Physiological effects of viewing fresh red roses

State of science: refitting the human to nature

Environmental institutions are realising that the human-nature relationship is a tangible target for a sustainable future. Societal change of that relationship is a challenge involving modifications to both systems and human behaviours. We argue that as Human Factors and Ergonomics (HFE) focusses on relationships, interfaces and systems it is well placed to contribute. After introducing the state of HFE and nature connectedness science an analysis of areas of HFE and human-nature connectedness themes is used to consider current work and future opportunities. We conclude that despite decades-old calls to action, HFE is embedded in a dated paradigm and has had little positive contribution to the human-nature relationship. However, HFE is well placed to create sustainable communities, designed to create a new relationship with nature. To do this, HFE needs to recognise that it should move on from solely fitting the task to the human, to refitting the human to nature.Practitioner Summary: A more sustainable human-nature relationship can be achieved through applying HFE approaches. HFE expertise in human characteristics, systems, people and technology can be applied at differing scales with various social-economic and technical factors to address key themes in our failing relationship with nature.Abbreviations: HFE: Human Factors and Ergonomics; IPBES: Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services; STAMP: System-Theoretic Accident Model and Processes; CWA: Cognitive Work Analysis; NET-HARMS: NETworked Hazard Analysis and Risk Management System; NbS: Nature-based System.

Relaxation Effect of Nature Sound Exposure on Gambling Disorder Patients: A Crossover Study

Objective: Gambling disorder (GD) has been associated with economic, social, mental, and physical problems. Alternative leisure activities or stress-relieving activities have been adopted as part of GD treatment. Moreover, it has been proven that activities utilizing the natural environment, such as shinrin-yoku, have a relaxing effect on healthy people. In this study, we examined the physiological and psychological responses of patients with GD to determine whether nature therapy could reduce their stress responses. Design: This study included 22 Japanese male participants who were found to be pathological gamblers, with a South Oaks Gambling Screen score of ≤5. We exposed the participants to the digital nature sounds of insects and city sounds of a scramble intersection. The nature and city sounds were presented in a counterbalanced order. Outcome measures: A two-channel near-infrared spectroscopy system was used to measure the changes in oxyhemoglobin (oxy-Hb) concentrations in the bilateral prefrontal cortex. The heart rate variability was measured to evaluate the autonomic nervous activity. Subjective evaluation was performed using the modified version of the semantic differential method and the Profiles of Mood States, Second Edition (POMS2). Results: The oxy-Hb level in the bilateral prefrontal cortex significantly decreased. No significant difference in the high-frequency (HF) and low-frequency/HF ratio was observed. The subjective evaluation indicated that the participants experienced increased comfort and relaxation and had more natural feelings. Nature sounds significantly decreased the POMS2 negative emotion subscale and total mood disturbance scores and increased the positive emotion subscale scores. Nature-based stimulus exposure induces physiological relaxation and other positive effects among individuals even with GD. Conclusion: Exposure to nature-based sounds induces physiological relaxation and other positive responses among individuals with GD. In patients with GD, nature sounds produce the same relaxation response as in healthy individuals. (Umin.ac.jp under registration number: UMIN000042368).

Physiological adjustment effect of visual stimulation by fresh rose flowers on sympathetic nervous activity

Introduction

As modern societies are often stressful due to urbanization and artificialization, the physiological relaxing effects of natural environments or nature-derived stimuli on humans have attracted attention and scientific data are being accumulated. It is known that there is inter-individual variation in these effects. The study aim was to apply the law of initial values to investigate the physiological adjustment effect of viewing fresh roses on sympathetic nervous activity.

Methods

In this crossover study, a total of 214 high school students, office workers, healthcare workers, and elderly people were analyzed. The participants viewed fresh roses in a vase for 4 min. In the control condition, participants did not view any fresh roses during the period. To offset any order effect, participants received visual stimuli in the order of fresh roses then the control (no fresh roses) or the control and then fresh roses. ln (LF/HF) of heart rate variability (HRV) obtained from a-a interval measurements using an acceleration plethysmograph and used as an index of sympathetic nervous activity. The initial value was ln (LF/HF) of HRV during the control viewing (no fresh roses), and the change value was ln(LF/HF) of HRV during visual stimulation by fresh roses minus the control viewing.

