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Tian Jiu (TJ) therapy is a so-called alternative medicine (SCAM) that has been widely utilized in the management of allergic rhinitis (AR). TJ is also known as "drug moxibustion" or "vesiculating moxibustion." Herbal patches are applied on the selected acupoints or the diseased body part. In TCM, this treatment is said to regulate the functions of meridians and zang-fu organs, warm the channels, disperse coldness, invigorate qi movement, harmonize nutrient absorption and defence mechanisms, and resolve stagnation in the body and stasis of the blood.
But does it work? This single-blinded, three-arm, randomized controlled study evaluated the efficacy of TJ therapy in AR. A total of 138 AR patients were enrolled. The TJ group and placebo group both received 4-weeks of treatment with either TJ or placebo patches for 2 hours. The patches were applied to Dazhui (GV 14), bilateral Feishu (UB 13), and bilateral Shenshu (UB 23) points. Patients received one session per week and then underwent a 4-week follow-up. The waitlist group received no treatment during the corresponding treatment period, but would be given compensatory TJ treatment in the next 4 weeks.
The primary outcome was the change of the Total Nasal Symptom Score (TNSS) after treatment. The secondary outcomes included the changes of Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) and rescue medication score (RMS).
After the treatment period, the total TNSS in TJ group was significantly reduced compared with baseline, but showed no statistical difference compared with placebo. Among the four domains of TNSS, the change of nasal obstruction exhibited statistical difference compared with placebo group. The total RQLQ score in TJ group was significantly reduced compared with both placebo and waitlist groups. The needs of rescue medications were not different between the two groups.
There were no serious adverse events. The common adverse events included flush, pruritus, blister, and pigmentation, occurring in 17, 23, 3, and 36 person-times among TJ group, and 3, 7, 1, and 4 person-times among placebo group, respectively. These adverse events were generally tolerated and disappeared quickly after removing the patches.
The authors (from the Hong Kong Chinese Medicine Clinical Study Centre, School of Chinese Medicine, Hong Kong Baptist University) concluded that this randomized, single-blinded, controlled trial served primary evidence of the efficacy and safety of TJ therapy on AR in Hong Kong. This pilot study provided a fundamental TJ protocol for future research. Through adjusting treatment timing, frequency, retention time, and even body response settings, it has the potential to develop into an optimal therapeutic method for future application.
The authors of this poorly written paper seem to ignore their own findings by concluding as they do. The fact is that the primary endpoint of this trial failed to show a significant difference between TJ and placebo. Moreover, TJ does have considerable adverse effects. Therefore, this study fails to demonstrate both the effectiveness and the safety of TJ as a treatment of AR.
I often hesitate whether or not to discuss the plethora such frightfully incompetent research. The reason I sometimes do it is to alert the public to the fact that so much utter rubbish is published by incompetent researchers in trashy (but Medline-listed) journals, passed by incompetent ethics committees, supported by naïve funding agencies, accepted by reviewers and editors who evidently do not do their job properly. Do all these people have forgotten that they have a responsibility towards the public?
It is time to stop this nonsense!
It gives a bad name to science, misleads the public and inhibits progress.
I have become used to lamentably poor research in the realm of SCAM, particularly homeopathy. Thus, there is little that can amaze me these days; at least this is what I had thought. But this paper is an exception. The new trial is entitled 'ETHICAL CLINICAL TRIAL OF LESSER KNOWN HOMEOPATHIC REMEDIES IN INFERTILITY IN FEMALES', and it is truly outstanding. Here is the abstract:
Background & Objective: Homoeopathy with time honoured results, has a great number of cured cases of infertility, but without much evidence. So, it is imperative to show scientifically the scope of homoeopathy in treating infertility cases. Materials and Methodology: 7 lesser known medicines (Alteris farinosa, Janosia Ashoka, Viburnum opulus, Euphonium, Ustilago, Bacillus sycocuss, Bacillus morgan) were prescribed to the sample size (n=23), at the project site O.P.D/I.P.D. of Homoeopathy university, Saipura, Jaipur and Dr Madan Pratap Khunteta Homoeopathic Medical College, Hospital & Research Centre, Station Road, Jaipur & its extension O.P.D.'s. for study within 12 months. Result-In the present study 7 (30.43%) patients were prescribed Janosia Ashoka amongst whom 2(28.57%) showed marked improvement, while 5(71.43%) remained in the state of status quo. Conclusion- Study has shown encouraging and effective treatment in infertility in females.
It does not tell us much; therefore, let me copy several crucial passages from the paper itself:
Objectives of the study-
- To study the efficacy of homoeopathic medicines in the treatment of infertility in females.
- To enhance the knowledge of materia medica in cases of infertility in females.
Material and Methodology-
The study was conducted at O.P.D./I.P.D.of Homoeopathy University, Saipura, Sanganer and Dr M.P.K. Homoeopathic Medical College &Research Centre, Station Road, Jaipur from 2010 to 2013 for a total period of 3 Years. A sample size of n=23 and 7 lesser known remedies were selected for the studies.
Inferences- Based on clinical symptoms and pathological investigations. It was inferred that out of 23 patients taken for study, 2 (8.69%) patients showed marked improvement, while 21 (91.31%) patients remained in the state of status quo.
No, I am not kidding you. There is no further relevant information about the trial methodology nor about the results. Therefore, I feel unable to even criticise this study; it is even too awful for a critique.
And all this could be quite funny – except, of course, some nutter will undoubtedly use this paper for claiming that there is evidence for homeopathy to efficiently treat female infertility.
You have to be a homeopath to call this an ethical trial!
Many cancer patients use so-called alternative medicine (SCAM) such as Traditional Chinese Medicine (TCM). On this blog, we have repeatedly discussed whether this does more good than harm. This study sheds new light on the question. Specifically, it aims to explore the benefits of TCM therapy in the long-term survival of patients with hepatocellular carcinoma in China.
In total, 3483 patients with HCC admitted to the Beijing Ditan Hospital of Capital Medical University were enrolled. The researchers used 1:1 frequency matching by sex, age, diagnosis time, Barcelona Clinic Liver Cancer staging, and type of treatments to compare the TCM users (n = 526) and non-TCM users (n = 526). A Cox multivariate regression model was employed to evaluate the effects of TCM therapy on the HR value and Kaplan-Meier survival curve for mortality risk in HCC patients. A log-rank test was performed to analyse the effect of TCM therapy on the survival time of HCC patients.
