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Category Archives: Integrative Medicine
High-fiber diet associated with improved progression-free survival and response to immunotherapy in melanoma patients – Newswise
Posted: December 24, 2021 at 2:36 am
Newswise HOUSTON Patients with melanoma who reported eating more fiber-rich foods when they began immunotherapy treatment survived longer without cancer growth than patients with insufficient dietary fiber intake, according to new research from The University of Texas MDAnderson Cancer Center published today in Science. The benefit was most noticeable in patients who did not take commercially available probiotic supplements. Parallel pre-clinical studies supported the observational findings.
Research from our team and others has shown that gut microbes impact response to immunotherapy treatment, but the role of diet and probiotic supplements has not been well studied, said co-senior author Jennifer Wargo, M.D., professor of Genomic Medicine and Surgical Oncology. Our study sheds light on the potential effects of a patients diet and supplement use when starting treatment with immune checkpoint blockade. These results provide further support for clinical trials to modulate the microbiome with the goal of improving cancer outcomes using dietary and other strategies.
Patients who reported eating more fruits, vegetables, legumes and whole grains met the study threshold for sufficient fiber intake. The 37 patients with sufficient fiber intake had improved progression-free survival (median not reached) compared to the 91 patients with insufficient fiber intake (median 13 months). Every five-gram increase of daily fiber intake was associated with a 30% lower risk of cancer progression or death.
When the patients were further grouped according to high- or low-fiber diet and commercially-available probiotic supplement use, response to immunotherapy was seen in 18 of 22 patients (82%) who reported both sufficient fiber intake and no probiotic use, compared to the response seen in 60 of 101 (59%) patients who either reported insufficient fiber intake or probiotic use. Response was defined as complete or partial complete or partial tumor shrinkage or stable disease for at least six months. Probiotic use alone was not associated with a significant difference in progression-free survival or odds of response to immunotherapy.
Dietary fiber is important for gut health, just as it's important for overall health, and the two things are very tightly intertwined, said co-senior author Carrie Daniel-MacDougall, Ph.D., associate professor of Epidemiology. In this study, we saw that dietary fiber also may be important to cancer treatment, which brings us to a point where we can design interventional studies to answer the questions that patients really want answered: Does what I eat now matter and could it impact my treatment outcome? Were united in working to find answers for our patients.
Differences in gut microbiota and pre-clinical models
The study began with analyzing the gut microbiome profiles of 438 melanoma patients, 321 of whom had late-stage disease and were treated with systemic therapy, and 293 of whom had an evaluable response to treatment over follow-up. The majority of these patients (87%) received immune checkpoint blockade, most commonly PD-1 inhibitors. A total of 158 patients also completed a lifestyle survey of antibiotics and probiotics usage; of these, 128 completed a dietary questionnaire as they began immune checkpoint therapy.
The research team reinforced their prior findings, which showed a higher abundance of Ruminococcaceae and Faecalibacterium prausnitzii well-known and potentially beneficial bacteria involved in the digestion of fiber or starch in patients who responded to immunotherapy. In contrast to the previous findings, overall diversity of gut bacteria was not associated with response to immunotherapy, potentially due to the larger size of this patient cohort.
The researchers also tested higher versus lower fiber diets and probiotic use in several preclinical melanoma models to shed light on the potential mechanisms behind the observational findings from the patient cohorts. In multiple models, probiotic use was associated with impaired response to immune checkpoint blockade, larger tumors, lower gut microbiome diversity and less cytotoxic T cells in the tumor microenvironment. A high-fiber diet was associated with slower tumor growth and significantly higher frequency of CD4+ T cells in pre-clinical models treated with PD-1 inhibitors.
Clinical trial to build on findings, test effect of dietary intervention
Based on the early study findings, a randomized clinical trial (NCT04645680), led by co-first author Jennifer McQuade, M.D., assistant professor of Melanoma Medical Oncology, will examine how whole-food-based diets with varying fiber content affect the microbiome and immune response. The study is currently enrolling patients with stage III-IV melanoma who are receiving immunotherapy.
Our research teams within the Program for Innovative Microbiome and Translational Research (PRIME-TR) and Bionutrition Research Core at MD Anderson are collectively working to transform cancer therapy by modifying the microbiome, Wargo said. Were grateful to the patients and families who have participated in our research and are hopeful that this work will ultimately provide evidence-based guidance to help patients take control of their own diets to improve their odds against cancer.
The study was supported by the Melanoma Moon Shot, part of MD Andersons Moon Shots Program, a collaborative effort designed to accelerate the development of scientific discoveries into clinical advances that save patients lives. Additional research support included funding from National Institutes of Health and National Cancer Institute (1R01 CA219896-01A1, P30 CA016672), the Andrew Sabin Family Fellowship Program, Department of Defense, MD Anderson Multidisciplinary Research Program, MD Anderson Physician Scientist Program, Melanoma Research Alliance, Sean Parker Institute for Cancer Immunotherapy at MD Anderson, Stand Up to Cancer and U.S.-Israel Binational Science Foundation.
In addition to Wargo and Daniel-MacDougall, MD Anderson co-senior authorship also included Lorenzo Cohen, Ph.D., professor of Palliative, Rehabilitation and Integrative Medicine. Wargo is an inventor on a U.S. patent application that covers methods to enhance immune checkpoint blockade responses by modulating the microbiome. A full list of co-authors and their disclosures can be found in the paper.