Results and Discussion

The correlation between the two was assessed by determining Pearson's correlation coefficient r, which was significantly negative. A physiological adjustment effect was observed such that participants with high initial sympathetic nervous activity showed a decrease in activity after visual stimulation with fresh roses, whereas participants with low initial activity showed an increase.

Contribution of Home Gardens to Sustainable Development: Perspectives from A Supported Opinion Essay

Home gardening has a long history that started when humans became sedentary, being traditionally considered an accessible source of food and medicinal plants to treat common illnesses. With trends towards urbanization and industrialization, particularly in the post-World War II period, the importance of home gardens as important spaces for growing food and medicinal plants reduced and they began to be increasingly seen as decorative and leisure spaces. However, the growing awareness of the negative impacts of agricultural intensification and urbanization for human health, food quality, ecosystem resilience, and biodiversity conservation motivated the emergence of new approaches concerning home gardens. Societies began to question the potential of nearby green infrastructures to human wellbeing, food provisioning, and the conservation of traditional varieties, as well as providers of important services, such as ecological corridors for wild species and carbon sinks. In this context. and to foster adaptive and resilient social-ecological systems, our supported viewpoint intends to be more than an exhaustive set of perceptions, but a reflection of ideas about the important contribution of home gardens to sustainable development. We envision these humble spaces strengthening social and ecological components, by providing a set of diversified and intermingled goods and services for an increasingly urban population.

Nature-Based Relaxation Videos and Their Effect on Heart Rate Variability

Growing evidence suggests that natural environments – whether in outdoor or indoor settings – foster psychological health and physiological relaxation, indicated by increased wellbeing, reduced stress levels, and increased parasympathetic activity. Greater insight into differential psychological aspects modulating psychophysiological responses to nature-based relaxation videos could help understand modes of action and develop personalized relaxation interventions. We investigated heart rate variability (HRV) as an indicator of autonomic regulation, specifically parasympathetic activity, in response to a 10-min video intervention in two consecutive studies as well as heart rate (HR). We hypothesized that a nature-based relaxation video elicits HRV increase and HR decrease, with response magnitude being affected by aspects of early life adversity (conceptualized as low parental care and high overprotection/constraint) and trait mindfulness. In Study 1, N = 60 participants (52% female, age_mean = 23.92 ± 3.13 years, age_range = 18–34 years) watched a relaxation video intervention depicting different natural scenery. We analyzed changes in HR and respiratory sinus arrhythmia (RSA) as a standard HRV measure, both based on 3-min segments from the experimental session, in multiple growth curve models. We found a decrease in HR and increase of RSA during the video intervention. Higher paternal care and lower trait mindfulness observing skills (assessed via questionnaires) were associated with higher RSA values before but not during video exposure. In Study 2, N = 90 participants (50% female, age_mean = 22.63 ± 4.57 years, age_range = 18–49 years) were assigned to three video conditions: natural scenery from Study 1, meditation video, or short clip from “The Lord of the Rings.” Again, HR decreased, and RSA increased during video segments, yet without expected group differences across different video types. We found higher parental care and lower parental overprotection to predict higher RSA at different times during the experiment. Interestingly, lower paternal overprotection predicted overall higher RSA. These results suggest a generic relaxation effect of video interventions on autonomic regulation that we discuss in light of different theories mapping restorative effects of natural environments. Further, psychological characteristics like aspects of early life adversity and trait mindfulness could contribute to individual differences in autonomic regulation. This study contributes to a better understanding of autonomic and psychological responses to relaxation videos.

Effect of Indoor Forest Bathing on Reducing Feelings of Fatigue Using Cerebral Activity as an Indicator

We created an indoor forest bathing environment in a sunlight-type environmentally controlled chamber and both physiological and psychological measurements were conducted for the evaluation of mental fatigue reduction. At first, a working memory load experiment was performed among 10 participants in a space without plants to identify an indicator correlating with feelings of fatigue, using the cerebral activity of the prefrontal cortex. Then, the indicator was used to evaluate whether a 20-min exposure to an indoor forest bathing environment reduced the level of the feeling of fatigue. The working memory load experiment demonstrated that, when mental fatigue increased, the amount of oxygenated hemoglobin (oxy-Hb) in the right prefrontal cortex and the right-left difference in oxy-Hb (ΔRL oxy-Hb) in the prefrontal cortex increased. These were proposed as indicators of mental fatigue. In the indoor forest bathing experiment, staying in an indoor green space showed that the subjective values of feeling of fatigue decreased and ΔRL oxy-Hb decreased. Since these results demonstrated an opposite effect to the increase in ΔRL oxy-Hb related to the feeling of fatigue, it was inferred that the decrease in ΔRL oxy-Hb reflected the fatigue reduction in the indoor forest bathing environment.