The Cox multivariate analysis indicated that TCM therapy was an independent protective factor for 5-year survival in patients with HCC. The Kaplan-Meier curve also showed that after PS matching, TCM users had a higher overall survival rate and a higher progression-free survival rate than non-TCM users. TCM users, regardless of the classification of etiology, tumor stage, liver function level, or type of treatment, all benefited significantly from TCM therapy. The most commonly used Chinese patent medications used were Fufang Banmao Capsule, Huaier Granule, and Jinlong Capsule.
The authors concluded that using traditional Chinese medications as adjuvant therapy can probably prolong median survival time and improve the overall survival among patients with HCC. Further scientific studies and clinical trials are needed to examine the efficiency and safety.
I was unable to access the full article and therefore am unable to provide a detailed critique of it. From reading the abstract, I should point out, however, that this was not an RCT. To minimise bias, the researchers used a matching technique to generate two comparable groups. Such methods can be successful in matching for the named parameters, but they cannot match for the plethora of variables that might be relevant but were not measured. Therefore, the survival difference between the two groups might be due not to the therapies they received, but to the fact that the groups were not comparable in terms of factors that impact on survival.
Another important point about this paper is the obvious fact that it originates from China. We know from several independent investigations that such studies almost never report negative findings. We also know that TCM is a hugely important export item for China. Adding two and two together should therefore make us sceptical. I for one take the present findings with more than a pinch of salt.
Glucosamine supplements are often advocated for the treatment of osteoarthritis. But there is evidence that they might convey other benefits as well. This prospective observational study assessed the association of habitual glucosamine use with risk of cardiovascular disease (CVD) events. The UK Biobank data of 466 039 participants without CVD at baseline was used. They completed a questionnaire on supplement use, which included glucosamine. These participants were enrolled from 2006 to 2010 and were followed up to 2016. The main outcome measures were incident CVD events, including CVD death, coronary heart disease, and stroke.
During a median follow-up of seven years, there were 10 204 incident CVD events, 3060 CVD deaths, 5745 coronary heart disease events, and 3263 stroke events. After adjustment for age, sex, body mass index, race, lifestyle factors, dietary intakes, drug use, and other supplement use, glucosamine use was associated with a significantly lower risk of total CVD events (hazard ratio 0.85, 95% confidence interval 0.80 to 0.90), CVD death (0.78, 0.70 to 0.87), coronary heart disease (0.82, 0.76 to 0.88), and stroke (0.91, 0.83 to 1.00).
The authors concluded that habitual use of glucosamine supplement to relieve osteoarthritis pain might also be related to lower risks of CVD events.
This is an impressive study! It incorporates both a huge sample size and a long observation period. Moreover, the authors analysed the data expertly and interpreted their results with the necessary caution.
The association between glucosamine intake and CVD risk were independent of CVD risk factors, such as gender, age, income, body mass index, physical activity, healthy diet, alcohol intake, smoking status, diabetes, hypertension, high cholesterol, arthritis, drug use, and other supplement use. Moreover, the findings are in line with several previous studies that show inverse associations of glucosamine use with CVD risk and mortality. And finally, the authors discuss several biologically plausible mechanisms that could explain the observed findings.
Yet, it is conceivable that the association is not of a causal nature. There might be a host of confounders responsible for the finding. Therefore, before we now all rush to the next health-food store to buy glucosamine supplements – they are not all that cheap! – we should perhaps wait for further independent replications and research.
Radix Salviae Miltiorrhizae (Danshen) is a herbal remedy that is part of many TCM herbal mixtures. Allegedly, Danshen has been used in clinical practice for over 2000 years.
But is it effective?
The aim of this systematic review was to evaluate the current available evidence of Danshen for the treatment of cancer. English and Chinese electronic databases were searched from PubMed, the Cochrane Library, EMBASE, and the China National Knowledge Infrastructure (CNKI), VIP database, Wanfang database until September 2018. The methodological quality of the included studies was evaluated by using the method of Cochrane system.
Thirteen RCTs with 1045 participants were identified. The studies investigated the lung cancer (n = 5), leukemia (n = 3), liver cancer (n = 3), breast or colon cancer (n = 1), and gastric cancer (n = 1). A total of 83 traditional Chinese medicines were used in all prescriptions and there were three different dosage forms. The meta-analysis suggested that Danshen formulae had a significant effect on RR (response rate) (OR 2.38, 95% CI 1.66-3.42), 1-year survival (OR 1.70 95% CI 1.22-2.36), 3-year survival (OR 2.78, 95% CI 1.62-4.78), and 5-year survival (OR 8.45, 95% CI 2.53-28.27).
The authors concluded that the current research results showed that Danshen formulae combined with chemotherapy for cancer treatment was better than conventional drug treatment plan alone.
I am getting a little tired of discussing systematic reviews of so-called alternative medicine (SCAM) that are little more than promotion, free of good science. But, because such articles do seriously endanger the life of many patients, I do nevertheless succumb occasionally. So here are a few points to explain why the conclusions of the Chinese authors are nonsense:
- Even though the authors claim the trials included in their review were of high quality, most were, in fact, flimsy.
- The trials used no less than 83 different herbal mixtures of dubious quality containing Danshen. It is therefore not possible to define which mixture worked and which did not.
- There is no detailed discussion of the adverse effects and no mention of possible herb-drug interactions.
- There seemed to be a sizable publication bias hidden in the data.
- All the eligible studies were conducted in China, and we know that such trials are unreliable to say the least.
- Only four articles were published in English which means those of us who cannot read Chinese are unable to check the correctness of the data extraction of the review authors.
I know it sounds terribly chauvinistic, but I do truly believe that we should simply ignore Chinese articles, if they have defects that set our alarm bells ringing – if not, we are likely to do a significant disservice to healthcare and progress.
Chiropractic spinal manipulative therapy (CSMT) for migraine?
There is no good evidence that it works!
On the contrary, there is good evidence that it does NOT work!
A recent and rigorous study (conducted by chiropractors!) tested the efficacy of chiropractic CSMT for migraine. It was designed as a three-armed, single-blinded, placebo -controlled RCT of 17 months duration including 104 migraineurs with at least one migraine attack per month. Active treatment consisted of CSMT (group 1) and the placebo was a sham push manoeuvre of the lateral edge of the scapula and/or the gluteal region (group 2). The control group continued their usual pharmacological management (group 3). The results show that migraine days were significantly reduced within all three groups from baseline to post-treatment. The effect continued in the CSMT and placebo groups at all follow-up time points (groups 1 and 2), whereas the control group (group 3) returned to baseline. The reduction in migraine days was not significantly different between the groups. Migraine duration and headache index were reduced significantly more in the CSMT than in group 3 towards the end of follow-up. Adverse events were few, mild and transient. Blinding was sustained throughout the RCT. The authors concluded that the effect of CSMT observed in our study is probably due to a placebo response.
