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In this assignment, the nursing problem of fluid overload will be discussed, with respect to one particular patient who was admitted to the medical ward, on which I did my recent clinical placement. You must have JavaScript enabled in your browser to utilize the functionality of this website. This student written piece of work is one of many that can be found in our University Degree Nursing section. The Code of Professional Practice (2002 ) reinforces in the guidelines, that this is clearly the responsibility of the professional, and that all areas of the relationships with patients must wholly be centred around the client and his needs.
Eventually, the immune system begins responding to the overwhelming number of HIV viruses, and the infection enters its latent stage (Smeltzer et al. Norton (1996) defines constipation as decreased or difficult evacuation of dry, hard faeces that are painful to pass. In accordance with SIGN guidelines (2007) the nurse will recommend that Mr Jones receives a visit from someone who has gone through the same experience (Walsh, 2002); and the British Colostomy Association of Great Britain can supply a list of ostomates who can perform this function (BCASS, 2007). As Burnard (1995) suggested that to become self aware is to learn conscious use of self, we become like agents and are able to choose to act rather than feeling acted upon. Anderson (2010) is of the opinion that in order to engage staff an effective leader will involve them in effecting and implementing change. Sign up to view the whole essay and download the PDF for anytime access on your computer, tablet or smartphone. Created by teachers, our study guides highlight the really important stuff you need to know. Nursing models of care delivery are important as they provide structures and processes to support the delivery of nursing care. In concert with the mission, vision and values of the Sisters of Bon Secours and Bon Secours Health System, Inc. She is a person called to nursing as a profession and has lived up to the mission she chose to serve. Each Division within Patient Care Services has an Administrative Director responsible for integration, facilitation and collaboration of administrative and clinical practice. Each Nursing unit has a Nurse Manager responsible for twenty-four hour accountability for the unit. Our nurses are challenged to leadership within the workplace through project leadership and participation, Nursing Governance Council participation and use of Evidence Based Practice principles.
The Professional Advancement Program (PAP) provides a vehicle for our nurses to plan and develop their journey of professional growth.
Our nurses are encouraged to participate and become leaders in local, national and international nursing organizations including the American Nurses Association.
Also, our nurses enjoy participating in school career days at local schools and with boy and girl scout troops.
Many of our nurses volunteer at free clinics, on rescue squads and participate in church and charity group medical missions within our city and state.
Another important service that our nurses provide to the community is their willingness to provide first aid services at community events.
For the past eight years, SMH nurses have provided first aid services at community events and the Virginia State Fair.
This spring, our RN Residency Coordinator, supervised an eight-week program for 30 Richmond Community high school students interested in healthcare. This summer, several teenagers from the YMCA Yteens program participated in an internship at St.
One of our CVICU nurses joined five other Bon Secours healthcare professionals on a health mission trip to the nation of Haiti.
In 2007, nurses from our NICU traveled to Honduras with a team from Friends of Barnabus Foundation.
One of our Labor and Delivery nurses also visited Honduras on a mission trip sponsored by her church Trinity United Methodist. Two of our Neonatal Intensive Care Unit (NICU) nurses were recently invited to visit the very first NICU in Afghanistan.
Our nurses are dedicated to patient care both inside the hospital and out in the community. Our Chief Nursing Officer, Francine Barr, RN, MS, CNAA-BC, was selected as the 2007 winner of this award. We are proud to announce that our very own Antepartum Unit (APU) was named as winner for 2007.
A former patient nominated our child-birthing units for the Johnson's Childbirth Nursing Award.
Each year Bon Secours, Style Weekly, the Children's Museum of Richmond, and Commonwealth Parenting select several Magnificent Moms from the hundreds of nominations they receive. Nursing shared governance is an organizational framework which allows nurses increased professional autonomy.
Our nurses are encouraged to actively participate in all nursing councils and hospital committees.
