Integrative Medicine – 9780323358682 | US Elsevier Health …

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Part I INTEGRATIVE MEDICINE

1. The Philosophy of Integrative Medicine

2. Creating Optimal Healing Environments

3. The Healing Encounter

4. The Whole Health Process

Part II INTEGRATIVE APPROACH TO DISEASE

Section 1. Affective Disorders

5. Depression

6. Anxiety

7. Attention Deficit Disorder

8. Autism Spectrum Disorder

9. Insomnia

10. Posttraumatic Stress Disorder (PTSD)

Section 2. Neurology

11. Alzheimer's Disease

12. Headache

13. Peripheral Neuropathy

14. Multiple Sclerosis

15. Parkinson's Disease

Section 3. Infectious Disease

16. Otitis Media

17. Chronic Sinusitis

18. Viral Upper Respiratory Infection

19. HIV/AIDS

20. Herpes Simplex Virus

21. Chronic Hepatitis

22. Urinary Tract Infection (UTI)

23. Lyme Disease

Section 4. Cardiovascular Disease

24. Hypertension

25. Heart Failure

26. Coronary Artery Disease

27. Dyslipidemia

28. Cardiac Arrhythmia

Section 5. Allergy/Intolerance

29. Asthma

30. The Allergic Patient

31. Food Allergy and Intolerance

Section 6. Metabolic/Endocrine Disorders

32. Insulin Resistance and the Metabolic Syndrome

33. Diabetes Mellitus

34. Hypothyroidism

35. Polycystic Ovarian Syndrome

36. Osteoporosis

37. Obesity

38. MTHFR, Homocysteine and Nutrient Needs

39. Adrenal Fatigue

Section 7. Nephrology

40. Chronic Kidney Disease

Section 8. Gastrointestinal Disorders

41. Irritable Bowel Syndrome

42. Gastroesophageal Reflux Disease

43. Peptic Ulcer Disease

44. Cholelithiasis

45. Recurring Abdominal Pain in Pediatrics

46. Constipation

Section 9. Autoimmune Disorders

47. Fibromyalgia

48. Chronic Fatigue Syndrome

49. Rheumatoid Arthritis

50. Inflammatory Bowel Disease

Section 10. Obstetrics/Gynecology

51. Preconception Counseling and Fertility

52. Labor Pain Management

53. Postdates Pregnancy

54. Nausea and Vomiting in Pregnancy

55. Menopause

56. Premenstrual Syndrome

57. Dysmenorrhea

58. Leiomyomata

59. Vaginal Dryness

Section 11. Urology

60. Benign Prostatic Hyperplasia

61. Urolithiasis

62. Chronic Prostatitis

63. Erectile Dysfunction

64. Testosterone Deficiency

Section 12. Musculoskeletal

65. Osteoarthritis

66. Myofascial Pain Syndrome

67. Chronic Low Back Pain

68. Neck Pain

69. Gout

70. Carpal Tunnel Syndrome

71. Epicondylosis

Section 13. Dermatology

72. Atopic Dermatitis

73. Psoriasis

74. Urticaria

75. Aphthous Stomatitis

76. Seborrheic Dermatitis

77. Acne/Rosacea

Section 14. Cancer

78. Breast Cancer

79. Lung Cancer

80. Prostate Cancer

81. Colon Cancer

82. Palliative and End of Life Care

Section 15. Substance Abuse

83. Alcoholism and Substance Abuse

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Integrative Medicine - 9780323358682 | US Elsevier Health ...

Integrative Medicine Fellowships – ABPS

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Integrative Medicine Fellowships

The following is a listing of Fellowships currently approved by the American Board of Integrative Medicine. Completion of one of these fellowship programs satisfies eligibility requirement 7(1). The program listed in red may no longer be open to new applications.

University of Arizona/Arizona Center for Integrative MedicineFellowship in Integrative Medicine

Academy of Integrative Health & Medicine (AIHM)AIHM Interprofessional Fellowship in Integrative Health & Medicine

University of California Los Angeles Center for East-West MedicineFellowship in Integrative Medicine

Santa Rosa FamilyMedicineResidencyIntegrative Family Medicine Fellowship

UCSF Osher Center for Integrative MedicineTraining in Research for Integrative Medicine (TRIM)

Scripps Center for Integrative MedicineIntegrative Cardiology

Middlesex Hospital Cancer CenterIntegrative Medicine Fellowship Program

Stamford Hospital, an affiliate of Columbia University Integrative Medicine Fellowship

George Washington University and the Jesse Brown VA Medical CenterIntegrative Medicine Employee Education/FellowshipPilot

Osher Center for Integrative Medicine at Northwestern UniversityIntegrative Medicine Fellowship

University of KansasIntegrative Medicine Fellowship

Maine Medical Center Family Medicine Residency Program (MMCFMRP)Integrative Family Medicine (IFM) Program and Fellowship

Harvard Medical School Research Fellowship in Integrative Medicine(multiple locations)

Greater Lawrence Family Health CenterHIP Fellowship

University of MichiganIntegrative Medicine Fellowship

Mayo Clinic

Albert Einstein College of Medicine/ Beth Israel Medical CenterAcademic Integrative Medicine Fellowship

Weill Cornell Medical CollegeFellowship Program in Complementary and Integrative Medicine

University of North CarolinaFellowship in Research in Integrative Medicine

Ohio State UniversityIntegrative Medicine Fellowship Program

Lake Erie College of Osteopathic Medicine Integrative & Lifestyle MedicineGraduate Training Program in Integrative Medicine

University of Texas Medical Branch (UTMB Health)Integrative & Behavioral Medicine Fellowship

Swedish Cherry HillIntegrative Medicine Fellowship

University of Wisconsin, Department of Family MedicineAcademic Integrative Medicine Fellowship

The George Washington UniversityIntegrative Geriatric Fellowship

The George Washington UniversityIntegrative Medicine Fellowship

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Integrative Medicine Fellowships - ABPS

Doctors at Family Health West using video conference tech to talk to patients – KJCT8.com

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GRAND JUNCTION, Colo. (KKCO/KJCT)-- Officials at Family Health West say they are using more digital methods to communicate with patients with the rise in COVID-19 cases.

As Colorado Canyons Hospital and Medical Center, a service of Family Health West, prepares for an increase number of confirmed COVID-19 cases in the Grand Valley, our physicians and therapists at our outpatient clinics are implementing the future of medical care delivery by providing it by telemedicine. This is the same excellent quality of care they give in their office using modern video conferencing technology, like Face-Time, so we can protect our community by minimizing close contact, the release said.

"Family Health West is pleased to offer another way for our patients to connect with their primary care and specialty care providers, obtain needed health care services, and provide high-quality medical care while also reducing the risk of exposing our patients to COVID-19, and other illnesses," said Family Health West President/CEO Dr. Korrey Klein.

Officials say The Pediatric Therapy and The Autism Groups are tele-meeting with their pediatric patients and families with great success.

Other clinics such as the Arthritis Center of Western Colorado, Atlas Arch Neurosurgery, Redrock Integrative Rehabilitation Medicine and Canyon Rim Psychological Associates have begun telehealth visits.

Western Valley Family Practice is calling all patients who currently have an appointment to determine their risk factors and help set up the telehealth alternative to those who pose a high risk of being exposed.

If you want to set up telehealth services for yourself, call 970-858-3900 to ask about telehealth at your Family Health West physician office.

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Doctors at Family Health West using video conference tech to talk to patients - KJCT8.com

What An Herbalist, Midwife & Integrative MD Says About The Coronavirus – mindbodygreen.com

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In terms of supplements, needless to say, this herbalist is on board. Romm says there's an arsenal of herbs and supplements we can take to support our immune systemsfrom widely recognized players like zinc and vitamin D to ones we might not be familiar with for immunity, like astragalus and lavender oil.

Let's start with those common supplements: "Nutritionally, if you had to pick the top three we can feel confident about in terms of safety, it would bezinc, vitamin D, and vitamin C. They're safe for anyone at any age, safe during pregnancy and breastfeeding," Romm says.

As for the lesser-known herbs, Romm is partial to adaptogens in order to support the immune system (that includes medicinal mushrooms, like reishi and ashwagandha, and holy basil). She also touts echinacea and astragalus as herbs worth trying for immunitywhile there's no data on them for COVID-19 yet, they do have purported benefits for the common cold.

But Romm's favorite herb in her medicine cabinet is none other than lavender oil, as it helps reduce her anxiety (which, as we know, has quite the impact on our immune systems). "One of my favorites right now is lavender oilit's incredibly effective for a good night's sleep, especially when it's disrupted by anxiety," she explains.

With these herbs and supplements, feel free to take them by capsule, tincture, or even add them to soups and smoothies. While they're great to have on hand, Romm emphasizes that they're not totally necessary (hence the term, supplement). "Don't freak out if you can't find them; just do your best," she assures me.

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What An Herbalist, Midwife & Integrative MD Says About The Coronavirus - mindbodygreen.com

16 Ways To Practice Self-Care That Cost Next To Nothing – HuffPost

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In the age of Instagram, self-care has become synonymous with indulgences like massages, facials, fancy products, boutique workout classes and lavish vacations.