One can understand that, for chiropractors, this finding is upsetting. After all, they earn a good part of their living by treating migraineurs. They don't want to lose patients and, at the same time, they need to claim to practise evidence-based medicine.
What is the way out of this dilemma?
They only need to publish a review in which they dilute the irritatingly negative result of the above trial by including all previous low-quality trials with false-positive results and thus generate a new overall finding that alleges CSMT to be evidence-based.
This new systematic review of randomized clinical trials (RCTs) evaluated the evidence regarding spinal manipulation as an alternative or integrative therapy in reducing migraine pain and disability.
The searches identified 6 RCTs eligible for meta-analysis. Intervention duration ranged from 2 to 6 months; outcomes included measures of migraine days (primary outcome), migraine pain/intensity, and migraine disability. Methodological quality varied across the studies. The results showed that spinal manipulation reduced migraine days with an overall small effect size as well as migraine pain/intensity.
The authors concluded that spinal manipulation may be an effective therapeutic technique to reduce migraine days and pain/intensity. However, given the limitations to studies included in this meta-analysis, we consider these results to be preliminary. Methodologically rigorous, large-scale RCTs are warranted to better inform the evidence base for spinal manipulation as a treatment for migraine.
Bob's your uncle!
Perhaps not perfect, but at least the chiropractic profession can now continue to claim they practice something akin to evidence-based medicine, while happily cashing in on selling their unproven treatments to migraineurs!
But that's not very fair; research is not for promotion, research is for finding the truth; this white-wash is not in the best interest of patients! I hear you say.
Who cares about fairness, truth or conflicts of interest?
Christine Goertz, one of the review-authors, has received funding from the NCMIC Foundation and served as the Director of the Inter‐Institutional Network for Chiropractic Research (IINCR). Peter M. Wayne, another author, has received funding from the NCMIC Foundation and served as the co‐Director of the Inter‐Institutional Network for Chiropractic Research (IINCR)
And who the Dickens are the NCMIC and the IINCR?
At NCMIC, they believe that supporting the chiropractic profession, including chiropractic research programs and projects, is an important part of our heritage. They also offer business training and malpractice risk management seminars and resources to D.C.s as a complement to the education provided by the chiropractic colleges.
The IINCR is a collaborative effort between PCCR, Yale Center for Medical Informatics and the Osher Center for Integrative Medicine at Brigham and Women's Hospital and Harvard Medical School. They aim at creating a chiropractic research portfolio that's truly translational. Vice Chancellor for Research and Health Policy at Palmer College of Chiropractic Christine Goertz, DC, PhD (PCCR) is the network director. Peter Wayne, PhD (Osher Center for Integrative Medicine at Brigham and Women's Hospital and Harvard Medical School) will join Anthony J. Lisi, DC (Yale Center for Medical Informatics and VA Connecticut Healthcare System) as a co-director. These investigators will form a robust foundation to advance chiropractic science, practice and policy. "Our collective efforts provide an unprecedented opportunity to conduct clinical and basic research that advances chiropractic research and evidence-based clinical practice, ultimately benefiting the patients we serve," said Christine Goertz.
Really: benefiting the patients?
You could have fooled me!
The aim of this new systematic review was to evaluate the controlled trials of homeopathy in bronchial asthma. Relevant trials published between Jan 1, 1981, and Dec 31, 2016, were considered. Substantive research articles, conference proceedings, and master and doctoral theses were eligible. Methodology was assessed by Jadad's scoring, internal validity by the Coch-rane tool, model validity by Mathie's criteria, and quality of individualization by Saha's criteria.
Sixteen trials were eligible. The majority were positive, especially those testing complex formulations. Methodological quality was diverse; 8 trials had "high" risk of bias. Model validity and individualization quality were compromised. Due to both qualitative and quantitative inadequacies, proofs supporting individualized homeopathy remained inconclusive. The trials were positive (evidence level A), but inconsistent, and suffered from methodological heterogeneity, "high" to "uncertain" risk of bias, incomplete study reporting, inadequacy of independent replications, and small sample sizes.
The authors of this review come from:
- the Department of Homeopathy, District Joint Hospital, Government of Bihar, Darbhanga, India;
- the Department of Organon of Medicine and Homoeopathic Philosophy, Sri Sai Nath Postgraduate Institute of Homoeopathy, Allahabad, India;
- the Homoeopathy University Jaipur, Jaipur, India;
- the Central Council of Homeopathy, Hooghly,
- the Central Council of Homeopathy, Howrah, India
They state that they have no conflicts of interest.
The review is puzzling on so many accounts that I had to read it several times to understand it. Here are just some of its many oddities:
- According to its authors, the review adhered to the PRISMA-P guideline; as a co-author of this guideline, I can confirm that this is incorrect.
- The authors claim to have included all 'controlled trials (randomized, non-randomized, or observational) of any form of homeopathy in patients suffering from persistent and chronic bronchial asthma'. In fact, they also included uncontrolled studies (16 controlled trials and 12 uncontrolled observational studies, to be precise).
- The authors included papers published between Jan 1, 1981, and Dec 31, 2016. It is unacceptable, in my view, to limit a systematic review in this way. It also means that the review was seriously out of date already on the day it was published.
- The authors tell us that they applied no language restrictions. Yet they do not inform us how they handled papers in foreign languages.
- Studies of homeopathy as a stand alone therapy were included together with studies of homeopathy as an adjunct. Yet the authors fail to point out which studies belonged to which category.
- Several of the included studies are not of homeopathy but of isopathy.
- The authors fail to detail their results and instead refer to an 'online results table' which I cannot access even though I have the on-line paper.
- Instead, they report that 28 studies were included and 'thus, the level of evidence was graded as A.'
- No direction of outcome was provided in the results section. All we do learn from the paper's discussion section is that 'the majority of the studies were positive, and the level of evidence could be graded as A (strong scientific evidence)'.
- Despite the high risk of bias in most of the included studies, the authors suggest a 'definite role of homeopathy beyond placebo in the treatment of bronchial asthma'.
- The current Cochrane review (also authored by a pro-homeopathy team) concluded that there is not enough evidence to reliably assess the possible role of homeopathy in asthma. Yet the authors of this new review do not even attempt to explain the contradiction.
Scientific misconduct?
The purpose of this recently published survey was to obtain the demographic profile and educational background of chiropractors with paediatric patients on a multinational scale.
A multinational online cross-sectional demographic survey was conducted over a 15-day period in July 2010. The survey was electronically administered via chiropractic associations in 17 countries, using SurveyMonkey for data acquisition, transfer, and descriptive analysis.
