Alternative Medicine, Two Bodies of Evidence

Alternative Medicine, Two Bodies of Evidence - Right around Halloween two years ago I (along with my 10-year old cocker spaniel Max) proved the laughingstock of just about everyone we knew outside of the San Francisco Bay Area where we then lived.... Read more

Refuot is a center for integrated medicine, where experienced and qualified therapists and professionals in various realms of expertise

Refuot is a center for integrated medicine, where experienced and qualified therapists and professionals in various realms of expertise - both conventional and alternative medicine - work side by side in full cooperation.

As one of the senior centers for alternative medicine in Israel, with more than 15 years of experience, it is capable of offering patients integrated treatments for various medical problems.

We believe in the combination of both ancient and modern knowledge to achieve best results in the treatment of various illnesses and in the same time increasing of the body's natural healing powers.

Refuot center runs under the professional supervision of Dr. Yair Maimon, a doctorate in Chinese medicine and one of the most renowned experts in alternative medicine in Israel. Dr. Maimon heads the unit for alternative medicine at the M.L.R.M (the institute for special examinations at the Soulrsky Medical Center - Ichilov). The Refuot team includes more than 20 therapists who master various realms of medicine both western and alternative. Continue Reading >>

How Doctors Learn From Patients

By Dena Rifkin, MD
I need to learn a new technique for inserting a large intravenous line. As a resident, I learned how to place these lines (used for medications and dialysis) in the groin or neck by locating the arterial pulse with my fingers, looking at the anatomical landmarks nearby, and then calculating in my mind where the vein ought to be. After a while I could reliably get a needle into the vein by ‘feel.’

Since then, a bedside ultrasound device has become part of the procedure, allowing you to actually ‘see’ the vein you are aiming for—a pretty amazing difference from the way I learned. I’m told it’s awkward the first few times you try it, since you have to juggle the ultrasound and the needle while keeping everything sterile. So, I asked my colleagues to teach me.
Read More

Complementary and Alternative Medicine: Healthy Aging

Nearly half the US populations turns to complementary, alternative and integrative practices to maintain or improve their health. Join Dr. Donald Abrams as he explores how integrative medicine can ... (more)

Chronic Coughs Need a Doctor's Attention

(HealthDay News) -- If you wake up due to coughing or have a cough that lasts for weeks, you may have a potentially serious problem that requires medical attention.

"Cough is the most common respiratory symptom for which patients seek medical attention," Dr. Alan B. Goldsobel, chairman of the American Academy of Allergy, Asthma & Immunology's cough committee, said in a prepared statement.

"Cough protects the body by removing mucus and irritating particles from the respiratory tract. Coughing is a useful function and does not always mean there is a problem ...," Goldsobel explained. "However, coughing at night, after going to sleep indicates the need for medical attention."

Common causes of coughing include: viral upper respiratory tract infections; asthma; nasal and sinus disease; stomach and esophageal problems; an inhaled foreign body; habit; and environmental irritants.

People should see an allergist/immunologist if they have:

• a cough that lasts three to eight weeks or more;
• a cough that coexists with asthma;
• coexisting chronic cough and nasal symptoms;
• a chronic cough and tobacco use or exposure.

More information
To learn more about cough and children, visit the American Academy of Allergy, Asthma & Immunology.

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'Easy Does It' Eases Holiday Stress

(HealthDay News) -- It's supposed to be the happiest time of the year, but don't tell that to the patients who mob the offices of San Diego cardiologist Dr. Mimi Guarneri between Thanksgiving and New Year's.

Some complain of what doctors call "holiday heart" -- skipped beats, high blood pressure and angina due to stress or overindulgence. Others feel physically and emotionally overwhelmed, distracted by thoughts of difficult relatives or missing loved ones.

Guarneri, medical director of the Scripps Center for Integrative Medicine, has different advice for her patients, depending on their situations. But she's always sure to emphasize one theme: relaxation.

"The one thing is do is to take time out, take a deep breath, connect your mind with your body by simple breathing," she said. "And remember to not sweat the small stuff."

Easier said than done, of course. But when it comes to crippling holiday stress, specialists say the simplest pieces of advice are also the best.

Dr. Redford Williams, director of the Behavioral Medicine Research Center at Duke University in Durham, N.C., advises people to be reasonable with their expectations from the season, and to anticipate trouble -- ranging from long lines at stores and airports, to bouts of sadness when images of absent loved ones come to mind.

By readying yourself for these moments, "they won't come as a shock when you realize, 'I'm getting ready to honk my horn or get steamed over this person who just pulled in front of me.' If you can do that, you can probably head off some of it," Williams explained.

He said it's not clear how many people get the blues around the holidays, but it's probably not uncommon. "It's perfectly normal to get a little bit depressed or a little sad during the holidays at one point or another," Williams said.

However, it may not be as bad as some might assume. In recent years, American researchers have looked at local statistics and debunked the long-held assumption that suicide rates shoot up around the holidays.

Not every episode of Christmastime depression is minor, however. If you find yourself early in the new year having trouble with sleeping or eating -- doing either one too much or too little -- it's possible that you've fallen into a clinical depression.

If that might be the case, "You should seek some professional evaluation and possibly treatment," Williams said.

In other cases, a little self-help can be key. "In the grand scheme of life, we say, 'Don't sweat the small stuff,'" Guarneri said. "We have to realize that a lot of stress is what we put on ourselves, not what other people are putting on us."

If you're alone and feeling isolated, she said, "get out and do service work, which brings joy to people." And, if you have the opposite problem -- too much to do and too many people to worry about pleasing -- learn to do less. "None of this is worth dying for," she said.

More information
Learn more about holiday stress from the American Psychological Association.

