bruising, and worsening of symptoms.
The few adverse events rated as moderate or serious included one pneumothorax, 2 infections, and 2 cases of complications from needles left in the body. Methods: This study was approved by the Institutional Review Board of Life University (Atlanta, Georgia). A 26-item questionnaire was sent to 9000 subscribers of an online newsletter from Midwifery Today Magazine. The first domain identified demographics (midwife credentials, age, years in practice, and place of practice). The second domain queried participants regarding their formal and postgraduate training on the subject of chiropractic. The third domain attempted to identify their experience (ie, positive or negative experience) with chiropractic personally and professionally as it pertains to pregnancy and infant care.
The fourth domain asked their opinion about the safety of chiropractic care for pregnant and pediatric patients. The fifth domain surveyed their knowledge regarding the scope of practice of chiropractic for pregnant and pediatric patients.
The respondent ranged in age from 41 to 50 years with practice experience ranging from 6 to 10 years. With respect to their training on chiropractic, 31% (n=57) reported receiving formal education (ie, during midwifery education) on the subject of chiropractic. Fifty-five of the 157 who did not indicated receiving some education on chiropractic through continuing education seminars. With respect to the midwife responders’ experience with chiropractic, 95% (n=176) admitted to making a professional referral to a chiropractor with 73% (n=137) having referred an infant to a chiropractor. Ninety-two percent (n=171) reported being chiropractic patients with another 58% (n=124) presenting their child for chiropractic care.
Over 90% indicated experiencing a positive experience as patients and with their child’s care. All of the respondents perceived chiropractic was safe for pregnant patients, while only 97% considered chiropractic safe for children.
An overwhelming majority of the responders (98%) indicated that chiropractors work with birth professionals, while 92% indicated that they were knowledgeable about the role of chiropractic in prenatal care. Lastly, 75% indicated interest in learning more about chiropractic, with 86% wanting more evidence-based practice chiropractic. From the 809 articles reviewed, 18 articles met the full inclusion criteria and proceeded to data extraction. Identified adverse events include local pain or soreness, swelling, mild fevers, and skin rashes.
Thus far, the majority of adverse events reported have been mild with few moderate or serious adverse events occurring in pediatric patients.
Total weight and body composition changes in response to weight reduction diets of varied protein content in midlife women. Age-related changes in body composition for women include loss of lean mass and gains in total weight, fat mass and central fat deposition.
There is growing evidence that diets with low-to-moderate carbohydrate and fat content and increased levels of high-quality protein are effective for weight loss. Greater subjective satiety is reported by subjects following test meals containing whey protein compared to other protein sources.
The beneficial effects of whey protein on satiety, thermogenesis, and lean body mass protection suggest that whey may be a preferred protein source for weight loss treatment. The specific aims of this study are to assess weight loss in subjects receiving energy-reduced dietary regimens and to evaluate parameters of weight and body mass change between the 3 treatment groups. Study Design: We are conducting a randomized, controlled pilot feeding study to evaluate the effect of different dietary protein sources on weight loss. Endpoint measures include body weight and body composition data obtained at baseline and at 8 weeks for dietary treatment. The HP diet and the WP diet produced greater total fat loss and less total lean tissue loss than the CD.
Conclusions: Preliminary data shows that across treatment groups, the high-protein diets conserved lean tissue and promoted reduction of fat tissue. Trials investigating TCM must be conducted with increased methodological rigor to be of value in evaluations.
The single included study suggesting that acupuncture may be safe and efficacious in CFS is limited in applicability by the use of sham acupuncture as the control. Integration and interface between naturopaths and conventional rural care: empirical findings from a grass-roots research project.