The response rate was 10.1%, and 1498 responses were received from 17 countries on 6 continents. Of these, 90.4% accepted paediatric cases. The average practitioner was male (61.1%) and 41.4 years old, had 13.6 years in practice, and saw 107 patient visits per week. Regarding educational background, 63.4% had a bachelor's degree or higher in addition to their chiropractic qualification, and 18.4% had a postgraduate certificate or higher in paediatric chiropractic.
The authors from the Anglo-European College of Chiropractic (AECC), Bournemouth University, United Kingdom, drew the following conclusion: this is the first study about chiropractors who treat children from the United Arab Emirates, Peru, Japan, South Africa, and Spain. Although the response rate was low, the results of this multinational survey suggest that pediatric chiropractic care may be a common component of usual chiropractic practice on a multinational level for these respondents.
A survey with a response rate of 10%?
An investigation published 9 years after it has been conducted?
Who at the AECC is responsible for controlling the quality of the research output?
Or is this paper perhaps an attempt to get the AECC into the 'Guinness Book of Records' for outstanding research incompetence?
But let's just for a minute pretend that this paper is of acceptable quality. If the finding that ~90% of chiropractors tread kids is approximately correct, one has to be very concerned indeed.
I am not aware of any good evidence that chiropractic care is effective for paediatric conditions. On the contrary, it can do quite a bit of direct harm! To this, we sadly also have to add the indirect harm many chiropractors cause, for instance, by advising parents against vaccinating their kids.
This clearly begs the question: is it not time to stop these charlatans?
What do you think?
The aim of this systematic review was to determine the efficacy of conventional treatments plus acupuncture versus conventional treatments alone for asthma, using a meta-analysis of all published randomized clinical trials (RCTs).
The researchers included all RCTs in which adult and adolescent patients with asthma (age ≥12 years) were divided into conventional treatments plus acupuncture (A+B) and conventional treatments (B). Nine studies were included. The results showed that A+B could improve the symptom response rate and significantly decrease interleukin-6. However, indices of pulmonary function, including the forced expiratory volume in one second (FEV1) and FEV1/forced vital capacity (FVC) failed to be improved with A+B.
The authors concluded that conventional treatments plus acupuncture are associated with significant benefits for adult and adolescent patients with asthma. Therefore, we suggest the use of conventional treatments plus acupuncture for asthma patients.
I am thankful to the authors for confirming my finding that A+B must always be more/better than B alone (the 2nd sentence of their conclusion is, of course, utter nonsense, but I will leave this aside for today). Here is the short abstract of my 2008 article:
In this article, we test the hypothesis that randomized clinical trials of acupuncture for pain with certain design features (A + B versus B) are likely to generate false positive results. Based on electronic searches in six databases, 13 studies were found that met our inclusion criteria. They all suggested that acupuncture is effective (one only showing a positive trend, all others had significant results). We conclude that the 'A + B versus B' design is prone to false positive results and discuss the design features that might prevent or exacerbate this problem.
Even though our paper was on acupuncture for pain, it firmly established the principle that A+B is always more than B. Think of it in monetary terms: let's say we both have $100; now someone gives me $10 more. Who has more cash? Not difficult, is it?
But why do SCAM-fans not get it?
Why do we see trial after trial and review after review ignoring this simple and obvious fact?
I suspect I know why: it is because the 'A+B vs B' study-design never generates a negative result!
But that's cheating!
And isn't cheating unethical?
My answer is YES!
(If you want to read a more detailed answer, please read our in-depth analysis here)
The present trial evaluated the efficacy of homeopathic medicines of Melissa officinalis (MO), Phytolacca decandra (PD), and the combination of both in the treatment of possible sleep bruxism (SB) in children (grinding teeth during sleep).
Patients (n = 52) (6.62 ± 1.79 years old) were selected based on the parents report of SB. The study comprised a crossover design that included 4 phases of 30-day treatments (Placebo; MO 12c; PD 12c; and MO 12c + PD 12c), with a wash-out period of 15 days between treatments.
At baseline and after each phase, the Visual Analogic Scale (VAS) was used as the primary outcome measure to evaluate the influence of treatments on the reduction of SB. The following additional outcome measures were used: a children's sleep diary with parent's/guardian's perceptions of their children's sleep quality, the trait of anxiety scale (TAS) to identify changes in children's anxiety profile, and side effects reports. Data were analyzed by ANOVA with repeated measures followed by Post Hoc LSD test.
Significant reduction of SB was observed in VAS after the use of Placebo (-1.72 ± 0.29), MO (-2.36 ± 0.36), PD (-1.44 ± 0.28) and MO + PD (-2.21 ± 0.30) compared to baseline (4.91 ± 1.87). MO showed better results compared to PD (p = 0.018) and Placebo (p = 0.050), and similar result compared to MO+PD (p = 0.724). The sleep diary results and TAS results were not influenced by any of the treatments. No side effects were observed after treatments.
The authors concluded that MO showed promising results in the treatment of possible sleep bruxism in children, while the association of PD did not improve MO results.
Even if one fully subscribed to the principles of homeopathy, this trial raises several questions:
- Why was it submitted and then published in the journal 'Phytotherapy'. All the remedies were given as C12 potencies. This has nothing to do with phytomedicine.
- Why was a cross-over design chosen? According to homeopathic theory, a homeopathic treatment has fundamental, long-term effects which last much longer than the wash-out periods between treatment phases. This effectively rules out such a design as a means of testing homeopathy.
- MO is used in phytomedicine to induce sleep and reduce anxiety. According to the homeopathic 'like cures like' assumption, this would mean it ought to be used homeopathically to treat sleepiness or for keeping patients awake or for making them anxious. How can it be used for sleep bruxism?
Considering all this, I ask myself: should we trust this study and its findings?
What do you think?

subset: commoncrawl


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SUGAR HILL, Ga. (September 18, 2018) - RSS Racing is pleased to welcome Larry's Hard Lemonade as the primary sponsor for the #39 car at Richmond Raceway this weekend. This is a new company to join RSS Racing as well as the NASCAR XFINITY Series.
The Original Larry's Hard Lemonade Brewing Co. is based in Hampton, Virginia. There saying is that "WHEN LIFE HANDED US LEMONS, WE TURNED THEM INTO BEER". At Larry's Hard Lemonade we believe that our beer is the best in its category. From the completion of our first can in July of 2017 to being carried by national outlets in less than a year lets us know the beer is great. What makes us different is how it all happened. We are a group of high functioning, dysfunctional veterans who proved, if you love without limit and work without a quit button anyone can overcome the obstacles that life will throw at you.
