The Effective Health Care Program compares available health care tests and treatments to determine whether there are significant advantages or disadvantages with different approaches. The results of this comparative effectiveness research can help people make better decisions about what health care they want to have, and can help clinicians and health care purchasers to focus on the best tests and treatments.

To nominate a topic for research in this program, please complete this form. We need to understand important aspects of the health care service you are interested in, including to whom it applies, what benefits or harms are of greatest interest, and with what other health care services or tests you think it should be compared. Your answers to the following questions will help us phrase your suggestions as one or more research questions that could be answered through comparative effectiveness research. At the end of this form, yo will also have the chance to phrase your own research question based on your answers.

Thank you for participating in the program!

1. Your Nomination - Please briefly describe in your own words the question about a health care test or treatment that interests or concerns you:

1.Please provide information on the trial on Noni Juice, (morinda citrifolia), being done at the University of Hawaii for cancer research. 2. Please try to find actual proof that noni juice reduces pain and swelling, relieves psoriasis (maybe a study to do), reduces fevers, fights cancer,or any other tests or trials involving Noni. I have heard hundreds of friends from Hawaii claim it's health benefits, and I have my own, but we need proof. Hawaiian herbal Blessings company in Maui may be the supplier for the trial for the cancer study. It was supposed to be completed 2005 or 2006. 3. More tests or trials on cmo (cetyl myristoleate) for helping rhuematoid arthritis, osteo arthritis or psoriatic arthritis. I read in a doctors journal back in 1998 how cmo not only helped arthritis but also any inflammatory disease including emphasema (lungs). Maybe Journal of American health? I think it was written by Harry Diehl, the founder of cetylmyristoleate. FYI your report on cmo was great. However, if the second one was written correctly, then the scientists didn't understand that the tests cannot be done on white lab mice, because mice, sperm whales, and male beavers all already contain cmo in their bodies. So putting cmo in a mouse wouldn't be a good study. Mice don't get arthritis, it's been proven! No wonder they can run so fast! Also maybe you will find a low cost vegetable source of cmo, right now most are sythetic. Thanks for your awesome website. S

2. Why do you think your question is important? (you may select more than one category if appropriate)

My question relates to a very common disease or problem

People with this disease or problem have considerable health or financial hardships

There is uncertainty about how well the test, treatment, or intervention works

There is significant potential for side effects/harms using this test, treatment, or intervention

Funding of this test, treatment, or intervention is uncertain or variable

There is unequal access or application of this health care intervention across providers

There is potential for cost savings from better information on this subject

This is a new technology/development

There is new evidence of clinical and/or cost effectiveness for this test, treatment, or intervention

Other

Other, please specify

Note:
Key factors will be considered in the selection of topics for AHRQ Effective Health Care research. Please click here to view these key factors.

3. What illness or health condition is related to your question? (You can also specify a particular health-promoting activity, such as breast-feeding)

Examples:

• Early breast cancer
• Type II diabetes
• Morbid obesity
• Health eating habits and daily exercise

psoriatic arthritis, rheumatoid arthritis, osteo arthritis, emphasema, cancer, fevers, pain and swelling of joints

4. What group(s) or patients does your question apply to?

Examples:

• Pregnant women with diabetes
• People with advanced colon cancer
• People at risk of developing heart disease
• Children with learning difficulties

People with arthritis (noni and cmo), People with psoriatic arthritis (cmo and noni),People with psoriasis (noni and cmo),People with cancer (noni and cmo), people with a high fever(noni), people with pain in joints(cmo and noni), People with colon related illnesses (noni), People at risk of getting heart disease (noni, People with emphasema (cmo).