Healthy Dwelling: Design of Biophilic Interior Environments Fostering Self-Care Practices for People Living with Migraines, Chronic Pain, and Depression

The benefits of biophilic interior design have been recognized by healthcare facilities, but residential environments receive relatively less attention with respect to improving the health of people living with chronic diseases. Recent “stay-at-home” restrictions due to the COVID-19 pandemic further emphasized the importance of creating interior spaces that directly and indirectly support physical and mental health. In this viewpoint article, we discuss opportunities for combining biophilic interventions with interior design, fostering disease-specific self-care. We provide examples of designing residential spaces integrating biophilic interventions, light therapy, relaxation opportunities, mindfulness meditation, listening to music, physical activities, aromatherapy, and quality sleep. These modalities can provide the clinical benefits of reducing migraine headaches and chronic pain, as well as improving depressive symptoms. The disease-specific interior environment can be incorporated into residential homes, workplaces, assisted-living residences, hospitals and hospital at home programs. This work aims to promote a cross-disciplinary dialogue towards combining biophilic design and advances in lifestyle medicine to create therapeutic interior environments and to improve healthcare outcomes.

Exploring the Physiological and Psychological Effects of Digital Shinrin-Yoku and Its Characteristics as a Restorative Environment

This study investigated the physiological and psychological therapeutic effects of a digital Shinrin-yoku environment constructed indoors in an urban facility as well as the characteristics of the environment that contribute to restorativeness (restorative traits). We measured the fluctuations in the physical and mental states of 25 subjects by obtaining both before–after measurements and continuous measurements while exposed to a digital Shinrin-yoku environment that reproduced visual, auditory, and olfactory elements. The results demonstrated that the parasympathetic nerve activity was significantly increased and that the heart rate was significantly decreased during the exposure compared with that during the resting state. As for mood, five of the six Profile of Mood States (POMS) scales (“Tension–Anxiety,” “Depression,” “Anger–Hostility,” “Fatigue,” and “Confusion”) were significantly decreased after the experience. In addition, psychological restorative effects were also confirmed, with a significant decrease in “negative affect” (measured using the Positive and Negative Affect Schedule (PANAS)) and a significant increase in the sense of restorativeness (Restorative Outcome Scale (ROS)) after the experience. In contrast, comparing the digital Shinrin-yoku environment with the actual forest environment and the urban environment using POMS, PANAS, ROS, and Perceived Restorativeness Scale (PRS), the psychological effects and environmental traits of the digital Shinrin-yoku were found to be considerably similar to those of the actual forest environment.

The Mood-Improving Effect of Viewing Images of Nature and Its Neural Substrate

It has been recently suggested that contact with nature improves mood via reducing the activity of the prefrontal cortex. However, the specific regions within the prefrontal cortex that underlie this effect remain unclear. In this study, we aimed to identify the specific regions involved in the mood-improving effect of viewing images of nature using a 52-channel functional near-infrared spectroscopy (fNIRS). Specifically, we focused on the orbitofrontal cortex (OFC) and dorsolateral prefrontal cortex (dlPFC), two regions associated with affective processing and control. In a randomized controlled crossover experiment, we assigned thirty young adults to view images of nature and built environments for three minutes each in a counterbalanced order. During image viewing, participants wore a fNIRS probe cap and had their oxyhemoglobin (oxy-Hb) measured. Immediately following each image viewing, participants indicated their mood in terms of comfortableness, relaxation, and vigor. Results showed that viewing images of nature significantly increased comfortableness and relaxation but not vigor compared to viewing images of built environments, with a large effect size. Meanwhile, the concentration of oxy-Hb in only the right OFC and none of the other regions significantly decreased while viewing the images of nature compared to built environments, with a medium effect size. We speculate that viewing images of nature improves mood by reducing the activity of or calming the OFC. Since the OFC is hyperactive in patients with depression and anxiety at rest, contact with nature might have therapeutic effects for them.

