Thursday, August 7, 2008

Osteoarthritis

Like age, osteoarthritis can creep up on you. It starts out quietly, with some occasional stiffness. Then, you may begin to feel some occasional joint pain.

What’s going on is ordinary wear and tear for the most part. Inside your body, it’s the smooth, rubbery cushioning called cartilage that starts to erode. The gliding surface that normally acts as a shock absorber between your bones can become compressed and irregular. As the underlying cartilage and bone disintegrate, painful bone spurs can form in the joint. Ordinary movements can produce a grinding symphony of creaks and crackles.

While no one really knows what makes cartilage break down, heavy use of the joint seems to be a contributing factor. That’s why osteoarthritis typically strikes the knees, hips, back and even fingers. Moreover, a joint injured in the past tends to develop arthritis later in life.

Among most people over age 60, signs of osteoarthritis show up in x-rays. But only about a third show any of the typical symptoms of pain, stiffness, limited range of motion, or inflammation. That’s one of the puzzling things about osteoarthritis. There doesn’t seem to be a relationship between the amount of pain and the degree of joint damage. Some people never have more than a mild ache. Others develop crippling pain.

Aspirin and other similar drugs called nonsteroidal anti-inflammatory drugs (NSAIDs) focus on nursing arthritis pain, but that pain relief isn’t in your long-term interest. While NSAIDs are easing the pain, they can actually speed up joint deterioration.

Natural measures attempt to slow the progression of the disease and preserve cartilage and bone.

Holistic Approach to Osteoarthritis Relief

Although modern medical science view osteoarthritis as an inevitable part of growing older, naturopathic medicine contends that it is a metabolic disorder brought on by the body’s inability to regenerate bone and cartilage. Taking a holistic approach to treating arthritis, a naturopathic doctor looks at imbalances that may be occurring in the whole body, then attempts to correct those imbalances.

Among the factors that play a part are diet, exercise, and regular bowel movements to eliminate inflammation-producing toxins from the body.

Exposure to Sun for at least 20 minutes daily either between 9-10.30 in the morning or 4-5.30 in the afternoon will also be helpful to get adequate amount of Vit. D production. Underneath degenerating cartilage, bone also deteriorates. Vitamin D, a necessary nutrient for absorption of calcium, can help preserve bone and slow the loss of cartilage.

. Weight Management

Maintain a healthy weight since people with osteoarthritis are more likely to be overweight. Research shows that losing weight can significantly reduce the risk of developing it.

. Diet

Dietary changes can provide the proper nutrients needed to repair damaged joint tissue and eliminate foods that can damage joint tissue.

Removing foods in the nightshade family (solanaceae) from the diet may also be beneficial. The nightshade family includes tomatoes, potatoes, eggplant, peppers, and tobacco. They contain alkaloids (a plant constituent) that may interfere with joint repair and increase inflammation.

Eat- celery, turnips, sprouted items, whole grains and beans/ legumes, mustard greens, lettuce, millet, barley, almonds, figs, cherries, pineapple, blackberries, lemon, oranges, olive oil, carrots, papaya etc.

Avoid- sugar, dairy products, refined foods, fried foods, junk food, caffeine and the nightshade family.

Drink at least 4 litres of water a day.


. Exercise

Exercise is another essential. Low-impact activities like brisk walking, swimming, and biking are best at strengthening muscles and are easy on your joints. Stronger muscles help protect the joints by providing support and added stability.Exercise also helps the joints absorb fluid and needed nutrients. Unlike muscle or bone, cartilage doesn’t get its nutrients from blood. It soaks them up like a sponge from the fluid surrounding the joint. The more you exercise, the more you force fluid in and out of the joint.

. Hydrotherapy
Cold Sitz bath. A sitz bath is taken in just enough water to cover the buttocks, upper thighs, and lower abdomen. It powerfully affects the pelvic and abdominal organs. Very good to relieve constipation and balance functions of the internal organs and systems.
Heating Compress on the affected areas. The heating compress is an application of a cold compress to an area that is initially cooled by the water and then warmed by the influx of blood to the area. In three layers- first a wet cotton cloth, second a dry cotton cloth is applied and then covered with woolen blanket material to preserve the heat. Application is left to work for at least 40 minutes or till wet cloth goes dry.
Local Hot Fomentation is applied to reduce pain.
Molecules on the Bestseller List

Glucosamine is a word that’s pasted together from two words that may be familiar from biology or chemistry—glucose and amine. Glucose is just blood sugar, the 'energy food' that our body uses in its cells. As for amine—in chemistry it means that nitrogen and hydrogen are glued together in the same molecule. Put it all together, and you have a word that describes a simple molecule that combines the stuff of blood sugar, nitrogen, and hydrogen.

One theory holds that osteoarthritis results from the body’s inability as we age to make enough glycosaminoglycans, the major molecules that give cartilage its ability to bear weight. The second substance that may play a role, chondroitin sulfate, is actually built up from glucosamine. Chondroitin sulfate is a long chain of glucosamine molecules. It helps promote water retention in the cartilage, which is necessary for shock absorption. There’s a big difference in the way your body absorbs chondroitin sulfate, however. Studies show that if you take a supplement of chondroitin, your body absorbs less than 8 percent of it. By comparison, you absorb about 90 percent of glucosamine sulfate from a supplement.

Glucosamine hydrochloride, N-acetylglucosamine and Glucosamine Sulfate are the common forms available in the stores. Most naturopathic physicians in USA typically recommend taking glucosamine sulfate because it is the type that has been tested most thoroughly in clinical trials. 500 mg of Glucosamine Sulfate twice a day is the recommended dose.

Antioxidant Relief

Antioxidants—especially vitamin C, vitamin E, and beta-carotene—are another means of preventing your cartilage from wearing away.

Arthritis is known to be caused by increased free radical production, so your need for antioxidant nutrients increases. Those free radicals are free-roaming, unstable molecules that can set off a chain reaction in the body, aging cells prematurely and sometimes harming the genetic material. While the healing powers of antioxidants may seem somewhat mysterious, the process is crucial when it comes to protecting your joints.If you have arthritis, antioxidants can protect joints from damage caused by oxidative stress, a process that speeds up cartilage breakdown. Joints damaged by osteoarthritis release the unstable free radical molecules that are missing an electron. These highly reactive compounds look for a place from which to snatch an electron in order to stabilize themselves. They usually attack the nearest healthy molecule, which then becomes a free radical itself.