"It's great to welcome another new company to our team. It's going to be an exciting race for the XFINITY Series with it being the start of the chase as well as having Dale Jr back in the field. Hopefully we can have a strong race for Larry's Hard Lemonade," commented Sieg.
--- RSS Racing ----


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|Biosequences .. Software .. Molbio soft .. Network News .. FTP
I have a deaf friend who uses hearing aids to hear some sounds. The other day another friend was playing with an empty plastic soda bottle pressing the sides and letting the side pop out again. Well my deaf friend asked them to stop, because it was bothering her. Later she explained that she can hear high frequency sounds much better than lower frequency ones, and for that reason the high frequency sounds are extra amplified by her hearing aids, too much in some cases. This made sense, I understood that hearing loss may sometimes be limited to only certian ranges in frequencies. Later however I got to thinking. I participate in theater and I know that in the sound booth we have 1/3rd octave Equalizers which allows us to adjust the levels of specific frequency ranges, which as I understand it is to compensate for the sound equipments ability to reproduce those sounds, and theater space's acoustics, in order to get all the freqencies at approximately the same volume. It is also used to turn down the frequencies at which feedback occurs easily to make it less likely to occur. So I was wondering are any of these capabilities available in hearing aids? Its probably not a user servicable type thing, but is it possible to hook them to equipment and EQ them, for example turning up the frequency ranges that the person finds hardest to hear, while turning down those frequencies they hear easily, thus approaching a more even volume across all frequencies? Perhaps this would allow better amplification of the harder to hear frequencies, by reducing the amplification of the frequencies that may be too loud under normal, across the board amplification. In this case it would also be possible to turn down the levels of the frequencies where feedback occurs most, as it is usually around the same frequency from what I have heard. Plus maybe have auto ranging ability, to match the input to the output, from my experience people spend a lot of time adjusting the volume, it seems like the device should be able to adjust to some degree on its own. Sort of like another piece of theater equipment called a Compressor/Limiter which pushes the sound wave amplitude into a certian range, lowering the high amplitudes and increasing the low amplitudes. Please feel free to correct my information stated above, I'm not entirely familiar with the equipment I mentioned, only with the basic concepts involved. I don't know anything about hearing aids in this respect, I'm just thinking about my limited knowledge of other sound equipment and wondering if these concepts could be applied, or maybe they are already. Do these features exist in some hearing aid models? -Michael


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When feet are in position and you are seated, ensure you are sitting in a tall yet relaxed position. Try to feel as if you are sitting on your 'sit' or ischia bones and rock slightly forwards and backwards on these bones. Your body weight will move from the front to the back of the seat. Ensure you are sitting with a locked core, shoulders relaxed and head looking forwards.
This affordable rowing machine is streamlined, simple to use, built well, has a comfy seat with a realistic rowing movement, and especially good for a newbie. Because the cost of this machine is less than $150, it is popular on the net. As it has a hydraulic rower, resistance is provided by just one piston under the main key column. Along with a comfy cushioned seat, LCD screen, this machine provides 12 hydraulic cylinder resistances.
Rowing machines are often used by people who are looking to get a full-body workout, and also by rowers to stay in rowing shape during the off-season. According to Men's Total Health, rowing is a natural motion, and is therefore fairly easy for anyone to pick up and do properly. Also, rowing is a low-impact exercise, meaning that the potential for injuries to your joints is lower than on such machines as treadmills, for example.
Assembly was challenging. One of the rails could not be attached because the embedded screw in the cross-beam was too crooked to fit into the hole on the rail. I had to place a nut on it to protect the screws and tap until it was true enough cap nut to be attached. The foot board is slightly wider than the top board. I will sand this to match when I reapply the finish. This will need to be done because the wood has a dry, ashy appearance. The wood is beautiful and mostly uniform. This rowing machine is a nice product, but the build quality of the unit I received was disappointing. I felt lucky that the gashes in the carton did not damage the product as the packaging was optimistic. The leading competitor I use at the gym seems to provide slightly more resistance. It is beautiful and useful, but with room for improvement.
I don't know how this machine compares to others. I have no idea. Here's what I know: I've had treadmills and elliptical machines, weight benches and several exercise appliances from infomercials. They all work exactly like they should if you use the equipment on a consistent basis. That's where the problem comes in. I would always give up eventually and the machine would sit in the corner, covered with my laundry, laughing at me. I bought this rower without ever even trying one at the gym because I was desperate to do something (and I voted for Frank Underwood). This was the one machine I was not only able to stick with, but I now eagerly look forward to using. It started a chain reaction that changed everything. You know those incredible before/after transformation pictures you see on weight loss shows? I'm one of those guys now. Rowing is like a 'secret' in the fitness world in the way there is so little emphasis. However, in terms of results, it is so much more efficient. It works your upper and lower body at the same time, huge cardio/fat burner and builds muscle like crazy. I'm glad I'm in on the secret too.
For a third option, you can look to hydraulic machines, which use pistons to generate resistance. Hydraulic rowers are quiet, and they also tend to be smaller and cheaper than other kinds of rowing machines, but you won't get the same smooth rowing feel, or the consistency of resistance, that you would get with an air or water rower. What's more, reviewer after reviewer has found them unreliable and high-maintenance.
The first known "modern" rowing races began from competition among the professional watermen in the United Kingdom that provided ferry and taxi service on the River Thames in London. Prizes for wager races were often offered by the London Guilds and Livery Companies or wealthy owners of riverside houses.[10] The oldest surviving such race, Doggett's Coat and Badge was first contested in 1715 and is still held annually from London Bridge to Chelsea.[12] During the 19th century these races were to become numerous and popular, attracting large crowds. Prize matches amongst professionals similarly became popular on other rivers throughout Great Britain in the 19th century, notably on the Tyne. In America, the earliest known race dates back to 1756 in New York, when a pettiauger defeated a Cape Cod whaleboat in a race.[13]
Award Winning Design - The WaterRower has been designed to set it apart from other fitness equipment, featuring an attention to detail unseen in other exercise equipment. Refined Design - The WaterRower has been designed to set it apart from other fitness equipment, featuring an attention to design refinement unseen in other exercise equipment. Hand Crafting - WaterRower's wooden models are handcrafted from a selection of the world's finest hard woods (Ash, Cherry, Walnut, Beech and Oak).. Each model is hand finished and coated with Danish oil giving it a deep penetrating Luster. Sustainable & Eco-Friendly - All WaterRower's wooden models are crafted from the finest Appalachian hardwoods sourced only from replenishable forests.
