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Medical Forum / General / Alternative / April 2008

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Traditional acupuncture may ease migraines

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Roman Bystrianyk - 14 Apr 2008 11:58 GMT
Amy Norton, "Traditional acupuncture may ease migraines", Reuters
India, April 14, 2008,
Link: http://in.reuters.com/article/health/idINCOL15834920080411

Acupuncture, as practiced in traditional Chinese medicine, may offer
some relief from migraine pain, a new study suggests.

Italian researchers found that regular treatments with "true"
acupuncture helped improve symptoms in 32 patients whose migraines had
been resistant to standard preventive medication.

Moreover, the therapy worked better than two forms of "sham"
acupuncture used for comparison, the researchers report in the medical
journal Headache.

Past studies have yielded conflicting results as to whether
acupuncture can aid in migraine treatment. Some research has suggested
that sham acupuncture, using blunted needles that do not pierce the
skin, is as likely to bring relief as is the real therapy -- calling
into question the actual biological effects of acupuncture.

However, a problem with this research is that studies have had
inconsistent designs, and many have used acupuncture points that are
"inappropriate" based on Chinese medicine, according to the authors of
the new study.

Acupuncture has been used for more than 2,000 years in Chinese
medicine to treat a wide variety of ailments. According to traditional
medicine, specific acupuncture points on the skin are connected to
internal pathways that conduct energy, or qi ("chee"), and stimulating
these points with a fine needle promotes the healthy flow of qi.

For the current study, Dr. Enrico Facco, of the University of Padua,
and his colleagues looked at how traditionally performed acupuncture
stood up against two sham forms for preventing migraines.

They randomly assigned 160 migraine sufferers to one of four groups:

in one, patients received twice-weekly sessions of acupuncture using
traditional acupuncture points; a second group received sham
acupuncture as it is usually performed in studies; a third group also
underwent sham acupuncture, but with the blunted needles touching
traditional acupuncture points; the fourth served as a control group,
in which patients received no acupuncture or preventive medication.

The participants in all the groups were given medication to treat any
migraine attacks.

Over six months, Facco's team found, only the group receiving true,
traditional acupuncture showed lasting improvement in migraine
disability measured on a standardized scale, compared with the control
group.

The "main novelty" of the study, Facco told Reuters Health, is that
the therapy was based on traditional Chinese medicine, but studied
using the modern, "Western" scientific method.

The results are promising, he said, but more studies are needed to
confirm the benefits of traditional acupuncture for migraine. However,
Facco added, since the therapy carries little risk of side effects, it
could be worth a try for migraine sufferers who are not adequately
helped by standard preventive treatment.

It's not completely clear why acupuncture might ease migraine pain. In
addition to the traditional theories on qi, modern research has
suggested that acupuncture may work by altering signals among nerve
cells or affecting the release of various chemicals of the central
nervous system.

SOURCE: Headache, March 2008.
The One True Zhen Jue - 14 Apr 2008 13:12 GMT
> Amy Norton, "Traditional acupuncture may ease migraines", Reuters
> India, April 14, 2008,
> Link:http://in.reuters.com/article/health/idINCOL15834920080411
>
> Acupuncture, as practiced in traditional Chinese medicine, may offer
> some relief from migraine pain, a new study suggests.

Very nice and very recent!

> Italian researchers found that regular treatments with "true"
> acupuncture helped improve symptoms in 32 patients whose migraines had
[quoted text clipped - 59 lines]
>
> SOURCE: Headache, March 2008.
Richard Schultz - 14 Apr 2008 15:02 GMT
:> Past studies have yielded conflicting results as to whether
:> acupuncture can aid in migraine treatment. Some research has suggested
:> that sham acupuncture, using blunted needles that do not pierce the
:> skin, is as likely to bring relief as is the real therapy -- calling
:> into question the actual biological effects of acupuncture.

Note that Mr. Kingoff didn't respond to *this* statement.

