Mark Corson

By W. Sigmor. Southeastern Louisiana University. 2018.

Homœopathic Dynamizations are processes by which the medicinal properties cheap grifulvin v 125 mg online, which are latent in natural substances while in their crude state buy grifulvin v 250mg visa, become aroused purchase 250mg grifulvin v with mastercard, and then become enabled to act in an almost spiritual manner on our life ; i. This development of the properties of crude natural substances (dynamization) takes place, as I have before taught, in the case of dry substances by means of trituration in a mortar, but in the case of fluid substances, by means of shaking or succussion, which is also a trituration. These preparations cannot be simply designated as dilutions, although every preparation of this kind, in order that it may be raised to a higher potency ; i. We frequently read in homœopathic books that, in the case of one or another person in a certain case of disease, some high (dilution) dynamization of a medicine was of no use at all, but a lower potency proved effectual, while others have seen more success from higher potencies. But no one in such cases investigates the cause of the great indifference of these effects. What prevents the preparer of the medicines (and this ought to be the homœopathic physician himself ; he himself ought to forge and whet the arms with which to fight the diseases) -what prevents him, in preparing a potency, from giving 10, 20, 50 and more succussive strokes against a somewhat hard, elastic body to every vial containing one drop of the lower potency with 99 drops of alcohol, so as to obtain strong potencies? This would be vastly more effective than giving only a few nerveless succussive strokes, which will produce little more than dilutions, which ought not to be the case. The perfection of our unique art of healing and the welfare of the patients seem to make it worth while for the physician to take the trouble necessary to secure the utmost efficiency in his medicines. Modern wiseacres have even sneered at the 30th potency, and would only use the lower, less developed and more massive preparations in larger doses, whereby they have been, however, unable to effect all that our art can accomplish. If, however, every potency is dynamized with the same number of succussive strokes, we obtain, even in the fiftieth potency, medicines of the most penetrating efficacy, so that every minute pellet moistened with it, after being dissolved in a quantity of water, can and must be taken in small parts, if we do not wish to produce too violent an action with sensitive patients, while we must remember that such a preparation contains almost all the properties latent in the drug now fully developed, and these can only then come into full activity. Since I last [*] addressed the public concerning our healing art, I have had among other things also the opportunity to gain experience as to the best possible mode of administering the doses of the medicines to the patients, and I herewith communicate what I have found best in this respect. A small pellet of one of the highest dynamizations of a medicine laid dry upon the tongue, or the moderate smelling of an opened vial wherein one or more such pellets are contained, proves itself the smallest and weakest dose with the shortest period of duration in its effects. Still there are numerous patients of so excitable a nature, that they are sufficiently affected by such a dose in slight acute ailments to be cured by it if the remedy is homœopathically selected. Nevertheless the incredible variety among patients as to their irritability, their age, their spiritual and bodily development, their vital power and especially as to the nature of their disease, necessitates a great variety in their treatment, and also in the administration to them of the doses of medicines. For their diseases may be of various kinds : either a natural and simple one but lately arisen, or it may be a natural and simple one but an old case, or it may be a complicated one (a combination of several miasmata), or again what is the most frequent and worst case, it may have been spoiled by a perverse medical treatment, and loaded down with medicinal diseases. I can here limit myself only to this latter case, as the other cases cannot be arranged in tabular form for the weak and negligent, but must be left to the accuracy, the industry and the intelligence of able men, who are masters of their art. Experience has shown me, as it has no doubt also shown to most of my followers, that it is most useful in diseases of any magnitude (no excepting even the most acute, and still more so in the half-acute, in the tedious and most tedious) to give to the patient the powerful homœopathic pellet or pellets only in solution, and this solution in divided doses. In this way we give the medicine, dissolved in seven to twenty tablespoonfuls of water without any addition, in acute and very acute diseases every six, four or two hours ; where the danger is urgent, even every hour or every half-hour, a tablespoonful at a time ; with weak persons or children, only a small part of a tablespoonful (one or two teaspoonfuls or coffeespoonfuls) may be given as a dose. But