Designed with an obsession for detail, the WaterRower Classic Rower is unmatched by any other fitness equipment. The overriding design philosophy of the WaterRower has achieved "beauty by simplicity". Every detail has been resolved to compliment the overall appearance and performance of the machine. Order your WaterRower Natural Ash Rower from FitnessZone.com today!
Do you need a machine that folds up? If you've decided to avoid a water rower for space reasons, you may prefer a model that folds up for storage. Even better, some rowing machines have wheels fitted to them, so that once it's folded up, you can steer it to a storage space out of the way. You can find a foldable design in many magnetic and some air rowers.
The Waterrower has recently been made famous by Kevin Spacy as the rowing machine used in the 'House of Cards'. It is a type of wooden rowing machine produced and manufactured by Waterrower Inc. in New England, USA. The rowers were designed by ex-US national team rower john Duke in the mid 1980's and the company to manufacture them was established in 1988.
Like all woods, Cherrywood may vary in color from a red-brown to deep red. The wood will darken in color with exposure to light. For this reason all WaterRower Cherrywood components are kept in light free rooms to protect from shadowing. A new WaterRower Oxbridge Rower will therefore appear quite light in color. The wood will however darken over time reaching a rich reddish hue.
Rowing whether competitive and recreational is unique compared to most sports because this type of aerobic exercise gives all your major muscle groups a beneficial workout. Everything from your legs, back, and arms are engaged while rowing. This is a low-impact sport, the rowing stroke is a fairly safe motion, providing little room for the serious injury often found in contact and high-impact sports.
SquareTrade Protection Plans are only valid for new or Amazon certified refurbished products purchased at Amazon in the last 30 days. By purchasing this Protection Plan you agree to the Protection Plan Terms & Conditions (http://www.squaretrade.com/terms-standard). Your Protection Plan Terms & Conditions will be delivered via email within 24 hours of purchase
The WaterRower Club is hand crafted in solid Ash and stained for color. The WaterRower Club has been designed for High Traffic Areas such as Commercial Gyms, Studios, Rehabilitation Clinics, etc. Its Black Rails have been styled to prevent scuffing, other wooden components are finished in an attractive rosewood which are more resistant to soiling than the Natural model. Each machine has been hand finished with Danish Oil and Urethane for protection. Wood has been chosen due to its marvellous engineering properties, primary amongst these is its ability to absorb sound and vibration enhancing the WaterRower's quietness and smoothness of use. Ash, like all woods used in WaterRower construction, is a premium hardwood with incredible longevity and dimensional stability. s For reasons of ecology, all our woods are harvested from replenishable forests.
Motion of the water is different than the motion of the wave. Water at each location moves in a circular path, but the motions at different locations are "out of phase", which means that when water at the left of the diagram is moving to the right, water a quarter of a wavelength to the right is moving down, and water next to it is moving to the left, and next to it is moving up, etc. The overall effect is a an "apparent" wave moving to the right. Thus, the velocity (speed) of a wave is not at all the same as the velocity of the water.
Other details include dual rails with four corner wheels that increase seat stability and reduce the amount of sweat buildup; a frame that flips upright for handy storage; and a weight capacity of up to 1,000 pounds. The WaterRower Classic measures 84 by 21 by 22 inches (W x H x D), weighs 117 pounds (with water), and carries a one-year warranty on the frame and components (WaterRower will upgrade the warranty to five years on the frame and three years on the components with the completion of a registration form).
We're Marta and Brock, happily married new parents, and bring you a fun and simple approach to fitness, weight-loss, and nutrition through our knowledge, experiences and continued journey. Tune in for creative home and outdoor workouts, health and exercise tips, interviews, and organic gluten-free plant-based recipes (raw and/or cooked) for health and fitness newbies and enthusiasts! Occasionally you can win some cool stuff too :)
Do you need a machine that folds up? If you've decided to avoid a water rower for space reasons, you may prefer a model that folds up for storage. Even better, some rowing machines have wheels fitted to them, so that once it's folded up, you can steer it to a storage space out of the way. You can find a foldable design in many magnetic and some air rowers.


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Difference between academic and personal writing työt
Moi! Mulla olis reilu 585 sananen suomeks kirjoitettu personal statement yliopistohakua varten mutta mä en millään kerkee sitä kääntää englanniks nyt kun on yo-kirjotukset tulossa kovaa vauhtia kuukauden päästä. Kiinnostaisko mokoma duuni ja paljon pulitat kyseisestä hommasta? :)
Moi! Mulla olis reilu 585 sananen suomeks kirjoitettu personal statement yliopistohakua varten mutta mä en millään kerkee sitä kääntää englanniks nyt kun on yo-kirjotukset tulossa kovaa vauhtia kuukauden päästä. Kiinnostaisko mokoma duuni ja paljon pulitat kyseisestä hommasta? :)
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"Cameras don't take great photos, people do—and I'll show you how."
Workflow is a sore spot amongst many portrait and wedding photographers. This guide will give you the tools you need to turn things around—fast.
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Problem & Possibility
Anything is possible, and that's the problem. Or is it? For someone with Obsessive Compulsive Disorder (OCD), possibility is a double edged sword.
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E Catalogue required for fashion label. Want edgy design with some text, and to be multi functional - able to be printed if required. Approximately 30 pages
Hi everyone, I am working on a little project and I need to refit the code I have so it does the exact same thing as before but does not have a conformity issue with the svd command. Basically, the code works with a dataset (age groups in 5 year intervals) where in the matrix m>n, but I need to re-fit it to the same dataset with age groups intervals of year by yeay - which creates svd conformi...
...logo I currently have on my website but I need to make some changes. Attached is my current logo which I'm using on my website www.JacobEbersole.com. I want to remove the ".com" and add the word "Ministries" so I guess this is more of an upgrade I'm needing. I'm not sure if you could find that exact globe or not but I'd like to have that globe (un...
...stationeries and toys, cooking a meal for them and plastic cleaning program along with animal feeding. We are based out of India and we do this as a passion rather than a business model. Please visit our website, [login to view URL] Looking at a simple design. The brand name in the middle with mountains on the top and a water base at the bottom that forms
We require photo change for add our stove in other photo with people in night celebration at outdoor bbq. Brgds Bob
Looking for a highly skilled excel expert to assist me in creating formulas on an adhoc basis whilst I create a financial model
Hi - are you able to create a 3D model of a furniture item from a photo that I could import into Sketchup?
