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The Road to Cancer Recovery for Melanie Cole and Caitlin Whyte. 梅勒妮·科尔和凯特琳·怀特的《癌症康复之路》。
Q3 Medicine Pub Date : 2025-02-01
Sheldon Baker
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引用次数: 0
Impact of Short-Term Integrated Yoga Therapy Intervention on Systemic Inflammatory Markers and Quality of Life in Rheumatoid Arthritis Patients: A Randomized Controlled Trial. 短期综合瑜伽治疗干预对类风湿关节炎患者全身炎症标志物和生活质量的影响:一项随机对照试验。
Q3 Medicine Pub Date : 2025-02-01
Geetha B Shetty, Prashanth Shetty, Balakrishna Shetty, H L Nanjeshgowda

Background: Rheumatoid arthritis (RA) is an autoimmune disease with prolonged dysregulation of pro- and anti-inflammatory immune pathways resulting in chronic inflammation, which alters the functional status and quality of life. The present study aimed to assess the short-term effect of yoga therapy on systemic inflammatory markers and quality of life among RA patients.

Methods: The study included one hundred RA patients aged 18-60 years and randomized into yoga (n = 50) and control (n = 50) groups. A structured yoga therapy was given for 12 weeks along with their regular disease-modifying antirheumatic medications (DMARDs). During the study period, all the participants were allowed to continue their daily lifestyle and diet.

Results: After 12 weeks of intervention, the yoga group reported a significant decrease in interleukin-6 (IL 6) (P < .001), C-reactive protein (CRP) (P < .01), rheumatoid factor (RA factor) (P = .02), and erythrocyte sedimentation rate (ESR) (P = .05), compared to the control group. Furthermore, compared to the control group, yoga participants showed significant improvement in functional status and disease activity, which included the assessment of DAS-28 (to assess the disease activity) (P < .001), patient global assessment (P < .001), and reduced Visual Analogue Scale (VAS) score (pain intensity assessment) (P < .01). The secondary outcome was the quality of life (SF-36 questionnaire), which showed significant improvement post-intervention (P = .05).

Conclusion: The present study has demonstrated that short-term yoga therapy could lower systemic inflammatory markers by maintaining immune homeostasis to improve the functional status and quality of life in RA patients.

背景:类风湿关节炎(RA)是一种自身免疫性疾病,具有促炎性和抗炎性免疫通路的长期失调,导致慢性炎症,从而改变功能状态和生活质量。本研究旨在评估瑜伽治疗对RA患者全身炎症标志物和生活质量的短期影响。方法:研究纳入100例年龄在18-60岁的RA患者,随机分为瑜伽组(n = 50)和对照组(n = 50)。他们接受了为期12周的结构化瑜伽治疗,同时服用了常规的改善疾病的抗风湿药物(DMARDs)。在研究期间,所有参与者都被允许继续他们的日常生活方式和饮食。结果:干预12周后,与对照组相比,瑜伽组的白细胞介素-6 (IL -6) (P < 0.001)、c反应蛋白(CRP) (P < 0.01)、类风湿因子(RA因子)(P = 0.02)和红细胞沉降率(ESR) (P = 0.05)均显著降低。此外,与对照组相比,瑜伽参与者在功能状态和疾病活动性方面表现出显着改善,包括DAS-28评估(评估疾病活动性)(P < 0.001),患者整体评估(P < 0.001)和视觉模拟量表(VAS)评分(疼痛强度评估)降低(P < 0.01)。次要结局为生活质量(SF-36问卷),干预后显著改善(P = 0.05)。结论:本研究表明,短期瑜伽疗法可以通过维持免疫稳态来降低全身炎症标志物,从而改善RA患者的功能状态和生活质量。
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引用次数: 0
An Interview with Joseph Pizzorno, ND, Talking About the Current Health Status in the United States, Part 3. 采访约瑟夫·皮佐诺,ND,谈论当前的健康状况在美国,第3部分。
Q3 Medicine Pub Date : 2024-12-01
Sheldon Baker
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引用次数: 0
Investigating GLP-1 Injections: Potential Mitochondrial Dysfunction in Non-Diabetic Patients Presenting with Migraines and Hypoglycemia: A Case Report. 研究GLP-1注射:出现偏头痛和低血糖的非糖尿病患者的潜在线粒体功能障碍:一例报告。
Q3 Medicine Pub Date : 2024-12-01
Jana Jamail, Rachel Knowles, Leslie Fuller

Introduction: GLP-1 medications are widely used for weight loss in patients with and without type 2 diabetes. However, limited research exists on their effects in non-diabetic patients, particularly concerning mitochondrial function. This case report investigates the potential of altered mitochondrial dysfunction as a cause of side effects of GLP-1 medications in patients without type 2 diabetes.

