resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
June, 2002, Vol. 02, Issue 06
Nutrition Research News
By James P. Meschino, DC, MS
Black Cohosh May Help Reduce Breast Cancer Risk
Epidemiological studies and some experimental evidence suggest that soy isoflavones, which act as phytoestrogens (plant-based estrogens) in the body, help reduce risk of breast cancer.The herb black cohosh, which contains phytoestrogen compounds, has been used in Europe with great success for 40 years as a treatment for menopausal symptoms, PMS and other female reproductive disorders (i.e., dysmenorrhea). Black cohosh has been shown to be nontoxic, with few reported adverse side effects, primarily mild nausea. As such, many European physicians prescribe it instead of hormone replacement therapy for postmenopausal women, and as a treatment for a variety of female complaints. It has a safety profile superior to hormone replacement. Hormone replacement therapy is known to increase the risk of breast cancer (by 2.3 percent per year) and other conditions.
Intrigued by the physiological effects of black cohosh and its phytoestrogen agents, a number of researchers have recently set out to examine its impact on various human breast cancer cell lines. The assumption by many investigators was that black cohosh would encourage the growth of breast cancer cells, because its weak estrogenic effect was likely to promote proliferation of these cells. However, studies have demonstrated the opposite: Black cohosh has been shown to have an anti-proliferative effect on a number of human breast cancer cell lines. Essentially, black cohosh extract has prevented breast cancer cells from dividing in all of the in vitro studies reported to date. In one study, black cohosh was shown to increase the effectiveness of the breast cancer drug Tamoxifen, when both were used concurrently.
In the study by Foster, the authors concluded that extracts of black cohosh can be taken safely by patients who are susceptible to breast cancer (and possibly should be used as a means of chemoprevention). In reference to these studies, D. Dixon-Shanes and N. Shaikh remark in the journal Oncology Report (Nov.-Dec., 1999) that herbs such as black cohosh and soy isoflavones show potential as natural agents that may reduce the risk of breast cancer (if taken). As one in nine women in the U.S. develops this disease, it may be prudent for North American women to take a supplement containing black cohosh and soy isoflavones throughout adult life (unless contraindications are present) to discourage the promotion of breast cancer. If black cohosh and soy isoflavones can inhibit the proliferation of breast cancer cells, then in theory, this would give the immune system a better chance to destroy cancer cells before they have an opportunity to thrive.
The standardized grade of black cohosh extract that demonstrated clinical efficacy provided 2.5 percent triterpene content. A usual daily dosage for menopause is 40 or 80 mg, twice per day. Half this dosage may be prudent simply to support reproductive health throughout the premenopausal years, and as a primary intervention to potentially aid in risk reduction of breast cancer. Further studies are underway to enhance our understanding of this important and timely subject.
Vitamin C Supplementation Linked to Prevention and Treatment of Cataracts
Researchers from Tufts University extracted pertinent dietary, lifestyle and supplementation practices and performed cataract screening assessment on 492 nondiabetic participants from 1980 to 1995. The results, published in the American Journal of Clinical Nutrition, found that 34 percent of the group had cataracts (cortical opacities). A review of the data indicated a significant link between age and vitamin C intake for a very common form of cataracts, known as cortical cataracts.
For women younger than 60, a vitamin C intake greater than 362 mg/day reduced risk of cataracts by 57 percent, compared with those who had an intake of less than 140 mg/day. Those who took vitamin C supplements for more that 10 years had a 60-percent reduction in risk compared to nonsupplement users. Researchers also found that women who never smoked and had high intakes of folate and carotenoids showed a reduction in cataracts.
Dr. Ronald Plotnik, an associate professor of ophthalmology at the University of Rochester, N.Y., was quoted as stating, "I think it makes sense that vitamin C and other antioxidants might have a protective effect in terms of cataracts." He said that previous research suggests that free radicals (from UV light exposure and smoking cigarettes) could contribute to the development of cataracts.
The February 2002 Ophthalmic Epidemiology published the findings of the Roche European American Cataract Trial (REACT). This randomized clinical trial investigated the efficacy of an oral antioxidant, micronutrient mixture to slow progression of age-related cataracts. After three years, the subjects taking the vitamin mixture (18 mg beta-carotene, 750 mg vitamin C, and 600 IU of vitamin E) demonstrated a small but significant deceleration in the progression of age-related cataracts. There were no reported adverse side effects in the treatment group.
Together, these results imply that antioxidant vitamin supplementation, at moderate doses, is a safe and effective means to potentially prevent cataract development, and should be considered therapeutically to help slow the progression of existing age-related cortical opacities.
Soy Isoflavone Supplementation Demonstrates Ability to Reduce Bone Loss in Perimenopausal Women
There has been much debate if soy isoflavones, which act as weak estrogens in the body, have sufficient estrogenic activity to help prevent demineralization of bone when a woman's own estrogen production declines during menopause. Estrogen helps to keep calcium in bone until the menopausal years, when the drop-off in estrogen production is known to contribute to postmenopausal osteoporosis. In the U.S., one in four women demonstrates osteoporosis early in the postmenopausal years.
In a randomized study involving 69 perimenopausal women, the group that received 24 weeks of continual isoflavone-rich soy supplementation demonstrated a favorable effect on preventing bone loss versus the control groups, which were given either whey protein supplementation or isoflavone-poor soy supplementation (containing only 4.4 mg of isoflavones per day). This study convincingly demonstrated that a daily soy intake yielding 80.4 mg of isoflavones provides an estrogenic effect on bone, sufficient to slow or prevent its demineralization.
Larger studies of this type are necessary to confirm these findings. However, results from this preliminary trial agree with epidemiological evidence and animal studies: All indicate that soy isoflavones support bone mineral density in postmenopausal women and oopherectomized animals. Soy isoflavones studied most intensively for their phytoestrogen properties include genistein and diadzein.
Click here for previous articles by James P. Meschino, DC, MS.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.