![]() The most commonly and consistently reported IT modalities were herbal remedies, diets and nutrition, and faith-healing. IT was primarily employed by patients to cure or help fight the child’s cancer, to provide symptomatic relief, and to support conventional medicine, such as to relieve toxicities. The analysis reported that IT use was not associated with gender, age, ethnicity, or family income of pediatric patients with cancer. Since that review was published there have been a few additional surveys of IT use in pediatric cancer. Gottschling recently published a population-based survey, covering 457 pediatric oncology patients across Germany and with a high response rate, suggesting that non-users were likely to be represented. In this study, IT use actually dropped after the cancer diagnosis, with 41% reporting use prior to the diagnosis and only 31% since the diagnosis. Of note, this study did not include prayer/spiritual healing which may partly explain the low rates. ![]() An interesting finding in this study was that 78% of patients informed a physician of their IT use, a number higher than that cited in other studies, though only 16% of the attending pediatric oncologists reacted approvingly. Since a portion of patients stopped use after diagnosis, this may indicate that physician disapproval influences patients’ discontinuation of IT use. Other studies have documented that most patients and parents do not discuss their use of IT with their physicians, and most pediatric oncologists do not ask about IT use. This fact is striking given that most pediatric oncology patients are participating in clinical trials where concomitant medications and their side effects are important to track and report, and further compounded as many patients increase IT use when upfront therapy fails, a time when many patients are enrolled in studies of investigational agents subject to even closer monitoring. In a study of adults enrolled in phase I trials, 52% of patients were using some sort of integrative therapy, and 77% of those were using a pharmacologic form of IT. Only 23% of patients revealed their IT use to their physician despite the importance of discussing all medications used during a phase I trial. Research on IT is complex and usually more difficult than that of conventional therapies, particularly in children with cancer. Preclinical and phase I studies are often not done. Traditional Chinese Medicine (TCM) and other traditional medicine techniques use a very personalized approach that individualizes treatment, using multiple herbs simultaneously, to restore an individual’s well-being rather than focusing more generally on a type of disease. The whole concept of disease and wellness is different than in Western medicine, and the herbs used have multiple components. ![]() These aspects of IT make good randomized clinical trials of the biological therapies very challenging Investigations of non-pharmacologic therapies such as massage and acupuncture are hampered by the challenges of finding appropriate placebos, and the difficulty of ensuring a uniform approach between practitioners and from patient to patient. ![]() Our gestures are simply better and faster to perform compared to other approaches that take twice as many steps.Even in studies of adults with cancer, many of the studies done lack adequate controls, or are very small and underpowered to demonstrate efficacy. Unlike any other software you've seen, Jitouch combines the capability of multi-touch and a character recognition system together to let you draw gestures anywhere, anytime on the trackpad without a need to first draw a "listening" gesture or use the other hand to press modifier keys. Jitouch also fulfills many missing functions for your Mac, for example, the middle click for the Trackpad and Magic Mouse, the full-screen maximizing function, arranging windows side by side just like Windows 7 but way faster, moving and resizing windows by grabbing anywhere on the window, showing desktop and Exposé gestures for the Magic Mouse, and much more.Ĭharacter Gestures is a new feature in Jitouch 2 that allows you to invoke commands by drawing an English letter or a simpler gesture such as up, right, up-right, etc. These thoughtfully designed gestures will enable you to perform frequent tasks more easily such as changing tabs in Web browsers, closing windows, minimizing windows, changing Spaces, and a lot more. ![]() Jitouch is an application that expands the set of Multi-Touch gestures for the new MacBook and the new Magic Mouse. ![]()
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