Systems of healing from all method places emphasis on correct posture and over the world are available to animals cheap atorlip-10 master card cholesterol ldl definition. Kenny after the polio epidemic in the 1940s order generic atorlip-10 on-line cholesterol levels by country, a disci- pline of rehabilitation geared toward the restoration placebo From the Latin word meaning “I shall of function to parts of the body injured by trauma proven 10 mg atorlip-10 cholesterol standards chart, please,” a “sugar pill” or otherwise inactive sub- disease, or loss of the body part. Exercise, massage, stance given as medicine to a patient who believes and applications of cold, heat, electricity, and ultra- it is actually medicine. Used in study groups, par- violet radiation are included in physical therapy to ticularly in the double-blind study technique, help revitalize range of motion and muscular placebos are known to work and have the same strength and ability in order that patients may per- effects (called the placebo effect) in some cases that form activities of daily living. The placebo is a prime who must complete an accredited physical therapy example of how the mind inﬂuences the body’s educational program and pass a licensing examina- reactions and status. Spontaneous remission that tion, is legally responsible for evaluating and treating sometimes occurs in individuals with catastrophic patients or supervising physical therapy plans of care disease may be attributed to the placebo effect. A physical therapy diag- Also, detractors of homeopathy may claim that nosis refers to the decisions made by a physical ther- homeopathic remedies are placebos. Then Moss Pilates A method of exercise developed by requested that renowned bioenergetic healer Olga Joseph H. Pilates that has been very popular with Worrall hold her hand over the leaf in an effort to dancers since the 1940s. He graph, taken afterward, showed the leaf had developed a ﬁtness regimen bearing his name and undergone signiﬁcant energetic changes toward used it successfully to overcome his disabilities as a improvement. Lawrence emotional counseling developed by Randolph King) adapted by him from material he wrote for Stone, D. Stone also chotherapy is the art and science of easing emo- believed that the use of the hands—one electro- tional problems. Many forms of psychotherapy are magnetically positive, the other electromagneti- designed to help the client know and understand cally negative—helps release the blocked energy, what is in their unconscious. Very few are designed and that release in turn promotes better physical, to actually change what is in the unconscious. The American Polar- ever, if the material in the unconscious is not ity Therapy Association was established in 1984. The used as a therapeutic topical application to relieve unconscious is primarily a record of the past and a pain and promote circulation. These tensions can be triggered by present events prakruti The human constitution consisting of so that they are felt in the present. In fact, because one or more of the primary body/personality their origin is from the unconscious, and we are types—vata, pitta, and kapha, according to thus unaware of their actual source, these power- Ayurvedic medicine. Studies have been conducted in which one therapy: “Primal integration is a form of therapy group of ill individuals has been prayed for and brought over to Britain by Bill Swartley, one of its another group has not been prayed for; the group main originators, although it was also pioneered of people who were prayed for had a better and here by Frank Lake. It is not to be confused with faster recovery rate, indicating that prayer, particu- Primal Therapy, coming from Arthur Janov; it is a larly when it is done by large groups of people, has parallel development occurring at about the same beneﬁcial effects. This often involves technique geared toward releasing old and intense a cathartic experience called a ‘primal. According to a winter-spring guage, and instead call what they do regression- 128 psychic surgery integration therapy. Other initiatives such as our web- about this, and his holotropic therapy is close to site, world-wide contact list, therapist referral list, what we call primal integration. Because of the annual conventions, and regional retreats are emphasis of primal integration on early trauma, intended to bring more primal people closer people sometimes think it is going to put all neuro- together, and make primal life more available to sis down to one trauma, happening just once in those in need. The commonest causes of neurosis are simply the common experiences of childhood— psychic surgery An alternative, highly contro- all the ways in which our child needs are unmet or versial therapy that originated in the Philippine frustrated. Psychic surgeons (shamans) who practice in the sense of a one-off event—that is much too there may be located through local hotels. Rather would we say with Balint surgery is performed through the mind and spirit of that the trauma may come from a situation of some the healer, who through a vision has proclaimed to duration, where the same painful lack of ‘ﬁt’ have been given the gift of healing and psychic between needs and supplies is continued. While in a semitrance or Rowan added that the goal of primal