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Many clinical studies that show vita- combination of bioflavonoids has a synergistic effect min C is superior to over-the-counter medicines in reduc- when taken with vitamin C protonix 20mg lowest price gastritis diabetes diet. As an beneficial in treating a variety of conditions discount 40 mg protonix visa chronic gastritis curable, including antioxidant, vitamin C may help fight cardiovascular dis- allergies, arthritis, diabetes, hypertension, and viral in- ease by protecting the linings of arteries from oxidative fections. Ex- C and E helped reduce arteriosclerosis (hardening of the tremely high concentrations of OPCs are found in mar- arteries) following heart transplants. Yet another study itime pine bark (Pinus maritima) extract, grape seed ex- demonstrated that vitamin therapy had not effect on pre- tract, and grape and peanut skins. There is some evidence and re- much lower cost, grape seed extract is the most com- search that vitamin C can help prevent cancer. Procyanidins, a group of compounds have shown it is also beneficial in protecting the body found in the extract, are thought to increase the effective- against the effects of smoking and air pollutants. Vitamin E is a potent antioxidant by itself, but its ef- Other antioxidants fectiveness is magnified when taken with other antioxi- dants, especially vitamin C, selenium, and beta carotene. The other widely used antioxidants are selenium, coen- Some scientific evidence indicates that vitamin E helps zyme Q10, and certain amino acids. Selenium, especially GALE ENCYCLOPEDIA OF ALTERNATIVE MEDICINE 2 101 when teamed with vitamin E, may help protect against stones, and gout in some people. The antioxidant can lead to headaches, nausea, hair loss, and skin le- benefits of coenzyme Q10 may include slowing the aging sions; may cause bone disease in people with chronic process, boosting the immune system, and preventing ox- kidney failure. Some still suggest its use to fects in doses of up to 400 mg a day, high doses may ele- treat a variety of cardiovascular diseases. Selenium: No reported adverse side ef- Preparations fects with normal dosage of 200 micrograms, higher Bottled antioxidant formulae are available in a single doses may cause dizziness and nausea. The United There are no known side effects associated with normal States Department of Agriculture (USDA) has established doses of alpha lipoic acid, cysteine, glutathione, or NAC. For instance, the Interactions USDA recommendation for vitamin C is 60 mg a day but natural healthcare practitioners commonly recommend Vitamin C: No known common adverse interactions 500 mg a day or more. Vitamin A: Women taking birth control whether it is being taken to treat or prevent a specific con- pills should consult with their doctors before taking extra dition. Vitamin E: Should not be used by persons specific antioxidants are: vitamin A, 5,000-15,000 IU; taking anti-coagulation drugs. Carotenoids: No known beta carotene, 15,000-25,000 IU; vitamin C, 250-1,500 negative interactions with other drugs. Bioflavonoids: mg; vitamin E, 30-400 IU; selenium, 50-400 micrograms; No known adverse interactions with other drugs. Coen- bioflavonoids, 100-500 mg; grape seed extract, 150-200 zyme Q10: No negative drug interactions yet reported. Resources Precautions Vitamin C: May interfere with some laboratory tests, BOOKS Balch, Dr. The Super Antioxidants: Why They Will including urinary sugar spilling for diabetics. Avery Publishing risk of hip fractures in postmenopausal women, but the Group, 1999. Natural Alternatives to Over-the-Counter known precautions are indicated for normal doses. John Wiley and Sons, cian should be consulted before taking daily doses of more 1999. Side effects “Antioxidant Vitamin E Reported to Strengthen Immune Sys- Vitamin C: Individual tolerances vary. A person may feel anxious without Atherosclerosis—A buildup of fatty substances in having an anxiety disorder. Also, a person facing a clear the inside of arteries, resulting in the restriction of and present danger or a realistic fear is not usually con- blood flow and hardening of the vessels. In addition, anxiety Macular degeneration—An eye disease resulting frequently occurs as a symptom in other categories of in a loss of central vision in both eyes while pe- psychiatric disturbance.

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In the last (ambly- opia) phase purchase 40mg protonix free shipping gastritis diet , which occurs after age seven protonix 40mg line viral gastritis diet, the eye loses all the sensitivity that is essential for good vision be- Bown, Deni. The Herb Society of America, Encyclopedia of cause it has not been used for so long. Because of Press, 1987 loss of vision in one eye, these children cannot see three- Lust, John B. Ap- PERIODICALS proximately half of all children with crossed eyes will Carlson, Mike, et al. Odle there is difference in image quality between the two GALE ENCYCLOPEDIA OF ALTERNATIVE MEDICINE 2 1187 not replacements for conventional treatments. Orthoptic exercises are designed to help the eyes move together and assist the fusing of the two images seen by the eyes. It can help correct faulty vision habit due to misalignment of the eyes and can teach the child to use both eyes effectively and comfortably. The brain will mostly use the clearer image from ercise and requires more frequent visits. One study shows that acupuncture treatment may be effective in treating anisometropia, a condition in which • Ptosis (drooping eyelid). The image quality of the affected eye the eyes so that both eyes can have similar image quality. However, its The following are risk factors for amblyopia: long-term effectiveness remains unknown. Depending on these under- hood lying causes, the doctor may recommend surgical or nonsurgical treatments, as discussed below. For this reason, it is important for small children to have reg- Refractive error correction ular eye examinations. If both eyes need vision correction, children are Diagnosis given prescription glasses for better focus and to prevent Diagnosis of amblyopia is often made during visual misalignment of the eyes. Premature babies Forcing the use of the lazy eye need to have more frequent eye exams during early In many children with amblyopia, only one eye has childhood to prevent this and other vision problems. In order to force new photoscreening instrument that has been recently in- the affected eye to work, the doctor will cover the strong troduced appears to significantly increase the accuracy eye with a patch for most of the day for at least several of diagnosis of these eye problems. The eye patch forces the lazy eye to work and thus, Treatment strengthens its vision and its muscles. This is the most The following alternative methods may complement common method used to treat lazy eye. However, they are strong eye from becoming weaken due to disuse, the 1188 GALE ENCYCLOPEDIA OF ALTERNATIVE MEDICINE 2 child is allowed to remove the patch so that he can see with the good eye for at least a few hours each day. Another way to force the lazy eye to work harder is Anisometropia—An eye condition in which the to use eye drops or ointment to blur the vision in the eyes have unequal refractive power. This method is not often used because it is associated Nystagmus—An involuntary, rapid movement of with more adverse effects. Refraction—The deviation of light when passing Surgical treatments obliquely through the media of the normal eye and resulting in the focusing of images on the retina. If the problem is caused by imbalances of the eye Refractive power—The degree of refraction of an muscles and is not treatable with nonsurgical methods, eye. Sometimes more than one surgery Strabismus—Failure of the two eyes to direct their is required for the correction. Eye patch, glasses, or or- gaze at the same object simultaneously due to thoptic exercises may be necessary following surgery to muscle imbalance. Long-term fol- low-up of surgical treatment indicates that it is highly ef- fective in correcting the problem. ORGANIZATIONS For a child whose vision is affected by a drooping American Academy of Ophthalmology. American Association For Pediatric Ophthalmology and Stra- Expected results bismus. Box 193832, With early diagnosis and treatment, children with San Francisco, CA 94119-3832. However, if diagnosed early, vision loss in Mai Tran the affected eye can be prevented.