I need a 3D model for a Products of electronics and new innovations products we explain with Some Brief Sketch on paper we required the Plastic Model of the Products there is no upfront and settlement will be after the product showcase before the product original sketches and images delivery only Proffissional are welcome for project
I am looking for a blogger/writer to write for my website. The website is about Los Angeles, therefore the ...month after that. The pay will be $50 per article, with a word count expectation of at least 2000 words. Applicants who are knowledgeable about the entertainment industry, fashion, film/TV, or media are preferred, but it's not a requirement.
...between 60-100 dollars a year) to build your own website for your freelancing career and get my long term guidance on how to be a pro freelancer, support, if you don't like this model, you need not apply! if you are not a time waster and serious about joining the team, then do the following 1 - write your name and location 2 - mention the keyword yes-interested
Hello, I'm looking for an available domain name for my website. my website provides costumers ...prices to buy or sell financial derivatives products using probability models. it also computes risk profile for each trade. The domain name should be available and finish with .com and be as short as possible. original domain names are welcomed. Regards,
...logo I currently have on my website but I need to make some changes. Attached is my current logo which I'm using on my website www.JacobEbersole.com. I want to remove the ".com" and add the word "Ministries" so I guess this is more of an upgrade I'm needing. I'm not sure if you could find that exact globe or not but I'd like to have that globe (un...
I'm looking to have the background removed from a couple photos. Needing it done right away.
Need a fitness app, which is based on a subscription-based model. To view videos and download audio tracks they need to pay.
I own an African fashion line that specialises in making tunics with a twist of western influence. Our looks are clean, refined with emphasis on exquisite tailoring and attention to details. We also infuse certain elements in our work to give it a sort of modern yet fresh twist without losing touch of its African heritage. We have been offering made
I need a tool that will post 5 products to our forum every 5 minutes. the forum we use is reef2reef .com
3d model of this in 3d max or rhino [login to view URL]
...from my website. There will be a back-office area where I can see and extract the images that the customers want so that I can print the items. My website is https://doyou247.com/collections/customize. These are the 4 items I would like to start with. Please visit www.printful.com. This site [login to view URL] where you can customize your own products is
Hello, i am looking for a php expert for my web site: satellitetv24.com He will do some changes at my website. It is simple work. Please send me your offers. Thank you.
can you do this model in 3d without rendering [login to view URL]
I need to make PHP script (or JavaScript and pass data to PHP) which communicate with serial ports COM1 and COM2, open it and read data from it (bill acceptor and coin acceptor). It should be tested locally on Windows 7 machine with XAMP.
I need an Android app. I would like it designed and built. see my budget and give quotation
I'm looking for a creative logo designer for my company called "Ripple CashBack .com" - The designer should be able to deliver quality work with all the revised changes without fail by Tuesday. - In short, I need a creative logo within the timeline. Put your best in this because it's going to be a long term relationship as I keep on launching my websites
I am a new small business that will distribute/sell Medical Kits to healthcare facilities and con...small business that will distribute/sell Medical Kits to healthcare facilities and consumers. I am in the process of having my website developed and I need to hire a freelance model to take 6 photos holding my kit, these pictures will be on my website.
I have the CAD and need photo-realistic rendering of my jewelry pieces
Hi, I'm looking for an experienced YouTube marketing expert in creating 1. Attractive thumbnail 2. Keywords (In Fashion, Clothing, Design Labels) 3. Schedule videos I have about 50 videos in total. Basically, I have all the videos uploaded, I want you to do some research on keywords to come up with a good, SEO optimized video title, create a thumbnail
Hello everYbodY, i need a rendering as soon as possible/tonight of an alreadY existing model. It is a concept of a theatre inside of an office building. Model is alreadY existing.
...between 60-100 dollars a year) to build your own website for your freelancing career and get my long term guidance on how to be a pro freelancer, support, if you don't like this model, you need not apply! if you are not a time waster and serious about joining the team, then do the following 1 - write your name and location 2 - mention the keyword yes-interested
I have around 55 images with people. Images were taken inside the building and outside. Need to do some adjustments and light corrections. Can use Adobe Lightroom
model must possess the specific physical attributes that a designer or fashion director looks for. In addition to that, you should be blessed with the height in order to be considered.
I need someone to submit some articles for me.
..." [login to view URL] The app needs to be the current version and the previous version of the Windows 10. Use the best practices and MVC model to develop an app for windows 10 users App should have the same feel and look and functionality like this IOS given app. I need this urgently. only interested developers
I need you to design and build my online store. like Tesco shop and scan model with inventory module. qr code tracking and mobile application for user
we have a suit salwar dupatta material. we want a model photo wearing it by photoshop
...them ) 3 - add option in setting to make app change background for user phone every time user can add it : ex : every 1 hour or 2 hour,,, etc 4 - add report about this photo for every photo when click report appear form need ( name - mail ) and appear this in admin panel 5 - add option in setting to let user disable / enable notification and disable
We need beautiful young female models to take adult XXX pictures of herself at her home. The model must be real person. less than 10 pictures needed, so you can earn money in 10 minutes
I need an artist to take my pencil sketches of hoodie designs (with supplementary detailed instructions) and create digital mockups on templates of hoodies to be used as a model for manufacturers. Expectations of artist: Must be able to customize fonts Must be precise, pay attention to detail and not be sloppy with patterns and borders Must be open
I need C# professional Coder to create a game script , should know Conquer 3D to understand th...can get some codes from it , no one hair without know conquer 3D website of the original game https://co.99.com/index/ you can search about it on the internet and you can find a tons of games like conquer here http://www.xtremetop100.com/conquer-online
I am looking to find a 3d artist that can texture objects to be used for 3d pri...printing or for Unity 3d on mobile. The requirements for this project is to texture the attached lion head that we have in 3d. It should have the photorealistic textures from the photo. We have the obj file and we need the wrl file format for color 3d printing. Thank you
I need a logo designed. create visual concepts, by hand or using computer software developing the overall layout and production design for advertisements, brochures, magazines. etc.
I need some help with my business.
We have a number of mjpeg videos that need to be auto corrected for brightness, saturation, gamma and contrast. Each video frame is stitched together from 5 separate videos to create a panoramic video. The resulting frames have darker bands where the separate images are joined and we need these darker bands to be automatically adjusted to better match the surrounding brightness. At the same tim...
Photoshooting with a second model
I need a 3D model of something.
I am looking for an Open Minded FEMALE model for PERSONAL/PRIVATE XXX adult came shows. You have to be liberal, creative, open minded and cooperative. Age is not important, The procedure is as following: 1- You bid 2- We discuss details on freelancer 3- If all we agreed, we create milestones 4- You do the show 5- I release money It is better to follow


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In this book, you will find a number of styles of text that distinguish between different kinds of information. Here are some examples of these styles, and an explanation of their meaning.
