Patrick Lariccia - University of Pennsylvania (original) (raw)

Papers by Patrick Lariccia

Acupuncture Theory and Acupuncture-Like Therapeutics in Physical Therapy

Routledge eBooks, May 28, 2024

$Research paper thumbnail of Challenging Case in Clinical Practice—Refractory Systemic Nickel Allergy Syndrome Management: Five Cases and Chart Review Survey from an Integrative Medicine Practice$

Integrative and Complementary Therapies

Five patients with standard medical treatment-resistant symptoms of skin lesions, ear infections,... more Five patients with standard medical treatment-resistant symptoms of skin lesions, ear infections, allergic rhinitis, nasal congestion, asthma, heartburn, and failure to thrive were successfully treated with an integrative medicine assessment and integrative medicine treatment approach. The integrative medicine assessment method of autonomic response testing enabled the identification of nickel sensitivity as a common element in these patients. It guided the use of the integrative medicine therapies of low dose immunotherapy, gamma linolenic acid supplementation, chelation, dietary nickel restriction, and removal of nickel containing dental and cosmetic appliances. A chart review of 151 patients indicated a strong association of nickel and the simultaneous presence of skin lesions.

Medical Acupuncture, Dec 1, 2008

Background: Knowledge of perceived benefit from acupuncture treatment is important to predict who... more Background: Knowledge of perceived benefit from acupuncture treatment is important to predict who is using acupuncture, to inform physicians of the possible benefits of acupuncture, to determine where rigorous research should be focused, and to help policy makers predict future demand. Objectives: To determine the proportions of survey respondents who reported perceived effectiveness of acupuncture treatment for specific conditions; and to determine the association of specified demographic variables with perceived effectiveness.

Clinical Case Reports, Jan 15, 2019

This is an open access article under the terms of the Creative Commons Attribution License, which... more This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Patients that FM Practitioners Care For: Who are They and How do they Present?

PubMed, Jun 1, 2018

No Abstract Available.

Global advances in health and medicine, 2016

InTrODuCTIOn Obsessive-compulsive disorder (OCD) has a prevalence of 1% to 2% in the pediatric po... more InTrODuCTIOn Obsessive-compulsive disorder (OCD) has a prevalence of 1% to 2% in the pediatric population. The standard treatment approaches are cognitive behavioral therapy, selective serotonin reuptake inhibitors

Clinical Case Reports, Dec 22, 2017

Our study does not require ethical approval. Significant Outcomes: The symptoms of BN were rapidl... more Our study does not require ethical approval. Significant Outcomes: The symptoms of BN were rapidly resolved in two patients using neural therapy. Limitations: This was a case study of two patients who had simultaneously received other treatments that may have confounded the results.

Holistic Nursing Practice, 2017

Presented is the first reported case series of chronic neck and back pain associated with breast ... more Presented is the first reported case series of chronic neck and back pain associated with breast scars from breast surgery and successfully treated with an integrative medicine assessment and treatment approach, which included the assessment technique of autonomic response testing and the scar therapy technique of neural therapy. Implications for nursing practice are discussed. KEY WORDS: autonomic response testing (ART), breast, neural therapy (NT), pain

Effects of Beta-Adrenergic Activity on T-Wave Amplitude

Psychophysiology, Jul 1, 1989

ABSTRACTThis study addresses the hypothesis that electrocardiographic T‐wave amplitude is influen... more ABSTRACTThis study addresses the hypothesis that electrocardiographic T‐wave amplitude is influenced by beta‐adrenergic stimulation of the heart. Beta‐adrenergic activity was manipulated both pharmacologically and through behavioral challenge. Under resting conditions, 12 healthy men underwent infusion of placebo and then the beta‐agonist, isoproterenol, and the beta‐blocker, propranolol, in a counterbalanced, crossover design. During infusion of placebo, subjects also underwent two behavioral challenges, a structured interview and mental arithmetic. Analysis of the resting data indicated that propranolol produced a significant increase in T‐wave amplitude, and isoproterenol produced significant T‐wave amplitude attenuation. As previously reported, drug effects were also in evidence for heart rate. Behaviorally‐induced reduction of T‐wave amplitude was observed for mental arithmetic but not structured interview, which again paralleled heart rate data. Both pharmacological and behavioral data reported in this study support the hypothesis that the T‐wave is significantly affected by beta‐sympathetic influence on the heart. However, a nonspecific effect of heart rate change on T‐wave amplitude would also account for these results. The findings are discussed in terms of their implications for the utility of T‐wave amplitude in psychophysiological research.