:> However, a problem with this research is that studies have had
:> inconsistent designs, and many have used acupuncture points that are
:> "inappropriate" based on Chinese medicine, according to the authors of
:> the new study.

This sentence hints at the true nature of the problem -- in part, it's that
True Believers can always come up with an excuse for a negative result.

Having said that, from what was posted here, that result looks interesting
and is probably worth further study, at least if the authors are willing
to report any negative results that they might get.

-----
Richard Schultz                              schultr@mail.biu.ac.il
Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel
Opinions expressed are mine alone, and not those of Bar-Ilan University
-----
"Logic is a wreath of pretty flowers which smell bad."
Citizen Jimserac - 14 Apr 2008 14:43 GMT
> Amy Norton, "Traditional acupuncture may ease migraines", Reuters
> India, April 14, 2008,
[quoted text clipped - 66 lines]
>
> SOURCE: Headache, March 2008.

Acupuncture is stunningly successful for migraines
and has been known to cure migraines for which
ALL OTHER SYSTEMS OF MEDICINE were unable
to treat with success.

Citizen Jimserac
The One True Zhen Jue - 14 Apr 2008 16:58 GMT
> > Amy Norton, "Traditional acupuncture may ease migraines", Reuters
> > India, April 14, 2008,
[quoted text clipped - 71 lines]
> ALL OTHER SYSTEMS OF MEDICINE were unable
> to treat with success.

I hear that nearly every day in my office.  Sure, there have been some
that I couldn't help at all and some I could only help a little.
Overall, Acupuncture is a very good treatment for headaches,
regardless of the type.

> Citizen Jimserac- Hide quoted text -
>
> - Show quoted text -
Richard Schultz - 14 Apr 2008 20:35 GMT
: I hear that nearly every day in my office.  Sure, there have been some
: that I couldn't help at all and some I could only help a little.

In other words, you throw out the negative results in order to claim that
the positive ones are the only ones that count.  Assuming that you agree
that correlation does not imply causality, how can you tell that the people
who improved were "helped" by you?  Note that even if acupuncture only works
by the placebo affect (which is how I believe it does work in the majority,
if not in all, cases in which it "works"), IMO, it's probably worth trying
for people who cannot get relief in any other way.

On the other hand, if someone came to you complaining of a migraine, would
send them first to an M.D. if they had not previously contacted one, or would
you trust your ability to differentiate a migraine from, say, a brain
tumor?  (Presumably the Qi of the two illnesses differs significantly.)

-----
Richard Schultz                              schultr@mail.biu.ac.il
Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel
Opinions expressed are mine alone, and not those of Bar-Ilan University
-----
The gardener plants an evergreen whilst trampling on a flower. . .
The One True Zhen Jue - 14 Apr 2008 21:49 GMT
> In article <732dd08f-5432-485d-b61c-523374fba...@b1g2000hsg.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote:
>
[quoted text clipped - 8 lines]
> if not in all, cases in which it "works"), IMO, it's probably worth trying
> for people who cannot get relief in any other way.

I certainly agree with you on the last part of your last sentance.  It
most certainly is worth trying for people who can't get relief in any
other way.  Those people compose the majority of my patients.
Acupuncture is almost never a patient's first method of treatment.
Most folks have had their headaches for decades before coming to me.
Almost all of them have been to a neurologist and many have gone to
places like the Mayo Clinic & Johns Hopkins, or at least Duke & UNC.

When a patient has had debilitating headaches for that length of time
and improves over a course of a few weeks, it is astonishing.  Seeing
someone go from constant pain getting their life back is quite
convincing.  This isn't a matter of some slight reduction in their
pain score, this is about a serious reduction in the frequency,
duration, and intensity.  In several cases, it is a matter of ZERO
headaches after the first month of treatment.  In most cases, it leads
to letting their Imitrex or prescription lapse.  When neurologists
have patients cancel their appointments and self-report themselves as
cured, they take notice.  They are quite happy to agree with both of
us and refer the people who haven't gotten relief in any other way.

