Low Dose Naltrexone (LDN) Why Weren't You Told?
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Pain Management E-Book
VetEdPlus E-BOOK RESOURCES Pain Management E-Book WHAT’S INSIDE Gabapentin and Amantadine for Chronic Pain: Is Your Dose Right? Grapiprant for Control of Osteoarthritis Pain in Dogs Use of Acupuncture for Pain Management Regional Anesthesia for the Dentistry and Oral Surgery Patient A SUPPLEMENT TO Laser Therapy for Treatment of Joint Disease in Dogs and Cats Manipulative Therapies for Hip and Back Hypomobility in Dogs E-BOOK PEER REVIEWED CONTINUING EDUCATION Gabapentin and Amantadine for Chronic Pain: Is Your Dose Right? Tamara Grubb, DVM, PhD, DACVAA Associate Professor, Anesthesia and Analgesia Washington State University College of Veterinary Medicine Pain is not always a bad thing, and all pain is not Untreated or undertreated pain can cause myriad the same. Acute (protective) pain differs from adverse effects, including but not limited to chronic (maladaptive) pain in terms of function insomnia, anorexia, immunosuppression, and treatment. This article describes the types of cachexia, delayed wound healing, increased pain pain, the reasons why chronic pain can be sensation, hypertension, and behavior changes difficult to treat, and the use of gabapentin and that can lead to changes in the human–animal amantadine for treatment of chronic pain. bond.2 Hence, we administer analgesic drugs to patients with acute pain, not to eliminate the protective portion but to control the pain ACUTE PAIN beyond that needed for protection (i.e., the pain Acute pain in response to tissue damage is often that negatively affects normal physiologic called protective pain because it causes the processes and healing). This latter type of pain patient to withdraw tissue that is being damaged decreases quality of life without providing any to protect it from further injury (e.g., a dog adaptive protective mechanisms and is thus withdrawing a paw after it steps on something called maladaptive pain. -
Complementary and Alternative Medicine
MEDICAL POLICY Complementary and Alternative Medicine Effective Date: 01/01/2021 Section: MED Policy No: 437 Medical Policy Committee Approved Date: 10/2020 01/1/2021 Medical Officer Date See Policy CPT/HCPCS CODE section below for any prior authorization requirements SCOPE: Providence Health Plan, Providence Health Assurance, Providence Plan Partners, and Ayin Health Solutions as applicable (referred to individually as “Company” and collectively as “Companies”). APPLIES TO: All lines of business BENEFIT APPLICATION Medicaid Members Oregon: Services requested for Oregon Health Plan (OHP) members follow the OHP Prioritized List and Oregon Administrative Rules (OARs) as the primary resource for coverage determinations. Medical policy criteria below may be applied when there are no criteria available in the OARs and the OHP Prioritized List. POLICY CRITERIA Notes: • Member benefits, which address coverage or non-coverage of specific complementary and alternative medicine treatments, may vary. Member benefit contract language takes precedent over medical policy. • Services in this policy may exist in other Medical Policies. See Cross References for guidance. Complementary and alternative medicine treatments are considered investigational and are not covered as a treatment of any condition. Treatments of this nature include but are not limited to the following: A. Autogenous lymphocytic factor B. Colon hydrotherapy, irrigation, cleansing and lavage Page 1 of 13 MED437 MEDICAL POLICY Complementary and Alternative Medicine C. Intravenous infusion including: 1. Hydrogen peroxide 2. Micronutrient (Myers’ cocktail) for indications that are not Lyme disease 3. Vitamin C for indications that are not Lyme disease D. Manual and soft tissue therapies including: 1. Active release techniques® 2. Craniosacral therapy (CST) 3. -
Bangladesh and Bangladesh-U.S. Relations
Bangladesh and Bangladesh-U.S. Relations Updated October 17, 2017 Congressional Research Service https://crsreports.congress.gov R44094 Bangladesh and Bangladesh-U.S. Relations Summary Bangladesh (the former East Pakistan) is a Muslim-majority nation in South Asia, bordering India, Burma, and the Bay of Bengal. It is the world’s eighth most populous country with nearly 160 million people living in a land area about the size of Iowa. It is an economically poor nation, and it suffers from high levels of corruption. In recent years, its democratic system has faced an array of challenges, including political violence, weak governance, poverty, demographic and environmental strains, and Islamist militancy. The United States has a long-standing and supportive relationship with Bangladesh, and it views Bangladesh as a moderate voice in the Islamic world. In relations with Dhaka, Bangladesh’s capital, the U.S. government, along with Members of Congress, has focused on a range of issues, especially those relating to economic development, humanitarian concerns, labor rights, human rights, good governance, and counterterrorism. The Awami League (AL) and the Bangladesh Nationalist Party (BNP) dominate Bangladeshi politics. When in opposition, both parties have at times sought to regain control of the government through demonstrations, labor strikes, and transport blockades, as well as at the ballot box. Prime Minister Sheikh Hasina has been in office since 2009, and her AL party was reelected in January 2014 with an overwhelming majority in parliament—in part because the BNP, led by Khaleda Zia, boycotted the vote. The BNP has called for new elections, and in recent years, it has organized a series of blockades and strikes. -