Antioxidants help break this chain reaction and stop cell damage by offering up their own extra electrons. No one is sure exactly how this process occurs in the joints, but research has shown that diets high in antioxidants help reduce pain and cartilage deterioration.

The benefits of vitamins C and E extend beyond their antioxidant properties. Together, they enhance the stability of components called proteoglycans that help to protect your cartilage. Vitamin C helps to form the structural protein known as collagen, the single most important protein in connective tissues. Vitamin E offers relief from Inflammation.

To protect your cartilage and quell those aches and pains, 1,000 milligrams of buffered vitamin C three times a day is recommended. Include 600 IU of vitamin E and 10,000 IU of beta-carotene once a day in your daily antioxidant regimen.

Turn Off Inflammation

The word arthritis, derived from Greek, literally means "inflammation of the joint." While this definition certainly applies to another kind of arthritis—rheumatoid arthritis—the term is somewhat contradictory in referring to osteoarthritis. People with osteoarthritis generally have very little inflammation. Nevertheless, allopathic doctors do recommend anti-inflammatory medicines such as aspirin and ibuprofen for pain relief. Are they effective?

Try increasing the intake of readily available herbs in our kitchen- Garlic, Ginger and Turmeric in your diet. They also relieve pain when applied warm on the joints and help repair the damage.


Just taking pills will not make someone healthy. It’s same as going into a really dirty house and just hanging a few pictures to try to make it look better. You’ve got to clean the house. What is suggested is to start with a low-fat diet that is high in fiber and complex carbohydrates and drinking at least eight full glasses of water a day.

Friday, August 1, 2008

Naturopathy Centres of India

MAJOR NATUROPATHY & YOGA HOSPITALS OF INDIA

ANDHRA PRADESH

Govt. Nature Cure Hospital
Dharam Karam Road, Ameerpet,
HYDERABAD-500 016
Ph. 040- 23731786, 23418183

60 years old well known Naturopathy Hospital having 150 Beds and other facilities like Cottages, General Wards & well equipped Treatment Sections.


Nature Cure Hospital
Laxmi Nagar, Peddapally Road,
Bommakal Stage,
Karimnagar-505 002
Ph.0878-2285221, 2285888 (R)

30 years old 70 bedded hospital serving the rural, backward area. Equipped with special wards, cottages and modern equipments.


Kasturba Nature Cure & Yoga Institute
S.V.P.N.P.A., Shivarampally,
HYDERABAD-500 052
Ph: 040-24019888, 24015381,
Fax: 040-23434537
E-mail : Hyd2-saboohyd@sancharnet.in

It is situated in 8 acres land in serene atmosphere full of greenary near to National Highway. Serving since 40 years.


CHATTISGARH

Arogyadham Nature Cure & Yoga Hospital,
Nagpura, Distt. DURG- 491 001
Ph. 0788-2411101, 2211695

Premier Naturopathy Hospital of Chattisgarh having 60 Beds capacity, wards and Treatment Sections etc. Established in 1997.

DELHI

Central Council for Research in Yoga & Naturopathy,
61-65, Institutional Area, Janakpuri,
New Delhi-110058
Ph: 28520430, 28520431, 28520432
E-mail ccryn@vsnl.net
Website: http://www.ccryn.org/

The Council has an OPD at its H.Q. as well as at Safdarjung Hospital, Specialized OPD for Cardiac patients at Dr. RML Hospital, OPD at Lady Hardinge Medical College, New Delhi and also OPD at University Medical College, Dilshad Garden, Delhi.


Balaji Nirogdham,
Palla Road, Bakhtawarpur,
Delhi -110 036
Ph. 011-64532820, 21
E-mail: nirogdham@gmail.com

80 beds new Hospital, outskirt of city area, off Karnal Road, Modern amenities with green atmosphere.

GUJARAT

V.A.M. Nature Cure Hospital
VALLABH VIDYA NAGAR-388 120
Distt. Anand
Ph: 02692-230835
E-mail: vamnaturecure@hotmail.com

A reputed 30 years old Naturopathy Hospital having 60 beds facility. The hospital is having deluxe rooms, semi deluxe rooms, general ward and well ventilated Yoga Hall, separate male and female Treatment Sections etc.


Nature Cure Hospital,
Karelibaug, Harni Road,
BARODA -390 008
Ph. 0265-2481623

It is a well established 100 Bedded Hospital working since ten years. It is having special wards, treatment sections and other facilities.

HARYANA

Prakritik Chikitsa Kendra,
Ashram-Pattikalyana, (SAMALKHA),
G.T.Road, Dist. Panipat
Ph. 95180-2569133/2569134

It is well established 120 bedded Naturopathy Hospital located in rural area and catering the needs of local people. This is one of the oldest and traditional Naturopathy Hospitals providing treatments on Gandian lines.


Haryana Prakritik Chikitsalaya,
Meham Road,
BHIWANI-125 021
Ph.01664-242660

60 bedded well equipped Hospital located in rural area. Established in 1981 on 5 Acres land.


Sanjeevani Kaya Shodhan Sansthan,
Ram Sharanam Ashram,
Jind Road, GOHANA-131301, (Sonipat),
Ph: 01263 - 257930,253740
Email: sanjeevanisansthan@.org

A well equipped Naturopathy Hospital having all modern treatment facilities, in lush green area with A.C. rooms with 100 Beds capacity.

HIMACHAL PRADESH

Kaya Kalp
Himalayan Research Institute for Yoga & Naturopathy, HOLTA,
PALAMPUR-176 062, Distt. Kangra
Ph.01894-235676,235666
http://www.kayakalppalampur.com/

90 bedded well built hospital with modern facilities. Located on the plane areas of Himalayas, surrounded by lush green hills.

KARNATAKA

Institute of Naturopathy & Yogic Sciences,
Tumkur Road, Jindal Nagar, BANGALORE-500 073
Ph: 080-23717777,23717785
Email: inys@vsnl.net

Internationally reputed, established in 1979 having 275 Beds and all other modern facilities, well equipped modern Treatment Sections for males and females, modern accommodation, Cottages, Huts, Nests, Diet Centre, Yoga Hall and well qualified staff etc. in a lush green campus of 70 Acres.


