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Archive for the ‘Integrative Medicine’ Category

Oncology Peer Review On-The-Go: Recommending Patient-Reported Outcomes of Pain for Cancer Care – Cancer Network

Tuesday, December 22nd, 2020

The latest episode of the Oncology Peer Review On-The-Go podcast discusses a review article on patient-reported outcomes of cancer-related pain.

In this episode of "Oncology Peer Review On-The-Go", CancerNetwork takes a look at an article publishing in early 2021 for the Journal ONCOLOGY, titled Patient-Reported Outcomes of Pain and Related Symptoms in Integrative Oncology Practice and Clinical Research: Evidence and Recommendations.

The piece summarizes current and validated patient-reported outcomes (PROs) specific to cancer-related pain. The piece also recommends commonly used PROs to be standardized to aid integrative oncology clinicians and researchers in both patient care and study design. For the first of 2 interviews regarding this piece, CancerNetwork spoke with 3 authors of the article, W. Iris Zhi, MD, PhD, and Ting Bao, MD, DABMA, MS, from the Memorial Sloan Kettering Cancer Center, and Xin Shelley Wang, MD, MPH, of the MD Anderson Cancer Center.

For the response perspective, CancerNetwork spoke with Linda Carlson, PhD, of the Cumming School of Medicine at the University of Calgary. Carlson expanded on the work done by Zhi and her colleagues, emphasizing the importance of understanding reliability and validity. Carlson focused on the importance of the research topic, and the impact properly validated PROs can have on patients for the cancer care team.

Dont forget to subscribe to the "Oncology Peer Review On-The-Go" podcast on Apple Podcasts, Spotify or anywhere podcasts are available.

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‘Is it really a healthy eating pattern?’: Experts mixed on intermittent fasting – CT Insider

Tuesday, December 22nd, 2020

The holiday season is in full swing and, even in these unusual times, it seems likely that the period between now and the new year will be filled with yummy, calorie-laden foods, such as cookies, pies and hot chocolate topped with whipped cream.

With so much temptation, some people might still be wondering how to control their weight. One popular weight loss method thats emerged during the past few years is a technique called intermittent fasting, in which people severely limit their calorie intake in some way. Though loyalists claim to drop pounds this way, experts say just how effective the method is remains unclear.

Its a way people think they can lose weight very quickly, says Kelly Gruber, a registered dietitian with Bridgeport Hospital. But theres not a lot of research out there.

In fact, its hard to even accurately define intermittent fasting, because there are multiple techniques, experts say. Some intermittent fasters eat normally for five days of the week, then stringently restrict their calories (to anywhere from 400 to 600 calories a day, depending on the dieter) for two days of the week.

Other fasters have a window of time (usually about eight hours) in which to eat normally, then refrain from food for the remainder of the day. Other methods can include an every-other-day method, in which fasters eat normally one day, then consume only a few calories the next.

The studies are a little bit all over the place because theres no standard definition of what intermittent fasting means, says Ellen Liskov, outpatient nutrition specialist at Yale New Haven Hospital. Ive had clients tell me theyre interested in intermittent fasting, but that means different things to different people.

She and other experts, Gruber included, say another complicating factor is that there isnt a ton of research on intermittent fasting, and whats there isnt necessarily conclusive.

For instance, a study published in September in the Journal of the American Medical Assocation looked at 116 participants, some of whom were only allowed to eat between noon and 8 p.m., and some of whom observed a more typical meal plan, of three consistent meals with snacks throughout the day. The study showed that both groups lost weight and the researchers ultimately concluded that time-restricted eating, in the absence of other interventions, is not more effective in weight loss than eating throughout the day.

Other research, most of it in animals, shows evidence of weight loss, and some improvement in blood sugar levels, cholesterol levels and blood pressure. A paper published by Harvard Medical School in 2018 mentioned this, and added that research in humans has shown the method to be fairly safe and effective in humans, but perhaps not more so than other diet plans.

Many dietitians seem mixed on intermittent fasting. It can be difficult, because its not something people are going to stay with long term and it doesnt really teach you how to to eat correctly, Gruber says. It can lead to a calorie deficit over the course of a week, but, over the long-term, is it really a healthy eating pattern?

There are potential drawbacks to intermittent fasting, says Sunida Infahsaeng, a registered dietitian, and director of clinical nutrition at St. Vincents Medical Center, in Bridgeport. If its not done under the care of a physician, it can lead to low blood sugar, low blood pressure, dehydration, headaches and other issues. Infahsaeng says another potential issue is that people can end up overeating on their normal eating days, resulting in no weight loss, or even weight gain.

And there are some groups of people who should stay away from intermittent fasting entirely, such as pregnant women, children, the elderly and those with diabetes.

But, for other groups there are possible benefits of this way of eating, Infahseng says. For one thing, it can make people more aware of what they consume during their eating windows, which could lead to healthier habits.

Dr. Joseph Feuerstein, director of integrative medicine at Stamford Hospital, says he sees one big benefit to restricting eating to one window of time during the day. It stops you eating at night, which is a major weight gain factor, he says.

Ultimately, experts say, if people are really interested in intermittent fasting, they should consult a medical professional first. If someone tells me Im dead set on intermittent fasting Im doing this, then I will work with them to do it safely, Gruber says.

acuda@ctpost.com; Twitter: @AmandaCuda

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The eccentric engineer: ’tis the season to be jolly… and safe – E&T Magazine

Tuesday, December 22nd, 2020

Having recently discussed coffins in this column, and what with it being a rather unusual year in so many ways, we should perhaps discuss how to engineer not ending up in one this Christmas.

It wouldnt really be Christmas without snow, which means that in the UK, its almost never Christmas. There has only been snow on the ground at over 40 per cent of UK weather stations on Christmas Day four times in the 51 years leading up to 2015. However, this might be a blessing should you sit down this Christmas with a copy of Surveillance for injuries: cluster of finger amputations from snow-blowers, which rather alarmingly suggests that on Christmas Eve, 1982, 15 Denver residents had a finger amputated following a snow blower accident.

My advice is never clear blocked snow from your snow-blower with your hands. Now should you be living in Australia, you probably think this doesnt apply to you, and youd be right. Yet there is a large Christmas spike in A&E admissions in your country and New Zealand from jet ski and boat propeller accidents, not to mention barbeque injuries something we dont have to bother with too much in the UK.

Even when staying indoors, Christmas can be dangerous. Thankfully these days, we rarely illuminate highly flammable Christmas trees with candles although the Swiss, preferring this traditional light, clock up around one serious burns case a year from tree candles. More worrying nowadays is the quality of electric lighting on trees; nearly half of Christmas tree fires in the USA between 2013 and 2017 were due to failed electrics. More bizarrely, one-fifth were started deliberately! Its not just fires.

Putting up the lights is just as dangerous as switching them on. A Canadian study showed that those injured in this way spend an average of 15 days in hospital, and 5 per cent of those admissions sadly die. Its also worth checking the wiring before plugging the lights in, as 1 in 40 of us have suffered an electric shock from them. Thats not including the 26 people who died between 1997 and 2010 in the UK when they foolishly tried to water their real trees with the lights still switched on. I hardly need to mention to any parents reading the dangers of smaller, more excitable folk swallowing or inhaling the tiny bulbs. While Im on the subject, they should avoid holly, mistletoe, Christmas cherry and Christmas rose, all of which are very poisonous to children.

Other decorations are no safer. According to the Royal Society for the Prevention of Accidents, 1 in 50 people have fallen out of the loft just retrieving the decorations in the first place and US fire trucks respond to an average of 780 fires a year caused by decorations excluding those lethal Christmas trees being left too close to a heat source.

Christmas lunch is also a minefield. One in five of us cuts ourselves just preparing the vegetables, and the Food Standards Agency estimates around 11 million of us defrost our turkeys in an unsafe place, risking campylobacter and salmonella among other potentially deadly infections. Even if we survive the main course, 600,000 of us have burnt ourselves roasting chestnuts on an open fire. I blame Nat King Cole.

Perhaps we should all go out instead? Certainly not! In an Advances in Integrative Medicine article based on an analysis of hospital records for injuries connected to Christmas products and activities between 2007 and 2016, in the US there were 240,626 toboggan-related injuries over the holiday period. Nor do we have to injure ourselves. A rather depressing article Assault-related facial injuries during the season of goodwill, which set out to see if the Season of Goodwill over the 12 days of Christmas resulted in a drop in deliberate facial injuries, found exactly the reverse. Christmas is, in fact, the best time to get punched in the face.