Effects of Variations in Color and Organ of Color Expression in Urban Ornamental Bamboo Landscapes on the Physiological and Psychological Responses of College Students

Visual characteristics (e.g., the color and shape) of ornamental plants can significantly affect their beneficial influence on humans. Prior research, however, has largely focused on the effects of the color or shape of flowers and the impact of differences in the visual appearance of foliage plants and plants with ornamental stalks has not yet been fully explored. This study examined the psychophysiological effects of urban ornamental bamboos that expressed different colors on different organs. Three hundred Chinese college students participated in the experiment. They were randomly assigned to view images of five ornamental bamboo landscapes with the following different visual characteristics: green stalks (GS) non-green stalks (NGS) multicolored stalks (MS) green leaves (GL) and multicolored leaves (ML). Before and after viewing the images, their EEG, blood pressure, pulse, profile of mood states (POMS) score, and state-trait anxiety inventory (STAI) score were measured. The results showed that ornamental bamboo landscapes have extremely significant beneficial psychophysiological effects as compared to urban landscapes. After viewing landscapes in the NGS and MS groups, EEG, blood pressure, and pulse rate of subjects showed more beneficial changes. Significant gender differences were observed only in systolic blood pressure and in the vigor score. In addition, an extremely significant interaction between color and organ of color expression was observed on systolic and diastolic blood pressure. Organ of expression had significant main effects on all the physiological indicators and the fatigue, vigor, and irritability scores, while color only had a main effect on systolic blood pressure. Our study concluded that viewing urban ornamental bamboo landscapes with different visual characteristics has different effects on humans. With regards to ornamental bamboo, the organ expressing the color had a greater impact on psychophysiological responses than did the type of color itself. These study results can provide guidance for landscape construction of urban greening.

The Possibility of Sustainable Urban Horticulture Based on Nature Therapy

Population growth and increased stress caused by urbanization have led to social problems that are predicted to intensify in the future. In these conditions, the recently established ”nature therapy” has revealed that an environment rich in various plant life significantly contributes to the relief of physical and mental stress. Meanwhile, from the perspective of reduction in the energy required for transportation and the retention of plant freshness, urban horticulture, in which plant life exists harmoniously with the city, has attracted considerable attention. Interactions between humans and plants in urban horticulture are considered to contribute to the good health and wellbeing of people. Therefore, we incorporate human-centered thinking based on nature therapy into horticultural produce-centered thinking based on conventional urban horticulture. By introducing a pioneering urban horticulture plant factory as an example, we propose the possibility of sustainable urban horticulture based on nature therapy.

Non-pharmacological and pharmacological approaches for psychiatric disorders: Re-appraisal and insights from zebrafish models

Acute and chronic stressors are common triggers of human mental illnesses. Experimental animal models and their cross-species translation to humans are critical for understanding of the pathogenesis of stress-related psychiatric disorders. Mounting evidence suggests that both pharmacological and non-pharmacological approaches can be efficient in treating these disorders. Here, we analyze human, rodent and zebrafish (Danio rerio) data to compare the impact of non-pharmacological and pharmacological therapies of stress-related psychopathologies. Emphasizing the likely synergism and interplay between pharmacological and environmental factors in mitigating daily stress both clinically and in experimental models, we argue that environmental enrichment emerges as a promising complementary therapy for stress-induced disorders across taxa. We also call for a broader use of novel model organisms, such as zebrafish, to study such treatments and their potential interplay.

Where the wild things are! Do urban green spaces with greater avian biodiversity promote more positive emotions in humans?

Urban green space can help mitigate the negative impacts of urban living and provide positive effects on citizens’ mood, health and well-being. Questions remain, however, as to whether all types of green space are equally beneficial, and if not, what landscape forms or key features optimise the desired benefits. For example, it has been cited that urban landscapes rich in wildlife (high biodiversity) may promote more positive emotions and enhance well-being. This research utilised a mobile phone App, employed to assess people’s emotions when they entered any one of 945 green spaces within the city of Sheffield, UK. Emotional responses were correlated to key traits of the individual green spaces, including levels of biodiversity the participant perceived around them. For a subsample of these green spaces, actual levels of biodiversity were assessed through avian and habitat surveys. Results demonstrated strong correlations between levels of avian biodiversity within a green space and human emotional response to that space. Respondents reported being happier in sites with greater avian biodiversity (p < 0.01, r = 0.78) and a greater variety of habitats (p < 0.02, r = 0.72). Relationships were strengthened when emotions were linked to perceptions of overall biodiversity (p < 0.001, r = 0.89). So, when participants thought the site was wildlife rich, they reported more positive emotions, even when actual avian biodiversity levels were not necessarily enhanced. The data strengthens the arguments that nature enhances well-being through positive affect, and that increased ‘engagement with nature’ may help support human health within urban environments. The results have strong implications for city planning with respect to the design, management and use of city green spaces.