SDM Yoga & Nature Cure Hospital,
DHARMASTHALA-574 216
Ph. 08256-2317177

Eminent Naturopathy Hospital established in 1988 having 150 Beds and other modern facilities, wards, Treatments Sections and higher accommodation.


Prakruthi Arogyadham,
Hanumanthanagara, Maddur Taluk,
Dist. Mandya-571 422
Ph.08232-245595,245596,235006

60 bedded rural based hospital, well landscaped and having special wards facilities, surrounded by green agriculture lands. Establish in 2003.


J.G. Cooperative Naturopathy & Yoga Hospital,
Ghataprabha, Gokak Taluk,
Dist. Belgaum-591 321
Ph.08332-286987,286933

70 bedded rural based hospital upon a hill rock. Having cottages, special wards surrounded by greenery and near by river.


SDM Naturopathy & Yoga Hospital,
Pareeka, Parkala Post,
Udupi Tq.
Ph. 0820-2545025

Established in 2007. 60 Beds. Expansion up to 150 Beds.

KERALA

Govt. Nature Cure Hospital,
Varkala-695 141
Distt. Trivendrum
Ph: 0470-2600510

A Government Naturopathy Hospital having 60 beds and other requisite facilities. Established in 1978. Popular Health Tourism Centre for foreigners on the Beach.

MAHARASHTRA

Nisargopchar Ashram,
Urulikanchan-412 202
Distt. PUNE
Ph: 020 - 26926298, 26926230,
Fax: 26926225

A traditional Naturopathy Hospital having 150 beds established by Father of the Nation, Mahatma Gandhi in 1946. The hospital is having well maintained Library, Treatment Sections and different types of accommodations.


Naturopathy & Yoga Hospital,
Kapol Sanatorium, Ambervadi,
LONAVLA-412 202, Dist. PUNE
Ph.02114-275745, 271189, 274945(Fax)

80 bedded well equipped hospital having special wards and other facilities. Located in a summer tourist place. Establish in 2003.


Institute for Nature Cure & Yogic Sciences
Pune- Nasik Road, Bhojapur- Bosari,
PUNE-411 039
Ph.020-27232770, 27237033

60 bedded well equipped indoor hospital located in a peaceful area since 1998.

National Institute of Naturopathy,
(Govt. of India, Deptt. of AYUSH),
Bapu Bhavan, Tadiwala Road,
PUNE-411 001
Ph.020 -26059682 – 5, Fax: 26059131
Website: http://www.punenin.org/
E-mail ninpune@vsnl.com

Outdoor facility with modern Naturopathy Clinic. About 250 patients treated daily and about 300 people participate in Yoga Classes. Opens 7 a.m. to 9 p.m. daily. Also publishes a bilingual monthly magazine Nisargopchar Varta, which is a Standard National Magazine for Natural Health.

MADHYA PRADESH

Sri Sant Arogya Dham,
One Tree Hill,
Bairagarh, BHOPAL-462030
Ph: 2642572, 4244313, 2711125

60 Beds Modern Hospital. 100 O.P. capacity. Fully Charitable.

MANIPUR

Ananda Sing Nature Cure & Yoga Research Hospital
Machin Mano Hills, Kakching Bazar-795103
Ph. 03848-261320 Fax : 03848-261343
Mob.: 09856343571

60 bedded Hospital built up in 23 acres of lash green hill area having general wards, special dormitory, special room, single and VIP rooms attached with bathroom.

RAJASTHAN

S.P. Goenka Kayakalpa Centre,
Salasar, Laxmangarh,
Distt. SIKAR-332 318
Ph. 01570-264473 to 79
Fax: 01573-222588

Well known Naturopathy Hospital of Rajasthan having 150 beds capacity and all modern facilities like cottages, general wards and well equipped Treatment Sections etc. Established in 1996.


Navneet Yoga & Nature Cure Hospital, BASSI, Agra Road,
Jaipur-303 301
Ph. 0141-2206214, 2206394
01429-222352 (H)

Eminent Naturopathy Hospital near Jaipur in a serene, peaceful and pollution free atmosphere having 150 beds facilities with cottages, general wards and well equipped Treatment Sections etc. Established in 1990.


Shri Mahaveer Yoga, Naturopathy Institute,
Shri Mahaveerjee-322 220
Dist.-KARAULI
Ph: 07469-224344 (O), 224866 ( R)

Well established Hospital working in the field since more than 18 years. This place is famous for Jain temples.

UTTARAKHAND

Parmarth Niketan Naturopathy & Yoga Hospital,
Swargashram, RISHlKESH-249 304
Ph. 0135-2434305, 2434306

A well known Naturopathy Hospital on the bank of holy river Ganges having 80 beds capacity including private rooms, wards & Treatment Sections etc. Established in 1990.

UTTAR PRADESH

Arogya Mandir,
Aam Bazar, GORAKHAPUR-273 003
Ph. 0551- 2500469
E-mail :arogya-m@sancharnet.in

Premier institution of Naturopathy surrounded by green pollution free atmosphere. The hospital is having 150 beds including private rooms and wards and serving the country since more than 6 decades. Established in 1941.

WEST BENGAL

Prakriti Niketan,
Nature Cure & Yoga Research Institute,
Diamond Harbour Road,
Konchoki-743 503,
24 Paraganas (South)
Ph. 033-24533880, 81
Email: naturecurecal@hotmail.com

A renowned Naturopathy Hospital of West Bengal having 100 Beds capacity with modern facilities, cottages and separate Treatment Sections for males and females etc. Established in 1960.