Are the ones that get no relief or just minor relief from me thrown
out?  Hell no!  I consider that for some of them, it is possible
acupuncture can help, but I have not composed an adequate treatment
strategy.  For some others, I'd say it is possible that acupuncture
will not help no matter the treatment strategy.  In medicine, one has
to look at failures as a learning experience.  No matter how high your
success rate, you must embrace failure as a mandate to do better each
time.  That is why in Oriental Medicine, like Conventional Medicine,
we call our work a "practice".

> On the other hand, if someone came to you complaining of a migraine, would
> send them first to an M.D. if they had not previously contacted one, or would
> you trust your ability to differentiate a migraine from, say, a brain
> tumor?  (Presumably the Qi of the two illnesses differs significantly.)

First off, I'd see if it met the criteria for migraine.  Most folks
use the word for any painful headache.  I'd also need their medical
history and other current signs & symptoms.  Next, I'd have to perform
a standard TCM differential diagnosis.  Dizziness and/or vomiting
would be sufficient cause for me to refer someone to an MD as would
reports of unusually high or low blood pressure.  It also depends on
whether or not they have had a recent physical (<12 months ago) or an
exam from an MD.

In most cases, headache patients with active headaches leave the
office pain-free.  That is why acupuncture is so successful; a person
in pain can tell that it worked, how fast, and how well.  Now, can you
dig it?
Richard Schultz - 15 Apr 2008 06:18 GMT
: In most cases, headache patients with active headaches leave the
: office pain-free.  That is why acupuncture is so successful; a person
: in pain can tell that it worked, how fast, and how well.  Now, can you
: dig it?

I can, but I'm not sure that you can.  Do you agree with the statement that
"correlation does not imply causality"?

-----
Richard Schultz                              schultr@mail.biu.ac.il
Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel
Opinions expressed are mine alone, and not those of Bar-Ilan University
-----
"an optimist is a guy/ that has never had/ much experience"
Citizen Jimserac - 15 Apr 2008 12:19 GMT
> In article <0bb3d5f4-36b9-42b1-abd2-5872f412b...@a22g2000hsc.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote:
>
[quoted text clipped - 12 lines]
> -----
>  "an optimist is a guy/ that has never had/ much experience"

Do YOU agree with the statement that you don't know ANYTHING about
Acupuncture?

Citizen Jimserac
The One True Zhen Jue - 15 Apr 2008 13:24 GMT
> > In article <0bb3d5f4-36b9-42b1-abd2-5872f412b...@a22g2000hsc.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote:
>
[quoted text clipped - 15 lines]
> Do YOU agree with the statement that you don't know ANYTHING about
> Acupuncture?

He knows that he hates it and that he can't wait for any opportunity
to attack it or me.
His problem is that instead of accepting the efficacy of acupuncture
as established fact, he thinks that lying about it will make it go
away.

Sadly, Richard is unaware of Philip K Dick's statement "Reality is
everything that doesn't disappear when you stop believing in it"
Acupuncture efficacy doesn't require belief nor Richard Schultz's
endorsement.

The NIH & WHO endorsements do nicely without his support.

> Citizen Jimserac- Hide quoted text -
>
> - Show quoted text -
Richard Schultz - 15 Apr 2008 14:52 GMT
:> Do YOU agree with the statement that you don't know ANYTHING about
:> Acupuncture?

: He knows that he hates it and that he can't wait for any opportunity
: to attack it or me.

In article <1185730472.951697.113330@w3g2000hsg.googlegroups.com>, you wrote
"In either event, I'll henceforth say that you remain open to the
possibility [that acupuncture works], but unconvinced.  Further, I'd its [sic]
fair to imply that you won't accept it until their [sic] is double-blinding,
or at a minimum, blinding that exceeds any prior experiments."

Which of the statements is the lie, the one in the article to which I am
responding, or the one that you wrote previously?