Holistic Nursing Practice, 2015

Chronic nausea and vomiting of uncertain etiology can be debilitating and uncomfortable for patie... more Chronic nausea and vomiting of uncertain etiology can be debilitating and uncomfortable for patients while frustrating for clinicians. This article presents the case of a young woman with chronic nausea and vomiting of unknown etiology resulting from body piercing and tattoo scars on body areas that Chinese Medicine asserts are related to the gastrointestinal system. The patient had long-term total resolution after 1 treatment session consisting of neural therapy for scars resulting from a tongue ring, belly ring, and tattoo near her left wrist along with acupuncture treatment. The research community is called to further evaluate the possible association of body piercing and tattooing with nausea and vomiting along with the possible treatment options of neural therapy and acupuncture.

How the results of a recent food supplement study underscores the future needs of integrative medicine research

ABSTRACT

ASSESSMENT OF THE EFFECTS OF PAIN AND ACUPUNCTURE ON REGIONAL CEREBRAL BLOOD FLOW USING Tc-99M HMPAO SPECT IMAGING

Clinical Nuclear Medicine, 1998

Vitamin D insufficiency has been linked to multiple conditions including bone disease, respirator... more Vitamin D insufficiency has been linked to multiple conditions including bone disease, respiratory disease, cardiovascular disease, diabetes, and cancer. Observational studies indicate lower healthcare costs and healthcare utilization with sufficient vitamin D levels. The secondary aims of our previously published pragmatic clinical trial of vitamin D3 supplementation were comparisons of healthcare costs and healthcare utilization. Com-parisons were made between the vitamin D3 at 5000 IU supplementation group and a non-supplemented control group. Costs of care between the groups were not statistically different. Vitamin D3 supplementation reduced healthcare utilization in four major cate-gories: hospitalizations for any reason (rate difference: -0.19 per 1000 person-days, 95%-CI: -0.21 to -0.17 per 1000 person-days, p < 0.0001); ICU admissions for any reason (rate dif-ference: -0.06 per 1000 person-days, 95%-CI: -0.08 to -0.04 per 1000 person-days, p < 0.0001); emergency room ...

Explore-the Journal of Science and Healing, 2015

Chronic upper gastrointestinal (GI) symptoms of unclear etiology are frustrating to patients and ... more Chronic upper gastrointestinal (GI) symptoms of unclear etiology are frustrating to patients and physicians alike. The integrative medicine procedures of acupuncture and neural therapy may provide treatment options. Tongue piercing, which is prevalent in 5.6% of the adolescent population, may be a contributing factor in upper gastrointestinal symptoms. The objectives of the study were as follows: (1) To demonstrate the usefulness of an integrative medicine treatment approach in two cases of patients with chronic abdominal pain, nausea, and vomiting of unclear etiology who had failed standard medical management. (2) To identify scars from tongue piercings as a possible contributing factor in chronic upper GI symptoms of unclear etiology. Two retrospective case studies are presented of young adult females who were seen in a private multi-physician integrative medicine practice in the US. The patients were treated with neural therapy and acupuncture. The desired outcome was the cessation or reduction of the frequency of abdominal pain, nausea, and vomiting. Both patients had resolution of their symptoms. From this study, we have concluded the following: (1) Tongue scars from tongue rings may be causes of chronic upper gastrointestinal symptoms. (2) Neural therapy and acupuncture may be helpful in the treatment of chronic upper GI symptoms related to tongue scars.

Journal of Clinical and Translational Science

Introduction: Designing and conducting clinical trials is challenging for some institutions and r... more Introduction: Designing and conducting clinical trials is challenging for some institutions and researchers due to associated time and personnel requirements. We conducted recruitment, screening, informed consent, study product distribution, and data collection remotely. Our objective is to describe how to conduct a randomized clinical trial using remote and automated methods. Methods: A randomized clinical trial in healthcare workers is used as a model. A random group of workers were invited to participate in the study through email. Following an automated process, interested individuals scheduled consent/screening interviews. Enrollees received study product by mail and surveys via email. Adherence to study product and safety were monitored with survey data review and via real-time safety alerts to study staff. Results: A staff of 10 remotely screened 406 subjects and enrolled 299 over a 3-month period. Adherence to study product was 87%, and survey data completeness was 98.5% ove...

$Research paper thumbnail of Refractory Systemic Nickel Allergy Syndrome Management: 5 Cases and Chart Review Survey from an Integrative Medical Practice$

Refractory Systemic Nickel Allergy Syndrome Management: 5 Cases and Chart Review Survey from an Integrative Medical Practice

Nutrients

Vitamin D supplementation has been shown to reduce the incidence of acute respiratory infections ... more Vitamin D supplementation has been shown to reduce the incidence of acute respiratory infections in populations at risk. The COVID-19 pandemic has highlighted the importance of preventing viral infections in healthcare workers. The aim of this study was to assess the hypothesis that vitamin D3 supplementation at 5000 IU daily reduces influenza-like illness (ILI), including COVID-19, in healthcare workers. We conducted a prospective, controlled trial at a tertiary university hospital. A random group of healthcare workers was invited to receive 5000 IU daily vitamin D3 supplementation for nine months, while other random healthcare system workers served as controls. All healthcare workers were required to self-monitor and report to employee health for COVID-19 testing when experiencing symptoms of ILI. COVID-19 test results were retrieved. Incidence rates were compared between the vitamin D and control groups. Workers in the intervention group were included in the analysis if they comp...