5. What is the specific purpose of the health care test or treatment you have a question about? (mark all that you think apply)

Identification of a disease or condition:

Screening or diagnosis/identification for a particular disease, or risk assessment for a disease

Risks or harms that can come from a disease identification tool or test

Diagnostic tests and tools

Diagnosis of co-occurring diseases

Treatment of a particular disease or condition:

Intervention (such as a drug treatment, therapy, device)

Management of a condition or particular system of care

Delivery of a health service

Referral

Risks or harms associated with treatment of a disease or condition

Prevention of a particular disease or condition:

Prevention or health promotion

Specific population health concerns, such as ethnic group or gender

Other

Other

Don't know

Other, please specify:

avoidance of drugs to combat life long illness, and using natural products instead

Note:
If you aren't certain about which category to select, you may select 'don't know'

6. Does your question include a comparison of different health care approaches?

Yes

No

7. Desired Health Improvements: If you question focuses on:

Identification of a particular disease or condition, what improvements in identification or diagnosis would you like to see?

Treatment of a particular disease or condition, what improvements in patient symptoms or problems would you like to see?

improvements in peoples pain in any area, joint health, preventative also, cancer cure, arthritis cure.

8. Harms: Are there risks, side effects, or harms you are concerned about? If yes, please specify what those are:

How much noni Juice is too much? Can you take Noni juice for too long? How long do people need to take cmo before noticing great improvment. Does cmo work as well or better than methotrexate for relieving pain and swelling? What are the risks of taking cmo? Who can take cmo? What about juvenile rhuematoid arthritis? Can children safely take cmo?

Examples:

• What are the risks versus the benefits of different cholesterol-lowering treatments?
• How risky is open-heart surgery versus stent placement?

9. Based on your answers to the previous questions, what research question(s) would you like to have answered?

Where are all of the studies on CMO? It was patented in 1977 and again in 1990. Can these studies be read online?

Examples:

• What are the health risks and benefits of Uterine Artery Embolization for treatment of fibroids in relation to other surgeries (e.g., hysterectomy, myomectomy)?
• How effective is [laboratory test y] as a screening test for hypertension?
• In which patient populations does [procedure Z] as stand-alone therapy improve healing of pressure ulcers?

10. Are there health-care focused, disease-focused, or patient-focused organizations that you see as being relevant to this issue? Who do you think we should contact as we consider your nomination?
Please note that this information will not influence the progress of your suggestion through the Effective Health Care Program's selection process, but it may be helpful to those considering your suggestion for further development.

American Institute of health, National Institute of Health, American journal of doctors, Canadian Journal of Doctors?, Hawaiian newspapers ( where noni is grown, and study is being done) ,Hawaiian Herbal Blessings on Maui ( www.noni-works.com) owner is David Markus. EHP products (www.cetylmyristoleate.com) owners Bill and Elaine Parrish (Harry Dhiel daughter)

Examples:

• American Heart Association and American College of Cardiologists
• Mental Health America
• Association of American Indian Physicians
• Depression and Related Affective Disorders Association
• Gerontological Society of America
• National Lipid Association

11. Other Information About You (OPTIONAL)
In order to help us understand the context of your health care question, it would be helpful to know more about you. The answers you give will not influence the progress of your suggestion. Thank you.

a. Please choose a description that best describes your role or perspective: (you may select more than one category if appropriate)

Administrator - hospital or other organization

Continuous quality improvement group

Health benefits plan/Insurance carrier

Health care industry (device)

Health care industry (drug)

Health care industry (other)

Health care payer/purchaser (employer)

Health care payer/purchaser (federal government)

Health care payer/purchaser (state government)

Nurse

Other

Other health care professional

Patient/consumer (individual)

Patient/consumer (organization)

Pharmacist

Physician

Professional society

Public policy maker

Researcher

b. Is there any other information about you that is relevant to your question?
Please note that this information will not influence the progress of your suggestion, but it may be helpful to those considering your suggestion for further development.

I have psoriatic arthritis and I take noni and cmo to relieve my pain.

Examples:

• I am the parent of a child with ADHD
• I work as a nurse in an Emergency department
• I take this drug to treat my depression
• I am working on a trial of this drug compared to best supportive care

c. Are you making a suggestion as an individual or on behalf of an organization?

Individual

Organization