Case presentation: The patient, a 43-year-old female with a BMI of 32, presented with hypoglycemia and persistent migraines with auras after Ozempic and Mounjaro injections.

Outcomes: The patient changed her diet to include 90 grams of protein and frequent small meals throughout the day. She took CoQ10, D-ribose, vitamin B complex, and acetyl-l-carnitine, to address the migraines, and this also improved the mitochondrial function. The patient reported balanced blood sugar after changing her diet; her migraines improved and did not return after taking supplementation.

Conclusion: This case report emphasizes the need for awareness and monitoring of potential mitochondrial side effects from GLP-1 injections in patients without type 2 diabetes. Nutritional and supplemental interventions effectively managed the patient's symptoms and emphasized the need for tailored interventions in patients using GLP-1 medications. Further research is needed to understand how GLP-1 injections impact mitochondrial function.

简介:GLP-1药物广泛用于2型糖尿病患者和非2型糖尿病患者的减肥。然而,关于它们对非糖尿病患者的影响的研究有限,特别是关于线粒体功能的研究。本病例报告调查了线粒体功能障碍改变作为GLP-1药物治疗非2型糖尿病患者副作用的潜在原因。病例介绍:患者,43岁女性,BMI为32,在注射Ozempic和Mounjaro后出现低血糖和持续性偏头痛并伴有先兆。结果:病人改变了她的饮食,包括90克蛋白质和每天频繁的小餐。她服用辅酶q10、d -核糖、维生素B复合物和乙酰左旋肉碱来治疗偏头痛,这也改善了线粒体功能。患者在改变饮食后报告血糖平衡;她的偏头痛得到改善,服用补充剂后没有复发。结论:本病例报告强调了对非2型糖尿病患者GLP-1注射潜在线粒体副作用的认识和监测的必要性。营养和补充干预有效地控制了患者的症状,并强调了对使用GLP-1药物的患者进行量身定制干预的必要性。需要进一步的研究来了解GLP-1注射如何影响线粒体功能。
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引用次数: 0
The Neuroprotective Benefits Of Plant-Cell-Cultivated Saffron. 植物细胞培养的藏红花的神经保护作用。
Q3 Medicine Pub Date : 2024-12-01
Sheldon Baker
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引用次数: 0
Invisible Waves, Visible Consequences: Environmental Radiation's Role in Human Fertility. 看不见的波,可见的后果:环境辐射在人类生育中的作用。
Q3 Medicine Pub Date : 2024-12-01
David K Simson, Apoorv Vashistha, Jaskaran Singh Sethi

Environmental radiation is one of the key causes of the increased prevalence of infertility among couples. This type of radiation can be ionizing or non-ionizing. While ionizing radiation is known to cause sterility in both males and females, the role of low-energy non-ionizing radiation is still debated. This article will discuss the various types of environmental radiation and its consequences on male and female fertility. Recent studies suggest that continuous exposure to low-energy, non-ionizing radiation might also result in infertility. The sources of this type of radiation are generally man-made, including mobile phones, television broadcasts, radio, radars, etc. The ever-increasing use of these devices in our daily lives has introduced a new type of pollution called electropollution. The mechanisms of action by which electropollution causes infertility are still being investigated. In males, prolonged exposure to this type of radiation might negatively impact sperm parameters, such as count, motility, morphology, and viability. The evidence for female infertility caused by non-ionizing radiation is still evolving.

