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Gestalt counselling in the promotion of health
154
Poster Presentations / European Journal of Integrative Medicine 4S (2012) 124–201
PP-073
PP-074
Acumesotherapy with injectable collagen in patients with localised adiposity of the knees: an observational study
Is cortisol the real indicator of adaptation syndrome? Can risks from physical exercise be predicted on the basis of current knowledge?
Elenkova Silvia, Pozharashka Joana Center of Integrative Medicine, Sofia, Belgrade
Loria Patrizia, Ottoboni Stefano, Ghisellini Paola, Rando Cristina, Giuria Roberto, Demori Ilaria, Michelazzi Luigi, Eggenhoffner Roberto
Background: Localised adiposity is not only an aesthetic problem, but a complex pathology – an external expression of numerous metabolic alterations in the tissues (connective matrix and adipose tissue) and the organic (endocrine, circulatory, nervous, immune) systems. Injectable collagen is designed according to the principles of physiological regulative medicine (PRM) to correct physiological imbalances in the tissues. Aim: To examine and evaluate the effects of simultaneous application of two established techniques – acupuncture and mesotherapy with injectable collagen in the treatment of adipose accumulations, located on the knees. Methods: 22 women with excess fat deposits on the knees were recruited, aged 25-51 years, answering the inclusion criteria. They were under observation from October 2011 to March 2012. During this period, 10 sessions of acumesotherapy were carried out once a week, using subcutaneous injection at 5–10mm depth, needles 27G and injecting 0.3 ml collagen(MD Matrix) in the following acu-points: St-34, St-36, Sp-9, Sp-10, Liv-8 and Bl- 40 and 0.2 ml in St-35. Measurement of the circumference on the level of the popliteal crease was taken before starting the treatment, in the beginning of every next session and at the end of the course. Results: All patients obtained objective reduction of the localised knee fat deposits (decrease in knee circumference) as the repeated measurement showed: two subjects (9.1%) reduction of 1.5 cm, one subject (4.5%) reduction of 2.0 cm, three subjects (13.6%) reduction of 2.5 cm, two subjects (9.1%) reduction of 3.0 cm, six subjects (27,2%) reduction of 3.5 cm, five subjects (22.7%) reduction of 4.0 cm and three subjects (13.6%) reduction of 4.5 cm. Conclusions: This clinical evaluation provides preliminary positive data regarding the effectiveness of acumesotherapy with injectable collagen in women with localised knee adiposity. The significant decrease of knee circumference at an average 3.3 cm allows us to conclude that this combination ensures synergistic results: correction of localised excess fat deposits and restoration of the physiological balance in treated tissue, although controlled studies are needed. Additional benefits may include improved self-confidence and psychological comfort.
Aim: Cortisol level is a recognised indicator to measure the adaptation syndrome response to different stressors. Aim: To evaluate changes in cortisol in salivary samples collected from a group of winter swimming performers and of athletes practising canoe and canoe-polo to investigate the different adaptive syndrome at the moment of the trials. Methods: Salivary samples were collected from winter swimmers four times during the trial events: in the morning, immediately before and after the trials and in the evening. The same protocol was applied to participants in all categories. Salivary cortisol concentrations were measured through the immunological response method provided by Abbott AxSYM systems. Samples were collected in two winter swimming trials, two canoe and two canoe-polo competitions. Results: Among the many samples collected from winter swimmers and athletes, the attention is focussed here on the results before and after the trials. An abrupt change of cortisol concentration was detected, which is a clear signal of the adaptation syndrome to both physical exercise and competitive strong stressors. However, an ambiguouschange, that is, both increasing and decreasing trends, is observed in the salivary cortisol concentration in both investigated groups and, within the same group, between the two trials. Furthermore, even intra-individual variations between the two events were detected. Conclusions: Cortisol concentration is observed to behave with an unexpected trend with respect to well-acknowledged literature findings. Thus, present data suggest that the profile of cortisol concentration cannot be regarded as the sole indicator to measure the adaptation syndrome to various stressors and that more complex mechanisms and elements are involved. Further, self-prescripted persons deciding to perform extreme physical exercises cannot be considered able without a clinical anamnestic check; the latter would exclude possible risks