If all this has made you decide to stay in and pour yourself a large drink, you shouldnt do that either. The authors of Santa baby, hurry [extra carefully] down the chimney tonight Prevalence of Christmas-related injuries 2007-2016 in the United States note that:

The exuberance those with high levels of Christmas spirit (and potentially high levels of ingested spirits) possess may lead them to become overconfident in their abilities to perform physical tasks, or practice potentially dangerous activities safely. Overconfidence is a known risk factor for injuries in motor vehicle accidents and workplace accidents, and as such is likely to also be a factor in Christmas-related injuries.

Interestingly, these overconfidence injuries occur almost exclusively in men.

Surely were finally safe to go and see Santa Claus himself? Again, this is risky. In the US, 31 children a year are seen in Emergency Rooms having either fallen off Santas lap or tripped having run away from him in fear.

Happy Christmas!

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Carey Mulligan and Emerald Fennell on why ‘Promising Young Woman’ is the ultimate #MeToo revenge film – Yahoo Canada Shine On

Tuesday, December 22nd, 2020

Eat This, Not That!

For months, Dr. Anthony Fauci, the nation's top infectious disease expert and the director of the National Institute of Allergy and Infectious Diseases, said the coronavirus vaccines would be so safe, he'd take one. And in fact others have been looking to him to see if it's safe before taking theirs. "People like Anthony Fauci, who I know, and I've worked with, I trust completely," former President Barack Obama said. "So if Anthony Fauci tells me this vaccine is safe, and can vaccinate, you know, immunize you from getting Covid, absolutely I'm going to take it."Today, Fauci took it. Read on to see what he saidand to ensure your health and the health of others, don't miss these Sure Signs You've Already Had Coronavirus.Fauci Feels "Extreme Confidence" in the VaccineBefore getting the first dose of the Moderna shot, Dr. Fauci said "it's important for two reasons. One is that I'm an attending physician here on the staff at the National Institutes of Health Clinical Center. And so I do see patients, but as important or more important is as a symbol to the rest of the country, that I feel extreme confidence in the safety and the efficacy of this vaccine. And I want to encourage everyone who has the opportunity to get vaccinated so that we could have a veil of protection over this country that would end this pandemic."When You'll Get Your Own VaccineWith two vaccinesone from Pfizer-BioNTech and one from Modernadistribution is expected to "speed up," say experts. "We know we have the vaccine available to get to 20 million people by the end of December and then a total of 50 million by the end of January," Alex Azar, the United States Secretary of Health and Human Services, told the Today Show.Fauci has previously said he's hopeful that "by the time you get into the middle, towards the end of the first quarter of 2021, you will have accounted for and vaccinated those who are in the higher priority groups." Then, "I would project by the time you get to April, it will be 'open season,' in the sense of anyone, even the non-high priority groups could get vaccinated," Fauci said.His next few months will be devoted to convincing you to get yours; the vaccine needs to be taken by enough people so we can develop herd immunity. "Why do I say that it is the only way that we're going to end this epidemic?" he asked earlier this month. "If we get, I would say a range from 70 to 85% of the population vaccinated, we will create an umbrella or a blanket as it were of herd immunity over the population to the point that the virus is not going to have any place to go in us. In other words, we could essentially end this outbreak in this country, as we know it, and put it in the rear view mirror.""I think now that we have in our hands vaccines that are 94 to 95% effective," he said, "so we need to make sure that we make that efficacy turn into effect."RELATED: If You Feel This, You May Have Already Had COVID, Says Dr. FauciHow to Survive This PandemicAs for yourself, follow Fauci's fundamentals and help end this surge, no matter where you livewear a face mask, social distance, avoid large crowds, don't go indoors with people you're not sheltering with (especially in bars), practice good hand hygiene, get vaccinated when it becomes available to you, and to protect your life and the lives of others, don't visit any of these 35 Places You're Most Likely to Catch COVID.

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Carey Mulligan and Emerald Fennell on why 'Promising Young Woman' is the ultimate #MeToo revenge film - Yahoo Canada Shine On

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Keyontae Johnson will be released from hospital Tuesday – Yahoo Canada Shine On

Tuesday, December 22nd, 2020

Eat This, Not That!

For months, Dr. Anthony Fauci, the nation's top infectious disease expert and the director of the National Institute of Allergy and Infectious Diseases, said the coronavirus vaccines would be so safe, he'd take one. And in fact others have been looking to him to see if it's safe before taking theirs. "People like Anthony Fauci, who I know, and I've worked with, I trust completely," former President Barack Obama said. "So if Anthony Fauci tells me this vaccine is safe, and can vaccinate, you know, immunize you from getting Covid, absolutely I'm going to take it."Today, Fauci took it. Read on to see what he saidand to ensure your health and the health of others, don't miss these Sure Signs You've Already Had Coronavirus.Fauci Feels "Extreme Confidence" in the VaccineBefore getting the first dose of the Moderna shot, Dr. Fauci said "it's important for two reasons. One is that I'm an attending physician here on the staff at the National Institutes of Health Clinical Center. And so I do see patients, but as important or more important is as a symbol to the rest of the country, that I feel extreme confidence in the safety and the efficacy of this vaccine. And I want to encourage everyone who has the opportunity to get vaccinated so that we could have a veil of protection over this country that would end this pandemic."When You'll Get Your Own VaccineWith two vaccinesone from Pfizer-BioNTech and one from Modernadistribution is expected to "speed up," say experts. "We know we have the vaccine available to get to 20 million people by the end of December and then a total of 50 million by the end of January," Alex Azar, the United States Secretary of Health and Human Services, told the Today Show.Fauci has previously said he's hopeful that "by the time you get into the middle, towards the end of the first quarter of 2021, you will have accounted for and vaccinated those who are in the higher priority groups." Then, "I would project by the time you get to April, it will be 'open season,' in the sense of anyone, even the non-high priority groups could get vaccinated," Fauci said.His next few months will be devoted to convincing you to get yours; the vaccine needs to be taken by enough people so we can develop herd immunity. "Why do I say that it is the only way that we're going to end this epidemic?" he asked earlier this month. "If we get, I would say a range from 70 to 85% of the population vaccinated, we will create an umbrella or a blanket as it were of herd immunity over the population to the point that the virus is not going to have any place to go in us. In other words, we could essentially end this outbreak in this country, as we know it, and put it in the rear view mirror.""I think now that we have in our hands vaccines that are 94 to 95% effective," he said, "so we need to make sure that we make that efficacy turn into effect."RELATED: If You Feel This, You May Have Already Had COVID, Says Dr. FauciHow to Survive This PandemicAs for yourself, follow Fauci's fundamentals and help end this surge, no matter where you livewear a face mask, social distance, avoid large crowds, don't go indoors with people you're not sheltering with (especially in bars), practice good hand hygiene, get vaccinated when it becomes available to you, and to protect your life and the lives of others, don't visit any of these 35 Places You're Most Likely to Catch COVID.

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Associations of time-restricted eating with health-related quality of life and sleep in adults: a secondary analysis of two pre-post pilot studies -…

Tuesday, December 22nd, 2020

Both studies were conducted as pilot studies in a pre-post observational design. Details are already reported elsewhere [13]. The primary outcome for both studies was the proportion of days with reaching the fasting goal of 15h out of the total number of days recorded per participant in the diary. According to the study protocol, secondary outcomes were, among others, changes in sleep quality and duration, and HRQoL between baseline and follow-up.

Participants at the Ulm University were recruited with the support of the occupational health management and by flyers. Exclusion criteria were pre-existing metabolic conditions. Patients at the GPs office were informed about the study by flyers in the waiting room or were invited by the doctor during a consultation. Exclusion criteria were insulin dependent diabetes or any other disease for which fasting is contraindicated [3]. Finally, 63 participants at the Ulm University and 40 participants at the GPs office were included in the studies.

Participants in both studies were asked to limit their daily food intake to 89h and subsequently extend their nightly fasting period to 1516h. The duration of the intervention was 3 months. At baseline, participants had an introductory conversation with the principal investigator or the physician to clarify possible questions and problems in advance, and were given an information brochure. In addition, all participants were offered to contact the respective study centre at any time if they had questions or problems.

