The effect of St John's wort extracts on CYP3A: a systematic review of prospective clinical trials

Aim The aim of this systematic review was to assess the quality and outcomes of clinical trials investigating the effect of St John's wort extracts on the metabolism of drugs by CYP3A. Methods Prospective clinical trials assessing the effect of St John's wort (SJW) extracts on metabolism by CYP3A were identified through computer-based searches (from their inception to May 2005) of Medline, Cinahl, PsycINFO, AMED, Current Contents and Embase, hand-searches of bibliographies of relevant papers and consultation with manufacturers and researchers in the field. Two reviewers selected trials for inclusion, independently extracted data and recorded details on study design. Results Thirty-one studies met the eligibility criteria. More than two-thirds of the studies employed a before-and-after design, less than one-third of the studies used a crossover design, and only three studies were double-blind and placebo controlled. In 12 studies the SJW extract had been assayed, and 14 studies stated the specific SJW extract used. Results from 26 studies, including all of the 19 studies that used high-dose hyperforin extracts (> 10 mg day(-1)), had outcomes consistent with CYP3A induction. The three studies using low-dose hyperforin extracts (< 4 mg day(-1)) demonstrated no significant effect on CYP3A. Conclusion There is reasonable evidence to suggest that high-dose hyperforin SJW extracts induce CYP3A. More studies are required to determine whether decreased CYP3A induction occurs after low-dose hyperforin extracts. Future studies should adopt study designs with a control phase or control group, identify the specific SJW extract employed and provide quantitative analyses of key constituents.

The construction of masculinities and femininities in the Church of England:the case of the male clergy spouse

The ordination of women to the priesthood in the Church of England in 1994 signified great change. The impact of the new priests was well documented, and their integration became the focus of much research in the following years. One important area of change was the altered dynamics of gender identity. New roles had opened up for women, but new identities had also emerged for men. While women priests were a new historical emergence, so too were clergy husbands. This paper will consider the historical construction of masculinities and femininities within the church and will go on to look at this in the context of clergy spouses, specifically focusing on men occupying this role. Some provisional findings, acting as work in progress, will be considered.

Religious diplomacy and socialism. The Romanian Orthodox Church and the Church of England, 1956-1959

This article analyzes the relationship between the Orthodox Church and the communist regime during one of the most intense periods of religious persecution in the Romanian People's Republic from 1956 to 1959. The church hierarchy demonstrated its support for the socialist construction of the country, while, at the same time, the regime began a campaign against religion by arresting clergy and reducing the number of religious people in monasteries; rumours even circulated that in 1958 Patriarch Justinian was under house arrest. Seeking closer contact with Western Europe, the regime allowed the hierarchy to meet foreign clergymen, especially from the Church of England. These diplomatic religious encounters played a double role. The regime realised that it could benefit from international ecclesiastical relations, while the image of Justinian in the West changed from that of "red patriarch" to that of a leader who was genuinely interested in his church's survival.

Herbal medicines:physician's recommendation and clinical evaluation of St.John's Wort for depression