Naturopathic Medical Schools in North America

Exclusive list of Accredited Naturopathy Schools:

Bastyr University
Naturopathic Medicine Program
14500 Juanita Drive, N.E.Kenmore,
Washington 98028-4966
425.823.1300
425.823.6222

Canadian College of Naturopathic Medicine
Naturopathic Medicine Program
1255 Sheppard Avenue East
North York, Ontario M2K 1E2 Canada
416.498.1255
416.498.1576

National College of Natural Medicine
Naturopathic Medicine Program
049 S.W. Porter Portland, Oregon 97201
503.552.1660
503.499.0027

Southwest College of Naturopathic Medicine & Health Sciences
Naturopathic Medicine Program2140 E. Broadway Road
Tempe, Arizona 85282
480858.9100
480858.0222

University of BridgeportCollege of Naturopathic Medicine
Naturopathic Medicine Program
60 Lafayette Street
Bridgeport, Connecticut 06601
203.576.4109
203.576.4107

Boucher Instituteof Naturopathic Medicine
Naturopathic Medicine Program
Suite 300435 Columbia Street
New Westminster, BC V3L 5N8
Canada
604.777.9981
604.777.9982

National Universityof Health Sciences
Naturopathic Medicine Program
200 E. Roosevelt Road
Lombard, Illinois 60148
800.826.6285
630.889.6600

* Source- Council on Naturopathic Medical Education, USA.

Naturopathy Medical Colleges in India

INSTITUTIONS CONDUCTING 5 OR 5½ YEARS B.N.Y.S. DEGREE COURSE
(Bachelor of Naturopathy & Yogic Sciences)

Govt. Naturopathic Medical College
Ameerpet, Hyderabad- 500016 (A.P.)
Phone : 040-23730462 (C), 23731786 (H)
N.T.R. University of Health Sciences, Vijayawada, A.P.
Recognised by: Govt. of Andhra Pradesh
No. of Seats: 30
Estd. in 1970

S.D.M. College of Naturopathy & Yogic Sciences
Ujire - 574 240 (D.K.) Karnataka
Phone : 08256-236188 Fax : 236220
E-mail : sdmbnys@rediffmail.com
Rajiv Gandhi University of Health Sciences, Bangalore
Recognised by: Govt. of Karnataka
No. of Seats: 60
Estd. in 1989

JSS Institute of Naturopathy & Yogic Sciences
Mysore Road, Ootacamund - 643001 (T.N.)
Phone : 0423-2440448 (c) 2444128 (H)
Fax : 2442937
M.G.R. Medical University, Chennai
Recognised by: Govt. of Tamil Nadu
No. of Seats: 60
Estd. in 1997

Shivaraj Naturapathy and Yoga Medical Collage
Siddhar Kovil Road, Thumbathulipatty, SALEM - 636 307
Ph. 0427-2481006, 2481007, 2481206 (F)
www.sivarajcolleges.org
M.G.R. Medical University, Chennai
Recognised by: Govt. of Tamil Nadu
No. of Seats: 40
Estd. in 1997

Govt. Naturopathy & Yoga Medical College & Hospital
Anna Govt. Hospital of Indian Medicine, Anna Nagar, Chennai - 600106
Phone : 044-26281563, 26216244, 26214844
M.G.R. Medical University, Chennai
Recognised by: Govt. of Tamil Nadu
No. of Seats: 15
Estd. in 2001

S.R.K. Medical College of Naturopathy & Yogic Sciences
Kulasekharam - 629161, Kanyakumari District, Tamil Nadu
Phone : 04651-2578425, Fax : 2577164
M.G.R. Medical University, Chennai
Recognised by: Govt. of Tamil Nadu
No. of Seats: 40
Estd. in 2002

Mahavir College of Naturopathy & Yogic Sciences
Nagpura, Dist. Durg - 491001. Chattisgarh.
Phone : 0788-2647297 Fax : 0788-2221695
Pt. Ravi Shankar University, Raipur
Recognised by: Govt. of Chattisgarh
No. of Seats: 40
Estd. in 2002

Alva's College of Naturopathy & Yogic Sciences
Moodbidri - 574227 (D.K.), Karnataka
Phone : 08258-238111, 238104
Rajiv Gandhi University of Health Sciences, Bangalore
Recognised by: Govt. of Karnataka
No. of Seats: 25
Estd. in 2003

Morarji Desai Institute of Naturopathy & Yoga
Karelibaug, Vadodara - 390022, Gujarat.
Phone- 0265- 2463685 (C), 2481623 (H)
Gujarat Ayurveda University, Jamnagar
Recognised by: Govt. of Gujarat
No. of Seats: 50
Estd. in 2005

Govt. Nature Cure & Yoga College
PKTR Hospital, KRS Road, MYSORE - 570002
Rajiv Gandhi University of Health Sciences, Bangalore
Recognised by: Govt. of Karnataka
No. of Seats: 25
Estd. in 2006

Narayana College of Naturopathy & Yoga
Chintareddypalem, NELLORE - 524 002 A.P.
Cell 9490166164, Ph. 0861-2337433
N.T.R. University of Health Sciences, Vijayawada
Recognised by: Govt. of Andhra Pradesh
No. of Seats: 60
Estd. in 2008


* Source- http://www.ccryn.org/

Scope of Naturopathy Practice in UAE

As a result of increasing interest and use of Traditional, Complementary, and Alternative Medicine (TCAM) therapies in medical practices and as a necessary function of its duty to protect the public interest, the UAE Ministry of Health requires all TCAM physicians and practitioners to comply with professional, ethical and practice standards, and act as responsible agents for their patients.

The following guidelines assist in educating and regulating:
(1) TCAM practitioners who may work independently and
(2) Those TCAM practitioners who co-manage patients with licensed Medical practitioners in clinics or polyclinics and hospitals

Licensing:

In exercising its licensing authority the Ministry of Health has the inherent power to determine precisely the qualifications a TCAM applicant must possess. It may investigate educational credentials, professional competence, and moral character. The applicant bears the burden to prove his fulfillment of all requirements for licensure.

The practice of medicine consists of the ethical application of a body of knowledge, principles and methods known as medical science and that these objective standards are the basis of medical licensure for physicians and TCAM practitioners. Therefore no person shall practice TCAM in the UAE without first being licensed by the Ministry of Health. Successfully passing TCAM qualifying examination is a precondition for evaluation and grant of TCAM practice license.