Lance Armstrong Has Something to Get Off His Chest
Texas Monthly July 2001: Lanr^ Armstrong Has Something to . Page 1 of 17 This copy is for your personal, non-commercial use only. For public distribution to your colleagues, clients or customers, contact [email protected] for reprint information and fees. (EJiiPfflNITHIS Lance Armstrong Has Something to Get Off His Chest He doesn't use performance-enhancing drugs, he insists, no matter what his critics in the European press and elsewhere say. And yet the accusations keep coming. How much scrutiny can the two-time Tour de France winner stand? by Michael Hall In May of last year, Lance Armstrong was riding in the Pyrenees, preparing for the upcoming Tour de France. He had just completed the seven-and-a-half-mile ride up Hautacam, a treacherous mountain that rises 4,978 feet above the French countryside. It was 36 degrees and raining, and his team's director, Johan Bruyneel, was waiting with a jacket and a ride back to the training camp. But Lance wasn't ready to go. "It was one of those moments in my life I'll never forget," he told me. "Just the two of us. I said, 'You know what, I don't think I got it. I don't understand it.1 Johan said, 'What do you mean? Of course you got it. Let's go.' I said, 'No, I'm gonna ride all the way down, and I'm gonna do it again.' He was speechless. And I did it again." Lance got it; he understood Hautacam—in a way that would soon become very clear. -
A Case Study on Mobilizing Demand for HIV Prevention for Women PATH Is an International Nonprofit Organization That Transforms Global Health Through Innovation
IN OUR OWN HANDS: A case study on mobilizing demand for HIV prevention for women PATH is an international nonprofit organization that transforms global health through innovation. We take an entrepreneurial approach to developing and delivering high-impact, low-cost solutions, from lifesaving vaccines, drugs, diagnostics, and devices to collaborative programs with communities. Through our work in more than 70 countries, PATH and our partners empower people to achieve their full potential. For more information, please visit www.path.org. 455 Massachusetts Avenue, NW, Suite 1000 Washington, DC 20001 [email protected] www.path.org Copyright © 2013, Program for Appropriate Technology in Health (PATH). All rights reserved. Cover photo: Frank Herholdt/Microbicides Development Programme IN OUR OWN HANDS: A case study on mobilizing demand for HIV prevention for women By Anna Forbes, Samukeliso Dube, Megan Gottemoeller, Pauline Irungu, Bindiya Patel, Ananthy Thambinayagam, Rebekah Webb, and Katie West Slevin The authors would like to thank the staff of the Sophia Smith Collection at Smith College for their invaluable assistance. As the oldest US collection of women’s history manuscripts and archives, the Collection now houses the Global Campaign for Microbicides (GCM) files. The authors would also like to acknowledge all the funders whose support made GCM’s work possible. Most of all, we would like to thank the thousands of women and men who endorsed, supported, and partnered with GCM in doing this work and who are carrying it forward in other ways -
Complementary and Alternative Medicine
Complementary and Alternative Medicine Policy Number: Original Effective Date: MM.12.013 01/01/2014 Line(s) of Business: Current Effective Date: HMO; PPO 11/17/2017 Section: Miscellaneous Place(s) of Service: Outpatient I. Description Complementary and alternative medicine (CAM), also called non-traditional medicine, is a group of diverse medical and healthcare systems, practices and products that are not typically considered to be a part of traditional Western medicine (i.e., conventional medicine). This policy addresses services performed by CAM providers such as naturopaths, chiropractors and acupuncturists. Complementary medicine generally refers to using a non-traditional approach together with conventional medicine. Alternative medicine refers to using a non-traditional approach in place of conventional medicine. Various CAM assessments and therapies are supported by some degree of scientific evidence and are intended to reduce disease-based symptoms and to improve health outcomes. However, due to a lack of well-designed scientific studies and/or peer reviewed literature many CAM therapies have not been shown to improve health outcomes over conventional therapies. II. Criteria/Guidelines A CAM service or procedure is covered (subject to Limitations and Administrative Guidelines) when all of the following criteria are met: A. It meets the definition of medical necessity as specified in Hawaii Revised Statutes (HRS) Section 432: 1. It is for the purpose of treating a medical condition. 2. It is the most appropriate delivery or level of service, considering potential benefits and harms to the patient; 3. It is known to be effective in improving health outcomes; provided that: a. Effectiveness is determined first by scientific evidence; b. -