Baseline assessment comprised a questionnaire to collect data on lifestyle, health behaviour and HRQoL (EQ-5D VAS) [14], and anthropometric measurements of waist, height, and weight (for details see [13]). All participants were given a diary to record the times of their first and their last meal, and the quality and duration of their sleep. The latter was assessed on a visual analogue scale ranging from 0 (worst possible sleep quality) to 100 (best possible sleep quality). The waist-to-height ratio (WHtR) was calculated by the division of waist by height in centimetre, abdominal obesity was then defined as WHtR 0.5, as recommended by the literature [15]. Body weight in kilogram was divided by height in meters squared to determine body mass index (BMI), and subsequently categorized into overweight ( 25) and obesity ( 30).

After 3 months, follow-up measurements were performed in the same manner, with some additional items in the questionnaire regarding the individual experience and attitudes towards TRE.

Baseline characteristics are reported descriptively for each study group and for both groups combined. Differences between groups were tested by applying t-test, Welchs t-test or Mann Whitney U test according to distribution and heterogeneity in variance for continuous data, and Fishers exact test for categorical data.

Follow-up data, and computational differences between baseline and follow-up data, presented as the respective , were treated the same way. Pre and post comparisons for both groups taken together were determined by the Wilcoxon signed-rank test for related samples.

For each participant, mean values and standard deviations were calculated for the data from the diaries. Time of first meal and time of last meal were utilized to determine the duration of the fasting and the eating phase. For all days recorded, the percentage of days with fasting target reached was calculated. Differences between groups were tested as described above.

To assess differences between sleep duration and quality at the beginning and at the end of the TRE intervention period, mean values were calculated for the first 10% and the last 10% of data (or days), respectively. Subsequently the differences between the first and the last 10% of the data were calculated as the respective . They are reported together with the average number of days recorded per group and for the whole group.

Pearsons correlation coefficient was applied to test bivariate correlations between continuous variables.

Linear regression analyses were conducted for the pre-post differences in HRQoL and the differences in sleep quality between the first 10% and the last 10% of days recorded. Potential factors that might correlate with the HRQoL or sleep quality were identified and, together with variables that differed at baseline between both groups, tested in a stepwise backward elimination. Sex, age, baseline values of HRQoL, the sleep quality and sleep duration on the first 10% of reported days, mean duration of fasting, percentage of fasting target reached, and finally group membership were considered as potential associated factors. Anthropometric measures represented both, potential associated factors and differences between groups at baseline. Therefore, weight, waist circumference, BMI, WHtR, overweight, obesity, abdominal obesity as well as the respective between pre and post measures of the continuous variables were considered in the regression analysis. All assumptions of linear regression (linear relationship, multivariate normality, multicollinearity, auto-correlation, homoscedasticity) were examined.

The significance level for two-sided tests was set at =0.05. All statistical analyses were carried out by using the statistical software packages IBM SPSS Statistics for Windows, Version 25.0. (IBM Corp., Armonk, NY, USA).

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Robert Lewandowski is the best football player of 2020 – Yahoo Canada Shine On

Tuesday, December 22nd, 2020

Eat This, Not That!

For months, Dr. Anthony Fauci, the nation's top infectious disease expert and the director of the National Institute of Allergy and Infectious Diseases, said the coronavirus vaccines would be so safe, he'd take one. And in fact others have been looking to him to see if it's safe before taking theirs. "People like Anthony Fauci, who I know, and I've worked with, I trust completely," former President Barack Obama said. "So if Anthony Fauci tells me this vaccine is safe, and can vaccinate, you know, immunize you from getting Covid, absolutely I'm going to take it."Today, Fauci took it. Read on to see what he saidand to ensure your health and the health of others, don't miss these Sure Signs You've Already Had Coronavirus.Fauci Feels "Extreme Confidence" in the VaccineBefore getting the first dose of the Moderna shot, Dr. Fauci said "it's important for two reasons. One is that I'm an attending physician here on the staff at the National Institutes of Health Clinical Center. And so I do see patients, but as important or more important is as a symbol to the rest of the country, that I feel extreme confidence in the safety and the efficacy of this vaccine. And I want to encourage everyone who has the opportunity to get vaccinated so that we could have a veil of protection over this country that would end this pandemic."When You'll Get Your Own VaccineWith two vaccinesone from Pfizer-BioNTech and one from Modernadistribution is expected to "speed up," say experts. "We know we have the vaccine available to get to 20 million people by the end of December and then a total of 50 million by the end of January," Alex Azar, the United States Secretary of Health and Human Services, told the Today Show.Fauci has previously said he's hopeful that "by the time you get into the middle, towards the end of the first quarter of 2021, you will have accounted for and vaccinated those who are in the higher priority groups." Then, "I would project by the time you get to April, it will be 'open season,' in the sense of anyone, even the non-high priority groups could get vaccinated," Fauci said.His next few months will be devoted to convincing you to get yours; the vaccine needs to be taken by enough people so we can develop herd immunity. "Why do I say that it is the only way that we're going to end this epidemic?" he asked earlier this month. "If we get, I would say a range from 70 to 85% of the population vaccinated, we will create an umbrella or a blanket as it were of herd immunity over the population to the point that the virus is not going to have any place to go in us. In other words, we could essentially end this outbreak in this country, as we know it, and put it in the rear view mirror.""I think now that we have in our hands vaccines that are 94 to 95% effective," he said, "so we need to make sure that we make that efficacy turn into effect."RELATED: If You Feel This, You May Have Already Had COVID, Says Dr. FauciHow to Survive This PandemicAs for yourself, follow Fauci's fundamentals and help end this surge, no matter where you livewear a face mask, social distance, avoid large crowds, don't go indoors with people you're not sheltering with (especially in bars), practice good hand hygiene, get vaccinated when it becomes available to you, and to protect your life and the lives of others, don't visit any of these 35 Places You're Most Likely to Catch COVID.

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Robert Lewandowski is the best football player of 2020 - Yahoo Canada Shine On

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Natural Integrated Medicine

Friday, December 4th, 2020

We specialize and excel in natural, drug-free solutions

for neurological disorders, immune disorders.

chronic and acute pain, endocrine disorders, and pediatric disorders.

Our philosophy is to treat the individual first and the disease second.

We recognize that the human body is designed to heal itself, and has

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The vast majority of our patients are healed through a blend of modern,

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tradition ofChineseHerbal Medicine and Acupuncture (both traditional

approach toholisticmedicine byutilizingmodern innovations such as

neurologicaltesting, therapeutic light treatments,kinesiology, and heart

rate variability.This website was created for you, the prospective patient,

to help educateyou on our healing methodsso you candecide if our clinic

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If you would like to make an appointment,

Call:(973) 520-8899

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send an email to:

office@naturalintegratedmedicine.com

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For Cancer-Related Breathlessness, Fans May Be Better Bet Than Meds – Cancer Health Treatment News

Friday, December 4th, 2020

People with advanced cancer who experience breathlessness may benefit more from non-pharmacological interventions, such as handheld fan use, than medications, researchers at the Sidney Kimmel Comprehensive Cancer Center of Johns Hopkins University in Baltimore have found.

Breathlessness is a common symptom of advanced metastatic cancer. As the body weakens, respiration becomes progressively more difficult, causing considerable anxiety and negatively affecting quality of life in the process. It is a major source of patient and caregiver distress, the researchers, led by Arjun Gupta, MD, wrote in the journal JAMA Oncology.

Oncologists have historically prescribed medications such as opioids and benzodiazepines for cancer-caused breathlessness, Gupta told MedPage Today. These drugs slow breathing, but their ability to provide relief to people with cancer is not strongly supported by available evidence.

The results of this study suggest that non-pharmacological interventions, including counseling, physical activity and touch therapyor some combination of the threeshould actually be the first line of defense. We believe these findings should catalyze a shift in how we approach and treat breathlessness, Gupta said.

Gupta and coauthors came to this conclusion by reviewing 29 recent studies on the impact of non-pharmacological interventions on 2,423 adults with advanced cancer. The interventions fell into several categories: respiratory, behavioral and psychoeducational, activity and rehabilitation, integrative medicine and multicomponent.

Nine of the 29 studies focused on respiratory interventions such as fan therapy and bilevel ventilation. Fan therapy is as simple as it sounds: A fan, often handheld, blows either room-temperature or cold air toward the mouth and nose of the person experiencing breathlessness. This may fool the brain into believing that respiration is more effective than it actually is, reducing physical discomfort. Bilevel ventilation refers to breathing on ones own while simultaneously being supported by a ventilator.

Seven studies focused on activity and rehabilitation interventions, such as exercise therapy, respiratory training and transcutaneous electrical nerve stimulation; four focused on integrative medicine interventions, such as music therapy, acupressure, acupuncture and reflexology; and three focused on behavioral and psychoeducational interventions, such as behavioral therapy. Six of the 29 studies focused on multicomponent interventionsin other words, some combination of the four types.