Following is a list of M.O.H recognized TCAM specialties:

Herbal Medicine
Traditional Islamic Medicine (Unani)
Traditional Chinese Medicine
Traditional Indian Medicine (Ayurveda and Siddha)
Homeopathic Medicine
Naturopathy
Chiropractic Medicine
Osteopathy

Eligible qualifications for TCAM Examinations:

1. Examples of Masters level Courses (Usually 2 years Post Graduation):

Member of Faculty of Homeopathy (M. F. Hom. from Faculty of Homeopathy, UK) or equivalent Doctor of Medicine in Homeopathy (MD in Homeopathy) or equivalent
Doctor of Medicine in Ayurvedic Medicine (MD in Ayurvedic Medicine) or equivalent
Doctor of Medicine in Unani Medicine (MD in Unani Medicine) or equivalent
Doctor of Medicine in Traditional Chinese Medicine (MD or Masters in TCM)

2. Examples of Bachelor level Courses (Usually 4 to 5 ½ Years College Level Education):

Doctor of Chiropractic Medicine (DC) or equivalent
Doctor of Naturopathy (ND) or equivalent
Bachelor of Naturopathy and Yogic Sciences (BNYS)
Bachelor in Homeopathic Medicine and Surgery (BHMS)
Bachelor in Ayurvedic Medicine and Surgery (BAMS)
Bachelor in Siddha Medicine and Surgery (BSMS)
Bachelor in Unani Medicine and Surgery (BUMS)
Bachelor in Osteopathy
Bachelor in Traditional Chinese Medicine

3. Examples of Diploma Level Courses (Usually 3 to 4 years College Level Education):

Diploma in Naturopathy
Diploma in Homeopathy
Diploma in Osteopathy
Diploma in Acupuncture
Diploma in Herbal Medicine

Practice Category:

The educational qualifications, depth and field of experience, and results of the TCAM examinations and recommendations from examination board would be considered for evaluating the candidates and the category for their practice.

The evaluation committee may permit the following two categories of TCAM practice privileges on the licenses:

1. Independent TCAM practice category: Usually TCAM practitioners, who have basic medical degrees or MD level qualifications in TCAM specialties or those who have extensive proven experience and/or as per recommendations of the examination board, may be awarded independent TCAM practice. These practitioners may start their own clinics or treatment centers and may employ other supporting staff like nurses, technicians and even other TCAM specialists, as per their needs and requirements.

2. Under Clinic License category: These practitioners would be permitted to work only in an established polyclinic or clinic where a licensed Medical General Practitioner is on duty. Based on the policy or decision of the management of the clinic, these TCAM practitioners may see patients directly or after referral from the resident Medical G.P.

Courtesy- http://www.moh.gov.ae/

----------------------------------------------------------------------------

Brief information about Licensing Exam and its preparation

An examination for a license shall be in writing and oral and if necessary practical.

The written exam shall include testing in-
a. The basic sciences including but not limited to anatomy, physiology, bacteriology, pathology, hygiene, and chemistry as related to human body or mind.
b. The clinical sciences, nutrition, preventive and public health medicine
c. Professional ethics and any other subjects that the examining board may deem advisable

The written exam generally consists of Multiple Choice Questions (MCQs). Short-answer-objective type questions and questions based on diagrams/ pictures/ images depicting medical conditions may be also included in the written exam. MCQs may be structured in such a way that only one answer would be correct, in such a case there would be no negative markings. There may also be MCQs with multiple correct answers. In such a case, there would be negative marking for wrong answers chosen. Instructions for each type of MCQs would be clearly given during the examination. Indicate your answer by circling the appropriate letter on the question paper and also by filling in the appropriate circle on the computer answer sheet.

Here are a few examples:

1.Osteoarthritis, also called _________ , is the most common known joint disorder and the most common cause of joint pain.
. Rheumatic joint disease
. Psoriatic joint disease
. Inflamatory joint disease
. Degenerative joint disease

2. Which of the following diseases is not typically acquired from animals:
. Brucelosis
. Lyme disease
. Hepatitis A
. Mad Cow Disease

3. The pain of Mycardial Ischemia:
. Is typically induced by exercise and relieved by rest
. Radiates to the neck and jaw but not the teeth
. Rarely lasts few seconds
. Can be treated with Panadol

Interview

Candidates who successfully pass the written examination would be called for interview in their field of specialty. An examination board consisting of professionals from different specialties conducts the interviews. As per needs and requirements, the examination board may invite TCAM professionals from the private sector to assist in conducting the interviews. Successful candidates who have passed both written and oral/practical examinations would then be awarded the license to practice in their field of specialty. This would be held as soon as possible after Step 1 results are announced. (Usually within a week).

Usually 3 exams are conducted per year. You have only 3 chances to attend. 80-90% marks in theory necessary for attending the interview.

Thursday, July 31, 2008

General Advice on under- active Thyroid

Hypothyroidism, or under-active thyroid, is 10 times more common in women than men. It is most common in women aged 40 to 50. In my experience, even while on medication, weight loss is slower than normal, so it is VERY important to stick closely to your diet plan AND take regular exercise.

Symptoms of Hypothyroidism (Under-Active Thyroid)

The signs and symptoms of hypothyroidism vary in severity and typically develop gradually over months or even years. They may include:

- Extreme tiredness
- Weight gain
- Constipation
- Hoarseness of voice
- Intolerance of cold
- Water Retention (swelling of face: puffy eyes, dry, thickened skin)
- Thinning of hair
- Heavy menstrual periods (women)
- Some people with hypothyroidism develop a swelling in the neck (Goitre)
- Depression/ Mood swings

General Advice About Hypothyroidism

. Check Your Thyroid Levels Regularly
Make sure your thyroid levels are checked regularly, so your medication is kept at the correct dosage. Thyroid function can change quite quickly and needs to be monitored at least every 6 months.

. Get Active
Take regular exercise. Although you may not have much energy initially, get moving! The more you move the more energy you will have to exercise each day. Physical activity is especially important if you suffer from hypothyroidism. It is essential in order to help speed up your metabolism and increase weight loss. Individuals with hypothyroidism can have low levels of serotonin, the brain chemical involved in appetite control, depression, and sleep regulation. Just thirty minutes of aerobic exercise, five times per week can help increase serotonin levels to decrease these symptoms.

. Reduce Stress
Stress is a major factor and is believed to be a contributing factor to the development of hypothyroidism. Stress causes many people to make unwise food choices and overeat. Reactions to stress are controlled by the adrenal glands, which are overworked and under-functioning in hypothyroid patients. Stress also increases cortisol levels, increasing hunger and affecting insulin levels. One of the best ways to reduce stress is to take regular exercise. Similarly, deep breathing, swimming or doing anything you enjoy, will help reduce your stess levels.