Spa Menu of Services
Menu of Services HeadingHIMALAYAN SALT THERAPY Salt therapy, also called Halotherapy, is a natural therapy that hasBody been copy practiced to go here for over 100 years. It involves relaxing in a specialized room filled with dry salt particles to help cleanse the airways and skin, as well as aid recovery and general well-being. HIMALAYAN SALT THERAPIES Relax and take in the salt air inside our Himalayan Salt Therapy room. Inhaling the fine salt particles, which act like an expectorant, speeds mucus clearance and helps to improve respiratory function, while simultaneously eliminating bacteria and soothing the lungs. With 30 or 60 minute sessions to choose from, you can relax in a cozy recliner and breathe in the salt particles. Or choose to pair your Salt Therapy session with a Himalayan Salt Stone Massage for the ultimate salt spa experience. HIMALAYAN SALT THERAPY ROOM 30 mins/60 mins HIMALAYAN SALT STONE MASSAGE 50 mins/80 mins Warm Himalayan Salt Stones ground and balance the body’s electromagnetic field, nervous system and meridians to melt away stress. HIMALAYAN SALT PACKAGES HIMALAYAN SALT ESCAPE 80 mins Enjoy a 50 minute Himalayan Salt Stone Massage and a 30 minute Himalayan Salt Room Therapy Session HIMALAYAN HEALING INDULGENCE 140 mins Rejuvenate with a soothing 80 minute Himalayan Salt Stone Massage and a 60 minute Himalayan Salt Therapy Session MASSAGE THERAPIES CBD MASSAGE 50 mins/80 mins This massage uses full spectrum CBD hemp oil infused with a blend of ancient Korean herbs to nurture, ease muscle and joint aches, reduce inflammation, and soothe irritated skin. -
Outer Paths #6302 a Ruiz and Explore Their Impact on Our Attitudes and Clairvoyance and Astral Travel Actions in Daily Life
18 spring ‘09 register online anytime: www.UMKC.EDU/COMMU #6016 A Exploring the Four Agreements/ Miguel Ruiz Psychic We will discuss “The Four Agreements” by Miquel outer paths #6302 A Ruiz and explore their impact on our attitudes and Clairvoyance and Astral Travel actions in daily life. Experience the difference that Clairvoyance and astral travel is an ancient Chinese putting these agreements into practice makes: Be art of the Imperial Healing Warriors. Since they had Martial Arts Impeccable with your Word; Don’t take anything to know where to go, to seek the sick, they used a Personally; Don’t make Assumptions; Always do form of clairvoyance and astral projection. Bring a your Best. Ahura has been teaching meditation, #7003 A picture of anyone, anything or any place to use in Beginning Self Defense psychic development and Reiki healing for over 20 the psychic portion of the workshop. Dr. Banuelos yeas. She has been living with and teaching about is a naturupathic doctor, sound therapy practicioner, This course is intended to help give the tools of the Four Agreements for nearly a decade. and master level in the Imperial Healing Warriors basic self defense to those who want to learn. It CONVENER: Ahura Basir (816-374-5988) Fraternity. Bring $35 (optional) for 2 books on CD, will cover simple, practical physical techniques for E-mail: [email protected] "Astral World" and "Clairvoyance," and handouts. self defense, as well as strategies for avoiding and Web site: www.soulessencehealing.com diffusing dangerous situations. Barrett will teach CLASS FEE: $9 CONVENER: Lupe Banuelos (816-645-9630) specific techniques, but welcomes student input as E-mail: [email protected] Sec. -
FDA and the Challenge of Alternative Medicine: Realistic Assessments and Regulatory Flexibility
FDA and the Challenge of Alternative Medicine: Realistic Assessments and Regulatory Flexibility The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters Citation FDA and the Challenge of Alternative Medicine: Realistic Assessments and Regulatory Flexibility (1997 Third Year Paper) Citable link http://nrs.harvard.edu/urn-3:HUL.InstRepos:8852106 Terms of Use This article was downloaded from Harvard University’s DASH repository, and is made available under the terms and conditions applicable to Other Posted Material, as set forth at http:// nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of- use#LAA I. Introduction For many people in the United States the idea of alternative or unconventional medicine conjures up visions of snake oil salesmen or crazy crystal-bearing shamen. Such images contribute to the gut reaction that alternative medicine is bunk. Recently, however, Americans have taken increasingly active roles in their own health care and, in the process, have discovered the potentials of alternative medicine. This growing fascination with alternative medicine is evidenced by the recent deluge of books, magazines, web sites, health stores, and clinics dedicated to its practice and development. The perception that alternative medicine cannot be reconciled with conventional medicine and science belies both the enchantment with unconventional therapies as well as the distrust of them. In 1993 Congress, however, decided that America should take a more scientific look -
