We don't work with express deliveries via DHL, Fedex or UPS because they refuse to ship any kind of medicine. Packaging is excellent and discreet, in order to save space and make the package smaller, we sometimes take the ampoules and tablets out of their bulky boxes. Very important thing is that we do not sell needles & syrgines for injectable steroids.
This means the shot must penetrate the skin and subcutaneous tissue to enter the muscle itself. The common sites for intramuscular injections include the buttock, lateral side of the thigh, and the deltoid region of the arm.
The best site for steroid injections is in the gluteus medius muscle which is located in the upper outer quadrant of the buttock.
The upper outer quadrant is chosen because the muscle in this area is quite thick and has few nerves. Injecting here reduces the chance of injury to the sciatic nerve which runs through the lower and middle area of the buttock. If an injection is too close to this nerve or actually hits it, extreme pain and temporary paralysis can be felt in these areas. This is especially undesirable and warrants staying as far away from this area as possible. Usually, intramuscular injections in the thigh are only indicated for infants and children. The vastus lateralis muscle is the only area of the thigh that should be injected intramuscularly.
This site is determined by using the knee and the greater trochanter of the femur as landmarks. The greater trochanter is the bony area that you can feel where the femur joins the pelvic girdle.
The mid portion of the muscle is located by measuring the handbreadth above the knee and the handbreadth below the greater trochanter. It is important to choose the proper syringe for the administration of injectable anabolic steroids. There are a number of steps that should be understood in order to complete a safe and proper intramuscular injection. Then, take a brand new syringe out of its wrapper, remove its plastic top, draw about 2 ccs of air into it and insert it into the vial. Inject this air into the vial; this creates pressure within the vial and makes it easier to draw out oil based preparations.
By using two needles for every injection, you can take advantage of using the full sharpness of the pin.
The needle does suffer some dulling when it is pushed through the firm rubber stopper on a vial.
Providing there is no blood present in the syringe, slowly press the stopper down until all the oil is injected. Then, quickly pull the needle out and take another alcohol swab and press firmly on the injection site.
It is important that the liquid is not injected too quickly as this causes more pain at the site during the injection and in the proceeding days. After this procedure has been completed, return the plastic caps to shield the needles and make sure they are discarded properly.
To avoid discomfort and excessive scar tissue at the injection site, it is not wise to inject more than 2 ccs of solution per shot. It is also not prudent to use the same injection site more than twice a week (once a week is preferred). Fitium is a revolutionary online weight loss system which has helped thousands not only lose weight, but live a healthier lifestyle. Fitium takes a different approach, and seeks to understand how your body works, in order to provide a personalised plan designed to help your body lose weight naturally, and keep it off!
When you first sign up, you’ll complete a short 8-minute assessment which help Fitium understand how your body works, and pinpoint areas which are causing you to gain weight. Fitium then helps you identify your ideal weight, and creates a personalised plan to help you reach it. Starting a new habit or change is not easy, and there are many factors that can derail your progress.
Fitium takes the pain out of creating tasty yet healthy meals by providing breakfast, lunch, snack and dinner meals tailored to your exact diet needs. Making lifestyle and diet changes can be overwhelming, especially if you are balancing family life and work. Fitium provides an easy to follow dashboard to help you monitor your progress, track your meals, review your activity and keep an eye on your health vitals. Many diets focus on the symptoms, instead of tackling the root causes of weight gain they offer “band aid” solutions which tend to be short term, and unsustainable in the long term. Fitium works differently by first understanding what is causing your weight gain, and by helping you tackle the nutrition, mindset and lifestyle changes you need to not only lose weight, but improve your health for the long term. By completing the accelerator course, and the ongoing coaching challenges you will unlock the keys to sustainable weight loss as well as look and feel great. Well, not only is it the yearly plan give the best value by far – at $2.48 per week!! What is more important is that Fitium also encourages you to exercise to help you get into shape which in turn helps keep the weight off as well.
