Advanced Clinical Naturopathic Medicine PDF
Preview Advanced Clinical Naturopathic Medicine
Advanced Clinical Naturopathic Medicine Leah Hechtman MSci Med(RHHG), BHSc(Nat), ND, FNHAA Director, The Natural Health and Fertility Centre, Sydney, Australia Table of Contents Instructions for online access Cover image Title Page Copyright Acknowledgments Preface About the Author List of Contributors 1 Global naturopathic medicine Global scope of naturopathic medicine Global health governance: the World Health Organisation Global representation: the World Naturopathic Federation A global profession – similarities and differences References 2 Environmental medicine History-taking Who is susceptible? Environmental triggers of disease Toxicants Electromagnetic fields Allergens References 3 Chelation Description History Chelating agents Chelatable toxicants Assessment of toxic metals Challenge testing Side effects References 4 Detoxification Introduction/overview Toxins/toxicants Assessment of toxins/toxicants Organs involved in toxin elimination Detoxification strategies References 5 Naturopathic hydrotherapy Introduction Modern naturopathic hydrotherapy Hydrotherapy and its connection to modern naturopathic clinical theory The effects of water on tissues and systems General guidelines for administering hydrotherapy Contraindications, cautions and dysfunctional reactions Commonly prescribed naturopathic hydrotherapy treatments Evidence supporting therapeutic uses of water Acknowledgments References 6 The microbiome Overview The dermatological microbiota The nasopharyngeal microbiota The oral microbiota The breastmilk microbiota The vaginal microbiota The gastrointestinal microbiota References 7 Methylation Introduction Developmental and evolutionary origins Chemistry and biochemistry of the methyl group Revision of key biochemical structures Revision of basic molecular biology Methylation and mitochondria Transcription and translation Protein synthesis Protein methylation and post-translational modification Epigenetics, methylation and gene expression Metabolic pathways Altered methylation patterns: hypomethylation and hypermethylation Beyond genetics: methylation and our broader physiology Key nutrients Methylation deficits and associated conditions Special topics Laboratory assessment of methylation Therapeutics and prescriptions References 8 Genetics and epigenetics The ‘omics’ revolution Regulation of genetic screening Introduction to DNA and gene expression The role of genetic testing in healthcare Putting it all together References 9 Mind–body medicine Introduction Biomedicine Mind–body medicine Mind–body therapeutics References 10 Sports naturopathy Introduction Exercise physiology Energy requirements Carbohydrates Protein Fats Fuelling for training and recovery Hydration and dehydration Fuelling for competitions and race day Drugs in sport Evidence-based supplements Working with sports clients References 11 Fertility – Female and male Epidemiology Classification References Appendix 11.1 Fertility chart Appendix 11.2 Timeline of embryonic development Appendix 11.3 hCG interpretation Appendix 11.4 General IVF protocol Appendix 11.5 WHO criteria – semen analysis Appendix 11.6 WHO Guidelines for Semen Analysis (2010, 5th edition) 12 Miscarriage Overview and definition Statistics Risk of miscarriage by number of weeks of gestation of pregnancy Risk of miscarriage by maternal age Fetal heart rate as miscarriage risk determinant Aetiology of miscarriages Treatment approaches Therapeutic rationale for botanical medicines Nutritional medicine (dietary) Therapeutic rationale for nutritional medicines References 13 Pregnancy and labour Introduction Epidemiology Models of antenatal care The role of the naturopath Modes of delivery Emotional and psychological wellbeing Epigenetics and the origins of disease Safety issues in pregnancy Nutritional assessment Weight in pregnancy Nutritional Medicine – Dietary Nutritional Medicine – Supplementation Trimester 1 Trimester 2 Third trimester Labour and childbirth Fourth trimester: the postnatal period The pregnancy care plan References Appendix 13.1 Tools to assess NVP Appendix 13.2 Edinburgh Postnatal Depression Scale (EPDS) 14 Breastfeeding Introduction The World Health Organization recommendations for breastfeeding Historical context Breastfeeding: barriers and enablers Working with new mothers – the role of the naturopath Functions of breastfeeding Nutritional considerations for the breastfeeding mother The breast milk microbiome Anatomy and physiology of lactation Breastfeeding initiation Breastfeeding support Common breastfeeding challenges Medications/drugs and breastfeeding Breastfeeding and HIV Maternal infant sleep and breastfeeding Conclusion References 15 Infancy Introduction Good referral practice The fourth trimester: the newborn 0–3 months Arrival Growth and development Shaping the early intestinal microbiota Infant gastrointestinal development Nutritional requirements 0–12 months Introduction of solids Naturopathic management of common infantile presentations Common infantile presentations References 16 Paediatrics and adolescence Introduction Dosage calculations Growth and developmental nutrition – 12–36 months – the toddler Nutritional requirements – 12–36 months – the toddler Growth and developmental nutrition – middle childhood – 36 months–10 years Nutritional requirements – middle childhood – 36 months–10 years Growth and developmental nutrition – adolescence – 10 years and older Nutritional requirements – adolescence – 10 years and older Specific conditions Environmental chemicals and paediatric and adolescent health References Appendix 16.1 Dietary planning Appendix 16.2 Essential oils 17 Geriatrics Introduction Epidemiology Ageing Assessment Geriatric syndromes Pharmacokinetics, polypharmacy and posology Diet and nutritional issues References 18 Autism spectrum disorder (ASD) Epidemiology Overview
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