In a statistical analysis of all 29 studies, the researchers found that some, although not all, of the interventions were associated with a modest to significant improvement in symptoms. Successful interventions included fan therapy and bilevel ventilation (in inpatient settings) and acupressure, reflexology and multicomponent interventions (in outpatient settings); unsuccessful interventions included behavioral therapy and relaxation.

Only five of the 29 studies reported that participants experienced any adverse effects at all, meaning that all interventions were relatively safe. By contrast, a 2016 study on opioids for the treatment of breathlessness reported that participants were 4.73 times more likely to experience nausea, vomiting, drowsiness and constipation than controls.

In view of the evidence, the researchers wrote, Guidelines and clinical practice should evolve to incorporate non-pharmacological interventions as first-line treatment for adults with advanced cancer and breathlessness.

However, they acknowledged that many people with cancer may face financial, logistical or physical barriers to accessing these treatments, adding several paragraphs down, Ultimately, an individualized approach to managing breathlessness in patients with advanced cancer is necessary.

To read about how the medication olanzapine can treat nausea and vomiting in people with advanced cancer, click here. To read about how a psychotherapy known as CALM can ease depression in people with advanced cancer, click here.

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Has 2020 Been Stressing You Out? Try This MDs 5 Tips for Finding More Calm – Well+Good

Friday, December 4th, 2020

If youve made it through 2020 without feeling stressed, congratsyoure a magician. For the rest of us, this tumultuous year has been trying enough to leave even the most positive of people looking for some support.

Since deep breaths and telling yourself to calm down only go so far, we asked Bindiya Gandhi, MD, whos double board-certified in family medicine and integrative medicine, to share her most impactful advice on how to actually managestress.

We are constantly exposed to stress, but our stress load is intensified because of the pandemic, Dr. Gandhi says. I encourage everyone to learn some techniques they can use later in life. My hope is after this pandemic is over, we will have become a stronger, more resilient society with better stress-management skills. Hows that for a positive outlook?

Dr. Gandhi says that some amounts of stress will always be normal (because life wont suddenly be worry-free once the calendar turns to 2021), but learning how to manage it is the key. From adjusting your diet and lifestyle to recommendations on the high-quality Solgar supplements to take, keep reading for the stress-less techniques you can implement ASAP.

Stress might make you want to down a whole box of cookies and a bottle of red, but turning to sugar, alcohol, or caffeine could actually make things worse, according to Dr. Gandhi.

When youre stressed, you usually experience a spike in the hormone cortisol, which can cause sugar cravings and sleep issues, she says. The trouble is, caffeine also increases cortisol, so its like throwing fuel on the fire: Youre stressed, so you dont sleep, so you drink coffee, which can increase your stress (and your sugar cravings), and the cycle repeats.

You might think a glass of wine would help break the cycle (alcohol makes people sleepy, right?), but Dr. Gandhi says think again. Alcohol disrupts your circadian rhythm and inhibits you from getting good, deep REM sleep, which is why its best to avoid when youre already feeling overwhelmed, she says. Instead, opt for some herbal tea and a savory snack during your wind-down time, and your sleep schedule (and your hormones) will thank you.

Yes, endorphins make people happy, but aside from the physical stress-relieving side effects of working out, adding more movement into your day gives you an opportunity to focus your energy on something positive, rather than dwelling on any negatives (looking at you, 2020).

Whether its a brisk walk in the park, a few yoga asanas, some lunges, or even training for a run, [routine] moderate exercises will decrease your cortisol production, help you sleep better at night, and elevate your mood, Dr. Gandhi says. Can you feel those endorphins already?

Dr. Gandhi is a big fan of using supplements to help with occasional stress, and often recommends them to her patients looking for support in facing less-than-stellar emotions.

If you want to stock your medicine cabinet with mood-supporting supplements, start with Solgar Stress & Anxiety Relief Tablets, which contain ashwagandha (an adaptogen that a 2012 study showed to support a healthy cortisol response) and saffron (which studies have shown can help maintain a positive mood).*

Some other heavy hitters in the stress-management game? Magnesium (which a 2017 review of 18 different studies showed can help with occasional anxiety), B vitamins, and 5-HTP.* Dr. Gandhi explains that 5-HTP is an amino acid thats a precursor to serotonin (the feel-good hormone), so it promotes a calm, relaxed mood.* The more you know.

Another of Dr. Gandhis go-tos for decreasing cortisol? Meditation. And regardless of what that looks like for you, anything from a quiet walk around the block (spending time outdoors is another big one on Dr. Gandhis list of chill-out techniques) to a full-on guided mediation session can help promote those feelings of calm youre after.

Taking time to implement silence for a few minutes a day goes a long way, Dr. Gandhi says. It changes the projection of your day and significantly decreases your cortisol production over the long term.

Now, you probably cant quit your job and move to a tropical island in the name of eliminating stress, but you can be intentional about scheduling time in your day to do things that make you happy.

Whether its reading, singing, or just playing with your dog, take a moment to take inventory of what makes you feel most joyfulthen find a way to do more of that thing every day, even if its just for five minutes. Heres to heading into 2021 with less stress, and more joy.

Photo: Getty/Westend61

*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.

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Holistic Lifestyle Coach Luke Coutinho Launches a Free E-book – a New Way of Living, to Help Readers Discover the Wellness Route – Outlook India

Friday, December 4th, 2020

(Eds: Disclaimer: The following press release comes to you under an arrangement with Business Wire India. PTI takes no editorial responsibility for the same.) Mumbai, Maharashtra, India Business Wire India A wellness-focused virtual read aiming to bring the body in harmony with nature An insightful and inspiring read to modify your lifestyle in accordance with the circadian rhythm Second-in-line as a free book to the world emphasizing on holistic health and wellness Luke Coutinho, a globally renowned Holistic Lifestyle Coach and an expert in Integrative Medicine has recently launched his second e-book A New Way of Living as a free gift to India and the world. Being authored by the wellness aficionado himself, this book emphasizes the intelligence of our bodies in connection with nature.Lukes previous e-book The Magic Immunity Pill Lifestyle with Shilpa Shetty, that was also a free gift to the readers, has crossed 60k+ downloads since its launch and is a huge success across India and overseas. Joining the bandwagon of books on healthy lifestyle is - A New Way of Living, an e-book- that has already garnered over 50K+ downloads from all across the globe within the first hour of its release.The goal of the book is to highlight the importance of syncing your body''s internal clock - the circadian rhythm and also mentions guidelines to be followed for being in harmony with nature. This virtual read is insightful and inspiring as it has positive stories and feedbacks from people who have embraced this way of living and seen phenomenal changes in their health and well-being. The book gives you an insight on each of these guidelines, along with scientific explanations. Adding a non-fictional touch to the book is a chapter dedicated to night-shift workers who due to their jobs, struggle to live according to the circadian cycle.Through years of experience as a holistic lifestyle coach, Lukes proficiency as a wellness leader has provided him with transformational tools to assist people in making the necessary lifestyle modifications. A New Way of Living emphasizes on the significance of having a strong immunity and uses it as a catalyst to make lifestyle changes for living within the boundaries and laws of nature. Through this book, Luke encourages readers to make an effort to sync back the body that has been operating outside the laws of the nature.Lukes backend coaching complements each chapter of the book thus aiding the readers with transformational tools that will change their life.According to Luke Coutinho, Holistic Lifestyle Coach, Integrative Medicine, Through the launch of A New Way of Living, we aim to help masses regain their health in the most effortless ways by operating within the laws of nature. The outside environment that controls our inner setting is the bodys intelligence that exists in the trillions of cells present in our body. During and post-pandemic times, the way forward is to live according to the new way of living- circadian rhythm. This book is all about bringing our health and lifestyle in tandem with nature. We need to align all that we do, according to the circadian rhythm to help restore, regain and reset our health in a massive way.About Luke Coutinho Holistic Healing Systems Pvt. Ltd.Luke Coutinho Holistic Healing Systems Pvt. Ltd. focuses on integrative and preventative health care using lifestyle, with its team of medical doctors, nutritionists, clinical dietetics, emotional counsellors, lifestyle experts, yoga therapists, and elite trainers practising across the globe. Through personal consults and programs on health and wellness, condition management and supplementary cancer care, the integrative team works towards identifying the root cause of a particular health condition and helps people suffering from lifestyle-driven illnesses to reduce their pain and improve the quality of life. The Company has its main presence across India, Dubai, Middle East, Africa, the U.K., and the U.S. and its ecosystem includes building sustainable and healthy food chains across India.To View the Image Click on link Below:A New Way of Living - Circadian Rhythm PWRPWR

Disclaimer :- This story has not been edited by Outlook staff and is auto-generated from news agency feeds. Source: PTI

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Area briefings | News, Sports, Jobs – The Review – The Review

Friday, December 4th, 2020

Drive up for soup and sandwiches

The Oak Ridge Presbyterian Church north of Wellsville will offer carryout soup and sandwich from 4-6:30 p.m. Wednesday. There will be a variety of frozen soups in microwaveable containers, fresh bean soup and steak sandwiches. Donations will be accepted.