Physiological Benefits of Viewing Nature: A Systematic Review of Indoor Experiments

Contact with nature has been proposed as a solution to achieve physiological relaxation and stress recovery, and a number of scientific verification outcomes have been shown. Compared with studies of the other senses, studies investigating the visual effects of nature have been at the forefront of this research field. A variety of physiological indicators adopted for use in indoor experiments have shown the benefits of viewing nature. In this systematic review, we examined current peer-reviewed articles regarding the physiological effects of visual stimulation from elements or representations of nature in an indoor setting. The articles were analyzed for their stimulation method, physiological measures applied, groups of participants, and outcomes. Thirty-seven articles presenting evidence of the physiological effects of viewing nature were selected. The majority of the studies that used display stimuli, such as photos, 3D images, virtual reality, and videos of natural landscapes, confirmed that viewing natural scenery led to more relaxed body responses than viewing the control. Studies that used real nature stimuli reported that visual contact with flowers, green plants, and wooden materials had positive effects on cerebral and autonomic nervous activities compared with the control. Accumulation of scientific evidence of the physiological relaxation associated with viewing elements of nature would be useful for preventive medicine, specifically nature therapy.

Physiological and Psychological Effects of Forest and Urban Sounds Using High-Resolution Sound Sources

Exposure to natural sounds is known to induce feelings of relaxation; however, only few studies have provided scientific evidence on its physiological effects. This study examined prefrontal cortex and autonomic nervous activities in response to forest sound. A total of 29 female university students (mean age 22.3 ± 2.1 years) were exposed to high-resolution sounds of a forest or city for 60 s, using headphones. Oxyhemoglobin (oxy-Hb) concentrations in the prefrontal cortex were determined by near-infrared spectroscopy. Heart rate, the high-frequency component of heart rate variability (which reflects parasympathetic nervous activity), and the ratio of low-frequency to high-frequency (LF/HF) components (which reflects sympathetic nervous activity) were measured. Subjective evaluation was performed using the modified semantic differential method and profiles of mood states. Exposure to the forest sound resulted in the following significant differences compared with exposure to city sound: decreased oxy-Hb concentrations in the right prefrontal cortex; decreased ln(LF/HF); decreased heart rate; improved feelings described as "comfortable,'' "relaxed," and "natural"; and improved mood states. The findings of this study demonstrated that forest-derived auditory stimulation induced physiological and psychological relaxation effects.

Physiological Effects of Viewing Bonsai in Elderly Patients Undergoing Rehabilitation

The benefits of various nature-derived stimuli that can be used for stress relief and relaxation has recently gained immense attention; however, there are very few studies about their influence on elderly patients. The present study aims to present the effects of viewing bonsai on autonomic nervous activity, prefrontal cortex activity, and subjective assessment findings of psychological relaxation in elderly patients undergoing rehabilitation. Fourteen participants aged 64⁻91 years (mean age ± standard deviation, 78.6 ± 9.6 years) participated in this study. Miniature potted 10-year-old Japanese cypress bonsai trees were used as visual stimuli. Participants viewed the bonsai for 1 min, and the control comprised of no experimental stimulus. Physiological effects on autonomic nervous activity were assessed by measuring the heart rate variability (HRV) and pulse rate. The effects on prefrontal cortex activity were determined using near-infrared spectroscopy, which involved assessment of oxyhemoglobin concentrations in the left and right prefrontal cortices. Subjective evaluations were achieved by the modified semantic differential method. Viewing bonsai resulted in a significant increase in parasympathetic nervous activity, a significant decrease in sympathetic nervous activity, and a significant increase in the perceptions of feeling "comfortable" and "relaxed." In conclusion, our findings indicated that viewing bonsai induces physiological and psychological relaxation.

