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Arkady Kotlyar

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Dr. of Physiology (Faculty of Medicine, Tel Aviv University, Ph.D.) and a Certified Acupuncture Practitioner (Dipl.Ac). An owner of the Clinic of Specialists in Integrative Medicine in Memory of Dr. Rosa Kotlyar, Rishon LeZion, Israel.

Practicing I-Ching Balance Acupuncture (ICBA), Auricular Acupuncture (Dr. P. Nogier) and Yamamoto New Scalp Acupuncture (YNSA - Dr. T. Yamamoto).
Supervisors: Prof. M. Eldar and Prof. N. Savion
Phone: +972545746978
Address: ראשון לציון, עין הקורא 10, קומה 8

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Trakya University

Gladson Ricardo Flor Bertolini

Morgana Da Silva

Universidade Federal do Pampa

Claire-Marie Rangon

Ceuma

Université Paris-Sorbonne (Paris IV)

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Videos by Arkady Kotlyar

ICBA Effect For Treatment of Paraplegia post-1st and 5th sessions.

I-Ching Balance Acupuncture (ICBA) effect in the treatment of paraplegia, post-1st, and 5th sessi... more I-Ching Balance Acupuncture (ICBA) effect in the treatment of paraplegia, post-1st, and 5th sessions. A 38-years old, white Caucasian patient suffered for 7 months from paraplegia, resulted from an L1 fracture. In addition, to the restoring ability to use legs, other L1 fracture caused symptoms, begun to improve, simultaneously, post-ICBA treatments.

2 views

Pre- And Immediately Post- Single ICBA Session In Treatment Of Acute LBP In A 62-y.o. Female.

Pre- and immediately post- I-Ching Balance Acupuncture (ICBA) 60 min session. ICBA was used to ba... more

2 views

Papers by Arkady Kotlyar

A combined Auriculotherapy and ICBA Hemorrhoids Treatment

How You Treat Hemorrhoids with Acupuncture and/or Chinese Herbs, in Your Practice, 2024

Dr. Nogier, this projection is located along the internal border where the inferior crus of the t... more Dr. Nogier, this projection is located along the internal border where the inferior crus of the triangular fossa intersects with the ascending helix, as illustrated in Figure 1. 1 This allowed for the detection and treatment of hemorrhoids by using Auriculotherapy. The auricular acupuncture point of inflamed hemorrhoids was identified using an increase in bio-impedance, observed in the auricular region corresponding to the anus. The diagnostics was performed using the vascular autonomic signal (VAS) and with electronic pen-detector "Suko", (China). The detector confirmed the VAS evaluation of bio-impedance and the subsequent treatment of hemorrhoids in the designated auricular area of the anus.

How Do You Treat Groin Pain in Adult Patients with Acupuncture

A Combined Groin Pain Treatment with Acupuncture Methods, 2024

Use of Dr. Tan's Chinese Balance Acupuncture for Treatment of Chronic Neck–Shoulder Pain

Medical Acupuncture, Apr 1, 2016

Introduction: Neck-shoulder pain is a common musculoskeletal problem that is often chronic or rec... more Introduction: Neck-shoulder pain is a common musculoskeletal problem that is often chronic or recurrent. The mechanism of the neck-shoulder pain musculoskeletal disorder is complicated, multifactorial, and sometimes unclear. Cases: Seven patients presented at an outpatient pain clinic, each with a chief complaint of chronic neckshoulder pain that these patients had had for various time periods. Intervention: The patients were treated with 45-minute sessions of Chinese Balance Acupuncture per the protocol of Richard Teh-Fu Tan, OMD, LAc. Main Outcome Measures: Pain intensity, pain duration, and quality of life (QoL) were measured during the treatment period, and the QoL was measured during the 3-month follow-up after three acupuncture sessions. Results: After the third session (1.5 weeks after the beginning of treatment), the patients reported complete dissipation of pain or significant reductions in pain intensity. There was also substantial improvement in QoL during the treatment period and during the 3-month follow-up. Conclusions: To date, this is the first case report on the effectiveness of Dr. Tan's Chinese Balance Acupuncture for treatment of chronic neck-shoulder pain. Studies to confirm the results of the present report are warranted.

How Do You TreatUpper Respiratory Infectionsin the Elderly in Your Practice?

