Herbal remedies may help kids with gastrointestinal issues

May 6, 2017

May 6: Many parents of children with debilitating gastrointestinal disorders may be frustrated by the lack of good treatment options and tempted to try herbal remedies at home, but a new study suggests they should proceed with caution.

medicineResearchers examined data from 14 previously published studies with a total of 1,927 children suffering from problems like diarrhea, dehydration, colic, constipation, abdominal pain and irritable bowel syndrome. They didn’t have enough data to combine results from multiple small studies to offer definitive proof that herbal remedies might work for any of these health problems.

But some of the small studies did suggest certain herbal medicines might help ease diarrhea, abdominal pain and colic. And the studies didn’t find serious side effects associated with herbal remedies.“The lack of conclusive research is unfortunately a general problem in pediatrics, but a special problem in herbal medicine is that for many herbal remedies no licensed and standardized products are available,” said lead study author Dr. Dennis Anheyer of the University of Duisburg-Essen in Germany.

In other words, even if evidence shows an herb may be safe and effective for a specific health problem, that doesn’t necessarily mean that every single version of that herb available for sale would work as well or be free of side effects.

When researchers looked at four studies with a total of 424 participants, they found some evidence suggesting that a variety of herbal remedies might help diarrhea: a plant in the rose family called potentilla erecta, carob bean juice, and an herbal compound preparation with chamomile.

One study with 120 participants also suggests that peppermint oil might help curb the duration, frequency and severity chronic abdominal pain that doesn’t have a clear medical explanation.And, fennel might help ease colic symptoms in babies according to a review of five small studies of herbal remedies for infant colic.

While it’s possible herbal remedies might be used in addition to traditional medications or to help reduce reliance on drug therapy, parents should still see a doctor before trying out herbal therapies on their own, Anheyer said by email.

Another reason for caution is that even the studies in the current analysis that found herbal remedies effective don’t show how large the effects are, noted Dr. Peter Lucassen, a researcher at Radboud University Medical Center in the Netherlands who wasn’t involved in the study.

These small studies might get results that find herbs are statistically better than no treatment or alternative therapies, but the difference still might not be big enough to have a meaningful clinical impact on patients’ symptoms, Lucassen said by email.“I would not advocate any of the herbal medicine because the article does not provide any data about how large the effects are,” Lucassen said.

Often, herbal remedies combine a variety of ingredients and use differing amounts of the main ingredients, which may alter how well they work and how safe they are for kids, Lucassen added. They might also contain chemicals not found in prescription medications that have dangerous side effects or a risk of overdose.

And there’s another reason parents shouldn’t try herbal remedies without seeing a doctor.“Delayed diagnosis might be the result of herbal medications because parents seek help too late because they try the herbs first,” Lucassen said.

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Agencies
June 4,2020

The World Health Organisation on Wednesday said that anti-malarial drug hydroxychloroquine (HCQ) will return to the solidarity trial for the potential treatment of coronavirus disease.

At a press conference in the WHO headquarters in Geneva, Director General Tedros Adhanom Ghebreyesus said: "On the basis of the available mortality data, the members of the committee recommended that there are no reasons to modify the trial protocol. The Executive Group received this recommendation and endorsed continuation of all arms of the solidarity trial, including hydroxychloroquine."

The world health body had temporarily suspended the usage of HCQ from the solidarity trial for coronavirus treatment on May 25 soon after a study published in one of the most reliable medical journals, which had suggested that the drug could cause more fatalities among COVID-19 patients.

However, the WHO chief said that the decision was taken as a precaution while the safety data was reviewed.

Ghebreyesus also said that the Data Safety and Monitoring Committee will continue to closely monitor the safety of all therapeutics being tested in the solidarity trial.

"So far, more than 3,500 patients have been recruited in 35 countries. WHO is committed to accelerating the development of effective therapeutics, vaccines and diagnostics as part of our commitment to serving the world with science, solutions and solidarity," he said.

Soon after HCQ was suspended from the trial, the Indian government had said that the antimalarial drug has been known for its benefits for a long time and its usage will be continued on the frontline workers, including police and healthcare professionals, as prophylaxis. The government had also said that studies were being conducted and the drug would be included in the clinical trial also for the treatment of coronavirus disease.

