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What Are Biodynamic Wines? – Why Biodynamic Wines Are the Most Green – Esquire.com

Wednesday, December 30th, 2020

There is a certain type of tea (not the kind you drink) made from manure that was once stuffed inside a cow horn, buried on a farm for a season or two, dug up, and diluted with water. That tea is stirred in a bucket until a vortex, which absorbs the energy of the environment around it, forms. Every few minutes, the vortexs direction is switched. After the mixture absorbs its share of environmental energy, it is sprayed, arbitrarily, over grape vines in a vineyard.

The spraying takes place according to a calendar that follows the phases of the moon and alignment of the stars to determine four types of daysroot, leaf, flower, fruitand the plants you should be cultivating on these days. It also dictates the types of wine you should be drinking on these days. Wines shine brightest on fruit days, although you can get away with a lighter white wine on flower days, too. If youre drinking a Pinot Noir on a root day, you have made a huge mistake.

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The label "biodynamic" is often attached to this intensive practice of winemaking, but its a type of farming in generalpart practice, part philosophy. Biodynamics were first theorized a century ago by Rudolf Steiner, an Austrian philosopher and beekeeper who hosted a series of lectures in the 1920s decrying the creep of synthetic fertilizers and chemicals into farming. To this day, the biodynamic protocol refuses conventional additives, follows specific preparations for composting, and plans by that biodynamic calendar.

"We people tend to think we can control things," says Rex Farr, co-owner of Farrm Wine, a biodynamic vineyard on Long Island, New York. "But we cant control anything. Biodynamic farming is about giving up control. Its the PhD of organics. It includes energies that are not just in the soil but aboveground, too: how the moon affects the tides, how the stars and planets all play a part in the energy cycle that we here on terra firma are part of."

Biodynamic wines arent new, but as the reality of climate change sets in and younger generations look to spend money on brands paying attention to it, they have been newly attended to, whether wine drinkers understand them or not.

The big idea in biodynamics is self-sustaining agriculture: The biodynamic farm is symbiotic with its plants, soil, animals, and process. It does not take away from the earth, and it does little to disrupt the natural environment of the, albeit manmade, farm with human intervention and destruction. It predates the organic movement by about 15 years. But because biodynamic farming also follows the energy of the cosmos, an idea that has no basis in fact, the decision to drink biodynamic wine becomes a question not of taste or quality but one of integrity. Its not about what kind of wine we like, but what our values are when we go to buy a bottle.

"A lot of consumers walk into the store and want a natural or biodynamic wine because theyve heard the word around," says Jane Arbogast, assistant wine buyer at Eastside Cellars in New York City. "But when I push them, they usually dont know exactly what it means. What theyre usually looking for is something with morals that match their own."

If you are seeking the biodynamic label, youll likely find it at your local wine store and definitely at the closest Whole Foods, in the non-conventional wine aisle full of other green-sounding words like natural, sustainable, and regenerative, nestled among low-intervention wines and dry-farmed wines. These seemingly eco-friendly words are not bound by any USDA (or even colloquial) definition and can easily misrepresent environmental responsibility to the wine-drinking masses. Natural might appeal to the psyche, but it has no real claim to health, despite the health food industrys insistent usage. Natural is not inherently good. Arsenic is natural. It can also kill you.

"We call it 'greenwashing,'" says Ed Field, co-owner of Natural Merchants, an importer of organic and biodynamic wine for places like Whole Foods. "Natural, sustainablethose are like nails on a chalkboard. If you throw in terms that are undefined, it [all] becomes a marketing gimmick."

Part of the draw toward biodynamics is the sense that natural, sustainable, even organic, are not enough. "On a scale from the most green to the least green, biodynamic is the most extreme," says Arbogast. "Its the most dedicated to preserving the earth's resources."

Biodynamic practices havent been updated since Steiners first call to them in 1924, and although any product with a biodynamic label is certified as such from an international governing body called Demeter, in the U.S., the USDA stamp of organic approval is the closest thing we have to a legally bound manifestation of the idea. But where organics focus on what we dont addchemicals, synthetics, and the likebiodynamics also emphasize not taking anything away.

"Say a plant is sick," says Farr. "The Western approach would be: Lets go treat it with Roundup. We ask, 'Why is the plant sick?' Im not just going to eliminate the problem but look at the sourcethe plant, the roots, the soil."

In this way, biodynamic winemaking sounds a lot like integrative medicine: If a person has a chronic skin rash, you dont just prescribe a topical antibiotic and move along. You look at their stress levels, their food intake, their bloodwork. But biodynamics get real hippie, real quick. Some farmers believe in it like a religion. Steiner, for example, doesnt just have modern-day students of the practice, but zealots. They live and breathe the idea that we as people and as an earth are all interconnected with the soil and stars, and we must limit the damage we do to the natural order of things. Wine is not just good or bad based on taste, but right or wrong, ethical or unethical.

That intangible, philosophical way of behaving might be what draws both farmers and wine drinkers to a century-old hypothesis. Its a poetic ideal, which makes it impossible to study, impossible to quantify. If, ultimately, you want to know if biodynamic wine is quantifiably better than other green-sounding wines, youre out of luck. Maybe thats the point.

"Science compiles proof through controlled experiments," says Anna Katharine Mansfield, associate professor of enology at Cornell Universitys College of Agriculture and Life Sciences. "But biodynamics wouldnt fit that frame. They believe you cant replicate a system." You cant test biodynamic wine in a lab, because it matters what day of the week and month and year you drink it on. It matters who you are with and how it is shared and why it is experienced at all. In Mansfield's opinion, if a farmer takes care of the overall, holistic health of a vineyard system, that's good. "But that also happens in organic growing. When you move to relying on the tides of the moon and all that, it probably isn't better than organic."

Wine is not just good or bad based on taste, but right or wrong, ethical or unethical.

Viticulture and enology, the studies of winemaking, are built inside the scientific framework of falsifiability: We test ideas that have the capacity to be proven wrong. In this way, biodynamics seem more like religion than science. We cant prove that the hypothesis is true, but we also cant prove that its not true.

"I have no degree in agriculture, but I have 30 years of farming experience," says Farr. "We are just caretakers of what we do out here. We are not trying to control nature. Theres certainly more spirituality in biodynamics than organics. You can just feel something different. You really can."

Belief in holistic farming aside, some are driven to the biodynamic label by the perception that non-conventional wines are "healthier." It is probably more accurate to say that certain types of wine are less damaging or have fewer additivesthat some wines are less bad than others.

"I have to laugh when people ask for wine without chemicals," says Mansfield. "Everything that makes wine taste good are chemicals. Wine is chemicals. Humans are chemicals. The most toxic thing in any bottle of wine is the alcohol. Let's just agree that we are ingesting a toxin because we like it."

