Effects of Transcutaneous Power Acustimulation on Refractory Gastroesophageal Reflux Disease

References

If you acid reflux, there usually are so many natural solutions to try before heading to be able to the drugstore. “This place does not allow abdomen acid to empty back into the esophagus, ” she says. Late-night snacking was absolutely a primary cause regarding my personal acid reflux, because was sleeping totally level (my position of choice). Park suggests sleeping as upright as possible and on your left side. Try out winding down with some ginger tea whenever your acid reflux strikes.

One time-honored technique: take a carton of eggs and crack all of them in your bathtub or perhaps a great trash can! The act of smashing and busting the eggs actually helps your Liver Qi begin moving. The single most important move to make is to discharge your stress! Find ways to cut stress in your life or in order to find healthy outlets for stress. The physiological components of 2 Hz electroacupuncture: a study using blink and H reflex.

Is massage good for acid reflux?

According to a preliminary trial, massaging the connective tissue surrounding the diaphragm could significantly reduce acid reflux for people with gastroesophageal reflux disease. Researchers have tested a type of massage to help reduce symptoms of GERD.28 May 2019

2. 1. Patients

Barker Bausell, in Snake Oil Science, offers some simplified guidelines in order to see if a study may be considered credible technological evidence. Elevating your head: Elevating your head whenever sleeping, anywhere from 6 to be able to 9 inches, ensures of which stomach contents flow down instead of upward. Hypnotherapy may help people discharge anxiety about painby promoting a deep state of rest. Massage, deep breathing, yoga, and yoga may all help reduce regarding GERD. There are also a few complementary and alternative medication (CAM) options that may provide relief.

In an examine of 30 patients with refractory heartburn randomized both to standard PPI dosage plus acupuncture or increase PPI dosing, those within the acupuncture group got significant decreases in day heartburn, nighttime heartburn, and acid regurgitation, while those in the double-dosing party did not (Aliment Pharmacol Ther. It is our goal to assist as numerous people as possible via acupuncture and Chinese Medicine, and to encourage you to be able to make healthy, informed way of life choices that will advantage you and your households long-term. The extent regarding oesophageal acid exposure overlap among the different gastro-oesophageal reflux disease groups.

acupuncture protocol for acid reflux

, while the average of acid reflux, poor acid reflux, nonacid reflux has been 11 (4–, 27 (7–, and 8 (2–, respectively. High-resolution manometry (HRM) in addition to 24h pH-impedance monitoring had been accustomed to observe LES comforting pressure and esophageal distance capacity and analyze poisson of RGERD patients in each group before plus after treatment. Licorice will be said to increase the mucous coating of the particular esophageal lining, helping this resist the irritating results of stomach acid. Medications that increase the movements or contractions of the stomach and bowels, occasionally called pro-motility drugs, might be recommended for people with laryngopharyngeal reflux.

With her help, plus the advice regarding Elizabeth Trattner, your doctor associated with Chinese and integrative medication, we put together this particular list of nine normal remedies for acid poisson to try. During acupuncture therapy therapy, stimulation of certain acupuncture points inhibits the esophageal sphincter relaxation, which often reduces acid reflux in addition to occurrence of heartburn. According to the World Health Organization and the Country wide Institutes for Health, TCM therapies, such as acupuncture treatment, are useful in the natural treatment for acid reflux and many other digestive disorders, which includes food allergies, gastritis, ulcers, irritable bowel, and colitis.

A number of recent research studies furthermore support this, showing acupuncture treatment and Chinese herbs are very effective for acid reflux (see 2010 study on GERD, 2008 study, and 2005 study). Pei, Meta Evaluation of Traditional Chinese Medicine inside the Treatment of Non-Erosive Gastro Gastroesophageal Reflux Illness, China Health Standard Management, 2015. Liu, “Clinical observation on treating non erosive gastroesophageal reflux disease with soothing liver, regulating gallbladder and regulatin stomach, ” in Proceedings of typically the The 26th session of the national disease of digestive system combining Chinese and western medicine academics essays, pp. Gastroesophageal poisson disease, or GERD, takes place when the lower esophageal sphincter (LES) would not close up properly and stomach material leak back, or poisson, into the esophagus.