by Arkady Kotlyar and Yolanda Garcia

Medical Acupuncture, Apr 1, 2017

U pper respiratory tract infection (URI) is a nonspecific term applied to describe rhinitis, sinu... more U pper respiratory tract infection (URI) is a nonspecific term applied to describe rhinitis, sinusitis, and tonsillopharyngitis. Rhinitis is the most common cause of physician visits. 1 Acute bacterial sinusitis develops in 0.5%-2% of viral URIs. 2 Acute pharyngitis accounts for 1%-2% of all visits to outpatient and emergency departments. 3 URIs in the elderly are not more common than in younger age groups, but morbidity and mortality are higher. 4 Influenza and respiratory syncytial viruses are the most common pathogens. Influenza and pneumococcal vaccines should be recommended in this age group (65 year and older). Rhinitis is inflammation of the nasal mucus membrane. The cause is usually viral; diagnosis is clinical. Treatment involves humidification of room air, sympathomimetic amines and antihistamines. Bacterial super infection may require antibiotics. In allergic rhinitis, the cause is exposure to pollens or other allergens. Diagnosis is by history and skin testing. When infection supervenes, it becomes an URI. Treatment involves antihistamines, decongestants, nasal corticosteroids, and, in refractory cases, desensitization. Sinusitis is the inflammation of the paranasal sinuses due to viral, bacterial, or fungal infections, and, in some cases, allergic reactions. Treatment is with decongestants, application of heat and humidity, and, in some cases, antibiotics. Recurrent sinusitis may need surgical drainage. Tonsillopharyngitis is the acute infection of the pharynx and/or tonsils. Diagnosis is clinical. The cause is viral or bacterial; treatment is symptomatic, and, in the case of group A beta hemolytic streptococci, antibiotics may be required. Although most cases of URI are due to viral infection, antibiotics continue to be prescribed, 5 leading to microbial resistance. Therapeutic efficacies of vitamin C, zinc salts and echinacea have not been established. URI in Chinese Medicine Pathogenic factors in Chinese Medicine in general are: Wind-This has a rapid onset, rapid changes in symptoms and signs, and symptoms move from place to place. Wind affects the Lung (External Wind) and the Liver (Internal Wind). Cold-This causes a clear discharge. Heat-This causes fever, sweating, thirst, a red tongue, and yellow discharges. Extreme Heat is Fire; this may cause bleeding. Toxic Heat refers to swelling, redness, pain, and pus. Dampness-This causes a feeling of heaviness and fullness, a sticky taste, and a sticky tongue coating. Dryness-This causes minimal sweating; dryness of the nose, throat, and mouth; and a dry tongue. Combination patterns are common. Only symptoms that are of significance in URIs are described here. Channels Influencing URIs Lungs open to the Nose. The Lung channel does not actually reach the Nose, but ''reaches'' through the Large Intestine channel. Other channels that have influence over this area are the Stomach channel, which connects with the Nose; the Bladder muscle channel, which reaches the Nose; the Governing Vessel, which runs down the nose; and the Conception Vessel, which runs through the throat. Treatment GV 14, LI 11, and SP 6 are used whenever infection is present. Medical Acupuncture is pleased to continue this regular feature, Clinical Pearls, which we have found to be very useful for, and practical to, the readership, and very popular. All of us are confronted with clinical challenges, especially when dealing with therapeutic strategies. We hope this ongoing collection of Clinical Pearls will be easily accessible and ready to put into action for the benefit of our patients, and even ourselves. How often do we ask our colleagues: ''How do you treat. ?'' This time, we posed the question: ''How do you treat upper respiratory infections in the elderly in your practice?'' Herein lie your contributions. We trust that our readership will continue to participate in this section by either asking the questions or supplying the ''Pearls.'' If you have a ''question'' you would like to see answered, please send it to our managing editor, Yael Ben

How Do You Treat Dupuytren's Contracture in Your Practice?

How Do You Treat Back Pain in Your Practice? Part 1

Medical Acupuncture, 2017

Minimally Invasive Surgical Treatment of Open Ductus Arteriosus in Premature Infants

Systematic Reviews in Pharmacy, 2020

Currently, the closure cap used:open surgery, endovascular occlusion and thoracoscopic clipping o... more Currently, the closure cap used:open surgery, endovascular occlusion and thoracoscopic clipping of OAD. A special group of children are immature, premature children who are on artificial ventilation associated with persistent fetal circulation. The study analyzed the medical history of 97 premature newborns with this heart defect, who were in the "Regional perinatal center"of Zhambyl region in the period 2014-2018. On the basis of complex clinical and instrumental studies, the newborns were divided into groups according to gestational age, weight and dependence on the features of the open arterial duct. The results of surgical treatment were analyzed, identified risk factors and possible complications. How to Cite this Article Pubmed Style KEMELBEKOV KANATZHAN, ZHUMABEKOV ZHARYLKAP, BEKTENOVA GULMIRA, BAIMAKHANOVA BAKHTYGUL, ASKAMBAY KULZINA, OSPANOVA ELMIRA, KUANDYKOV YERLAN, NAZIPA BEKTIBAYEVA, VENERA MAKHATOVA, ARKADY KOTLYAR. Minimally Invasive Surgical Treatment of ...

Patient-reported Satisfaction with Current Clinical Management of Systemic Lupus Erythematosus in Kazakhstan

Open Access Macedonian Journal of Medical Sciences, 2020

BACKGROUND: Over the past decades, patient satisfaction has been increasingly recognized as a pow... more BACKGROUND: Over the past decades, patient satisfaction has been increasingly recognized as a powerful tool to measure the quality of health-care services. AIM: This study evaluated the satisfaction of systemic lupus erythematosus (SLE) patients with current clinical management in Semey, East Kazakhstan, and explored the factors associated with dissatisfaction. METHODS: All adult SLE patients registered at health-care facilities of Semey were enrolled in a cross-sectional study. RESULTS: Out of 67 patients, 66 were females and their mean age was 39 years. Symptoms associated with the musculoskeletal system were the most commonly reported (95.5%), followed by fatigue (88.1%) and neurological symptoms (53.7%). None of the patients were very satisfied or satisfied with current clinical management and the overall rate of patient dissatisfaction was 83.6%. Education (p = 0.04), monthly income (p = 0.01), SLE disease activity index score (p = 0.031), therapy with biologic agents (p = 0.02...

Insulin-like growth factor I and II preserve myocardial structure in postinfarct swine

by Arkady Kotlyar and Naphtali Savion

Heart, 2001

Background-Insulin-like growth factors (IGF) I and II improve myocardial function after coronary ... more Background-Insulin-like growth factors (IGF) I and II improve myocardial function after coronary occlusion in diVerent animal models. Objectives-To investigate the mechanism of improved myocardial function after administration of IGF-I or IGF-II in acute myocardial infarction. Methods-Female pigs (mean (SD) weight 25 (5) kg) were subjected to acute myocardial infarction by microembolisation with 75-150 µm aYgel blue beads. The beads contained and slowly released 150 µg/pig of IGF-I (n = 6), IGF-II (n = 6), or pig albumin (n = 6). Echocardiography, perfusion imaging, and haemodynamic measurements were performed before infarction and during four weeks after infarction. Regional wall motion of diVerent left ventricular segments was scored semiquantitatively on the basis of a three point scoring system, from normal = 0 to dyskinesia = 3. Serum cardiac troponin I concentration was measured before, immediately after, and three hours after the infarct. Excised hearts were analysed for actin, desmin, blood vessel density, and DNA laddering within the infarct, border, and normal myocardial areas. Results-Myocardial function of the infarct related area improved significantly during the four weeks of follow up in both the IGF groups (p = 0.01). Myocardial perfusion, heart rate, and blood pressure were similar in all the animals during the study. Treated animals had lower serum cardiac troponin I concentration (p = 0.001), more actin in the border area (p = 0.01) and infarct area (p = 0.0001), and reduced DNA laddering in the infarct area compared with the controls (p < 0.05). IGF groups had more blood vessels in the border area (p = 0.04) and the infarct area (p = 0.003). Conclusions-Both types of IGF improved myocardial function and the improvement was associated with preservation of myocardial structure. IGF-I was more eVective than IGF-II.