For the record, a casual wine consumer cannot usually tell the difference between a biodynamic wine and other winesnatural, organic, and sometimes even straight-up conventional. Just tastes like good ole fermented grape juice. And no winenot biodynamic, organic, nor naturalis a health food. But what you think, your perception of the wine, is really what ends up defining how good it is. If you think that the wine you bought is a moral investment, that youre supporting sustainable farming, that you are a healthy person who buys healthy things, then youll probably have a better experience drinking that wine.

We have stories about wines because it has never been compelling to reduce the earth and our time on it into data in a lab. Thats why philosophies of farming and cosmic calendars and belief in something beyond what is here right now exist. Science can only arm us with so much.

Biodynamic wine is about those stories. Wine is not just wine. One thing is never, can never be, just one thing. Everything is connected. To some, it is impossible to separate wine from its former life as a grape, the grape from the tea-sprayed vine, or the tea on the vine from its energy in the vortex of space. The wine can't be stripped from its context, just as we cant strip ourselves from the earth and our space in the stars, our morals from our wines.

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Global Health Coaching Market Research Report focuses on key applications and growth rates and outlooks till 2026 – Factory Gate

Wednesday, December 30th, 2020

Globa Health Coaching Market Research Report uses definitions, classifications, and market scopes to give a detailed estimate of the current status of the Health Coaching industry. Basics of the Health Coaching industry are being studied, such as the competitive landscape structure, prominent players in the industry, and the size and value of the Health Coaching market. Health Coaching Market growth trends, development plans, dynamic market drivers, and risk assessments are implemented. All Health Coaching Industry traders, dealers, and distributors are being investigated globally. This study describes the strategies and business plans implemented by the main players in the Health Coaching market.

Key Players:

AetnaAmerican Association for Health EducationAmerican Council of Exercise (ACE)CignaCleveland ClinicDr. Dears Wellness InstituteDuke Integrative MedicineHealth Coach InstituteHumanaInternational Coach Federation

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Health Coaching Industry report Provides useful information on market geography, revenue analysis, market share, and value. First, we look at implementation, operability, product classification, scope, and maturity. The main players of the Health Coaching industry as a whole and their presence in different regions and countries are evaluated. Development plans, Health Coaching growth tactics, and a complete industry overview are presented from 2015-2019 and Forecast Analysis from 2020-2026.Interview with key opinion leaders in the market to get an estimate of the Health Coaching Market size and the market numbers. The top regions surveyed for their presence in the Health Coaching industry include North America, Europe, the Middle East, and Africa, the Asia Pacific region, Southeast Asia, and South America. At the national level, the Health Coaching market analysis includes the United States, Canada, Mexico, Brazil, China, Japan, India, South Korea, Germany, the United Kingdom, France, Germany, Russia, Egypt, South Africa, Turkey, and more.

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In addition to the market size and value of Health Coaching, supply and supply statistics, usage, gross profit structure, and price analysis are performed. The study also covers capacity, existing and emerging segments of the Health Coaching industrial market, and new business plans, Health Coaching industry competitive analysis. This research study is divided based on Health Coaching product types, applications in different industries, and research areas for concise understanding.The major factors which are driving the Health Coaching industry growth and the factors which are limiting the growth of the market are assessed. In-depth research on development activities, market coverage, new product releases, and mergers and acquisitions in the Health Coaching industry. The Health Coaching industry dimension is based on production and market value to assess revenue and growth. Upstream raw material suppliers and downstream buyers of the Health Coaching market in-depth study. The traders, distributors, dealers, and manufacturers involved in Health Coaching on a global scale is offered.The SWOT analysis is conducted for every region and Health Coaching Market players. The industry barriers, risks, and analysts opinions are structured. This study describes the growth trajectory, company structure, risk assessment, and comprehensive outlook for the Health Coaching industry. The analysis of production, value, and demand defines the scope of the market. Market stability, Health Coaching business plans and policies, and SWOT analysis of industry players lead to strategic planning.

Global Health Coaching Market segments:

Global Health Coaching Market By Type:

Type IType II

Global Health Coaching Market By Application:

Application IApplication II

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Kevin Harvick Earns Driver of the Year Honors for Fourth Time – World Sports Network

Wednesday, December 30th, 2020

The pandemic-interrupted racing season produced several exceptional candidates for the Richard Petty Driver of the Year award, conferred by vote of the National Motorsports Press Association. Kevin Harvick led NASCARs premier division with nine victories. Chase Elliott claimed his first Cup Series title.

Scott Dixon won the first three races on the IndyCar Series on the way to his sixth championship. Denny Hamlin led the Joe Gibbs Racing, Toyotas flagship team, with seven triumphs and 18 top-five finishes in NASCARs top series. Kyle Larson won 46 of the 92 dirt races he entered, taking checkered flags in four different types of race cars.

Ultimately, it was Kevin Harvick who was named Richard Petty Driver of the Year with 45 percent of the vote from the NMPA membership. In a season interrupted for 10 weeks by the coronavirus pandemic, Harvick won the first race after the resumption of competitionMay 17 at Darlingtonand went on to claim eight more trophies for a career-best nine victories.

Harvick finished fifth in the final standings after narrowly failing to qualify for the Championship 4 race, which Elliott won to secure his maiden championship. But the NMPA rewarded Harvick for his body of work, which elevated his career total to 58 wins, most among active drivers now that Jimmie Johnson has left the Cup Series to race IndyCars next year.

It was the fourth such award for Harvick, who earned the distinction for the first time in 2001 when he was thrust into the limelight as Dale Earnhardts successor at Richard Childress Racing after Earnhardt died in a last-lap crash in the season-opening Daytona 500. Harvick also was the top vote-getter in his 2014 championship season and in 2018.

Buoyed by victories in the final two races of the season, Elliott was second in the balloting with 30 percent of the vote. Dixon and Larson, the latter of whom will return to the Cup Series with Hendrick Motorsports in 2021, also were selected on multiple ballots.

One by-product of the coronavirus pandemic has been the strengthening of the charitable instincts among top NASCAR stars. The Checkered Flag Foundation, founded by 2012 NASCAR Cup champion Brad Keselowski, celebrated its 10th anniversary by providing business suits to returning veterans of the United States Armed Services to aid them in securing work after their service.

Keselowski said:

Weve been celebrating the 10th year of the Checkered Flag Foundation in 2020, and this feels like such a fitting way to end the season and spread some joy around the holidays. Im grateful that we could come together to recognize veterans during this important transition for them.

On November 5, Martin Truex Jr. and his long-time girlfriend, Sherry Pollex, celebrated the opening of the Sherry Strong Integrative Medicine Oncology Clinic at the Weisinger Cancer Institute in Charlotte, N.C. Pollex has been waging a recurring battle with cervical cancer; she and Truex, through his Martin Truex Jr. Foundation, have committed their time and resources to the benefit of cancer patients throughout the United States.