integra- meditative state, the healer’ hands, guided by the tion is straightforward: to contact and release the spirit, “detect” parts of the body that are diseased real self. Practition- “enormously useful work can be done in enabling ers and individuals who have undergone this expe- the person to work through the implications of rience say blood, tissue, pus, cartilage, bone, that, and to support the person through any life worms, stones, or other substances may materialize changes that may result. At times, it is also claimed, been contacted, the process of working to release the spirit causes the healer’s hands to enter the it will continue. Obviously the main technique is body and extract diseased tissue without leaving a regression—that is taking the person back to the wound or scar. Pri- “opens” body tissue and is considered similar to a mal integration agrees with this, and ﬁnds that scalpel by enthusiasts of this procedure: energy recession and regression go very well together. It is a gestalt which keeps on reappearing organs remain, but free of disease, or “cleansed,” in the person’s life. The relaxation response (Acupuncture & ElectroTherapeutics Research 1997; of the patient carries the quick, painless process; no 22:17–33), Y. Omura writes: “Most patients recovery period is necessary, and enthusiasts say received injections of a dark-brown solution, there are no complications or risks involved. How- which, some of the visiting doctors speculated, may ever, the psychic surgeon’s hands, acting as a be an iodine solution mixed with either alcohol or scalpel, are reported to create to observers a a local anesthetic. In many patients, he injected straight line perforating the skin over the diseased this solution near the pathological area or at an or injured area that causes little or no bleeding. Minor surgery Psychic surgical procedures of approximately 15 was performed in about 1⁄5 of the patients with to 30 minutes may include spinal adjustment, whom the author observed. Most of the surgical removal of tumors or cancerous growths, align- incisions were made on the midline of the tissue ment of bones, and adjustment of internal organs over the spine near the pathological area. The such as uterus, ovaries, kidneys, liver, pancreas, clamping of blood vessels and the closings of the and heart. The patient may have a nearly invisible surgical wounds were performed by licensed sur- mark at the area of psychic incision, which may geons or licensed nurses. The main treatment feel slightly tender for 24 hours, according to appears to be the application of external Qi Gong reports of patients of Reverend Gregorio, a psychic energy through the ﬁngers of the right-hand, in surgeon of the Philippines. The controversy of Warning: If you choose to undergo this type of psychic surgery does not deter the surgeons, who healing, determine the credentials of the surgeon claim that the patient’s mind and willingness are you are using, believe in his healing ability and the components of the healing and that the drama your soul’s willingness to be healed. Psychic provided by the procedure gives patients greater surgery is a modern expression of traditional Fil- confidence. Prac- (“No anesthetic, no knife; bail-jumping Reverend ticed also in North America by visiting Filipino Antonia Agpaoa will heal you with his bare hands,” shamans, psychic surgery often involves the 1978 July: 45–47, and “Trick or treatment? Marchant writes: “A recent Yukon bloody but painless and invisible ‘incision’ in the Medical Association report on psychic surgery notes patient’s abdomen. This is not a physically invasive that some individuals with chronic, non-speciﬁc process, and the patient is able to leave the operat- disorders who had undergone psychic surgery ing table without discomfort. Either they are ashamed that they have healing in Brazil which appear to incorporate (+) qi been made fools of, or they have died—so we usu- 130 psychic surgery ally have no proof against faith healers. In a signed three death certiﬁcates for people who separate study conducted by Dr. Leonard Cobb and would never return alive from their miracle tours his associates, placebo surgery proved to be more (although not from Agpaoa’s tours). Wright and Carol Wright testiﬁed real operation, only 32% reported satisfactory before a U. What this research established is that the Seattle investigating travel agents promoting tours mere form (metaphor) of surgical procedures can to visit the Philippine healers.
Biting can establish that there has been contact between two people—the teeth being used for offense or defense order 10 mg atorlip-10 visa cholesterol lowering foods kerala. When individual tooth characteristics and traits are present in the dentition of the biter and are recorded in the biting injury cheap atorlip-10 10 mg online cholesterol ratio scale, the forensic significance of the bite mark is greatly increased atorlip-10 10 mg visa cholesterol levels blood test fasting. Early involvement of the forensically trained dentist, with experience in biting injuries, is essential to ensure that all dental evidence from both the victim and any potential suspect(s) is appropriately collected, preserved, and evaluated. There may be insufficient evidence to enable comparisons to be made with the biting edges of the teeth of any par- ticular