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Experiment III: Three Case Studies The purpose of this study was to determine the effect of learning based sensorimotor training on change in structure and clinical function in patients with FHd discount protonix 20mg mastercard biliary gastritis diet. Three musicians were referred from the Peter Ostwald Health Program for Performing Artists buy 40 mg protonix fast delivery chronic gastritis of the antrum, University of California, San Francisco to participate in the study. Ten healthy age matched controls served as reference norms for magnetoencephalography and 30 additional healthy subjects served as reference norms for the clinical performance parameters. Two subjects lived outside the United States (#1 and #2) and the third was from the San Francisco Bay Area (#3). All of the subjects agreed to participate in at least 8 weeks of physical therapy. All of the subjects had been diagnosed with FHd by a neurologist approximately one year prior to this current intervention study. All of the patients were otherwise healthy except for the complaints of painless, uncontrollable curling of digits four and five (D4–D5) on the left hand when they played their instrument. All indicated that the fifth digit excessively curled or © 2005 by Taylor & Francis Group. All three subjects noticed that it was more difficult to control D4 and D5 when D3 was pressing down. All of the subjects were completely independent in personal care and household management, and were well integrated into the community. One subject played for the symphony and was out on medical disability, one subject played for a travelling performance group but was working at a desk job when physical therapy was initiated, and the third subject was a full time music student who was home for two quarters and was working part time as a waitress. All subjects participated in measurements pre and post treatment including magnetoencephalography and clinical testing as described in Experiments I and II22 (Byl et al. Consequently, the total period of treatment as well as the number of visits with a physical therapist varied across subjects (23 visits for subject #1, 19 visits for subject # 2, and 23 visits for subject #3). At baseline, somatosensory evoked responses were similar on the right and left sides for controls except the spread of the digits on the dominant hand were greater than the nondominant hand on the z-axis. On both hands, the order and location of the digits on the z-axes followed a predictable pattern with D2-D5 progressing from inferior to superior. For the subjects with FHd, both the amplitude and the spread of the digits on the x,y, and z axes were reduced on the affected side compared to the unaffected side and the digits were not sequentially organized from inferior to superior for D1-D5 on the z axis on either side. Compared to controls, the FHd subjects had a shorter SEF latency, the neuronal burst was higher on the affected and unaffected sides for subjects #1 and #3, and the amplitude was lower in the early phase (30–70 msec) for subjects #2 and # 3. The location of the hand repre- sentation on the x, y, and z axes were different for FHd subjects and controls. Bilaterally, the spread of the digits on the x, y, and z-axes was greater for the subjects with FHd (who were all musicians) than the controls. In general, the reference controls achieved comparable clinical performance bilaterally and across digits except motor reaction time was slower for digits 4 and 5. The controls did have some postural asymmetry and indicated their health some- times interfered with daily activities (scoring 89. On the other hand, at baseline, the subjects with FHd demonstrated reduced accuracy and slowing in sensory processing compared to controls on both the affected and unaffected sides. On the motor performance tests, subjects #1 and #3 performed with reduced motor accuracy on both sides with prolonged processing time. On the affected side, Task Specific Motor Control Scores were approximately 50% of that measured on the unaffected side. Subjects #2 and #3 had limited finger spread between D3–D4 and D4–D5 on the affected side (25 degrees on the affected side compared to 35–45 degrees on the unaffected side). Compared to controls, the subjects with FHd were more likely to have poor posture, positive signs of neurovascular entrapment and decreased strength in the lumbricals (on both sides). Two of the subjects with FHd also had limited shoulder internal rotation bilaterally (45–55º). The subjects with FHd were not working at their usual © 2005 by Taylor & Francis Group. They reported difficulty with functional activities (ranging from 63–90% of maximum performance on the functional independence test). However, for the three subjects with FHd, there was a general increase in the spread of the digits and the area of representation on the cortex on the trained side (larger than control subjects). The order of the digits (D1–D5) on the affected side approximated an inferior to superior progression from D1 to D5, but they were still less orderly than controls.

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