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Taking This Supplement To Prevent Depression Is A Myth, Says New Study Eat This Not That – Eat This, Not That
Posted: December 24, 2021 at 2:36 am
As the days get colder and the nights get longer, the rates of winter seasonal depressionincrease. In some parts of Sweden, depression rates can increase up to 10% in the wintertime. Harvard Health says this can occur due to a lack of light exposure, which throws off your circadian cycle, affects your mood, and releases less serotonin (the feel-good hormone) than normal. Typically consumers look for ways to combat feelings of depression with supplementation, and one of the most commonly used supplements includes omega-3 fatty acids.
And yet, while previous analyses have made links between omega-3 fatty acid consumption to prevent depression, a new study published in JAMA Network debunks the myth by stating that omega-3 fatty acid supplementation does not prevent depression in adults.
This randomized clinical trial included 18,353 adults over the age of 50, who didn't have depression or clinically relevant depressive symptoms to start. The study had some participants consuming an omega-3 supplement compared to a group that took a placebo over a five-year treatment period. Through mood scoring, researchers found no significant differences in the omega-3 group compared to the placebo group. They concluded that the use of omega-3 supplementation is not advised as a depression preventer for adults.
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These findings are shocking when held up to other previous research, which states the opposite about omega-3 supplementation.
One Nutrients study published in 2020 was able to link consumption of eicosapentaenoic acid (EPA)a type of omega-3 fatty acidand feelings of happiness and fulfillment for a study of 133 participants. This type of omega-3 is found in cold-water fish, like salmon.
Another review in Neuroscience & Therapeutics, evaluated three different studies regarding omega-3 fatty acids as a treatment for depression and concluded that consumption of EPA saw benefits for adults with depression, but only for a very small number of participantsbetween 8 and 28 for each study.
Nevertheless, one report published in Integrative Medicine Research evaluated different studies that claim omega-3 fatty acids as an effective depression treatment and found no connection with their findings. The most recent JAMA Network study solidfies this conclusion through their randomized controlled trial, with over 18,000 participants contributinga significantly higher number compared to other conducted studies.
Whether it's seasonal, clinical, bipolar, postpartum, or the other types of depression that can occur, there is no conclusive evidence to show that omega-3 fatty acid supplementation will work to prevent it.
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5 Best Acupuncture in Milwaukee, WI – Kev’s Best
Posted: December 24, 2021 at 2:36 am
Below is a list of the top and leading Acupuncture in Milwaukee. To help you find the best Acupuncture located near you in Milwaukee, we put together our own list based on this rating points list.
The top rated Acupuncture in Milwaukee, WI are:
Milwaukee Community Acupuncture offers low-cost, quality, and customized acupuncture treatments to individuals of all means and backgrounds. Their objective is to break down the barriers to healthcare and share the benefits of acupuncture in hopes of bringing physical and emotional health to their community as a whole. Milwaukee Community Acupuncture endeavors to make a friendly and safe setting for everyone in their community.
They understand that by seeking treatment their patients are putting an enormous level of trust in their clinic and they respect and honor their relationships with their patients.
Products/Services:
Acupuncture, Cupping & Gua Sha, Infrared Sauna, Healium Restore Yoga
LOCATION:
Address: 435 E Lincoln Ave, Milwaukee, WI 53207Phone:(414) 943-2915Website: http://www.milwaukeecommunityacupuncture.org
REVIEWS:
I have been doing acupuncture with Amy since April 2019. She is professional knowledgeable kind and friendly, Always compassionate and patiently listening, and being very helpful! I feel grateful I have found her as my very first acupuncturist, providing excellent treatments at affordable rates! All the staffs there are super nice too. Thanks! Highly recommended! Ying W.
Carrie Murphy, L.Ac. Acupuncture & Chinese Herbs particularizes in integrative internal medicine. She works mainly with patients who are also experiencing western medical treatment for conditions. Carrie Murphys main focus is to help patients maximize their vitality while minimizing the number of medications and surgeries they have to undergo. She is a doctor of acupuncture and Chinese medicine in Milwaukees historic third ward.
Products/Services:
Acupuncture, Chinese Herbal Medicine, Distance Healing
LOCATION:
Address: 316 N Milwaukee St, Milwaukee, WI 53202Phone:(414) 389-8881Website: http://www.carriemurphylac.com
REVIEWS:
Carrie helped me with Plantar Fasciitis. She takes great care with her patients. Not only did she rid me of this awful pain, she also explained why I had it so that I have been able to exercise and keep it from happening again. She is currently working on an eye issue for me. I have recommended Carrie to everyone interested in acupuncture and Chinese medicine. Milwaukee is very fortunate to have her and her wonderful healing abilities. Adrienne La R.
Healing House Acupuncture & Wellness provides acupuncture services incorporated with other non-needle TCM therapies to aid you to improve your well-being and maintaining healthy habits. Their approach concentrates on preventative and wellness care. They promote the value of a healthy and clean diet, physical activity, an optimistic outlook on life, and the connection of mind, body, and spirit to achieve optimal health.
With over 4 years of clinical experience, Sonia Coln Medina offers acupuncture and traditional Chinese medicine services to people and community groups. Her approach focuses on preventive and wellness care. She believes that when taking care of the body they are simultaneously taking care of mind and spirit. This is the key to wellness and balanced life.