Effect of basic fibroblast growth factor on left ventricular geometry in rats subjected to coronary occlusion and reperfusion

BACKGROUND Previous studies have demonstrated myocardial salvage by basic fibroblast growth facto... more BACKGROUND Previous studies have demonstrated myocardial salvage by basic fibroblast growth factor administration following chronic myocardial ischemia or acute myocardial infarction. OBJECTIVES To study the effect of bFGF on left ventricular morphometry following coronary occlusion and reperfusion episode in rats. METHODS bFGF (0.5 mg) or placebo was continuously administered for a period of one week using an implanted osmotic pump. Animals were sacrificed 6 weeks after surgery and myocardial cross-sections were stained with Massontrichrome and with anti-proliferating cell nuclear antigen antibody. RESULTS LV area, LV cavity diameter, LV cavity/wall thickness ratio, and injury size were unchanged compared with control animals. Proliferating endothelial cells were significantly more abundant in injured compared with normal myocardium, but with no differences between animals treated or not treated with bFGF. CONCLUSIONS One week of systemic bFGF administration following coronary occl...

Patient-reported Satisfaction with Current Clinical Management of Systemic Lupus Erythematosus in Kazakhstan

by Arkady Kotlyar and Natalya Glushkova

Patient-reported Satisfaction with Current Clinical Management of Systemic Lupus Erythematosus in Kazakhstan, 2020

BACKGROUND: Over the past decades, patient satisfaction has been increasingly recognized as a pow... more

Cardiovascular Diseases Risk Factors In Adolescents Of The East Kazakhstan Region: Urban-Rural Comparisons

Cardiovascular diseases risk factors in adolescents of the east Kazakhstan region: Urban-rural comparisons, 2016

Kazakhstan hold one of the first places in mortality statistics from cardiovascular diseases amon... more Kazakhstan hold one of the first places in mortality statistics from cardiovascular diseases among the countries of the European Union, Central and Eastern Europe and Central Asia regions. Early prevention and national screenings in childhood and adolescent ages become the urgent measure for healthy nations. This cross-sectional study was created to determine the behavior risk factors of cardiovascular diseases in adolescents in urban and rural regions the East Kazakhstan. The research process was realized at secondary schools in adolescents from 11 to 16 years, total number was 729, mean age 13.8±1.5 years. We found that overweight and obesity prevalence according to BMI was distributed among urban teenagers in 58.2%, and among rural in 13.7%. Unhealthy food behavior was spread from 37% to 86.5%. More than 52.8% of the adolescents eating the fast food > than 3 d/week, and average 40.8% of adolescents spend < than 1 h/day for physical activity. Every second adolescent daily spend for screen time ≥ 2 h/day. The prevalence of overweight and obesity is high in both genders and in both urban or rural area. This study findings should be take in account policy makers for developing next steps of screening programs and prophylactic measures.

Changes in provision of primary care in Kazakhstan following implementation of national healthcare programs.

Changes in provision of primary care in Kazakhstan following implementation of national healthcare programs. , 2020

Over the past decades of years’ general practitioners (GPs) became the front men of health care p... more Over the past decades of years’ general practitioners (GPs) became the front men of health care provision in Kazakhstan. The country’s government is committed to increasing availability of GPs with a focus on teaching of critically thinking professionals capable to maintain the level of care envisaged by international standards. This study aimed at provision of descriptive analysis on distribution of GPs in South Kazakhstan region in comparison with the whole country and to describe the basic health indicators in relation to the manpower available. This was a retrospective cross-sectional study, which was based on the data obtained from the Registry of medical manpower established by the Observatory of manpower resources in health care. There was an insignificant variation in the proportion of GPs out of all medical professionals between South Kazakhstan region and the whole country. Regionally, the supply of GPs grew abruptly from 4.76 per 10,000 populations in 2015 to 7.37 per 10,000 populations in 2016. This growth was also established at the national level and ranged from 4.56 per 10,000 populations in 2015 to 4.72 per 10,000 populations in 2016. In response to increasing supply of GPs, the decreasing rates of all-cause mortality, declining numbers of heart and infant deaths were observed both regionally and nationally. Increasing GPs supply is generally associated with many favorable outcomes related to population health. There is a need to conduct longitudinal studies in order to reveal effects produced by increased GPs supply on health indicators of Kazakhstani population

Minimally Invasive Surgical Treatment of Open Ductus Arteriosus in Premature Infants

by Arkady Kotlyar and Kemelbekov Kanatzhan

Minimally Invasive Surgical Treatment of Open Ductus Arteriosus in Premature Infants, 2020

Currently, the closure cap used:open surgery, endovascular occlusion and thoracoscopic clipping o... more Currently, the closure cap used:open surgery, endovascular occlusion and thoracoscopic clipping of OAD. A special group of children are immature, premature children who are on artificial ventilation associated with persistent fetal circulation. The study analyzed the medical history of 97 premature newborns with this heart defect, who were in the "Regional perinatal center"of Zhambyl region in the period 2014-2018. On the basis of complex clinical and instrumental studies, the newborns were divided into groups according to gestational age, weight and dependence on the features of the open arterial duct. The results of surgical treatment were analyzed, identified risk factors and possible complications.