Bristol Motor Speedway, a property of Speedway Motorsports Inc. (SMI), is exploring an agreement with Nashville Fairgrounds Speedway that could return NASCAR racing to the historic short track, the second-oldest operating motorsports speedway in the United States, dating to 1904.

Until a potential agreement, Bristol would assume operation of the .596-mile track and take on financial responsibility for the renovation and maintenance of the facility. Nashville Fairgrounds Speedway is deeply rooted in NASCARs past. The Cup Series last raced there in 1984.

President, and CEO of SMI and Bristol Motor Speedway, Marcus Smith, Said:

We can work together to transform Nashville Fairgrounds Speedway into an amazing multipurpose entertainment destination. Were ready to roll up our sleeves and go to work to fully restore the speedway, recruit national events and breathe new life into a venue that has a legendary status in auto racing history.

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14 Best Ways Women Can Lose Belly Fat, From RDs – Eat This, Not That

Tuesday, December 22nd, 2020

Belly fat is often the first to accumulate when we gain weight and the last to be burned off. The belly fat bulge can be even more frustrating for women, who often find that no matter how frequently they hit the gym or how drastically they change their eating habits, there are always at least a few pounds in their midsection that stubbornly remain. Additionally, the quest to lose belly fat only gets more difficult as women age.

"Women tend to pack on more belly fat as they get older, especially after reaching menopause," says Megan Wong, RD, a registered dietitian working with AlgaeCal. "As levels of the hormone estrogen drop, body fat patterns shift from the typical 'pear-shaped' female figure to the 'apple-shaped' figure more frequently associated with men."

And not only is belly fat frustrating if you're trying to fit into your favorite pair of jeans, but it also has the potential to be very detrimental to women's overall health. "Visceral fat is metabolized by the liver and ultimately turns into blood cholesterol, which collects in the arteries, eventually narrowing them. These clogged arteries can eventually lead to angina, heart disease, heart attack, stroke, and other cardiac symptoms," explains Dr. Candice Seti, PsyD, CPT, CNC, a licensed clinical psychologist, a certified personal trainer, and a certified nutrition coach. "Visceral fat is also responsible for the release of hormones that trigger insulin resistance, Type 2 diabetes, systematic inflammation, heart disease, and other cardiovascular diseases."

But don't be bummed about your belly fat. Armed with these expert-recommended tips fromregistered dietitians, nutritionists, and other medical professionals, you can lose the belly fat. Read on, and for more on how to eat healthy, don't miss Simple Ways to Start Losing Weight Immediately, According to Science.

"Protein-rich foods like fish, chicken, and beans, are ideal to reduce belly fat and also help with weight loss," notes Lisa Young, PhD, RDN, a registered dietitian nutritionist, author of Finally Full, Finally Slim, and an adjunct professor of nutrition at New York University. "And women have a harder time losing weight than men." Protein can be a belly fat-blasting ally for women because it helps you feel fuller for longer since it takes more time to break down. Additionally, since protein is slightly harder to digest, your body uses more calories in the process, which can contribute to a flatter midsection.

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"Most people don't realize that sugar often ends up getting stored as fat. When you eat sugar, your body will use it as an energy source, if needed, and store the rest as fat; more often than not, we consume more [sugar] than we need," explains Wong. "To avoid added sugars, get familiar with reading nutrition labels. Common culprits that tend to be high in added sugars are flavored yogurts, breakfast cereals, energy drinks, iced teas, granola bars, and flavored nut milks. Take a look at ingredients lists as well. Added sugars can be listed as syrups, molasses, or words ending in 'ose' like fructose, glucose, maltose, sucrose or dextrose."

"Yup, I said increase! Healthy fats such as nuts, seeds, olive oil, and avocado can help normalize your weight and balance your blood sugar both of which help combat the development of visceral fat in the abdomen," says Seti. And this is especially true for women. Looking to blast belly fat? "Include a portion of healthy fats with every meal."

Since women tend to gain weight around their midsection after menopause, doing exercises that specifically engage your waist and abs can help efficiently target that fat. "I recommend physical activities that center on moving the waist, twisting and using your core," notes Dr. Anna Cabeca, DO, who is triple-board-certified in gynecology and obstetrics, integrative medicine and anti-aging and regenerative medicine. "Personally, I'm a big fan of boxing. There's a lot of rotation at the waistline when you're throwing punches, or hitting a bag, so while it helps by releasing frustration and detoxing, it also helps your belly."

Though this may sound obvious, it can have a substantial positive impact on women's loss of belly fat. "When you're bloated, your belly feels bad and may look swollen," says Amanda A. Kostro Miller, RD, LDN, who serves on the advisory board for Fitter Living."Bloating trigger foods vary by individual, however, FODMAPs (Fermentable, Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) can cause bloating, even if you're on a 'healthy' diet. FODMAPs are present in healthy fruits, vegetables, and legumes. Even though all fruits/veggies are nutritious, some are high in FODMAPs and may cause distress like bloating, gas, diarrhea and abdominal pain. A low FODMAP diet can make you feel better if you have issues with high FODMAP foods."

"If you're chronically constipated, this can make your belly area full and bloated. Make sure you consume enough fiber and also enough fluid during the day," advises Kostro Miller. "Too much fiber without more fluid can cause constipation too."

Additionally, according to Young, foods high in soluble fiber like oatmeal, carrots and legumes may help fight belly fat. "These are particularly good for women as they may also help you feel full and assist with weight loss," she explains.

"Chronically high levels of cortisol, the stress hormone, can actually lead to increases in your abdominal fat stores," says registered dietitian nutritionist SaVanna Shoemaker, MS, RDN, LD. "That's why it's important to find ways to manage your stress, to help stop that cycle of depositing more fat stores on your belly. You may even want to talk to a healthcare professional about having your cortisol level checked if you are chronically stressed and struggling to lose fat."

While both men and women produce cortisol, a 2009 Swedish study found that women can have significantly higher levels of certain types of cortisol than men.

Drinking too much alcohol has been linked with increased belly fat," says Young. "To reduce your waist, women should drink alcohol in moderation or abstain. Alcohol can also increase a woman's risk for breast cancer, so limiting alcohol is a win-win."

"Resistant starches, such as potatoes, lentils, and beans, actually help remove visceral fat from women's bodies," says Seti. "Because of the way these carbohydrates are processed in the body, they actually increase your calorie burn and make you feel fuller so you eat less throughout the day."

"Avoid foods or products that have endocrine disruptors, such as parabens," says Cabeca. "Skincare products, creams, shampoos, and lotions that have parabens will add an estrogen load in your body that can increase belly fat in women." This is because extra estrogen leads to excess fat storage, which is especially pronounced in the belly and butt areas in women.