That all sounds great if you have tons of disposable income. But for most of us, spending serious cash on self-care just isnt realistic.

The whole concept of self-care has really strayed from the original intent, and become a meme unto itself, said Kathleen Dahlen deVos, a psychotherapist in San Francisco. When I talk with my clients about self-care, rarely am I encouraging practices and habits that cost money. In fact, spending excessive money or funds we dont have In the name of self-care can actually be distressing, destructive and work against our mental and emotional wellbeing.

We asked experts in the wellness space to share some of the best ways to practice self-care that are basically free. Heres what they told us:

1. Spend some time outside.

Take a walk around the block, sit in the grass, hike a local trail or just let the sun shine on your face for a few minutes.

No matter where you live, you likely have access to an outside space, said Tiffany Lester, an integrative medicine doctor in San Francisco. If its not in your neighborhood, think of a close space you can get to within 10 to 30 minutes. Getting outside and away from our devices calms our nervous system from the negative effects of everyday stressors.

2. Clean and organize your living space.

When your apartment or office is a mess, it can take a toll on your mental state, making you feel more stressed, anxious and overwhelmed.

For some, a messy or disorganized space can activate their nervous systems and impact mental health wellness, said therapist Jesse Kahn, director of The Gender & Sexuality Therapy Center in New York. If thats you, taking time to clean up your space can be an act of self-care and self-love, and may feel healing rather than like a chore you dont want to do.

3. Reduce the amount of time you spend on social media.

Mindlessly scrolling through your social media feeds for hours on end is not only a time suck, but is also linked to lower self-esteem, sleep issues and an increased fear of missing out, or FOMO.

Social media and the internet is a great resource to connect, cultivate support and community, but it can also be a place of overconsumption, distraction, and numbing out to what we truly may need in our lives, said McKel Hill Kooienga, a registered dietitian in Nashville, Tennessee, and founder of the site Nutrition Stripped.

The iPhones Screen Time feature, Androids Digital Wellbeing tools or apps like Moment can monitor your social media usage and help you cut back. Other tricks that may be useful include disabling certain push notifications, switching to grayscale mode or hiding your most enticing apps in a folder thats not on your home screen.

4. Do some journaling.

CSA Images via Getty Images

All you need is a pen and some paper to get started. Journaling can be a therapeutic practice that helps you understand thought patterns, work through difficult emotions, reflect on certain events or cultivate more gratitude in your everyday life.

Sometimes I find it just as helpful as therapy and Im very pro-therapy; Im studying to be a therapist, said Lauren Donelson, a writer and yoga teacher based in Seattle. Journaling helps us externalize whats going on inside our heads, and it helps us to look at our thoughts more objectively.

5. Get better sleep.

Making an effort to get the recommended seven to nine hours of quality shuteye can make a huge difference when it comes to your overall wellbeing. Getting a good nights sleep on a consistent basis offers benefits such as better immune function, improved mood and better performance at work. (If you need some tips on how to make it happen, weve got you covered.)

Maybe the self-care practice here is getting a certain number of hours a night, not exceeding a certain number of hours, getting to sleep by a certain time so youre able to wake up by a certain time or creating a ritual to help you calm your body, relax and go to sleep, Kahn said.

6. Meditate.

Practicing meditation is one of the best ways to restore and reconnect with our mind and body, said Tamara Levitt, a Toronto-based meditation instructor and head of mindfulness at Calm.

As (writer) Anne Lamott said: Almost everything will work again if you unplug it for a few minutes, Lamott said. There is immense value in giving ourselves time and space to shift from doing mode to being mode. Meditation allows us to reconnect with the needs of our mind and body.

If you prefer guided meditations, you can check out the free version of apps like Headspace or Calm, or find videos on YouTube. And, of course, meditating in silence is another great option that doesnt cost a dime.

7. Check in with yourself.

At least once a day, if not more, take some time to check in with yourself. Pause to assess how hungry or full you are, any emotions you may be feeling or scan your body for areas of tightness.

Simply asking yourself the question, How am I doing right now? is a gentle reminder to take care of yourself, Hill Kooienga said.

8. Move your body.

Malte Mueller via Getty Images

It might be dancing in your bedroom to a fire playlist, doing squats in your living room or participating in a community yoga class (which is generally less costly than a boutique fitness class).

However, if that still doesnt fit in your budget, there are many free online yoga videos on YouTube, Kahn said. One of my favorites is Yoga With Adriene.

9. Connect with loved ones offline.

Texting and email are convenient forms of communication, but they dont satisfy our deep need for connection in the way more personal interactions do.

Call a friend, take a walk with a colleague or cook dinner with a family member, Dahlen deVos said. Connecting with others we care for helps to shift us out of our heads, regulates our nervous systems and elevates our moods.

10. Invest time in a hobby.

The demands of work, family and other obligations take up most of our time and energy, leaving barely any room in our schedules for activities we truly enjoy. But carving out some time for our hobbies even when we have a lot on our plate matters.

Most of us are too busy to make time for activities that are joy-filled and feel nurturing, Levitt said. Find a time each week to shut off your electronics, and engage in a hobby that rejuvenates your spirit; play music, write in a journal, take a cooking class. While electronics deplete us, our favorite activities nourish us.

11. Take some deep breaths.

During high-stress periods, we may go hours or even a whole day without taking a full, grounding breath if were not intentional about it.

I like to take a few deep breaths in the morning and also throughout the day because it helps me to recenter and connect more with the present moment, said Jessica Jones, a San Francisco-based registered dietitian and co-founder of Food Heaven. One strategy that I use to remind myself to do this is to take three deep breaths every time I go to the bathroom and wash my hands. Its easy, free and makes a huge difference in my daily stress levels.

12. Volunteer your time with an organization you care about.

Choose your cause, whatever it may be, and then figure out a way you can pitch in.

Engaging in altruistic acts and seeing our actions make a direct and positive impact in the lives of others is a surefire way to shift your mood and feel part of something bigger than yourself, Dahlen deVos said. This can help put our problems in context, or at least give us a break from stressors without numbing out.

13. Eat more vegetables.

Malte Mueller via Getty Images

Aim to put more of your grocery budget toward veggies and less towards ultra-processed snack foods. Then, to up your intake, cut up some vegetables at the beginning of the week and store them in your fridge that way you can easily grab them when you need a snack or throw in a handful or two to spruce up your meals.

Most of us are not consuming near enough whole foods let alone vegetables, which keep us nice and full because of prolonged satiety from the fiber, Hill Kooienga said. Vegetables nourish our physical bodies on a cellular level with fiber, minerals, vitamins, and antioxidants, and they can taste really delicious too.

14. Cuddle with someone you love.

Snuggle up next to your partner, your child or even your BFF.

Cuddling releases oxytocin, a feel good hormone, that also helps with reducing stress, said Lynsie Seely, a marriage and family therapist in San Francisco.

Pets make great cuddle buddies, too. Plus, spending time with our furry friends has been shown to alleviate anxiety, depression and feelings of loneliness.

If you dont have access to a pet, go visit adoptable animals at the local shelter, sign up to walk dogs for a service such as WAG or sip tea at a cat cafe, Dahlen deVos said.

15. Say no more often.

We often think of self-care as doing something extra for ourselves on top of our normal day-to-day activities. But self-care can also be about what you choose not to do, Seely said.

One way to give a healthy no? Start setting boundaries with the people in your life.

So many of us are people pleasers and spend a lot of time doing things out of feelings of guilt and obligation, causing us to feel energetically drained and lacking the ability to focus on ourselves and what we truly want, said Sara Groton, a nutrition and eating psychology coach in San Francisco. Any time I find myself thinking I should do that or I have to do that, I take a moment to question and challenge that thought.

16. Practice self-compassion.

All the face masks, manicures and massages in the world cant undo the damage of that harsh inner voice criticizing, judging and berating yourself all day long.

If you dont know where to begin with self-compassion, Allison Hart a mental health professional in San Francisco recommended putting your hand over your heart and saying to yourself: I am struggling right now. Im in pain, Im angry or feeling out of the flow. May I be gentle and flexible with myself. May I be kind to myself and may I take a break from problem-solving just for a moment.

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16 Ways To Practice Self-Care That Cost Next To Nothing - HuffPost

Allergists Offer Advice to Parents of Kids With Food Allergies – The New York Times

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The allergists also talked about creating thoughtful and balanced communication, having credible health information to share with children, and supporting a positive feedback loop between parents and children rather than one that builds anxiety. "Parents should be encouraged to transfer their knowledge to children, not all of their worries," one expert remarked.

"Psychosocial coping with food allergies can be understood and managed when clear communication is present between parents and children and between healthcare providers and patients," Gupta said. "It is a balance between lots of sound medical information and a good understanding of a child's risks and coping resources."

Coping is often impeded by misinformation about food allergies, the experts said, so it's important for parents to receive consistent messaging and counseling for the family, if necessary.

"You are taking care of the kids, but you are (also) managing the family unit, as you should be," one allergist said.

Brochures, apps, virtual groups and other educational materials can offer scientifically informed resources for parents and kids to manage food allergies. Gupta and colleagues are now collecting information in an online survey about the coping strategies and integrative medicine that parents and children have used.