Products/Services:
Acupuncture, Electro-Acupuncture, Auriculotherapy, Acupressure & Tui Na, Cupping, Gua Sha, Moxibustion, Herbs & Chinese Nutrition
LOCATION:
Address: 4727 S Howell Ave, Milwaukee, WI 53207Phone:(414) 744-0774Website: http://www.healinghouse.co
REVIEWS:
I have had a wonderful experience here and it has tranquil energy. I would highly recommend Healing House Acupuncture and Wellness. Sonia has a caring presence to her and she really takes the time to understand your concerns and needs. Amber M.
Dr. David Dai Acupuncture Day & Day Clinic is a nationally board-certified and WI state licensed acupuncturist. In 1982, he got his M.D. degree from Shanghai Medical University, one of the top medical schools in China, and obtained the best medical education and clinical training in both Chinese and Western Medicine. He came to the United States in 1989 and worked at the Medical College of Wisconsin.
Dr. Dai started Day & Day Acupuncture Clinic in 1995 and has successfully treated numerous patients with many kinds of tough health problems since. Today, he is the number one acupuncturist referred by many doctors, other health providers, and patients.
Products/Services:
Acupuncture & More
LOCATION:
Address: 7020 W North Ave, Milwaukee, WI 53213Phone:(414) 476-8388Website: http://www.drdaiacupuncture.com
REVIEWS:
Ive had right-hand wrist pain because I used my wrists constantly at work. I have never had acupuncture treatment before in my life. Dr. David Dai gave me the first acupuncture session and I could feel my pain relief after finishing. Dr. Dai is very professional and I wont be nervous about my next acupuncture anymore. SRS
KeleMarie Lyons Acupuncture & Herbal Medicine has spent her entire life as a seeker, working with master teachers who propelled her toward inner transformation so that she could share the ancient healing techniques with individuals, like you, who are ready to heal. Its KeleMaries privilege to help people in transition to step into their power through an exceptional combination of therapies including herbal medicine, acupuncture, nutrition, mindfulness meditation, and more.
KeleMarie has worked with persons in the transition for more than 25 years. In fact, she has helped corporate leaders, individuals, athletes, and householders around the world, from the US to Angola and India to China.
Products/Services:
Acupuncture, Herbal Medicine, Nutrition, Mindfulness, Movement
LOCATION:
Address: 9205 W Center St Suite 209, Milwaukee, WI 53222Phone:(414) 737-6000Website: http://www.kelemarielyonsacupuncture.com
REVIEWS:
KeleMarie is a truly genuine person. She believes in what she is doing and proves it because when your unhurried very pleasant session is over, one feels the same confidence-satisfaction that was presented to you during the entire session. a SMILE and overall GREAT feeling is with you have long after you leave. A few appointments with KeleMarie will effect your life in a positive way and you cant help but feel youve met a truly concerned and caring friend. Viva La KeleMarie. Tom F.
Shera Elliott graduated from the New Mexico State University with a major in biology and a minor in Biological Basis of Behavior & Health Care Management. Shera grew up in Los Angeles, but moved to Las Cruces for college. Shera has written for several major publications including the Albuquerque Journal and NPR. Shera is a community reporter and also covers stories important important to all Americans.
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What is Long COVID? Experts Explain Symptoms and Answer Common Questions – KQED
Posted: December 24, 2021 at 2:36 am
We know the vaccines are effective and safe, and they decrease the symptoms that people get even if they have breakthrough infections. So anybody who's vaccinated and gets a breakthrough infection is more likely to have milder symptoms and prevent hospitalization and death. We do think that people who have breakthrough infections may still be able to get long COVID, but the hope is that their symptoms are milder and that their resolution is faster.
Zackary Berger: There's some indication that vaccinated individuals who have COVID symptoms have a lesser chance of developing long COVID. But a lot of the literature is difficult to interpret, and it's still in the early days.
We have to see the right kind of evidence, and then when a patient needs answers, we try to get them answers. But long COVID is very difficult clinically. People want answers, and sometimes they don't even have a doctor to go to and cant even get testing, and that's where we need to work just as hard as we do determining which tests to do.
Juliet Morgan: We have to be very humble when discussing mental health and long COVID because, at least from the patients I've taken care of, I can't imagine that this is entirely generated by a primary psychiatric illness. We also know that there are these abnormal markers when we are looking at research studies that suggest that there's more going on beyond psychiatric manifestations.
It's hard for an ailing body not to then generate an ailing emotional response. I haven't taken care of a long COVID patient who doesn't have anxiety and depression. Many people who had anxiety and depression before they had long COVID have experienced worsened symptoms.
Upinder Singh: Now, a year and a half into the pandemic, we have an understanding that there is a very real, very physical condition called long COVID. I would really encourage individuals to talk to their primary care physicians, and if their primary care physicians are not comfortable with or don't have the experience with long COVID, seek out a long COVID clinic.
Although two different long COVID patients can experience some overlap, their symptoms are often quite distinct. So you do really need a multidisciplinary approach where you can have a central provider who has some expertise in long COVID, who can then call in a neurologist if you're having neurological issues or call in a cardiologist if you're having cardiac issues. This is a very tough disease to go through alone.