According to a 2020 German study, even pregnant women who use parabens could increase the risk of their children being overweight.

"This is especially important for women since our hormones can cause frequent water weight fluctuations. Where the sodium goes, water will follow," Kostro Miller explains. "When you consume a lot of sodium (a component of salt) which most Americans do our body adjusts accordingly by quenching our thirst and/or holding onto the fluid we already have in our body. When we decrease overall sodium intake, our body does not feel the need to hold onto lots of water, and the water we drink will hydrate us and then be flushed out."

Related: 25 Foods High in Sodium You Should Watch Out For

"Putting more muscle on your body is the most effective way to combat body fat. Extra muscle fibers change your body composition over time," says Seti. "Muscle tissue is active and helps burn more and increase metabolism throughout the day, ultimately combating the development of visceral fat around your organs." To get going, Seti suggests women start with 5 to 10 minutes of weight lifting a day.

When it comes to diet changes women can make to eliminate body fat, Cabeca is a fan of this trendy, yet effective combo. "Incorporate lots of dark leafy greens such as broccoli sprouts and kale into your diet. These greens are rich in nutrients to help detoxify estrogen," she explains. "Also include healthy fats that you can find in salmon or oysters. Divorce from sugar and dairy, and minimize carbs. Avoid drinking more than 4-6 ounces during your meal, chew your food as it will force your natural digestive enzymes to work, burn the calories and the fat, and you will actually eat less."

She adds: "We also want to include cruciferous vegetables because that helps detoxify estrogen diindolylmethane (dim), and the sulforaphane that are abundantly found in the cruciferous vegetables help with estrogen detoxification."

While yo-yo dieting is a common practice among women, Seti warns it actually does more harm than good, especially where belly fat is concerned. "A history of yo-yo dieting is actually a risk factor for building abdominal fat. When we lose weight, we tend to start at the top and bottom of our bodies, leaving visceral fat in the abdomen for last. Some don't ever get to the point of losing it there," she says. "Plus, when we gain the weight back, the abdomen is the first place we add it. So the effects of yo-yo dieting ultimately increase visceral fat in our midsection. Stop the yo-yo and make some lifestyle changes that allow you to eat well all year. Focus on veggies, lean protein, and good fats at every meal!" To help you on your way, check out26 Easy Ways to Keep The Weight Off, According to Dietitians.

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Introduction to the special issue: Complementary medicine and integrative health approaches to trauma therapy and recovery – DocWire News

Tuesday, December 22nd, 2020

This article was originally published here

Psychol Trauma. 2020 Nov;12(8):821-824. doi: 10.1037/tra0000994.

ABSTRACT

The popularity of complementary and integrative health (also complementary integrated health; CIH) approaches has significantly increased in recent years. According to the National Center for Complementary and Integrative Health (NCCIH), part of the National Institutes of Health, about 1 in 3 adults and 1 in 9 children used CIH approaches to healing. Some reports estimate that the use of CIH approaches will continue to increase (Clarke et al., 2015) as these therapies are cost effective and also due to the difficulties in finding trained mental health professionals (Simon et al., 2020). For the purpose of this special issue, we use the NCCIHs definition of CIH as a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine (Barnes et al., 2004, p. v). However, the integration of these therapies into the health system has not followed the same pattern despite the fact that patients report the need to discuss CIH therapies with their doctors or are actually using them (de Jonge et al., 2018; Jou & Johnson, 2016; Stapleton et al., 2015). This inability to keep up with the demand or patients preference is possibly due to providers lack of understanding and/or knowledge of these therapies, as well as scientific skepticism (Ali & Katz, 2015; Fletcher et al., 2017). Using data from the 2012 National Health Interview Survey, Jou & Johnson (2016) identified patterns of CIH use in the United States and reasons for patients nondisclosure of the use of these therapies. Patients fear of disclosure due to perceived skepticism or disapproval from their provider was frequently attributed as a cause of patients nondisclosures to providers about the use of these therapies (Eisenberg et al., 2001; Jou & Johnson, 2016; Thomson et al., 2012). The arrival of patient-centered care models is beginning to shift the ways we understand the patients role in treatment engagement. Patient-centered approaches often emphasize the use of preventative and holistic wellness models that go beyond the use of evidence-based treatments. This approach also seeks to be culturally responsive, which is a key factor in addressing health disparities in the United States (American Psychological Association [APA], 2019). The Institute of Medicine, in its report on CIH therapies, highlighted the importance of engaging patients in their own care, including having a decision about therapeutic options (Bondurant et al., 2005). Likewise, the Race and Ethnicity Guidelines in Psychology (APA, 2019) recommend psychologists engage the patients cultural beliefs, or what Kleinman called the explanatory belief model (Kleinman, 1978)- for example, by aim[ing] to understand and encourage indigenous/ ethnocultural sources of healing within professional practice (APA, 2019, p. 24). (PsycInfo Database Record (c) 2020 APA, all rights reserved).

PMID:33346679 | DOI:10.1037/tra0000994

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Washington Regional Recognizes Three (Movers & Shakers) – Arkansas Business Online

Tuesday, December 22nd, 2020

We were unable to send the article.

D.J. Burrows, Allison Moss and Hannah Wilburn of the Washington Regional Medical System

D.J. Burrows has been named controller of Washington Regional Medical System in Fayetteville.

In this role Burrows, who has eight years in accounting service, will oversee the medical systems daily accounting operations and help provide strategic vision aligned with the mission and core values of the organization.

Allison Moss, a clinician at Washington Regional, has completed a fellowship in integrative medicine at the Andrew Weil Center for Integrative Medicine at the University of Arizona College of Medicine-Tucson.

Hannah Wilburn has joined Washington Regional Harrison Family Practice as an APRN. She previously served as a registered nurse in the emergency department at North Arkansas Regional Medical Center.

Kathy Grisham and Dr. James Zini Kathy Grisham and Dr. James Zini have received the 2020 Dr. Tom Bruce Arkansas Health Impact Award from the Arkansas Center for Health Improvement. Grisham is the former CEO of Community Clinic in northwest Arkansas. Zini is an osteopathic physician based in Mountain View.

See more of this week's Movers & Shakers, and submit your own announcement at ArkansasBusiness.com/Movers.

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McGill team wins grant to study ‘trained immunity’ with Japanese researchers – McGill Newsroom

Tuesday, December 22nd, 2020

Joint research program between the Japan Agency for Medical Research and Development and the Canadian Institutes of Health Research focuses on advancing technologies in epigenomics, deepening McGills relationship with Japans RIKEN institute.

By Junji Nishihata

In recent years, the concept of trained immunity has emerged as a new area of interest. This refers to the bodys inherent ability to reprogram the innate immune cells to respond differently to subsequent infections. Where does this recall come from? And what are the epigenetic mechanisms that enable it to persist? Indeed, the pursuit of answering the questions raised by trained immunity have been hampered by a lack of useable tools to facilitate research.