Church offering GriefShare support

Lake Mount Church of Christ, 6290 state Route 7, New Waterford, is hosting a loss of spouse seminar of GriefShare from 10 a.m. to noon Saturday, Dec. 5. GriefShare is a special seminar and support group designed to help you rebuild your life after losing a loved one. This group is led by caring people who have experienced grief and want to help you through the difficult days ahead. Cost of the program is $5 to cover workbook and materials. Social distancing will be in order. For additional information call the church office at 227-3636

Arthritis program

The Arthritis Foundation, a national, non-profit organization, announced a new Live Yes! Connect group has formed in Boardman. For now the program will be virtual for adults or parents of children living with arthritis. Deborah Andio, the new facilitator for the Boardman Live Yes! Connect group, said We want to get the word out that our support group is here, and we are planning our first virtual event. It will be held at 10 a.m. Dec. 12. Dr. Yufang Lin from the Cleveland Clinic Center for Integrative Medicine will be discussing the healing power of the human body. Discussion also will center on nutrition to help inflammation, discuss herbs and supplements as well as essential oils. The doctor will also share some recipes. The presentation is 45 minutes followed by a 15-minute Q and A. To sign up go to connectgroups.arthritis.org.

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Overcome OvereatingDuring the Holidays and Throughout the Year – Milwaukee Community Journal

Friday, December 4th, 2020

San Francisco, CA, December 1, 2020 Candied sweet potatoes. Egg nog. Mac n cheese. Stuffing. Pumpkin pie. Traditional holiday meals are resplendent with taste-of-home fare thats easy to overeat. Based on original research by holistic nutrition researcher Deborah Kesten, M.P.H., and behavioral scientist Larry Scherwitz, Ph.D., Whole Person Integrative Eating offers in-depth insights into the reasons we overeat and gain weight, and a science-backed, step-by-step dietary lifestyle that can halteven reverseovereating and weight gain during the holidaysand throughout the year.

Now is the time to reset and rethink what and how we eat; to replace traditional dieting with a scientifically sound way of eating thatlessens overeatingand that leads naturally to weight loss, health, and healing, says Kesten.

In their award-winning book, Whole Person Integrative Eating: A Breakthrough Dietary Lifestyle to Treat the Root Causes of Overeating, Overweight, and Obesity, authors Kesten and Scherwitz share a simple yet powerful premise: Identify the reasons you overeat (your overeating styles) and gain weightwith the illuminating self-assessment quizthen overcome overeating and lose weight by replacing your overeating styles with the antidotes: the elements of the Whole Person Integrative Eating program.

By shedding light on the root causes of overeating, Kesten and Scherwitz present a program that empowers readers with a personalized plan, and in turn new hope and new choices to help them reduce overeating, lose weight and keep it off.

WPIE is not a diet that a person goes on then off. It is a scientifically sound, dietary lifestyle designed to be practiced for a lifetime.

If people follow the revolutionary program outlined in this game-changing, insightful book, it may be the most helpful step they can take toward losing weight and keeping it off, says bestselling author Kenneth Pelletier, M.D., clinical professor of medicine at University of California School of Medicine, San Francisco.The authors paradigm-shifting message is that food influences not only the physical dimensions of health, but also our emotional, spiritual and social well-being. Their dietary lifestyle can build bridges between the millions who struggle with overeating and weight issues and the medical community. And it can inspire us all to re-envision our relationships with food, eating and weight, so that each time we eat, we are nourished for life.

Deborah Kesten, M.P.H., is an international nutrition researcher, award-winning author and medical/health writer, with a specialty in preventing and reversing obesity and heart disease. She served as Nutritionist on Dean Ornish, M.D.s first clinical trial for reversing heart disease through lifestyle changes, the results of which were published in the Journal of the American Medical Association. She has served as Director of Nutrition at cardiovascular clinics in Europe and on the Board of Directors of the American Heart Association, San Francisco.

Kesten has published more than 400 nutrition and health articles. Her first book, Feeding the Body, Nourishing the Soul, received the first-place gold award in the Spirituality category from the Independent Publisher Book Awards. Whole Person Integrative Eating has been honored with the No.1 gold, best-book award in the Health category by Book Excellence Awards and is a No. 1 Amazon best seller. Kesten is a VIP Contributor at Arianna Huffingtons Thrive Global, and is married to behavioral scientist and co-author of Whole Person Integrative Eating, Larry Scherwitz, Ph.D.

For more information, please visit http://www.IntegrativeEating.com. You can also connect with the author on the following social media sites: https://www.instagram.com/integrativeeating/;

https://www.facebook.com/WholePersonIntegrativeEating; https://twitter.com/IntegrativeEat1.

Whole Person Integrative Eating: A Breakthrough Dietary Lifestyle to Treat the Root Causes of Overeating, Overweight, and Obesity

Publisher: White River Press

ISBN-10: 1887043543

ISBN-13: 978-1887043540

Available from Amazon.com and integrativeeating.com

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HEART OF WELLNESS Immune-strong movement and nutrition – Barnstable Patriot

Friday, December 4th, 2020

David Sauro| COURTESY PHOTO

Third article of three-part series.

With the fight against COVID-19 for the past several months, we understand the importance of wearing a mask, washing your hands often and social distancing. Now that winter is here, we also need to take the necessary precautions to fight against the flu and the common cold, in addition to COVID. Medical experts also focus on the importance of boosting your immune system to give you the edge to stay healthy. It is more important than ever to make a commitment to a heathy lifestyle that will help to strengthen your immune system.

While there is no magic healthy pill, there are ways to make your immunity powers stronger. In our previous articles we talked about getting Vitamin D, and those "S" words, sleep, stress, and sugar. Getting enough quality sleep and reducing stress and sugar is necessary to enhance our immune system. This article will be on the importance of getting enough movement, proper nutrition, and hydration.

To move your body daily is a powerful way to boost your immune system. Regular exercise is one of the pillars for healthy living. It improves cardiovascular health, lowers blood pressure, helps control body weight, and protects against a variety of diseases. The benefit of an active body is good circulation, which allows blood cells and the lymph to move through the body freely and do their job effectively.

Being active causes your bodys antibodies and white blood cells to circulate more rapidly, which means they may be able to detect and zero in on illness more quickly. Being active also lowers stress hormones, which reduces your chances of getting sick, said Dr. Mark Moyad from the University of Michigan Medical Center. If you already have a regular exercise routine, keep it up. If you do not, try to move as often as you can throughout the day. The body functions better when physically active every day. A minimum of 10 minutes a day but ideally up to 30 minutes a day. Exercise is individual, so always listen to your body, and consult a physician or healthcare professional if making a major exercise change. Moderate exercise, such as brisk walking, jogging, swimming, yoga, and light hiking, can reduce inflammation and help your immune cells regenerate regularly. Exercise improves cardiovascular health, lowers blood pressure and helps control body weight. Like anything else, moderation is the key to exercise, finding that sweet spot that works for your body.

Diet is a big part of living a healthy lifestyle. Eighty percent of your immune system is in your gut, so when healthy, we tend to be able to fight off infections faster and better, says Yufang Lin, MD., at the Cleveland Clinic for Integrative Medicine. Choosing whole, unprocessed foods does wonders for overall health. The focus should be on incorporating a variety of whole foods, fruits, vegetables, and water in your daily diet.

Several whole plant foods contain antioxidants, fiber, and vitamin C, all of which may lower your susceptibility to illness. Healthy fats like olive oil and omega-3s are highly anti-inflammatory. These food choices can help boost your immune system and combat illnesses. Another immunity booster selection is garlic. One-half of a clove is beneficial. Chop it in foods or roast it whatever is palatable for you. Also, Vitamin C-rich foods are beneficial.

