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Articles 1621 - 1650 of 2762
Full-Text Articles in Alternative and Complementary Medicine
Electrochemical And Spectroscopic Study Of Peptide-Template Melanins, Daniel Courter, Olivia Rossi, Zhen Tian
Electrochemical And Spectroscopic Study Of Peptide-Template Melanins, Daniel Courter, Olivia Rossi, Zhen Tian
Honors Theses and Capstones
Melanins are organic polymers made up of 5,6-dihydroxyindole carboxylic acid (DHICA) and 5,6-dihydroxyindole (DHI). Biochemical systems synthesize melanins through a complex reaction pathway. Previous research exhibited that naturally-occurring melanins (NatMel) and their synthetic analogues (SynMel) can potentially serve as electrode materials for aqueous charge storage devices. Small surface area creates technical challenges for these melanins as charge storage materials. This research herein demonstrates that the structure of melanins can affect the charge storage capacities of monovalent Na+cations and divalent Mg2+ cations. 2-D sheet-like peptide melanins (PepMel) were synthesized into tripeptides consisting of aspartic acid (D), phenylalanine (F), …
Integrative Medicine In Primary Care, Ashley M. Bjornerud
Integrative Medicine In Primary Care, Ashley M. Bjornerud
Physician Assistant Scholarly Project Papers
Integrative medicine (IM) is an approach to care that puts the patient at the center and addresses the full range of physical, emotional, mental, social, spiritual and environmental influences that affect a person’s health (Rakel, 2017). Commonly, integrative medicine is associated with complementary and alternative medicine therapies (CAM). These are two separate entities. CAM is one of the modalities used in integrative medicine.
The review of the literature on IM analyzed studies in primary care settings in all parts of the world. Definitions of IM and CAM are evaluated. Defining what IM is and how to incorporate this approach in …
On The Efficacy Of High-Dose Ascorbic Acid As Anticancer Treatment: A Literature Survey, Florentin Smarandache, Victor Christianto
On The Efficacy Of High-Dose Ascorbic Acid As Anticancer Treatment: A Literature Survey, Florentin Smarandache, Victor Christianto
Branch Mathematics and Statistics Faculty and Staff Publications
Vitamin C (ascorbic acid, ascorbate) has a controversial history in cancer treatment. Emerging evidence indicates that ascorbate in cancer treatment deserves re-examination. As research results concerning ascorbate pharmacokinetics and its mechanisms of action against tumor cells have been published, and as evidence from case studies has continued to mount that ascorbate therapy could be effective if the right protocols were used, interest among physicians and scientists has increased.
A Sketch Of Consciousness Space Beyond Freudian Mental Model And Implications To Socio-Economics Modeling And Integrative Cancer Therapy, Florentin Smarandache, Victor Christianto
A Sketch Of Consciousness Space Beyond Freudian Mental Model And Implications To Socio-Economics Modeling And Integrative Cancer Therapy, Florentin Smarandache, Victor Christianto
Branch Mathematics and Statistics Faculty and Staff Publications
In this paper, we give an outline of an ongoing study to go beyond Freudian mental archetypal model. First, we discuss the essence of numerous problems that we suffer in our sophisticated and modernized society. Then we discuss possibility to reintroduce spirit into human consciousness. While we are aware that much remain to be done and we admit that this is only a sketch, we hope that this paper will start a fresh approach of research towards more realistic nonlinear consciousness model with wide ranging implications to socio-economic modeling and also integrative cancer therapy. At the last section we also …
Under The Influence: An Interdisciplinary Approach To Psychedelics, Jody Roun
Under The Influence: An Interdisciplinary Approach To Psychedelics, Jody Roun
Master of Liberal Studies Theses
The following research will outline the effects of psychedelics from an interdisciplinary approach, which is to say that I will explore the neuroscience behind psychedelic drugs and how it relates to creativity, as a primary focus, while examining the role of additional points included along the way. The goal of this research, is to gain a deeper understanding of psychedelics and truly decipher what it means to be under the influence, as the most important goal of this human existence is to achieve understanding. The aforementioned is a point that great minds like Albert Einstein and Humphry Osmond impressed on …
Vapocoolant Spray’S Effect On Peripheral Inserted Venous Catheter Pain In Adult Patients, Zachary Krol, Fiona Flaherty, Ryan Williams
Vapocoolant Spray’S Effect On Peripheral Inserted Venous Catheter Pain In Adult Patients, Zachary Krol, Fiona Flaherty, Ryan Williams
Williams Honors College, Honors Research Projects