The Faculty of Medicine and Health Sciences Professor David Langlais will be pursuing this study thanks to a grant from a new collaboration between the Canadian and Japanese research communities. The novel program is a partnership of the Japan Agency for Medical Research and Development (AMED) and the Canadian Institutes of Health Research (CIHR). Aimed at early-career researchers such as Langlais, the collaborative research to be supported by the AMED and CIHR builds upon a far-reaching cooperation between McGill and RIKEN that uses genomics and immunology to address major questions in biomedical research.

Japans prestigious RIKEN Institute is composed of over 3,000 scientists working in seven centres across Japan. Its past body of achievements includes two Nobel prize winners. For the current project, Langlais will be interfacing with the teams of Drs Jay Shin and Aki Minoda at RIKENs Center for Integrative Medical Sciences, based in Yokohama.

In 2018, the McGill-RIKEN partnership received support from Quebecs Fonds de Recherche (FRQ). A new 5-year McGill-RIKEN agreement, signed on July 15, 2020, covers the assignment of joint laboratory space for the collaboration at McGill and the RIKEN Yokohama site, exchanges of scientists and trainees, and continuation of a joint symposium that has been held annually since 2017. In July, the RIKEN International Affairs Section also made a 5-year award of 10 million JPY annually towards these joint activities. The collaboration with RIKEN is part of McGill's wider engagement with Japanese academic institutions, which includes the joint McGill-University of Kyoto PhD degree in genomic medicine established in 2018, which is also supported by the FRQ and is the first of its kind for the two Universities.

Professor Mark Lathrop, Director of McGill Genome Centre, said: "We are very pleased that the AMED and CIHR will support this joint research project between McGill and RIKEN. The way the teams will be working closely together to bring their complementary expertise at the leading-edge of genomics and immunology to bear on very important biomedical questions is exemplary of the research that the McGill-RIKEN collaboration is intended to promote."

The $300,000 grant (awarded by CIHR over three years; AMED will grant 30 million JPY over the same time frame to the Japanese researchers) will enable three separate aspects to the study of trained immunity. First, it will permit the study of the phenomenon at the biological level, to better understand how chromatin conformation inherits the ability to recall pathogens from the past and eliminate newcomers. But to do so at the level of the individual cell will require the development of a new suite of tools which is the second aim of the project, and one of the main remits of the RIKEN side of the collaboration.

Specifically, the project seeks to develop bulk and single-cell Single-Molecule chromatin capture techniques that will reveal how the individual cells can be reprogrammed for the purposes resisting infections.

The third objective of the project will be to develop the necessary algorithms to interpret the resultant bioinformatics, a process that is sure to involve large amounts of data, in other words, Big Data. This portion of the study will be undertaken by Professor Hamed Najafabadi, in McGills Department of Human Genetics. A recipient of a Sloan Fellowship in 2018, Najafabadi brings considerable expertise in bioinformatics to the project.

Our teams are already fully integrated on this project, as well as on other collaborative research efforts, said Langlais referring to his collaborators in Japan. We will have exchanges with student internes attending our counterpart institutions, and we are expecting this work will result in a number of published papers, he explained, clearly enthused by the prospect. The expectation is that this will result in truly novel technologies that will advance the field of epigenomics overall.

In 2018, Langlais was among the McGill researchers figured prominently in Qubec Science magazines annual list of the top 10 scientific discoveries in Quebec. This joint research program announcement comes amidst deepening ties between Japan and Canada, as evidenced by Prime Minister Justin Trudeaus announcements in 2019, as well as parallel moves in Quebec.

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Institute flags off integrative medicine programme – The Nation Newspaper

Tuesday, December 22nd, 2020

Our Reporter

The Science Medicine Research Insititute Dallas, Texas, USA, has flagged off programmes in integrative medicine in a bid to improve patient outcomes.

Coordinator of the programme in Nigeria, Dr Okeima Ruth, advised all International Medical Graduates or first professionals seeking for an integrative approach to helping patients, to join the institution for a special introductory course designed to provide insight into how integrative medicine can improve patient outcomes.

Dr Ruth, who pointed out that they were offering first Degree in Naturopathy, Natural and Integrative Medicine (USA), Professional MS Degree in Integrative Medicine (USA), PhD in Integrative Medicine (USA), and B.CIM (Board Certification in Integrative Medicine), with specialty in Science Medicine Integrative Healthcare Delivery System, said Diploma and Certificate Courses are also available in the disciplines.

The President/Research Director Science Medicine Research Institute, Dallas, Texas, USA, Professor Alphonsus Ekwerike, expressed delight to be in the country to personally kick start the programme, which begins on the 22nd and 23rd December, 2020, at Rivers State Ministry of Health Conference Hall, State Secretariat, Port Harcourt.

Prof Ekwerike is also a member of the new Committee on National Institute of Traditional, Complementary and Alternative Medicine, set up by the Minister of Health, Dr Osagie Ehanire last week.

Dr Ruth said, Registration is on now. Interested persons should contact 0906 626 0824 or 0813 000 6700 for more details.1) For those with first Degrees in Naturopathy/Natural Medicine an abridged program or Conversion programs in the above-mentioned Courses is also obtainable.

Dr Ruth also pointed out that the Orientation and Induction programmes will be on the 22nd and 23rd December, 2020, at Rivers State Ministry of Health Conference Hall, the programme will also be on Zoom with the topic, Orientation/Induction into Science Medicine. at 10am daily, and that she should be contacted for the Zoom ID.

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Naturopathy – How Not to be a Doctor and Harm the Public Good – News Intervention

Tuesday, December 22nd, 2020

Naturopathicmedicine is a distinct primary health care system that blends modern scientificknowledge with traditional and natural forms of medicine. It is based on thehealing power of nature and it supports and stimulates the bodys ability toheal itself. Naturopathic medicine is the art and science of disease diagnosis,treatment and prevention using natural therapies including: botanical medicine,clinical nutrition, hydrotherapy, homeopathy, naturopathic manipulation,traditional Chinese medicine/acupuncture, lifestyle counselling and healthpromotion and disease prevention. Canadian Association of Naturopathic Doctors

Naturopathyis a cornucopia of almost every quackery you can think of. Be it homeopathy,traditional Chinese medicine, Ayurvedic medicine, applied kinesiology,anthroposophical medicine, reflexology, craniosacral therapy, Bowen Technique,and pretty much any other form of unscientific or prescientific medicine thatyou can imagine, its hard to think of a single form of pseudoscientificmedicine and quackery that naturopathy doesnt embrace or at least tolerate. Dr. DavidGorski

Naturopaths claim that they practice based on scientificprinciples. Yet examinations of naturopathic literature, practices andstatements suggest a more ambivalent attitude. NDhealthfacts.org neatlyillustrates the problem with naturopathy itself: Open antagonism toscience-based medicine, and the risk of harm from integrating these practicesinto the practice of medicine. Unfortunately, the trend towards integratingnaturopathy into medicine is both real and frightening. Because good medicineisnt based on invented facts and pre-scientific beliefs it must be groundedin science. And naturopathy, despite the claims, is anything but scientific. Scott Gavura (Science-Based Medicine)

Naturopathic training does not prepare them to be primary care physicians.Their profession is not science-based, does not have a science-based standardof care, and is largely a collection of pseudoscience and dangerous nonsenseloosely held together by a vague nature is always best philosophy.