since water (even distilled water) commences after a few days to be spoil, whereby the power of the small quantity of medicine contained is destroyed, the addition of a little alcohol is necessary, or where this is not practicable, or if the patient cannot bear it, I add a few small pieces of hard charcoal to the watery solution. This answers the purpose, except that in the latter case the fluid in a few days receives a blackish tint. This is caused by shaking the liquid, as is necessary every time before giving a dose of medicine, as may be seen below. Before proceeding, it is important to observe, that our vital principle cannot well bear that the same unchanged dose of medicine be given even twice in succession, much less more frequently to a patient. For by this the good effect of the former dose of medicine is either neutralized in part, or new symptoms proper to the medicine, symptoms which have not before been present in the disease, appear, impeding the cure. Thus even a well selected homœopathic medicine produces ill effects and attains its purpose imperfectly or not at all. Thence come the many contradictions of homœopathic physicians with respect to the repetition of doses. But in taking one and the same medicine repeatedly (which is indispensable to secure the cure of a serious, chronic disease), if the dose is in every case varied and modified only a little in its degree of dynamization, then the vital force of the patient will calmly, and as it were willingly receive the same medicine even at brief intervals very many times in succession with the best results, every time increasing the well-being of the patient. This slight change in the degree of dynamization is even effected, if the bottle which contains the solution of one or more pellets is merely well shaken five or six times, every time before taking it. Now when the physician has in this way used up the solution of the medicine that had been prepared, if the medicine continues useful, he will take one or two pellets of the same medicine in a lower potency (e. This last solution may then be taken in the same manner, or at longer intervals, perhaps also less of the solution at a time ; but every time the solution must be shaken up five or six times. This will be continued so long as the remedy still produces improvement and until new ailments (such as have never yet occurred with other patients in this disease), appear ; for in such a case a new remedy will have to be used. On any day when the remedy has produced too strong an action, the dose should be omitted for a day. If the symptoms of the disease alone appear, but are considerably aggravated even during the more moderate use of the medicine, then the time has come to break off in the use of the medicine for one or two weeks, and to await a considerable improvement. He will dissolve one (two) pellet of the highly potentized, well selected medicine in seven, ten or fifteen tablespoonfuls of water (without addition) by shaking the bottle. He will then, according as the disease is more or less acute, and more or less dangerous, give the patient every half hour, or every hour, every two, three, four, six hours (after again well shaking the bottle) a whole or a half tablespoonful of the solution, or, in the case of a child, even less. If the physician sees no new symptoms develop, he will continue at these intervals, until the symptoms present at first begin to be aggravated ; then he will give it at longer intervals and less at a time. As is well know, in cholera the suitable medicine has often to be given at far shorter intervals. Children are always given these solutions from their usual drinking vessels ; a teaspoon for drinking is to them unusual and suspicious, and they will refuse the tasteless liquid at once on that account. When the medicine has been consumed and it is found necessary to continue the same remedy, if the physician should desire to prepare a new portion of medicine from the same degree of potency, it will be necessary to give to the new solution as many shakes, as the number of shakes given to the last portion amount to when summed up together, and then a few more, before the patient is given the first dose ; but after that, with the subsequent doses, the solution is to be shaken up only five or six times. In this manner the homœopathic physician will derive all the benefit from a well selected remedy, which can be obtained in any special case of chronic disease by doses given through the mouth. But if the diseased organism is affected by the physician through this same appropriate remedy at the same time in sensitive spots other than the nerves of the mouth and the alimentary canal, i. The limbs which are thus rubbed with the solution may also be varied, first one, then another.