Intravenous (IV) cannulation is required to administer medications and fluids to patients. In addition, it is also a recognized source of pain and anxiety in over one-half of all patients requiring IV insertion (Page & Taylor, 2010). Pain management is within nurses’ scope of practice, therefore it’s important to identify effective pain management strategies. The purpose of this study is to determine the effect that a topical vapocoolant spray has on pain in pre-operative adults during IV cannulation. The gate control theory of pain will guide this randomized, experimental study of a convenience sample of adults in an outpatient endoscopic …
The Effect Of Yoga In Reducing Pain Related To Arthritis: An Integrative Review Of The Literature, Meredith Collins, Corinne Reed
The Effect Of Yoga In Reducing Pain Related To Arthritis: An Integrative Review Of The Literature, Meredith Collins, Corinne Reed
Williams Honors College, Honors Research Projects
Research shows that arthritis is the most common cause of disability in the United States (Middleton et al., 2013). The PICOT question for this systematic review of literature is “In adults over the age of 40 years, how do yoga interventions, compared to pharmacological pain relief methods alone, affect arthritic pain intensity and frequency?” This systematic review will discuss the possible benefits of using yoga as treatment for both rheumatoid arthritis and osteoarthritis. The methods for this review included a comprehensive search yielding nineteen credible studies using the databases Search-A-Roo, Google Scholar, and CINAHL Plus for full-text academic journal articles …
The Effect Of Complementary Therapies On The Treatment Of Chemotherapeutic Induced Nausea And Vomiting: A Systematic Review, Kailyn Sickel, Mary Barrett, Abigal Siegenthaler
The Effect Of Complementary Therapies On The Treatment Of Chemotherapeutic Induced Nausea And Vomiting: A Systematic Review, Kailyn Sickel, Mary Barrett, Abigal Siegenthaler
Williams Honors College, Honors Research Projects
Chemotherapy is one of the most prevalent treatment options for cancer patients, but a major side effect of this treatment, chemotherapeutic induced nausea and vomiting (CINV), can often be debilitating and problematic for patients. The goal of this systematic review is to evaluate the effectiveness of complementary therapies in reducing CINV in adult oncology patients. A total of 20 studies were reviewed of adult populations that received standard antiemetic care, with each study failing to yield the same results upon evaluating the effectiveness of complementary therapies on patients’ CINV. The complementary therapies studied included ginger therapy, acupressure, acupuncture, guided imagery …
The Impact Of Lemongrass, Oregano, And Thyme Essential Oils On Candida Albicans' Virulence Factors, Jennifer Marie Eddins
The Impact Of Lemongrass, Oregano, And Thyme Essential Oils On Candida Albicans' Virulence Factors, Jennifer Marie Eddins
Walden Dissertations and Doctoral Studies
Increased systemic infections and growing resistance of Candida species in immunosuppressed people have prompted research for additional treatment options. The purpose of this quantitative study was to investigate the potential of lemongrass, oregano, and thyme essential oils tested individually, combined, and combined with the antifungal agents fluconazole and caspofungin to kill Candida albicans isolates in a controlled laboratory setting. This study was grounded on the theoretical concepts of the epidemiologic triangle model. The experimental data collected were used to investigate risk factors related to age, gender, race, and comorbidities. Kill rates of lemongrass, oregano, and thyme essential oils individually and …
Evidence-Based Strategies And Practices To Manage Veterans' Noncancer Pain: A Systematic Review, Janice D. Ivery
Evidence-Based Strategies And Practices To Manage Veterans' Noncancer Pain: A Systematic Review, Janice D. Ivery
Walden Dissertations and Doctoral Studies
Opioid therapy is widely used to treat veterans with chronic noncancer pain (CNCP) despite evidence indicating patient safety concerns with the treatment. Although there is a place for opioid therapy in chronic pain management, opioids are not recommended as the first line of treatment for CNCP because of the risk for accidental overdose and death. The purpose of this project was to examine alternative practices for managing CNCP through a systematic review of the literature guided by the conceptual model of the Joanna Briggs Institute method for systematic reviews (JBIM-SR). A critical appraisal of the literature was conducted, and data …
An Assessment To Determine The Need For A Palliative Care Team To Improve Patient Satisfaction And Decrease Healthcare Costs, Nathalie Weis
An Assessment To Determine The Need For A Palliative Care Team To Improve Patient Satisfaction And Decrease Healthcare Costs, Nathalie Weis
DNP Projects
Abstract
Objective: The purpose of this project was to determine if there is a need for a palliative care team (PCT) to which primary care medical professionals can refer patients. The specific objectives of this project were: 1. To assess the knowledge of primary care providers regarding palliative care. 2. To assess the value and need for palliative care from the PCPs’ perspective. 3. To evaluate the current ED utilization data for adults with serious chronic illness.
