The Committee, in principle, is in agreement with the project, however, the following observations are made regarding aspects that need to be attended to or modified: 1.The Principal Investigator’s prior experience with herbal medicines/alternative medicines studies is not mentioned in the protocol. 2. Research Design: • The study is described as a double blind placebo controlled design. However, it is not mentioned whether it is a parallel or a cross-over design. The details show it is a parallel assignment study. It is suggested that a study flow chart should be provided to enable a quick assessment. • The visit schedule for the subjects is not clearly described. In the synopsis, the schedule is different than the one described in the main body of the protocol. • Schedule of Visits in Table 3.1.1, on page 15, is not clear and needs revision. • Secondly, there should be a system to remind the subjects of the next visit e.g. by telephone or email. This would facilitate the subjects in remembering and complying with the visit schedule. • Randomization, allocation concealment and blinding procedure should be described in detail. • Under what circumstances would blinding be broken/revealed. 3. Intervention: • No reference is given for selecting the dose of 400mg twice a day. Please provide information on how the dose was calculated and decided upon. • The study is planned to test only one dose level. A strategy to look at progressively ascending doses would help assess a maximum tolerated dose for this herb. • The ‘Placebo’ is described to contain spinach leaves. Is spinach completely a placebo without any documented pharmacological effects? Please comment. • In ‘real life’ scenarios, herbal medicines are used in various f... ... middle of paper ... .... van Wyk, B.-E. and Gericke, N. 2000. People’s Plants. A Guide to the Useful Plants of Southern Africa. Briza, Pretoria. 4. Rood, B. 1994. Uit die Veldapteek. Tafelberg, Cape Town. (Translation of title: “Out of the field-pharmacy”). 5. Von Koenen, E. 1996. Heil- Gift und Essbare Pflanzen in Namibia. Edition Namibia. Klaus Hess Verlag. (Translation of title: Medicinal, Poisonous and edible plants of Nambia). 6. Watt, J.M. and Breyer-Brandwijk, M.G. 1962 (2nd edition). The Medicinal and Poisonous Plants of Southern and Eastern Africa. E&S Livingstone Ltd., Edinburgh. 7. Pappe, L. 1857. Florae Capensis Medicae Prodromus. 2nd Edition. Brittain, Cape Town. 8. Smith, C.A. 1966. Common Names of South African Plants. Botanical Survey Memoir No. 35. Government Printer, Pretoria. 9. Roberts, M. 1990. Indigenous Healing Plants. Southern Book Publishers, Halfway House.
Patients were randomly allocated to one of three study groups; 32 patients in each group:
I consider my care staff to be my patient care coordinators, treatment coordinators, and assistants. Doctor’s and Hygienists also need to be meet with to understand their philosophy and what I can do as a Manager to make there day run as smooth as possible. As a leader the staff needs to understand my philosophy, their expectations of other and what I would expect of them short and long term. Further 1:1 meetings in the following 30 days would be set up to further address after observation is completed.
Volpato, G., Godinez, D., Beyra, A., & Barreto, A. (2009). Uses of Medicinal Plants by Haitian Immigrants and Their Descendants in the Province of Camagüey, Cuba. Journal of Ethnobiology and Ethnomedicine, 1-9.
Monarda fisctulosa had various uses for the Native Americans. This multipurpose plant may also be known as Bee Balm, horsemint, wild oregano, or many more. The most common name is bee balm due to the multitude of bees that are drawn in; some rest on the back side of flower petals, while others spread pollen between the plants. In total, there is approximately fifteen known species currently growing. The parts of the plant can be consumed in a variety of ways. The plant was, and still is, used to treat many issues and illnesses. This paper will describe the characteristics of Monarda, and the many uses for the leaves and flowers.
The multiple use of plants used for nourishment, medicinal purposes and practical use were ignored by Lewis and Clark during their monumental trek across the United States. Rather than consider the Native Indian’s use of native plants they persisted on using Dr. Rush’s Thunderbolt pills that probably caused more problems than the condition that inflicted them. Many modern day cultures continue to ignore native remedies and have come to depend on synthetic pharmaceutical drug production. In recent years the wealth of indigenous knowledge has been acknowledged revealing the use of native plants and the importance it had in the survival of indigenous people.. Pharmaceutical companies have utilized the immense knowledge of the indigenous people and their use of natural plants. The application of natural plant species have revealed the main reasons mankind has survived into present day. Following is a few of the plants, their application and their specific purposes.
In a career that revolves completely around an individual, the patient, and their best interest, what should one do when faced with a situation between making an ethical and completely honest decision and one that “compromises the truth in service to what may be the greater good”? In the article, The Heat is On (Nancy R Kirsch, 2013), Tara, a physical therapist at Metropolitan General Hospital, is challenged with such a scenario. In the following, details of Tara’s situation will be described, a few principles of the Code of Ethics for the Physical Therapist which may offer guidance for Tara will be given, as well as what I think Tara should do, or what I would do if I were in a similar situation.
In addition, due to the patients showing up late for their appointments and on the wrong dates, there will be a new department implemented into the organization. This department will be the scheduling of patients, sending out reminder cards, and completing a courteous call to the patients about their appointment date, time, and
Solomon, M., (2003) Instructions for measuring third next available appointment. Retrieved January 25, 2011 from http://www.nasconsulting.biz/aboutus.shtml
Lindberg, D. (n.d.). Herbal Medicine: MedlinePlus. U.S National Library of Medicine. Retrieved May 7, 2014, from http://www.nlm.nih.gov/medlineplus/herbal
If the author feels that a walk in needs an appointment, but there are no appointments available, she goes and consults with the doctor to ask if the doctor can accommodate the patient into her schedule.
Tyler, Varro. "Should Herbal Remedies Remain in FDA Regulatory Limbo?". Nutrition Forum. Nov/Dec 92, Vol. 9, Issue 6, p41.
Since my early schooling days, science and mathematics have always fascinated me given that all components of the world are explained on the basis of these disciplines. In this regard, Pharmacy which is based on Chemistry and Mathematics has interested me a great deal as it has direct impacts on our daily lives. The more I have become familiar with the chemistry and mathematics knowledge involved in pharmacy, the more I have appreciated its significance in improving the lives of people in the community. Out of the many careers that one would opt to pursue, Pharmacy has stood out as the career that will enable me serve the society more directly and have a real impact in the quality of peoples’ lives by touching their health. In addition, I love a career that is challenging and one that I will be involved in even in old age. In this case, Pharmacy offers me this opportunity. My interest in Pharmacy has also developed from my personal health experiences and becoming aware of its expansiveness. Every time I have had to take medicine to cure an illness, I have become more interested to know how drugs are made and how the drug components work in the human body to alleviate pain and restore health. I desire to pursue a career in Pharmacy so as to gain practical experience in these aspects of research.
... Cambridge Encyclopedia of Africa. Ed. Roland Oliver. 1. New York: Trewin Copplestone Books Limited, 1984. Print.
The botanical name for this tropical rainforest plant is Theobroma Cacao [7]. Theobroma Cacao is Greek for “Food of the gods” [15].