Code words in text are shown as follows: "Drools keywords are
then, and
A block of code will be set as follows:
package droolsbook; rule "basic rule" when Account( balance < 100 ) // condition then System.out.println("Account balance is " + "less than 100"); // consequence end
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Stafford's 4th of July Spectacular
July 4 @ 4:30 pm - 10:00 pmFree
Stafford's 4th of July Spectacular will kick off at 4:30pm on July 4th at John Lee Pratt Park. During the day there will be yard games, crafts, face painting, inflatables, Dj, a live performance by E3 at 6pm and concessions for purchase. We are excited to announce the addition of Toddler Town this year! Our littlest community members will get to enjoy a sandpit, water tables & blocks. The firework display will begin at dusk.
Admission & activities are FREE
Please note: parking is available onsite & is free however it is limited, we typically run out of spaces & have to close the gate prior to dusk. Please plan to carpool if possible! Follow us on FB/twitter for day of announcements, search Stafford Parks. #pratt4independence


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As a Graduate Account Executive you will be contacting new and existing customers, building strong client relationships and promoting the full range of products. This is a fantastic opportunity to join a well-established company and develop your skills in sales, customer services and logistics and a comprehensive training programme will be provided.
Key Responsibilities:
• Making proactive calls to new and existing customers
• Updating customer information in the CRM database
• Developing a strong business relationship with buyers and technical engineers
• Processing sales orders and general administration
• Providing and arranging customer technical support (processing and trouble-shooting advice)
• Resolving any customer delivery problems
• Sending out quotations, datasheets and product samples
• Raising and processing debit notes, credit notes and returns
• Assisting in planning the sales revenue, profit and volume for the product group
Essential Skills/ Experience:
• Educated to degree level or equivalent (preferably in a technically based subject)
• Previous experience in a sales office is essential
• Confident and persuasive telephone manner
• Ability to meet / exceed volume and revenue targets
• Strong team player with a positive "can do" attitude
• Excellent interpersonal and communication skills
• Enthusiastic, self-motivated and tenacious
• Highly organised and capable of multi-tasking in a dynamic environment


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Here is a list of School Dance Workshops. Enquire here about any of these workshops or select one to view below. You may also search for a specific area or age group.
Whether you would like a focus on International dance, choreography from a famous show or a historical style, our professional dancers can provide you with a fun and informative day.
Our Dance Workshop gives children the opportunity to work with one of our professional... > View Profile
Our range of Indian dance style, from elegant classical dances to the more exuberant Bollywood bring the vibrancy of the subcontinent in to your school and offers children the opportunity to build on their natural enthusiasm for movement and develop skills of coordination... > View Profile
The Dragon Dance captures the very symbol of Chinese New Year.
Chinese New Year is on the 16th February and 2018 is the Year of the Dog. Traditionally, New Year was a time for the Chinese to pray to their ancestors as well as to all the... > View Profile
Rakhi Sood Is a Professional Artist, Teacher, Performer, Choreographer, Model & Actress. She has already begun to establish a reputation for the quality of the tuition offered and the original and innovative methods employed.
Rakhi Sood has kept her burning passion... > View Profile
Bring life to your event through the energy and spirit of the Maori Cultural dance, better known as The Haka!
Have our warriors storm into the room, energising the audience, performing two exhilarating Haka at high energy, lifting the spirit of the entire room and leaving... > View Profile
We are an established company having delivered high quality workshops and events to schools, charities, councils and organizations for over five years. Our Ghanaian practitioners, arrive in national dress (just what we wear not a costume!) and we engage with students... > View Profile
Vibes dance provides a selection of Indian educational workshops at schools and colleges across the UK. These workshops range from our most popular Bollywood to Classical Indian (Kathak) and Bhangra. All our workshops can be structured to suit the national curriculum and the... > View Profile
Jane Bower Art, Drama, Dance, English - Children's workshops, staff Inset
I am a widely experienced and enthusiastic KS1 and 2 teacher, author, artist and actor. I offer practical workshops and Inset to those seeking to develop their skills using Art,... > View Profile
Dance Days provide fun and educational dance workshops in and around London, Essex and Home Counties.
Our aim is to provide your school with a first class service at a reasonable cost and give your pupils the chance to experience an interactive Dance Day.
Our Dance Days... > View Profile
Learn about India and its colourful culture through our wonderful storytelling and dance workshop. A great way to engage children of all ages with use of props and drama. Using nuances of Indian Classical styles to fun and frolic of bollywood there is something for... > View Profile
Gumboots Dancing--African Dancing--Gospel Initiation--Brazillian Percussions--Story Teller Our Workshops will: Raise Fitness Awareness Contribute to the Cultural Baggage and Brake racial barriers Boost Self-confidence and Inspire to reach greater... > View Profile
Professional dance and creative workshops, after school clubs suitable for all schools and educational facilities. Our workshops have been specially created and formulated through years of educational teaching practice and most importantly years of successful dance... > View Profile
Dance workshops from Egypt, Ancient Egypt & Mesopotamia, India, Indus Valley, Greece, Italy, France, Africa, China, Tibet, Britain, Ireland, North American Indians, South America, Aztecs, Incas, Mayan, New Zealand Maori Haka, Australian Aboriginal, Japan.
> View Profile
ActOne ArtsBase (ActOne) is a company and charity providing inclusive dance and performance training for disabled and non-disabled people across the East of England and the surrounding areas. As well as an extensive programme of regular dance activity based in... > View Profile
Schoolworkshops.com is a directory of workshop providers/third party suppliers advertising
their services to schools or other organisations.
On completing this enquiry form, you may be contacted by a member of the schoolworkshops.com
team to support you with your enquiry. Schoolworkshops.com does not take bookings directly or
deliver any of the workshops. Our service purely assists you with your booking.
All subsequent enquiries are forwarded to the relevant workshop provider/supplier to contact
you directly. We reserve the right to forward your enquiry to other advertisers on our website
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advertising on this website.
As a school or organisation it is your responsibility to verify the credentials of a provider
you may be interested in engaging. We suggest you obtain proof of ID, CRB's for all staff, insurance,
references, full cost breakdown and workshop plans.
By ticking this box you agree to allow SSB Creative, its partners or selected third parties to contact you from time to time about services that may be of interest to you. You will be given the option to unsubscribe from this service at any point


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November 16, 2017 - by : Pol Alex
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Classic Austrian Alps summer holiday
Hotel Bichlingerhof, Westendorf
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Standard Double room
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