Methods: This was a descriptive study that involved an analysis of ED visit data for chronic illness, and a survey all …
A Systematic Review Of Non-Pharmacological Interventions To Improve Nighttime Sleep Among Residents Of Long-Term Care Settings, Elizabeth Capezuti, Rana Sagha Zadeh, Kevin Pain, Aleksa Basara, Nancy Ziyan Jiang, Ana C. Krieger
A Systematic Review Of Non-Pharmacological Interventions To Improve Nighttime Sleep Among Residents Of Long-Term Care Settings, Elizabeth Capezuti, Rana Sagha Zadeh, Kevin Pain, Aleksa Basara, Nancy Ziyan Jiang, Ana C. Krieger
Publications and Research
Background: Disturbances in sleep and circadian rhythms are common among residents of long-term care facilities. In this systematic review, we aim to identify and evaluate the literature documenting the outcomes associated with non-pharmacological interventions to improve nighttime sleep among long-term care residents.
Methods: The Preferred Reporting Items for Systematic Reviews guided searches of five databases (MEDLINE, Embase, CINAHL, Scopus, and Cochrane Library) for articles reporting results of experimental or quasi-experimental studies conducted in long-term care settings (nursing homes, assisted-living facilities, or group homes) in which nighttime sleep was subjectively or objectively measured as a primary outcome. We categorized each intervention …
Acute Management Of An Abductor Digiti Minimi Strain In A Collegiate Baseball Player: A Patient-Centered Case Study, S. Andrew Cage, Diana M. Gallegos, Brandon J. Warner
Acute Management Of An Abductor Digiti Minimi Strain In A Collegiate Baseball Player: A Patient-Centered Case Study, S. Andrew Cage, Diana M. Gallegos, Brandon J. Warner
Clinical Practice in Athletic Training
The purpose of this disablement model case study was to describe the case of a collegiate baseball player suffering from an isolated abductor digiti minimi strain. Despite an initial decrease in function, the treating sports medicine staff was able to provide the necessary care to allow the patient to participate in the final games of his career. While the anatomy and function of abductor digiti minimi are well described in the literature, there is no documentation of isolated abductor digiti minimi injuries. In this case, the patient injured the medial aspect of his hand when hitting a baseball. The patient …
Effects Of Micronutrients On The Status Of Hiv-Infected African American Women, Veronica Alicia Graham
Effects Of Micronutrients On The Status Of Hiv-Infected African American Women, Veronica Alicia Graham
Walden Dissertations and Doctoral Studies
Weight loss among HIV-infected African American women (AAW), results in the fall of the cluster of differentiation (CD4) cell count and an increase in the viral load. There are 48,126 HIV-infected AAW who reported weight loss within the first year. AAW who report more than 10% weight loss within the first year progress to AIDS due to a deficiency in micronutrients and poor linkage to care. The phenomenon that occurs with individuals living with HIV does not necessarily occur among individuals who have cancer, heart disease, or some other life-threatening illness, and this phenomenon indicates a direct threat to the …
Sedentary Time And The Cumulative Risk Of Preserved And Reduced Ejection Fraction Heart Failure: From The Multi-Ethnic Study Of Atherosclerosis, Brandi Scot Rariden
Sedentary Time And The Cumulative Risk Of Preserved And Reduced Ejection Fraction Heart Failure: From The Multi-Ethnic Study Of Atherosclerosis, Brandi Scot Rariden
UNF Graduate Theses and Dissertations
ABSTRACT
Purpose: The purpose of this study was to examine the relationship between self-reported sedentary time (ST) and the cumulative risk of preserved ejection fraction heart failure (HFpEF) and reduced ejection fraction heart failure (HFrEF) using a diverse cohort of U.S. adults 45-84 years of age.