http://dx.doi.org/10.1016/j.eujim.2012.07.833
Gestalt counselling in the promotion of health
Università degli Studi di Genova, Genova, Italy
http://dx.doi.org/10.1016/j.eujim.2012.07.834 PP-075
Ceparano Maria Grazia One of the key concepts referenced by Gestalt therapy you want even more; hence, the Gestalt counselling addresses the organismic self. This concept of great importance was discovered by the brilliant neurologist Kurt Goldestein in the 1920s, who during the 1st World War took meticulous care of the wounded in reported brain injuries, taking account of the agency
Poster Presentations / European Journal of Integrative Medicine 4S (2012) 124–201
as a whole. The Gestalt-therapy mutual and adopts this discovery, namely: the ability of every living being as a matter of course to go to his self and then gradually toward its fulfilment. The therapist–client relationship thus becomes crucial in this respect, insofar as the relationship between these nutrients becomes the space that goes to reinforce the perception of energy systems–vegetative–visceral body. In Gestalt therapy, this relationship works with the healthy parts of the person with such a generative process of the whole organism beyond the symptom or disease. The disease thus becomes the occasion for energy transformation and spiritual individual. The neurotic suffering is sterile for the person who goes instead leading to the wisdom of the body including suffering as a means of converting. Suffering in the therapeutic process is useful to develop the unity and awareness of the person who may well re-find his place in the world its BE-CI in the existential–phenomenological sense. For Gestalt therapy, the patient is only a traveller who has lost his way. This is not to show him the way, but thanks to the encounter between an IO and a Thou, that from person to person, as Rogers reminds us, the individual sufferer begins to see his life for the new forms, new gestalt, and therefore consequently new opportunities. Reconnecting with his energy centres restructures the path. One of the paradigms of Gestalt is not to fear insanity, because it is the only way to discover the healthy part that is hidden by this fear: the shadow of our Self. Lucidity and drunkenness, the Dionysian and the Apollonian, are two opposing polarities of life, but each complements the other for its integration. To do this requires that each person learns to be in this (Here and Now) with the attention and awareness, a practice of care, to go towards healing and develop their own health. http://dx.doi.org/10.1016/j.eujim.2012.07.835 PP-076 From microtubules to consciousness Genovesi Giuseppe Policlinico Umberto I Rome University La Sapienza, Rome, Italy In this communication, a novel possibility for the subneuronal processing of information by cytoskeletal microtubule tubulin tails is presented and it is shown that the local electromagnetic field supports information that could be converted into specific protein tubulin tail conformational states. The Orchestrated Reduction of Quantum Coherence in Brain Microtubules is a theory of consciousness put forth in the mid-1990s by British physicist Sir Roger Penrose and American anaesthesiologist Stuart Hameroff. Whereas most theories assume that consciousness emerges from complex computation at the level of synapses among brain neurons, orchestrated objective reduction (Orch OR) involves a specific form of quantum computation that underlies these neuronal synaptic activities. The proposed quantum computations occur in structures inside the brain’s neurons called microtubules. http://dx.doi.org/10.1016/j.eujim.2012.07.836
155
ATOPIC AND ALLERGIC DESEASES PP-077 EAV tests in diagnosis of food intolerance Macrì Francesco, Moretti Matteo, Massaccesi Valerio, Peparini Ilaria, Lambiase Caterina, Tromba Valeria La Sapienza University of Rome, Rome, Italy Background: Recent years have seen a significant increase in the incidence of allergic illnesses, particularly food intolerance and allergies. Of fundamental importance is to set up a correct diagnostic process to plan appropriate treatment. Over the last 10 years, many ‘alternative’ methods to classical diagnosis of allergies have been proposed. Of these alternative methods, techniques based on measuring the difference in potential at the skin level (electrodermal tests) are of considerable interest. Aim: A placebo controlled study was carried out with the aim of evaluating the role of electrodermal acupuncture according to Voll (EAV) test