One of the objectives of the therapy is to strengthen wrist a good clinical examination purchase 125 mg grifulvin v amex. Material and Methods: Fifty patients (mean age addressed to our unity for a podiatric examination given the pres- 50 years order grifulvin v 125mg without prescription, 92% female cheap 125mg grifulvin v with amex, median symptom duration 120 days) with ence of plantar calluses. Hot pack, therapeutic ultra- abnormality, deviation of the occipital axis on the left and a left sound and stretching/strengthening exercises were given to both dorsal gibbosity. Results: Both groups showed signifcant disease has been frequently reported in the literature. When 2 groups were compared regarding the improvements semiological data suggestive of a secondary cause. We in- clarify the physiological basis of the remote effect of acupuncture vestigated 1) changes of the cartilage thickness in the hip joint on neck pain and the activity of the upper trapezius muscle. The thickness of the acetabular and femoral cartilage and the Cuff Injury volume of bone cysts were estimated. The mean thickness for the femoral car- Introduction/Background: To explore the effect of rehabilitation tilage preoperative was 1. Preoperative, median total cyst volume per randomly categorized into the rehabilitation group (n=34) and the cyst-patient was 6. Results: There were 18 males and 16 females in the rehabilitation group with a mean age of 38. Conclusion: Systemic rehabili- Single-Blinded, Sham-Controlled, Crossover Study tation exercise improves the recovery of shoulder joint function of 1 1 patients with rotator cuff injury due to sports activities. Aparecida Penimpedo Calamita , effective rehabilitation plan should be implemented according to D. To eliminate carry-over treatment effects, a one-week wash- includes shoulder pain, stifness and loss of passive motion with out period was respected between sessions. Currently there is no consensus re- Abnormal Shoulder Muscle Activity During Three Func- garding the treatment of AdC. Liao with AdC diagnosis, with pain and function evaluation at 1, 4, 12 and 24 weeks. This study is designed for 12 months, so it is nec- als and Methods: 4 patients with unilateral frozen shoulder and essary to continue the follow-up to obtain more relevant informa- 5 asymptomatic subjects were recruited. All subjects received tion regarding the true value of this therapeutic modality in AdC. Mann-Whitney U test was used cer Surgery with Botulinum Toxin to examine the differences in shoulder muscle activity between the patient group and the healthy group. De frozen shoulder revealed signifcantly decreased lower trapezius Miguel Benadiba, P. And the patient group also showed signifcantly higher muscle activity of pecto- Introduction: Pain is the most frequent symptom after the surgical ralis major (19. The protocol included a 2nd visit 1 month after infltration and a 3rd visit 4 months post-infltration. Two in six received mastectomy, The Effectiveness of Laser Therapy and Supervised Ex- three in six patients received lumpectomy. Four in six were treated with radiotherapy ercise Program for the Treatment of Temporomandibular and chemotherapy. Materials and Methods: A prospective comparative study Only one infltration was required. Limita- with a 3-month follow-up period was conducted between April tions: statistical signifcance is not calculated due to the little num- 2014 and June 2014 at the Physical Medicine and Rehabilitation ber of the sample. The treatment period of both groups was 4 ralis have not lead to any complication to patients affected by upper weeks at the outpatient clinic. Longitudinal Change range of motion, and disability) were obtained at follow-up ap- of Treatment-Related Upper Limb Dysfunction and Its Impact on pointments at the end of the treatment period, 2 and 3 months. Late Dysfunction in Breast Cancer Survivors: A Prospective Cohort Results: The combination of laser therapy and supervised exercise Study. Pec- program is more effective compare to single use of exercise pro- toral Muscle Spasms After Mastectomy Successfully Treated With gram. We have gained signifcant improvement in the values of Botulinum Toxin Injections. American Academy of Physical Medi- the mobility of the joint, pain, and functional disability, in both cine and Rehabilitation. Keyword: temporo- Rotator Cuff Disease mandibular joint, arthrosis, laser therapy, exercise. There are studies about the effectiveness of sodium hyalu- the School Community ronate injection on shoulder and knee pain, but few studies dem- C. Lopes2 onstrating the effcacy of sodium hyaluronate ultrasonography 1Instituto Politecnico do Porto, 2Vila Nova de Gaia, Vila Nova de guided injection for rotator cuff disease. These symptoms may double-blind, placebo controlled clinical trial study was performed cause restrictions on their functional capacity and there’s a need among 40 patients with subacromial impingement syndrome with- to make a proper measurement of this phenomenon, in a valid and out complete tear of rotator cuff. Methods: On the frst phase was evaluated before frst and 12 week after last injection. Mean constant score was signifcantly higher in correlation coeffcient, to the construct validity, we proceeded to case group 12 weeks after last injection (P<0. Re- Treatment in Facial Pain Patients Associated with Tem- garding prevalence, 63. In most cases this pathology don’t manifest itself due to wide A Strong Lie: Clenched Fist Syndrome compensatory possibilities of jaw muscles. Etiological factors provoking development of given pathol- ogy is malocclusion, teeth extraction, whiplash injury, bruxism.