Why some physicians recommend herbal medicines while others do not is not well understood. We undertook a survey designed to identify factors, which predict recommendation of herbal medicines by physicians in Malaysia. About a third (206 out of 626) of the physicians working at the University of Malaya Medical Centre ' were interviewed face-to-face, using a structured questionnaire. Physicians were asked about their personal use of, recommendation of, perceived interest in and, usefulness and safety of herbal medicines. Using logistic regression modelling we identified personal use, general interest, interest in receiving training, race and higher level of medical training as significant predictors of recommendation. St. John's wort is one of the most widely used herbal remedies. It is also probably the most widely evaluated herbal remedy with no fewer than 57 randomised controlled trials. Evidence from the depression trials suggests that St. John's wort is more effective than placebo while its comparative efficacy to conventional antidepressants is not well established. We updated previous meta-analyses of St. John's wort, described the characteristics of the included trials, applied methods of data imputation and transformation for incomplete trial data and examined sources of heterogeneity in the design and results of those trials. Thirty randomised controlled trials, which were heterogeneous in design, were identified. Our meta-analysis showed that St. John's wort was significantly more effective than placebo [pooled RR 1.90 (1.54-2.35)] and [Pooled WMD 4.09 (2.33 to 5.84)]. However, the remedy was similar to conventional antidepressant in its efficacy [Pooled RR I. 0 I (0.93 -1.10)] and [Pooled WMD 0.18 (- 0.66 to 1.02). Subgroup analyses of the placebo-controlled trials suggested that use of different diagnostic classifications at the inclusion stage led to different estimates of effect. Similarly a significant difference in the estimates of efficacy was observed when trials were categorised according to length of follow-up. Confounding between the variables, diagnostic classification and length of trial was shown by loglinear analysis. Despite extensive study, there is still no consensus on how effective St. lohn's wort is in depression. However, most experts would agree that it has some effect. Our meta-analysis highlights the problems associated with the clinical evaluation of herbal medicines when the active ingredients are poorly defined or unknown. The problem is compounded when the target disease (e.g. depression) is also difficult to define and different instruments are available to diagnose and evaluate it.

The church of England and the working class in Birmingham, 1861-1905

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The scrutinized priest:women in the Church of England negotiating professional and sacred clothing regimes

This article examines the integration of women priests in the Church of England through the lens of dress. Clothing is a salient dynamic in occupational cultures, particularly in relation to the regulation of gendered bodies. Women's ordination to the priesthood was only sanctioned in 1992. Complex clothing regimes are negotiated, for ordination bestows upon the priest certain clothing rights and responsibilities. However, such attire has traditionally been associated only with the male body, creating tension in relation to women's appropriation of this sacred and professional dress. Based on in-depth interviews with 17 Anglican clergy women, this article will focus both on the scrutiny the women experienced in relation to their clothing choices, as well as the relationship the women themselves negotiated with their clothes. It will be argued that as representatives of both a sacred and professional domain, clothing had to be carefully managed by clergy. Dress functioned as a key test in women's integration into the organization, often operating as a constraining and exclusionary mechanism. © 2013 John Wiley & Sons Ltd.

Autofiction as a fictional metaphorical self-translation:the case of Reinaldo Arenas' El color del verano

In the past thirty years, autofiction has been at the center of many literary studies (Alberca 2005/6, 2007; Colonna 1989, 2004; Gasparini 2004; Genette 1982), although only recently in Hispanic literary studies. Despite the many common characteristics with self-translation, no interdisciplinary perspective has ever been offered by academic researchers in Literary nor in Translation Studies. This article analyses how the Cuban author, Reinaldo Arenas, uses specific methods inherent to autofiction, such as nominal and personal identity exploitation, among others, to translate himself metaphorically into his novel El color del verano [The colour of summer]. Analysing this novel drawing on the theory of self-translation sheds light on the intrinsic and extraneous motives behind the writer’s decision to use this specific literary genre, as well as the benefits presented to the reader who gains access to the ‘interliminal space’ of the writer’s work as a whole.

Freedom of religion : a case study of the Church of Lukumí Babalú Ayé v. City of Hialeah

This thesis attempted to explain society's worldview of Santeria and its practice of animal sacrifice, and the breakdown between the federal and local government after a 1993 Supreme Court ruling affirming their right to engage in this sacred ritual. Santeria practitioners are harassed and prosecuted for exercising their right to practice animal sacrifice. The research was intended to present the cosmology of the Lukumi tradition, the intellectual framework explored, a review of Freedom of Religion and the case of Lukumi v. Hialeah, and finally the media's role in shaping the worldview of Santeria that have perpetuated this breakdown. The thesis consisted of 87 research items, a community survey, interviews, a Santeria divination, and review of case law, books,newspaper and online journals. These findings demonstrated that freedom of religion is not so free in the U.S., and exists only to the extent the media and municipal laws choose to allow.