in the diagnosis of food intolerance by comparing results with results obtained through internationally accepted ‘standard’ tests. Methods: The sample consisted of 153 children, 83 males (average age: 4 years 4 months), with clinical problems attributed to intake of cow’s milk or derivatives. The children were given the standard in vivo diagnostic tests considered first level for cow’s milk: Skin Prick Test (SPT) standard, By Prick (SPT with fresh food), Labial Food Challenge (LFC) and Atopy Patch Test (APT). Twenty-three patients who tested positive for at least one of these tests were admitted to the second part of the study which consisted of performing the EAV test and the Oral Provocation Test (OPT) in open way. Results: All the tests (SPT, LFC, APT and EAV) were compared with OPT, which is the gold standard in the diagnostic procedures for food allergy. The EAV test showed a good sensitivity (85%), and a high negative predictive value (95%) but a poor specificity (65%) and a low positive predictive value (40%). http://dx.doi.org/10.1016/j.eujim.2012.07.837 PP-078 Phytotherapy and allergic rhinitis Macrì Francesco, Moretti Matteo, Massaccesi Valerio, Peparini Ilaria, Tromba Valeria La Sapienza University of Rome, Rome, Italy Background: Allergic oculorhinitis is considered an important problem in allergology. Statistics suggest that 5–20% of the population is affected. Recent classifications divide it into intermittent or persistent, according to the length and recurrence of symptoms and in light, medium and severe categories, according to how much it interferes with the day-to-day activity of the patient. Conventional treatment is essentially based on antihistamines for oral administration and on the use of antihistamines, cortisones or chromones for topical administration, but such therapies are not free from side effects. In phytother-
Poster Presentations / European Journal of Integrative Medicine 4S (2012) 124–201
PP-073
PP-074
Acumesotherapy with injectable collagen in patients with localised adiposity of the knees: an observational study
Is cortisol the real indicator of adaptation syndrome? Can risks from physical exercise be predicted on the basis of current knowledge?
Elenkova Silvia, Pozharashka Joana Center of Integrative Medicine, Sofia, Belgrade
Loria Patrizia, Ottoboni Stefano, Ghisellini Paola, Rando Cristina, Giuria Roberto, Demori Ilaria, Michelazzi Luigi, Eggenhoffner Roberto
Background: Localised adiposity is not only an aesthetic problem, but a complex pathology – an external expression of numerous metabolic alterations in the tissues (connective matrix and adipose tissue) and the organic (endocrine, circulatory, nervous, immune) systems. Injectable collagen is designed according to the principles of physiological regulative medicine (PRM) to correct physiological imbalances in the tissues. Aim: To examine and evaluate the effects of simultaneous application of two established techniques – acupuncture and mesotherapy with injectable collagen in the treatment of adipose accumulations, located on the knees. Methods: 22 women with excess fat deposits on the knees were recruited, aged 25-51 years, answering the inclusion criteria. They were under observation from October 2011 to March 2012. During this period, 10 sessions of acumesotherapy were carried out once a week, using subcutaneous injection at 5–10mm depth, needles 27G and injecting 0.3 ml collagen(MD Matrix) in the following acu-points: St-34, St-36, Sp-9, Sp-10, Liv-8 and Bl- 40 and 0.2 ml in St-35. Measurement of the circumference on the level of the popliteal crease was taken before starting the treatment, in the beginning of every next session and at the end of the course. Results: All patients obtained objective reduction of the localised knee fat deposits (decrease in knee circumference) as the repeated measurement showed: two subjects (9.1%) reduction of 1.5 cm, one subject (4.5%) reduction of 2.0 cm, three subjects (13.6%) reduction of 2.5 cm, two subjects (9.1%) reduction of 3.0 cm, six subjects (27,2%) reduction of 3.5 cm, five subjects (22.7%) reduction of 4.0 cm and three subjects (13.6%) reduction of 4.5 cm. Conclusions: This clinical evaluation provides preliminary positive data regarding the effectiveness of acumesotherapy with injectable collagen in women with localised knee adiposity. The significant decrease of knee circumference at an average 3.3 cm allows us to conclude that this combination ensures synergistic results: correction of localised excess fat deposits and restoration of the physiological balance in treated tissue, although controlled studies are needed. Additional benefits may include improved self-confidence and psychological comfort.