ICBA Treatment of Chronic Un-healing Lesion in a Femoral DVT Patient-A Hypothesis of the Mechanism of Action

ICBA Treatment of Chronic Un-healing Lesion in a Femoral DVT Patient-A Hypothesis of the Mechanism of Action, Jun 16, 2019

Introduction: DVT is a major, preventable cause of death worldwide. Ultrasound (US) is universall... more Introduction: DVT is a major, preventable cause of death worldwide. Ultrasound (US) is universally accepted as the first-line imaging procedure for DVT diagnosis.

Case presentation: Three years ago, a 59-years-old patient detected a painless lesion above the right
lateral malleolus. After starting to feel strong, right femoral pain, the patient sought treatment at a
community health medical organization (HMO) and was urgently referred to a hospitalization. During a
5-day hospitalization, the patient was diagnosed to suffer from right femoral DVT, according to the venous
Doppler US results. The patient was treated with clot-dissolving drugs. Upon discharge from the hospital,
the patient was instructed to continue a clot-dissolving drug and to followed-up in an HMO. The patient
was instructed to wear an elastic compression stocking on his right leg, and prescribed analgesic and oral
antibiotics and. Non-healing of lesion and pain continued for about three years after initial treatment.
Since the lesion failed to heal and the pain did not dissipate, the patient decided to attempt acupuncture
treatment.

Methods: The patient was treated with 12 sessions I Ching Balance Acupuncture (ICBA) and followed up
for the next six months.

Results: Lesion healing setup began during the 1st ICBA session. Following the 3rd session, the patient
stopped consuming the analgesic. Complete lesion healing occurred after 12 ICBA sessions and persisted
throughout the follow-up period.

Conclusion: ICBA treatment successfully affected the setup of the healing process of an unhealing lesion.
Additional large-scale studies are necessary to validate the efficacy of ICBA in thrombosis.

Clinical Example of I-Ching Balance Acupuncture (ICBA) Treatment for BMS, Med Acu. 2019. CPL 53-54.pdf

How Do You Treat Burning Mouth Syndrome in Your Practice? Clinical Example of I-Ching Balance Acupuncture (ICBA) Treatment for BMS, 2019

I Ching Balance Acupuncture Treatment of Migraines, Insomnia, and Depression in a Post-Ovariectomy Patient Receiving Hormone Replacement Therapy

Introduction: Surgical menopause is associated with symptoms that can affect a woman's quality of... more Introduction: Surgical menopause is associated with symptoms that can affect a woman's quality of life (QoL) significantly. These symptoms include migraines, insomnia, and depression. Case: A 45-year-old Caucasian female presented at an acupuncture clinic. Fourteen years prior, she had been diagnosed with ovarian carcinoma, underwent ovariectomy, and was prescribed hormone replacement therapy. Deteriorating QoL caused her to seek acupuncture for migraines, insomnia, and depression. The outcomes sought for treatment of this case included intensity, duration, and frequency of migraines, insomnia, and depression, as well as her QoL. The outcome measures were estimated monthly throughout her treatment. Each was rated on a numeric scale of 0–10 (0 = ''the lowest possible'' and 10 = ''the worst imaginable''). At baseline, the patient rated the intensity, duration, and frequency of each complaint as 10. She was treated with 60-minute, I Ching Balance Acupuncture (ICBA) sessions once per week for 7 months. Results: This acupuncture treatment did not cause any adverse events, pain, or discomfort. Her migraines, insomnia, and depression decreased to a great extent. In addition, this patient reported considerable improvement in her QoL. The improvement in her QoL was inversely related to the intensity, duration, and frequency of her complaints throughout her acupuncture treatment. Conclusions: This patient reported a considerable improvement in all the outcome measures. She completed the treatment after experiencing great improvement in her QoL. Additional, larger-scale studies are warranted to investigate the effects of ICBA.

Treatment of Facial Pain with I Ching Balance Acupuncture

Background: Trigeminal neuralgia (TN) is the most common cranial neuralgia in adults, with a slig... more Background: Trigeminal neuralgia (TN) is the most common cranial neuralgia in adults, with a slightly higher incidence in women than in men. This chronic pain condition affects the trigeminal nerve, also known as the 5th cranial nerve. It is one of the most deeply distributed nerves in the head. Antiseizure drugs are the main biomedical treatment of TN. However, TN is not the only source of facial pain. Background persistent idiopathic facial pain (PIFP) is also a chronic disorder, recurring daily for more than 2 hours per day over more than 3 months. PIFP occurs in the absence of a neurologic deficit. The underlying pathophysiologies of TN and PIFP are still unknown, and treatment options have not been sufficiently evaluated. Nevertheless, neuropathic mechanisms could be relevant in both TN and PIFP. Cases: A 65-year-old Caucasian female with left facial pain was diagnosed by a neurologist with TN *2.5 years prior to seeking acupuncture treatment. A 42-year-old Caucasian female with left and right facial pain was diagnosed by a neurologist with PIFP *3 years prior to commencing acupuncture treatment. The cause of facial pain was treated with 60-minute sessions of I Ching Balance Acupuncture (ICBA) twice per week. Prior to each session, the effect of the previous session was recorded carefully in the patients' files. Results: A complete dissipation of pain was achieved after 29 and 60 ICBA sessions in the TN and the PIFP patient, respectively. Conclusions: The present article is the one of the first to demonstrate the efficacy of ICBA treatment for refractory facial pain. As the present article shows, ICBA treatment affects facial pain of different types successfully. However, additional larger-scale studies are necessary to validate the efficacy of ICBA in TN and PIFP treatment.

ICBA Effect For Treatment of Paraplegia post-1st and 5th sessions.