Physiological Effects of Touching the Wood of Hinoki Cypress (Chamaecyparis obtusa) with the Soles of the Feet

We clarified the physiological effects of tactile stimulation of the soles of the feet with the wood of the Hinoki cypress (Chamaecyparis obtusa) based on measurements of prefrontal cortex and autonomic nervous activities. Nineteen female university-attending students (age: 21.2 ± 0.3 years) were included. Oxy-hemoglobin (oxy-Hb) concentrations in the prefrontal cortex were determined by using near-infrared time-resolved spectroscopy. The high frequency (HF) indicating parasympathetic nervous activity and the ratio of low frequency (LF)/HF indicating sympathetic nervous activity were measured using heart rate variability. To evaluate the psychological effects caused by contact with the materials, the modified semantic differential method was used. The soles of the participants' feet were touched to a 600 × 600-mm plate made of Hinoki, which was finished in non-coating and brushing for 90 s. A marble plate served as the control. Next, subjective evaluation tests were administered to the participants. Compared with touching marble, touching Hinoki significantly (1) decreased the oxy-Hb concentrations in the left and right prefrontal cortices, which indicates decreased prefrontal cortex activity, (2) increased ln(HF), which indicates increased parasympathetic nervous activity, (3) decreased ln(LF/HF) ratio, which indicates decreased sympathetic nervous activity. Additionally, (4) according to subjective evaluations, the participants perceived themselves as being more "comfortable," "relaxed," "natural," "warm," "uneven," "dry," and "soft" after touching Hinoki. Thus, our cumulative findings indicate that touching Hinoki with the soles of the feet induces physiological relaxation.

30 Days Wild and the Relationships Between Engagement With Nature's Beauty, Nature Connectedness and Well-Being

Recent research suggests that engagement with natural beauty (EWNB) is key to the well-being benefits of nature connectedness. The Wildlife Trust's 30 Days Wild campaign provides a large-scale intervention for improving public engagement with nature and its beauty. The effect of 30 Days Wild participation on levels of EWNB and the relationship between EWNB, nature connectedness and happiness was evaluated during the 2017 campaign. Of the 49,000 people who signed up to the campaign, 308 people fully completed measures of EWNB, nature connection, health, happiness, and conservation behaviors at baseline, post-30 days and post-2 months. There were sustained and significant increases for scores in nature connection, health, happiness, and conservation behaviors. In addition, 30 Days Wild was the first intervention found to increase EWNB. Further, the significant increase in EWNB mediated the relationship between the increases in nature connectedness and happiness. In a supplementary study to understand the well-being benefits further (n = 153), emotional regulation was found to mediate the relationship between nature connectedness and happiness, but EWNB and emotional regulation were not related. The links between nature's beauty, nature connectedness and well-being are discussed within an account of affect-regulation.

Self-Regulation of Breathing as an Adjunctive Treatment of Insomnia

Sleep is a quiescent behavioral state during which complex homeostatic functions essential to health and well-being occur. Insomnia is a very common psychiatric disorder leading to a myriad of detrimental effects including loss of concentration, memory, and performance as well as disease. Current pharmaceutical treatments can be expensive, impairing, unhealthy, and habit-forming. Relaxation techniques, such as meditation target the brain and body in contrast to pharmaceutical interventions which solely target neurotransmitter systems in the brain. In this article we present a viewpoint on the treatment of insomnia that techniques of slow, deep breathing (0.1 Hz) in adjunct to sleep hygiene and relaxation therapies may be highly effective in initiating sleep as well as facilitating falling back asleep. The autonomic nervous system is integral to sleep initiation, maintenance, and disruption. Understanding the relationship between the autonomic nervous system and sleep physiology along with the nature of sleep itself remains a challenge to modern science. We present this perspective in light of a prevailing "dysevolution" theory on the pathology of insomnia that proposes hyper-arousal characterized in part by chronic sympathetic hyperactivation and/or parasympathetic hypoactivation disrupts normal sleep onset latency, sleep quality, and sleep duration. We additionally discuss physiological mechanisms responsible for the effectiveness of the breathing treatment we describe. A better understanding of these mechanisms and autonomic pathologies of insomnia may provide support for the effectiveness of such techniques and provide relief to sufferers of this health epidemic.