: His problem is that instead of accepting the efficacy of acupuncture
: as established fact, he thinks that lying about it will make it go away.

Why don't you have a go at the list of articles that I posted that
describe experiments testing the efficacy of acupuncture, or to the article
that Peter Moran posted in that thread proposing a likely hypothesis to
explain them?  My offer to explain to you the statistical problem in more
detail than he did still stands.

The reason that I do not "accept the efficacy of acupuncture as established
fact" is that it is only "established fact" in the eyes of True Believers.

In science, when someone discovers an unusual effect, if the effect is real,
further experiments invariably refine the initial discovery and improve the
signal-to-noise ratio.  For example, Budnorz and Muller reported the first
cuprate high-temperature superconductor in 1986.  Their "High-Tc"
superconductor had a Tc of 35 K.  Within a decade, cuprate superconductors
with Tc's above the boiling point of nitrogen had been developed -- despite
the lack of a good (or at least a universally accepted) theory to explain
how they worked.  Kroto, Smalley, and Curl reported the unusual stability
of C60 at about the same time.  Within a decade of their discovery, fullerenes
had gone from a strange peak in a mass spectrum to chemicals that one
could purchase in quantity.

In 1989, Fleischmann and Pons announced the discovery of "cold fusion."
(I was at the press conference at which they made their announcement --
I can be seen in the video that at least used to be on YouTube, FWIW -- and
at the seminar that Pons gave shortly thereafter).  After a brief flurry
of activity, it was discovered that their results were not reproducible,
and by the time that a decade had passed (actually, more like within five
years), the only people reporting positive results for cold fusion were a
small number of True Believers who could only get positive results by
performing experiments of truly wretched quality.  I don't know if Google
has the entire archive of sci.physics.fusion, but the articles from the
early and mid-90s make quite interesting reading -- especially when you
compare the rhetorical style of the True Believers over there with that of
the True Believers in m.h.a.

In the 1950's, Irving Langmuir gave a famous lecture about what he called
"Pathological Science."  He noted several characteristics of pathological
science, including claims of much greater statistical significance than
was warranted by the data.  The text of the lecture was reprinted in an
issue of _Physics Today_ from late 1989 (my copy seems to have disappeared,
but it's quite an interesting read).

In 1997, the NCCAM (which, despite Mr. Kingoff's best efforts, is not
identical with the NIH) published a "consensus statement" that hinted at
experimental results that supported the efficacy of acupuncture.  A decade
later, that page comes with an explicit disclaimer that the information may
be out of date.  The *current* NCCAM acupuncture web page refers to the
consensus statement, but carefully avoids mentioning *any* positive results
from that statement or *any* followups to those results.  The literature
has a number of articles reporting positive results -- many of which
quite clearly suffer from problems such as poor controls -- and a number of
articles that report negative results.  As far as I can tell, the ratio
has not increased in favor of positive results, as would be expected from
a real effect.

I understand that if acupuncture were proven not to be effective, it would
not only impact Mr. Kingoff's livelihood; although, given the number of
people who are passionate supporters of outright charlatans, of whom I
hasten to emphasize Mr. Kingoff is *not* one, I doubt that it would affect
his livelihood much.  The notion that acupuncture might not be effective
is as heretical to him as the notion that Jesus might not have been the
Son of God would be to a born-again Christian.  So I can understand very
well why he feels so threatened by skepticism about acupuncture.  And,
despite what he wants to believe (it's called "projection"), there is no
symmetry here -- if acupuncture were found to be effective (beyond the
placebo effects that I have already indicated I believe to explain most if
not all of its claimed efficacy), it would not affect my life much one way
or the other.  That's because I am sure that *if* acupuncture works, it
almost certainly does *not* work by rebalancing "Qi."

Thus, I do not expect any kind of objectivity from Mr. Kingoff, and in fact
would advise him not to bother replying to this article.  But I leave as
a thought question for those who are willing to think critically about
the matter -- to which example does acupuncture seem to be closer,
high-Tc superconductors, or cold fusion?

