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abstract. purpose qigong as a complementary and alternative modality of traditional chinese medicine is often used by cancer patients to manage their symptoms. the aim of this systematic review is to critically evaluate the effectiveness of qigong exercise in cancer care. methods thirteen databases were searched from their inceptions through november 2010. all controlled clinical trials of qigong exercise among cancer patients were included. the strength of the evidence was evaluated for all included studies using the oxford centre for evidence-based medicine levels of evidence. the validity of randomized controlled trials (rcts) was also evaluated using the jadad scale. results twenty-three studies including eight rcts and fifteen non-randomized controlled clinical trials (ccts) were identified. the effects of qigong on physical and psychosocial outcomes were examined in 14 studies and the effects on biomedical outcomes were examined in 15 studies. for physical and psychosocial outcomes, it is difficult to draw a conclusion due to heterogeneity of outcome measures and variability of the results in the included studies. among reviewed studies on biomedical outcomes, a consistent tendency appears to emerge which suggests that the patients treated with qigong exercise in combination with conventional methods had significant improvement in immune function than the patients treated with conventional methods alone.

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it 'is to your especial advantage that you may see beauty differently from the way others see it. this difference will help you select subjects that are attuned to your tastes. it will lead you on to new and exciting fields. the source of beauty is endless, but the true capturing of it is rare; it is a constant challenge. in our search for subjects to paint we may go beyond nature and concentrate our attention merely on beauty of form, texture, or color. there is beauty to be found in pure geometrical forms, in spacing, in creating surfaces, planes, and abstract forms. we must therefore broaden our scope, and should we choose to work in the abstract, we will still find that beauty is our ultimate goal. rather than condemning what we cannot agree with, we should take our full measure of the freedom allowed to all creative effort; we should do things as we believe they should be done, and give others the same freedom of expression. all art, to be worth its salt, must be individual. it must be creative. realism can be creative, in the selection of the subject, and in rendering that subject as it is seen and felt by you as an individual. whether your material exists in reality or not is not significant. you may paint an impression in broad terms or you may paint with great fidelity to detail, and either way achieve a fine creative work of art. the subject is not the picture; it is the way in which it is rendered that makes or breaks a work of art. abstract art and realistic art are simply two different forms of approach, and there is no one who can say that one approach is any better than the other. art will always have its trends, derived from those who happen to be the greatest artisans of the moment. but the pendulum of creativeness is never still, since no two people can see with the same eyes or reason with the same brain. no two brains have identical receptivity or are motivated the gulf stream by winslow homer, metropolitan museum of art, new york city. realism can be creative, in the selection of the subject, and in rendering that subject

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