The worsening epidemic of DM in the United States, along with the increasing prevalence of obesity, insulin resistance, and IGT, render the identification of promising interventions for these states a matter of some urgency. Jon Adams, University of Queensland, School of Population Health ,University of Qld, Herston, Queensland, 4006, Australia. While lifestyle interventions based on dietary pattern and physical activity can delay or prevent the onset of diabetes and reduce cardiovascular risk, adherence at the population level is severely limiting. Pharmacotherapy offers promise for diabetes prevention, but with associated high costs, unacceptability to many patients, and potential toxicity. In this context, the potential role of chromium (Cr), an insulin cofactor, in IGT is of great interest. Proposed, therefore, is a randomized, double-blind, placebo-controlled pilot trial conducted at the Yale Prevention Research Center to investigate the effects of daily Cr for 6 months at 2 dose levels on serum measures of glucose tolerance and on endothelial function in adults with IGT, IFG, and IR. The study is powered to detect a clinically meaningful effect of Cr supplementation at either dose on glucose control, and to compare the two doses for equivalence. The study will investigate effects of Cr on both measures of glucose tolerance (glucose, insulin, OGTT) and brachial artery endothelial function, thus combining serum measures with a physiologic test of Cr effects on the vasculature. The proposed study will generate much needed data regarding the efficacy of Cr in those at risk for type 2 diabetes and offers the promise of guiding practice, as well as directing future study. By contributing to knowledge related to potential diabetes prevention strategies, this study addresses one of the more pressing public health issues in the United States today. Risk to human subjects in this study is a minor increment over minimal due to the administration of nitroglycerin as a control in BARS testing. Secondary outcomes: (4) It will show improved well-being, as measured by elevated melatonin and DHEA. Unlike many relaxation therapies, energy healing requires no participation by the patient, a feature that makes it particularly attractive in the hospital setting, where patients are often anxious, depressed, in pain, or sedated. Despite the increasing use of energy healing, few studies have looked at its benefits and even fewer at its underlying mechanisms of action. In this pilot study, we examined the effects of an energy healing modality known as Reiki on the autonomic nervous system (ANS) and the hypothalamus-pituitary-adrenal (HPA) axis, both of which participate in the stress response and stress-induced pain and disease progression. Subjects rested for 10 min before baseline heart rate and blood pressure were measured and blood was drawn to determine cortisol, ACTH, and DHEA levels, using commercial immunoassay kits.
Subjects then received a 30- to 45-min Reiki or Pretend Reiki session followed immediately by post-session heart rate and blood pressure measurements and at 2h by blood draws. When asked whether they thought they were in the Reiki or Pretend Reiki group, about 70% of the participants reported that they believed that they had received a true Reiki session.
This suggests that the beneficial effects of Reiki on physiology, as compared to the Pretend Reiki, cannot be explained solely by the placebo effect. Issac Amponsah, Faculty of Pharmacy Kwame Nkrumah University of SC, Knust, Kumasi, 233, Ghana.
Effects of ultra-low dilutions of sabal serrulata on human prostate cancer growth: mechanistic studies.
Hakima Amri, Georgetown University, Basic Science Bldg, 3900 Reservoir Rd NW, Washington, DC 20007. Finally, serum protein differential expression was carried out using 2-dimensional gel electrophoresis followed by mass spectrometry analysis.
Effect of mind-body medicine skills on elements of emotional intelligence in medical students. Yet studies have reported that traits such as altruism and empathy tend to decline throughout medical school training. In an effort to foster medical student self-awareness and mindfulness, which may improve their EI, Georgetown University School of Medicine (GUSOM) offers an experiential course to undergraduate medical students in mind-body medicine skills. The purpose is to expose students to a variety of mind-body approaches including meditation, imagery, as well as group sharing and listening generously for self-awareness and reflection. The aim of this study was to assess the impact of the Mind Body Medicine Skills (MBS) course on perceived stress, mindfulness, and elements of EI including intrapersonal capacities (attention to feelings, mood repair, clarity of feelings) and interpersonal capacities (perspective-taking, empathetic concern, and personal distress in response to distress in others). The intervention group (n=30) was comprised of first year medical students who self-selected to participate in this elective. The control group (n=36) included students from the first year class who completed the surveys but did not take the MBS course.
Four questionnaires were completed at the start and end of the spring semester by all study participants: the Perceived Stress Scale (PSS), the Mindful Attention Awareness Scale (MAAS), and a survey of EI developed by Stratton et al (2005) comprised of the Trait Meta-Mood Scale and the Interpersonal Reactivity Index. ANCOVA was used to compare the MBS and the control groups at the end of the semester, controlling for beginning scores. Patient perspectives of integrative and primary care management of back and neck paina€”qualitative findings from a randomized clinical trial.