Many people drink orange juice, but most brands have a lot of sugar, so it becomes counter-productive. It is best to get vitamin C from oranges, broccoli, or cantaloupe. Eating foods rich in antioxidants, such as colorful fruits and vegetables, including berries, carrots and spinach, will help build a strong immune system. Gut health and immunity are deeply connected. A healthy gut will support a healthy immune system and vice-versa.

We tend to be more mindful of water consumption during the warmer months, but we must also remember to stay hydrated during the colder months. You should be drinking at least half your bodyweight in ounces of water daily. Hydration does not necessarily protect you from germs and colds, but preventing dehydration is important to your overall health. Dehydration can increase your chances of becoming ill.

To prevent dehydration, you need to drink enough water daily, so that your urine is clear and odorless. A fluid in your circulatory system called lymph is largely made up of water and carries infection-fighting immune cells throughout your body. Being dehydrated slows down the movement of the lymph, which can lead to a weaker immune system.

Your immune system, when strong, does a remarkable job of defending against disease-causing microorganisms. Sometimes it fails, so when a germ penetrates your immune system, it can make you ill. It is possible to boost your immune system to prevent this from happening as discussed. If you do get ill, it is your body telling you to take some time off to rest and recharge, and to avoid getting others sick.

The benefits of a healthy lifestyle, by choosing healthy habits, will not only strengthen your immune system but will also have positive effects on the other systems of your body, leaving you feeling healthier and more energized for your life!

Also, continue to wear a mask, practice social distancing, and wash your hands often. Be Safe and Be Well!

The content shared from HOW (Heart of Wellness) is for informational purposes only and is not intended nor should it be used to diagnose or treat any medical condition. Consult with your doctor if any questions. HOW is a nonprofit based in Centerville, MA and Boca Raton, FL. that specializes in mindful wellness and self-care programs along with professional development for schools, business, and communities. We want to hear from you, whether it is about this article, COVID-19, or anything else health-related. Send questions and comments to: info@heartofwellness.us

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Luke Coutinho Holistic Healing Systems adopts the shop-in-shop model to revolutionize its retail presence – – Goa Chronicle

Friday, December 4th, 2020

Luke Coutinho Holistic Healing Systems, a company that focuses on integrative and preventive medicine, disease and coaching has recently joined forces with conscious lifestyle store Saukhyam by adopting the shop-in-shop concept in to their business model. With its retail presence in Goa, Saukhyam has established a holistic and wellness product line that connects farmers and vendors across the country. The collaboration aims to showcase a part of Lukes Wellness Market within the store. With Saukhyams vision of creating a sustainable food chain being in line with Luke Wellness Markets approach, the tie-up aims to strengthen the brands coveted retail presence in the micro markets of Goa as well as across the country.

This launch comes close on the heels of success achieved by Lukes Wellness Market that is committed to sourcing products and connects farmers and vendors across the country doing ethical work in the food and lifestyle space. This is the first timeever that the brand is working with a lifestyle and wellness retailer in this capacity to have a concurrent retail presence in multiple markets.The brand has put up a Lukes Wellness Market section within the store that will be revised on a monthly basis. The section displays a variety of hand selected and handpicked products by the holistic mastermind himself. The brand has also infused products ranging from lifestyle categories like food, nutrition, utensils, skin care, cosmetics, books, clothing and fitness accessories, to lend a more holistic appeal.

The shop-in-shop model will enable buyers to touch and feel the product before buying. This initiative is aimed at translating Lukes Wellness Markets holistic approach into a tangible experience. With this strategic move, the brand aims to strengthen its multi-country presence through such models and is looking at scaling the business across various food, wellness and lifestyle stores in the country.

Speaking about the association, Luke Coutinho, Holistic Lifestyle Coach-Integrative Medicine says, Through this launch we are very passionate about bringing an unparalleled level of trust, integrity and expertise to our clients, patients and followers. With this tie up, we aim to expand and create an ethical food chain with complete transparency to support the farmers and local vendors sourcing quality and authentic health products. This collaboration allows us to provide wellness in an engaging way, enabling to touch new markets and shoppers in the process.

About Luke Coutinho Holistic Healing Systems Pvt. Ltd.Luke Coutinho Holistic Healing Systems Pvt. Ltd. focuses on integrative and preventive medicine, disease and coaching with its team of medical doctors, nutritionists, registered dietitians, yoga therapists, lifestyle coaches, clinical dietitians, emotional and mental health professionals and integrative medicine specialists practicing across the globe. The Company has its main presence across India, Dubai, Middle East, Africa, the U.K., and the U.S. The companys ecosystem includes building sustainable and healthy food chains across India.

About Lukes Wellness Market:

Lukes wellness market is an extension of Lukes holistic health store that was launched with the objective of supporting the fair-trade farmers, sustainable and holistic living, and improving the food chain. Live markets are organized across cities wherein farmers and vendors bring in fresh, chemical-free produce and other lifestyle goods grown the ethical way. People across all age groups come together, shop, eat, indulge in fun activities, interact, build communities and make it a family event. It is a step towards resetting the existing food chain in our country and worldwide by making it an honest and ethical one. Lukes wellness market enables consumers to interact and meet the farmers to understand where their food actually comes from.

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Global Alternative Healthcare Providers Market Analysis Size, Share, Trend, Current Demand, and Business Opportunities – Murphy’s Hockey Law

Friday, December 4th, 2020

Global Alternative Healthcare Providers Market: Overview

Practice of complementary and alternative medicine comprises many different areas of medicines. In addition to that, it is possible that many parts of one field will overlap with another in another area. A case in point is acupuncture, which finds use in both alternative and conventional medicine. Alternative medicine refers to those medical treatments that find utilization instead of conventional therapies. Few people call them complimentary or integrative medicine. Many people make use of alternative therapies so as to make them deal and feel better with diseases like cancer. In this type of treatment, how one feels is an important part in how you cope up with the disease.

Many of the alternative healthcare therapies focus on the reduction of and relaxation from stress. These therapies increase general sense of wellbeing, relieve anxiety, and calm ones emotions. Several doctors, researchers, and nurses have exhibited interest in the concept of positive emotions making improvements in ones health. These factors are estimated to propel the global alternative healthcare providers market toward growth over the forecast tenure.

This report on the global alternative healthcare providers market takes a closer look at the key changes in consumer preferences and those preferences affect the growth of market. The insights offered into the report assist investors and the market players in making an informed choice about the market. The information shared in the report will help the stakeholders formulate strategies accordingly

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Global Alternative Healthcare Providers Market: Trends and Opportunities

Growing Faith and Awareness in Alternative Medicines Escalates Demand

The global alternative healthcare providers market has prospered on the back of the growing interest of people in such forms of medicines. Growing preference for alternative medicines has resulted from peoples increasing willingness to experiment with alternative medicines.

Alternative healthcare providers make an offering of a wide variety of products and practices and medical and healthcare systems that are used by patients sans medical supervision. Usually, alternative medicines and treatments are not availed by the people suffering from various chronic diseases like diabetes, cancer, liver disease, and osteoporosis. However, there has been a slight change in attitude, a few patients suffering from such chronic diseases are opting for alternative medicines. Such changes in the behavior pattern of patients are expected to spearhead the expansion of the global alternative healthcare providers market in years to come.

Yoga, ayurveda, homeopathic medicines, acupuncture, and unani medicines are some of the types of alternative medicines. The global alternative healthcare providers market is likely to be driven by growing adoption and use of various natural wellness and supplements medicine. In addition to that favorable government initiatives in certain countries, particularly in the Asia Pacific, are expected to create substantial opportunities of growth for the global alternative healthcare providers market over the period of review.

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The report includes an elaborate executive summary, along with a snapshot of the growth behavior of various segments included in the scope of the study. Furthermore, the report sheds light on the changing competitive dynamics in the global Alternative Healthcare Providers market. These indices serve as valuable tools for existing market players as well as for entities interested in entering the global Alternative Healthcare Providers market.

Global Alternative Healthcare Providers Market: Competitive Landscape

Key players profiled in the global alternative healthcare providers market are The Healing Company, Columbia Nutritional Inc., Pure encapsulations, Inc., John Schumachers Unity Woods Yoga Center, Pure encapsulations, Inc., and Allen Laboratories Ltd.

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In China, Traditional Remedies for COVID-19 Are Fueling the Wildlife Trade – Sentient Media

Friday, December 4th, 2020

Thousands of bears, locked in rows of rusty cages so small that they can barely move, stare out through the bars as their bile is drained into containers. Their captors intentionally drill holes into the bears gallbladders to collect their bile for a Traditional Chinese Medicine (TCM) known as Tan Re Qing. These bears spend their entire lives, which often last for over 30 years, inside bile farms, which animal activists dub houses of horror. Animals Asia estimates that more than 12,000 bears are currently held in facilities like these in China, South Korea, and Vietnam.