This is one of those situations where most people will not believe that thesituation can be as bad as it really is. This is similar to when I describe topeople, who are hearing it for the first time, what homeopathy actually is.They usually dont believe it, because they cannot accept that something sononsensical can be so widespread and apparently accepted in our society. Thesame is true when I tell people about the core chiropractic philosophy of lifeenergy (at least for those chiropractors who have not rejected their roots), orabout what Scientologists actually believe.

One common reaction is the no true Scotsman logical fallacy. Defenderswill insist that what we are describing is the exception, and that a realnaturopath is not like that. Obviously there will be a range of practice(especially since there is no standard), but the pseudoscientific treatmentsthat make up naturopathy are not the exception. They are at the core of theireducation and their philosophy. Dr. Steven Novella

Naturopathic medicine is an eclectic assortment ofpseudoscientific, fanciful, and unethical practices. Implausible naturopathicclaims are still prevalent and are no more valid now than they were in 1968. Kimball C. Atwood

Naturopathic medical school is not a medical school inanything but the appropriation of the word medical. Naturopathy is not a branchof medicine. It is a combination of nutritional advice, home remedies anddiscredited treatments Naturopathic practices are unchanged by research andremain a large assortment of erroneous and potentially dangerous claims mixedwith a sprinkling of non-controversial dietary and lifestyle advice. The Massachusetts Medical Society

Naturopathy[1]is, and always has been, a declaration of pseudoscience and pseudomedicinemixed together with truism dressed-up in cheap makeup to appear legitimate,respectable, even advanced and modern, and real, as per the first statement atthe top in contrast to reliable and respected voices following it. Ignorance ina tutu is still ignorance.

Its notan alternative way of knowing, a different form of medicine, or a novel line ofthought. Its not cheaper than medicine because real medicine works on thecases needing it and, therefore, utilize the finances of patients properly,i.e., effectively.

Naturopathsare not doctors, medical doctors, or real MDs. By peddling nonsense assensible, they harm the public good and, thus, become a negative force insociety, as purveyors of illegitimate practice. Why deal a light critique toindividuals harming public in the most important areas of life, for example,medical care or health?

In turn,as self-proposed practitioners for the betterment of the health of the public,they detract attention and legitimacy away from real medical doctors, realmedicine, in addition to the finances of the public. If alternative medicinebecame effective, then it would become non-alternative medicine, also known asmedicine. So, whats the point of it, in the first place?

As notedin Freethought for the Small Towns: Case Study,Canadians and Others Convictions to DivineInterventionism in the Matters of the Origins and Evolution, Making a Buck as a Mountebank Astrologers, Mediums,and Psychics, The Message of William Marrion Branham: ResponsesCommentary, The Fantastic Capacity for Believing the Incredible,religious fundamentalism, pseudoscience, and pseudomedicine, play off oneanother, as gullibility in the pulpit informs gullibility in the wellnessmarketplace, and vice versa.

Oneignorance feeds into another. Whether in the local Township of Langley or inthe wider province of British Columbia, even in small towns including FortLangley, this is the nature of the pseudoscience and pseudomedicine landscape.Bad people, even thinking themselves good, bilk the public earning good money,even bad money or minimum wage income.

Theseindividuals and, more fundamentally, fraudulent practices, should be combatteddirectly, even at the legislative level as they have been enforced in countrieslike the United States largely through legislative efforts. Why such a directedeffort at legislation rather than randomized double-blind trials? Let me knowhow those homeopathic studies turn out.

InBritish Columbia, widely, when you do a search, you can find more than 100places, so associations, colleges, clinics, centres, integrative clinics, medicalcentres, practitioners, and so on. All devoted to a pseudoscientific practice withinone province. All either harming the bank accounts through fraudulentpractices, or, potentially, harming the public.

Personally,they should not be able to operate in British Columbia generally, or in theTownship of Langley in particular. Its easily viewable as a wide range ofpseudomedicine postulated as real medicine while without proper medical credentials,only fake qualifications, as in real to the fake medicine while faketo the real medicine.

Theresa large number of practitioners and clinics of naturopathy, includingassociations, colleges, and institutes, such as the College Of NaturopathicPhysicians Of British Columbia and the BC Naturopathic Association/BCNA.

Its a literal zoo with the number of them. In a general search of the Canadianprovince of British Columbia, one set includes Dr. Janine Mackenzie ND, AbbyNaturopathic Clinic: Dr. Cristina Coloma ND, Horizons Holistic Health Clinic,Edgemont Naturopathic Clinic, Boucher Naturopathic Medical Clinic, Dr. AggieMatusik, Integrative Naturopatic Medical Centre, Dr. Marisa Marciano, ND, Dr.Melanie DesChatelets ND, Vitalia Naturopathic Doctors Vancouver, Dr. Grodski White Rock Naturopathic, Dr. Lindsey Jesswein, ND, Noble Naturopathic, LocalHealth Integrative Clinic, Dr. Carlson-Rink C., Dr. Andrea Gansner NaturopathicPhysician, Dr. Lorne Swetlikoff, BSc.,, ND, Polo Health + Longevity Centre, ANew Leaf Naturopathic Clinic, Dr. E. DSouza-Carey, ND Family Health Clinic.

Another,second set includes Family Health Clinic: Naturopathic Medicine and MidwiferyCare, Integrated Health Clinic, Dr. Jiwani, Naturopathic Physician SurreyClinic (Not Vancouver) Autoimmune Weight Loss, Dr Andrew Eberding NaturopathicDoctor, Boucher Institute of Naturopathic Medicine, Meditrine NaturopathicClinic, Vancouver Naturopathic Clinic, Selkirk Naturopathic Clinic, Cross RoadsNaturopathic clinic, OZONE THERAPY BC: Dr. Walter Fernyhough, Dr. Allana PoloN.D Polo Health + Longevity Centre, Pangaea Clinic of Naturopathic MedicineInc, Dr Eric Chan, Dr Tawnya Ward, Dr. Rory Gibbons, Naturopathic Physician,Dr. Caroline Coombs Naturopathci Doctor, Dr. Brian Gluvic, KitsilanoNaturpathic Clinic, Agency Health, and Richmond Alternative Medical Clinic.