"It's important for families to know that it's normal to be stressed about food allergy and feel overwhelmed, worried, sad or frustrated at times," said Linda Herbert, director of the Psychosocial Services Program for the Division of Allergy and Immunology at Children's National Hospital in Washington, D.C.

"But it's equally important to know that they can get help from a professional," Herbert, who wasn't involved in the study, told Reuters Health by email. "The mental health and allergy communities are paying more and more attention to the needs of food allergy families, and we are working hard to increase the number of mental health professionals who are equipped to do so."

SOURCE: https://bit.ly/2utQCOm Annals of Allergy, Asthma & Immunology, online February 25, 2020.

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Allergists Offer Advice to Parents of Kids With Food Allergies - The New York Times

Global Health Coaching Market Segmentation and Analysis by Recent Trends, Development and Growth by Regions by 2026 – Monroe Scoop

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Global Marketers.Bizadded Global Health Coaching Market to its wide collection of research repository. The Health Coaching Industry research report is a way of getting an overview of consumers wants, needs, and beliefs. Health Coaching market research report may also involve discovering however they act. This report can be used to determine however a product might be marketed. This marketing research report could be an approach that producers and also the market place study the patron and gather info regarding the consumers desires.

Book Your PDF Sample Copy of the Report here:https://www.globalmarketers.biz/report/technology-and-media/global-health-coaching-market-research-report-2020-2026-of-major-types,-applications-and-competitive-vendors-in-top-regions-and-countries/143935#request_sample

The Leading Companies Included In the Reports Are:

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

The report covers a forecast and an analysis of the Health Coaching Market on a global and regional level. The ancient data is given from 2015-2020 and the estimate period is from 2020-2026 based on revenue (USD Billion). The Health Coaching market was estimated at XX Million US$ in 2020 and is probable to grasp XX Million US$ by 2026, at a CAGR of XX% throughout 2020-2026

Market Segmentation Of Health Coaching Industry By Region Are As Follows:

North America

Europe

Asia-Pacific

Middle-East & Africa

South America

Market Segment of Health Coaching Industry by Type, covers ->

Type IType II

Market Segment by of Health Coaching Industry Applications, can be divided into ->

Application IApplication II

What are the Factors Driving the Health Coaching Business are Explained in the Report?

Market Information:Through market information, one will understand the costs of various commodities within the market, further because of the offer and demand scenario. Health Coaching market report has a wider role than antecedently recognized by serving to their shoppers to know social, technical and even legal aspects of markets.

Market Trends:Market trends shows the rising and sliding movements of the market through the period of time. Determinant of the Health Coaching Market size is also tougher if one is beginning with a replacement innovation.

Market Key Players:Health Coaching market report is incredibly helpful to the global key players who are thirstily waiting to grow their growth during this competitive market. Health Coaching market report is essentially created from that specialize in key players who are related to us.

Market Segmentation:Market segmentation is the separation of the market population into subclasses with alike inspirations. Its widely used for segmenting on geographic variations, techno graphic variations, and variations in product use.

Inquire/Speak To Expert for Further Detailed Information About Health Coaching Report:https://www.globalmarketers.biz/report/technology-and-media/global-health-coaching-market-research-report-2020-2026-of-major-types,-applications-and-competitive-vendors-in-top-regions-and-countries/143935#inquiry_before_buying

Why Global Marketers.Biz?

Robust research methodology of Health Coaching market

Technically renowned study with overall Health Coaching industry know-how

Focus on Health Coaching drivers, restraints, opportunities, and threats till 2026

Based on complete research, we offer a clear view of real Health Coaching market scenario and help clients with making an important business judgment

A comprehensive archive of Health Coaching market research reports to meet our clients needs

Table of Content:

1 Health Coaching Market Survey

2 Executive Synopsis

3 Global Health Coaching Market Race by Manufacturers

4 Global Health Coaching Production Market Share by Regions

5 Global Health Coaching Consumption by Regions

6 Global Health Coaching Production, Revenue, Price Trend by Type

7 Global Health Coaching Market Analysis by Applications

8 Health Coaching Manufacturing Cost Examination

9 Advertising Channel, Suppliers and Clienteles

10 Market Dynamics

11 Global Health Coaching Market Estimate

12 Investigations and Conclusion

13 Important Findings in the Global Health Coaching Study

14 Appendixes

15 company Profile

Browse Table Of Content:https://www.globalmarketers.biz/report/technology-and-media/global-health-coaching-market-research-report-2020-2026-of-major-types,-applications-and-competitive-vendors-in-top-regions-and-countries/143935#table_of_contents

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Global Health Coaching Market Segmentation and Analysis by Recent Trends, Development and Growth by Regions by 2026 - Monroe Scoop

Impact of Comorbidities and Commonly Used Drugs on Mortality in COPD – | COPD – Dove Medical Press

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Jens Ellingsen, 1 Gunnar Johansson, 2 Kjell Larsson, 3 Karin Lisspers, 2 Andrei Malinovschi, 4 Bjrn Stllberg, 2 Marcus Thuresson, 5 Christer Janson 1

1Department of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden; 2Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden; 3Integrative Toxicology, National Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; 4Department of Medical Sciences, Clinical Physiology, Uppsala University, Uppsala, Sweden; 5Statisticon AB, Uppsala, Sweden

Correspondence: Jens EllingsenDepartment of Medical Sciences, Respiratory, Allergy and Sleep Research, Akademiska Sjukhuset, Uppsala SE-751 85, SwedenTel +46 18 611 13 93Fax +46 18 611 02 28Email jens.ellingsen@medsci.uu.se

Background: Life expectancy is significantly shorter for patients with chronic obstructive pulmonary disease (COPD) than the general population. Concurrent diseases are known to infer an increased mortality risk in those with COPD, but the effects of pharmacological treatments on survival are less established. This study aimed to examine any associations between commonly used drugs, comorbidities and mortality in Swedish real-world primary care COPD patients.Methods: Patients with physician-diagnosed COPD from a large primary care population were observed retrospectively, utilizing primary care records and mandatory Swedish national registers. The time to all-cause death was assessed in a stepwise multiple Cox proportional hazards regression model including demography, socioeconomic factors, exacerbations, comorbidities and medication.Results: During the observation period (1999 2009) 5776 (32.5%) of 17,745 included COPD patients died. Heart failure (hazard ratio [HR]: 1.88, 95% confidence interval [CI]: 1.74 2.04), stroke (HR: 1.52, 95% CI: 1.40 1.64) and myocardial infarction (HR: 1.40, 95% CI: 1.24 1.58) were associated with an increased risk of death. Use of inhaled corticosteroids (ICS; HR: 0.79, 95% CI: 0.66 0.94), beta-blockers (HR: 0.86, 95% CI: 0.76 0.97) and acetylsalicylic acid (ASA; HR: 0.87, 95% CI: 0.77 0.98) was dose-dependently associated with a decreased risk of death, whereas use of long-acting muscarinic antagonists (LAMA; HR: 1.33, 95% CI: 1.14 1.55) and N-acetylcysteine (NAC; HR: 1.26, 95% CI: 1.08 1.48) were dose-dependently associated with an increased risk of death in COPD patients.Conclusion: This large, retrospective, observational study of Swedish real-world primary care COPD patients indicates that coexisting heart failure, stroke and myocardial infarction were the strongest predictors of death, underscoring the importance of timely recognition and treatment of comorbidities. A decreased risk of death associated with the use of ICS, beta-blockers and ASA, and an increased risk associated with the use of LAMA and NAC, was also found.

Keywords: observational, LAMA, inhaled corticosteroids, beta-blockers, acetylsalicylic acid, chronic obstructive pulmonary disease

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License.By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

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Impact of Comorbidities and Commonly Used Drugs on Mortality in COPD - | COPD - Dove Medical Press

Kochi to host first ever global meet on Integrative Oncology – Onmanorama

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Kochi: Promising to showcase breakthrough findings in cancer care, the first ever integrative medicine global oncology conference will be held at Hotel Le Meridian in Kochi on February 8 and 9, 2020.

The International Conference on Integrative Oncology 2020 (ICIO 2020) is being organised by the Global Homeopathy Foundation (GHF) which will be attended by top oncologists from India and abroad representing medical, surgical, radiation, haematology, paediatric and gynaecology specialties.

Dr. Sreevals Menon, Managing Trustee of GHF, said that there will be four moderated panel discussions at the conference with AYUSH/TCAM (Traditional, Complementary and Alternative Medicine) oncology experts including Dr Michael Dixon, Chair to the Prince's Foundation of Integrated Health U.K. set up by Prince of Wales; Dr Manfred Mueller, US; Dr Ioannis Papasotiriou, Greece; Dr Issac Mathai, Bangalore; Luke Coutinho, celebrity onco-nutritionist and Aliya Almoayed from Bahrain, taking part. The ICIO 2020 is expected to be attended by over a thousand delegates from about 30 countries, he said.

Specialists from Germany, USA, UK, Austria, Switzerland, Australia, South Africa, India and others, engaged in integrative and clinical oncology, fundamental research, AYUSH/TCAM -based oncology in all major disciplines shall present about 25 key scientific papers.