ABSTRACTBackgroundDesigning and conducting randomized controlled trials is not possible for some ... more ABSTRACTBackgroundDesigning and conducting randomized controlled trials is not possible for some institutions and researchers due to their associated costs and personnel requirements. Advances in telehealth for patient care and clinical trial methods adaptations were hastened due to the coronavirus 2019 pandemic. We conducted subject recruitment, screening, informed consent, study product distribution, and data collection remotely using Research Electronic Data Capture (REDCap) and other readily available applications for a prospective randomized clinical trial on vitamin D3 supplementation to prevent influenza-like illness in healthcare workers.ObjectivesTo describe how to efficiently and cost-effectively conduct a randomized clinical trial using remote and semi-automated methods.MethodsA previously described prospective, controlled, trial in healthcare workers at a tertiary university hospital that used Zelen’s design to facilitate enrollment is used as a model. A random group of ...

Challenging Case in Clinical Practice: Five Element Chinese Medicine Approach to Sleep Maintenance Insomnia

Alternative and Complementary Therapies, 2018

The prevalence of insomnia in the United States is estimated at upwards of 40%, with up to 15% of... more The prevalence of insomnia in the United States is estimated at upwards of 40%, with up to 15% of those cases being chronic. Both alternative andWestern approaches to insomnia agree that sleep disturbance has multiple etiologies. In fact, the revised edition of the International Classification of Sleep Disorders lists more than 100 differential diagnoses of insomnia. Traditional Chinese Medicine (TCM) acupuncture treatment for sleep disorders usually addresses excess-type disturbances of the heart, along with variable excesses or deficiencies of any of the other organ systems. The most common points used include Heart (Ht) 7, Spleen (Sp) 6, and Governing Vessel (GV) 20. The current standard of care for chronic insomnia includes sedative-hypnotic medications, in particular benzodiazepine receptor agonists, or cognitive–behavioral therapy (CBT). Newer agents have also been developed such as orexin receptor inhibitors, which act by selectively binding to orexin-1 and -2 receptors, which in turn inactivate wakefulness. A recent meta-analysis showed that eszopiclone, zolpidem, and suvorexant versus placebo showed small but significant improvements in several sleep parameters, for example total sleep time increased anywhere between 16 and 48.1 minutes, reduction in sleep onset latency between 3 and 15 minutes, and improvement in insomnia severity indexes (ISI) between 2 1.2 to 2 4.6. Similar results have been shown with CBT, with a total sleep time increase of 43.54 minutes, reduction in sleep onset of 11.63 minutes, and ISI of 2 4.78. The comparative and long-term efficacy of pharmacotherapies for insomnia are not known. All pharmacotherapies, per Food and Drug Administration documents, had risks for cognitive and behavioral changes, including driving impairment, while observational studies reveal an association between hypnotics and dementia, fractures, and major injury. Damage of memory, drug resistance, dependency, and addiction are additional concerns. Safer and more efficacious treatments for insomnia are clearly needed. One common type of insomnia is defined by the tendency to wake at the same time every night followed by difficulty returning to sleep, also known as sleep maintenance insomnia. Insomnia in general can lead to significant morbidity, such as daytime lethargy, impairment of daytime activities, nervousness, poor concentration, and a diminished quality of life. However, maintenance insomnia is particularly burdensome. Furthermore, there is evidence that there is a difference in the sleep onset period between onset insomnia and maintenance insomnia as shown on spectral analysis electroencephalogram. Therefore, it would be clinically useful to have a unique and preferably simple acupuncture treatment tailored specifically for patients suffering from maintenance sleep disorders. According to Chinese medicine, each organ system in the human body has a two-hour time of day in which the energy circulates optimally and contributes maximally to the bolus of nourishing qi. To live in balance with the circadian rhythm, the sleep cycle should begin between the hours of 9pm and 11pm at the time of the San Jiao, or triple burner organ network. Circulation is at its peak in the gallbladder from 11pm to 1am, the Liver from 1am to 3am, the Lung from 3am to 5am, and the large intestine from 5am to 7am. A disruption in any of these organ networks may result in disturbed sleep or insomnia. Maintenance insomnia may represent a disruption or blockage of qi between two such sequential acupuncture meridians. Such a blockage can often be detected using pulse diagnosis. For instance, if a patient wakes repeatedly at 3am, one could reasonably expect a block may be detected at the superficial or wei layer between the Liver and Lung meridians, since 3am is where peak energy moves from the Liver to the Lung meridians. This would be palpable as an excess of energy in the Liver pulse and a deficiency in the Lung pulse using the Five Tracy L. Brobyn et al. 2018; Published by Mary Ann Liebert, Inc. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.