Organizes and controls resources, delineates and fulfills nursing strategic planning objectives and promotes and sustains an environment that enhances excellence in professional nursing practice. The Clinical Practice Council defines and controls all issues, materials and activities related to nursing practice reflective of shared governance and Jean Watson's Theory of Human Caring. The Education Council defines and evaluates nursing education and orientation needs within the Nursing Division for the purpose of developing a highly skilled professional nursing staff that provides quality patient care integrating the foundational elements of the Professional Practice Model and Jean Watson's Theory of Human Caring. Designs and directs the implementation of and evaluates the effectiveness of the quality improvement program for the Nursing Division based on data analysis to ensure excellent patient outcomes and a safe, positive work environment for staff. Validates knowledge on which nursing practice is based (evidence-based practice) and generates new knowledge to advance the science and art of nursing through promotion and support of nursing research. The Strategic Planning Council coordinates the development of a strategic plan which provides for a diverse professional nursing workforce, sufficient in number, appropriately educated, effectively utilized and adequately supported, to provide the highest quality evidence-based practice. Promotes communication, integration of functions, resolution of conflicts and critical decision making between councils. The Nursing Congress identifies and establishes priorities for the Nursing Division to advance professional nursing practice, to provide a mechanism for the membership to share and receive information, and to recognize and celebrate contributions of members. Provide collaborative forum for the advanced practice nurse to share ideas and expertise with other specialties and provide leadership and expertise in the integration and application of evidence-based practice and research by nursing staff at the bedside. A prelicensure track that prepares students to become registered nurses by covering nursing practice and research, health policy, resource management, leadership, and care coordination skills.Boise State supports registered nurses in completing their Bachelor of Science through a flexible, rewarding, and enriching online RN-BS Completion Track. At Boise State University, we prepare nursing students to provide caring, holistic and quality nursing services to diverse populations while also facilitating the development of leadership and interprofessional skills. The School of Nursing is home to Idaho’s largest undergraduate nursing program, a well-established online RN-BS Completion track, outstanding graduate programs, and to a nationally accredited Simulation Center. An unwavering commitment to compassionate care, with deep respect for the dignity of each patient, will distinguish your Lewis education. Lewis faculty will work with you to develop a compassionate, holistic approach to patient care - it is about addressing physical symptoms while caring for the heart, mind and soul. You will work one-on-one with faculty who have real world experience in our state-of-the art simulation labs that provide you with a safe, supportive environment to practice problem- solving and develop clinical judgment based on patient symptoms.
Your exposure to various clinical sites provides you with experience working with diverse patient populations.
Lewis University is authorized to operate as a postsecondary educational institution by the Illinois Board of Higher Education.
Homeopathic individualized medicines versus fluoxetine for moderate to severe depression: double-blind, randomized non-inferiority trial. This imbalance may be a result of reduced function of homeostatic mechanisms or by simply overloading with fluids (Methany, 2000).
In the overloaded patient, the patient's need for intake and output must therefore be assessed (Smith at al, 2004). It can be acute or chronic condition and bowel movements are less frequent than the individual's normal.( Redfern and Ross 2001). All Rights Reserved.Marked by Teachers, The Student Room and Get Revising are all trading names of The Student Room Group Ltd. Mary's Nurses we believe ourselves to be an extension of this healing ministry of the Sisters of Bon Secours and the Catholic Church in the Greater Richmond Area. In Watson's theory, the art of science of caring balances both compassion and healing with quality and competence. Watson's ten caritas processes give voice to the unique contribution of the nurse to health care team in our organization and community. Following a comprehensive evaluation of care delivery models, our nurses felt that a professional model centered around the nurse-patient relationship was desired. Francine has many roles as wife, mother, daughter, sister and friend but her strong desire to provide loving care threads through each of them. Also, through our Professional Advancement Program our nurses are challenged to advance to new levels of responsibility and leadership throughout their career. It encourages active engagement in commitment to caring, safe practice, effective communication, innovation and teamwork. Many of our nurses also participate and serve as leaders in nursing organizations related to their specialty certifications. Partnering with local charities and other organizations allows us to touch lives outside of the hospital.
This year, a team from our Emergency Department had the opportunity to participate as first aid volunteers at the Central Virginia British Car Club 2007 Car Show.
The program was designed to give these students extensive, varied and worthwhile expose to healthcare and related careers. It was a dangerous and challenging five hour drive on unpaved roads to reach the clinic in Pondiasseau. They helped set-up a medical clinic in the village school and saw over 450 patients each day. She helped run open clinics for women and children, performed health screenings, ran eye clinics and distributed glasses.