The event will expose doctors, researchers, medical scholars and oncology enthusiasts among public to novel possibilities in integration of different oncology care streams. The disciplines in focus in this regard include AYUSH/TCAM sciences and conventional medicine in oncology, onco-nutrition, pharmacognosy, psycho-oncology, immunotherapy oncology, onco-diagnostics, stem cell therapy, Mistletoe & Iscador therapies, onco-physiotherapy and onco-nursing, among others, Dr. Menon added.

ICIO2020 shall also be inspired by special orations which are expected to stimulate strategies leading to formation of Integrative Oncology units in leading cancer care centres nationwide. A vision of the conference is to set up a major national institute of international standards in Integrative Oncology synchronising Integrative Medicine (IM) with other therapies, with a lead role for IM at multiple levels.

ICIO 2020 will also have a dedicated yoga hall for delegates to register and get training from international experts in clinical yoga therapy in 12 major diseases. The event will also witness a cancer survivors meet. In a pioneering session on psycho-oncology, Dr. Surendran, Ozan Bahcivan and Dr. E Vidhubala will address the delegates which will be co-ordinated by Dr. Veenavani Nallepali.

GHF is the most distinguished non-profit Homeopathy organisation in India, a global institution that delivers the benefits of Homeopathy. Operating as an advisory body with its affiliates and members in over 15 countries, GHF has organised major national and international conferences, led delegations of Homeopaths to various countries, routinely conducted charitable humanitarian activities and has supported integration of medicine systems, being co-organizer of three ICIO so far.

ICIO 2020 is held in association with Central Health & FW Ministry, AYUSH/TCAM Ministry, all AYUSH/TCAM research councils and State Governments of Kerala and Maharashtra, and National AYUSH Mission.

The last date for registration to attend the conference is February 6, 2020. One can visit http://www.icio2020.com for details and registration.

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Kochi to host first ever global meet on Integrative Oncology - Onmanorama

A Decade of Progress in Cancer Care, and Whats Next – On Cancer – Memorial Sloan Kettering

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Summary

Larry Norton, Senior Vice President at Memorial Sloan Kettering, discusses some of the biggest achievements in cancer care made between 2010 and 2019, and what he hopes to see next.

In January, the American Cancer Society reported that the rate of cancer deaths in the United States had fallen 2.2% from 2016 to 2017. This was the largest single-year decline in cancer mortality ever reported.

Many factors have contributed to the continuing decline in cancer deaths. The reduction in the number of people who smoke is chief among them. But advances in diagnosis and treatment, especially those made during the past ten years, have also played a significant role. Experts anticipate that, with further advances in research, cancer survival will continue to improve over the next decade and beyond.

In an interview, Larry Norton, a medical oncologist and Senior Vice President at Memorial Sloan Kettering, talked about some of the biggest achievements in cancer care made between 2010 and 2019, and what he hopes to see next.

By any estimate, immunotherapy has been the past decades most noteworthy advance in cancer medicine. It was one of the earliest attempts regarding the nonsurgical treatment of cancer. Making it effective, though, has taken more than 100 years, coming into its own only in the 2010s.

At Memorial Sloan Kettering, we believe that immunotherapy is one of the most promising ways to treat, cure, and ultimately prevent cancer.

The field dramatically accelerated in 2011 with the US Food and Drug Administrations approval of ipilimumab (Yervoy) for melanoma. This drug, in a class called immune checkpoint inhibitors, was based on research conducted by immunologist James Allison and developed in clinical trials with the help of MSK physician-scientists. Dr. Allison, who led the Sloan Kettering Institutes Immunology Program from 2002 to 2012, won a Nobel Prize in 2018 for this pioneering work. Several other checkpoint inhibitor drugs followed. What these therapies have in common is that they take the brakes off the immune system, enabling it to destroy cancer.

In addition to melanoma, these are some of the first new drugs to really have an impact on lung cancer, Dr. Norton says. They also have become very important for treating bladder cancer and other cancers.

Chimeric antigen receptor (CAR) T cell therapy was another big leap forward in immunotherapy. In this approach, pioneered by MSKs Michel Sadelain, scientists genetically engineer a patients own immune cells to make a new protein that can latch on to cancer. This turns those altered cells into powerful cancer fighters.

Researchers are looking for ways to make immunotherapy drugs effective in more people and for more types of cancer. One approach thats promising is using cancer vaccines and viruses to activate tumor cells and make them more visible to the immune system. These treatments are likely to be combined with checkpoint drugs and CAR T.

Targeted therapies came into their own in the late 1990s and early 2000s, with the approval of drugs like trastuzumab (Herceptin) and imatinib (Gleevec). But in the 2010s, they became part of standard treatment for many more cancers. Dozens of new drugs were approved for both solid tumors and blood cancers. These therapies are designed to exploit weaknesses found primarily in cancer cells while sparing healthy tissue.

Thanks to studies called basket trials, researchers have learned that the same drug may work against many types of cancer if the tumors have the same genetic changes. One of the most striking examples of this pan-cancer approach is larotrectinib (Vitrakvi), which the FDA approved in 2018.

Advances in targeted therapy for blood cancers, especially chronic lymphocytic leukemia, acute myeloid leukemia, and acute lymphocytic leukemia, have led to a number of drug approvals. These drugs have fewer side effects than traditional chemotherapy. Because of that, they can be given to people who are unable to tolerate more intense treatment because of their age or other health problems.

Researchers are learning more about how tumors develop resistance to targeted drugs. In addition, theyre studying the role of tumor heterogeneity, which allows some tumor cells to escape the effect of these drugs.

According to Dr. Norton, another exciting area of research is tackling the noncancerous cells that surround tumors, called the tumor microenvironment. Some of these cells stimulate cancer growth, and we can also go after them with drugs, he says. To paraphrase a Zen koan: Targeting only the tumor is like trying to clap with one hand. You may have to hit both sides of the equation to really make a difference.

With the development of tests like MSK-IMPACT, launched in 2014, and MSK-ACCESS, launched in 2019, doctors now have the ability to look for hundreds of cancer-causing mutations across of range of tumor types with a single test. As of the end of January 2020, more than 50,000 tumors from more than 43,000 patientshave beenanalyzed with MSK-IMPACT. More recently, MSK-ACCESS has enabled doctors to study tumors using a blood test called a liquid biopsy rather than having to do a more complicated tissue biopsy.

Molecular diagnostics looks for a number of changes in cells. These might include chromosomal gains and losses, changes in gene copy numbers, structural rearrangements, and broader mutational signatures. Analysis of messenger RNA (the genetic material that carries information from DNA to a cells protein-making machinery) is becoming an important diagnostic tool, too.

Unlike other genetic tests, MSK-IMPACT and MSK-ACCESS look for mutations in a persons normal tissue for comparison. This bonus analysis is revealing new clues about which cancers are inherited.

Diagnostic tests that include normal tissue are also uncovering more details about clonal hematopoiesis (CH). This age-related condition leads to an increased number of white blood cells that carry cancer-causing mutations. CH is not cancer, but people who have it have an increased risk of cancer. Were learning more and more about the role that CH cells play in relation to many kinds of cancer, not just blood cancers, Dr. Norton says.

In the 2010s, large studies confirmed the benefits of many screening tests, such as colonoscopies for colon and rectal cancer and low-dose CT scans for people at an increased risk of lung cancer because of their smoking history. There have been a number of advances in mammograms and other types of breast screening as well. For example, MRIs can be used to classify a womans risk of developing breast cancer.

Dr. Norton says that the personalization of cancer screening will play a big role over the next decade. Not everyone needs to have the same level of monitoring, he notes.

MSKs Precision Interception and Prevention program combinesthe principles of precision medicine with research on prevention and early detection. The goal of this approach is to prevent cancer from occurring or stop it at the earliest stages, when its easier to treat.

Over the past ten years, minimally invasive and robotic surgeries have become standard for more and more cancers. For many cancer types, studies have confirmed that these surgeries are just as effective as open surgeries at controlling disease but with less pain and quicker recovery.

Many of these surgical techniques have been advanced at MSKs Josie Robertson Surgery Center, Dr. Norton says. The center, which opened in 2016, enables surgeons to perform outpatient procedures in a state-of-the-art setting. More than half of the 20,000 surgeries done at MSK every year are now done on an outpatient basis.

Although surgery will continue to be an important part of cancer care, Dr. Norton says that continuing advances in other treatments will enable some people to avoid surgery entirely. For some people with breast cancer, drug therapies and radiation are becoming so effective that we might want to do research looking at whether they might not need surgery or will need only minimally invasive surgery, he says.

In radiation therapy, one of the important tenets over the past decade has been less is more. Advances like intensity-modulated radiation therapy and image-guided radiation therapy use computer programs and advanced imaging to deliver stronger doses of radiation while sparing healthy tissue. Oftentimes, fewer radiation treatments are needed to achieve the same benefits. There have also been advances in identifying which tumors can be effectively controlled with less radiation overall, which reduces side effects.

In 2019, the New York Proton Center opened in East Harlem. The center aims to provide treatment and to conduct clinical trials comparing proton therapy to other types of radiation. Proton therapy is already in use, especially for head and neck cancers and pediatric tumors. Experts expect it to become more widely used in the 2020s.