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'Hospitalist' Physicians Help Shorten Patient Stays

(HealthDay News) -- A new breed of medical specialists, called hospitalists, can make a small but significant difference in shortening how long a patient needs to stay in the hospital, a new study shows.

The 2002-2005 study of almost 77,000 hospital stays at 45 centers showed that treatment by a hospitalist, rather than a general internist, resulted in about a half-day reduction in overall hospital stays on average, along with an average $268 drop in costs.

At the same time, researchers found no difference in the rate of either patient death or readmission when hospitalists were involved, according to the report in the Dec. 20 issue of the New England Journal of Medicine.

A hopsitalist refers to a physician who cares solely for hospitalized patients.

The term may be new to the general public, but, in the medical profession, "hospitalist has been a recognized and accepted term that has been around for about a decade," said study author Dr. Peter K. Lindenauer, an associate professor of medicine at Baystate Medical Center and Tufts University, in Boston.

In fact, "There is a Society of Hospital Medicine with 5,000 to 10,000 members, and it is estimated that there may be 20,000 hospitalists across the United States now," Lindenauer said.

"What you can't debate is the number of hospitalists around the country -- there is no going back," added Dr. Laurence McMahon, chief of the division of general medicine at the University of Michigan, in Ann Arbor.

"We need to think about how these new doctors get into the health-care system and how they care for patients who are hospitalized," said Mcmahon, who also authored an accompanying editorial on the issue.

Traditionally, a person's private physician has been responsible for care after hospitalization, he said. That began to change about 30 years ago, with the emerging role of emergency room physicians and critical care physicians, Lindenauer said. "They have been assuming the role of attending physician in those situations," he said. "In some respect, the growth of the hospitalist model of care represents the completion of a series of steps toward specialization that began 30 years ago."

According to Lindenauer, the advent of the hospitalist means another question should be asked when individuals choose a private physician: Will that doctor turn over care to a hospitalist, if and when someone needs hospital care?

"It is a discussion that a patient should have with a primary-care physician when he is thinking about enrolling with that physician," Lindenauer said.

The differences shown in the study -- a shortening of length-of-stay by 0.4 days, on average -- are not great, he acknowledged, but they do add up over time.

"Shortening the length of stay by 0.4 days is small, but when you multiply it out over time by thousands of physicians, the effects can be very large. With 5,000 cases a year, [that's] a savings of 2,000 bed-days," he said.

The study was not able to assess patient satisfaction with treatment by a hospitalist rather than a primary-care physician, Lindenauer said, "But we know that efficiency is important, as important to patients as to physicians." he said.

And while full official recognition of the hospitalist speciality is yet to come, the Society of Hospital Medicine is working closely with the of American Board of Medical Specialties toward such an end, Lindenauer said.

"The differences between hospitalists and other doctors who take care of patients in hospitals are pretty minor," McMahon said. "What really is quite revolutionary is the change in how we take care of patients in the hospital."

More information
There's more on hospitalists at the Society of Hospital Medicine.


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'Tis the Season For Allergy, Asthma

(HealthDay News) -- It's easy for the holidays to become the season of sneezing, congestion and other woes for people with food or other allergies and asthma, say experts at the American Academy of Allergy, Asthma & Immunology (AAAAI).

But some preventive measures can cut symptoms to a minimum, they say.

"Whether it's feasting on holiday meals, setting up your Christmas tree, or visiting your pet-owning relatives, allergy triggers may be lurking inside of our warm, cozy homes this time of year," Alisa M. Smith, vice-chairwoman of the AAAAI's indoor allergen committee, said in a prepared statement. "Unfortunately, with busy schedules, travel time and the stress of the holidays, it is easy to forget to take the proper care when dealing with allergies and asthma.

However, avoiding potential triggers and taking the proper precautions is necessary to keep symptoms under control."

The AAAAI offers the following tips for people with asthma and different types of allergies:
When you're at parties or family gatherings, inform your hosts about your food allergy and ask about the ingredients used to prepare the meal.

Always carry an injectable dose of epinephrine. Homemade meals/snacks don't have ingredient lists and may be contaminated with trace of amounts of allergenic foods through contact with storage containers or kitchen utensils.

Remind family and friends that strict avoidance is the only way for you to manage food allergies and that even a tiny bit of allergenic foods can trigger a dangerous allergic reaction.
If you're visiting homes where there are pets, take your allergy medication beforehand.

Real Christmas trees often carry microscopic mold spores that can cause allergic symptoms such as sneezing, water eyes, and an itchy nose.

Decorations and artificial trees can gather mold and dust while in storage. Clean them before you start putting them up.

Artificial snow can irritate your lungs if you inhale it. Be sure to follow directions when spraying artificial snow on windows or other surfaces.

The stress of the holiday season can sometimes trigger an asthma attack. Monitor your stress levels. If you do feel stressed, deep breathing and relaxation may help.

If you're sleeping away from home, bring your own pillow with an allergen-proof cover. Ask for down-free pillows.

Avoid wood smoke, which can trigger an asthma attack.

More information
The American Academy of Family Physicians has more about controlling allergy symptoms.

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Gene Tweak Reverses Aging in Mouse Skin Cells

(HealthDay News) -- Scientists say they've been able to temporarily return old skin cells to their youthful state by blocking the activity of a single gene.

"This gene gets more and more active with age," said lead researcher Dr. Howard Chang, an assistant professor of dermatology at Stanford University. "It doesn't exist to make us old. It is active in a number of processes, including the immune system and inflammation."