-----
Richard Schultz                              schultr@mail.biu.ac.il
Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel
Opinions expressed are mine alone, and not those of Bar-Ilan University
-----
". . .Mr Schutz [sic] acts like a functional electro-terrorist who
impeads [sic] scientific communications with his too oft-silliness."
  -- Mitchell Swartz, sci.physics.fusion article <EEI1oz.43q@world.std.com>
Richard Schultz - 15 Apr 2008 14:24 GMT
:> : In most cases, headache patients with active headaches leave the
:> : office pain-free.  That is why acupuncture is so successful; a person
:> : in pain can tell that it worked, how fast, and how well.  Now, can you
:> : dig it?

:> I can, but I'm not sure that you can.  Do you agree with the statement that
:> "correlation does not imply causality"?

: Do YOU agree with the statement that you don't know ANYTHING about
: Acupuncture?

No, since the statement is obviously untrue.  Based on what has been
posted here, I can confidently state that I know more about acupuncture
than you do about quantum mechanics.

-----
Richard Schultz                              schultr@mail.biu.ac.il
Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel
Opinions expressed are mine alone, and not those of Bar-Ilan University
-----
"You don't even have a clue about which clue you're missing."
The One True Zhen Jue - 15 Apr 2008 13:20 GMT
> In article <0bb3d5f4-36b9-42b1-abd2-5872f412b...@a22g2000hsc.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote:
>
[quoted text clipped - 5 lines]
> I can, but I'm not sure that you can.  Do you agree with the statement that
> "correlation does not imply causality"?

Yup.

Not all my patients who get complete relief from decades of headaches
got it solely by acupuncture.  Sure, sometimes, it isn't me nor the
acupuncture.

But, most of the time, it is.  After a decade or longer with a
headaches due to trauma or allergies; they walk in and the condition
remits between the time they get on and off the table.   Remember,
some of these folks have had acupuncture without success.  I've had at
least a dozen patients who've been to MD or DC acupuncturists with NO
success who've been successfully treated by me.  Diagnosis, treatment
strategy, and technique matter, just like in every field of medicine.

> -----
> Richard Schultz                              schu...@mail.biu.ac.il
> Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel
> Opinions expressed are mine alone, and not those of Bar-Ilan University
> -----
>  "an optimist is a guy/ that has never had/ much experience"
Richard Schultz - 15 Apr 2008 14:53 GMT
:> In article <0bb3d5f4-36b9-42b1-abd2-5872f412b...@a22g2000hsc.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote:

:> : In most cases, headache patients with active headaches leave the
:> : office pain-free. ?That is why acupuncture is so successful; a person
:> : in pain can tell that it worked, how fast, and how well. ?Now, can you
:> : dig it?

:> I can, but I'm not sure that you can. ?Do you agree with the statement that
:> "correlation does not imply causality"?

: Yup.
:
[quoted text clipped - 3 lines]
:
: But, most of the time, it is.  

How can you tell?

-----
Richard Schultz                              schultr@mail.biu.ac.il
Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel
Opinions expressed are mine alone, and not those of Bar-Ilan University
-----
"Logic is a wreath of pretty flowers which smell bad."
The One True Zhen Jue - 15 Apr 2008 17:10 GMT
> In article <83cc0025-3a78-4f41-8cd3-76d597c58...@8g2000hse.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote:
> :> In article <0bb3d5f4-36b9-42b1-abd2-5872f412b...@a22g2000hsc.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote:
[quoted text clipped - 16 lines]
>
> How can you tell?

When they go back to work, stop taking meds, and get back to their
life.  Either that, or people have a very high spontaneous remission
rate within a couple weeks of getting acupuncture from me.  I'd think
Occam would say it is more likely the former than the latter; unless
you want to attribut Rasputineque powers to me.