Methods: Using data from the Multi-Ethnic Study of Atherosclerosis (MESA), we identified 6,814 subjects (52.9% female). All were free of baseline cardiovascular disease. Cox regression was used to calculate the hazard ratios (HR) associated with baseline ST and risk of overall heart failure (HF), HFpEF, and HFrEF. Weekly self-reported ST was dichotomized …
Drug Delivery With Light, Patrick S. Dupart
Drug Delivery With Light, Patrick S. Dupart
Theses and Dissertations
Cancer is responsible for about 25% of deaths in developed countries and for 15% of all deaths worldwide. Cancer is a devastating disease and while there have been great advances in the development of anticancer drugs, off-target toxicity is a major limitation with conventional cancer chemotherapy. The consequence of this form of treatment results in the killing of healthy and rapidly-growing non-cancerous cells including cells in the bone marrow; hair follicles; and cells in the mouth, digestive tract, and reproductive system. In addition to these general effects, certain anticancer drugs can have other associated toxicities. For instance, the anticancer drug …
Feasibility And Preliminary Efficacy Of A 10-Week Resistance And Aerobic Exercise Intervention During Neoadjuvant Chemoradiation Treatment In Rectal Cancer Patients, Favil Singh, Daniel A. Galvão, Robert Newton, Nigel A. Spry, Michael K. Baker, Dennis Taaffe
Feasibility And Preliminary Efficacy Of A 10-Week Resistance And Aerobic Exercise Intervention During Neoadjuvant Chemoradiation Treatment In Rectal Cancer Patients, Favil Singh, Daniel A. Galvão, Robert Newton, Nigel A. Spry, Michael K. Baker, Dennis Taaffe
Research outputs 2014 to 2021
Background:
Neoadjuvant chemoradiation treatment (CRT) in rectal cancer patients is associated with a reduction in physical capacity, lean mass and increased fatigue. As a countermeasure to these treatment-related adverse effects, we examined the feasibility and preliminary efficacy of a 10-week exercise program during CRT.
Methods:
Ten rectal cancer patients (7 men, aged 27-70 years, body mass index = 26.4 ± 3.8 kg/m2) receiving CRT undertook supervised resistance and aerobic exercise twice weekly. Assessments were undertaken pre- and post-intervention for upper and lower body muscle strength by 1-RM, muscle endurance, physical performance tests, body composition by dual X-ray absorptiometry, quality of …
Chiropractic Usage Among College Students: An Extended Literature Review, Elizabeth A. Schwenker
Chiropractic Usage Among College Students: An Extended Literature Review, Elizabeth A. Schwenker
Honors Program Theses
Chiropractic medicine is a complementary health approach that focuses on the use of adjustments, mainly to the spine, and is typically sought to reduce pain (Chiropractic: In Depth, 2016). The National Center for Complementary and Integrative Health, a part of the National Institute of Health, found in 2007 that more than 18 million American adults had received a chiropractic adjustment or osteopathic manipulation in the previous year. The NIH recognizes that chiropractic adjustments appear beneficial in reducing low back pain and may be beneficial in treating headaches, neck pain, and a number of other conditions with temporary minor adverse effects …
Expanding Clinical Practice With Complementary And Integrative Health, Such As Tai Chi, As Therapeutic Interventions, Connor A. Burton
Expanding Clinical Practice With Complementary And Integrative Health, Such As Tai Chi, As Therapeutic Interventions, Connor A. Burton
Clinical Practice in Athletic Training
No abstract provided.
Healthy People Are Bad For Capitalism, Eri King
Healthy People Are Bad For Capitalism, Eri King
Theses and Dissertations
Healthy People are Bad For Capitalism is a four part installation that creates an alternative space for the chemicals, Red 40 and Monosodium Glutamate. Presented as a holistic center that offers healing services and remedies, Center for the Red 40 and MSG Healing explores the homeopathic doctrine of Like Cures Like (what make a human ill also cures them) through the relationship between Traditional Japanese Healing Practices, and Western Capitalism.