I-Ching Balance Acupuncture (ICBA) effect in the treatment of paraplegia, post-1st, and 5th sessi... more I-Ching Balance Acupuncture (ICBA) effect in the treatment of paraplegia, post-1st, and 5th sessions. A 38-years old, white Caucasian patient suffered for 7 months from paraplegia, resulted from an L1 fracture. In addition, to the restoring ability to use legs, other L1 fracture caused symptoms, begun to improve, simultaneously, post-ICBA treatments.

2 views

Pre- And Immediately Post- Single ICBA Session In Treatment Of Acute LBP In A 62-y.o. Female.

Pre- and immediately post- I-Ching Balance Acupuncture (ICBA) 60 min session. ICBA was used to ba... more

2 views

A combined Auriculotherapy and ICBA Hemorrhoids Treatment

How You Treat Hemorrhoids with Acupuncture and/or Chinese Herbs, in Your Practice, 2024

Dr. Nogier, this projection is located along the internal border where the inferior crus of the t... more Dr. Nogier, this projection is located along the internal border where the inferior crus of the triangular fossa intersects with the ascending helix, as illustrated in Figure 1. 1 This allowed for the detection and treatment of hemorrhoids by using Auriculotherapy. The auricular acupuncture point of inflamed hemorrhoids was identified using an increase in bio-impedance, observed in the auricular region corresponding to the anus. The diagnostics was performed using the vascular autonomic signal (VAS) and with electronic pen-detector "Suko", (China). The detector confirmed the VAS evaluation of bio-impedance and the subsequent treatment of hemorrhoids in the designated auricular area of the anus.

How Do You Treat Groin Pain in Adult Patients with Acupuncture

A Combined Groin Pain Treatment with Acupuncture Methods, 2024

Use of Dr. Tan's Chinese Balance Acupuncture for Treatment of Chronic Neck–Shoulder Pain

Medical Acupuncture, Apr 1, 2016

Introduction: Neck-shoulder pain is a common musculoskeletal problem that is often chronic or rec... more Introduction: Neck-shoulder pain is a common musculoskeletal problem that is often chronic or recurrent. The mechanism of the neck-shoulder pain musculoskeletal disorder is complicated, multifactorial, and sometimes unclear. Cases: Seven patients presented at an outpatient pain clinic, each with a chief complaint of chronic neckshoulder pain that these patients had had for various time periods. Intervention: The patients were treated with 45-minute sessions of Chinese Balance Acupuncture per the protocol of Richard Teh-Fu Tan, OMD, LAc. Main Outcome Measures: Pain intensity, pain duration, and quality of life (QoL) were measured during the treatment period, and the QoL was measured during the 3-month follow-up after three acupuncture sessions. Results: After the third session (1.5 weeks after the beginning of treatment), the patients reported complete dissipation of pain or significant reductions in pain intensity. There was also substantial improvement in QoL during the treatment period and during the 3-month follow-up. Conclusions: To date, this is the first case report on the effectiveness of Dr. Tan's Chinese Balance Acupuncture for treatment of chronic neck-shoulder pain. Studies to confirm the results of the present report are warranted.

How Do You TreatUpper Respiratory Infectionsin the Elderly in Your Practice?

by Arkady Kotlyar and Yolanda Garcia

Medical Acupuncture, Apr 1, 2017

U pper respiratory tract infection (URI) is a nonspecific term applied to describe rhinitis, sinu... more U pper respiratory tract infection (URI) is a nonspecific term applied to describe rhinitis, sinusitis, and tonsillopharyngitis. Rhinitis is the most common cause of physician visits. 1 Acute bacterial sinusitis develops in 0.5%-2% of viral URIs. 2 Acute pharyngitis accounts for 1%-2% of all visits to outpatient and emergency departments. 3 URIs in the elderly are not more common than in younger age groups, but morbidity and mortality are higher. 4 Influenza and respiratory syncytial viruses are the most common pathogens. Influenza and pneumococcal vaccines should be recommended in this age group (65 year and older). Rhinitis is inflammation of the nasal mucus membrane. The cause is usually viral; diagnosis is clinical. Treatment involves humidification of room air, sympathomimetic amines and antihistamines. Bacterial super infection may require antibiotics. In allergic rhinitis, the cause is exposure to pollens or other allergens. Diagnosis is by history and skin testing. When infection supervenes, it becomes an URI. Treatment involves antihistamines, decongestants, nasal corticosteroids, and, in refractory cases, desensitization. Sinusitis is the inflammation of the paranasal sinuses due to viral, bacterial, or fungal infections, and, in some cases, allergic reactions. Treatment is with decongestants, application of heat and humidity, and, in some cases, antibiotics. Recurrent sinusitis may need surgical drainage. Tonsillopharyngitis is the acute infection of the pharynx and/or tonsils. Diagnosis is clinical. The cause is viral or bacterial; treatment is symptomatic, and, in the case of group A beta hemolytic streptococci, antibiotics may be required. Although most cases of URI are due to viral infection, antibiotics continue to be prescribed, 5 leading to microbial resistance. Therapeutic efficacies of vitamin C, zinc salts and echinacea have not been established. URI in Chinese Medicine Pathogenic factors in Chinese Medicine in general are: Wind-This has a rapid onset, rapid changes in symptoms and signs, and symptoms move from place to place. Wind affects the Lung (External Wind) and the Liver (Internal Wind). Cold-This causes a clear discharge. Heat-This causes fever, sweating, thirst, a red tongue, and yellow discharges. Extreme Heat is Fire; this may cause bleeding. Toxic Heat refers to swelling, redness, pain, and pus. Dampness-This causes a feeling of heaviness and fullness, a sticky taste, and a sticky tongue coating. Dryness-This causes minimal sweating; dryness of the nose, throat, and mouth; and a dry tongue. Combination patterns are common. Only symptoms that are of significance in URIs are described here. Channels Influencing URIs Lungs open to the Nose. The Lung channel does not actually reach the Nose, but ''reaches'' through the Large Intestine channel. Other channels that have influence over this area are the Stomach channel, which connects with the Nose; the Bladder muscle channel, which reaches the Nose; the Governing Vessel, which runs down the nose; and the Conception Vessel, which runs through the throat. Treatment GV 14, LI 11, and SP 6 are used whenever infection is present. Medical Acupuncture is pleased to continue this regular feature, Clinical Pearls, which we have found to be very useful for, and practical to, the readership, and very popular. All of us are confronted with clinical challenges, especially when dealing with therapeutic strategies. We hope this ongoing collection of Clinical Pearls will be easily accessible and ready to put into action for the benefit of our patients, and even ourselves. How often do we ask our colleagues: ''How do you treat. ?'' This time, we posed the question: ''How do you treat upper respiratory infections in the elderly in your practice?'' Herein lie your contributions. We trust that our readership will continue to participate in this section by either asking the questions or supplying the ''Pearls.'' If you have a ''question'' you would like to see answered, please send it to our managing editor, Yael Ben