In March, Chinas National Health Commission (NHC) began recommending Tan Re Qing to treat COVID-19 symptoms. Credible evidence that bear bile helps to treat COVID-19 symptoms does not exist, and according to Clifford Steer, a professor of genetics and medicine at the University of Minnesota, the Tan Re Qing treatment may even worsen patients conditions by decreasing their immune responses. Another inclusion on the NHCs list of TCM treatments for COVID-19 is a pill called Angong Niuhuang Wan, which contains illegally trafficked rhino horn and also has not been proven effective.

As another response to the pandemic, Chinas National Peoples Congress announced in February measures that ban wet market vendors from selling wildlife, including so-called bushmeat, for direct human consumption. However, the captive breeding of wild animals for use in TCM, and the sale of the resulting products (along with sales of exotic furs and leathers), remains completely legal. Breeding of captive wildlife is and remains widespread in China, despite the recent ban on wildlife sales at wet markets.

The NHCs Tan Re Qing recommendation shines a light on Chinas explicit support for the captive wildlife industry to produce animal-based TCM. Conservationists oppose the captive wildlife industry because raising generations of animals in captivity, in addition to sanctioning cruelty, does nothing to ensure the species survival in the wildborn-and-bred captive animals can never be safely released. China policymakers largely ignore the cruel conditions that captive animals endure and falsely claim that breeding animals in captivity reduces their extinction rates. The bear bile in Tan Re Qing is only the most prominent example of a wildlife-based TCM remedy that is sourced from generations of captive animals. Chinese law also permits the captive breeding of pangolins, tigers, musk deer, peacocks, cats, dogs, and rhinos.

Conservation leaders in China are continuously imploring policymakers to crack down on the captive breeding of wildlife, for TCM remedies and all other uses; captive breeding is indisputably driving the illegal poaching and trading of wild animals. The legal existence of the captive breeding industry makes it easier to pass off poached animal products for ones that have been legally harvested. A 2012 investigation by the Environmental Investigation Agency (EIA), a conservation nonprofit organization, in China uncovered a common method among poachersinvolving the reuse and counterfeiting of legally-issued government permitsthat enables the trafficking of illegal animal products. The commercial sale of tiger parts, for example, is illegal in China, yet tiger breeding and the distribution of their skins and other body parts are exempt from prosecution if the parts are obtained under forestry administration permits, purportedly for educational purposes. This loophole, exploited since the mid-1980s, allows tigers to be continually trafficked into tiger farms, where they are forcibly bred and their parts harvested for profit. In a 2017 investigation, the EIA observed how tiger farms are thinly disguised as conservation-driven amusement parks; a few tigers in these parks perform for tourists while thousands are caged behind the scenes. Up to 6,000 tigers are currently held captive throughout China, while globally fewer than 4,000 tigers remain in the wildrepresenting a 96 percent population decrease since the start of the 20th century.

The TCM industry uses, usually ineffectively, many species of both trafficked and captive wildlife. Tigers genitals are used as an aphrodisiac, their teeth to treat fevers, and their brains to treat laziness; rhino horns are used as a treatment for fevers and convulsions; shark fins are used to help fight cancer and increase fertility. None of these remedies have been proven medically effective. According to TIME, the false idea that TCM ascribes extraordinary health benefits to rare animal parts has become a persistent misconception that is difficult to eradicate. Scientific evidence notwithstanding, TCM products derived from illegally-trafficked wild animals are perceived by some consumers as being more potent than those sourced from captive animals. Aron White, wildlife campaigner for the EIA, confirms that some TCM enthusiasts consider only products containing wild-raised animals to be the real deal.

In recent years, TCMs overall popularity has grown internationally and offerings from its various sects can now be found in more than 180 countries. Under the guise of TCM, wildlife traffickers are plucking many already vulnerable species from their habitats and leading them closer to extinction. The United Nations Office on Drugs and Crime identifies TCMs global growth as a primary cause of the recent large spike in wildlife trafficking. The TCM industry currently exploits 36 vulnerable speciesmany of which are not protected by the Convention on International Trade in Endangered Species of Wild Fauna and Florain various ways for their purported medicinal uses. The rising popularity of TCM is driving a proportional increase in demand for wildlife-based remedies.

Dr. Lixing Lao, President of the Virginia University of Integrative Medicine, and practitioners of reputable TCM state that wildlife traders do not necessarily believe in the supposed healing effects of wildlife-based TCM products; they simply exploit the TCM industrys popularity and push misinformation for their own profit. While the conservation community decries wildlife-derived TCM for its role in generating demand for endangered species, the medical community emphasizes these animal-based treatments lack of proven efficacies. Multiple Chinese nonprofit organizations recently proposed that the International Union for the Conservation of Nature assist with ending Chinese companies legal use of endangered species in TCM. Many TCM enthusiasts, both in China and worldwide, openly condemn wildlife-based remedies, which they feel tarnish the practices reputation. Some TCM practitioners, including Dr. Lao, believe that the wildlife industryboth legal and illegalhas infiltrated the TCM industry, thus exploiting and damaging the venerable traditions global image.

The ready availability of wildlife-based TCM is leading to an increase in misinformation regarding both its historic use in Chinese culture and its effectiveness. According to Dr. Lao, teachings dating back to the Tang dynasty state that TCM treatments should be derived solely from plants, not animals. Modern-day TCM practitioners continue to contradict these teachings by exploiting trafficked and captive wildlife for supposedly medicinal uses. Although the majority of TCM distributors have removed wild animal parts from their pharmacopeia in recent years, many vendors doing business in Asian countries and even online persist in selling remedies derived from animals.

Wildlife-based TCM may be in the minority of TCM remedies, but the NHCs recommendation of Tan Re Qing to treat COVID-19 is especially angering to animal activists, given that COVID-19 is a zoonotic disease. Zoonotic diseases are a classification of infectious scourges driven by exploiting animals and their habitats. The ongoing use of ineffective wildlife-based TCM treatments for a virus that was likely unleashed by wildlife exploitation and has escalated into a pandemic, aside from being deeply ironic, puts many human lives at risk while greatly exacerbating the mass species extinction event already underway. Strengthening the scientific link between the current pandemic and wildlife-based TCM, a 2020 microbiology study published by Chinese and German researchers deduces that the Rhinolophus ferrumequinum bat species used in some TCM treatments may be the very one that originally hosted the novel coronavirus before it crossed the species barrier. A TCM formula called Ye Ming Sha is sourced from these bats feces to treat eye conditions, while their dried body parts are consumed as a supposed detox remedy. Despite Chinas ban on the sale of live wild animals (including bats) at food markets, the loophole that allows the trading and handling of bats for TCM poses a serious risk for future zoonotic disease outbreaks.

The inclusion of Tan Re Qing in the NHCs medical compendium also raises questions about the agencys possible motive behind the poorly-timed endorsement. The Chinese government has a history of enforcing government policies that openly favor corporate profits over conservation. Chinas so-called Wildlife Protection Law, enacted in 1989, is a misnomer, as it classifies wild animals as a resource to be used for human benefit. Serving to further legitimize the commercial use of wildlife, the law was amended in 2016 to explicitly assert that animals can be used for TCM remedies. The China Wildlife Conservation Association (CWCA), a nongovernmental organization operating under the framework of the China Science Association that is tasked with implementing conservation laws and policies, misleadingly promotes wildlife farming and captive breeding as animal protection under Chinas Wildlife Protection Law. The CWCA instituted the laws protection for human use clause, which declares that the state encourages breeding and farming of wildlife animals, thereby firmly establishing animals as a resource for human utilization. The willingness of the CWCA to promote wildlife productseven during a wildlife-linked viral pandemicis perhaps less surprising, given that several CWCA board members are executives of TCM companies that sell animal-based remedies. The continuation of Chinas policies that value profits over conservation further jeopardize the survival of endangered wildlife.