Survivorship rates for pediatric cancers continued to improve in the 2010s. About 80% of children with cancer can now be cured with available treatments. For the remaining 20%, there has been an increased focus on personalized medicine.

All children treated at MSK Kids receive testing withMSK-IMPACT. And clinical trials developed by MSKsEarly Drug Development Servicecan now include children as young as 12. For children with very rare mutations, protocols for single-patient use (SPU) can provide lifesaving treatment.

Initiatives like MSKs Pediatric Translational Medicine Program and the Expanded Genomics Program aim to make personalized medicine an option for more children with cancer. And when investigators conduct SPUs, they collect data to learn how and why certain drugs work or dont. These findings can lead to future trials.

Research reported in 2017 confirmed that systematic monitoring of patient-reported symptoms during chemotherapy improves survival outcomes. Patient input and the patient experience are now incorporated into the design of clinical trials. These measures empower patients to actively report their symptoms. Doctors and nurses are then able to intervene early, ultimately improving patients quality of life as well as survival rates.

Investigators at MSK are continuing to focus on the influence of nutrition, integrative medicine, and exercise in improving patients well-being during and after treatment as well as their cancer outcomes. Digital health and telemedicine are another exciting frontier in cancer management and research, Dr. Norton says. Clinical trials already underway aim to look for measurable benefits from these interventions.

Many of theadvances in cancer treatment and diagnosis seen over the past ten years are possible thanks to funding from donors, Dr. Norton explains. You canmake progresswith philanthropicsupportthat you cantaccomplishany other way, he says. It gives researchers freedomto be creativein a way that no othertypeof funding makes possible.

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A Decade of Progress in Cancer Care, and Whats Next - On Cancer - Memorial Sloan Kettering

Integrative Pet Vet column: Homeopathy love it or hate it, but what is it? – Glenwood Springs Post Independent

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Whether you love homeopathy or view it with skepticism depends on your experience with it and your understanding of its history and how it is thought to work. This discussion will not attempt to defend or degenerate homeopathic medicine but rather to provide background information. The goal is to provide brief information that forms the basis of an informed discussion and deeper exploration.

Homeopathic medicine has often been confused with holistic or complementary medicine. While homeopathy can be a part of the holistic approach, homeopathy and holistic have different meanings. Homeopathic medicine is a distinct discipline with an interesting history, proposed mechanism of action, and health care application.

Historically, the concept of homeopathy arose from the work and insights of Dr. Hahnemann, a German physician that lived and worked around 1800. He developed the concepts that would form the basis of homeopathy because of dissatisfaction with the medical approaches in common use at that time. These approaches included the use of arsenic, mercury, purging, bloodletting and administration of stimulants and narcotics. Infectious disease was common and frequently fatal. Surgeries were often fatal and performed without anesthesia.

The rationale for the homeopathic approach was based on the idea that like cures like. In other words Dr. Hahnemann believed that minute concentrations of a toxin could cure the symptoms caused by a much larger dose of that toxin. This theory was similar to the emerging practice of vaccination, where small doses of a germ were given by inoculation to prevent the disease.

Dr. Hahnemann believed that minute concentrations of a toxin could cure the symptoms caused by a much larger dose of that toxin.

Dr. Hahnemann worked to study and validate the homeopathy by developing a uniform process for creating a homeopathic medicine and then evaluating the effects on people. The preparation process involves dilution and succussion. One interesting component of studying the effect of the homeopathic medicine was to administer homeopathic medicines to healthy volunteers and have them record the details of their experience. This process became known as a proving. Once the pattern of the effects of the homeopathic medicine was recognized, homeopathic medicines were matched to the illness pattern of the patient with the belief that the homeopathic medicine, when given at the appropriate potency, would move the disease out of the body consistent with the idea that like cures like.

Over time, the observations of patients provided more details about the health effects of individual homeopathic medicines and more homeopathic medicines became available. This growing number of homeopathic medicines combined with an increased understanding of their effects led to the need for a systematic way to select the correct homeopathic medicine. This became known as repertorization.

The use of homeopathic medicines in patients lead to multiple approaches that include the classical and clinical methods. Classical homeopathy involves the selection of a homeopathic medicine by repertorizing, giving the selected homeopathic medicine, and then monitoring the effect. For some, this approach focuses on giving one homeopathic medicine at a time and monitoring. This process has complications because of the number of homeopathic medicines available and because there are many different potencies (strength) for each. The clinical approach focuses, in part, on selecting homeopathic medicines based on diagnosis of the illness and removal of toxins. Homeopathic medicines are often used in combinations.

Regardless of the approach, proper selection of the homeopathic medicine(s) is critical along with the appropriate potency. Ideally the potency is chosen based on the severity of the illness, but consideration must also be given to the vitality of the patient. Avoiding a healing crisis in a debilitated patient can be essential. Recognition of the response to homeopathic medicines can be challenging initially because changes can be subtle and evolve over time depending on the potency of the homeopathic medicine and the severity of the problem. Lack of response generally relates to incorrect homeopathic medicine selection, wrong potency, insufficient dosing, and when patients have complex disease patterns that require multiple homeopathic medicines used in a logical sequence.

Homeopathy can be challenging to use optimally. If you have questions about the use of homeopathic medicines in your pet, contact a veterinary homeopath.

Ron Carsten, DVM, PhD, CVA, CCRT was one of the first veterinarians in Colorado to use the integrative approach, has lectured widely to veterinarians, and has been a pioneer in the therapeutic use of food concentrates to manage clinical problems. He is also the founder of Colorado Animal Rescue (CARE). In addition to his Doctor of Veterinary Medicine, he holds a PhD in Cell and Molecular Biology and is a Certified Veterinary Acupuncturist and Certified Canine Rehabilitation Therapist. He practices integrative veterinary medicine in Glenwood Springs.

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Integrative Pet Vet column: Homeopathy love it or hate it, but what is it? - Glenwood Springs Post Independent

Need to tame your stress? Try mindfulness – The Detroit News

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Lu Quang Pham was just weeks into his first year of medical school at Oakland University last fall when he already felt completely overwhelmed.

There was endless studyingand classes. Before moving to Michigan, the California nativestruggled with panic attacks. Talking to his brother or parentsalways helped him feel better when one hit, but his family wasn't nearby anymore.

Then Pham, 28, heard about a special training program right on campus designed tohelp medical students better manage their stress,take care of themselves and prevent burnout. It was called Mindfulness-Based Stress Reduction.

Offered by Beaumont Hospital's Center for Mindfulness, Pham took the eight-week class late last year. Today, he feels so much better about the long, stressful road ahead to becoming a doctor.

Dr. Ruth Lerman, left, and Lucy Sternburgh extend their arms into a yoga position as part of one class.(Photo: Beaumont Hospital)

"I found it extremely valuable," Pham said. "It taught me to createa habit to dedicate time to my mind and toself-care."

Mindfulness -- a practice once considered on the fringesof treatment options-- is moving into the mainstream these days as an effective tool for reducing stress and even managing chronic pain.

There's a Mindful magazine. Time Magazine put the practice on its cover, calling it a "Mindful Revolution." And schools across the country are incorporating mindfulness into their curriculumsto ease student anxiety.

Mindfulness programs are popping up across Michigan. The Ann Arbor Center for Mindfulness offers a range of classes and has eight instructors. The University of Michigan Health System offers drop-in classes for staff and students. And the Grand Rapids Center for Mindfulness has classes for adults and children as young as 9.

"Students are drawn to our classes, retreats and events to learn more

about mindfulness, support their own practice and enhance their sense

of well-being," said Claire Weiner, an instructor at the Ann Arbor Center for Mindfulness.

Beaumont's Center for Mindfulness, which opened in 2014,teaches eight-week Mindfulness-Based Stress Reduction courses three times a year to both employees and the public.

Experts say mindfulness is a type of awareness that uses different methods, including yoga and meditation, to help people focus on their thoughts, physical feelings and surroundings in the present moment. But it isn't about relaxation.

Dr. Ruth Lerman, left, and Lucy Sternburgh, center, teach a class as part of Beaumont's Mindfulness-Based Stress Reduction course.(Photo: Elizabeth Debeliso)

"The primary intent behind mindfulness is not relaxation; it's awareness," said Dr. RuthLerman, a breast care specialist, mindfulness teacher and medical director of Beaumont Center for Mindfulness.

And research shows that it works. In a study published in 2012 in the Annals of Surgical Oncology by Lerman, Robert Jarski and several medical students, they found Mindfulness-based Stress Reduction helped improve the recovery of breast cancer survivors, significantly improving their quality of life and reducing symptoms of stress.

Lerman said she did the study because mindfulness wasn't on her colleagues' radar asa tool to help cancer survivors or to manage chronic pain.

"I had to put it in a context and a language that gave it validity," said Lerman.

Mindfulness-Based Stress Reduction was founded by Jon Kabat-Zinn, now aprofessor emeritus of medicine. In the latethe 1970s,he recruited chronically ill patients who weren't responding to traditional medicine to try a new stress reduction program. It has since become known as Mindfulness-Based Stress Reduction and Kabat-Zinn went on to found theStress Reduction Clinic and the Center for Mindfulness in Medicine, Health Care, and Society at the University of Massachusetts Medical School.