How Do You Treat Dupuytren's Contracture in Your Practice?

How Do You Treat Back Pain in Your Practice? Part 1

Medical Acupuncture, 2017

Minimally Invasive Surgical Treatment of Open Ductus Arteriosus in Premature Infants

Systematic Reviews in Pharmacy, 2020

Currently, the closure cap used:open surgery, endovascular occlusion and thoracoscopic clipping o... more Currently, the closure cap used:open surgery, endovascular occlusion and thoracoscopic clipping of OAD. A special group of children are immature, premature children who are on artificial ventilation associated with persistent fetal circulation. The study analyzed the medical history of 97 premature newborns with this heart defect, who were in the "Regional perinatal center"of Zhambyl region in the period 2014-2018. On the basis of complex clinical and instrumental studies, the newborns were divided into groups according to gestational age, weight and dependence on the features of the open arterial duct. The results of surgical treatment were analyzed, identified risk factors and possible complications. How to Cite this Article Pubmed Style KEMELBEKOV KANATZHAN, ZHUMABEKOV ZHARYLKAP, BEKTENOVA GULMIRA, BAIMAKHANOVA BAKHTYGUL, ASKAMBAY KULZINA, OSPANOVA ELMIRA, KUANDYKOV YERLAN, NAZIPA BEKTIBAYEVA, VENERA MAKHATOVA, ARKADY KOTLYAR. Minimally Invasive Surgical Treatment of ...

Patient-reported Satisfaction with Current Clinical Management of Systemic Lupus Erythematosus in Kazakhstan

Open Access Macedonian Journal of Medical Sciences, 2020

BACKGROUND: Over the past decades, patient satisfaction has been increasingly recognized as a pow... more BACKGROUND: Over the past decades, patient satisfaction has been increasingly recognized as a powerful tool to measure the quality of health-care services. AIM: This study evaluated the satisfaction of systemic lupus erythematosus (SLE) patients with current clinical management in Semey, East Kazakhstan, and explored the factors associated with dissatisfaction. METHODS: All adult SLE patients registered at health-care facilities of Semey were enrolled in a cross-sectional study. RESULTS: Out of 67 patients, 66 were females and their mean age was 39 years. Symptoms associated with the musculoskeletal system were the most commonly reported (95.5%), followed by fatigue (88.1%) and neurological symptoms (53.7%). None of the patients were very satisfied or satisfied with current clinical management and the overall rate of patient dissatisfaction was 83.6%. Education (p = 0.04), monthly income (p = 0.01), SLE disease activity index score (p = 0.031), therapy with biologic agents (p = 0.02...

Insulin-like growth factor I and II preserve myocardial structure in postinfarct swine

by Arkady Kotlyar and Naphtali Savion

Heart, 2001

Background-Insulin-like growth factors (IGF) I and II improve myocardial function after coronary ... more Background-Insulin-like growth factors (IGF) I and II improve myocardial function after coronary occlusion in diVerent animal models. Objectives-To investigate the mechanism of improved myocardial function after administration of IGF-I or IGF-II in acute myocardial infarction. Methods-Female pigs (mean (SD) weight 25 (5) kg) were subjected to acute myocardial infarction by microembolisation with 75-150 µm aYgel blue beads. The beads contained and slowly released 150 µg/pig of IGF-I (n = 6), IGF-II (n = 6), or pig albumin (n = 6). Echocardiography, perfusion imaging, and haemodynamic measurements were performed before infarction and during four weeks after infarction. Regional wall motion of diVerent left ventricular segments was scored semiquantitatively on the basis of a three point scoring system, from normal = 0 to dyskinesia = 3. Serum cardiac troponin I concentration was measured before, immediately after, and three hours after the infarct. Excised hearts were analysed for actin, desmin, blood vessel density, and DNA laddering within the infarct, border, and normal myocardial areas. Results-Myocardial function of the infarct related area improved significantly during the four weeks of follow up in both the IGF groups (p = 0.01). Myocardial perfusion, heart rate, and blood pressure were similar in all the animals during the study. Treated animals had lower serum cardiac troponin I concentration (p = 0.001), more actin in the border area (p = 0.01) and infarct area (p = 0.0001), and reduced DNA laddering in the infarct area compared with the controls (p < 0.05). IGF groups had more blood vessels in the border area (p = 0.04) and the infarct area (p = 0.003). Conclusions-Both types of IGF improved myocardial function and the improvement was associated with preservation of myocardial structure. IGF-I was more eVective than IGF-II.