Aim: Cortisol level is a recognised indicator to measure the adaptation syndrome response to different stressors. Aim: To evaluate changes in cortisol in salivary samples collected from a group of winter swimming performers and of athletes practising canoe and canoe-polo to investigate the different adaptive syndrome at the moment of the trials. Methods: Salivary samples were collected from winter swimmers four times during the trial events: in the morning, immediately before and after the trials and in the evening. The same protocol was applied to participants in all categories. Salivary cortisol concentrations were measured through the immunological response method provided by Abbott AxSYM systems. Samples were collected in two winter swimming trials, two canoe and two canoe-polo competitions. Results: Among the many samples collected from winter swimmers and athletes, the attention is focussed here on the results before and after the trials. An abrupt change of cortisol concentration was detected, which is a clear signal of the adaptation syndrome to both physical exercise and competitive strong stressors. However, an ambiguouschange, that is, both increasing and decreasing trends, is observed in the salivary cortisol concentration in both investigated groups and, within the same group, between the two trials. Furthermore, even intra-individual variations between the two events were detected. Conclusions: Cortisol concentration is observed to behave with an unexpected trend with respect to well-acknowledged literature findings. Thus, present data suggest that the profile of cortisol concentration cannot be regarded as the sole indicator to measure the adaptation syndrome to various stressors and that more complex mechanisms and elements are involved. Further, self-prescripted persons deciding to perform extreme physical exercises cannot be considered able without a clinical anamnestic check; the latter would exclude possible risks
http://dx.doi.org/10.1016/j.eujim.2012.07.833
Gestalt counselling in the promotion of health
Università degli Studi di Genova, Genova, Italy
http://dx.doi.org/10.1016/j.eujim.2012.07.834 PP-075
Ceparano Maria Grazia One of the key concepts referenced by Gestalt therapy you want even more; hence, the Gestalt counselling addresses the organismic self. This concept of great importance was discovered by the brilliant neurologist Kurt Goldestein in the 1920s, who during the 1st World War took meticulous care of the wounded in reported brain injuries, taking account of the agency
Poster Presentations / European Journal of Integrative Medicine 4S (2012) 124–201
as a whole. The Gestalt-therapy mutual and adopts this discovery, namely: the ability of every living being as a matter of course to go to his self and then gradually toward its fulfilment. The therapist–client relationship thus becomes crucial in this respect, insofar as the relationship between these nutrients becomes the space that goes to reinforce the perception of energy systems–vegetative–visceral body. In Gestalt therapy, this relationship works with the healthy parts of the person with such a generative process of the whole organism beyond the symptom or disease. The disease thus becomes the occasion for energy transformation and spiritual individual. The neurotic suffering is sterile for the person who goes instead leading to the wisdom of the body including suffering as a means of converting. Suffering in the therapeutic process is useful to develop the unity and awareness of the person who may well re-find his place in the world its BE-CI in the existential–phenomenological sense. For Gestalt therapy, the patient is only a traveller who has lost his way. This is not to show him the way, but thanks to the encounter between an IO and a Thou, that from person to person, as Rogers reminds us, the individual sufferer begins to see his life for the new forms, new gestalt, and therefore consequently new opportunities. Reconnecting with his energy centres restructures the path. One of the paradigms of Gestalt is not to fear insanity, because it is the only way to discover the healthy part that is hidden by this fear: the shadow of