. Check your Diet

-Reduce your use of stimulants
When trying to fight fatigue, stimulants like caffeine may be a way of life. Hypothyroidism makes the adrenal glands susceptible to overwork and burnout. The adrenal glands can only take so much stimulation before they begin to under-function. Weaning off of stimulants, including coffee, soda and tea, can help the adrenal system heal and recharge.

- Decrease the amount of carbohydrates you eat
Research shows that individuals with hypothyroidism are more successful when eating about 45-50% of total calories coming from carbs. At 50% carbs, your diet will probably result in about 30% protein and 20% fat.

-Choose more complex carbs
Enjoy plenty of fresh fruits, vegetables, and whole grains (whole wheat bread, brown rice, wheat germ). These foods are nutritionally superior to their refined counterparts. Complex Carbs are rich source of dietary fibres. People with hypothyroidism often experience sluggish digestion and constipation. A high-fiber diet can help move things along so to speak, while increasing satiety so that you never feel hungry.

- Drink lots of Water
Drink 8-12 glasses of water every day in between the meals. Metabolism requires water, so not drinking enough will hurt your weight loss potential as well. When increasing your fiber intake, water is even more important. Drink additional water to compensate for perspiration from exercise and hot weather.

More Information About Hypothyroidism and Diet

Iodine
It is well documented that a diet low in iodine is associated with hypothyroidism or under-active thyroid. However do NOT take ANY iodine supplements without first consulting your doctor because excessive amounts of iodine can also lead to hypothyroidism.

Selenium
It is also believed to help if you increase your selenium intake. This can be done by eating foods such as whole wheat bread, bran, Brazil nuts, onions and tomatoes. Include some of these foods on a regular basis.

Brassica Vegetables
Cabbage and other brassicas vegetables (eg. Chinese leaves, brussel sprouts, turnips, broccoli, kohirabi and kale) contain compounds known as 'thioglucosides' which, if taken in excess can disrupt the function of the thyroid gland. However, it should be stressed that this tends to occur only in people whose diets are already deficient in iodine.

Helpful Foods:
Foods that are helpful for the thyroid function are: carrots, spinach, apricots, asparagus, olive oil, avocado, sunflower seeds, whole grain cereals, bananas, oily fish etc. So choose meals that include these foods.

Unhelpful Foods:
Foods to eat LESS of as they may interfere with iodine uptake are: cabbage, kale, broccoli, kohirabi, mustard, lima beans, linseed, sweet potato, peanuts, soy products, so keep these to a minimum. You don't need to cut them out completely.

Monday, July 28, 2008

Obsessive Compulsive Disorder

Steps in Psychotherapy

1. Re-label

Impartial Spectator- separating oneself from the streams of thoughts and feelings so that one can observe them and respond consciously instead of mindlessly- essentially the same mental action as the ancient Buddhist concept of 'mindful awareness'.

At the approach of an unwanted impulse, one should consciously take a note of of it and assertavely re-label it - "that is not something I really wish to do- it is just the prompting of a compulsion I want to be rid of".

2. Re-atribute

Affirm the true source of that urge. "It is not me, it is my OCD". Impress on the mind- the brain is generating this signal out of habit. It is a message that need not be acted upon.

3. Re-focus

To overcome compulsions, one then needs to refocus- to turn the attention away from the unwanted message by engaging in another activity.

Dr Shwartz suggests a '15-minute rule'. Find something wholesome that you enjoy doing and switch to it for at least 15 minutes. Hobbies are excellent choice for refocussing as are physical sports or exercising, reading, music or mentally absorbing game. After 15 minutes of new activity, introspect again. Has the urge diminished? "...because you are working to change the chemistry of brain".

4. Re-value

Revalue the meaning of one's unwanted impulses- "what a terrible person I must be for having such bad thoughts as nothing more than false messages coming from the brain ?".

The key is to realize that the 'thought is happening inspite of your will, not because of it'!

* Adapted from 'Brainlock'- Lawrence Martein, UCLA Medical School

Healing Waters!

One of the most important activities that takes place at a traditional spa is balneotherapy, a natural approach to health and healing that uses hot spring water, gases, mud, and climatic factors (such as heat) as therapeutic elements.

In addition to bathing, modalities such as hydrotherapy, mud therapy, physical therapy, massage, steam baths, physical exercises, inhalation of water vapor, and drinking mineral water are often used as part of a complex therapy for both health and preservation and treating disease.

Over the past four centuries, the science of balneology has evolved into a medical specialty in Europe and Japan, where special courses in balneotherapy are offered to both physicians and nurses by major medical schools. Researchers believe that thermal springs facilitate healing in a number of important ways.

Here are some ways through which Balneotherapy Heals:

1. Bathing in hot springs gradually increases the temperature of the body, thus killing harmful germs and viruses.

2. Thermal bathing increases hydrostatic pressure on the body, thus increasing blood circulation and cell oxygenation bringing improved nourishment to vital organs and tissues.

3. Increase in Blood flow also helps dissolve and eliminate toxins from the body.

4. Bathing in thermal water increases body metabolism, including stimulating the secretions of the intestinal tract and the liver, aiding digestion.

5. Repeated hot springs bathing (especially over three- to four-week period) can help normalize the functions of the endocrine glands as well as the functioning of the body’s autonomic nervous system.

6. Trace amounts of minerals such as carbon dioxide, sulfur, calcium, magnesium, and lithium are absorbed by the body and provide healing effects to various body organs and system. These healing effects can include stimulation of the immune system, leading to enhanced immunity; physical and mental relaxation; the production of endorphins; and normalized gland function.

7. Mineral springs contain high amounts of negative ions, which can help promote feelings of physical and psychological well-being.

8. The direct application of mineralized thermal waters (especially those containing sulfur) can have a therapeutic effect on diseases of the skin, including psoriasis, dermatitis, and fungal infections. Some mineral waters are also used to help the healing of wounds and other skin injuries.

