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A well-known segula (efficacious remedy) for finding one's mate is to pray for 40 consecutive days at the Western Wall.
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There are many in various associated positions within that industry who would be without a job if that cash flow dried up suddenly with the news that there are cheaper, less harmful, and more efficacious remedies available.
We note that if copying were strongly biased so that individuals adopt effective treatments preferentially over ineffective ones, both acquisition and loss processes would favour effective remedies, leading to the spread of only efficacious treatments.
We have descriptions of caesarean sections and plastic surgery as they were performed in ancient times and of many efficacious rural remedies that should now be investigated scientifically.
This may, in future, lead to the identification of an efficacious plant-based remedy that is easily available and readily grown in Ethiopia.
Two hundred and thirty respondents (86.8%) perceived that their previous or current use of herbal remedies was efficacious, with only 26 (9.8%) reporting that herbal remedies were effective 'sometimes', Table 4.
Most respondents claimed that their herbal remedies were efficacious and produced complete healing without adverse effects.
We suggest that one of the major factors contributing to the increasing popularity of herbs in developed countries and the sustained use in developing countries is the perception that herbal remedies are efficacious, and in some cases more so than physician-prescribed allopathic medicines.
"Libraries are a great and much-loved treasure, and to see them being gradually starved of funds is like seeing a member of the family dying a slow death from some awful disease, for the want of a remedy that's efficacious and infallible and easy to administer, but which someone is holding deliberately and malevolently just out of reach," Pullman said.
Herdsmen in non industrialized nations of the world still use medicinal plants for the treatment of livestock diseases including diarrhoea, either due to lack of access to trained veterinarians and high cost of orthodox medicines, or the held belief that herbal remedies are more efficacious [ 15].
Protracted health issues [ 13], religion and traditional or cultural beliefs [ 14] have been known to play a role as well as dissatisfaction with efficacy of conventional medications [ 15] and the perception that herbal remedies are much more efficacious than the former [ 16].
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