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      The effectiveness of wet cupping vs. venesection on arterial O2 saturation level of cigarette smokers: A randomized controlled clinical trial

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          Abstract

          Objective: Wet cupping is a traditional bloodletting method recommended for controlling of respiratory disease complications. This study aimed to compare the efficacy of wet cupping vs. venesection on arterial O2 saturation level of smokers.

          Methods: This is a randomized controlled clinical trial which started with simple sampling of smokers. After administering spirometery, participants ( N = 110 male smokers) with positive pulmonary function test (PFT), who manifested Chronic Obstructive Pulmonary Disease (COPD), were randomly assigned to intervention and control groups. The two groups were assessed in terms of demographic data, rate of hemoglobin (Hb), hematocrit (Hct), and arterial O2 saturation. Then, the intervention participants underwent wet cupping whereas venesection was performed on the control participants. At four stages after the two treatments, pulse oximetery was performed. Data was analyzed using SPSS (Version 17).

          Results: Result shows that mean arterial O2 sat level increased at three stages, namely before, immediately after, and 6 and 12 hrs after these two treatments (p ≤ 0.001). This indicates that wet cupping and venesection alike were effective on O2 sat level in the two groups, but the increasing pattern was maintained 12 hrs afterward only in those participants who had received wet cupping (p ≤ 0.001). Moreover, the results of repeated measure ANOVA between the two groups at the four stages showed that there were significant differences between the means of O2 saturation level at the 6- and 12-hrs stages (F = 66.92, p ≤ 0.001).

          Conclusion: Wet cupping caused a continued O2 saturation in the intervention group even up to 12 hrs afterward. Participants expressed liveliness and improved respiration after wet cupping. Therefore, wet cupping is recommended for promoting the health of cigarette smokers.

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          Most cited references27

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          Public knowledge, attitude and practice of complementary and alternative medicine in riyadh region, saudi arabia.

          Complementary and alternative medicine (CAM) is well established worldwide. The present work is aimed at studying the knowledge, attitude and practice of CAM by the people of Riyadh region, Saudi Arabia. A cross-sectional descriptive household survey study of the people living in Riyadh city, as well as the surrounding governorates. A multistage random sample was taken from 1(st) January to the end of March 2010, with a total number of 518 participants. Data were collected using a pre-designed questionnaire through direct interview. The data was collected based on socio-demography, as well as knowledge, attitude and practice of CAM. Participants were nearly sex-matched, consisting of approximately 70% Saudi and 30% non-Saudis. About 89% of the participants had some knowledge of CAM. Mass media e.g. (T.V., newspapers and radio) and family, relatives and friends represented the main sources of CAM knowledge, (46.5% and 46.3% respectively). Nearly 85% of participants or one of their family members has used some form of CAM before, and the most common users of CAM practices were females, housewives, and illiterate subjects (or those who could just read and write), as well as participants aged 60 years and above. Medical herbs (58.89%), prayer (54%), honey and bee products (54%), hijama (35.71%) and cauterization or medical massage therapy (22%) were the commonly used CAM practices. Most participants agreed that there are needs for; CAM practices (93.8%), regulations for CAM (94.9%), health education (96.6%), specialized centers (94.8%) and CAM clinics (92.7%). While only 8.3% of participants usually discussed CAM with their physicians. There is a high prevalence and increased public interest in CAM use in the Riyadh region. There is a positive attitude towards CAM, yet most participants are reluctant to share and discuss CAM information with their physicians.
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            Cupping for hypertension: a systematic review.

            The objective of this review is to assess the clinical evidence for or against cupping as a treatment for hypertension. We searched the literature using 15 databases from their inception to 30 June 2009, without language restrictions. We included all clinical trials (CTs) of cupping to treat hypertension in human patients. Risk of bias was assessed using the Cochrane criteria. Two CTs met all inclusion criteria. One RCT (randomized CT) assessed the effectiveness of dry cupping on changes in cerebral vascular function compared with drug therapy. Their results suggested significant effect in favor of cupping on vascular compliance and degree of vascular filling. One uncontrolled observational study (UOS) tested wet cupping for acute hypertension and found that a one-time treatment reduced blood pressure. In conclusion, the evidence is not significantly convincing to suggest cupping is effective for treating hypertension. Further research is required to investigate whether it generates any specific effects for that condition.
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              History of bloodletting by phlebotomy.

              L Parapia (2008)
              Bloodletting by phlebotomy has been an obsession with medical practitioners for thousands of years, causing countless suffering to patients, initially for unproven indications and more recently for diagnoses. The approach to medical evidence-based phlebotomy has been a triumph for scientifically inclined practitioners. Progress, primarily achieved since the nineteenth century, has been in spite of considerable opposition from the medical establishment. The evaluation of phlebotomy as a useful tool continues and no doubt further myths will be dispelled. The history of bloodletting remains one of the greatest stories of medical progress, not because of new discoveries but mainly by persistent unbiased audit.
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                Author and article information

                Journal
                Pak J Med Sci
                Pak J Med Sci
                PJMS
                Pakistan Journal of Medical Sciences
                Professional Medical Publicaitons (Karachi, Pakistan )
                1682-024X
                1681-715X
                Nov-Dec 2013
                : 29
                : 6
                : 1349-1353
                Affiliations
                [1 ]Hekmatpou D, PhD (Nursing), Assistant Professor, Faculty Member of Arak University of Medical Sciences, Arak, Iran.
                [2 ]Dr. Moeini L, MD, Specialist in Pulmonary Diseases, Assistant Professor, Faculty Member of Arak University of Medical Sciences, Arak, Iran.
                [3 ]Salar Haji-Nadali, Student of Nursing, Student Research Center Committee, Faculty Member of Arak University of Medical Sciences, Arak, Iran.
                Author notes
                Correspondence: Hekmatpou D, PhD in Nursing, Assistant Professor, Faculty Member of Arak University of Medical Sciences, Arak, Iran. E-mail: dr_hekmat@arakmu.ac.ir
                Article
                pjms-29-1349
                10.12669/pjms.296.3365
                3905389
                24550951
                3a299408-0d9f-4507-9c4d-9b991d0c21c9

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, ( http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 7 January 2013
                : 12 August 2013
                : 19 August 2013
                : 20 August 2013
                Categories
                Original Article

                arterial o2 saturation,cigarette smokers,venesection,wet cupping

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