9. Pain, Stiffness, inflammation and dependency on anti-inflammatory drugs were noted to be decreased in many Rheumatological conditions including Oteoarthritis of Hip and Knee, Rheumatoid Arthritis, Ankylosing Spondylitis and Psoriatic Arthritis by many researchers in Israel, Netherlands, Turkey, Russia, Germany, France and Italy. Mobility, and Quality of life improved.

Indications for Balneotherapy

Over the several hundred years during which the science of medical balneology has developed, following health conditions are identified that can best be treated by healing springs.

. Chronic rheumatic diseases
. Fibromyalgia
. Chronic Back Pain
. Functional recovery of central and peripheral neuroparalysis
. Metabolic diseases, especially diabetes, obesity, and gout
. Chronic gastrointestinal diseases
. Chronic mild respiratory diseases
. Circulatory diseases, especially moderate or mild hypertension
. Peripheral circulatory diseases (affecting the hands and feet)
. Chronic skin diseases
. Psychosomatic and stress-related diseases
. Autonomic nervous system dysfunction
. Vibration disorder (a middle ear disorder affecting balance)
. Sequela of (conditions resulting from) trauma
. Chronic gynecological diseases

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Sukenik S. Balneotherapy for rheumatic diseases at the Dead Sea area. Isr J Med Sci. 1996 Jul;32 Suppl:S16-9. . Sukenik S, Flusser D, Codish S, Abu-Shakra M. Balneotherapy at the Dead Sea area for knee osteoarthritis. Isr Med Assoc J. 1999 Oct;1(2):83-5.
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Sukenik S, Baradin R, Codish S, Neumann L, Flusser D, Abu-Shakra M, Buskila D. Balneotherapy at the Dead Sea area for patients with psoriatic arthritis and concomitant fibromyalgia. Isr Med Assoc J. 2001 Feb;3(2):147-50.
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Sukenik S, Giryes H, Halevy S, Neumann L, Flusser D, Buskila D. Treatment of psoriatic arthritis at the Dead Sea. J Rheumatol. 1994 Jul;21(7):1305-9.
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Elkayam O, Ophir J, Brener S, Paran D, Wigler I, Efron D, Even-Paz Z, Politi Y, Yaron M. Immediate and delayed effects of treatment at the Dead Sea in patients with psoriatic arthritis. Rheumatol Int. 2000;19(3):77-82.
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Sukenik S, Neumann L, Flusser D, Kleiner-Baumgarten A, Buskila D. Balneotherapy for rheumatoid arthritis at the Dead Sea. Isr J Med Sci. 1995 Apr;31(4):210-4.
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Elkayam O, Ophir J, Brener S, Paran D, Wigler I, Efron D, Even-Paz Z, Politi Y, Yaron M. Immediate and delayed effects of treatment at the Dead Sea in patients with psoriatic arthritis. Rheumatol Int. 2000;19(3):77-82.
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Sukenik S, Buskila D, Neumann L, Kleiner-Baumgarten A, Zimlichman S, Horowitz J. Sulphur bath and mud pack treatment for rheumatoid arthritis at the Dead Sea area. Ann Rheum Dis. 1991 Mar;50(3):201.
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Saturday, July 26, 2008

Meditation slows worsening of AIDS!

Meditation may slow the worsening of AIDS in just a few weeks, perhaps by affecting the immune system, US researchers reported. If the findings are borne out in larger studies, it could offer a cheap and pleasant way to help people battle the incurable and often fatal condition, the team at the University of California Los Angeles said on Thursday. They tested a stress-lowering program called mindfulness meditation, defined as practicing an open and receptive awareness of the present moment, avoiding thinking of the past or worrying about the future.

The more often the volunteers meditated, the higher their CD4 T-cell counts - a standard measure of how well the immune system is fighting the AIDS virus. The CD4 counts were measured before and after the two-month programme. "This study provides the first indication that mindfulness meditation stress-management training can have a direct impact on slowing HIV disease progression," said David Creswell, who led the study.

His team tested 67 HIV-positive adults from the Los Angeles area, 48 of whom did some or all of the meditation. Most were likely to have highly stressful lives, Creswell said. "The average participant in the study was male, African American, homosexual, unemployed and not on ARV (antiretroviral) medication," they wrote in the journal Brain, Behavior, and Immunity.

The meditation classes included eight weekly two-hour sessions, a day-long retreat and daily home practice. "The people that were in this class really responded and just really enjoyed the program," Creswell said. "The mindfulness program is a group-based and low-cost treatment, and if this initial finding is replicated in larger samples, it’s possible that such training can be used as a powerful complementary treatment for HIV disease, alongside medications," he added.

He said it was unclear how the stress-reducing effects of meditation work. It may directly boost CD4 T-cell levels, or suppress the virus, he said.

* Source- Reuters, 26 July, 2008

Sunday, July 6, 2008

The Acid / Alkaline Diet

The basic chemistry of pH balance

Back in high school chemistry, we learned about pH: acids had low numbers, alkalines had high numbers, and a pH of 7.0 was neutral. And it all meant absolutely nothing in terms of day-to-day life.

It now turns out that we have a better shot at long-term health if our body's pH is neutral or slightly alkaline. When we tilt toward greater acidity, we have a greater risk of developing osteoporosis, weak muscles, heart disease, diabetes, kidney disease, and a host of other health problems.

The solution, according to scientists who have researched "chronic low-grade metabolic acidosis," is eating a diet that yields more alkaline and less acid. Just what kind of diet is that? One that's high in fruits and vegetables. That might not seem like a big surprise, except for a few unexpected twists and turns.

Acid-yielding foods deplete minerals

If the idea of balancing acid and alkaline foods seems a bit off the wall, it does have a somewhat checkered past. Most people, including physicians, aren't familiar with the dangers of acidosis, except in the most extreme situations. Those include lactic acidosis, from overexercise; ketoacidosis, when diabetes start burning their own fat; and renal acidosis, which can be a sign of kidney failure.

The original scientific research on acid-yielding and alkaline-yielding foods dates back to 1914 and was remarkably accurate. But the problem with acid-producing eating habits is very real, after digestion, all foods report to the kidneys as being either acidic or alkaline. The kidneys are responsible for fluid balance and maintaining a relatively neutral pH in the body. That's where things get interesting. When acid-yielding foods lower the body's pH, the kidneys coordinate efforts to buffer that acidity. Bones release calcium and magnesium to reestablish alkalinity, and muscles are broken down to produce ammonia, which is strongly alkaline. By the time the response is all over, your bone minerals and broken down muscle get excreted in urine.