Chang said tweaking the gene, which produces a protein called NF-kappa-B, will not serve as a "fountain of youth" for the foreseeable future. The protein has a number of functions, some involved with cancer, and as-yet-unknown side effects must be explored before its safety is known. But one possible use is to help heal wounds more quickly in older people, he noted.

What's exciting about the discovery is that a single gene can have an immediate effect on older cells, Chang said. "People have known that you can affect the aging process with drastic interventions, like calorie restriction. Now we are talking about a single gene that, if blocked in an individual who is already old, can return cells to a youthful status, at least temporarily."

The researchers came across NF-kappa-B by searching existing data on genes that become more or less active as people get older. They found that the activity of a number of those genes is regulated by the protein.

They then used a genetically engineered mouse model to test the effect of inhibiting NF-kappa-B activity in a patch of skin cells.

After two weeks, a patch of treated skin from a 2-year-old mouse not only had the same genetic activity as that of a newborn animal but also looked more youthful, with more dividing cells.
It's fascinating "to engineer a mouse so that the rest of the mouse is old, but that one patch is young, to see that even locally, in a targeted way, you can affect the aging process," Chang said.

The finding also adds support to the theory that aging is not simply a process of wear-and-tear but the result of specific genetic changes, he said. And it shows that at least locally and temporarily, those changes can be stopped, Chang added.

The gene treatment has to be used cautiously, because NF-kappa-B is involved in so many different processes in the body, he noted.

A question to be asked now is, "What is the long-term effect of blocking the aging process for a while?," Chang said. "Would the tissue age rapidly again after the treatment stopped, or would they take much longer to age? It's important to sort these things out."

Long-term blockage of the gene would raise serious issues in terms of side effects, Chang said, since the gene is involved in so many body processes. Short-term use -- for wound healing, for example -- might sidestep those problems.

More information
There's more on skin aging at the U.S. National Library of Medicine.

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Depression Linked to Bone Loss in Younger Women

(HealthDay News) -- Premenopausal women struggling with depression have lower bone mass than do non-depressed women in the same age range, a new study found.

The bone loss was most pronounced in certain regions of the hip, which is troubling given that hip fractures are one of the most serious -- and potentially fatal -- consequences of osteoporosis.

The level of bone loss seen in the depressed women was the same or higher than that associated with other, established risk factors for osteoporosis, including smoking, low calcium intake and lack of physical exercise, the researchers said.

The findings, published in the Nov. 26 issue of the Archives of Internal Medicine, could have implications for the prevention of osteoporosis.

"Premenopausal women with depression should be screened for low bone mass," said Dr. Giovanni Cizza, senior author of the study who conducted the research while at the U.S. National Institute of Mental Health. "They should do a bone mineral density measurement, because osteoporosis is a silent condition. Until someone fractures, you don't know you have osteoporosis."

Cizza is now a staff clinician at the U.S. National Institute of Diabetes and Digestive and Kidney Diseases.

A woman's bone mass peaks during youth then thins after menopause. Previous, preliminary studies had suggested that depression might be a risk factor for low bone mass in older women.

For this study, Cizza and his colleagues looked at 89 women with depression and 44 women without depression. The women ranged in age from 21 to 45. The depressed women were taking antidepressant medications.

Seventeen percent of the depressed women had thinner bone density in the femoral neck, a vulnerable part of the hip. Only 2 percent of non-depressed women, by contrast, had thinner bone in this area.

Twenty percent of depressed women also had low bone density in the lumbar spine, compared with 9 percent of the non-depressed women.

Blood and urine samples also revealed that the depressed women had lower levels of "good" proteins called cytokines. "The bad cytokines that may cause bone loss are higher," Cizza said.

It's not clear what role antidepressants might play, but by relieving the depression, the drugs may also help bone mineral density, the researchers said.

More information
To learn more about bone health, visit the National Osteoporosis Foundation.

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Sleep Problems Plague the Older Set

(HealthDay News) -- Older Americans often have difficulty getting a good night's rest. It's a huge quality-of-life problem, experts say, because contrary to popular belief, seniors require about the same amount of sleep as younger adults.

"Sleep problems and sleep disorders are not an inherent part of aging," said Dr. Harrison G. Bloom, a senior associate at the International Longevity Center-USA and associate clinical professor of geriatrics and medicine at the Mount Sinai School of Medicine in New York City.

"It's pretty much of a myth that older people need less sleep than younger people."

Yet, in a study published recently in The American Journal of Medicine, researchers found that more than half of older Americans have problems getting the shuteye they need.

Older people tend to have "sleep fragmentation," meaning they wake up more often during the night, said study author Dr. Julie Gammack, an assistant professor of medicine in the Division of Geriatric Medicine at St. Louis University.

They also seem to get less "REM" sleep, the type of sleep during which rapid eye movement occurs, Bloom added.

It's unclear what role these naturally occurring changes in sleep patterns have on a person's quality of life, Bloom said. "What is important, though, is that older people often have actual sleep disorders and problems with sleep," he said.

And, experts say, there is usually more than one cause.

"Sleep disturbance in older adults is typically associated with acute and chronic illnesses, including specific sleep disorders like sleep apnea and restless leg syndrome that appear with greater frequency in older populations," said Michael V. Vitiello, a professor of psychiatry and behavioral sciences and associate director of the University of Washington's Northwest Geriatric Education Center.

As people age, they typically develop more diseases and suffer from aches and pains. "These things can disrupt sleep, so what they may perceive as a sleep disorder may actually relate to the effects of some of their other medical problems," Gammack noted.

Taking multiple medications, as many older people do, can also lead to fatigue and "hypersomnia," or being tired all the time, Bloom added.

Another big problem, he noted, is depression and anxiety. "Those are very commonly associated with sleep problems."