League tables were created for both raw and risk-ad- sion Insurance justed comparisons order 125mg grifulvin v otc. Lukas- and lowest scoring facility in the adjusted comparison was cal- 1 2 2 2 czik buy grifulvin v 250 mg line, S grifulvin v 125 mg without prescription. The differences in means between Background: Applications for disability pensions have to be re- the highest and lowest scoring facility were 1. Conclusion: A big part of variation between facilities these medical expertises, the German Pension Insurance has de- can be explained by patient characteristics, but not all of it. It comprises hierar- adjusting for those variables, variation among facilities still exists. Due to large amount of facilities in the middle area, the to which another expert is able to reconstruct the process of medi- differences in the extreme ends of the distribution seemed to have cal decision making. A thorough quality assurance program can yield consists of a peer review system in which anonymised medical data to compare outcomes between facilities and to connect these expertises are re-evaluated by specially trained medical experts. Combining outcomes on the These peers evaluate the degree of compliance with the require- facility level with data of structure, processes, costs or therapeutic ment criteria in every single case in a three- or four-stage rating concepts can result in new knowledge about rehabilitation. We used 260 anonymised expertises on disability pension Comparative Effectiveness of Stroke Rehabilitation in applications delivered by 12 regional pension insurance funds. Rehabilitation care is recommended after an acute ised peer review system proved to be practicable, confrmed by stroke to reduce stroke-related disability and improve health out- the feedback of the participants. Further, the applicability of evidence of effectiveness ing disability pension applications is moderate but appears suf- in the U. Various suggestions are used to revise nations due to how rehabilitation services are organized and deliv- the formulation of the criteria in order to further improve qual- ered. Qualitätssicherung tion at 14, 90, and 365 days were compared for stroke survivors der sozialmedizinischen Begutachtung - Aktueller Sachstand. It was not uncom- disciplinary Solution to Throughput and Care Coordina- mon to receive stroke care in two or more settings and evidence of beneft for rehabilitation care attenuated over time. This study presents a unique solution to avoid- search of rehabilitation care particularly in low and middle income able barriers to discharge. The majority of research, predomi- of multidisciplinary communication and systems planning. It is nently in developed countries, examines acute stroke units that implemented on our de novo Neurorehabilitation Census Board include rehabilitation or early supported discharge models. The system concomitantly targets medi- Conclusions: There is a tremendous opportunity to examine the cal, rehabilitation, case management, social services, and care availability, provision and effectiveness of post-acute stroke reha- coordination barriers to expedite hospital discharge. There is a need for the development of a Leprosy fscal benefts from delays to care, length of stay, and avoidable Rehabilitation Score. Throughout the inception of the specialty service Introduction: “Protective Edge” operation took place from July 8 to August 26 2014. During this period 67 soldiers and 5 civilth th - alone, benefts ranged from $19,662,984 to $22,026,840 at its low- est approximation. Hospital wide impact with this model reached ians were killed, and 1,620 soldiers were injured. The orthopedic rehabilitation ward at pensations of hospital-adjusted expenses), translating to 61. Fiscal trends were maintained when considered by service, will be admitted at our ward. During routine times the ward treats ownership, and annual percent growth in healthcare expenditures. The ward and tracking, an impact ranging up to 59 to 116 million in a non- discharged civilian patients and admitted wounded soldiers at a proft hopital setting. Material and Methods: During “Protective Edge” op- eration 53 wounded soldiers were admitted at the orthopedic reha- bilitation ward at Sheba Medical Center. Results: 53 wounded soldiers with a range of orthopedic injuries were admitted at the orthopedic reha- Leprosy Elimination in Cameroon bilitation ward at Sheba Medical Center. We adjusted to keep continuity of psychological treat- restoration of treated patients to normal activity, so that they may ment by following the patients from the acute wards to the reha- be able to resume their place in the home and community. Objectives: This study sions: The implications of “Protective Edge” operation forced the was carried out to assess the role of rehabilitation as an epide- orthopedic rehabilitation ward at Sheba Medical Center to adapt miological determinant for leprosy elimination in an endemic re- to a changing reality concerning the patients admitted. Methods: Focus group discussions, in-depth interviews and a has changed dramatically rapidly. Mapping and understanding the structured questionnaire were used to investigate leprosy rehabili- processes that took place during this unique period of time may tation among lepers, their contacts and a control group comprised have a major contribution to determining future treatment plans of patients attending hospital for reasons other than leprosy. In- for medical rehabilitation systems, as well as for the treatment formed consent was sought and gained from all study participants teams composing those medical systems. The proportion of the study sample with correct Developing a Cancer Rehabilitation Continuum of Care... A statistically signifcant relationship be- Connecting Acute and Post Acute Cancer Rehabilitaton tween knowledge of leprosy rehabilitation and the study subjects *C. Among Around the world individuals are surviving from cancer but with- leprosy contacts, 78 (73. The commonest rehabilitation trade stated by the an active team member throughout the trajectory of cancer care. Utilizing the Dietz model of care focusing on preven- epidemiological determinant of leprosy show that there was a sta- tive, restorative, supportive and palliative care these programs may tistically signifcant relationship within and between the various be delivered in a variety of settings, including hospitals, healthcare categories of lepers, contacts and controls (p = 0. Can- Rehabilitation has improved the quality of life of lepers in the lep- cer rehabilitation is an integral component of quality cancer care. Participants will learn from the frst two accredited cancer clude temperament, energy and drive, memory, emotions, pain and rehabilitation program medical directors how they have developed repair function of the skin.