Lerman, a three-time breast cancer survivor, discovered Kabat-Zinn and mindfulness during her second bout with cancer. She said while she was emotionally able to process having cancer the first time, it hit her hard the second time. She reacted more like a regular person than a doctor, she said.

"I was scared," she said.

Looking for tools to cope,Lerman reached out to Rachel Remen, a renownedexpert on integrative medicine, who suggested she take up yoga. Yoga eventually led Lerman to Kabat-Zinn and mindfulness.

"It's about being present in what's happening in the moment," said Lerman, who eventually became an instructor and taught some of her first classes to doctors and cancer survivors.

Lucy Sternburgh,program manager of Beaumont's Center for Mindfulness, studied the mind-body connection during graduate school. She remembers working in Beaumont's cardiac rehab unitwhere they taught patientsphysical exercises but never touched on the stress component.

"For me, it was very apparent that there was a very unaddressed emotional and stress issue," said Sternburgh, who discovered Kabat-Zinn and Mindfulness-Based Stress Reduction while getting her doctorate.

Sternburgh, who at one point managed Beaumont's employee wellness programs,eventually started offering lunchtime mindfulness seminars to Beaumont employees. She said there's an "emotional overload" that health care workers face.

"And it manifests itself as a physical shutdown," said Sternburgh. "For health care workers, it's this sense of 'I have nothing left to give.' It's numbness."

But surveys taken before and after Beaumont's eight-week classes show mindfulness can help.

During a recent orientation session on a blustery day in late January, a group of roughly a dozen people of all ages and races, mostly women,gathered for an orientation session to learn more about Beaumont's eight-week course at Adat Shalom Synagogue in Farmington Hills. Classes also are offered at Royal Oak Beaumont.

Several people had been referred by the Karmanos Cancer Center. Some were battling breast cancer. One woman was a social worker. Another had heard about the training through a colleague and decided to check it out.

Sternburgh led the group through the history of Mindfulness-Based Stress Reduction and what would be required over the next eight weeks. At-home daily meditation is a requirement of the class. The course also culminates with a day-long silent retreat to really solidify each person's practice.

Alumni and current students of Beaumont's mindfulness program gather for an all-day silent retreat.(Photo: Elizabeth Debeliso)

During a brief 10-minute meditation session during the orientation, Sternburgh guided the group to pay attention to sounds, surroundings and how each person was feeling. When it was over, one woman began to cry. She'd recently lost her daughter, after both her husband and son had died.

"I had to let it out," she said.

Sternburgh believes one reason mindfulness has grown in popularity is because so many people feel isolatedin today's chaotic world.

"I really do think there's an epidemic of loneliness and isolation that is painful for people," she said. "And so much of digital and social media doesn't fill that void of meaningfulness and connection."

Surveys both before and after Beaumont's classes have found a decrease in burnout and increased feelings of peacefulness, said Sternburgh.

"Its like theyve been looking for the answers outwardly," said Sternburgh. "Theyve rarely seen their inner resources."

Lexi Gird, a graduate student who lives in Hazel Park, took Beaumont's course last year and calls it a "profound experience." She's still practicing what she learned, practicing daily meditation while attending a weekly meditation class and yoga.

"I just loved the whole process," she said. "Just being with the group and having just a dedicated space just to check in every week that was designated for stress reduction was just really important."

Gird even took her training a step further when she attended a five-day silent retreat -- which includes no cellphones and no talking at all -- at a center in Clarkston.

"It really solidified my practice," Gird said.

Dr. Ruth Lerman, center, leads an exercise during a mindfulness class.(Photo: Elizabeth Debeliso)

Lerman admits that mindfulness isn't for everyone. It takes practice. And Beaumont's classes aren't cheap -- they're $350 for an eight-week session, though scholarships are available.

But with home practice, "it's wonderfully transformational," said Lerman.

As for Pham, he's still practicing what he learned and thinks more medical students should take the training. He likes to do a walking meditation as he walks to class, focusing on how he's feeling at that moment.

He hasn't had a panic attack since he took the mindfulness course.

"I feel much less stressed," he said. "It's had such a positive impact on my well-being."

mfeighan@detroitnews.com

What is Mindfulness

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Need to tame your stress? Try mindfulness - The Detroit News

10 Habits to Create Less Stress in Your Daily Life (Part 2) – Thrive Global

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Dr. Bojana Jankovic Weatherly is an award-winning physician, double board certified in internal and integrative medicine. After completing internal medicine residency, she did a fellowship in integrative medicine trained in functional medicine, nutrition and mindfulness. Her approach is rooted in evidence-based medicine that is personalized to each individual she works with. She partners with her patients to discover and address the root causes of their conditions and develops individualized plans to support and empower each unique individual to achieve her or his health goals. As part of her mission to deliver accessible, evidence-based health and wellness information, she created her website, drbojana.com, that features her videos, articles and recipes.

Dr. Bojana is the recipient of several patient satisfaction awards at Cedars-Sinai and was recognized as the Southern California Top Doctors Rising Star in 2016 and 2017 and awarded the Top Doctor recognition in 2018 and 2019 in New York.

Prior to starting her integrative and functional medicine practice, she worked as a primary care physician at Cedars-Sinai Medical Group and Crossover Health,providedexecutive healthcare at EHE and worked at Dr. Frank Lipmans Eleven Eleven Wellness.She was the Co-Founder of and served as the Chief Medical Officer of WellStart Health, a digital therapeutics start up for chronic disease prevention and reversal. She currently serves as their Medical Advisor.

A lifelong learner, she completed a fellowship in Integrative Medicine established by Dr. Andrew Weil at the University of Arizona and continues to train in functional medicine at The Institute for Functional Medicine. She completed her Internal Medicine residency at Cedars-Sinai Medical Center and West LA Veterans Affairs in Los Angeles. She completed medical school, Master of Science (Experimental medicine) and Bachelor of Science (Biophysics Honors) degrees at University of British Columbia in Vancouver, Canada. Throughout her academic career, Dr. Bojana Jankovic Weatherly performed research in endocrinology and oncology, published papers in peer-reviewed journals and presented her work at academic conferences. She is the recipient of numerous honors and awards. She has also established herself as an educator and speaker, teaching medical students and residents, and speaking on health and wellness in academic and corporate settings, podcasts, and wellness events. She has also shared her medical expertise on Today Show and Rachael Ray.

In addition to serving on the Board of EWG, she serves on the Board of Directors and has been honored for her contribution by Lifeline New York, a nonprofit organization that provides support to Serbian hospitals and children in need, and is on the Board of Tryall Fund, a non-profit organization that promotes health and education in Jamaica.

Dr. Bojana loves spending time with her two children and husband in nature, experimenting in the kitchen, doing ballet barre and practicing mindfulness and yoga. Her not guilty pleasure: Reishi mushroom coffee in the morning. Guilty pleasure: anything with chocolate.

Dr. Bojana Jankovic Weatherly practices at 245 5th Avenue, 3rd Floor, NY, NY 10016.

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10 Habits to Create Less Stress in Your Daily Life (Part 2) - Thrive Global

Forum Health Acquires Second Austin-Area Practice – The Herald Journal

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SALT LAKE CITY, Jan. 13, 2020 /PRNewswire/ -- Forum Health LLC has acquired Austin Complete Health, a functional healthcare practice based in West Lake Hills, Texas.

The practice marks the second acquisition Forum Health has made since in the Austin, Texas area since its June 2019 launch. It will be the company's seventh location nationwide.

Forum Health unites practitioners nationwide who share a root-cause approach to personalized healthcare. Member benefits include year-round provider consultations, health coaching, and access to a virtual network of collaborative specialists. Care plans informed by lifestyle, environment, and genetics are built around each patient's unique health goals.

To learn more, visit forumhealth.com.

The practice is led by Harry Moore, MD, who brings about 40 years of physician experience. Dr. Moore is board-certified in family medicine and in 2017, earned his certification from the Institute of Functional Medicine.

"Dr. Moore's established and growing practice give us the ability to bring the benefits of functional and integrative medicine to more patients," said CEO Phil Hagerman. "Forum Health's root-cause approach to care is increasingly in demand. About one-third of adults in the U.S. use complementary health approaches. We're proud to welcome Dr. Moore's practice as yet another location and talented team to meet that demand."

"I began following the principles of functional and integrative medicine in 2003 after seeing its life-changing benefits for my patients," said Moore. "By joining Forum Health, my practice will be able to expand the scope of services we offer so that we can help more people feel their healthiest."

About Forum HealthForum 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 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.

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Forum Health Acquires Second Austin-Area Practice - The Herald Journal

Guava Health Benefits: Here’s Why Health Experts Are Talking About Vitamin C-Rich Amrud – NDTV News

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Guava benefits: One guava offers 200% of daily recommended intake of Vitamin C

Guava benefits: Guava, as nutritionist Rujuta Diwekar mentions, is a local fruit which is in season right now. Guava or amrud is a Vitamin C-rich fruit with lots of antioxidants, potassium and fibre. Eating guava every day can be beneficial for your blood sugar levels, heart health, digestive system and also weight loss. Lifestyle coach Luke Coutinho recently took to Instagram to talk about guava, mentioning how the fruit is great for boosting immunity and energy levels. So let's see why all health experts are talking about this seasonal fruit.