These conditions are additionally some of the most common reasons why patients use complementary therapies, often without dialogue with conventional care providers. The focus groups were conducted separately for those in the integrative vs the conventional treatment groups. The interview data were transcribed ad verbatim and analyzed utilizing inductive content analysis technique.
Eliane Angst, UCLA Center for Excellence in Pancreatic Diseases, 675 Charles E Young Drive South, Los Angeles, CA 90095. A significant reduction in cell numbers was seen with quercetin concentrations of ~30 AµM and a maximum effect at ~75 AµM. In MIA PaCa-2 cells a ~65% reduction in cell number was seen with 75 AµM of quercetin after 48 hours. Starved BxPC-3 cells treated with 75 AµM quercetin showed a ~95% reduction in cell number after 48 hours. Conclusion: These results suggest that quercetin has a potent growth-inhibitory effect in pancreatic cancer cells in vitro. Additional experiments to investigate the underlying mechanism of growth inhibition and animal studies are underway. Flovanoids may reveal to be potent anticancer drugs found in our daily food, leading to specific diet recommendations.
These can be taken together to qualify as an academic minor in many of the conventional MA or PhD programs, often forming the basis of a thesis or dissertation required for the terminal degree. In the fall of 2009, the university will launch a doctorate of nursing practice with a focus in integrative health and healing. Georgetown University developed a concentration of CAM within its Masters in Physiology program in 2003. We address the multicultural perspective, comparing data collected in Canada and Europe to those in the United States. The reason for this is that results on the health-promoting effects of spirituality and religiosity cannot easily be transferred from the United States to countries with different cultural and religious backgrounds. Thus, one has to recognize different concepts of spirituality, different attitudes towards its utilization, and objections against the implementation of it in a particular medical system.
In Germany, 3 colleagues have founded the Transdisciplinary Working Group on Spirituality and Health, and in Canada the Canadian Research Network on Spirituality and Health has been active for a couple of years. Data and approaches from these different networks will be combined into this symposium.Dr BA?ssing is an associate professor at the University of Witten, Herdeckea€™s Faculty of Medicine, where he directs the research group Spirituality and Health.
The effect of a€?acupuncture for losing weighta€? on the level of blood sugar: a survey on the mechanism. Hoda Azizi, Beijing University of Chinese Medicine, 11 Bei San Huan Dong Lu, Beijing, Beijing, 100029, China.
Material and Methods: In this clinical trial study, 66 patients were included in case and control groups. Blood sugar was examined just before inserting needles and immediately after withdrawal of needles. Conclusion: Our results suggest that the mechanism of acupuncture in losing weight is significantly related to making an increase in BS. John Balletto, Center for Muscular Therapy, Inc, 545 Pawtucket Avenue, Mailbox 304, Pawtucket, RI 02860-6046.
As with business startups that begin informally and successfully mature into larger enterprises, growth brings new organizational challenges, together with greater visibility and opportunity.
The maturation of massage as a healthcare profession increases the need for a process to formalize the synthesis of massage therapy knowledge from clinical experience and research—to collect what we know and to make such baseline knowledge widely available to practitioners, consumers, and other healthcare stakeholders.
The present paper lays out the motivations and framework for creating massage therapy guidelines that are informed both by research and by clinical experience. It also acts as a report to the massage therapy profession and to other stakeholders about the work of the Best Practices Committee of the Massage Therapy Foundation since 2006.
And it has the additional goal of providing a healthcare literature basis for future academic discussions of massage. The discussion here is based on a definition from the Institute of Medicine and on research into the nature of expertise. Topics addressed include guideline creation, credentialing of complementary and alternative medicine practitioners, definition of competence, and the increasing role of technology (that is, informatics) in managing training and task-necessary competencies. The roles of transparency and a wide and open peer review are emphasized as essential to the usability and credibility of guidelines.