person, but, if the injury can be identified as a human bite mark, it may still be significant to the investigation. It is important that the forensic dentist discusses with investigators the evidential value of the bite mark to enable resources to be wisely used. Clearly, conclusions and opinions expressed by the forensic dentist often lead him or her into the role of the expert witness subject to rigorous examination in court. The forensic physician will mostly be involved with biting injuries to human skin and any secondary consequences, including infection and disease transmission, but should be aware that bites in foodstuffs and other materials may be present at a crime scene and be easily overlooked. It is essential that a human bite can be distinguished from an animal bite, thus exonerating (or incriminating) the dog or cat next door. The following sections will consider issues surrounding bites to human skin caused by another human. Early rec- ognition of a patterned injury (suspected of being caused by biting) by medi- cal personnel, social services, and other investigating agencies is extremely important; the injury may be the only physical evidence and must not be lost. Ideally, the forensic dentist should be contacted sooner rather than later when a possible biting injury is discovered to ensure that all evidence is collected appropriately. All too often the dentist is brought in at a later date, when there has been incorrect recording of the bite mark and the injury is partly healed and distorted or fully healed and no longer visible. Reliance may then have to be placed on ultraviolet photography to demonstrate the “lost” injury (11). Injury Assessment 151 Bites can be found on the victim or the assailant (living, deceased, child, or adult). It is well known that biting is often a feature in nonaccidental injury to children (see Chapter 5). If a bite mark is found on an anatomical site that is accessible to the victim, it becomes necessary to exclude him or her from the investigation. If the answer to the first question is “don’t know,” “possibly,” or “yes,” then request the assistance of the forensic dentist. Ensure that swabs are taken from the injured site (with controls) and photographs should be taken. Make sure that you know which forensic dentists are available in your area; this will prevent delays and frustration. You will need to know whether your local forensic dentist has experience and training in bite mark-analysis or whether he or she focuses mainly on identifications. The forensic dentist will examine the suspected biting injury and con- sider the following: • Whether the injury is oval or round. However, note that a mark from only one arch does not mean that it is not a biting injury. Characteristics, such as tooth size, shape, displacement, rotations, wear facets, etc. Differential Diagnosis It is important to remember that other injuries can mimic bite marks. The following have all been queried as biting injuries: • Dermatological conditions. In a single bite mark, one or any combination of several or all of these components may be present, and they may be discrete or superimposed. However, the complex situation may become even more complicated when there are multiple bite marks at a single location where they may overlap as a result of the biter trying to get a better “grip;” all this leads to interpretation difficulties. In attempting to get answers to these questions, a clearer picture of the incident may develop. Anatomical Distribution of Bitten Sites It can be seen from the anatomical distribution of the bite marks studied by the author (see Fig. This graph does not distinguish between male and female, child or adult, or whether there were multiple bites to one person, but serves purely to illustrate that it is essential for medical personnel to thoroughly examine the body for biting injuries and carefully document the findings. Record the anatomical location and nature of the injury and its size, shape, and color. In many cases, there are multiple bite marks on the body, some that the victim may not be aware of or recall. Mul- tiple bite marks on the body, produced by the same perpetrator, may vary Injury Assessment 153 153 154 Payne-James et al. In short, do not jump to the conclusion that there are multiple biters or vice-versa. Nor should it be assumed that a small biting injury has been caused by a child; it may be an incomplete adult bite. If the marks on the skin can be identified as being made by the smaller deciduous (baby) teeth, it would suggest the mark has been inflicted by a young child. Evidence Collection As soon as it has been established that the injury has been caused by biting, the injury should be photographed and swabbed for saliva. In addition, it may be necessary to take an impression of the injured site to preserve any possible indentations. Clearly, the taking of forensic samples is not always possible when the injured party needs urgent medical attention. Often, the forensic dentist is provided with photographs taken some time after the inci- dent date and after medical intervention (see Fig. Saliva Saliva is deposited on the skin (and clothing, if present) during biting and sucking. The saliva swabs (with controls) must be clearly and correctly labeled and stored appropriately (see Chapter 3). Oral saliva samples