环境辐射是夫妻不孕率上升的主要原因之一。这种辐射可以是电离的,也可以是非电离的。虽然已知电离辐射会导致男性和女性不育,但低能非电离辐射的作用仍存在争议。本文将讨论各种类型的环境辐射及其对男性和女性生育能力的影响。最近的研究表明,持续暴露在低能量、非电离辐射下也可能导致不孕。这类辐射源通常是人为的,包括移动电话、电视广播、无线电、雷达等。在我们的日常生活中越来越多地使用这些设备已经引入了一种新的污染,称为电污染。电污染引起不孕症的作用机制仍在研究中。在男性中,长时间暴露于这种辐射可能会对精子参数产生负面影响,如数量、活力、形态和生存能力。非电离辐射导致女性不孕的证据仍在不断发展。
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引用次数: 0
Dr. Karen Toubi, Board Certified Obstetrician and Gynecologist: Comprehensive Gynecology. Karen Toubi博士,董事会认证的妇产科医生:综合妇科。
Q3 Medicine Pub Date : 2024-12-01
Sheldon Baker
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引用次数: 0
Open Letter to President Trump. How to Cure the Disease Treatment System? Make It a Health Care System. 致特朗普总统的公开信。如何治愈疾病治疗系统?让它成为一个医疗保健系统。
Q3 Medicine Pub Date : 2024-12-01
Joseph Pizzorno

Clearly the current way we address health and disease in the United States is not working. We now suffer the highest burden of chronic disease in every age group ever in human history. And, at the same time, we have the most expensive health care system ever. Why? Because the actual causes of disease are not being addressed. Eight years ago, when you were first elected president, I gathered together the leadership of natural, integrative, functional, and environmental medicine to provide guidance on what needed to change. Unfortunately, none of our recommendations were addressed, every measure of health and disease burden has worsened, and health care costs continue to increase far beyond the rate of inflation. President Trump, please take a look and consider these recommendations.