The Church of Our Blessed Redeemer Who Walked Upon the Waters

The Church of Our Blessed Redeemer Who Walked Upon the Waters is a collection of short stories about Elwyn Parker, a devout pianist who becomes a worldly car salesman. "Thirty Fingers," "My Father's Business," and "Apostate" introduce Elwyn, a saint at church and a trouble-making evangelist at school, who nevertheless finds himself in a love affair with an older woman, Sister Morrisohn. In "Captivity," Elwyn, a college freshman, experiences worldliness, then grows to resent and ultimately reject Sister Morrisohn. In "The Leap," Elwyn is back at the piano, but unemployed and unhappily married. He finds comfort only in his decade-old affair. In "The Lord of Travel," Elwyn, a car salesman, appears bereft of his former morals until he hoodwinks Ida, who reminds him of the now deceased Sister Morrisohn. Elwyn repairs Ida's car, redeeming himself in the process.

The Frenchness of Marcel Lefebvre and the Society of St Pius X:a new reading

The case of Marcel Lefebvre and the SSPX deserves fresh perspectives. The current historiography is too franco-centric, obsessed with relatively minor matters, rather than with more substantial ones. This article proposes a new analysis of the SSPX’s political discourses in France and internationally over the last fifteen years and undertakes to reframe the relationship between Lefebvre’s life and his congregation by re-examining his African missionary experiences. Such new perspectives will be helpful as the SSPX moves towards regularisation under the pontificate of Pope Francis.

Presencia de la pintura matérica en la contemporaneidad plástica y estética española. Grupo El Paso, protoapertura al arte conceptual español

Para determinar el papel del grupo El Paso en la configuración del arte Español, partimos de las interrelaciones entre la historia y el proceso creativo, escudriñando el delgado hilo conductor con el tipo de dictadura, transición y democracia vivenciados en España. La realización de esta investigación ha requerido la capacidad, por nuestra parte, de deslizarnos fuera del enmarañado y manido campo de nuestra historiografía, para sumergirnos en la transversalidad del conocimiento humanístico. Si no hubiésemos sido capaces de entrar y salir del cajón seleccionado, con relativa agilidad, el estudio del período a estudiar, donde se plantean sesgos espaciales, temáticos, temporales y metodológicos, conllevaría inevitables pérdidas. Esperamos que el replanteamiento propuesto sea de utilidad para fundamentar futuras investigaciones desde nuevas perspectivas, o mejor, pretendemos contribuir con nuevas perspectivas para futuras investigaciones. Nuestro trabajo se ha convertido en una propuesta viva, donde cada paso que dábamos se veía sorprendido, o continuado, por los pasos de otros, y donde tuvimos que avanzar desde la documentación impresa más reconocida hasta la recopilada en los rincones más sórdidos de la aldea global. Finalmente, la confrontación se ha definido como nuestra metodología. Solo la permanente huida del dogma nos ha empujado al verdadero entendimiento de las cuestiones más profundas; el pluralismo cognitivo necesario durante nuestro recorrido, ha conllevado un necesario pluralismo metodológico entre lo cualitativo y lo cuantitativo, entre el raciocinio y la intuición. Hemos destacado el papel que las publicaciones han tenido en el objeto de nuestro estudio, en cuanto a su contribución para mantener en la invisibilidad absoluta la parte o el todo de aquello que no servía a la praxis política del franquismo, hasta el punto de que aún hoy, puede parecer que no hubo más. La mayor dificultad ha sido la falta de documentación sobre lo que realmente pasaba fuera de la historia reconocida por la institución. Incapaces de mantener nuestro trabajo vinculado a esa historiografía de arte elaborada desde las confrontaciones con el internacional y llena de amnesias, de las que hemos hablado reiteradamente, consideramos nuestra propuesta como la antesala de lo que debería ser una investigación más profunda, desde la confrontación entre los desarrollos artísticos y otras dinámicas que sobrepasan el mundo del arte y la política con mayúsculas, en la vida madrileña, catalana y española en general...

Abortion demonstration in front of St. Patrick's Cathedral

General note: Title and date provided by Bettye Lane.

Pro-abortion demonstration in front of St. Patrick's Cathedral

General note: Title and date provided by Bettye Lane.