our Self. Lucidity and drunkenness, the Dionysian and the Apollonian, are two opposing polarities of life, but each complements the other for its integration. To do this requires that each person learns to be in this (Here and Now) with the attention and awareness, a practice of care, to go towards healing and develop their own health. http://dx.doi.org/10.1016/j.eujim.2012.07.835 PP-076 From microtubules to consciousness Genovesi Giuseppe Policlinico Umberto I Rome University La Sapienza, Rome, Italy In this communication, a novel possibility for the subneuronal processing of information by cytoskeletal microtubule tubulin tails is presented and it is shown that the local electromagnetic field supports information that could be converted into specific protein tubulin tail conformational states. The Orchestrated Reduction of Quantum Coherence in Brain Microtubules is a theory of consciousness put forth in the mid-1990s by British physicist Sir Roger Penrose and American anaesthesiologist Stuart Hameroff. Whereas most theories assume that consciousness emerges from complex computation at the level of synapses among brain neurons, orchestrated objective reduction (Orch OR) involves a specific form of quantum computation that underlies these neuronal synaptic activities. The proposed quantum computations occur in structures inside the brain’s neurons called microtubules. http://dx.doi.org/10.1016/j.eujim.2012.07.836
155
ATOPIC AND ALLERGIC DESEASES PP-077 EAV tests in diagnosis of food intolerance Macrì Francesco, Moretti Matteo, Massaccesi Valerio, Peparini Ilaria, Lambiase Caterina, Tromba Valeria La Sapienza University of Rome, Rome, Italy Background: Recent years have seen a significant increase in the incidence of allergic illnesses, particularly food intolerance and allergies. Of fundamental importance is to set up a correct diagnostic process to plan appropriate treatment. Over the last 10 years, many ‘alternative’ methods to classical diagnosis of allergies have been proposed. Of these alternative methods, techniques based on measuring the difference in potential at the skin level (electrodermal tests) are of considerable interest. Aim: A placebo controlled study was carried out with the aim of evaluating the role of electrodermal acupuncture according to Voll (EAV) test in the diagnosis of food intolerance by comparing results with results obtained through internationally accepted ‘standard’ tests. Methods: The sample consisted of 153 children, 83 males (average age: 4 years 4 months), with clinical problems attributed to intake of cow’s milk or derivatives. The children were given the standard in vivo diagnostic tests considered first level for cow’s milk: Skin Prick Test (SPT) standard, By Prick (SPT with fresh food), Labial Food Challenge (LFC) and Atopy Patch Test (APT). Twenty-three patients who tested positive for at least one of these tests were admitted to the second part of the study which consisted of performing the EAV test and the Oral Provocation Test (OPT) in open way. Results: All the tests (SPT, LFC, APT and EAV) were compared with OPT, which is the gold standard in the diagnostic procedures for food allergy. The EAV test showed a good sensitivity (85%), and a high negative predictive value (95%) but a poor specificity (65%) and a low positive predictive value (40%). http://dx.doi.org/10.1016/j.eujim.2012.07.837 PP-078 Phytotherapy and allergic rhinitis Macrì Francesco, Moretti Matteo, Massaccesi Valerio, Peparini Ilaria, Tromba Valeria La Sapienza University of Rome, Rome, Italy Background: Allergic oculorhinitis is considered an important problem in allergology. Statistics suggest that 5–20% of the population is affected. Recent classifications divide it into intermittent or persistent, according to the length and recurrence of symptoms and in light, medium and severe categories, according to how much it interferes with the day-to-day activity of the patient. Conventional treatment is essentially based on antihistamines for oral administration and on the use of antihistamines, cortisones or chromones for topical administration, but such therapies are not free from side effects. In phytother-