One of the most essential nutrients that guava contains is Vitamin C. It is the one nutrient that can boost your immunity enough to keep you healthy and disease-free. Nutritionist Nmami Agarwal says that one guava offers 200% of daily recommended intake of Vitamin C.

"Vitamin C is a powerful antioxidant that prevents from free radical damage and keeps the skin supple and glowing. It also contains lycopene, powerful antioxidant which has been scientifically proven protect against certain types of cancer," Nmami tells DoctorNDTV.

Vitamin C-rich guava can boost your immunity and help you be disease-freePhoto Credit: iStock

Also read:Nutritionist Recommended Foods For Quicker Healing, Stronger Immunity And Improved Overall Health

Guavas are naturally low in glycemic index. Thismakes them a perfect choice for diabetics, Nmami adds. "Guavas are also rich in fibre. Including them in your diet can improve digestive health and keep constipation at a bay," she says.

The best part about guava is that its not just the fruit which provides with health benefits, its leaves are equally beneficial. Nmami informs that guavas contain antibacterial and anti-inflammatory properties. "Guava leaves are also a perfect antidote for diarrhoea," she informs.

Also read:Inflammation: What Are The Risks Of High Inflammation In The Body?

As mentioned above, you can have guava as a mid-meal snack. You can eat the whole fruit without peeling the skin. "You can add guava to a smoothie or combine guava slices with cottage cheese cubes," recommends Nmami.

You can prepare guava chutney with guava leavesPhoto Credit: iStock

For consuming guava leaves, you can brew them in a tea or blend them to form a guava chutney.

This season, enjoy guavas without guilt. Make sure you eat at least one every day!

Also read:Turmeric Tea: Amazing Health Benefits You Cannot Afford To Miss; Learn How To Make Turmeric Tea

(Nmami Agarwal is nutritionist at Nmami Life)

(Rujuta Diwekar is a nutritionist based in Mumbai)

(Luke Coutinho, Holistic Lifestyle Coach - Integrative Medicine)

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.

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Guava Health Benefits: Here's Why Health Experts Are Talking About Vitamin C-Rich Amrud - NDTV News

Integrative Medicine – UAB Medicine

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The services provided by the UAB Integrative Medicine Clinic are delivered by a diverse group of clinical, behavioral, and other professionals, including a hematologist/oncologist trained at the prestigious Arizona Center for Integrative Medicine. The teams psychologist has extensive expertise in treating patients suffering from physical illness and disability, bereavement, depression, and trauma-related issues. The psychologist incorporates meditation and mindfulness techniques designed to enhance well-being into the patients comprehensive care plan.

A Registered Yoga Teacher (RYT), certified by the Yoga Alliance, offers mindful, breath-centered yoga for fostering body awareness, building strength, and finding ease and balance. Programs include Yoga of Awareness for Chronic Pain, Mindful Yoga for Cancer, and Therapeutic Yoga for Seniors.

Specialists trained in art, dance, and music from the UAB Arts in Medicine program work hand in hand with the Integrative Medicine Clinic by offering visual arts and guided meditation, dance and movement activities, storytelling and movement sessions, Zentangle Method drawing instruction, and The Joy of Singing.

UABs Pastoral Care team provides spiritual support, compassionate listening, companionship, and guidance to help meet each patients practical, emotional, and spiritual needs while tapping into their most cherished sources of meaning, power, and hope.

Your first visit to the UAB Integrative Medicine Clinic will last one hour and will include one or more of the services previously described. Other clinic services include:

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Integrative Medicine - UAB Medicine

Richard Firshein, D.O.: Integrative Medicine Upper East …

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Meet Dr. Firshein

Dr. Richard Firshein, DO , is board-certified in family medicine, and the leading authority in the fields of Integrative, Anti-Aging, and Precision- Based Medicine. He embarked on his journey as a physician over 25 years ago and founded the Firshein Center for Integrative Medicine on Park Avenue in New York City. Dr. Firsheins inspiration to practice medicine began with his own personal battle with asthma and food allergies but was also deeply influenced his mother battle breast cancer, and as a teenager after losing his two best friends to leukemia and the loss of his father to heart disease. These early experiences motivated his lifelong pursuit to find alternative and complementary treatments to often complex diagnostic conditions and illnesses. As an early pioneer in Integrative medicine, his mission has been to help each of his patients achieve not only an optimal health span but an extended lifespan.

It became apparent to me that the current system of medicine had numerous shortcomings and failed to treat patients in a holistic way. I received thorough medical training, became a board-certified acupuncturist, and set my sights on integrating the best practices from traditional medicine with alternative therapies proven to assist in disease prevention and the healing process.

Dr. Firshein has treated over 25,000 patients who have often experienced life-saving as well as life-enhancing results while receiving the most intensive, state-of-the-art, and personalized treatment available. At the Firshein center, he uses cutting-edge, DNA-based, diagnostic, nutritional, gut biome, and allergy based testing to create customized longevity and anti-aging protocols for his patients. As the best-selling author of the groundbreaking book The Nutraceutical Revolution, Dr. Firshein was the first physician to recommend a precision-based Nutraceutical approach for treating patients by utilizing a customized vitamin supplements and an individualized dietary approach. Known specifically for his detailed consideration of each patients medical history and markers for chronic conditions, he has developed a reputation for a uniquely compassionate, and effective form of medical care. He treats a wide variety of chronic issues, including asthma and allergies, chronic lyme, chronic pain, diabetes, cardiovascular disease, and osteoporosis, menopause and cancer utilizing therapies which he says are the best of both worlds. Early on in Dr Firshein's career he advocated for a variety of cutting edge therapeutics which were considered avant grade at the time including IV Therapy, food allergy desensitization drops and bio-identical hormones.

Dr Richard Firshein is the author of the best-selling books the Vitamin Prescription for Life, Reversing Asthma and Your Asthma Free Child. In addition to being an Osteopathic Physician, Dr. Firshein is also a Certified Medical acupuncturist trained at the University of California, Los Angeles (UCLA), incorporating both Eastern and Western modalities into his therapeutic regimen. Dr Firshein has helped other doctors come up through the ranks by serving as assistant professor of Family Medicine at the New York College of Osteopathic Medicine, and as director of residency training in Family Medicine and director of medical education at Brookdale and St. Claire's Hospital in New York City.

In addition to his professional/medical experience, Dr. Firshein belongs to numerous medical organizations, such as The American College of Occupational and Environmental Medicine, the American Academy of Medical Acupuncture, the American Board of Forensic Medicine, the New York County Medical Society, the American Osteopathic Board of Family Physicians, and the American Academy of Anti-Aging Medicine, the American Osteopathic Association and the American Medical Association

Dr. Firsheins innovative approach to holistic treatment methods and his considerable experience have garnered him numerous awards, such as Castle Connelly's Top Doctor and The Vitals Most Compassionate Doctor Award, and was also recognized as one of "The Leading Physicians of the World" as well as a Healthgrades Honor Roll physician. His groundbreaking approach to medicine has made him a consistently sought-after medical expert on numerous television programs, including CNN, FOX News, CNBC, HLN, Good Day New York, WPIX Morning Show, CBS Morning News, and The Food Network. Dr. Firshein also hosted his own highly successful radio show, House Calls, for over 10 years. He has traveled the world and spoken at numerous prestigious medical conferences educating physicians, pharmacists and the lay public

As a contributing editor for Psychology Today, Dr. Firshein explored the connection between mind, body, and nutrition. He has been prominently featured in numerous popular magazines including Vogue, Harper's Bazaar, People, Self, Good Housekeeping, Men's Health, and Bottomline Health. His precision-based approach was featured in Town and Country magazine, which highlighted his work and research on the role of precision-based medical treatments, allergies, and diet. On the professional side, his clinical approach to health has been featured in the international medical journal Biomed where he authored numerous articles for an International physician based audience looking to incorporate advanced medical therapeutics

In addition to his clinical work, Dr. Firshein has spent time researching natural therapies, specifically the role of alkylglycerols ( found in Greenland shark liver oil) as a treatment modality for cancer. His research was published at the American Association of Oncologists' annual meeting. His work was supported by a grant from the Karolinska Institute in Sweden. Ultimately, Dr. Firshein was awarded a patent for the Treatment of Cancer Using Alkylglycerols

Outside of his practice, Dr. Firshein advocates and supports a number of philanthropic organizations, including Oceana, We Are Family, The Northside Center, and the Paul Sorvino Asthma Foundation, where he developed the "Breath of Life Program" for children as medical director. The program he designed for asthmatic children via the Paul Sorvino Asthma Foundation; was recognized by both the AMA and the NYC Mayors Office.Dr. Firsheins approach sets him apart from other physicians because of his belief in proactive healthcare; rather than reactive. Instead of waiting to see how a person reacts to a certain medication or treatment, he is able to analyze their DNA, taking a close look at their genetics, underlying deficiencies and potential underlying risk factors . From there, he is not only able to treat diseases and prescribe medications, but can also create a personalized approach to overall health by creating a completely customized supplements and a dietary plan that will optimally benefit the patient.