There theres the third set with Arc Integrated Medicine Delta & Surrey Naturopathic Doctors, Dr. Kali MacIsaac, Naturopathic Doctor, Aspire Naturopathic Health Centre Naturopath North Vancouver Dr. Emily Habert, ND, Dr. Hal Brown, Red Cedar Health Ray Clinic, Lonsdale Naturopathic Clinic, Metrotown Naturopathic and Acupuncture, Yaletown Naturopathic Clinic, Flourish Naturopathic, Northshore Naturopathic Clinic, and Dr. Jonathon F. Berghamer.

Thefourth set includes Dr. Scarlet Cooper, ND., Dr. Terrie Van Alystyne,Naturopathic Physician Whistler, Butterfly Naturopathic, Dr. Jason Marr, ND:Naturopathic Doctor, Peninsula Naturopathic Clinic, Dr. Karen Fraser, YaletownIntegrative Clinic, Serenity Aberdour ND Horizon Naturopathic Inc, Dr.Tasneem Pirani-Sheriff, ND, Avisio Naturopathic Clinic & VitaminDispensary, Dr. Robyn Land, Naturopathic Physician, Springs Eternal NaturalHealth, Dr. Alaina Overton, Cornerstone Health Centre: Maryam Ferdosian, ND,Dr. Kim McQueen, BSc, ND, Dr. Safia Kassam, and Restorative Health.

Thefifth set of them include Dr. Esha Singh, ND, Dr. Bobby Parmar NaturopathicDoctor, Lansdowne Naturopathic Centre, West Kelowna Integrative Health Centre,Dr. Shalini Hitkari, ND, Dr. Jolene Kennett, Naturopathic Doctor, Dr. KarinaWickland, ND, Dr. Phoebe Chow Lumicel Health Clinic, Dr. Maltais Lise,Vitality Wellness Centre, Dr. Lisa Good, ND, Dr. Heidi Lescanec, ND, Dr. RodSantos, ND, Inc., West Vancouver Wellness Centre, Dr. Kully Sraw, NaturopathicPhysician, Juniper Family Health, Dr. Peter Liu, ND, Garibaldi Health Clinic,Dr. Kayla Springer, ND, and Dr. Donna Ogden, ND, MSc, Naturopathic Doctor.

Thesixth yes, theres more set includes Dr. Cortney Boer, ND, Burnaby HeightsIntegrative HealthCare Inc., Dr. Amelia Patillo, ND, Jamie Sculley, Dr. EwingRobert J., Central Park Naturopathic Clinic, Dr. Kira Frketich, Living WellnessCentre, Dr. Jennifer Brown, ND, Dr. Randi Brown Naturopathic Doctor, WestShore Family Naturopathic Ltd., Rejuv-Innate Naturopathic Clinic-Dr. JamieGallant, Dr. Tonia Winchester, Nanaimo Naturopathic Doctor TonicNaturopathic, NaturopathicVictoria.net, Fourth and Alma Naturopathic MedicalCentre, Cheam Wellness Group, Maureen Williams, Dr. Meghan Dougan, ND, Dr.Brittany Schamerhorn, ND, and Dr. Jenna Waddy.

Theseventh almost there set includes Inner Garden Health, Dr. Brit Watters,ND, Dr. Laruen Tomkins, ND, The Natural Path Clinic Inc., Elizabeth Miller, Dr.Jennifer Moss Naturopathic Physician, Dr. Penny Seth-Smith, Seeded Nutrition,Northern Centre for Integrative Medicine, Aqua Terra Health, Dr. Kelsea Parker,ND, Maple Ridge Naturopathic Clinic, Newleaf Total Wellness Centre, VitalityIntegrative Health, Dr. Orissa Forest, BSc, ND, Acacia Health Dockside, Dr.Megan Kimberley, Naturopath, Dr. Landon McLean Healthcare, Back to Our RootsIndigenous Medicine, and N.A. Hemorrhoids Centre.

Theeighth set is Legacies Health Centre, Kelowna Naturopathic Clinic, MarseillesRemedy Traditional Oil Blend, Lani NYkilchuk, ND, Dr. Heather van der Geest,ND, Hummingbird Naturopathic Clinic, Dr. Elli Reilander, ND, BodaHealth, TheNatural Family Health Clinic, Dr. Chelsea Gronick, Naturopathic Doctor, Dr.Carla Cashin, ND, Dr. Karen McGree, Saffron Pixie Yoga & Naturopathy, WildHeart Therapies and Farmacy, Dr. Andrea Whelan, Well+Able Integrated HealthLTD., Dr. Kim Hine, ND, Dr. Graham Kathy, Dr. Emily Freistatter, NaturopathicDoctor, Inner Garden Health.

The ninth set is Dr. Emily Pratt, BSc, ND, Inc., Life Integrative, Dr. Michael Tassone, ND, Harbour Health: Massage Therapy, Physiotherapy, Chiropractor, Naturopath, Broadway Wellness, Spokes Clinical Naturopathy, Dr. Fulton Lynne, Electra Health, Dr. Macdonald Deidre, Ray Lendvai Naturopathic Physicians, Dr. Maryam Ferdosian, ND, Yinstill Reproductive Wellness, Prajna Wellness, Fountain Wellness & Physiotherapy, Qi Integrated Health, Paradigm Naturopathic Medicine, Apex Chiropractic Coquitlam, Kamloops Naturopathic Clinic, Dr. Carmen Anne Luterbach, and Dr. Mar Christopher.

The final and tenth set is Dr. Lawrence Brkich, The Phoenix Centre, Cave Cure & Therapies, Twisted Oak Holistic Health, Coast Therapy Maple Ridge, Balance Natural Health Clinic, Dr. Theresa Camozzi, ND, BC Pulse Therapy, Naramata Lifestyle Wellness-Best Naturopathy, Meditation, Weight Management Centre Okanagan, Acubalance Wellness Centre, Ltd., Dr. Milanovich David, Catalyst Kinetics Group, and Dr. Kimberly Ostero, BSc., ND, and Kontinuum Naturopathic Medicine, Inc.

Theobvious benefit in these titles compared to the astrologers, mediums, andpsychics, is the appearance of professionalism, while, in a mysterious manner,acquiring an entire reputation based on a fallacious premise, pseudomedicine,in addition to a false title.

Itsless turtles, turtles, turtles, all the way down, and more falsehoods all theway down, and to the top. People with all the accoutrement of theprofessional and medical world while, in fact, lacking the substance, thecontent, and so mimicking, or parroting, the forms and stylings of them.

A shame, a scandal in the province, a waste of the publics dime, a tax on the wellbeing of the province as a whole because real medicine exists, and ignorance without proper medical bases, while idiotic in its proposition and imbibing by the general public. Everyones to blame here; while, some are more culpable than others.