Fitium may be the most obvious solution for millions of people, yet they do not have the information themselves to carry out the simple, straightforward meal plans that Fitium has in store. We wholeheartedly recommend Fitium as the program to help people lose weight and keep it off for good. Perhaps one of the most thrilling aspects of this weight loss dieting program is that you get your own and personalized fitness coach. In fact, as online health sites go, this is one of the best performers we have seen in terms of providing their customers with the capability to shed weight and improve their fitness.
Medications can be effective when they are used properly, but some can be addictive and dangerous when abused.
The specific type of birth defect depends on the systems in the fetus developing at the time of alcohol exposure. Thoughts are like magnets- they attract situations and people that reflect what you are thinking. Go to [ order ] and fill in the form your personal data, which we will use to send you the selected items. We send using ordinary Post Service, in most cases, package travels about 4 - 6 days for customers from Europe, and 7 - 10 days to USA citizens (7 days to New York, 10 days to West costs). Homeopathic individualized medicines versus fluoxetine for moderate to severe depression: double-blind, randomized non-inferiority trial. Because of the large number of muscle fibers and extensive fascia, (fascia is a type of connective tissue that surrounds and separates muscles) the drug has a large surface area for absorption. Our genetics, lifestyle, age, fitness, health and diet mean that the same diet can help someone lose weight, whilst making another gain weight! So Fitium have developed the 7 Day Accelerator course to guide you through the first week, help you avoid common pitfalls, turbocharge your results and ensure you have the best strategies for long term success too. These meals are filling, packed with nutrients and are designed to help you lose weight naturally.
So our team has developed weekly coaching challenges to help you implement your new diet plan, one step at a time, and get closer to looking and feeling great.
Fitium has developed tried and tested strategies to help you deal with emotional eating, social occasions, stress and day to day situations which can get in the way of your progress.
This results in improved accountability and has been proven to double weight loss in many studies. I didn’t have to make drastic changes to my diet, and the suggested meals were tasty and filling. To be honest, this is something that you will definitely not come across with any other program out there.
I really hate to diet and I honestly don’t have the skills OR the imagination to keep thinking of tasty recipes to make from only a few ingredients. This chart provides a brief look at some prescribed medications that—when used in ways or by people other than prescribed—have the potential for adverse medical consequences, including addiction. Used to treat urinary tract and bladder infections; has an aphrodisiac effect by enhancing sexual functioning and sexual desire. Enlarged breasts are common among teenage boys and men, and breast reduction surgery is increasingly popular among guys. Organ systems are most vulnerable to damage by alcohol during the period of most dynamic development. If you are centered in peace and think thoughts that are kind and loving, you will attract the same kind of ideas and feelings back to you.
Depanding on the size of your order, we may split your order to several smaller packages at no extra cost. Ubiratan Cardinalli Adler, UNIFESP (Federal University of SA?o Paulo, Brazil), Av Rouxinol, 1041 cj. The 22 and 23 gauge needles are not so large that they are difficult to insert, yet are large enough for solutions to easily be propelled through them.
Most people have lots of questions -- from how it's used and how it affects a couple's relationship, to whether women can benefit from it. This is a lifestyle change that is best suited for those who need to lose the weight and keep it off for the rest of their lives. On other diets I have always felt hungry or would get aches and pains in the middle of the day, but with the Fitium diet plan I sometimes couldn’t finish my plate! Now, I just go on Fitium, click on Build meal plan, and I have a whole week of meals and recipes! If you decide to purchase any products through any of our links, because of our recommendation, be it expressed or implied, we may receive a commission. In fact, in the US it’s the fourth most popular cosmetic surgical procedure among males, with nearly 17,000 of them performed in 2009 alone. If you are ill, have been diagnosed with a medical condition, you have or think you might have a health problem, please visit your doctor for advice, diagnosis and treatment. Ideally, intramuscular injections should be given deep within the muscle and away from major nerves and blood vessels.
