Desk study on homeopathy in organic livestock farming: Principles, obstacles and recommendations for practice and research

Organic livestock farming has its own concept of health and welfare. The approach to health can be characterised by the key words human, preventive, self-regulating and holistic (Chapter 1). This has consequences for the way we deal with diseases and problems, the nature of the solutions and the use of medication, among other things. In terms of therapeutic and regulatory measures this health concept is based primarily on natural food supplements and homeopathic remedies, which in view of their origin fit in well with the natural character of organic agriculture (Verhoog et al., 2002). Apart from various forms of potentised remedies (classic, clinical, anthroposophic, isopathic; Chapter 2) and all manner of applications within phytotherapy (Bach flower, aromatherapy), there is interest in organic livestock farming in complementary health treatments other than acupuncture. We also need more detailed research into the practical implications of possible self-medication by animals (Engel, 2001). Complementary medicine demands a new type of knowledge in relation to its working mechanism, testing for authenticity and the way it is used (Chapter 3). The thinking behind the use of homeopathic remedies often based on a preventive approach to health. With the aid of these remedies the doctor seeks to create a more balanced environment in and around the animal and to improve the animal’s resistance to infections (Baars en Ellinger, 1997). Striezel (2001) calls homeopathy a regulatory therapy, which heals the body by stimulating the individual immune system and regulating the metabolism. The use of homeopathic remedies is still limited in practice, partly due to a lack of suitably trained veterinary practitioners (Chapter 4). In the elaboration of the research questions the authors discovered that the use of homeopathic remedies meets with particular resistance which can be traced back to philosophical assumptions (sections 4.1-4.3). As the research is fleshed out it is therefore important that it is not simply carried out in conformity with currently valid scientific standards. The research design must also be in line with the philosophy of homeopathy in terms of both quantity and quality (Chapter 5). This is particularly important for homeopathy because its therapeutic methods are based on principles which do not fit in with conventional notions about life. The similia principle (law of similars) is an important feature of homeopathy and homeopathy shares the second key concept of potentisation with anthroposophy (Chapter 2). There is limited acceptance of homeopathic remedies in particular, despite the fact that there is some empirical evidence for the efficacy of homeopathic treatments. Both outcome research into homeopathic treatments of humans and animals and fundamental empirical research into the validity of the similia law and the efficacy of high dilutions produce results which tend to bear this out. However, it is rejected out of hand on ontological grounds and because of the assumed working mechanism. Follow-up research into homeopathic remedies is desirable, but must be in line with the underlying complementary health and welfare concept of organic agriculture, which includes treatment with veterinary medicines. Randomised Clinical Trials are thus only of limited use, since they disregard the individually tailored nature of the treatment. In practice however, sufficient alternative therapies have been developed which can be used in outcome research. The researchers propose a graduated structure for the outcome research (Chapter 6). The first step is to join in with the monitoring of experience in practice, and follow this with casuistic outcome research

Biologische producten en gezondheid. Resultaten melkonderzoek 2005

In het verleden is al aangetoond dat de biologische productiemethode maatschappelijke voordelen heeft op terreinen als milieu, biodiversiteit, bodemkwaliteit, dierenwelzijn en pesticidenresidu. Indirect dragen deze kwaliteiten bij aan de gezondheid van de mens. Nu beginnen ook steeds meer onderzoeksresultaten beschikbaar te komen waaruit blijkt dat de biologische productiemethode ook leidt tot voedsel dat meer gezonde stoffen bevat. Biologische producten blijken gemiddeld gelijk of hoger te scoren op gezonde stoffen o.a. vitamine C gehaltes, mineralen, anti-oxidanten en eiwitkwaliteit dan reguliere producten. En biologische producten blijken gelijk of lager te scoren op ongezonde stoffen zoals nitraat, residuen van bestrijdingsmiddelen en contaminanten. Als verkennend onderzoek naar verschillen in koemelk werd in februari 2005 koemelk van 5 biologische en 5 gangbare buurbedrijven onderzocht. Een duidelijk verschil in bedrijfsvoering is dat biologische koeien minder krachtvoer en meer klaver en gras eten. De hoeveelheid CLA's en omega-3-vetzuren was in de onderzochte biologische melk significant hoger. In smaak was er geen eenduidig verschil in beoordeling. Ook de gezondheidstoestand van de koeien werd gemeten via immunologisch onderzoek. Hieruit bleek dat biologische koeien beter kunnen reageren op infecties, ze zijn dus robuuster. Deze gezondheidsmeting van de koe past in de hypothese dat de cyclus van een gezonde bodem, gezonde gewassen, gezonde dieren ook leidt tot gezonde producten voor de mens. Bij de vernieuwende meetmethoden voor 'geordendheid' van de structuur (biofotonen en voedingskristallisaties) scoort de biologische melk systematisch hoger op 'geordendheid', 'integratie’ en ‘coördinatie'. Uit onderzoek naar voederrantsoenen en naar moedermelk blijkt dat hogere CLA-gehaltes in de keten doorgeven worden via het voer (veel gras en klaver), naar de koemelk tot in de menselijke moedermelk