The World Health Organization (WHO) joins Chinese policymakers in refusing to unambiguously condemn wildlife-based TCM, despite its risks to global public health. The WHOs global medical compendium includes TCM but fails to specifically condemn the modalitys use of wild animal parts. Panthera, a global nonprofit organization dedicated to wild cat conservation, in 2019 released a statement expressing concern that the WHOs equivocation regarding TCM will be perceived by the global community as a stamp of approval from the United Nations on the overall practice [of TCM], which includes the use of remedies utilizing wild animal parts. The WHO has since stated that it does not condone the use of wildlife in TCM, but has not specifically excluded wildlife-based TCM from its medical compendium. Key conservation players including the EIA and the Wildlife Conservation Trust join Panthera in expressing fears that wildlife poaching and trafficking syndicates will interpret the WHOs ambiguity in their own favor. WHOs failure to unequivocally condemn wildlife-based TCM only makes it easier for wildlife profiteers to traffick animal parts under the guise of sanctioned medical usage.

While Chinas traditional herb-based medicines are popularizing TCM worldwide, wildlife traffickers are simultaneously exploiting the ancient systems popularity to expand their own market. Wildlife-derived TCM modalities should be vilified by all for their role in harming animals. Whether an animal-derived product is sourced from trafficking or captivity, the ecological impacts are similarly destructive. Though the sale of exotic wildlife in Chinese wet markets is now banned, the wildlife industry, both legal and otherwise, continues to exploit animals through the development and promotion of ineffective treatments for a wide range of medical conditions, including COVID-19 itself. In order to help with slowing the extinction rates of vulnerable wildlife, consumers everywhere must ostracize the wildlife industry and its hijacking of Traditional Chinese Medicine, and policymakers worldwide must explicitly condemn its morbid use of animal parts.

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Has Earths Most Trafficked Mammal Stopped the World?

How to Prevent Future Pandemics: Fix the Broken Food System

Firsthand Look Inside Asias Busiest Wet Markets

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In China, Traditional Remedies for COVID-19 Are Fueling the Wildlife Trade - Sentient Media

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Integrative Medicine Therapies Effectively Increase Quality of Life for Patients With Myeloproliferative Neoplasms – Cancer Therapy Advisor

Sunday, November 22nd, 2020

Patients with myeloproliferative neoplasms (MPNs) who were treated with certain integrative medicine (IM) therapies had lower levels of negative symptoms and reported a higher quality of life (QOL). These findings, from an online survey, were published in Cancer Medicine.

For this study, 858 patients with MPNs were recruited by researchers at the Mayo Clinic Arizona through social media and email during 2016. Patients were assessed by the MPN-Symptom Assessment Form Total Symptom Score (MPN-SAF TSS), Patient Health Questionnaire (PHQ)-2, Brief Fatigue Inventory (BFI) Usual, and for quality of life.

More than 2 dozen IM therapies were reported, including multiple forms of exercise, massage, nutrition, meditation, and several types of physical, group, and psychological therapies.

Lower average MPN-SAF TSS scores were reported by patients who participated in aerobic exercise (33.2 vs 39.7; P <.001) and strength training (34.0 vs 37.7; P =.013).

Mean QOL was reported as higher among patients who received massage (5.0 vs 4.6; P =.04) and went to support groups (5.4 vs 4.6; P =.002).

The likelihood of experiencing symptoms of depression was lower among patients who participated in aerobic exercise (odds ratio [OR], 0.60; 95% CI, 0.42-0.86; P =.006), yoga (OR, 0.61; 95% CI, 0.39-0.94; P =.025), and strength training (OR, 0.58; 95% CI, 0.37-0.91; P =.019).

This study may have been limited by its overwhelming gender bias, in which the ratio of women to men was 3:1.

The study authors concluded that in addition to pharmacologic therapies, IM therapies may aid in alleviating negative symptoms of MPN and increase quality of life.

Disclosure: Multiple authors declared affiliations with industry. Please refer to the original article for a full list of disclosures.

Reference

Gowin K, Langlais BT, Kosiorek HE, et al. The SIMM study: survey of integrative medicine in myeloproliferative neoplasms. Cancer Med. Published online November 3, 2020. doi:10.1002/cam4.3566

This article originally appeared on Oncology Nurse Advisor

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Integrative Medicine Therapies Effectively Increase Quality of Life for Patients With Myeloproliferative Neoplasms - Cancer Therapy Advisor

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RAKxa in Bangkok is a fully integrative medical wellness retreat – Globetrender

Sunday, November 22nd, 2020

RAKxa promises tailored wellness programmes that fuse science-led technology with holistic therapies and anti-inflammatory cuisine. Olivia Palamountain reports

Fully integrative wellness and medical retreat RAKxawill open this Decemberin Bangkok.

It will deliver tailored wellness programmes designed by certified medical doctors combining advanced medical treatments with holistic therapies.

The first of its kind in Thailand, RAKxa promises a fullytransformative experience through personalised three- to- fourteen dayprogrammes based on real results using cutting -edge technology.

The opening of RAKxa typifies the current appetite for Hyper Health and Extreme Wellness clinics, facilities and treatments, as reported in Globetrenders Future of Luxury Travel Forecast, now amplified more than ever before due to thecoronavirus pandemic.Situated on Bang Kachao, a protected island on the Chao Phraya Riverpopular with cyclists and nature lovers, the facility is surrounded bylush botanical gardens and comprises 40 Garden Villas, 20 Pool Villas and 2 Residences. The Pool Villas and Presidential Villas are expected in early 2021.A series of 10 different programmes are on offer, each focused on a different health goal. These include gut health, body/facial, and de-stressing solutions plus immunity boosting, 2020s hottest health trend.

Nightly rates for the Immunity Booster package start from US$2,000 per person with a minimum of a three-night stay.

Guests begin the RAKxa experience at home with a pre-arrival questionnaire to help the team establish long-term health goals and tailor the programme accordingly.

The medical side of things comes care of the VitalLife Scientific Wellness Clinic (a subsidiary company of the Bumrungrad International Hospital). It provides DNA tests, epigenetics, gut microbiome and inflammation analysis. The clinic will also offer light therapy, IV nutrient therapy, CryoSauna, infrared sauna and hormone replacement therapy. The VitalLife medical doctors will work alongside practitioners at RAKxas Holistic Wellness Centre RAKxa Jai. Holistic treatments span Traditional Thai Medicine (TTM), Traditional Chinese Medicine (TCM), Ayurvedic treatments and energy healing practices.

Each day will be packed with acombination of these specialised holistic and scientific treatments along witha bespoke diet plan and activity schedule for optimum results.

Fitness training takes place in the Olympic-standard medical gym with hydrothermal spa facilities, while activities include dance classes, Tai Chi, Yoga, Muay Thai boxing and hiking.Fuelling the experience is cuisine from RAKxas two restaurants Unam and Ukhao eachguided by an anti-inflammatory philosophy and centred on local, seasonal and sustainable ingredients. Cooking classes and organic food lectures are also on the menu.

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RAKxa in Bangkok is a fully integrative medical wellness retreat - Globetrender

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I’m An Integrative Pediatrician & This Is What People Get Wrong About My Job – mindbodygreen.com

Sunday, November 22nd, 2020

When you hear the word "integrative," does it make you think of "woo-woo" pseudoscience?I'm here to tell you the reality is far from that. Integrative care simply means blending the best of modern, Western medicine with ancient and holistic practicesand I, like many experts, believe it's truly the future of health care.

It is a common misconception that integrative doctors don't believe in or follow science. I was trained in pediatrics at one of the top-rated Western pediatric residencies in America, and my partner trained in an Ivy League pediatric program.Science always guides our decisions.

Modern medicine is amazing and wonderful. We have cures for diseases that caused major suffering just a few years ago.If your child gets pneumonia, we have antibiotics that can heal them within days.If your child gets injured, there is technology like X-rays and MRIs that can show us exactly what is going on.This is nothing short of magic.

But unfortunately, in today's medical system, we focus our attention far more on treatment than on prevention or the root cause of disease. In many scenarios, we don't need to use a medication, but Western medicine is often quick to jump to a pill. That's because today's doctors (myself included) were taught all about pharmaceutical medicine, and it's often the only solution we know.

Integrative medicine doesn't reject pharmaceutical interventions but rather expands a practitioner's options to support the body.An integrative pediatrician may use supplements, tinctures, or ancient healing practices in place or alongside medications. The trick is in balancing those two worlds and recognizing when it would be unsafe to use a natural option in place of a medication.

Integrative pediatricians come in all shapes and sizes. Some are generalists who perform all regular pediatric functions with a natural spin.Others are more specialized and focus on specific conditions like autism, ADHD, cancer, behavior issues, Lyme disease, PANDAS/PANS, autoimmune conditions, gut health issues, and others.

Originally posted here:
I'm An Integrative Pediatrician & This Is What People Get Wrong About My Job - mindbodygreen.com

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