Health Canada issues consumer advisories regarding the safety of marketed health products, yet the criteria for issuing advisories have not been evaluated for consistency or objectivity. The Causality Algorithm used by Health Canada was used to rate degree of association between the adverse events (AEs) and the products. The Severity of Adverse Events Scale, developed by the National Cancer Institute, was used to determine the severity of the AEs. Most NHP AWRs were issued based on potential AEs from contamination and adulteration, whereas most of the AWRs for therapeutic drugs were issued due to actual AEs. Of the 6 NHP AWRs issued for actual AEs, 3 (50%) were unassessable for severity, whereas of the 28 AWRs issued for actual therapeutic drug AEs, 1 (3%) was unassessable for severity.
The origin of reports for NHPs tended to be from foreign sources or Health Canada, whereas reports for therapeutic drugs were mostly issued by Health Canada in conjunction with drug manufacturers. The potential of a mistletoe (Viscum album L) extract to alleviate adverse effects of cancer chemotherapy: an in vitro study. Stephan Baumgartner, University of Bern, Institute of Complementary Medicine KIKOM, Inselspital, Bern, BE, 3010, Switzerland. We investigated the effect of a mistletoe extract on PBMC with and without concomitant treatment with cyclophosphamide and compared viability and replication of normal PBMC with that of a T-cell leukemia cell line. The results motivate further preclinical and clinical investigations of mistletoe extracts as an adjuvant medication in cancer therapy to alleviate side effects of conventional therapy.
Stephan Baumgartner, Institute of Complementary Medicine KIKOM, University of Bern, Inselspital, Imhoof-Pavillon, Bern, BE, 3010, Switzerland. We investigated the potential of a commonly used plant pathogen–system, Arabidopsis thaliana infected with the virulent bacteria Pseudomonas syringae (pv tomato strain DC3000), regarding its response towards a homeopathic treatment. Compared to Bion (a common SAR inducer used as positive control), the magnitude of the treatment effect of Biplantol was about 50%. None of the other tested preparations yielded significant effects in the overall evaluation. The purpose of this study was to determine remedy effects on a common quantitative measure of complexity, the correlation dimension (D2), of human sleep electroencephalography (EEG). High Hostile subjects increased complexity at C3 and Pz, but decreased complexity at O2 during stage 3 sleep on CC. In the high Anxiety-Sensitive subjects, CC caused significant increases in complexity at Pz and O1 during stage 3 sleep and at C3, C4, and Pz during stage 4 sleep. CC increased complexity significantly at Cz, C4, and O2 during REM sleep in only the high Anxiety-Sensitive subjects. The purpose of the present study was to determine whether or not the objective measure of polysomnographically-recorded all-night sleep recordings can distinguish verum homeopathic remedies from placebo in human subjects.
NV produced more marked effects on increased shifts in sleep stages, with a growth in effects from night 22 to 23. This study examined the effects of olfactory administration of a polycrest homeopathic remedy Sulphur on heart rate variability (HRV). The Sulphur was given at dilution factors used for preparing 6c, 12c, and 30c potencies (1 potency per session, with potency order randomized), but for each potency, the test solutions were succussed to different degrees (stirred without shaking, 10, 20, or 100 succussions). Homeopathic remedies increase spectral electroencephalographic power during sleep in healthy young adults. The purpose of the present study was to assess the effects of verum vs placebo homeopathic remedies on spectral qEEG measures of polysomnographically-recorded all-night sleep recordings. Evaluating a nonlinear dynamical model for human flourishing: Relationship of PANAS positive-to-negative-affect ratio and global health and well-being.
The purpose of the present study was to compare global physical health (GPH) and well-being ratings of young adults whose P:N mood ratios fell above vs below the Losada line.
Despite higher (MCSD) scores in PF, a small sex and age difference between groups, ANCOVAs controlling for MCSD, sex, and age still showed statistical significance of the above PF vs PL group differences. Gurjeet Birdee, Osher Research Center Harvard Medical School, 401 Park Drive, Suite 22-A West, Boston, MA 02215. We identified the prevalence of CAM modalities used and the characteristics of users among the pediatric population.



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