Die kundenzentrierte Organisation: Kundenzentrierung mit einem KPI effektiv entwickeln

Unternehmen können sich im Wettbewerb nur behaupten, wenn sie eine kundenzentrierte Belegschaft besitzen, die für Kunden relevante und attraktive Angebote erzeugt. Diese seit Jahren bekannte Tatsache zeigt sich in der praktischen Umsetzung für viele Unternehmen als große Hürde. Mit diesem Bewusstsein sollten Unternehmen einen Veränderungsprozess initiieren: Ausgehend vom aktuellen Grad der Kundenzentrierung, die mit dem Customer-Centricity-Score erhoben wird, können sie nun Ansatzpunkte identi zieren, die sie im Rahmen einer Organisationsentwicklung nachhaltig verbessern können

HTAD patient pathway: Strategy for diagnostic work-up of patients and families with (suspected) heritable thoracic aortic diseases (HTAD). A statement from the HTAD working group of VASCERN

Loeys-dietz syndrome; Marfan syndrome; Thoracic aortic aneurysmSíndrome de Loeys-dietz; Síndrome de Marfan; Aneurisma aòrtic toràcicSíndrome de loeys-dietz; Síndrome de Marfan; Aneurisma aórtico torácicoHeritable thoracic aortic diseases (HTAD) are rare pathologies associated with thoracic aortic aneurysms and dissection, which can be syndromic or non-syndromic. They may result from genetic defects. Associated genes identified to date are classified into those encoding components of the (a) extracellular matrix (b) TGFβ pathway and (c) smooth muscle contractile mechanism. Timely diagnosis allows for prompt aortic surveillance and prophylactic surgery, hence improving life expectancy and reducing maternal complications as well as providing reassurance to family members when a diagnosis is ruled out. This document is an expert opinion reflecting strategies put forward by medical experts and patient representatives involved in the HTAD Rare Disease Working Group of VASCERN. It aims to provide a patient pathway that improves patient care by diminishing time to diagnosis, facilitating the establishment of a correct diagnosis using molecular genetics when possible, excluding the diagnosis in unaffected persons through appropriate family screening and avoiding overuse of resources. It is being recommended that patients are referred to an expert centre for further evaluation if they meet at least one of the following criteria: (1) thoracic aortic dissection (3.5 or 2.5–3.5 if non-hypertensive or hypertensive and 3), (3) family history of HTAD with/without a pathogenic variant in a gene linked to HTAD, (4) ectopia lentis without other obvious explanation and (5) a systemic score of >5 in adults and >3 in children. Aortic imaging primarily relies on transthoracic echocardiography with magnetic resonance imaging or computed tomography as needed. Genetic testing should be considered in those with a high suspicion of underlying genetic aortopathy. Though panels vary among centers, for patients with thoracic aortic aneurysm or dissection or systemic features these should include genes with a definitive or strong association to HTAD. Genetic cascade screening and serial aortic imaging should be considered for family screening and follow-up. In conclusion, the implementation of these strategies should help standardise the diagnostic work-up and follow-up of patients with suspected HTAD and the screening of their relatives.CHAFEA Specific Grant Agreement for Year 1 HP-ERN-SGA-2016 10 Project n° 769036 (from March 2017 to February 2018) 11 - CHAFEA Specific Grant Agreement for Year 2 HP-ERN-SGA-2017 12 Project n° 811609 (from March 2018 to February 2019) 13 - CHAFEA Specific Grant Agreement for Year 3 to 5 HP-ERN-SGA-2018 14 Project n° 847081 (from March 2019 to February 2022)

