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Integrative Practitioner is the leading online resource for integrative healthcare practitioners and professionals, providing its users with access to the most up-to-date information in integrative health news, events, and resources. We aim to support the wide spectrum of integrative healthcare practitioners with educational and informative content that is relevant to their patients and beneficial to their practice.


Integrative Nursing Support Groups for Mothers and Children Living in Poverty
presented by
Dorothy Larkin, PhD, RN; Toni Russo, RN; Abby Robin, MSN, CNS

This session will describe a pilot partnership project of Hope Community Services and the Clinical Nurse Specialist Master's program of The College of New Rochelle. Three advanced practice holistic nurses have been providing health promoting support groups for mothers and children living in poverty who utilize the soup kitchen and services offered at the Hope Community Center in New Rochelle, NY. These biweekly support groups were initiated as part of the clinical component for the curriculum requirements in the Clinical Nurse Specialist in Holistic Nursing program at The College of New Rochelle.



Become inspired  

Registration is now open for the 2016 Integrative Healthcare Symposium annual conference. Attend and find inspiration, ideas and answers while building a network of diverse colleagues. Learn more


Botanical-and-Nutritional-Compounds-to-Optimize-Neurocognitive-HealthBotanical and Nutritional Compounds to Optimize Neurocognitive Health

Adaptogenic botanicals, an elite group of herbs, promote natural, healthy function and replenish depleted energy reserves that are essential for cognition, positive mood and restorative sleep. Chronic stress, whether environmental, internal or social, has significant impact on our emotional and mental health because of its adverse effect on the neuroendocrine system. Botanical medicines offer a profound alternative or adjunct to pharmaceutical medicines, especially when used in combination with nutrients and natural compounds to support foundational issues and optimize healthy function of cognition and mood.  


New NIH Research Initiative to Test Treatments for Menopausal Symptoms

For Immediate Release
Wednesday, September 17, 2008

Karin Kolsky
Barbara Cire
(301) 496-1752
This email address is being protected from spambots. You need JavaScript enabled to view it.

Clinical Trials to Target Hot Flashes, Night Sweats

Women troubled by hot flashes and night sweats during the years around menopause want safe, effective treatment options. A new research initiative from the National Institutes of Health (NIH) will establish a multisite research network to conduct clinical trials of promising treatments for the most common symptoms of the menopausal transition.

The initiative—Menopause Strategies: Finding Lasting Answers for Symptoms and Health (MsFLASH)—is led by the National Institute on Aging (NIA) in collaboration with the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the National Center for Complementary and Alternative Medicine (NCCAM) and the Office of Research on Women’s Health (ORWH), all parts of the NIH. The MsFLASH network will be coordinated by principal investigators Andrea Z. LaCroix, Ph.D., and Garnet Anderson, Ph.D., both of the Fred Hutchinson Cancer Research Center in Seattle. The network centers will collectively receive approximately $4.4 million each year of the initiative, which is projected to run for five years.

“Studies such as the Women’s Health Initiative, which raised concerns about the safety of using menopausal hormone therapy, underscore the urgent need for treatments that have been proven safe and effective for alleviating menopausal symptoms,” said NIA Director Richard J. Hodes, M.D. “MsFLASH will speed the evaluation of treatments deemed promising by an independent panel at the recent NIH State-of-the-Science Conference on the Management of Menopause-Related Symptoms.”

In addition to the Data Coordinating Center, five clinical research centers make up the MsFLASH network, which will conduct randomized clinical trials to test a variety of approaches for treating menopausal symptoms. “Different approaches will be studied for efficacy against hot flashes and night sweats in diverse groups of women in trials with either placebo or usual-care control groups. Investigators will also look at possible effects on other symptoms at middle age, including sleep disturbance, mood disorder, vaginal dryness and sexual function,” said Judy Hannah, MsFLASH program official from the NIA’s Division of Geriatrics and Clinical Gerontology.

The MsFLASH centers and principal investigators are:

  • Harvard Medical School, Boston; Lee Cohen, M.D., and Hadine Joffe, M.D.
  • Indiana University School of Medicine, Indianapolis; Janet S. Carpenter, R.N., Ph.D.
  • Kaiser Permanente, Northern California, Oakland; Barbara Sternfeld, Ph.D., and Bette Caan, Ph.D.
  • University of Pennsylvania School of Medicine, Philadelphia; Ellen Freeman, Ph.D.
  • Group Health Center for Health Studies, Seattle, Katherine Newton, Ph.D.; and University of Washington School of Medicine, Seattle; Susan Reed, M.D.

A number of different treatment strategies are under consideration. Possible treatments to be studied during the five-year project period include:

  • Antidepressants such as paroxetine (Paxil) or escitalopram (Lexapro)
  • Paced respiration (slow deep breathing also known as relaxation breathing)
  • Yoga
  • Low-dose estradiol patch and low-dose estradiol gel
  • Exercise programs, both moderate and vigorous

“For decades, estrogen with or without progesterone has been the treatment of choice for relieving menopause-related symptoms because of the lack of alternative therapies of comparable proven efficacy,” noted Sherry Sherman, Ph.D., NIA project scientist for the Menopause Strategies Network. “The collaborative, multidisciplinary, multicenter approach of MsFLASH will enable researchers to test other options—including behavioral and complementary and alternative medicine approaches—to determine whether they are also effective against hot flashes.”

Currently, menopausal hormone therapy is still considered the most effective way to control moderate to severe menopausal symptoms such as hot flashes and night sweats. Experts recommend that when it is used, physicians prescribe the lowest effective dose for the shortest period necessary, but some women are reluctant to use menopausal hormone therapy because of possible side effects. Women can experience menopausal symptoms for several years before menopause—the date of their last menstrual period—and sometimes for many years after. For some women with severe menopausal symptoms, the resulting discomfort can greatly diminish their quality of life.

The 2005 NIH State-of-the-Science meeting featured presentations from experts on the biology and symptoms of the menopause transition and on established and potential new treatments for symptomatic relief. An independent panel evaluated the data from the presentations and from an evidence-based search of the literature and published its recommendations on the NIH Web site and in the Annals of Internal Medicine.

The NIA leads the federal effort supporting and conducting research on aging and the medical, social and behavioral issues of older people. For more information on menopause, go to Menopause: Time for a Change, www.nia.nih.gov/HealthInformation/Publications/Menopause. For more information on research and aging, go to www.nia.nih.gov or call toll free 800-222-2225.

The NICHD sponsors research on development, before and after birth; maternal, child and family health; reproductive biology and population issues; and medical rehabilitation. For more information, visit the Institute’s Web site at www.nichd.nih.gov.

The NCCAM’s mission is to explore complementary and alternative medical practices in the context of rigorous science, train CAM researchers and disseminate authoritative information to the public and professionals. For additional information, call NCCAM's Clearinghouse toll free at 888-644-6226, or visit the NCCAM Web site at http://nccam.nih.gov.

The ORWH serves as a focal point for women’s health research at the NIH. For further information, go to http://orwh.od.nih.gov.

The NIH—The Nation's Medical Research Agency—includes 27 Institutes and Centers and is a component of the U. S. Department of Health and Human Services. It is the primary federal agency for conducting and supporting basic, clinical and translational medical research, and it investigates the causes, treatments and cures for both common and rare diseases. For more information about NIH and its programs, visit www.nih.gov.