很明显,我们目前在美国处理健康和疾病的方式是行不通的。我们现在承受着人类历史上每个年龄组中最沉重的慢性病负担。与此同时,我们拥有有史以来最昂贵的医疗保健系统。为什么?因为疾病的真正原因没有得到解决。八年前,当您第一次当选总统时,我召集了自然医学、综合医学、功能医学和环境医学的领导,就需要改变的方面提供指导。不幸的是,我们的建议没有一项得到处理,健康和疾病负担的每一项指标都恶化了,医疗保健费用的增长速度继续远远超过通货膨胀率。特朗普总统,请考虑一下这些建议。
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引用次数: 0
An Integrative, Non-Pharmacological Pain Management Approach In Severe Lumbar Spine Degeneration: A Case Report. 一种综合、非药物治疗严重腰椎退变疼痛的方法:1例报告。
Q3 Medicine Pub Date : 2024-12-01
Autumn Dach, Randal Anderson, Janene A Borandi
<p><strong>Introduction: </strong>Chronic low back pain (CLBP), or low back pain lasting greater than 12 weeks, is a prevalent condition that profoundly impacts the quality of life in affected individuals. Traditional treatments - such as physical therapy, medications, injections, minimally invasive procedures, and surgery - often prove ineffective in a considerable number of cases, particularly when utilized as singular modalities. Given the complex biopsychosocial nature of CLBP, a multi-modality approach tailored to each patients' unique needs is essential. This case report presents a comprehensive approach designed to address the intricate aspects of CLBP, emphasizing the advantages of individualized therapeutic strategies.</p><p><strong>Case presentation: </strong>We present a physically active 68-year-old Latin male with persistent CLBP. His medical history includes a healthy BMI, hypercholesterolemia controlled with a statin medication, and a previous meniscal repair of the left knee. Initial magnetic resonance imaging (MRI) findings revealed severe multilevel degenerative disc disease and lumbar facet arthropathy, with lower lumbar foraminal and central canal stenosis. Despite undergoing numerous prior treatments with over the counter and prescription analgesics, physical therapy, epidural steroid injections, and radiofrequency ablations, his pain disrupted his ability to perform activities of daily living, professional tasks, and recreational pursuits. Due to the multiple structural abnormalities identified on imaging and the severity of his pain, a complex neurosurgical intervention was offered. In collaboration with the patient, we formulated a personalized treatment plan that effectively addressed his individual goals such as avoidance of neurosurgery, pain relief, and improved function. The integrated interventions provided within the acupuncture practice included personalized acupuncture to promote innate healing, use of an inversion table for spinal decompression, and lifestyle modifications to support his overall biopsychosocial health. Additionally, we supported multi-disciplinary treatments such as chiropractic adjustments to improve spinal alignment, physical therapy to address biomechanics, and ozone therapy and platelet-rich plasma injections to facilitate structural repair. Formal standardized assessment tools, such as the Visual Analog Scale for pain intensity, were not used to measure treatment progress or outcomes. Instead, we prioritized evaluating his ability to perform personal and professional tasks, which were deemed more critical to the patient. After four months of treatments, the patient reported significant symptom resolution, improved function and performance at work, as well as enhanced quality of life despite potential degenerative progression identified on follow-up imaging.</p><p><strong>Discussion: </strong>Current literature regarding the management of CLBP highlights the efficacy of a methodical multi-dis
慢性腰痛(CLBP),或持续超过12周的腰痛,是一种严重影响患者生活质量的普遍疾病。传统的治疗方法,如物理治疗、药物治疗、注射、微创手术和外科手术,在相当多的病例中往往被证明是无效的,特别是当作为单一的方式使用时。鉴于CLBP复杂的生物心理社会性质,针对每位患者的独特需求量身定制的多模式方法是必不可少的。本病例报告提出了一种综合的方法,旨在解决CLBP的复杂方面,强调个性化治疗策略的优势。病例介绍:我们报告一位身体活跃的68岁拉丁男性,患有持续性CLBP。病史包括健康的身体质量指数,他汀类药物控制的高胆固醇血症,左膝半月板修复史。最初的磁共振成像(MRI)结果显示严重的多节段退变性椎间盘疾病和腰椎小关节病,伴有下腰椎椎间孔和中央椎管狭窄。尽管接受了多次非处方镇痛药、物理治疗、硬膜外类固醇注射和射频消融治疗,他的疼痛仍然影响了他日常生活、专业工作和娱乐活动的能力。由于影像学上发现的多重结构异常和疼痛的严重程度,我们提供了复杂的神经外科干预。在与患者的合作下,我们制定了一个个性化的治疗计划,有效地解决了他的个人目标,如避免神经外科手术,缓解疼痛,改善功能。在针灸实践中提供的综合干预措施包括个性化针灸以促进先天愈合,使用倒排床进行脊柱减压,以及改变生活方式以支持其整体生物心理社会健康。此外,我们支持多学科治疗,如脊椎指压调整以改善脊柱排列,物理治疗以解决生物力学问题,臭氧治疗和富血小板血浆注射以促进结构修复。正式的标准化评估工具,如疼痛强度的视觉模拟量表,未用于衡量治疗进展或结果。相反,我们优先评估他执行个人和专业任务的能力,这对病人来说更为重要。经过四个月的治疗,患者报告了明显的症状缓解,改善了功能和工作表现,以及提高了生活质量,尽管在随访成像中发现了潜在的退行性进展。讨论:目前关于CLBP管理的文献强调了系统的多学科方法的有效性,包括医学、心理、物理和介入性方法。有许多组织临床实践指南可以帮助护理团队管理CLBP。然而,缺乏标准化的方法,加上许多卫生系统支持各种治疗方案的能力有限,对提供者和患者都构成了重大挑战。本病例报告旨在解决个体化方法的优势,以帮助导航CLBP管理的复杂性,特别是当药物或手术治疗不首选。通过这种方法,我们强调个性化评估和开放对话的重要性,以制定双方同意的治疗目标和方案,以提高患者满意度和结果。我们的报告强调需要进一步的纵向研究来评估CLBP长期治疗的疗效,即使在x线检查显示脊柱退变恶化的情况下也是如此。它还恳求进一步的临床试验来研究CLBP的非药物和非手术治疗选择。此外,我们呼吁采取行动,加强临床实践指南,开发系统的工具,扩大多学科转诊,以改善护理。
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引用次数: 0
Conversation with Joseph Pizzorno, ND, Part 2. 与约瑟夫-皮佐诺(Joseph Pizzorno)的对话,第 2 部分。
Q3 Medicine Pub Date : 2024-11-01
Sheldon Baker
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引用次数: 0
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Integrative medicine
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