Juliet Morgan: Along with Dr. Jobs, a palliative care physician at UCSF, I run a long COVID integrative medicine skills group for recovery, so we've seen a lot of long COVID patients.Unfortunately, Angela's story is nothing rare. I wish that we heard stories that were different from hers, but we had many, many participants who have been suffering and felt invisible, unheard and really invalidated.
We bring people together with knowledgeable physicians to think about how we're going to tackle long COVID together. We looked at what interventions have worked in other chronic conditions where people have increased inflammation or an over-activated, sympathetic nervous system, and we decided we wanted to emphasize interventions like mindfulness, coping strategies, and cognitive behavioral therapy.
The most important part of this recipe was bringing people with long COVID together into the same space so they could teach each other.
Zackary Berger: We must understand long COVID as a multi-domain phenomenon. So there's the individual body of the person that undergoes a variety of symptoms which can be really unique from person to person. Then there's the social body; the collective. The collective is more than just the sum of individuals.
COVID has been a social phenomenon that has affected many groups in our society. So, COVID and long COVID acts on multiple levels at once, which makes it hard to define and to treat. This means that these symptoms of long COVID are exacerbated by social phenomena, which people tend to overlook as outside the realm of medicine, and that's completely false. This leads us to a concentration on biomedical solutions when there's a lot that needs to be done for patients suffering from long COVID that's not made in a lab or found in a lab test.
Juliet Morgan: Long COVID is bringing all of these other long-haul illnesses out from the shadows. However, our medical system has had difficulty with understanding how we treat this population, and I am very hopeful that all of this research and all of this thought being put into long COVID will help us to expand how we can help people who've identified with post-viral post-infectious syndromes for 20 or 30 years and have felt really abandoned by our medical system.
Zackary Berger: Because long COVID as a disease that develops in time differently from person to person, it requires a multidisciplinary team of people. Relief of pain is really important. Physical activity is really important, and providing specific treatment for symptoms like myocarditis and lung conditions associated with long COVID is really important. Unfortunately, there isnt one specific answer to long COVID, but there are treatments out for their very specific things. Sometimes what works best is an incremental approach to chronic symptoms.
Juliet Morgan: There isnt a one size fits all approach to long COVID; it's about finding a provider, a practitioner that you feel is hearing you and that you develop with that person a plan for each of the issues going on with you.
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Dovitinib application submitted to FDA for third-line renal cell carcinoma – Urology Times
Posted: December 24, 2021 at 2:36 am
Allarity Therapeutics has submitted a New Drug Application (NDA) to the FDA for use of the multikinase inhibitor dovitinib as a third-line treatment for patients with renal cell carcinoma (RCC).1
Support for the NDA comes from a prior submission from Allarity for premarket approval (PMA) of Dovitinib-DRP, the companys companion diagnostic used to identify patients with RCC who are most likely to respond to dovitinib.
As a clinical oncologist looking for new therapies for my RCC patients, I am enthusiastic about Allaritys NDA filing together with its Dovitinib-DRP companion diagnostic, Roberto Pili, MD, associate dean for Cancer Research and Integrative Oncology at the University at Buffalo Jacobs School of Medicine and Biomedical Sciences, stated in a press release. These patients, and their treating oncologists, are greatly in need of new precision medicines, coupled with validated companion diagnostics, to help select and treat the most likely responders. I look forward to working with Allarity to advance this new personalized cancer care approach for RCC patients."
Previously reported phase 3 data showed similar efficacy between third-line dovitinib and sorafenib (Nexavar), a standard treatment for RCC.2
The study included 570 patients with clear cell metastatic RCC who received 1 previous VEGF-targeted therapy and 1 previous mTOR inhibitor. Overall, there were 284 patients assigned to dovitinib and 286 assigned to sorafenib. The median progression-free survival was 3.7 months with dovitinib versus 3.6 months with sorafenib (HR, 0.86; 95% CI, 0.72-1.04; P = .063).
Commenting on the FDA application, Allaritys CEO Steve Carchedi stated, This NDA submission for dovitinib, in connection with the Dovitinib-DRP companion diagnostic, is a historic milestone for our company and an important step for late-stage renal cell carcinoma patients awaiting new treatment options. Over the past decade, we have worked diligently to advance our novel oncology therapeutics pipeline together with our unique DRP diagnostic technology to realize the promise of personalized cancer care for patients. We greatly look forward to the approval of dovitinib and to introducing the clinical value of DRP companion diagnostics to oncologists and their patients.
References
1. Allarity Therapeutics Submits New Drug Application (NDA) to the U.S. FDA for Dovitinib for Third-Line Treatment of Renal Cell Carcinoma (RCC). Published online December 22, 2021. Accessed December 22, 2021. https://yhoo.it/3ehH24z.
2. Motzer RJ, Porta C, Vogelzang NJ, et al. Dovitinib versus sorafenib for third-line targeted treatment of patients with metastatic renal cell carcinoma: an open-label, randomised phase 3 trial. 2014;15(3):286-296. doi: 10.1016/S1470-2045(14)70030-0
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Guest Blog: KIP Students Suggest Ways to Stay Healthy and Safe from COVID-19 This Holiday Season – Michigan Technological University
Posted: December 24, 2021 at 2:36 am
In this guest blog, the Department of Kinesiology and Integrative Physiology shares some backstory behind the student-produced video Staying Healthy and Safe During COVID-19.