Breast Cancer Detection from a Urine Sample by Dog Sni Ng
Breast Cancer Detection from a Urine Sample by Dog Sning Shoko Kure ( [email protected] ) Nihon Ika Daigaku https://orcid.org/0000-0002-9536-9438 Shinya Iida Nippon Medical School Chiba Hokusoh Hospital, Department of Breast Oncology Marina Yamada Nippon Sport Science University, Faculty of Medical Science Hiroyuki Takei Nippon Medical School Hospital, Department of Breast Surgery Naoyuki Yamashita Jizankai Medical foundation Tsuboi Cancer Center Hospital Yuji Sato St. Sugar Canine Cancer Detection Training Center Masao Miyashita Nippon Medical School and Twin Peaks Laboratory of Medicine Research article Keywords: dogs, diagnosis, canine cancer detection, breast cancer, urine sample Posted Date: October 14th, 2020 DOI: https://doi.org/10.21203/rs.3.rs-89484/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/11 Abstract Background: Breast cancer is a leading cause of cancer death worldwide. Several studies have demonstrated that dog can sniff and detect cancer in the breath or urine sample of a patient. Objective: The aim of this study is to assess whether the trained dog can detect breast cancer from urine samples. Methods: A nine-year-old female Labrador Retriever was trained to identify cancer from urine samples of breast cancer patients. Urine samples from patients histologically diagnosed with primary breast cancer, those with non-breast malignant diseases, and healthy volunteers were obtained, and a double-blind test was performed. Results: 40 patients with breast cancer, 142 patients with non-breast malignant diseases, and 18 healthy volunteers were enrolled, and their urine samples were collected. -
The Effectiveness of Magnet Therapy for Treatment of Wrist Pain Attributed to Carpal Tunnel Syndrome
BRIEF REPORT The Effectiveness of Magnet Therapy for Treatment of Wrist Pain Attributed to Carpal Tunnel Syndrome RICHARD CARTER; THOMAS HALL; CHERYL B. ASPY, PHD; AND JAMES MOLD, MD, MPH Oklahoma City, Oklahoma e conducted a double-blind placebo-con- attributed to carpal tunnel syndrome by their pri- Wtrolled randomized clinical trial in which 30 mary care physicians. These patients were identi- patients with pain attributed to carpal tunnel syn- fied from the billing databases at a university-oper- drome had either a 1000 gauss magnet or a placebo ated family practice clinic and a rural private prac- metal disk applied to the carpal tunnel area using a titioner's office. The inclusion criteria for participa- Velcro wrap for a period of 45 minutes. Pain was tion were presence of chronic wrist pain in the area measured on a visual analogue scale using 0 and 10 of the carpal tunnel and the willingness to accept as anchors. randomization into treatment or control group. Presenting symptoms including numbness, tin- Individuals were excluded before randomization if gling, burning, and pain did not differ significantly the source of pain had been attributed to some between the 2 groups. There was significant pain cause other than carpal tunnel syndrome, if they reduction across the 45-minute period for both had taken pain medication within 4 hours of begin- groups. However, t test comparisons found no sig- ning treatment, if their body mass index was greater nificant differences between the groups for begin- than 35, or if they were not experiencing pain at ning pain, pain at 15 minutes, pain at 30 minutes, or the time treatment was started. -
SO YOU WANT to START an AROMATHERAPY PROGRAM? December 7, 2017
12/7/2017 SO YOU WANT TO START AN AROMATHERAPY PROGRAM? December 7, 2017 Jodi Baglien Certified Clinical Aromatherapist Jodi Baglien, LLC, Osseo, MN Cindy Gall, LPN QA Coordinator Wishek Living Center, Wishek, ND WELCOME . Welcome! . Q & As at end of the presentations . Slides and recording will be available on the GPQIN website: Calendar > Past Events http://greatplainsqin.org . Utilize chat for questions and sharing throughout 2 1 12/7/2017 3 Jodi Baglien, Certified Clinical Aromatherapist Jodi combines 16 years of experience as a Certified Clinical Aromatherapist, Holistic Therapist and Educator of Aromatherapy. She delivers an evidence-based, compliant, and sustainable aromatherapy program to health care settings, both long and short-term. She has been training medical professionals on how to effectively use essential oils in order to provide non-pharmaceutical options to reduce stress, agitation, improve rest and reduce pain scores. Her programs and consulting continue to bring excellent results, with psychotropic medications in nursing homes, reducing by 35% on average. With a powerful mix of experience, compassion, and science-based research, Jodi offers a clear, practical protocols within the best practices of professional aromatherapy. As a recognized wellness authority, she is dedicated to personalized consulting and wholehearted staff education. Career Management Credentials Certified Clinical Aromatherapist (2000) Holistic Therapist/ Wellness Practitioner Adjunct Faculty - Normandale Community College, Integrative Health