Effect of basic fibroblast growth factor on left ventricular geometry in rats subjected to coronary occlusion and reperfusion

BACKGROUND Previous studies have demonstrated myocardial salvage by basic fibroblast growth facto... more BACKGROUND Previous studies have demonstrated myocardial salvage by basic fibroblast growth factor administration following chronic myocardial ischemia or acute myocardial infarction. OBJECTIVES To study the effect of bFGF on left ventricular morphometry following coronary occlusion and reperfusion episode in rats. METHODS bFGF (0.5 mg) or placebo was continuously administered for a period of one week using an implanted osmotic pump. Animals were sacrificed 6 weeks after surgery and myocardial cross-sections were stained with Massontrichrome and with anti-proliferating cell nuclear antigen antibody. RESULTS LV area, LV cavity diameter, LV cavity/wall thickness ratio, and injury size were unchanged compared with control animals. Proliferating endothelial cells were significantly more abundant in injured compared with normal myocardium, but with no differences between animals treated or not treated with bFGF. CONCLUSIONS One week of systemic bFGF administration following coronary occl...

Patient-reported Satisfaction with Current Clinical Management of Systemic Lupus Erythematosus in Kazakhstan

by Arkady Kotlyar and Natalya Glushkova

Patient-reported Satisfaction with Current Clinical Management of Systemic Lupus Erythematosus in Kazakhstan, 2020

BACKGROUND: Over the past decades, patient satisfaction has been increasingly recognized as a pow... more

Cardiovascular Diseases Risk Factors In Adolescents Of The East Kazakhstan Region: Urban-Rural Comparisons

Cardiovascular diseases risk factors in adolescents of the east Kazakhstan region: Urban-rural comparisons, 2016

Kazakhstan hold one of the first places in mortality statistics from cardiovascular diseases amon... more Kazakhstan hold one of the first places in mortality statistics from cardiovascular diseases among the countries of the European Union, Central and Eastern Europe and Central Asia regions. Early prevention and national screenings in childhood and adolescent ages become the urgent measure for healthy nations. This cross-sectional study was created to determine the behavior risk factors of cardiovascular diseases in adolescents in urban and rural regions the East Kazakhstan. The research process was realized at secondary schools in adolescents from 11 to 16 years, total number was 729, mean age 13.8±1.5 years. We found that overweight and obesity prevalence according to BMI was distributed among urban teenagers in 58.2%, and among rural in 13.7%. Unhealthy food behavior was spread from 37% to 86.5%. More than 52.8% of the adolescents eating the fast food > than 3 d/week, and average 40.8% of adolescents spend < than 1 h/day for physical activity. Every second adolescent daily spend for screen time ≥ 2 h/day. The prevalence of overweight and obesity is high in both genders and in both urban or rural area. This study findings should be take in account policy makers for developing next steps of screening programs and prophylactic measures.

Changes in provision of primary care in Kazakhstan following implementation of national healthcare programs.

Changes in provision of primary care in Kazakhstan following implementation of national healthcare programs. , 2020

Over the past decades of years’ general practitioners (GPs) became the front men of health care p... more Over the past decades of years’ general practitioners (GPs) became the front men of health care provision in Kazakhstan. The country’s government is committed to increasing availability of GPs with a focus on teaching of critically thinking professionals capable to maintain the level of care envisaged by international standards. This study aimed at provision of descriptive analysis on distribution of GPs in South Kazakhstan region in comparison with the whole country and to describe the basic health indicators in relation to the manpower available. This was a retrospective cross-sectional study, which was based on the data obtained from the Registry of medical manpower established by the Observatory of manpower resources in health care. There was an insignificant variation in the proportion of GPs out of all medical professionals between South Kazakhstan region and the whole country. Regionally, the supply of GPs grew abruptly from 4.76 per 10,000 populations in 2015 to 7.37 per 10,000 populations in 2016. This growth was also established at the national level and ranged from 4.56 per 10,000 populations in 2015 to 4.72 per 10,000 populations in 2016. In response to increasing supply of GPs, the decreasing rates of all-cause mortality, declining numbers of heart and infant deaths were observed both regionally and nationally. Increasing GPs supply is generally associated with many favorable outcomes related to population health. There is a need to conduct longitudinal studies in order to reveal effects produced by increased GPs supply on health indicators of Kazakhstani population

Minimally Invasive Surgical Treatment of Open Ductus Arteriosus in Premature Infants

by Arkady Kotlyar and Kemelbekov Kanatzhan

Minimally Invasive Surgical Treatment of Open Ductus Arteriosus in Premature Infants, 2020

Currently, the closure cap used:open surgery, endovascular occlusion and thoracoscopic clipping o... more Currently, the closure cap used:open surgery, endovascular occlusion and thoracoscopic clipping of OAD. A special group of children are immature, premature children who are on artificial ventilation associated with persistent fetal circulation. The study analyzed the medical history of 97 premature newborns with this heart defect, who were in the "Regional perinatal center"of Zhambyl region in the period 2014-2018. On the basis of complex clinical and instrumental studies, the newborns were divided into groups according to gestational age, weight and dependence on the features of the open arterial duct. The results of surgical treatment were analyzed, identified risk factors and possible complications.

ICBA Treatment of Chronic Un-healing Lesion in a Femoral DVT Patient-A Hypothesis of the Mechanism of Action

ICBA Treatment of Chronic Un-healing Lesion in a Femoral DVT Patient-A Hypothesis of the Mechanism of Action, Jun 16, 2019

Introduction: DVT is a major, preventable cause of death worldwide. Ultrasound (US) is universall... more Introduction: DVT is a major, preventable cause of death worldwide. Ultrasound (US) is universally accepted as the first-line imaging procedure for DVT diagnosis.

Case presentation: Three years ago, a 59-years-old patient detected a painless lesion above the right
lateral malleolus. After starting to feel strong, right femoral pain, the patient sought treatment at a
community health medical organization (HMO) and was urgently referred to a hospitalization. During a
5-day hospitalization, the patient was diagnosed to suffer from right femoral DVT, according to the venous
Doppler US results. The patient was treated with clot-dissolving drugs. Upon discharge from the hospital,
the patient was instructed to continue a clot-dissolving drug and to followed-up in an HMO. The patient
was instructed to wear an elastic compression stocking on his right leg, and prescribed analgesic and oral
antibiotics and. Non-healing of lesion and pain continued for about three years after initial treatment.
Since the lesion failed to heal and the pain did not dissipate, the patient decided to attempt acupuncture
treatment.