Healthy People are Bad For Capitalism presents Red 40 MSG Apothecary, Red 40 Zen MSG Healing Rock Garden, Theta Wave Eternal Flame Meditation and Red 40 MSG …
Improving Nurses' Proficiency And Confidence In The Use Of Aromatherapy For Patients In The Hospice Setting, Erika Bigwood-Keaton
Improving Nurses' Proficiency And Confidence In The Use Of Aromatherapy For Patients In The Hospice Setting, Erika Bigwood-Keaton
Master's Projects and Capstones
The Institute of Medicine noted patient centered care as one of the six priority areas of improvement for the U.S. healthcare system. Recognizing that patients in hospice require specialized care to address the physical, emotional and spiritual needs that are associated with a terminal illness, the focus of this project is to improve the hospice nurses’ knowledge of and confidence in the use of aromatherapy for symptom management. There is recognition within the field of healthcare that patients are interested in having options for treatment. With little to no side effects, aromatherapy has been shown to be an effective alternative …
The Appearance And Effects Of Music Therapy In The Solid Organ Transplant Unit, Tracey J. Elliott
The Appearance And Effects Of Music Therapy In The Solid Organ Transplant Unit, Tracey J. Elliott
The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University
Patients admitted to the solid-organ transplant unit face a plethora of physical, emotional, and psychological challenges. Risk of infection, perception of pain, depression, surgery complications, and exhaustion are just a few hardships that a patient may face while hospitalized. Patient need areas thus serve as goal areas for the hospital support staff. While intervention is provided to patients in a variety of forms, music therapy is an effective means of treatment due to its multi-faceted nature; a music therapist can address a variety of goal areas with any given patient. The first section of this paper will briefly outline the …
The Italian Agreement Between The Government And The Regional Authorities: National Guidelines For Aai And Institutional Context, Martina Simonato, Marta De Santis, Laura Contalbrigo, Daniele Benedetti, Elisabetta Finocchi Mahne, Vincenzo Ugo Santucci, Silvio Borrello, Luca Farina
The Italian Agreement Between The Government And The Regional Authorities: National Guidelines For Aai And Institutional Context, Martina Simonato, Marta De Santis, Laura Contalbrigo, Daniele Benedetti, Elisabetta Finocchi Mahne, Vincenzo Ugo Santucci, Silvio Borrello, Luca Farina
People and Animals: The International Journal of Research and Practice
Animal-assisted interventions (AAI) have developed considerably in the last half century, prompting various private and public realities dealing with AAI worldwide to work on and establish standards and best practice. However, AAI are still far from being regulated harmoniously. In this context, Italy offers a unique example at world level: here the spread of AAI has set in motion an ethical and legal reflection that led to the creation of the Italian National Reference Centre for AAI (NRC AAI) by ministerial decree in 2009 and the approval of National Guidelines for AAI in 2015. The Italian legislation on AAI is …
Impacts Of Active School Design On Schooltime Sedentary Behavior And Physical Activity: A Pilot Natural Experiment, Jeri Brittin, Leah Frerichs, John R. Sirard, Nancy M. Wells, Beth M. Myers, Jeanette Garcia, Dina Sorensen, Matthew J. Trowbridge, Terry Huang
Impacts Of Active School Design On Schooltime Sedentary Behavior And Physical Activity: A Pilot Natural Experiment, Jeri Brittin, Leah Frerichs, John R. Sirard, Nancy M. Wells, Beth M. Myers, Jeanette Garcia, Dina Sorensen, Matthew J. Trowbridge, Terry Huang
Interior Design Program: Faculty Scholarly and Creative Activity
Background Children spend a significant portion of their days in sedentary behavior (SB) and on average fail to engage in adequate physical activity (PA). The school built environment may influence SB and PA, but research is limited. This natural experiment evaluated whether an elementary school designed to promote movement impacted students' school-time SB and PA.