will be needed from any potential suspect, and the victim of an assault if there is a possibility that the victim bit the assailant (or self-infliction is suspected). It is essential for correct photographic procedures to be followed to minimize dis- tortions. Police photographers experienced in crime scene and other injury pho- tography may still find the assistance of the forensic dentist useful, because Injury Assessment 155 Fig. Skin is not the best impression material, and various papers and reports have shown the importance of photographing the victim in the same position as when bitten in an attempt to minimize distortion (15,16). Changes in the injury with time (in both the living and the deceased) may mean that the injury pattern appears clearer after a day or two. There is no reliable way of knowing when an injury will reveal the most detail, and, therefore, repeat photography (e.
In other words buy 10mg atorlip-10 with amex cholesterol medication equivalent chart, Louise is thinking Emma’s most malicious thought and seeking advice (see Worksheet 6-11) discount atorlip-10 10 mg line cholesterol and foods. Emma’s/Louise’s most malicious thought: I’m a complete failure as a mother; my son is falling apart buy atorlip-10 10mg line cholesterol disease definition. Worksheet 6-11 Emma’s Getting Help from a Friend (Louise) Well, Louise, I know you feel like a failure, but your son only came home with two C’s and three B’s. Sure, you haven’t spent as much time with him lately, but you’ve been pretty tied up at work. Besides, your son is 16 now; don’t you think he has something to do with his own success and failure? She sees that her perspective changes when she gives Louise advice rather than listen to the negative automatic dialogue in her own head. Next, she distills this perspective into a single replacement thought (see Worksheet 6-12). Worksheet 6-12 Emma’s Replacement Thought My son isn’t falling apart and I’m not a failure. Chapter 6: Indicting and Rehabilitating Thoughts 89 Take one of your most malicious thoughts and use the Getting Help from a Friend strategy to devise an effective response to that thought. Of course, it helps to take the malicious thought to Thought Court ﬁrst, which you’ve done — right? Write down one of your most malicious thoughts from your Thought Tracker (see Worksheet 6-6). Imagine that the friend has a problem very similar to your own and has similar thoughts about the problem. Imagine you’re talking with your friend about a better way to think about and deal with the problem. Look over that advice and try to rehabilitate your most malicious thought into a more balanced, summary replacement thought in Worksheet 6-14. My most malicious thought: __________________________________________________________________________________ Worksheet 6-13 My Getting Help from a Friend Worksheet 6-14 My Replacement Thought Traveling to the future The events that disrupt your life today rarely have the same meaning after a few days, weeks, or months. If you think back on these events after some time has passed, however, rarely can you muster up the same intensity of emotion. That’s because most upsetting events truly aren’t all that important if you look at them in the context of your entire life. Check out the following example of the Traveling to the Future technique in action. He’d like to sell the property, but he knows it’s worth far more if it can be zoned for commercial purposes ﬁrst. In order to do that, Joel must present his case in front of the Zoning Commission. He expects some opposition and criticism from homeowners in the area, and he’s been putting this task off for months because of the intense anxiety it arouses in him. He ﬁlls out a Thought Tracker (see “From Arraignment to Conviction: Thought Court” ear- lier in this chapter) and identiﬁes his most malicious thought: “I’ll make a fool out of myself. He rates the emotional upset and effect on his life that he feels right now, and then he re-rates the impact on his life at the conclusion of the exercise. Worksheet 6-15 Joel’s Traveling to the Future If I do indeed make a fool out of myself, I’ll probably feel pretty bad and the impact on my life will feel like 30 or even 40 on a 100-point scale. I suspect that images of the incident will go through my mind fairly often, but six months from now, I doubt I’ll think about the inci- dent much at all. So I guess the overall effect on my life will likely be about a 1 on a 100-point scale. After pondering what his malicious thought will seem like in the future, Joel feels ready to develop a more realistic replacement thought (see Worksheet 6-16). Chapter 6: Indicting and Rehabilitating Thoughts 91 Worksheet 6-16 Joel’s Replacement Thought Even if I should happen to make a fool out of myself, it’s hardly going to be a life-changing event. The Traveling to the Future technique won’t apply to all your thoughts and problems, but it works wonders with quite a few. In Joel’s case, he could have analyzed his malicious thought for obvious distortions such as labeling and enlarging. In other words, be sure to try out a variety of strate- gies for rehabilitating your thoughts in order to ﬁnd the one that works best for you and for a particular thought or thoughts. Take one of your most malicious thoughts and use the Traveling to the Future strategy to devise an