Regardless, we only recommend products or services we believe will add value to our readers. Your thoughts have the power to create good in the world.A Although popular entertainment and cartoon television have a very nonsensical and frivolous approach to the ideas of hypnotherapy, this form of psycho-analytic treatment has a profound potential for improving overall health and well-being. There is a need for large-scale longitudinal data on treatment utilization and outcomes, stress, emotion, and pain. In fact, hypnosis is used by millions of individuals for a variety of different reasons, and a plethora of scientific research studies have been conducted to show that this practice can produce very favorable outcomes.
It may just look like a personal innocent gift from a friend, trust us, we take packaging very seriously. In the United States, more than 5 million men just like you have turned to Levitra to improve their sexual function.
Randomized long-term trial of camel milk as an adjunct to insulin therapy in type-1 diabetes. It is a state of consciousness that is entered naturally, but is not usually called hypnosis or trance.
Patients are recruited from web sites for patient advocacy and health enhancement programs. 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. Levitra improves erections in most men regardless of how long they have had ED, what caused it, or how old they are. In this time period, Franz Mesmer became one of the most well-known hypnosis practitioners, and he developed a reputation for charisma and mystical performance. Methods: In this 2-year randomized clinical parallel design study, 24 patients with type 1 diabetes were enrolled and divided in 2 groups.
And the effectiveness of Levitra has been proven in clinical studies of thousands of patients. The idea of hypnotism was not always socially welcomed with enthusiasm by the majority of society, but the success stories and intrigue were enough to keep this practice thriving well into the present.A It wasna€™t until the 19th century that scientists and doctors began to explore the potential physical healing possibilities behind hypnosis, and later in the 20th century, this practice would continue to grow and evolve as specific styles and hypnosis techniques were perfected.
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. Levitra is a prescription medication, so you'll need to talk to your health care provider to find out if it's right for you. Be sure to ask your health care provider if your heart is healthy enough to handle the extra strain of sexual activity. Advances in technology have allowed neuroscientists to visualize the physical and anatomical responses to hypnotherapy. If you have chest pains, dizziness, or nausea during sex, stop and immediately tell your health care provider. Improvements in the ways that clinical professionals record data and patient history have also allowed research professionals to quantify the benefits of hypnosis methods.
With Levitra, the most common side effects are headache, facial flushing, and upset stomach. Modern medicine has allowed these experts to determine that hypnotherapy is a very valid and useful form of effective treatment.A A Will self-hypnosis help me?
What types of problems does it target?A Hypnotherapy can be used to address a myriad of different complications, problems, habits, and addictions. Acupuncture , heat , electrical stimulation channels of energy , body's internal organs, correct imbalances digestion, absorption, and energy production activities, circulation of their energy . It is also a great method for improving mindset, attitude, and onea€™s general outlook on life.
A Studies show that hypnosis has been up to three times more effective than a chemical skin patch for patients who are quitting smoking. In fact, a combination of studies and surveys showed that seeking this type of psychotherapeutic support can improve your chances of successfully quitting by as much as 30%.A In addition to nicotine addiction, hypnotherapy can also be used for alcoholics or drug abusers who are seeking support and assistance with their liberation from these dependencies. Some studies have even reported up to a 77% success rate!A Hypnosis is commonly used as a medical regimen to reduce and eliminate chronic pain.
Previous studies have found that between 30% and 60% of pediatric neurology patients have used CAM at some point in their lives.
Not only does it relieve stress and muscle tension that can trigger painful stimulus, but surgery patients who received hypnosis reported a reduction in pain intensity and some actually improved faster than patients who were not receiving hypnotherapy.
A Hypnotherapy has been proven a successful treatment for preventing migraines, and has significantly improved the energy level and attitudes of breast cancer patients undergoing radiation treatments. Some hospitals utilize the benefits of hypnosis for preoperative treatment because studies have shown that it effectively reduces anxiety and decreases the need for additional medications during surgery.A There is a barrage of research studies showing that hypnosis significantly improves the outcome for individuals on a weight loss plan. Not only does hypnotherapy improve the amount of total loss, but it improves the likelihood for long term weight management. A Hypnosis has benefited patients who suffer from sleep disorders, irritable bowel syndrome, social interaction disorders, and various other types of anxiety.