Despite the prevalence of sleep difficulties in older adults, many patients aren't getting the help they need.

"The average physician receives very little training about sleep disorders and typically does not routinely screen patients for them," said Vitiello, who serves on the board of directors of the National Sleep Foundation. This may be due to a lack of time or training or the belief that there is little that can be done to improve sleep, he explained.

As a result, problems like insomnia, restless leg syndrome, sleep apnea and circadian rhythm disorders are underdiagnosed and undertreated, Bloom said.

To rectify the problem, a national coalition of aging, geriatric medicine and sleep organizations is currently developing guidelines to promote prevention, diagnosis and treatment of sleep problems in older adults. The National Coalition for Sleep Disorders in Older People expects to publish its recommendations by mid-2008.

"The reason we're concerned with these [problems], besides a major issue on quality of life and being tired the next day and not functioning properly, is that these sleep disorders are associated with hypertension, diabetes, pulmonary disease, heart disease, depression and anxiety," said Bloom, chairman of coalition's expert task force.

A cause-and-effect relationship has yet to be established between sleep disorders and these chronic health problems, but Bloom suspects they at least contribute to each other. And he believes a causal relationship may be found in years to come.

"This is very, very much a tip-of-the-iceberg problem," he said.

More information
For tips on better sleep, visit the National Sleep Foundation.

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Energy Drinks Could Pose Blood Pressure Risks

(HealthDay News) -- Energy drinks boost blood pressure and heart rate and could pose risks to people with hypertension and heart disease, say Wayne State University researchers.

They found that drinking two cans of a popular energy drink increased blood pressure and heart rate in 15 healthy adults, average age 26.

Within a few hours of having the energy drinks, the volunteers' systolic blood pressure (top number) increased by as much as 9.6 percent, and diastolic blood pressure increased by as much as 7.8 percent. Heart rate increased by as much as 11 percent.

"This occurred while participants were sitting in chairs watching movies," study leader James Kalus noted in a prepared statement. "The increase in heart rate and blood pressure weren't enough for something to happen acutely, but a person on hypertension medication or who has a cardiovascular disease may not respond as well."

"While energy drinks increase concentration and wakefulness, people with risk factors for heart disease could have a bad reaction. The subjects in this study were healthy with low blood pressure," Kalus added.

He and his colleagues noted that most energy drinks contain high levels of caffeine and an amino acid called taurine, both of which have been shown to have effects on heart function and blood pressure. The researchers emphasized that energy drinks are different from sports drinks, which don't contain ingredients designed to heighten alertness.

The study was expected to be presented Nov. 6 at the American Heart Association annual meeting, in Orlando, Fla.

More information
The Nemours Foundation has more about energy drinks and food bars.

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High Co-Pays Cause Seniors to Go Without Meds

(HealthDay News) -- Seniors enrolled in Medicare plans that charge higher co-pays for brand name or non-preferred medications fill almost 15 percent fewer prescriptions than their peers who have a flat co-pay for all prescription medications, a new study finds.

The data highlights a tough decision for older Americans: Spend more or skip some of their medicines, including those for chronic diseases such as diabetes and high blood pressure.

"Consumers are sensitive to price. When they have to pay more, they tend to consume less," senior researcher Boyd Gilman said in a prepared statement.

Gilman and colleagues at Cambridge, Mass.-based Mathematica Policy Research Inc, analyzed spending on prescription drugs among almost 353,000 Medicare beneficiaries with employer-sponsored retiree drug coverage.

They compared spending by those in single-tiered plans to those in three-tiered prescription drug plans. Three-tiered plans charged retirees higher co-pays for using drugs that were not generic or preferred name brands, or that were less obviously medically necessary, whereas single-tier plans charged a flat $5 or $10 co-pay for all prescribed medications.

Writing in the online September issue of Health Services Research, the researchers reported that people enrolled in three-tiered plans spent 14.3 percent less on prescriptions and filled 14.6 percent fewer prescriptions compared to their peers with single-tier plans. Those in three-tiered plans typically relied on generics when they purchased medications, reported Gilman.

The data also showed that people with three-tiered plans had 57.6 percent higher out-of-pocket costs and filled 11.5 percent fewer prescriptions for ongoing medical needs such as diabetes, arthritis and high blood pressure.

"The use of prescription medications is fairly predictable. People know what drugs they need, and they can find out whether their drugs are covered by a plan, and -- if they are covered -- whether they belong to a lower-cost tier or a higher-cost tier," Gilman said.

More information
To learn more about choosing a Medicare drug plan visit the U.S. Department of Health and Human Services.

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Child Maltreatment Rises in Homes of Soldiers Sent to War

(HealthDay News) -- A U.S. Army-sponsored study finds that children of enlisted soldiers are more likely to be abused or neglected when a parent is deployed to a combat zone.

The findings point to the need for more support services at home, the study authors said.

"The practical implication is that child maltreatment incidents are much more likely to occur during soldier deployments than during other times, and this really underlines the necessity of formal and informal support for parents who are going through this," said Deborah A. Gibbs, lead author of the study and a senior analyst with the Children and Families Program at RTI International in Research Triangle Park, N.C. "Our findings really put a number on the extent of the problem and suggest the areas in which supports are most necessary."

The study is published in the Aug. 1 issue of the Journal of the American Medical Association, a theme issue on violence and human rights.

U.S. Army support of the study should give the issue of child abuse in general even more of a spotlight, experts said.

"The fact that the military is taking an interest is going to be helpful for the whole nation," said Dr. Rachel Bramson, associate professor of family and community medicine with the Texas A&M Health Science Center College of Medicine and the Scott & White Clinic in College Station, Texas. "A lot of times if you have an organization of complexity with the degree of resources and the appropriate interest in their employee and family health, then you can bring about greater social change," she added.

