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Fibromyalgia Syndrome: Canadian Clinical Working Case Definition, Diagnostic and Treatment Protocols–A Consensus Document
Published in I. Jon Russell, The Fibromyalgia Syndrome: A Clinical Case Definition for Practitioners, 2020
Anil Kumar Jain, Bruce M. Carruthers, Maijorie I. van de Sande, Stephen R. Barron, C. C. Stuart Donaldson, James V. Dunne, Emerson Gingrich, Dan S. Heffez, Y.-K. Frances Leung, Daniel G. Malone, Thomas J. Romano, I. Jon Russell, David Saul, Donald G. Seibel
Vitamins are not nutrients from which energy is derived in the same way that proteins, fats, and carbohydrates provide nutrition. Vitamins are generally cofactors which aid the enzymes of the body make optimal use of nutrients. The recommended intake is based on estimated amounts needed to prevent overt symptoms of deficiency. It does not address optimum levels in chronic illness or amounts required to support healing. When practical, a balanced vitamin profile with levels of vitamins A, E, B-complex, and C can be helpful to ensure that proper supplementation. It is not proven that supplemental vitamin therapy is better than would result from eating a wholesome balanced diet. Use of megavitamin therapy is to be discouraged because some vitamins can be toxic in high levels. The principles and vitamin supplementation strategy of Travell and Simons (57) have been found to be useful.
Metabolic disorders, including glucose homeostasis and inborn errors of metabolism
Published in Janet M Rennie, Giles S Kendall, A Manual of Neonatal Intensive Care, 2013
Janet M Rennie, Giles S Kendall
Because many IEMs are provoked by the protein load of feeding, enteral feeds should be stopped and hydration maintained with intravenous dextrose for 24–48 hours. In selected cases, peritoneal dialysis or haemofiltration can be used to remove toxic metabolites (e.g. ammonia, amino acids). Exchange transfusions and ‘blind’ megavitamin therapy are no longer recommended.
Community Occupational Therapy Associates: A Model of Private Practice for Community Occupational Therapy
Published in Florence S. Cromwell, Private Practice in Occupational Therapy, 2013
Karen Goldenberg, Barbara Quinn
1. Elizabeth is a 32-year-old art student with a history of chronic schizophrenia. Her successful community re-integration shows how the revolving door syndrome associated with her condition can be arrested. Elizabeth was referred to Comm. O.T. by a general practitioner via Home Care. Previous treatment programs included multiple hospitalizations, E.C.T., drug and megavitamin therapy. She was an unkempt, malnourished, disoriented woman who was sleeping 16 to 18 hours per day, hallucinating and unable to cope with her life in the community.
Evidence for Complementary and Alternative Therapies to Treat Glaucoma
Published in Seminars in Ophthalmology, 2023
Catherine M. Marando, Teresa C. Chen
Definitions of complementary and alternative medicine (CAM) vary. Some definitions include “practices that are not accepted as correct, proper, or appropriate or are not in conformity with the beliefs or standards of the dominant group of medical practitioners in a society” and “interventions neither taught widely in medical schools nor generally available in hospitals.”1 In the United States, 42% of people report trying at least one CAM, and most did not disclose this to their physician.1 In a 2002 study by Rhee et al., 1027 patients in urban glaucoma practices were surveyed regarding use of CAM for glaucoma. They found that 5.4% of patients endorsed use of CAM. The most common types of non-traditional medicine used specifically for glaucoma included megavitamin therapy and herbal therapy, and less than 2% reported use of acupuncture or faith healing. Most patients discovered their alternative treatment by a non-health care provider, and 72% reported that they discussed the use of CAM with their ophthalmologist.2 Here, we summarize important literature on this topic and acknowledge where good scientific evidence is lacking. Common topics that will be addressed include marijuana, herbs and supplements (i.e., Ginkgo biloba, bilberry fruit extract), and acupuncture.