Wireframe DNA Origami for the Cellular Delivery of Platinum(II)-Based Drugs

The DNA origami method has revolutionized the field of DNA nanotechnology since its introduction. These nanostructures, with their customizable shape and size, addressability, nontoxicity, and capacity to carry bioactive molecules, are promising vehicles for therapeutic delivery. Different approaches have been developed for manipulating and folding DNA origami, resulting in compact lattice-based and wireframe designs. Platinum-based complexes, such as cisplatin and phenanthriplatin, have gained attention for their potential in cancer and antiviral treatments. Phenanthriplatin, in particular, has shown significant antitumor properties by binding to DNA at a single site and inhibiting transcription. The present work aims to study wireframe DNA origami nanostructures as possible carriers for platinum compounds in cancer therapy, employing both cisplatin and phenanthriplatin as model compounds. This research explores the assembly, platinum loading capacity, stability, and modulation of cytotoxicity in cancer cell lines. The findings indicate that nanomolar quantities of the ball-like origami nanostructure, obtained in the presence of phenanthriplatin and therefore loaded with that specific drug, reduced cell viability in MCF-7 (cisplatin-resistant breast adenocarcinoma cell line) to 33%, while being ineffective on the other tested cancer cell lines. The overall results provide valuable insights into using wireframe DNA origami as a highly stable possible carrier of Pt species for very long time-release purposes

Do NHS GP surgeries employing GPs additionally trained in Integrative or Complementary Medicine have lower antibiotic prescribing rates? Retrospective cross-sectional analysis of national primary care prescribing data in England in 2016

ObjectiveTo determine differences in antibiotic prescription rates between conventional General Practice (GP) surgeries and GP surgeries employing general practitioners (GPs) additionally trained in integrative medicine (IM) or complementary and alternative medicine (CAM) (referred to as IM GPs) working within National Health Service (NHS) England.DesignRetrospective study on antibiotic prescription rates per STAR-PU (Specific Therapeutic group Age–sex weighting Related Prescribing Unit) using NHS Digital data over 2016. Publicly available data were used on prevalence of relevant comorbidities, demographics of patient populations and deprivation scores.SettingPrimary Care.Participants7283 NHS GP surgeries in England.Primary outcome measureThe association between IM GPs and antibiotic prescribing rates per STAR-PU with the number of antibiotic prescriptions (total, and for respiratory tract infection (RTI) and urinary tract infection (UTI) separately) as outcome.ResultsIM GP surgeries (n=9) were comparable to conventional GP surgeries in terms of list sizes, demographics, deprivation scores and comorbidity prevalence. Negative binomial regression models showed that statistically significant fewer total antibiotics (relative risk (RR) 0.78, 95% CI 0.64 to 0.97) and RTI antibiotics (RR 0.74, 95% CI 0.59 to 0.94) were prescribed at NHS IM GP surgeries compared with conventional NHS GP surgeries. In contrast, the number of antibiotics prescribed for UTI were similar between both practices.ConclusionNHS England GP surgeries employing GPs additionally trained in IM/CAM have lower antibiotic prescribing rates. Accessibility of IM/CAM within NHS England primary care is limited. Main study limitation is the lack of consultation data. Future research should include the differences in consultation behaviour of patients self-selecting to consult an IM GP or conventional surgery, and its effect on antibiotic prescription. Additional treatment strategies for common primary care infections used by IM GPs should be explored to see if they could be used to assist in the fight against antimicrobial resistance.</jats:sec

An Absolute Flux Density Measurement of the Supernova Remnant Casseopia A at 32 GHz

We report 32 GHz absolute flux density measurements of the supernova remnant Cas A, with an accuracy of 2.5%. The measurements were made with the 1.5-meter telescope at the Owens Valley Radio Observatory. The antenna gain had been measured by NIST in May 1990 to be $0.505 \pm 0.007 \frac{{\rm mK}}{{\rm Jy}}$. Our observations of Cas A in May 1998 yield $S_{cas,1998} = 194 \pm 5 {\rm Jy}$. We also report absolute flux density measurements of 3C48, 3C147, 3C286, Jupiter, Saturn and Mars.Comment: 30 pages, 4 figures; accepted for publication by AJ. Revised systematic error budget, corrected typos, and added reference

The Effectiveness of Art Therapy for Anxiety in Adult Women: A Randomized Controlled Trial