U.S. Army spokesman Lt. Col. Ben Clark is deputy director of family programs, Family Advocacy Program, Army Family and Morale, Welfare and Recreation Command. Responding to the study, he said, "What they [the researchers] see is pretty consistent with what we see.

We see an increase of neglect cases when we have large deployments. We're getting resources to help with that."

Deployment of a parent results in added stress, particularly to the parent left behind. Stress, in turn, is thought to play a role in child maltreatment, including neglect, physical abuse, emotional abuse and sexual abuse.

In 2004, there were more than 1.1 million American military families with children younger than 18.

Although there is not a long history of research in this field, previous studies have found that children of parents in the U.S. military serving in Iraq and elsewhere have higher blood pressure, heart rates and stress levels than other youngsters, and that children from military families are twice as likely to die from severe abuse as other children are.

Gibbs and her colleagues looked at confirmed incidents of child maltreatment by a parent in 1,771 families of enlisted U.S. Army soldiers who had been deployed to combat at least once between September 2001 and December 2004.

In total, 1,858 parents in these families had maltreated their children. The overall rate of child maltreatment was 42 percent higher during the times when the soldier-parents were deployed, compared to when they weren't deployed.

Moderate or severe maltreatment was 61 percent higher during deployment periods as compared to non-deployment periods.

While rates of child neglect were nearly double during deployment, the rate of physical abuse was less.

The rate of maltreatment by female civilian spouses was more than triple during times of deployment. Male civilians had a higher rate of maltreatment during these periods, but not significantly so, the study found.

The rate of child neglect by civilian female spouses was nearly four times the rate at other times.

"When people are stressed, there's a much higher likelihood of abuse. It's true of any situation," Bramson said. "Also, most abusers were themselves abused. The key is preventing abuse, so you don't raise kids who are going to go on to be abusers. Luckily, there's more interest in trying to create community interventions. One of the major things is awareness, and that's why I'm excited about this coming from the military. That's going to get some attention."

Among the themed issue's other reports:
Almost 40 percent of Nepalese sex-trafficked girls and women, many forced into prostitution, who were repatriated tested positive for HIV infection.

Group psychotherapy helped reduce depression among displaced adolescent girls who had survived war in northern Uganda. The interventions were less effective among adolescent boys.
Former Ugandan and Congolese child soldiers who have more symptoms of post-traumatic stress disorder (PTSD) are less likely to be open to reconciliation and are more likely to have feelings of revenge.

Adults displaced by war in northern Uganda have high rates of PTSD and depression. They are also more likely to favor violent means to end the conflict, compared to people without comparable symptoms.

More information
Visit Prevent Child Abuse America for more on this issue.

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Health Tip: Causes of Fainting

(HealthDay News) -- Fainting occurs due to a sudden drop in blood flow to the brain, resulting in brief loss of consciousness. Fainting can be accompanied by dizziness or nausea.
Here are some common triggers, courtesy of the U.S. National Library of Medicine:

• Straining during urination or a bowel movement.
• Excessive coughing.
• Standing for too long in the same position, or quickly standing up from a lying position.
• Severe pain, stress, fear or emotional distress.
• Excessive bleeding or dehydration.
• Medications used to treat conditions like high blood pressure, anxiety, allergies and nasal congestion.
• Use of drugs or alcohol.
• Low blood sugar.

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Cancer Vaccines Are Proving Their Mettle

(HealthDay News) -- Vaccines against deadly pancreatic and head and neck cancers are showing real promise and may one day become an important part of treatment, researchers report.
Researchers are also confirming that cervical cancer vaccines are both highly effective and long-lasting, according to two other studies.

All of the new findings were presented Tuesday at the American Association of Cancer Research's annual meeting in Los Angeles.

In one report, a team led by Andrew Lepisto, a postdoctoral researcher in the department of immunology at the University of Pittsburgh School of Medicine, presented the results of a phase I trial of a vaccine for pancreatic cancer.

In that trial, Lepisto's team gave an immune cell-based vaccine to 12 cancer patients who underwent surgery for pancreatic cancer, one of the deadliest malignancies, because it is often caught too late

"Patients who are eligible for surgery represent about 20 percent of all pancreatic cancer patients," Lepisto said during a teleconference. The five-year survival rate after surgery is only about 20 percent, he added.

"The goal of the vaccine was to raise a strong immune response to prevent the cancer from coming back," Lepisto explained.

"We found that if we did the surgery and followed up with the vaccine, we extended patient's lives from a 20 percent five-year survival rate to over 42 percent," he said. "There are five patients who are long-term survivors."

Lepisto is planning to use the five surviving patients to understand how the immune vaccine extended their lives.

Another study was led by Sanjay K. Srivastava, an assistant professor in the department of pharmacology at the University of Pittsburgh School of Medicine. His team found that an extract of triphala -- the dried and powdered fruits of three plants -- caused pancreatic cancer cells to die in mice.

"Our results demonstrate that triphala has strong anticancer properties given its ability to induce apoptosis [natural, programmed cell death] in pancreatic cancer cells without damaging normal pancreatic cells," Srivastava said in a prepared statement. "With follow-up studies, we hope to demonstrate its potential use as a novel agent for the prevention and treatment of pancreatic cancer," he added.

In a third presentation, a team at the University of Pittsburgh School of Medicine say they've developed a vaccine that uses parts of the immune system to target p53, which is a protein that suppresses tumor growth. The scientists used the vaccine to treat head and neck cancer cells.
"In cancer, p53 is either mutated or altered," Theresa Whiteside, a professor of pathology, immunology and otolaryngology, said during the teleconference. By targeting the unchanged parts of altered p53 cells with a vaccine that activates the immune process, her team was able to produce killer cells that destroyed tumor cells. The vaccine also boosted the supply of immune "helper cells," which help the killer cells do their job.