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Dr. Christina Robins Joins Healthcare Solutions Management Group, Inc. ‘HSI’ (BB:VRTY) as a Member of the Medical Advisory Board – Yahoo Finance

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NEW YORK, NY / ACCESSWIRE / November 12, 2019 / Healthcare Solutions Holdings, a medical service and device company focused on providing clinicians with state-of-the-art diagnostic and therapeutic tools, announced the appointment of Christina Robins, M.D., as member of the Medical Advisory Board.

Christina Robins, MD

"We are pleased to have Dr. Robins join HSI's Medical Advisory Board. Her extensive knowledge and understanding of the complex healthcare landscape will be invaluable as we develop cutting-edge clinical programs as well as long-term strategic partnerships," said Travis Revelle, CEO of Healthcare Solutions Holdings, Inc.

Dr. Christina Robins attended the University of Missouri Kansas City Medical School and is Board Certified in Family Medicine. She is a fellow of the American Academy of Anti-Aging Medicine and has done extensive training from the Institute for Functional Medicine. Dr. Robins became interested in functional and integrative medicine over ten years ago when she became frustrated that the current medical system many times doesn't address the root cause of disease. Five years ago, she opened up a medical office that integrates traditional medicine with functional and metabolic medicine to help patients reach higher levels of wellness and vitality. Dr. Robins specializes in bio-identical hormone therapy, family medicine, nutritional therapies, and stem cell therapies just to name a few. Outside of her work, she focuses on her family and keeping her own health as optimal as it can be.

"I was attracted to HSI due to its wide range of services that integrated into my practice easily and helped offer my patients advanced testing and treatments that I would not have been able to offer without their support," said Dr. Robins. "HSI has helped me be able to stay up to date with all the emerging technologies in medicine - especially in prevention, detection, treatment, and restoration of health. I see the future of HSI to be growing rapidly and limitless. HSI's management team is very experienced and knowledgeable in this full spectrum of health care and will be able to lead this company to the next level due to its unwavering mission to provide clinicians with the most up to date technologies to treat their patients more effectively."

About HSI

HSI is a medical service and device company focused on providing clinicians with state-of-the-art diagnostic and therapeutic tools. Our mission is to improve patient outcomes by helping clinicians gain broader access to the most advanced technology in the healthcare industry. HSI not only focuses on assisting physicians with exceptional healthcare delivery but also promotes compliance with the industry's best practices.

Healthcare Solutions Management Group, Inc., headquartered in Glen Cove, New York. Please visit http://www.hscorp.biz for additional information.

CONTACT:

Jonathan LoutzenhiserSVP Healthcare SolutionsEmail: IR@HScorp.BizEmail: MR@HScorp.BizPhone: +1 (866) 668-2188

SOURCE: Healthcare Solutions Holdings, Inc.

View source version on accesswire.com: https://www.accesswire.com/566251/Dr-Christina-Robins-Joins-Healthcare-Solutions-Management-Group-Inc-HSI-BBVRTY-as-a-Member-of-the-Medical-Advisory-Board

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Dr. Christina Robins Joins Healthcare Solutions Management Group, Inc. 'HSI' (BB:VRTY) as a Member of the Medical Advisory Board - Yahoo Finance

Integrative Medicine | Stram Center for Integrative Medicine …

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Integrative medicine is the blending of conventional medicine with holistic, complementary, and alternative medicine. Integrative Medicine is defined as healing-oriented medicine that takes account of the whole person (body, mind, heart and spirit), including all aspects of lifestyle. It emphasizes the therapeutic relationship and makes use of all appropriate therapies, both conventional and alternative.

Medical Treatment Plans of Yesterday

Like most American's you're being treated by a medical doctor who focuses on your ailment, makes a diagnosis and then prescribes a treatment plan, which normally includes pharmaceuticals.

When Was the Last Time You Felt Well?

You follow the plan, take the drugs and still don't feel better. In fact, you may now have additional problems from side effects of the new drugs you're on. You return to the doctor citing no improvement. Consequently, your doctor may prescribe a different drug and things go from bad to worse.Wasting money on drugs that don't work and spending lots of time out of work or away from the things you enjoy can really wear on your mind and body.

But now there's a better treatment plan.

Integrative Medicine Plan of Today

Integrative medicine is the blending of conventional medicine with holistic, complementary, and alternative medicine. Integrative Medicine is defined as healing-oriented medicine that takes account of the whole person (body, mind, heart and spirit), including all aspects of lifestyle. It emphasizes the therapeutic relationship and makes use of all appropriate therapies, both conventional and alternative.

Integrative Medicine is currently being incorporated into the education and training programs at top US medical schools including, Harvard, Duke, Columbia, Georgetown, and others.

Treatment by a Board-Certified Medical Doctor and Licensed Practitioners

You will be treated by Dr. Ronald Stram, MD (bio) a board-certified medical doctor and founder of the Stram Center for Integrative Medicine. Dr. Stram is fellowship trained in Integrative Medicine at the University of Arizona with Dr. Andrew Weil, MD, world-renowned leader and pioneer in Integrative Medicine.

Dr. Stram opened the Center because he experienced first-hand how the medical community falls short by treating individual symptoms and not the whole person. He found this type of approach to be unsatisfactory for both physician and patient.

Instead, Dr. Stram and our licensed practitioners at the Center believe there is a powerful interrelationship between the mind, body, spirit, and community in the interplay of both health and disease. Your progress will be monitored by both the medical doctor and complementary therapists to give you the "best of Integrative Medicine".

Maximize Your Individual Vitality and Wellness, Whatever Your Current State Of Health

To be most effective, your health is addressed on all levels - including lifestyle factors such as diet; exercise; stress; personal relationships; your work; and of course, your body.

The Many Benefits of Integrative Medicine Are:

Dr. Stram and the Center's practitioners focus on assisting you in the creation of a customized wellness plan that is as responsive to your initial concerns as it is to your changing health needs, taking into consideration all aspects of your well-being. "Patients now have a broader range of treatment options including complementary therapies; my doctor's bag is bigger now", says Dr. Stram.

Integrative Medical practitioners at the Stram Center (Delmar) working with Dr. Stram include: Natasha Ruiz, FNP; Jen Mager, ANP, Jennifer Baker-Porazinksi, MD.

Customized Wellness Plan

We develop customized treatment plans for you which take into account the benefits of the best combination of therapies available. They include recommendations from a wide range of appropriate therapeutic interventions from both conventional and complementary/alternative/holistic practices.

An integrative approach involves a thoughtful inquiry into the benefits of each form of treatment for a given health condition. Priorities are set after careful consideration of their relative contributions and any potential conflicts between modalities or treatments.

Take Charge of Your Health - Make An Appointment (518) 689-2244 (Delmar, NY) or (802) 445-3152 (Bennington, VT)

Whether the goal is to lessen pain, find an alternative to pharmaceuticals, or improve your quality of life, our integrative approach lets you have the best of both worlds - conventional medicine and safe, proven complementary therapies.

The partnership you form with Dr. Stram and our practitioners will empower you to make decisions about your health and well-being.

We are happy to work with your primary care physician or specialist to get you on the right track.

Please call to schedule a consultation with Ronald Stram, MD.

Your First Appointment - Good Medicine Takes Time

Dr. Stram spends time getting to know you. In fact, you should plan on spending up to 90 minutes reviewing your health history and concerns with the doctor at your first visit, and at least a half hour at a follow-up visit, during which you'll review and discuss a written health plan developed just for you.

Its An Honor For Us To Be a Part Of Your Wellness Journey

Your treatment plan might include follow-up with your own personal physician or another medical specialist, diagnostic testing, recommendations for lifestyle changes, and/or referrals for complementary therapies such as acupuncture, naturopathy, massage, Chinese herbal medicine, energy healing, or nutritional counseling.

We take great pride in our staff's special team consulting approach to the care of our patients. Your progress will be monitored by both medical doctors and complementary therapists to give you the "best of Integrative medicine."

For information on our rates, please call The Center or Click Here to Contact Us by Email.

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Yoga Pilates Nutrition Wellness | Roslyn NY | Practice Body …

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PRACTICEis now the Center for Wellness and Integrative Medicine

PRACTICE Body Mind Soul is an educational, wellness and retreat center in Roslyn, Long Island that was acquired by the Northwell Health System under Katz Institute for Womens Health this past July 2016.In 2017, PRACTICE will be renamed as Northwell Health's Center for Wellness and Integrative Medicine and become the first-ever wellness center for the Northwell Health System and on Long Island.

Basic Services will continue to include yoga for adults, Pilates, daily meditation sessions, mindfulness and 8 week Mindfulness Based Stress Reduction course, nutrition, medical wellness consultations, massage, Reiki, acupuncture, 200-Hour Yoga Alliance Registered Vinyasa Teacher Trainings, and workshops. Specialized programs now include Cardiac Medical Yoga, Yoga for Infertility and Cancer, Kundalini Yoga, Personalized Fitness under Spencer Scalzetti and more.

Come sample our PRACTICE Everyday and Signature classes, workshops, seminars, and Master Teacher Trainings.

Warmly,Dr. Lucy Gade, Medical Director, and the PRACTICE Team

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Yoga Pilates Nutrition Wellness | Roslyn NY | Practice Body ...