Acupuncture successfully increased LES pressure and function, thereby increasing resistance in order to acid reflux. In the small study, 20 individuals with recalcitrant LPR have been put on a low-acid diet for two days, during which time each food with a pH regarding less than 5 was eliminated. LPR only occurs in an estimated 30% to 40% of the adult human population in the usa, with an increased incidence among people who are usually obese, are older, smoke, suffer from high anxiety, and consume certain diet plans, said Marilene Wang, M . D ., professor of head in addition to neck surgery at the particular University of California, Los Angeles (UCLA) School of Medicine.

acupuncture protocol for acid reflux

Get health info and advice from typically the experts at Harvard Medical School. No content about this site, regardless associated with date, should ever be used as an alternative for primary medical advice from the medical doctor or other qualified specialist.

acupuncture protocol for acid reflux

Power Engineering International

Cooperative game theory concepts that address relative power of the riparian states in capturing incremental benefits from cooperation, such as the Core, the Shapley Value, and the Nash-Harsanyi (N-H) solution are compared under several scenarios, namely with and without water trade, and with and without existence of unidirectional externalities in the form of soil erosion and siltation impact. We find that the stability of Shapley and N-H benefits allocations are sensitive to the initial water rights allocation, which may explain the present caution of the basin states to be engaged in cooperation arrangements. We also find that when a Core exists it is very small, which indicates also a fragile basis for cooperation. This study examines management approaches for hydropower generation and irrigation and domestic water supply for the Tekeze-Atbara, a transboundary river between Ethiopia, Eritrea and Sudan, in above- and below-normal hydrologic conditions, considering current and future water demand scenarios.

The current literature mainly describes what is meant by the term benefit sharing in the the context of transboundary river basins and discusses this from a conceptual point of view, but falls short of providing practical, institutional arrangements that ensure maximum economic welfare as well as collaboratively developed methods for encouraging the equitable sharing of benefits. In this study we define an institutional arrangement that distributes welfare in a river basin by maximizing the economic benefits of water use and then sharing these benefits in an equitable manner using a method developed through stakeholder involvement.We describe a methodology in which (i) a hydrological model is used to allocate scarce water resources, in an economically efficient manner, to water users in a transboundary basin, (ii) water users are obliged to pay for water, and (iii) the total of these water charges are equitably redistributed as monetary compensation to users in an amount determined through the application of a sharing method developed by stakeholder input, thus based on a stakeholder vision of fairness, using an axiomatic approach. The whole system is overseen by a river basin authority. The methodology is applied to the Eastern Nile River basin as a case study. The described technique not only ensures economic efficiency, but may also lead to more equitable solutions in the sharing of benefits in transboundary river basins because the definition of the sharing rule is not in question, as would be the case if existing methods, such as game theory, were applied, with their inherent definitions of fairness.

Influence of multiple APOE genetic variants on cognitive function in a cohort of older men – results from the Normative Aging Study

The equitable sharing of benefits in transboundary river basins is necessary to solve disputes among riparian countries and to reach a consensus on basin-wide development and management activities. Benefit-sharing arrangements must be collaboratively developed to be perceived not only as efficient, but also as equitable in order to be considered acceptable to all riparian countries. The current literature mainly describes what is meant by the term benefit sharing in the context of transboundary river basins and discusses this from a conceptual point of view, but falls short of providing practical, institutional arrangements that ensure maximum economic welfare as well as collaboratively developed methods for encouraging the equitable sharing of benefits. In this study, we define an institutional arrangement that distributes welfare in a river basin by maximizing the economic benefits of water use and then sharing these benefits in an equitable manner using a method developed through stakeholder involvement. We describe a methodology in which (i) a hydrological model is used to allocate scarce water resources, in an economically efficient manner, to water users in a transboundary basin, (ii) water users are obliged to pay for water, and (iii) the total of these water charges is equitably redistributed as monetary compensation to users in an amount determined through the application of a sharing method developed by stakeholder input, thus based on a stakeholder vision of fairness, using an axiomatic approach.

The case study is the addition of the Grand Ethiopian Renaissance Dam (GERD) and considers how its operation may be coordinated with adaptations to the operations of Egypt’s High Aswan Dam. The results demonstrate that a lack of coordination is likely to be harmful to downstream riparians and suggest that adaptations to infrastructure in Sudan and Egypt can reduce risks to water supplies and energy generation. Although risks can be substantially reduced by agreed releases from the GERD and basic adaptations to the High Aswan Dam, these measures are still insufficient to assure that no additional risk is assumed by Egypt. The method then demonstrates how improvements to water security for both downstream riparians can be achieved through dynamic adaptation of the operation of the GERD during drought conditions. Finally, the paper demonstrates how the robustness of potential management arrangements can be evaluated considering potential effects of climate change, including increased interannual variability and highly uncertain changes such as increases in the future persistence of droughts.

Arjoon et al. (2014) , Tilmant and Kinzelbach 38 (2012) and Whittington et al. (2005) assessed the value of cooperation in international river basins 39 and found that there are significant gains from basin-wide cooperation. The equity issue of sharing 40 benefits from cooperation has been addressed by game theory (Teasley and McKinney 2011;Wu 41 and Whittington 2006) and an approach based on a stakeholder vision of fairness ( Arjoon et al. 42 2016).

Section B – Technology, Operation and Environment ( back )

Although some of these studies discuss the operation and filling of possible reservoirs, they use either simplified or idealized reservoir operations. Arjoon et al. 2014; Kahsay et al. 2015).