"We can generate killer cells and helper cells in patients with head and neck cancer," Whiteside said. "On the basis of this study, we have initiated a phase I clinical trial in patients with head and neck cancer," she said.

In two other presentations, researchers presented data on the benefit of widely publicized vaccines that prevent most cervical cancer. The vaccines do so by preventing infection with the major strains of human papillomavirus (HPV), thought to be the cause of most cervical malignancies.

In the first report, Dr. Stanley Gall, a professor of obstetrics and gynecology at the University of Louisville, and colleagues reported that a new HPV vaccine made by GlaxoSmithKline was safe and effective.

"The vaccine was 100 percent effective in preventing precancerous lesions from HPV types 16 and 18 for up to five to six years," Gall said during the teleconference. These types of HPV account for about 72 percent of all cervical cancers, he said.

Overall, the vaccine showed 68 percent efficacy regardless of the type of cancer-causing HPV virus, Gall said. "The protection goes beyond what is expected from a vaccine that is targeted to type 16 and 18 alone," he said. "It protected against type 45 and 31 and also extended protection up to five years," he said.

In the other report, Dr. Darron R. Brown, a professor of medicine and infectious disease, at the Indiana University School of Medicine, and colleagues showed that the currently available vaccine, Gardasil, made by drug giant Merck, is 99 percent to 100 percent effective in preventing cervical cancer from HPV types 16 and 18. The study involved more than 12,000 women.

"In addition, 241 women who received Gardasil five years ago are still 100 percent protected from HPV 16 and 18 and have high sustained antibody levels," Brown said during the teleconference. "This is very encouraging," he said.

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Breast Cancer Vaccine Shows Promise

(HealthDay News) -- U.S. scientists say they've developed a breast cancer vaccine that stimulates a powerful immune system response to tumor cells.

In mice, the "synthetic peptide" vaccine stimulated an anti-tumor T-cell response that identified and prevented the spread of breast cancer cells. T-cells are white blood cells that play an important role in immune response.

A team at the Mayo Clinic in Rochester, Minn., tested the vaccine on female mice that had the cancer-producing oncogene HER-2/neu. The mice received the vaccine at the early stage of tumor development.

The vaccine either slowed or stopped the progression of breast cancer in all the mice, the team reported Tuesday at the annual meeting of the American Association for Cancer Research in Los Angeles.

Because synthetic peptides alone do not usually trigger a strong immune response, the vaccine was given in combination with a "Toll-like receptor" stimulant, which mimics the way invading bacteria would spur the immune system into action.

"We found that we could train the immune system to recognize these synthetic peptides as dangerous foreign agents of the HER-2/neu gene by mimicking what the bacteria would do in your body. The body responded by killing everything that expressed HER-2/neu in high amounts," study author Dr. Pilar Nava-Parada said in a prepared statement.

Using this approach, it would likely take only one immunization to build an immune system response powerful enough to destroy a tumor.

To date, attempts at creating effective cancer vaccines have produced mixed results. This and other new studies suggest that scientists are moving closer to creating viable cancer vaccines, the Mayo researchers said.

More information about breast cancer.

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Male Breast Cancer Deadlier for Blacks

Male Breast Cancer Deadlier for Blacks

(HealthDay News) -- Black men are more likely than white men to die of breast cancer, concludes a study that urges more research into racial disparities in male breast cancer.

Male breast cancer accounts for less than 1 percent of all breast cancers and less than 1 percent of all cancers in men, according to background information in a news release about the study.

In 2006, about 1,700 men were diagnosed with breast cancer in the United States, and the disease killed about 400 men.

The incidence of male breast cancer has been rising, increasing about 60 percent between 1990 and 2000.

In the study, researchers at Columbia University, New York City, studied 510 men over age 65 who were diagnosed with stage 1-3 breast cancer between 1991 and 2002.

Five-year survival rates were about 90 percent for the 456 white men in the study and 66 percent for the 34 black men.

The findings are reported in the March 20 issue of the Journal of Clinical Oncology.

"Racial disparities in outcomes in women with breast cancer have been well studied. This study shows that similar racial disparities exist for men. While male breast cancer is rare, understanding the factors that black men and women with breast cancer have in common may help us understand the reasons for these disparities," study senior author Dr. Dawn L. Hershman, an assistant professor of medicine and epidemiology at Columbia's Herbert Irving Comprehensive Cancer Center, said in a prepared statement.

"These findings support more investigation into the clinical and biologic factors that contribute to racial disparities in male breast cancer. While many different factors are likely to be involved in the disparity, this study provides some clues that lower access to standard treatment may be an important one," Hershman said.

More information
The American Cancer Society has more about male breast cancer.

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Sauna Therapy and Healing

Fever
A fever is the body's highly evolved attempt to destroy invading organisms and to sweat impurities out through the skin Fever is an effective natural process of curing disease and restoring health, heat therapy, or hyperthermia, represents a way to create fever to call out his natural healing process.

Heat Therapy
The Secret of Hyperthermia, or heat therapy, is that cancer cells are vulnerable to high temperatures. Heat the cancer cells and they can be easily destroyed, especially if the tumor lies close to the skin surface. In the process, patients can reduce or even eliminate the need for radiation.

The Principle
The principle behind hyperthermia is simple: heat cancer cells and they can be killed easily. Direct killing of cancer cells begin to occur when the cancerous tissue reaches about 104 F to 105.8F. Only a relatively small rise in body temperature can make a huge difference says Dr. R Atkins who includes heat therapy in his cancer protocols.