effective response to that thought. Write down one of your most malicious thoughts from your Thought Tracker (see Worksheet 6-6). In Worksheet 6-17, rate the overall amount of upset and impact you feel at the moment (on a scale of 1 to 100, with 100 representing the highest imaginable impact). In Worksheet 6-18, write down a balanced, summary replacement thought based on any new perspective you obtain with this strategy. People worry about things yet to happen to them, such as facing a plane crash, catching germs, encountering heights, and experiencing embarrassment. They predict that whatever they undertake will result in horror, misery, or unhappiness. In other words, people tend to overestimate the risks of negative outcomes, and they do so more often when they’re in emotional distress. When you predict negative outcomes, you have malicious thoughts that paralyze you from taking action. In order to develop replacement thoughts for your malicious ones, you ﬁrst need to rethink your negative predictions. After you analyze your predictions, you’ll be able to rehabilitate your malicious thoughts. Melinda takes on Allison’s responsibilities in her absence and assumes the extra work without thinking about it. She predicts that she won’t be able to handle the job, and she can’t see herself as a boss. Her most malicious thoughts are, “I’m not cut out to handle supervising others — I’m a fol- lower, not a leader. How many times have I predicted this outcome and how many times has it actually happened to me? I can’t recall a single instance in this company when someone has been pro- moted and then ﬁred. Am I assuming this will happen just because I fear that it will, or is there a reason- able chance that it will truly happen? Do I have any experiences from my past that suggest my dire prediction is unlikely to occur? After ﬁlling out her answers to this quiz, Melinda decides to act on her recalculated risk by taking the job. She looks back over her most malicious thought and develops a replacement thought (see Worksheet 6-20). Worksheet 6-20 Melinda’s Replacement Thought While I don’t “feel” like a leader, the evidence says otherwise. Take one of your most malicious thoughts and use the Testing Thoughts strategy to devise an effective response to that thought.
However order atorlip-10 with a mastercard cholesterol definition simple, it is unclear how long-term changes in the composition of the mix of atmospheric gases cheap atorlip-10 10 mg fast delivery cholesterol medication ezetrol, soil structure buy 10 mg atorlip-10 with visa cholesterol rda, or pest and disease patterns will affect the capacity of plants to manufacture the impor- tant active principles for which we currently rely on them. There are some successes; after the increased use of natural gas and low-sulphur fuels, the amount of sulphur dioxide in the atmosphere has fallen. Arnica montana usually grows in alpine regions, but has been known to flourish in milder climates too. At the same time, ammonia concentrations have risen, with the effect of changing the pH of rootwater and directly affecting the chances of plants to survive in some habitats. Evelyn’s Sylva published in 1664, became the tree growers’ handbook for two centuries. The greatest number of endangered species (38) are those of lowland pasture, open grassland and other natural open habitats. Working with local population Perhaps the most important way to conserve resources is to work closely with the people who live in and use the forest, the indigenous population, rubber tappers, ranchers, loggers, etc. Finding alternative uses for crops is one solution – the town of Aukre in Brazil is making money harvesting Brazil nut oil for the Body Shop set up by the late Anita Roddick. A total of 332 plants were either listed or proposed for listing, under the latter, from 1985 to 1991. It has been suggested that companies should fund forest protection schemes by putting cash up in exchange for exploitation rights. However, the costs are enormous, running into billions of dollars just to preserve resources solely for the pharmaceutical industry. Other agri-environment schemes make payments for the adoption of agricultural practices to conserve wildlife habitats, and historical, archaeological and landscape features, and to improve opportunities for countryside enjoyment. Plant alternatives Chemical synthesis would cut down the amount of plant material consumed in extraction processes. Ideally, pharmaceutical companies require novel, single, active molecules that can be made in a laboratory. Although this may be possible for some allopathic drugs, the activity of most crude extracts can seldom be attributed to a single molecule, but is usually the result of several compounds acting in synergy, making production of synthetic copies extremely difficult. Medical herbalists are obliged to use the original source material to protect this unique mix of active principles. Furthermore, the holistic principles of herbal medicine suggest that the relative concentrations of useful plant chemicals achieved by mixing different species together in individualised prescriptions are important in treating patients despite the general lack of standardisation. We know little about the interactive abilities of naturally occurring chemicals, much to the consternation of our orthodox colleagues