Be Smart. Do Your Part. has been the motto here at Michigan Tech since the start of the COVID-19 pandemic. A team of graduate students in the Department of Kinesiology and Integrative Physiology (KIP) did just that. The team Xinqian Chen, Isaac Lennox and Carmen Scarfone, led by doctoral student Ashley Hawke created the video Staying Healthy and Safe During COVID-19 to provide updates on latest COVID-19 trends, recommendations on how to stay safe, travel tips and strategies to maintain physical and mental health.
The two-minute video stresses the importance of relying on information from credible sources, such as the Centers for Disease Control and Prevention, state and local health departments, educational institutions and non-biased news sources. It offers a COVID-19 snapshot and has been circulated on campus. Off campus, the video has been featured in the Daily Mining Gazette and on ABC 10 TV. It has also been shared through the Western Upper Peninsula Health Department, the Copper Country Strong website, the U.P. COVID-19 Town Hall series, and the Frontline UPdates Joint Information Center social media pages.
With Michigan COVID-19 cases and hospitalizations recently reaching an all-time high and increased concerns surrounding the new omicron variant, communication of health information to help keep our campus and community safe and healthy is critical. Rural communities continue to face challenges, as they typically have a limited number of medical providers, hospital services and public health resources compared to urban communities. These students leveraged their broad-based training in health science to contribute to the COVID-19 response in their community, explained Steven Elmer, KIP associate professor and graduate program director.
Elmer also emphasized that the students video was part of a class project aimed at responding to the U.S. surgeon generals advisory statement to Build a Healthy Information Environment. The advisory statement tasks educators, researchers and professionals to confront misinformation and help improve the quality of health information so community members can make informed decisions about health for themselves and their family and community.
The graduate students behind the video hail from Michigan, Canada and China. Lennox, a masters student striving to become a physician specializing in family medicine and rural health, explained that the team also created a COVID-19 resource web page, along with a bimonthly COVID-19 infographic for KIP students, staff and faculty. With the rapidly evolving nature of the pandemic and amount of misinformation circulating, it can be difficult to keep up and stay informed. The student team collaborated with Kelly Kamm, an expert in infectious disease and epidemiology and KIP associate professor, to ensure the accuracy of all materials created.
To stay safe during this pandemic, especially with the upcoming holiday season, the students encourage everyone to get vaccinated and get a booster shot if you are already vaccinated. They also recommend following the four Ws whenever possible wear a mask, wash your hands, watch your distance and walk to stay physically active.
Looking ahead, the team will continue to do their part and use their expertise to help both the campus and community. As future health professionals, they want to learn as much as they can from the current pandemic so they are better prepared to lead during the next one.
Michigan Technological University is a public research university founded in 1885 in Houghton, Michigan, and is home to more than 7,000 students from 55 countries around the world. Consistently ranked among the best universities in the country for return on investment, the University offers more than 125 undergraduate and graduate degree programs in science and technology, engineering, computing, forestry, business and economics, health professions, humanities, mathematics, social sciences, and the arts. The rural campus is situated just miles from Lake Superior in Michigan's Upper Peninsula, offering year-round opportunities for outdoor adventure.
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Dating a Single mother: 9 suggestions for profits. If you’re when you look at the relationships games, unmarried mothers is going to be into the mix….
Posted: December 24, 2021 at 2:36 am
Dating a Single mother: 9 suggestions for profits. If youre when you look at the relationships games, unmarried mothers is going to be into the mix.
Jennifer Wolf are a PCI licensed moms and dad mentor and a strong advocate for single moms and dads.
Carly Snyder, MD try a reproductive and perinatal psychiatrist which integrates standard psychiatry with integrative medicine-based treatments.
In fact, based on a Pew Research Center research, the U.S. contains the worlds greatest rates of children living in single-parent families, particularly those work by single moms.
Individual parents bring special perspectives, concerns, and existence knowledge into the tableand which can cause them to fantastic associates. They may be frequently capable, wise, versatile, and know what they may be seeking in a relationship. This is what you need to know before dating just one momand how to take your link to the next level without obtaining extremely engaging too-soon.
Recognize That It Really Is Different
Various other affairs, maybe you have been able to gauge someones thoughts for you personally by the length of time and fuel they set in their union.
Whenever youre dating one parent, this can bent fundamentally the situation. They may nt have committed observe your as much whilstd both fancy. Solitary mothers opportunity is bound, and much of the electricity goes toward looking after their own youngsters. Youll want to look for some other expressions of their feelings obtainable.
Another variation is that lots of solitary moms tend to be most clear regarding what they demand in daily life. That may eliminate lots of puzzle and become a stylish high quality in a relationship.
For solitary parents, their own teens most likely come very first. It is advisable to comprehend and accept this fact. a mother or fathers devotion to their offspring is admirable, and investing in it can benefit improve the connection and steer clear of you against becoming jealous.
With respect to the young childs era, they might be tangled up in a mothers choice on if as of yet. Little ones and single mom typically see her connection together as highly extreme and special, and toddlers may experience some insecurity at the thought regarding father or mother https://datingreviewer.net/sugar-daddies-usa/mn/ relationships.
Youll want to appreciate that near connection and allow your spouse to navigate things in a way that makes them and their young children feel at ease.