These conficting results can be attributed to infammation and treatment with lipid-lowering drugs 45 buy grifulvin v 250mg cheap,46 cheap grifulvin v 125mg without a prescription,48 discount 125mg grifulvin v with amex. Additionally, confounding by indication may have affected the results of this study. Therefore, to minimise confounding by indication, we conducted a subgroup analysis based on cardiovascular risk profle. With the potency of statins taken into account, certain assumptions about disease severity in the patients in our study can be made. We believe that a high potency of statins is related to severe cardiovascular disease/hyperlipidaemia. Taken together, it is not very likely that hyperlipidaemia is the only risk factor. Consequently, these patients may have an increased probability of receiving statins. When confrmed, these fndings indicate that precaution should be taken when prescribing statins for individuals with a low risk of cardiovascular disease. World Health Organisation Collaborating Centre for Immunotoxicology and Allergic Hypersensitivity. Principles and methods for assessing autoimmunity associated with exposure to chemicals: Environmental Health Criteria 236. Effcacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lupus erythematosus and other autoimmune diseases related to statin therapy: a systematic review. Statins and risk of incident diabetes: a collaborative meta-analysis of randomised statin trials. Persistence with statins and onset of rheumatoid arthritis: a population-based cohort study. Effect of statins on a wide range of health outcomes: a cohort study validated by comparison with randomized trials. Utrecht: Netherlands Institute for health services research; c1992 - [updated 2010 Feb 23; cited 2010 Mar 4]. Adherence to evidence-based statin guidelines reduces the risk of hospitalizations for acute myocardial infarction by 40%: a cohort study. Environmental risk factors differ between rheumatoid arthritis with and without auto-antibodies against cyclic citrullinated peptides. Protein geranylgeranylation regulates the balance between Th17 cells and Foxp3 regulatory T cells. Atorvastatin up-regulates regulatory T-cell and improves clinical disease activity in patients with rheumatoid arthritis. Instability of the transcription factor Foxp3 leads to the generation of pathogenic memory T cells in vivo. Heterogeneity of natural Foxp3+ T cells: a committed regulatory T-cell lineage and an uncommitted minor population retaining plasticity. Impact of smoking as a risk factor for developing rheumatoid arthritis: a meta-analysis of observational studies. Assessing the sensitivity of regression results to unmeasured confounders in observational studies. Lipids and infammation: serial measurements of the lipid profle of blood donors who later developed rheumatoid arthritis. Increased cardio- vascular disease in patients with infammatory arthritis in primary care: a cross-sectional observation. Lipid profles in patients with rheumatoid arthritis: mechanisms and the impact of treatment. Elevated levels of small, low-density lipoprotein with high affnity for arterial matrix components in patients with rheumatoid arthritis: possible contribution of phospholipase A2 to this atherogenic profle. Traditional cardiovascular risk factors measured prior to the onset of infammatory polyarthritis. They defned current use of statins as receipt of at least two prescriptions within one year before index date. All patients aged ≥40 years, who had at least one prescription of statins during the period 1995 to 2009, were selected and matched by age, sex, practice and date of frst prescription of statins to controls (non-users). The follow-up period of statin users was divided into periods of current, recent and past exposure, with patients moving between these three exposure categories over time. Results The study population included 1 023 240 patients, of whom 511 620 were statin users. However, in patients who currently used statins, hazard rates were increased shortly after the frst prescription of statins and then gradually decreased to baseline level. Alternatively, confounding by cardiovascular risk factors and ascertainment or detection bias may have infuenced the fndings. Besides their cholesterol-lowering activity, statins exert anti-infammatory and immu- nomodulatory effects, and may suppress the expression of ongoing autoimmune responses, e. The database provides detailed information on demographics, diagnoses, prescription details, preventive care provided, specialist referrals, and hospital admissions 30. Study population We conducted a matched retrospective cohort study among patients aged 40 years or older, who had at least one prescription of statins at least one year after the start of data collection (period: 1995-2009). Statin users were matched by age, sex, and practice to a single patient who did not receive a statin prescription (control) any time during follow-up, with the index date of the control being the same as that of the statin user. In addition their corresponding non-user or statin user was excluded from the study. Each prescription length was calculated by dividing the number of prescribed tablets by the prescribed daily dose. Since statin therapy compliance declines substantially over time 33, the time of follow-up was divided into periods of current, recent and past exposure to statins, with patients moving between these three exposure categories over time 34.