Methods: The patient was treated with 12 sessions I Ching Balance Acupuncture (ICBA) and followed up
for the next six months.

Results: Lesion healing setup began during the 1st ICBA session. Following the 3rd session, the patient
stopped consuming the analgesic. Complete lesion healing occurred after 12 ICBA sessions and persisted
throughout the follow-up period.

Conclusion: ICBA treatment successfully affected the setup of the healing process of an unhealing lesion.
Additional large-scale studies are necessary to validate the efficacy of ICBA in thrombosis.

Clinical Example of I-Ching Balance Acupuncture (ICBA) Treatment for BMS, Med Acu. 2019. CPL 53-54.pdf

How Do You Treat Burning Mouth Syndrome in Your Practice? Clinical Example of I-Ching Balance Acupuncture (ICBA) Treatment for BMS, 2019

I Ching Balance Acupuncture Treatment of Migraines, Insomnia, and Depression in a Post-Ovariectomy Patient Receiving Hormone Replacement Therapy

Introduction: Surgical menopause is associated with symptoms that can affect a woman's quality of... more Introduction: Surgical menopause is associated with symptoms that can affect a woman's quality of life (QoL) significantly. These symptoms include migraines, insomnia, and depression. Case: A 45-year-old Caucasian female presented at an acupuncture clinic. Fourteen years prior, she had been diagnosed with ovarian carcinoma, underwent ovariectomy, and was prescribed hormone replacement therapy. Deteriorating QoL caused her to seek acupuncture for migraines, insomnia, and depression. The outcomes sought for treatment of this case included intensity, duration, and frequency of migraines, insomnia, and depression, as well as her QoL. The outcome measures were estimated monthly throughout her treatment. Each was rated on a numeric scale of 0–10 (0 = ''the lowest possible'' and 10 = ''the worst imaginable''). At baseline, the patient rated the intensity, duration, and frequency of each complaint as 10. She was treated with 60-minute, I Ching Balance Acupuncture (ICBA) sessions once per week for 7 months. Results: This acupuncture treatment did not cause any adverse events, pain, or discomfort. Her migraines, insomnia, and depression decreased to a great extent. In addition, this patient reported considerable improvement in her QoL. The improvement in her QoL was inversely related to the intensity, duration, and frequency of her complaints throughout her acupuncture treatment. Conclusions: This patient reported a considerable improvement in all the outcome measures. She completed the treatment after experiencing great improvement in her QoL. Additional, larger-scale studies are warranted to investigate the effects of ICBA.

Treatment of Facial Pain with I Ching Balance Acupuncture

Background: Trigeminal neuralgia (TN) is the most common cranial neuralgia in adults, with a slig... more Background: Trigeminal neuralgia (TN) is the most common cranial neuralgia in adults, with a slightly higher incidence in women than in men. This chronic pain condition affects the trigeminal nerve, also known as the 5th cranial nerve. It is one of the most deeply distributed nerves in the head. Antiseizure drugs are the main biomedical treatment of TN. However, TN is not the only source of facial pain. Background persistent idiopathic facial pain (PIFP) is also a chronic disorder, recurring daily for more than 2 hours per day over more than 3 months. PIFP occurs in the absence of a neurologic deficit. The underlying pathophysiologies of TN and PIFP are still unknown, and treatment options have not been sufficiently evaluated. Nevertheless, neuropathic mechanisms could be relevant in both TN and PIFP. Cases: A 65-year-old Caucasian female with left facial pain was diagnosed by a neurologist with TN *2.5 years prior to seeking acupuncture treatment. A 42-year-old Caucasian female with left and right facial pain was diagnosed by a neurologist with PIFP *3 years prior to commencing acupuncture treatment. The cause of facial pain was treated with 60-minute sessions of I Ching Balance Acupuncture (ICBA) twice per week. Prior to each session, the effect of the previous session was recorded carefully in the patients' files. Results: A complete dissipation of pain was achieved after 29 and 60 ICBA sessions in the TN and the PIFP patient, respectively. Conclusions: The present article is the one of the first to demonstrate the efficacy of ICBA treatment for refractory facial pain. As the present article shows, ICBA treatment affects facial pain of different types successfully. However, additional larger-scale studies are necessary to validate the efficacy of ICBA in TN and PIFP treatment.

How Do You Treat Back Pain In Your Practice. Part 1. Medical Acupuncture.pdf

Straightforwardness, Universality, and Effectiveness of the Balance Method of I Ching Acupuncture

Introduction: Acupuncture has been a branch of Traditional Chinese Medicine for almost 5000 years... more Introduction: Acupuncture has been a branch of Traditional Chinese Medicine for almost 5000 years. Since being established, acupuncture has had a long course of development and changes. Following a recommendation from the World Health Organization Consultation on Acupuncture, in 1996, ''Acupuncture: Review and Analysis of Reports on Controlled Clinical Trials'' was published in 2002. The Balance Method of I Ching Acupuncture is fully based on the I Ching (Yi Jing, or Book of Changes) and is subordinate to meridian theory. This ancient method relies on interrelations among the acupuncture meridians and enables effective acupuncture treatment. Discussion: The effect of the Balance Method of I Ching Acupuncture on a limited number of disorders is reviewed. The same effectiveness of this method is expected for a vast majority of disorders. To ascertain the effectiveness of acupuncture in general, and of the Balance Method of I Ching Acupuncture in particular, large studies should be performed. Conclusions: According to a large volume of clinical data obtained by practitioners of the Balance Method of I Ching Acupuncture, it appears to be a very straightforward, universal, and effective method. Additional meticulous research is required to investigate and reaffirm the consistency and therapeutic value of this method.

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YNSA - presentation.ppsx

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