Take It Reduce
do not try to be extreme too-soon to either your potential partner or kids. If youre undecided about how exactly engaging you want to end up being making use of the youngsters, be open and honest about this. Simultaneously, it is essential that you dont start to take on a task you cant keep for all the longterm. Proceed with the father or mothers lead with regards to the commitment together with the children.
Its crucial that you bring their partnership time and energy to establish. Dont run into getting a parental figure, moving in with each other, or acquiring involved. As an alternative, take it slow and focus on creating count on before you take the relationship to the next level.
Tell the truth and Direct
Would you discover yourself co-raising teens? Many solitary moms and dads need to know what sort of commitment you are considering from their website, and how much youre ready to commit in return. Whatever the case, its best to be truthful and communicative because beginning online dating.
Embracing honest communications straight away may have another advantage for the partnership: It promotes vulnerability, which could deliver the two of you nearer with each other.
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Forum Health Welcomes Tara Scott, MD and First Location in Ohio – PRNewswire
Posted: November 8, 2021 at 2:28 am
FLINT, Mich., Nov. 2, 2021 /PRNewswire/ -- Forum Health, LLC, the first nationwide network of integrative and functional medicine providers, has acquired Revitalize Medical Group, a functional medicine practice founded by Tara Scott, MD located in Fairlawn, Ohio.
Revitalize Medical Group focuses on women's health, treating hormonal imbalances, stress, thyroid issues, infertility, nutrition and more.
"We are proud to announce that Revitalize is our first Forum Health location in the state of Ohio," said Adam Puttkammer, president of Forum Health. "Dr. Scott is a leader in the field of women's health and specifically natural approaches to treating hormones. She brings a wealth of knowledge to our network."
Dr. Scott began as an OB/GYN and is nationally recognized for her work in hormone and wellness-related issues. She incorporates integrative medicine and evidence-based therapies to treat women's hormone-related and chronic health concerns.
"I am excited for our Revitalize team to join the Forum Health network," said Dr. Scott. "We'll be able to leverage leading integrative and functional medicine providers, as well as rely on a team of professionals to support the non-clinical side of our practice."
An expert speaker and educator, she's taught doctors her approach for the past 10 years across five continents. She's been featured in podcasts, The List, Authority Magazine, Thrive Global and a 2021 TEDx talk.
"Dr. Scott's dedication to education on integrative and evidence-based therapies aligns with Forum Health's philosophy," said Phil Hagerman, CEO of Forum Health. "Her expertise in anti-aging therapies and regenerative medicine will greatly contribute to our network."
Dr. Scott is certified in anti-aging, regenerative and functional medicine; board certified in Integrative Medicine, a North American Menopause Society Certified Menopause Practitioner, clinical assistant professor of OB/GYN at Northeast Ohio Medical University and current Medical Director for Integrative Medicine at Summa Health in Akron, OH.
For more information on Forum Health, visit http://www.forumhealth.com.
About Forum Health, LLCForum Health, LLC is a nationwide provider of personalized healthcare. Steeped in the powerful principles of functional and integrative medicine, Forum Health providers take a root-cause approach to care. They listen and dig deep exploring lifestyle, environment, and genetics to help each patient achieve their ultimate health goals. Members have access to advanced medical treatments and technology, with care plans informed by data analytics and collaborative relationships. To learn more, visit forumhealth.com.
SOURCE Forum Health, LLC
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Medicines Wellness Conundrum – The New Yorker
Posted: November 8, 2021 at 2:28 am
Michelle didnt yank Tobys socks off from the toes. She rolled them down from the calf, using both hands, pausing to cradle each newly bare foot. She gently ran her hands up and down Tobys exposed shins. She touched one of Tobys wrists to feel her pulse, and pressed the tips of her thumbs between Tobys eyes and at her ankles for a few seconds at a time. Sometimes, she held a hand an inch or so above Tobys skin, then moved it through the air, as though dusting an invisible shelf.
A soft cap warmed Tobys nearly hairless head; the waxen pallor of chemotherapy hung on her face. She was in the middle of a yearlong course of treatment for early-stage breast cancer, at New York-Presbyterian/Columbia Hospital, in Manhattan. A few months earlier, Toby, who lives in New Jersey, had undergone a double mastectomy and begun chemotherapy. When the chemo made her nauseated, and the nausea medication only made her feel worse, she began meeting weekly with Michelle Bombacie, who manages the Integrative Therapies Program at Columbia University Irving Medical Center, for a mixture of acupuncture, acupressure, light-touch massage, and Reiki.
Wellness is an umbrella term. It can be used to cover forms of traditional Chinese medicine, such as acupressure and acupuncture; aspects of the Indian tradition Ayurveda; and more recent inventions like Reiki, which involves pressure-free caressing and non-touch hand movements. It can also encompass nutritional counselling, herbal supplements, exercise, homeopathy, massage, reflexology, yoga, touch therapy, art therapy, music therapy, aromatherapy, light therapy, and more. The wellness movement is one of the defining characteristics of health care in this era, Timothy Caulfield, a University of Alberta professor focussed on health and science policy, told me. By some estimates, the wellness industry, loosely defined, is worth over four trillion dollars.