Unlike normal tissue, tumors have poor blood flow relative to their metabolic needs and cannot dissipate the heat, so they tend to get hotter than the surrounding area. Rapidly dividing cells (i.e., cancer cells) are more vulnerable to the effects of heat. Normally, part of the damage caused by radiation is repaired by the cancer cells, enabling some to survive; however, heat foils this self-repair ability. Taken together, these facts tend to make tumors more vulnerable to heat treatment than normal cells. Hyperthermia is now approved in the U.S. for treatment of breast cancer recurrence.

Detoxification
Practitioners of alternative medicine have long recognized hyperthermia as a useful technique in detoxification therapy because it releases toxins stored in fat cells. Hyperhtermia can be used to remove fat-stored chemicals such as pesticides, PCBs, and drug residues from the body. Only recently ha conventional medicine caught up with this practice and begun to incorporate hypertheria in the orthodox treatment protocols for cancer.

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Steam & Sauna Bathing Offers Multiple Rejuvenating & Healing Benefits

Written by The International Steam Therapy Association

Part 1
Most people laugh when they hear that the Finnish Olympic team lugs a portable sauna with them wherever they go. However, the fair-haired Nordic athletes might be doing more than simply acting out a home-sick longing for the slender birch trees and island dotted lakes of the homeland. They could be on to a secret, non-drug-induced means of giving themselves an edge in the fierce competition of modern-day Olympics.

Although most people simply consider it a pleasant means of relaxation, sweat therapy might in fact have powerful heath-enhancing effects.

In the test of time is any measure, steam bathing has certainly withstood it. For thousands of years people of all cultures have indulged in the soothing warmth of sweat baths. The Romans are well-known for their elaborate baths. The wealthy of 200 B.C. India did not consider their mansion complete unless it included a bathhouse with a steam room. The Muslim Hamman, or bathhouse, with its domed, central steam chamber is stall an integral part of life in Muslim countries. A derivation of the Hamman, the Turkish bath, has been popular in Europe for centuries.

Today, steam and sauna facilities are an integral part of the hydrotherapeutic offerings at European and American spas, and steam rooms and saunas are a common feature of health clubs and public pools. Yet, there is surprisingly little awareness of the wide ranging benefits of steam and sauna bathing. There is evidence that these sweat-inducing treatments stimulate the immune system, improve circulation, and help the body to purge itself of impurities.
Hippocrates, the founder of Western medicine more than two-thousand years ago said, "Give me the power to create a fever, and I shall cure any disease."

Although often misunderstood as a symptom of disease, fever actually is a part of the body's natural healing response. Steam baths, sauna, and other heat-inducing treatments elicit similar healing responses in the body, and consequently are often called "artificial fevers".

During a fever, the functioning of the immune system is stimulated, while the growth of bacteria and virus is forced to slow down. The production of white blood cells, the primary agents of the immune system, is increased, as is the rate of their release into the blood stream. The generation of antibodies speeds up, as does the production of interferon, an anti viral protein that also has powerful cancer-fighting properties.

Apart from stimulating the immune system, fever slows down the proliferation of invading organisms by creating an inhospitable environment. At 104 degrees F., for example, the growth rate of the polio virus is reduced up to 250 times; at 106 degrees pneumococcus, a bacterium responsible for pneumonia, dies.

Part 2
Before the advent of antibiotics, syphilitics were often infected with malaria to prevent the spread of the disease. In addition, there is evidence that the frequent fevers of malaria might function as a cancer-protecting factor. Dr. Paavo Airola in his book, Worldwide Secrets of Staying Young relates the story of the Pontine swamps near Rome in Italy, which, until a few decades ago, were a breeding ground for malaria-carrying mosquitoes. The swamps were dried out, and the malaria disappeared. However, during the next decades, that area, which had before been almost free of cancer, saw an increase in cancerous diseases. After a generation, the cancer incidence level of that area had reached the level of the rest of Italy.

Malignant cells are selectively destroyed at temperatures of 106 to 110 degrees F., so the frequent fever attacks of people in the malaria-infected area might have mobilized the body's own defenses too frequently for a cancer to take hold.

Although the artificial fever induced by sweat therapy does not have the comprehensive effect of real fever, it still produces a striking effect on a number of bodily processes.

There is evidence that artificial fever works as an immune system stimulant by increasing the number of white blood cells in the body. In a 1959-review of studies on the effects of heat treatments, Mayo Clinic researcher Dr. Wakim and colleagues cite findings indicating that the number of white blood cells in the blood increased by an average of 58% during artificially induced fever. Researchers also have found increases in the activity of the white blood cells during induced fever.

In addition, as in the case of bodily induced fever, the raised temperature during the artificial fever reduces the growth rate of most bacteria and viruses, giving the immune system time to mobilize its own forces. Indeed, many regular steam or sauna bathers have experienced that a good, long sweat bath at the early onset of a cold or flu can help ward off the disease before in manifests as actual symptoms.

Apart from the immune system-stimulating effects of sweat therapy, many thought it as one of the most effective and painless detoxifying treatments available.

Dr. Veronica Butler, medical co-director at the Raj, a health center based on principles of Ayurveda, recommends herbalized steam baths, called swedenas, to clients as part of the ancient Ayurvedic purification treatment, known as panchakarma.

According to the classical Ayurvedic texts, for maximum results, a swedena or steam bath should be given while keeping the head cool and the client supine.

"A swedena clears the shrotas, the channels through which the biological intelligence flows," says Dr. Butler. "If impurities clog these channels, the flow of intelligence in the body becomes more susceptible to disease."