Run by CURE International, the NICU was opened in early 2006, providing the only specialized neonatal care for the entire country. The team was selected from hundreds of nominations based on an excellent essay written by APU team member, Alyssa Leimburger, BSN, RN. Winners receive a prize package and are displayed in Style Weekly, at the Children's Museum and at Bon Secours facilities. It empowers nurses and managers to contribute to the decision-making process related to patient care, nursing practice and the work environment through participation in nursing governance councils. Our nursing shared governance structures are designed to encourage innovation, autonomy and professionalism. We’re here to help you make the most of the time, money, and energy you invest in your education — and in your future. Our faculty and staff are focused on academic excellence, meaningful scholarly pursuits, and service to the local, national, and international community. You will become an expert practitioner and innovative leader who will transform practice in an increasingly complex healthcare system. Ubiratan Cardinalli Adler, UNIFESP (Federal University of SA?o Paulo, Brazil), Av Rouxinol, 1041 cj.
As a result, a daily written record of patient's total fluid intake and output must be established. During this time, the HIV virus is 'burying' itself inside deep tissues, making it more difficult for the immune system to find and destroy it (Pratt, 2003). Constipation is distressing, undignified and embarrassing; nurses approaching the subject require tact and sensitivity.
This is an important nursing attribute and creating that environment for conversation is equally as important (Peate 2009). Teamwork can be related as two or more people working together to achieve the same goal (Williams 2011). Watson's International Caring Consortium (ICC), a prestigious group of nursing leaders and organizations committed to bringing more caring into our daily practice. Relationship-Based Care encompasses this relationship as well as relationships with colleagues and self.
Men and women in nursing need role models who can grow professionally while balancing the many other parts of their lives. We are dedicated to helping nurses earn advanced degrees, specialty certifications and achieve personal growth. In 2007, our nurses again participated in many outreach projects both within the surrounding community and on an international scale. Our nurses regularly conduct health screenings at churches, schools and other community events.
They were able to see many areas of the hospital during their 8 days here and will hopefully continue to be encouraged in pursuing healthcare occupations.
They also helped identify patients in need of extended care for cleft lip surgery, palate repairs, cardiac surgery and orthopedic care. Armed with six suitcases filled with desperately needed donated and purchased equipment, our nurses traveled for two days to reach the capital city of Kabul.
During the flight, a passenger became ill and the request for medical personnel was made to the passengers. The selection committee at Advance were impressed by the special effort APU nurses put into making their unique patient population feel extra special during what is often a challenging and emotionally draining time.
The Adult Gerontology Nurse Practitioner program prepares nurses to effectively meet the health care needs of the adult population as nurse practitioners. The holistic impact on the patient as a result of this problem will be explored in detail along with one of the many nursing interventions which was used in an effort to curb the problem. It is for this reason that the daily fluid balance chart (see appendix 1) was put into effect. Mary's we value compassionate, loving care that is evidence-based and provided by a highly competent, professional nursing staff. Watson states, "Systems committed to authentic caring relationships and ethical-theory guided practices are transforming nursing and health care from the inside out. We believe that developing caring and healing environments that foster healthy relationships will bring the positive outcomes that we all desire. Our many human resources driven programs provide tuition reimbursement, professional dues reimbursement and conference and travel expense reimbursement.
Portfolios are reviewed by the Advancement Committee and nurses are able to achieve promotion to Clinical Nurse I, II, III, and IV. These screenings include blood pressure checks, immunizations, smoking cessation programs, breast cancer awareness and education on sexually transmitted diseases. Once there, they worked along side the Afghani nurses, providing one-on-one training in the care of the sick neonate.
One of our nurses responded to the request and came to the rescue of a gentleman suffering from a massive heart attack.
The AGNP includes online courses, clinical hours, and on campus summer intensives.The Doctor in Nursing Practice (DNP) is the highest degree for nurses seeking to be leaders in improving nursing practice and patient outcomes. Many of our mastera€™s programs and DNP are offered online for the convenience of working adults. There is a need for large-scale longitudinal data on treatment utilization and outcomes, stress, emotion, and pain.