Wellness is often presented as an alternative to the modern medical system, and is pursued in spas or other dedicated spaces. But, in recent years, hospitals have begun embracing it, too. By one estimate, around four hundred American hospitals and cancer centers now host a wellness facility of some kind; most offer services aimed at stress reduction and relaxation, but many also promise to help patients improve their energy levels, strengthen their immune systems, and reduce chemotherapy-induced fatigue and nausea. A few provide fringe services, such as apitherapy (which uses bee products, such as honey or venom), or promise to adjust patients life force. Cancer patients are particularly drawn to whats known as complementary care: up to ninety per cent use some service that falls under the aegis of wellness. At some of the countrys top health-care institutions, patients can receive chemotherapy in one wing of the hospital and, in another, avail themselves of aromatherapy, light-touch massage, and Reikiinterventions that are not supported by large, modern studies and that are rarely covered by insurance.
The commingling of medicine and wellness has been alarming for some physicians. Weve become witch doctors, Steven Novella, a neurologist at the Yale School of Medicine, told the medical Web site STAT, in 2017. Patients at such centers are being snookered, Novella argued, and hospitals commit an ethical error in offering services in wellness centers that they would eschew on their medical floors. (Novella is the founder of Science-Based Medicine, a Web site dedicated to debunking alternative therapies.) Many physicians find Reiki particularly unnerving: practitioners of the technique, which was invented in Japan in the early twentieth century, move their hands on or over the body, ostensibly to shift the flow of energy within it. In 2014, in an article in Slate, the science journalist Brian Palmer reviewed the literature on Reiki and found no evidence that it workedit was, he wrote, beneath the dignity of a great cancer center to offer it.
On the other hand, some doctors support the provision of wellness interventionseven those not backed up by rigorous studiesas long as they do no harm and dont replace medical care. And many patients feel that such interventions help them. After Toby started seeing Michelle Bombacie, her nausea disappeared, and she became energetic enough to care for two puppies. I know something changed within me, she told me. Although Toby didnt have strong views about how Reiki works, she described the experience with Bombacie as critical to the success of her treatment. It gave me the tools to work on my mental health and spiritual health, and to shift my focus from being out of control and kind of helpless to having more trust in myself and my doctors, she said. Kim Turk, the lead massage therapist at Duke Integrative Medicine, told me that she considers Reiki practitioners to be facilitators who support peoples own healing.
Patient satisfaction matters to hospitalsMedicare penalizes them for low satisfaction ratings. Massages and yoga may make patients happier and keep them coming back. Hospitals are banking on the fact that treating you in a more humane way will make you want to stay as a customer, Thomas DAunno, a New York University professor whose focus includes health-care management, said. And yet medicine, if it is to function, depends on trust. Hospitals are supposed to be bastions of evidence-based care; wellness treatments dont meet that standard. Can the best of wellness be brought into the hospital without compromising the integrity on which health care depends?
The term wellness, as we use it today, dates roughly to 1961, when Halbert L. Dunn, an eminent biostatistician and former head of the National Office of Vital Statistics, published the book High-Level Wellness. Dunn took his cue from the constitution of the World Health Organization, ratified in 1948, which redefined health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Wellness, he wrote, was about functioning better over timehaving an ever-expanding tomorrow. This inspirational idea found a broad audience. In the nineteen-seventies, so-called wellness centers began offering fee-for-service therapies; in the following decades, corporate wellness programs subsidized gym memberships and meditation classes.
The new concept dovetailed with an ongoing medical story. American doctoring in the nineteenth century, as the medical historian Norman Gevitz has written, was characterized by poorly trained practitioners employing harsh therapies to combat disease entities they understood insufficiently. As a result, osteopathy, homeopathy, and chiropractic techniques attracted educated, conventionally trained physicians who were frustrated with treatments that didnt seem to work. Mainstream doctors readily embraced what wed now call alternative therapies until 1910, when the Carnegie Foundation asked Abraham Flexner, an education reformer from Louisville, Kentucky, to report on the state of medical schools in the U.S. and Canada. Flexner evaluated a hundred and fifty-five medical schools according to the standards of the German medical system, which emphasized rigorous research; in his report, he warned of rampant charlatanism and quackery, and called for an end to treatments that werent evidence-based. Many medical schools closed soon after the report was published.
The Flexner Report ushered in the modern era of American medicine, in which interventions are based on reliable evidence. But Flexners disregard for bedside manner and other intangibles had an unexpected consequence. The professions infatuation with the hyper-rational world of German medicine created an excellence in science that was not balanced by a comparable excellence in clinical caring, Thomas Duffy, a professor at the Yale School of Medicine, wrote, in a centennial history of the report. Physicians, Duffy argued, began to distance themselves from patients. It fell to nurses to provide the empathy that doctoring no longer facilitated, by comforting, massaging, listening, and expressing compassion.
Advances in technology further chilled the clinic. Medicine had long been synonymous with the laying on of handswith diagnosis by feel and the use of healing touch. Patients, the medical historian Jacalyn Duffin told me, were essentially the authorities on whether they were sick; it was up to physicians to isolate the cause. The invention of the stethoscope, in 1816, shifted the balance. You werent sick unless the doctor found something, Duffin said. By the end of the twentieth century, diagnostic devicesX-ray machines, MRI scanners, and ultrasoundshad made diagnosis increasingly objective while allowing doctors to conduct mostly touch-free exams. Abraham Verghese, an infectious-disease physician at the Stanford University School of Medicine, has written that, for doctors today, the patient in the bed can seem almost as an icon for the real patient whos in the computer.