Part 3
Heat speeds up the chemical processes in the body, making steam and sauna bathing one of the simplest and most comfortable ways to rid the body of accumulated toxins. As the pores open up and the million of sweat glands start to excrete, the body rids itself of metabolic and other waste products. Sweat contains almost the same elements as urine, and for this reason, the skin is sometimes called the third kidney. It is estimated that as much as 30% of bodily wastes are eliminated by way of perspiration.

However, more than common metabolic waste products are secreted through the skin. Natural health practitioners often notice that when heavy smokers get a steam bath for a body wrap (where the body 'simmers' for up to 45 min. Under hot covers), they will leave a yellow residue on the towels. Reino Tarkianinen, President of Finlandia Sauna, reports that when the company replaces sauna benches from public baths, a thick, black layer of accumulated tar can be found underneath the benches.

In Finland, research is being done on the use of sweat therapy in the treatment of people who are chemically affected. The purifying effects of perspiration could also be behind claims that steam and sauna treatments can help cur or control such ailments as acne and arthritis.

Last but not least, steam and sauna bathing produces powerful therapeutic effects simply by increasing circulation. As the carrier of the rebuilding forces of the nutrients to all parts of the body, the bloodstream plays a crucial role in the maintenance of health.

Steam and sauna treatments have a stimulating effect on the cardiovascular system. The pulse rate increases from 75 beats per minute to between 100-150 beats per minute during a 15-20 minute treatment. This increases blood circulation, but not blood pressure, since the heat also causes the tiny blood vessel in the skin to expand, accommodating the increased blood flow. The dilation of the capillary vessels enables the bloodstream to carry great amounts of nutrients to the skin, enhancing the nutritive status of the skin. The flushed, youthful look that steam and sauna bathers maintain for up to several hours after treatment is due to this effect.

Which is the best way of taking a steam or sauna treatment?
First of all, it is good to be aware of the distinction between the two. Most people think of the heat of a sauna as dry heat and the heat of a steam room as wet, humid heat. This distinction is only partially correct. Sauna bathers in Finland splash water on the heated stones in the sauna, raising the humidity level to as much as 40%. Without that, the hot, dry sauna air can irritate the mucus membranes.

Part 4
In the hydrotherapeutic tradition used at European and America spas, sweat therapy is used in preparation for massage as a means of increasing the suppleness of the muscles and creating a deep sense of relaxation in body and mind. In the Ayurvedic tradition of India, which has gained popularity in the U.S. in recent years, steam treatments are part of the traditional purification treatment panchakarma, where they are used after massage to help the body get rid of toxins dislodged during the treatment.

Sweat treatments can also be enjoyed on their own, as a workout for the cardiovascular system, a deep-cleansing treat for the body, an immune system booster, and a soothing and invigorating refreshment for the mind.

There are a few precautions to keep in mind. Because of the increase in cardiovascular activity caused by the high heat, sweat therapy is not recommended for people with heart disease or other cardiovascular problems. Individuals with high blood pressure pressure should first consult their doctor.

In addition, the treatment is not advised for pregnant women, small children, or the elderly. Do not take a sweat treatment if you have a fever or an open wound. If you have been working out, be sure that your body has had time to cool down before exposing it to the heat of a sweat bath.

Limit treatment time to 10 to 15 minutes. Drink plenty of water of herbal tea before and after the sweat bath to replace fluids lost during the treatment. The sweat glands can secrete up to 30 grams of sweat per minute, or almost one pint per 15 minutes, so dehydration is a very real possibility, if you are not careful. Fatigue and other indications of dehydration can occur with as little as 1 to 2% loss in body weight.

The main thing to keep in mind is to enjoy the process. Do not push your body beyond its comfort level; the point is not to sweat it out the longest, but to allow your mind and body to luxuriate in this health-enhancing and invigorating miniature spa treatment.

Working up a sweat is one of our oldest folk remedies. "Give me an opportunity to create fever and I will cure any illness," said the Greek physician Paramenides two thousand years ago.

Today, besides creating a relaxing sense of well-being, relaxes and loosens muscles tissue, reducing daily buildup of tension and increasing muscle flexibility:
-boosts blood circulation, which helps aching and injured muscles to recover faster, because the stronger the flow of blood, the faster metabolic waste products are carried off. -stimulates vasodilatation of peripheral blood vessels, which relives pain and speeds healing of sprains and strains; -speeds up the metabolic processes of vital organs and endocrine glands resulting in a calorie loss of between 200 and 450 in a 20 minute session.

Part 5
According to Michael Marino, research associate at Lennox Hill Hospital's Institute of Sports Medicine and Athletic Trauma in New York City:
"….. heat exposure stimulates the hypothalamus, the gland that normally maintains and stabilizes body temperature to dissipate the excess heat. Heart rate increases as more blood flow is diverted from the inner organs towards the extremities of the skin. This automatic "cooling" reaction is actually a form of beneficial stress, a passive kind of cardiovascular exercise that helps to keep the body's system alert and functioning well."

The beneficial stress of heat on the heart is confirmed by physical fitness expert Bernard Gutin, Professor of Applied Physiology and Education at Teacher's College, Columbia University:
"Heat acts as a form of mostly beneficial stress on the body that produces physiological changes in heightened blood pressure, stepped-up heart rate and an increase in stress hormones."
According to Dr. Paavo Aviola, an author in health matters:

"The sauna increases the eliminative, detoxifying and cleansing capacity of the skin by stimulation of sweat glands. A steam bath provides a mild cleansing process for the skin as certain body fluids are released through the skin. It also promotes healthy skin tone and texture due to increased blood circulation."

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