The advantages and disadvantages of the chosen intervention will also be further discussed. The enforcement of the fluid balance chart, as like any other nursing intervention, had both negative and positive effects on the patient. Such initiatives are redefining concepts of excellence and crating new standards of caring-healing practices to serve the public.
We strive to improve patient outcomes that maximize the patient's quality of life across the entire life span while maintaining appropriate standards of medical ethics in the delivery of patient care.
They also taught several class on Neonatal Resuscitation and Basic Care of the Neonate for the Afghani doctors and midwives, and helped establish the first protocols and guidelines for the new NICU. She assessed the situation and cooperated with a medical team on the ground to save the passenger's life. AGNP Certificates allow practicing nurse practitioners to expand their scope of practice, privileging, and certification to acute care or primary care adult gerontology.A program that teaches the theory of simulation, the process of developing and debriefing simulation scenarios, and techniques to manage a simulation center. I enjoyed working with children and adolescents but wanted to be able to work at a higher level of practice not only at the patient level, but within the nursing and organizational levels as well,” said Jaeger. By the end of this essay, my feelings about the implementation of fluid balance charts in this situation and learning outcomes will have been known. Fluid balance charts may be used as teaching aids to help patients in the management and restriction of ingested fluids (Hemmisley, 1999).
Bon Secours is one such system which is part of this transformation of nursing that is devoted to offering compassionate caring services to individual patients, families and the public at large".
The PAP allows us to reward the contributions of nurses to professional practice and quality patient outcomes, as well as retain their expertise at the bedside. She decided to meet with her mentor, a professor she had as a School of Nursing undergraduate student, who suggested to Jaeger it was time to go back to school. Randomized long-term trial of camel milk as an adjunct to insulin therapy in type-1 diabetes.
Holism, as expressed by Basford and Slevin (2003) presumes that human beings are individuals who are greater than and should be treated more than the sum of their parts.
A fluid restriction was mandatory for the patient due to the underlying cause of overload, renal failure. She was able to work as a Registered Nurse at the University Hospital to support the completion of her college degree in only two more years. In the onset of illness, in order to give the correct care interventions for promotion and restoration of health, it is essential that all aspects of individuals are assessed. Fluid restrictions, aid in the reduction of total body water and prevents the accumulation of excess fluid (Ulrich and Canale, 2001). As a magna cum laude graduate she began her career as a critical care nurse with special interest in cardiac surgery. I wanted to take the research that was already out there and use it to influence practice,” said Jaeger.
The patient was able to remain within the limits of his restriction, thereby increasing his comfort levels.
By 1982 she had earned her Master of Science in Nursing at VCU in medical–surgical nursing with a minor in teaching and cardiovascular clinical specialization. Patients are recruited from web sites for patient advocacy and health enhancement programs.
These eight years of working and studying made her a true role model for the value of nursing education.
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. This enabled the patient to take an active part in his care working in collaboration with the members of staff. Jaeger chose the pediatric clinical nurse specialist specialty area because she was interested in educating patients, families and nurses, as well as providing direct care at an advanced practice level.
Methods: In this 2-year randomized clinical parallel design study, 24 patients with type 1 diabetes were enrolled and divided in 2 groups.
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. As a DNP student, Jaeger created a publicly accessible online educational presentation for parents with children with cancer to help them administer oral medications. The content was structured around a theoretical model for oral medication administration and included narrated slides, video interviews of parents and oncology staff, and technique demonstrations by children with cancer. After graduating, Jaeger interviewed and received offers for advanced practice nursing positions at two different organizations, and she ultimately decided to accept a position at Children’s Hospitals and Clinics of Minnesota.
There, she will have the opportunity to continue working with two of her clinical instructors on the Skin Integrity Team. The position also involves assisting in education, research, and policy and procedure development surrounding skin, wound and ostomy care. Previous studies have found that between 30% and 60% of pediatric neurology patients have used CAM at some point in their lives.
I am also able to discuss patient care, practice and nursing at a higher level and with greater understanding than before,” said Jaeger. 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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