ObjectivesArt therapy (AT) as a treatment option for anxiety is regularly employed in clinical practice, but scientific evidence for its effectiveness is lacking, since this intervention has hardly been studied. The aim was to study the effectiveness of AT on anxiety in adult women. The specific type of AT studied was anthroposophic AT.MethodsA RCT comparing AT versus a waiting list (WL) condition on anxiety symptom severity, quality of life, and emotion regulation. Factors influencing treatment outcome were additionally explored. Participants were women, aged 18–65 years, diagnosed with generalized anxiety disorder, social anxiety disorder or panic disorder, with moderate to severe anxiety symptoms. The trial was registered in the Dutch Trial Registration (NTR28143).ResultsFifty-nine women were included, of which 47 completed the trial. Both per-protocol and intention-to treat analyses demonstrated effectiveness of AT compared to WL, showing a reduction in anxiety, an increase in subjective quality of life (both with large effects) and an improvement in accessibility of emotion regulation strategies (medium effect). Treatment effects remained after 3 months follow-up. Improved acceptance of emotions and improved goal-oriented action are aspects of emotion regulation that are associated with the decrease in anxiety level.ConclusionAT is effective in reducing anxiety symptoms, improving quality of life and aspects of emotion regulation. Future RCTs should use active controls (treatment as usual) and study cost-effectiveness

Recent advances in the genetics of SDH-related paraganglioma and pheochromocytoma

The last 10 years have seen enormous progress in the field of paraganglioma and pheochromocytoma genetics. The identification of the first gene related to paraganglioma, SDHD, encoding a subunit of mitochondrial succinate dehydrogenase (SDH), was quickly followed by the identification of mutations in SDHC and SDHB. Very recently several new SDH-related genes have been discovered. The SDHAF2 gene encodes an SDH co-factor related to the function of the SDHA subunit, and is currently exclusively associated with head and neck paragangliomas. SDHA itself has now also been identified as a paraganglioma gene, with the recent identification of the first mutation in a patient with extra-adrenal paraganglioma. Another SDH-related co-factor, SDHAF1, is not currently known to be a tumor suppressor, but may shed some light on the mechanisms of tumorigenesis. An entirely novel gene associated with adrenal pheochromocytoma, TMEM127, suggests that other new paraganglioma susceptibility genes may await discovery. In addition to these recent discoveries, new techniques related to mutation analysis, including genetic analysis algorithms, SDHB immunohistochemistry, and deletion analysis by MLPA have improved the efficiency and accuracy of genetic analysis. However, many intriguing questions remain, such as the striking differences in the clinical phenotype of genes that encode proteins with an apparently very close functional relationship, and the lack of expression of SDHD and SDHAF2 mutations when inherited via the maternal line. Little is still known of the origins and causes of truly sporadic tumors, and the role of oxygen in the relationships between high-altitude, familial and truly sporadic paragangliomas remains to be elucidated

An overview of the Amazonian Aerosol Characterization Experiment 2008 (AMAZE-08)

The Amazon Basin provides an excellent environment for studying the sources, transformations, and properties of natural aerosol particles and the resulting links between biological processes and climate. With this framework in mind, the Amazonian Aerosol Characterization Experiment (AMAZE-08), carried out from 7 February to 14 March 2008 during the wet season in the central Amazon Basin, sought to understand the formation, transformations, and cloud-forming properties of fine- and coarse-mode biogenic aerosol particles, especially as related to their effects on cloud activation and regional climate. Special foci included (1) the production mechanisms of secondary organic components at a pristine continental site, including the factors regulating their temporal variability, and (2) predicting and understanding the cloud-forming properties of biogenic particles at such a site. In this overview paper, the field site and the instrumentation employed during the campaign are introduced. Observations and findings are reported, including the large-scale context for the campaign, especially as provided by satellite observations. New findings presented include: (i) a particle number-diameter distribution from 10 nm to 10 Î1/4m that is representative of the pristine tropical rain forest and recommended for model use; (ii) the absence of substantial quantities of primary biological particles in the submicron mode as evidenced by mass spectral characterization; (iii) the large-scale production of secondary organic material; (iv) insights into the chemical and physical properties of the particles as revealed by thermodenuder-induced changes in the particle number-diameter distributions and mass spectra; and (v) comparisons of ground-based predictions and satellite-based observations of hydrometeor phase in clouds. A main finding of AMAZE-08 is the dominance of secondary organic material as particle components. The results presented here provide mechanistic insight and quantitative parameters that can serve to increase the accuracy of models of the formation, transformations, and cloud-forming properties of biogenic natural aerosol particles, especially as related to their effects on cloud activation and regional climate. © 2010 Author(s)