Improved coordination requires sharing information, demanding a clear understanding of the potential gains and its distribution among the users to motivate engagement in coordinated operations and bearing of transaction costs. In a multiuser, multireservoir system, the evaluation of the potential coordination gains is not trivial because it requires the simultaneous evaluation of numerous trade offs.

We believe that a serious discourse among Nile riparians about the economics of Nile cooperation is both inevitable and desirable, and that this discourse will not diminish the importance of environmental, social, or cultural issues that new infrastructure on the Nile will entail. To initiate such a discussion, in this paper we present the results of the first economic model designed to optimize the water resources of the entire Nile basin. Total (potential) annual direct gross economic benefits of Nile water utilization in irrigation and hydroelectric power generation are estimated to be on the order of US$7-11 billion. This does not account for the costs of building or operating the infrastructure. The aim of this article is to identify where and how power relations in the Nile river basin have changed over the past decade, and to analyse how these dynamics have influenced not only the political relations between upstream and downstream riparians but also the management and allocation of the shared Nile water resources.

  • However, to date there has been virtually no explicit discussion of the economic value of cooperative water resources development.
  • Gains from cooperation will mean little to individual riparians unless the required cooperative behaviors are incentive compatible.
  • A sensitivity analysis is performed by testing model response to a range of economic conditions and to changes in the volume and timing of hydrologic flows.
  • This paper reviews river basin water resource models as applied in the Nile River Basin, distinguishing between simulation, optimization and combined simulation and optimization models.

Satellite data are used to substitute for unavailable or inaccessible ground meteorological and dam data. Based on three examined coordination scenarios, the analysis finds that coordinating the management of the Sudanese dams would bring significant benefits to water supply and energy generation. An optimization analysis is necessary to reveal the full value of coordination of dams in the Tekeze-Atbara Basin. Increasing water demand coupled with limited water resources has given rise to the need for sustainable water resources development in the Nile River Basin.

evaluated the longterm impacts of the GERD on the economic benefits of Ethiopia, Sudan, and Egypt and concluded that the GERD would increase the minimum annual economic benefits of the three countries from 4.9 to 5.6 billion US$, provided that Sudan fully uses its water share according to the 1959Nile Water Agreement (UN, 1964 and Ethiopia implements its planned irrigation schemes around Lake Tana. Similarly, Jeuland et al. (2017) examined the long-term impacts of the GERD on Ethiopia, Sudan, and Egypt and found that by maximizing the overall economic benefit of the three countries, the annual economic benefit to Ethiopia would increase from 253 to 1465 million US$ primarily due to hydroenergy generation, but the annual economic benefit to Sudan would decrease from 1691 to 1595 million US$ as a result of allowing the maximum generation of energy from all Nile dams and promoting downstream agricultural production in Egypt. In October 2017, I was invited to join the Lahmeyer team assigned in the project of the rehabilitation and uprating of Roseires HPP. The Hydropower Plant is located at the Blue Nile river, about 550 km south of Khartoum, close to the city of Ad-Damazin. The dam was constructed between 1961 and 1966.

The theoretical benchmark for basin 516 cooperation in the agricultural and power sector (basin_MS scenario) generates the lowest annual 517 national costs only for Uzbekistan. The “New Roseires” hydropower plant in Sudan will in the future provide to the country an important expansion in power generation capacity, enough for supplying electricity to thousands of additional homes, as well as public infrastructure (e.g. hospitals). This will significantly increase the quality of living of the Sudanese population.

Irrigation water demands and other operating constraints are imposed on the system through the SDDP model. The pro-posed methodology is illustrated with the Southeastern Anatolia Development project, commonly called GAP, in Turkey. The GAP is a multidimensional development project involving primarily the production of hydroelectricity and irrigation. Simulation results using 50 hydrologic scenarios show that the complete development of the irrigation projects would reduce the total energy output by 6.5%, and will incease the risk of not meeting minimum outflow at the Syrian border from 5% to 25%. Notwithstanding current heavy dependence on gas-fired electricity generation in the Eastern African Power Pool (EAPP), hydropower is expected to play an essential role in improving electricity access in the region.

gerd lahmeyer

“People like numbers”: a descriptive study of cognitive assessment methods in clinical practice for Aboriginal Australians in the Northern Territory

Ethiopia is the main source of the Nile River, and the country urgently needs water for irrigation and hydro-electric power development. To-date, however, Ethiopia is the country in the Eastern Nile basin that uses the least amount of water from the Nile run-off.

Water scarcity is a global concern, particularly in arid and semi-arid. This fact should be considered in decision making and management of water resources and also policy makers should pay attention to the effects of these policies as a crucial criterion. This study was carried out to investigate the effect of different policies of agricultural products marketing network reform on water resources management, especially on the use of groundwater in the Neyshabur basin in Iran. Thus, taking into account the effects of marketing on the supply and demand water, we used hydro-economic (H-E) model.

gerd lahmeyer
gerd lahmeyer