The four cases of dietary acidosis

Some of the science, at first glance, appears counter-intuitive. For example, acidic and alkaline foods don't usually translate into acid- and alkaline-yielding foods. The distinction is subtle but significant. An acid-yielding food is one that creates a lower, or more acidic, pH. Citrus fruits and tomatoes are acidic, but they have a net alkaline yield once their constituents get to the kidneys.

So if acid foods don't necessarily make for an acid pH, what then happens? There are four big issues.

• First, fruits and vegetables are rich in potassium salts, a natural buffer. Eating few of these foods deprives us of potassium, a mineral that protects against hypertension and stroke. According to research in Paleo-Diet, humans evolved eating a 10:1 ratio of potassium to sodium, and he regards this ratio as our biological baseline. Today, because of heavily salted processed and fast foods, combined with a low intake of fruits and vegetables, the ratio is now 3:1 in favor of sodium. That reversal, wreaks havoc with pH and our dependency on potassium.

• Second, there has also been a similar reversal in the consumption of naturally occurring bicarbonate (such as potassium bicarbonate) in foods and added chloride (mostly in the form of sodium chloride, or table salt). Bicarbonate is alkaline, where as chloride is acid-yielding. Chloride also constricts blood vessels, and narrows blood vessels reduce circulation. Because the whole body depends on healthy circulation, vasoconstriction contributes to heart disease, stroke, dementia, and probably every other degenerative disease.

• Third, eating large amounts of animal protein (including meat, fowl, and seafood) releases sulfuric acid though the metabolism of sulfur-containing amino acids, also contributing to greater acidity. This acidic shift can be offset with greater consumption of fruits and vegetables (rich in potassium bicarbonate).

• Fourth, grains, such as wheat, rye, and corn, have a net acid-yielding effect, regardless of whether they are in the form of white bread, breakfast cereal, pasta or whole grains. Grains are the most frequently consumed plant food. In addition to their acid yield, grains displace more nutritious fruits and vegetables. The real problem is one of alkaline deficiency, more than one of too much acid. People eat plenty of acid-yielding animal protein, dairy products, and grains. The missing piece is an appreciate amount of fruits and vegetables, to produce an alkaline yield. Study after study has shown that most people don't eat the five recommended daily servings of fruits and vegetables.

pH, acidosis and diseases

The strongest evidence in support of maintaining an acid-alkaline balance relates to osteoporosis. Dairy may be rich in calcium, but most dairy foods also produce an acid yield. The acid-alkaline issue as one of mineral adequacy and depletion. It's a little like over-farming and depleting mineral levels in soil. If we eat foods that create an acidic pH in the body, we will deplete our bones of minerals and our muscles of protein.

Low-grade acidosis increases insulin resistance, the hallmark of both pre-diabetes and full-blown type-2 diabetes. It increases the risk of kidney stones and kidney failure. And one study suggests that it might even alter gene activity and raise the risk of breast cancer. No one yet knows all the consequences of a fundamental shift in the body's acid-alkaline balance, but it's far reaching.

The pH of common substances

Acid-Yielding Foods
Spaghetti, Corn flakes, While rice, Rye bread, White bread, Milk, Lentils, Beef, Pork
Parmesan cheese, Processed (soft) cheeses, Hard cheeses, Gouda cheese, Cottage cheese, Peanuts, Chicken, Cod, Eggs

Alkaline-Yielding Foods
Apricots, Kiwifruit, Cherries, Bananas, Strawberries, Peaches, Oranges, Lemon juice, Pears, Pineapple, Peaches, Apples, Watermelon, Celery, Carrots, Zucchini, Cauliflower, Broccoli, Green peppers, Cucumber, Tomatoes, Eggplant/ Brinjal, Lettuce, Green beans, Onions, Mushrooms

Very Alkaline-Yielding Foods
Spinach and other green leafy vegetables, Raisins, Dates

Note: All fruits and vegetables are alkaline yielding, unless they have been pickled or marinated.

Scientific Citations
. Rylander R, Remer T, Berkemeyer S, et al. Acid-base status affects renal magnesium losses in healthy, elderly persons. Journal of Nutrition, 2006;136:2374-2377.
. Frassetto L, Morris RC, Sellmeyer DE, et al. Diet, evolution and aging. The pathophysiologic effects of the post-agricultural inversion of the potassium-to-sodium and base-to-chloride ratios in the human diet. European Journal of Nutrition, 2001;40:200-213.
. Sebastian A, Frassetto LA, Morris RC. The acid-base effects of the contemporary Western diet: an evolutionary perspective. Eds: Alpern RJ and Heber SC, in The Kidney: Physiology and Pathophysiology, 9th edition.
. Patterson BH, Block G, Rosenberger WF, et al. Fruit and vegetables in the American diet: data from the NHANES II survey. American Journal of Public Health, 1990;80:1443-9.
. Li R, Serdula M, Bland S, et al. Trends in fruit and vegetable consumption among adults in 16 US states: behavioral risk factor surveillance system, 1990-1996.
. Menendez JA, Decker JP, Lupu R. In support of fatty acid synthase (FAS) as a metabolic oncogene: extracellular acidosis acts in an epigenetic fashion activating FAS gene expression in cancer cells. Journal of Cell Biochemistry, 2005;94:1-4.
. Macdonald HM, New SA, Fraser WD, et al. Low dietary potassium intakes and high dietary estimates of net endogenous acid production are associated with low bone mineral density in premenopausal women and increased markers of bone resorption in post menopausal women. American Journal of Clinical Nutrition, 2005;81:923-933.
. Sebastian A, Harris ST, Ottaway JH, et al. Improved mineral balance and skeletal metabolism in postmenopausal women treated with potassium bicarbonate. New England Journal of Medicine, 1994;330:1776-1781.
. Sellmeyer DE, Schloetter M, Sebastian A. Potassium citrate prevents increased urine calcium excretion and bone resorption induced by a high sodium chloride diet. Journal of Clinical Endocrinology & Metabolism, 2002;87:2008-2012.
*A NaturalNews Special Report by Jack Challem