whose demands are for purified, fully characterised medicines given in regulated doses. Homoeopaths need to use naturally occur- ring source materials too, complete with any inherent impurities, so that modern drug pictures can be assumed to match exactly with Hahnemann’s own work. There is also the possibility of creating a problem of another kind by following the synthesis strategy. The isolation of the chemical diosgenin, from the Mexican Dioscorea species in the 1940s, led to a booming steroid 20 | Traditional medicine industry in that country. As sophisticated isolation, separation and elucida- tion techniques developed, the requirement for this particular raw material fell away completely and with it went the accompanying industry, causing widespread local social deprivation. There is some irony in the fact that the largest pharmaceutical compa- nies in the world are scouring the South American rainforests increasingly, seeking natural sources for drug products. The chances of finding active plant extracts is greatly increased by studying the use of plants by various cultures, and the disci- pline of ‘ethnobotany’ is growing slowly. The tree has survived in cultivation because of its valuable fruit and wood and possibly because it was planted in temples. It was introduced to Europe from its native China in 1730 and was heading for extinction until fortuitous intervention saved it. Extracts are used in Chinese herbalism under the name baguo to treat hypertension. It would be unforgivable if future generations were to suffer because remedies disap- peared due to the actions of others. Gesundheitsberichte Bundes – Heft 9 Inanspruchnahme Alterna- tiver Methoden in der Medicin (Health Report by the Federal Government Issue 9 – Use of Alternative Methods in Medicine). Use and expenditure on complementary medicine in England: a population based study. Conference for the Midterm Review of the Decade on African Traditional Medicine (2001–2010), Yaounde, Cameroon, 31 August 2008. In: Bodeker G, Burford G (eds), Traditional Complementary and Alternative Medicine Policy and Public Health Perspectives. Influence of ammonia and sulphur dioxide on the growth and competitive ability of Arnica Montana and Viola canina. Over the last 500 years and more, medicine has been defined largely by who has practised it, rather than its theoretical basis or efficacy. It is the medical profession, created by offi- cial secular and ecclesiastical sanction, that has determined how folk medi- cine has been written about and understood in the past. Much of what we know about the history of ‘unofficial’ medicine derives from prosecutions under laws designed to restrict provision, and from attempts by the Euro- pean medical establishment to assert a monopoly on healthcare. Bear in mind that we know with hindsight that the treatments provided by profes- sional medicine were, until the last century, often little better than those offered by many unlicensed healers. In the nineteenth century, the rise of the folklore movement tempered the educated condemnation with a more detached curiosity in the perceived ‘relics’ of the medical ‘ignorance’ of the past. Although the early folklorists were not usually sympathetic to the remedies that they collected, there was sometimes a recognition that they probably did no more harm than those provided by the general practitioner. As to historians, up until the 1980s they were largely preoccupied with charting the ‘progress’ of biomedicine and institutional health care, and rarely gave much thought to the nature and continuance of other healing traditions. But now, just as some of the last links with this alternative history of medical experience are disappearing, a range of relatively new disciplines, namely medical anthropology, ethnobotany, phytotherapy and ethnophar- macology, have provided an impetus for looking again at the nature and value of Europe’s old medical traditions. By examining the research of these various scholarly endeavours, new and old, we can begin to piece together 26 | Traditional medicine the significance of European folk medicine in the past and present, and what this tells us about its future. Folk medical concepts Influence of supernatural forces For much of recorded history, folk medicine shared theories and practices with the ‘official’ medicine of the mediaeval clergy and licensed physicians. In terms of the aetiologies of folk illness, however, there was, perhaps, a greater emphasis on the influence of supernatural forces. This certainly became one of the clearest differences between the two traditions by the eighteenth century, when across much of Europe the intellectual rationale for the existence of witchcraft was undermined. As is evident from trial records from the late fifteenth to the mid-eighteenth centuries, and folklore sources and court cases in the modern era, the diagnosis and cure of witch- craft were an important element of the popular understanding and experi- ence of medicine. Witches were blamed for a wide range of illnesses and accidents, from causing people to break their legs to infesting them with fleas. Conditions, such as cancer, tuberculosis, malaria and epilepsy, which either developed slowly or were recurrent and did not have obvious external symptoms, were particularly likely to attract suspicion of witchcraft.