Methods Accelerometers measured SB and PA at pre and post time-points in an intervention group who moved to the new school (n = 21) and in a comparison group experiencing no school environmental change (n = 20). Difference-in-difference (DD) analysis examined SB and PA outcomes …
Provider Adherence To Prescribing The Elimination Diet, Seth Osgood
Provider Adherence To Prescribing The Elimination Diet, Seth Osgood
Doctor of Nursing Practice
Allergy-related diseases, chemical sensitivities, and food intolerances have increased dramatically over the last 20 years in both the pediatric and adult populations, contributing to escalating rates of morbidity. Despite an abundance of literature supporting the negative impact food reactions can have in multiple disease states, food reactions continue to be seen as a modern enigma in medicine and are often met with great skepticism. There are a variety of interventions available to identify food reactions in both adults and children; yet, the traditional elimination diet remains the standard of care. Regardless of its utility and clinical effectiveness in the healthcare …
Homoeopathic Research In Vitiligo: Current Scenario, Deepti Dewan, Divya Taneja, Uttam Singh, Renu Mittal, Anil Khurana
Homoeopathic Research In Vitiligo: Current Scenario, Deepti Dewan, Divya Taneja, Uttam Singh, Renu Mittal, Anil Khurana
Indian Journal of Research in Homoeopathy
Objective: The objective of the study was to conduct a review of the existing literature on homoeopathic research conducted on Vitiligo. Materials and Methods: A comprehensive online and manual search of research studies on vitiligo through Homoeopathy was conducted to identify publications in international search databases and library of Central Council for Research in Homoeopathy published during the period from 2006 to 2016. Relevant research was categorised by study type and appraised according to study design with their clinical outcomes. Results: In this review, 11 articles related to Homoeopathy on vitiligo were identified, of which four clinical observational studies and …
Effect Of Homoeopathic Preparation Of Ruta Graveolens On The Progression Of Childhood Myopia Before, During And After Cessation Of Treatment: A Retrospective Study, Sandeep Sathye
Indian Journal of Research in Homoeopathy
Background: Increased incidence and progression of myopia, especially in Asian countries, have been attributed to excess near work. Topical use of Atropine was effective in controlling myopia but has got side effects and rebound effect after stopping the treatment. Homoeopathy mentions Ruta graveolens (Ruta) for myopia with its action on accommodation. Aim: The aim of the study is to evaluate the effect of Ruta on annual myopia progression rate (AMPR) before, during and after stopping treatment in childhood myopia. Materials and Methods: Ten cases of simple myopia in progressive stage aged 11–16 years were studied retrospectively. Myopia or spherical equivalent …
Comparing The Effectiveness Of Alternative And Prescription Antibiotics Against Gram-Positive Bacteria, Rachel Jenkins, Roan Dickenson, Sam Turnbull, Marcela Torres
Comparing The Effectiveness Of Alternative And Prescription Antibiotics Against Gram-Positive Bacteria, Rachel Jenkins, Roan Dickenson, Sam Turnbull, Marcela Torres
Senior Theses
The rapid emergence of antibiotic-resistant bacteria is a global public health concern that threatens the efficacy of antibiotic drugs. We found that natural remedies, specifically coconut oil, honey and cinnamon essential oil, have the potential to be used as a clinical alternative to treat antibiotic-resistant infections. In this experiment, we performed a disk diffusion test and measured the area of inhibition of each treatment to compare the effectiveness of natural and prescription antibiotics. Cinnamon essential oil showed significantly greater antibiotic activity compared to a prescription treatment, amoxicillin. With bacterial resistance continuously expanding, more work needs to be done to determine …
Effects Of Vagotomy And Fenugreek On Hyperlipidemia And Insulin Resistance, Rituraj Khound
Effects Of Vagotomy And Fenugreek On Hyperlipidemia And Insulin Resistance, Rituraj Khound
Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research
Hyperlipidemia is the impairment of lipid metabolism marked by abnormally high levels of lipid in circulation. This has been implicated in a number of metabolic diseases including diabetes, cardiovascular diseases, and nonalcoholic fatty liver disease. Insulin resistance is the impairment of insulin action, which leads to several diseases such as obesity and type 2 diabetes. New clinical and therapeutic approaches are warranted for the prevention and treatment of hyperlipidemia and insulin resistance. In our study, we investigated the mechanism underlying the effect of complete disruption of the sub-diaphragmatic vagus nerve (vagotomy) on hyperlipidemia and insulin sensitivity. We observed that vagotomy …
Enriching The Science Of Homoeopathy, Raj Manchanda
Enriching The Science Of Homoeopathy, Raj Manchanda
Indian Journal of Research in Homoeopathy
No abstract provided.