These days, moreover, medical practice is focussed on efficiency. In surveys, most doctors say that they spend between nine and twenty-four minutes with each patient per visit. (This may be an overestimate.) One study has found that physicians listen to their patients for an average of eleven seconds before interrupting. There is a gap between what we want from health care and what we get. Wellness stands ready to fill it.
Lila Margulies, a high-school friend of mine, was diagnosed with lung cancer, in March, 2017. Forty-three years old and a nonsmoker, she underwent surgery, chemotherapy, and radiation before the cancer spread to her bones. She had already been interested in wellnesstaking herbal supplements, visiting an acupuncturistand the cancer deepened her interest in alternative approaches. Alongside her treatment, Lila adopted a diet that she believed would stop her cancer from growing, increased her supplement intake, and began working with an energy healer. Her friends contributed to a GoFundMe campaign so that she could afford the expensive healing sessions.
Lila was open with her oncologist about her extra-medical pursuits. She met regularly with her energy healer at his home, in Mahopac, New York, for sessions that combined conversationhe spoke with her about her fear of leaving her young children behindwith a cross-cultural mix of touch therapies. All of it came back to energy and how energy moves in the body and between people, Lila told me. Her cancer was stable for several years; last fall, she learned that it had begun spreading again. She continues to feel that her sessions with her healer were beneficial. It was so tangible, she said. It made a huge difference.
Research has explained some of the physical mechanisms that underlie our enjoyment of light touch. In the late nineteen-thirties, a Swedish neurophysiologist named Yngve Zotterman discovered nerve fibres in cats that respond to slow, gentle touch. In the nineteen-nineties, another neurophysiologist from Sweden, ke Vallbo, working with other researchers, found that the same fibres existed in people. The nerves, known as C-tactile afferents, or CT fibres, prompt not only a physical sensation but also pleasant emotions. Gentle strokingat one to ten centimetres per second, with a hand or a body-temperature objectreleases opiates, along with other chemicals that make us feel good. These relaxing effects originate in the manipulation of the skin. Theres a specific receptor and a specific pathway, Frauke Musial, a professor at the government-funded National Research Center in Complementary and Alternative Medicine, at the Arctic University of Norway, told me. Without touch, we never experience the feelings that touch causes.
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Public hearing on Revolutionary Clinics marijuana shop postponed to Nov. 8 – Leominster Champion
Posted: November 8, 2021 at 2:28 am
A public hearing on a proposed marijuana store near the Orchard Hill Park plaza originally scheduled for last week has been postponed until next week.
The Oct. 25 hearing on Revolutionary Clinics request for a special permit from the City Council to sell recreational marijuana at 130 Pioneer Drive has been moved to Monday, Nov. 8 at 6:30 p.m. in the City Council Chambers at Leominster City Hall.
Councilor John Dombrowski explained the applicant asked to postpone the meeting for two weeks because the Oct. 25 City Council meeting was short staffed, with two out of the boards eight members unable to attend.
By the Nov. 8 meeting, the City Council will gain a ninth member when the vacancy following the May death of Ward 1 Councilor Gail Feckley is filled. Ward 1 School Committee member Michael Stassen and local chef and restaurant owner William Brady ran for the seat in this weeks election, the results of which were not known by press time. The winner will serve not only the remaining weeks of Feckleys term, but also his own two-year term starting in January.
The zoning rules adopted by the Leominster City Council after marijuana was legalized in a 2016 referendum vote call for recreational marijuana to be sold in the Industrial zone, and only with a special permit from the City Council.
Section 13.7 of the City of Leominster Zoning Ordinance states that special permits require a two-thirds (2/3) vote of authorities with more than five (5) members and a vote of at least four (4) members of five (5) member authorities.
Revolutionary Clinics is seeking a special permit to open a recreational marijuana dispensary at 130 Pioneer Drive, near the junction of Pioneer Drive and Orchard Hill Park Drive. If approved, the Leominster dispensary would be located in a newly constructed 2,336-square-foot building with ground-up eco-friendly construction and an Apple Store meets Johnny Appleseed level clean energy.
The Leominster store would be Revolutionary Clinics fourth facility, joining shops in Cambridge and Somerville, but its first selling recreational marijuana. It also operates a growing facility called Revolutionary Farms in a former shoe factory in Fitchburg, the hometown of Revolutionary Clinics co-founder Ryan Ansin. Revolutionary Farms supplies products to both Revolutionary Clinics and other marijuana stores in Massachusetts.
According to a presentation on its website, Revolutionary Clinics would maximize fee and tax revenues through its Community Host Agreement with the City of Leominster, hire local Leominster residents for the dispensary, communicate frequently with leaders in local economic development, partner with local health officials to volunteer and fund educational sessions and materials, and support local causes with donations and volunteer work.
If approved by the City Council, Revolutionary Clinics store would be the first in Leominster. There are two marijuana manufacturing facilities in the city Middlesex Integrative Medicine at 25 Mohawk Drive and The Botanist, which makes marijuana edibles at 1775 Lock Drive and a third in the works from XH Management, Inc., which is seeking state licenses for a cultivation and manufacturing facility in the Southgate Business Park in South Leominster.
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Public hearing on Revolutionary Clinics marijuana shop postponed to Nov. 8 - Leominster Champion
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