> -----
> Richard Schultz                              schu...@mail.biu.ac.il
> Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel
> Opinions expressed are mine alone, and not those of Bar-Ilan University
> -----
> "Logic is a wreath of pretty flowers which smell bad."
Citizen Jimserac - 15 Apr 2008 18:35 GMT
On Apr 15, 12:10 pm, The One True Zhen Jue <Andrew_King...@yahoo.com>
wrote:

> > In article <83cc0025-3a78-4f41-8cd3-76d597c58...@8g2000hse.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote:
> > :> In article <0bb3d5f4-36b9-42b1-abd2-5872f412b...@a22g2000hsc.googlegroups.com>, The One True Zhen Jue <Andrew_King...@yahoo.com> wrote:
[quoted text clipped - 22 lines]
> Occam would say it is more likely the former than the latter; unless
> you want to attribut Rasputineque powers to me.

Rasputin-esque powers!!!!  Please don't give Richard
any ideas!!!  After his repeating the same fallacies
over and over, he's probably looking for new
material!

Citizen Jimserac
The One True Zhen Jue - 15 Apr 2008 20:53 GMT
> On Apr 15, 12:10 pm, The One True Zhen Jue <Andrew_King...@yahoo.com>
> wrote:
[quoted text clipped - 30 lines]
> over and over, he's probably looking for new
> material!

Yeah, that boy is sumptin, ain't he?  Initially, he claimed that
headaches in particular, and pain in general, are far to subjective to
make for a useful study of acupuncture efficacy.  I soon after posted
the 2004 osteoarthritis study showing improvement in pain and
mobility.  You'd think he'd get tired from all the goal post moving,
but I guess he's got nothing else to do.  After all, his initial
request was for any evidence that acupuncture is remotely
efficacious.

http://groups.google.com/group/misc.health.alternative/msg/1b5a9b2214b00d41

Newsgroups: misc.health.alternative
From: schu...@mail.biu.ack.il (Richard Schultz)
Date: Thu, 23 Nov 2006 17:29:16 +0000 (UTC)
Local: Thurs, Nov 23 2006 1:29 pm
Subject: Re: Jan Drew Exposed again as a Bigot, Moron, & Borderline
Illiterate!
Reply to author | Forward | Print | View thread | Show original |
Report this message | Find messages by this author
In article <1164295530.138548.204...@j44g2000cwa.googlegroups.com>,
The One True Zhen Jue <Andrew_King...@yahoo.com> wrote:

: Jan, you seem to have a penchant for attacking & contacting
: acupuncturists.  Why do you attack the most distinguished,
advanced,
: and efficacious of alt med practitioners?

What evidence do you have that acupuncture is even remotely
efficacious?

-----
Richard Schultz                              schu...@mail.biu.ac.il

> Citizen Jimserac- Hide quoted text -
>
> - Show quoted text -
Richard Schultz - 16 Apr 2008 07:21 GMT
: I soon after posted the 2004 osteoarthritis study showing improvement
: in pain and mobility.  

Have you read the journal article describing the study, or just the
press release posted on the NCCAM web site?

-----
Richard Schultz                              schultr@mail.biu.ac.il
Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel
Opinions expressed are mine alone, and not those of Bar-Ilan University
-----
"Logic is a wreath of pretty flowers which smell bad."
Richard Schultz - 16 Apr 2008 07:16 GMT
:> :> I can, but I'm not sure that you can. ?Do you agree with the statement
:> :> that "correlation does not imply causality"?

:> : Yup.
:> :
[quoted text clipped - 11 lines]
: Occam would say it is more likely the former than the latter; unless
: you want to attribut Rasputineque powers to me.

No, I'd like to see a statistical analysis of your results.

-----
Richard Schultz                              schultr@mail.biu.ac.il
Department of Chemistry, Bar-Ilan University, Ramat-Gan, Israel
Opinions expressed are mine alone, and not those of Bar-Ilan University
-----
"Logic is a wreath of pretty flowers which smell bad."
 
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