Thisshows both a failure in critical thinking on the part of the public, individualsentering into the schools for training, and a firm action on the part of theproper authorities to regulate public health in such a manner as todelegitimize failed philosophies from the 1800s proposed as modern medicine.

Asstipulated, succinctly, by the skeptic Wiki, RationalWiki, the titles of ND inBritish Columbia naturopaths and naturopathic physicians, self-proclaimed, asin Naturopathic Doctor, does not mean a doctor, a physician, or a medicaldoctor.

Thesetitles, ND, remain false proclamations of credentials and qualifications, byand large, rejected by both mainstream medicine and mainstream science. Theseare a manner in which to attempt to co-opt the earned legitimate legacy ofmodern medical science and modern science, as per credentials, e.g., MD, withillegitimate pseudoscience and pseudomedicine.

In fact,the issue in North America is widespread, as stated by RationalWiki, in Alternative Medicine Education, thereare actually 7accreditedinstitutionsin North America that award this degree (as of 2012), 5 in theUnited States(Bastyr University, National College ofNatural Medicine, National University of Health Sciences,SouthwestCollege of Naturopathic Medicineand University of BridgeportCollege of Naturopathic Medicine) and 2 inCanada(Boucher Institute ofNaturopathic Medicine, and Canadian College of Naturopathic Medicine).Forthose who want a shorter route, it is also widely available fromdiploma mills.

Theseindividuals will use the title of Dr. If you dont believe me, then I wouldpropose looking at the ten sets above. How often does the use of the term Dr.get used in the public face of the institutions?

Next, wecan ask about the private face. How many? How often? It is probably more, andmore forcefully, because Dr., rightfully, earned the title because theeducation is more difficult and the positive effects on society far more great.

That which was known as health fraud in prior generations through consistent efforts continues to be regarded more as medicine rather than medicine.

It should be halted, deconstructed, and shown for its farcical foundations and direct, and indirect, harms on the public.

[1] Even Wikipedia, as a minor resource, itstates:

Naturopathyornaturopathicmedicineis a form ofalternativemedicinethat employs an array ofpseudoscientificpractices branded asnatural, non-invasive, or promotingself-healing. The ideology and methods of naturopathy are basedonvitalismandfolk medicine, rather thanevidence-basedmedicine(EBM).Naturopathic practitioners generallyrecommend against followingmodern medical practices, including but notlimited tomedical testing,drugs,vaccinations, andsurgery.Instead, naturopathic practicerelies on unscientific notions, often leading naturopaths to diagnoses andtreatments that have no factual merit.

Naturopathy is considered by themedical professionto be ineffective and harmful, raisingethicalissues about its practice.In addition to condemnations and criticism from the medical community, such as theAmerican Cancer Society,naturopaths have repeatedly been denounced as and accused of beingcharlatansand practicingquackery.

Assistant Editor, News Intervention,Human Rights Activist.

Scott Douglas Jacobsen is the Founder of In-Sight: Independent Interview-Based Journal and In-Sight Publishing. He focuses on North America for News Intervention. Jacobsen works for science and human rights, especially womens and childrens rights. He considers the modern scientific and technological world the foundation for the provision of the basics of human life throughout the world and advancement of human rights as the universal movement among peoples everywhere. You can contact Scott via email.

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Individuals with high ADHD-traits are more vulnerable to insomnia – Newswise

Tuesday, December 22nd, 2020

Newswise Individuals with high ADHD-traits that do not meet the criteria for a diagnosis are less able to perform tasks involving attentional regulation or emotional control after a sleepless night than individuals with low ADHD-traits, a new study from Karolinska Institutet published inBiological Psychiatry: Cognitive Neuroscience and Neuroimagingreports.

While it can cause multiple cognitive impairments, there is considerable individual variation in sensitivity to the effects of insomnia. The reason for this variability has been an unresolved research question for long. In the present study, KI researchers investigated how sleep deprivation affects our executive functions, which is to say the central cognitive processes that govern our thoughts and actions. They also wanted to ascertain if people with ADHD tendencies are more sensitive to insomnia, with more severe functional impairments as a result.

ADHD (attention deficit hyperactivity disorder) is characterized by inattention, impulsiveness and hyperactivity; however, the symptoms vary from person to person and often also include emotional instability.

"You could say that many people have some subclinical ADHD-like symptoms but a diagnosis is only made once the symptoms become so prominent that they interfere with our everyday lives," says Predrag Petrovic, consultant and associate professor in psychiatry at the Department of Clinical Neuroscience at Karolinska Institutet, Sweden, who led the study along with Tina Sundelin and John Axelsson, both researchers at Karolinska Institutet and the Stress Research Institute at Stockholm University.

The study included 180 healthy participants between the ages of 17 and 45 without an ADHD diagnosis. Tendencies towards inattentiveness and emotional instability were assessed on the Brown Attention Deficit Disorder (B-ADD) scale.

The participants were randomly assigned to two groups, one that was allowed to sleep normally and one that was deprived of sleep for one night. They were then instructed to perform a test that measures executive functions and emotional control the following day (a Stroop test with neutral and emotional faces).

The researchers found that the sleep-deprived group showed worse performance in the experimental tasks (including more cognitive response variability). Moreover, people with high ADHD-traits were more vulnerable to sleep deprivation and showed greater impairment than those with low ADHD-traits.

The effects were also related to the most prominent type of subclinical ADHD-like symptom, in that after being deprived of sleep, the participants who displayed more everyday problems with emotional instability had larger problems with the cognitive task involving emotional regulation, and those who had more everyday inattention symptoms had larger problems with the non-emotional cognitive task.

"One of the reasons why these results are important is that we know that young people are getting much less sleep than they did just ten years ago," explains Dr Petrovic. "If young people with high ADHD-traits regularly get too little sleep they will perform worse cognitively and, what's more, their symptoms might even end up at a clinically significant level."

###

The study was supported by grants from the Swedish Research Council, Forte (the Swedish Research Council for Health, Working Life and Welfare), Riksbankens Jubileumsfond, Karolinska Institutet, Region Stockholm, the Swedish Society of Medicine, the Sderstrm-Knigska Foundation and the Osher Centre for Integrative Medicine. The study is part of a doctoral project by Orestis Floros, who is also a psychiatrist specialising in ADHD.

Publication: "Vulnerability in executive functions to sleep deprivation is predicted by subclinical ADHD symptoms". Orestis Floros, John Axelsson, Rita Almeida, Lars Tigerstrm, Mats Lekander, Tina Sundelin, Predrag Petrovic.Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 17 December 2020, doi: 10.1016/j.bpsc.2020.09.019.

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

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

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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

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If you would like to make an appointment,

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Natural Integrated Medicine

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

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

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