A For many individuals, hypnosis is simply used as a tool for stress relief and mental clarity. According to researchers, hypnotherapy significantly improved self-esteem and feelings of serenity. 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. Thoughts and ideas with strong emotional content produce physical responses in the body characteristic of the emotion. 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. It has been clearly established that even the body's natural resistance to disease can be affected by a person's thoughts and emotions.
To adapt successfully to the stresses of life and eliminate or change chronic negative physical reactions, we must first learn to change our thought patterns. 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. When you think about a happy memory, your subconscious mind instructs your body to reproduce the physiological state associated with happiness, including the excretion of the feel-good hormones called endorphins. We must find a way to supply ourselves with healthful, uplifting thoughts to counteract the negative ones.A What is imagined or expected tends to be realized.
Consequently, skin electrical measures at Jing points are commonly obtained and interpreted for diagnostic purposes. When the subconscious mind perceives a goal, it automatically strives to achieve that goal. Denise Adams, University of Alberta, 1047 RTF Building, University of Alberta, Edmonton, AB, T6G 2E1, Canada. The individual who strongly believes in attaining a goal subconsciously strives to bring about favorable circumstances leading to this result. 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. Ideas we expose ourselves to on a regular basis shape who and what we are and what we believe about ourselves.A New habit patterns can be formed with visualized images.
The human nervous system cannot tell the difference between an actual experience and one that is vividly imagined. Using a Hibiki-7 device, normalized electrical impedance values were obtained at all 24 Jing-points for each treatment session.
Hypnosis is not successful for every patient and it doesna€™t always work on the first try.
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.
According to hypnosis experts, each person has a unique level of a€?hypnotizabilitya€™ which means that they might respond very differently to a typical treatment session. 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. Hypnosis is an effective way to communicate with your inner mind to elicit positive change.A You cannot simply induce hypnosis on yourself quickly, state a couple of suggestions, and expect major changes to take place.
Phase III: The methods for phase II were utilized but CAM associations and training organizations were substituted for CAM research networks. This is the window of possibility, the amount of change that the subconscious will find acceptable at any given time. The majority of the cases involved the use of Traditional Chinese Medicine to improve quality of life.
Once the change you want is in place, the subconscious now accepts more changes and you can start working on the next level within your range of goals. Specialization, Materia Medica, internal medicine, diagnosis , examine, refer ,investigations .health shops, pharmacies, prescription, complex remedies, labelled ,individualized ,mental, migraines, asthma, eczema, hay fever, glandular fever, chronic fatigue syndrome.
In this manner, you work your way up to the next level of your goal mountain one plateau at a time rather than try to soar to the top all at once. Free-radical, toxin-, inflammatory, degenerative diseases, Nutrients, minerals, enzymes, vitamins, amino acids.
Your hypnotic suggestions should be directed toward raising the limits that your subconscious mind finds acceptable and the behaviors that lead to your goals.A It is through hypnotic suggestions that you specify your goals and direct the subconscious to the achievement of those goals. 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. This is because the subconscious mind is limited to deductive logic -the process of reasoning from the general to the specific. Further analyses with multivariable models will be performed to assess whether this difference is statistically significant for each electrodermal measure. Whether you are seeking hypnosis to treat a problem or you simply want to improve your mental purity will make a big difference on the ways that your therapist will approach your session.A Hypnosis includes a variety of different stages.
Some participants report feeling incredibly relaxed yet are still awake and able to comprehend what they see and hear. Most hypnosis includes a trance phase where patients are receptive to the specific treatment and purposeful practice of the hypnotist, but usually cannot recall the specific dialogue that takes place.
Transitioning out of this trance allows the patient to slowly recollect and reorient into a conscious state.
A Depending on the nature of your situation, your therapy session might include a variety of breathing exercises, mental depictions, guided thoughts, and various other relaxation techniques that are performed to bring both your mind and body to a place where it is open and receptive to hypnosis.Your therapist may ask several questions concerning your emotions and feelings and consequently develop phrases that are designed to help you accept and release certain feelings. 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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