US President Donald Trump also had strongly advocated the use of HCQ and called it a "game-changer". He went to the extent of saying that he had taken the medicine.

Launched by WHO and partners, solidarity trial is an international clinical trial to find an effective treatment for COVID-19, including drugs to slow the progression of the disease or improve survival. The trial, which enrols patients from different countries, "will compare four treatment options against standard of care to assess their relative effectiveness against COVID-19", said WHO. 

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Agencies
February 10,2020

Washington D.C, Feb 10: Children's vulnerability towards depression, anxiety, impulsive behaviour, and poor cognitive performance could be determined by considering the hours of sleep they manage to get.

Sleep states are active processes that support the reorganisation of brain circuitry. This makes sleep especially important for children, whose brains are developing and reorganising rapidly.

In a study by researchers from the University of Warwick -- recently published in the journal Molecular Psychiatry -- cases of 11,000 children aged between 9 and 11 years from the Adolescent Brain Cognitive Development dataset were analyzed to find out the relationship between sleep duration and brain structure.

The study was carried out by researchers Professor Jianfeng Feng, Professor Edmund Rolls, Dr. Wei Cheng and colleagues from the University of Warwick's Department of Computer Science and Fudan University.

Measures of depression, anxiety, impulsive behaviour and poor cognitive performance in the children were associated with shorter sleep duration. Moreover, the depressive problems were associated with short sleep duration one year later.

The reduced brain volume of areas such as orbitofrontal cortex, prefrontal, and temporal cortex, precuneus, and supramarginal gyrus was found to be associated with the shorter sleep duration.

Professor Jianfeng Feng, from the University of Warwick's Department of Computer Science, comments: "The recommended amount of sleep for children 6 to 12 years of age is 9-12 hours. However, sleep disturbances are common among children and adolescents around the world due to the increasing demand on their time from school, increased screen time use, and sports and social activities."

A previous study showed that about 60 per cent of adolescents in the United States receive less than eight hours of sleep on school nights.

Professor Jianfeng Feng further added: "Our findings showed that the total score for behavior problems in children with less than 7 hours sleep was 53 per cent higher on average and the cognitive total score was 7.8 per cent lower on average than for children with 9-11 hours of sleep. It highlights the importance of enough sleep in both cognition and mental health in children."

Professor Edmund Rolls from the University of Warwick's Department of Computer Science also commented: "These are important associations that have been identified between sleep duration in children, brain structure, and cognitive and mental health measures, but further research is needed to discover the underlying reasons for these relationships."

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News Network
February 12,2020

Washington, Feb 12: People who are optimistic may contribute to the health of their partners, staving off the risk factors leading to Alzheimer's disease, dementia and cognitive decline as they grow old together, according to a study.

The research, published in the Journal of Personality, followed nearly 4,500 heterosexual couples from the US Health and Retirement Study for up to eight years.

The researchers found a potential link between being married to an optimistic person and preventing the onset of cognitive decline, due to a healthier environment at home.

"We spend a lot of time with our partners.They might encourage us to exercise, eat healthier or remind us to take our medicine," said William Chopik, an assistant professor at the Michigan State University in the US.

"When your partner is optimistic and healthy, it can translate to similar outcomes in your own life. You actually do experience a rosier future by living longer and staving off cognitive illnesses," Chopik said.

An optimistic partner may encourage eating healthy foods, or working out together to develop healthier lifestyles, the researchers said.

For example, if a person quits smoking or starts exercising, their partner is close to following suit, they said.

"We found that when you look at the risk factors for what predicts things like Alzheimer's disease or dementia, a lot of them are things like living a healthy lifestyle," Chopik said.

"Maintaining a healthy weight and physical activity are large predictors.There are some physiological markers as well. It looks like people who are married to optimists tend to score better on all of those metrics," he said.

The researchers said there is a sense where optimists lead by example, and their partners follow their lead.

They also suggest that when couples recall shared experiences together, richer details from the memories emerge.

Chopik noted while there is a heritable component to optimism, there is some evidence to suggest that it's a trainable quality.

"There are studies that show people have the power to change their personalities, as long as they engage in things that make them change," Chopik said.

"Part of it is wanting to change. There are also intervention programs that suggest you can build up optimism," he added.

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