Free Live Chat Software

Join Our Mailing List


  •  

Save Big On Food Storage And Other Preparedness Items

We accept Visa, MasterCard, Discover, AmericanExpress, Paypal




Advanced Alternatives Center is an Upfront Merchant on TheFind. Click for info.
(Your shopping cart is empty)
Home > Shop By Concern > Liver Health > Liver Disease Article

Liver Disease Articles


Published in The Townsend Magazine for Doctor's & Patients
-
Decrease Cirrhosis of the Liver By Dr. C. Cochran

Artichoke Bud / Sarsaparilla Root Extract (ASE)

This extremely effective combination of ingredients has Double Blind Studies to verify the decreases in degenerative liver damage in patients with chronic liver disease (cirrhosis of the liver) in as few as 30 to 90 days. This combination has proven studies for detoxifying the liver normalizing liver metabolism and preventing further liver damage due to internal and external toxins like alcohol cigarettes and environmental poisons

DESCRIPTION
The artichoke bud / sarsaparilla extract is an entirely unique complex of phytochemicals extracted from the bud of a hybrid artichoke plant (Cynara floridanum) and the root of the sarsaparilla plant (Smilax officinalis).
The proprietary extraction process uses a method in which all plant materials are first combined macerated and put into a distilled water / ethanol solvent. This allows the plant materials to interact within the solvent resulting in an exceptional health-providing formulation of polyphenols and flavonoids.

FEATURES
  • ASE is a complex of liver-supportive detoxifying phytonutrients that are extracted using a proprietary two-step method. It is unlike anything in the marketplace today. Partial analysis has revealed a quite extraordinary complex of flavonoids including quercetin rutin - (+) catechin hesperidin kaempferol isorhamnetin cynarin silymarin caffeic acid and chlorogenic acid. Phytosterols including ß-sitosterol campesterol and stigmasterol have also been detected.
  • ASE has been created by combining materials from two plants that have been historically used as liver regenerative detoxifying and blood-purifying agents.
BENEFITS
  • ASE has been used to normalize liver and gall bladder function in clinical settings for over 20 years.
  • ASE is well tolerated and completely safe with no known side effects. Contraindications include allergies to artichoke or sarsaparilla and biliary duct obstruction such as with gallstones.
  • ASE functions as a gentle detoxifier; digestive aid; and a liver gall bladder and bowel normalizer.
PHYSIOLOGY
  • Extracts of artichoke leaf have been found to stimulate bile production in the liver and bile release from the gall bladder and thus found effective in helping to eliminate toxic substances normalizing blood cholesterol levels lowering blood lipids and providing liver protective qualities.
  • The root of the sarsaparilla plant is considered by European physicians to be an alterative tonic blood purifier diuretic (increases urine output) and diaphoretic (increases perspiration).
CLINICAL INDICATIONS
  • Inhabit or work in toxic environments
  • Abnormal liver enzymes or history of liver disease including alcoholic liver disease
  • For those who smoke drink alcoholic beverages or take drugs
  • Abnormal blood lipids (cholesterol and triglycerides)
  • Digestive or bowel disorders very effective for irritable bowel syndrome
  • Those with surgically removed gall bladders (cholecystectomy)
  • Hepatitis patients
  • Overweight patients and during weight loss programs
  • Skin disorders including psoriasis and adult onset acne

1st Double Blind Study

INTERPRETATION OF RESULTS OBTAINED IN A DOUBLE BLIND TEST MADE IN THE GENERAL HOSPITAL MEXICO WITH THE PRODUCT LIVER SUPPORT ON PATIENTS HAVING CHRONIC ALCOHOLIC HEPATIC DISEASE.

In order to analyze carefully the results of this study it is necessary to know the importance of the two clinical and laboratory parameters intervening in the calculations of Orrego and Maddrey Indexes.

We will compare the results of the parameters the placebo control and the Liver Support groups on both indexes. The results are presented as percentages of recovery and are obtained from the data obtained from each group of 30 patients we will get an average of those results at the beginning and at the end of the study. Both averages will give us a final recovery compared to the initial values. This way we may demonstrate the effectiveness of Liver Support.

DEFINTIONS AND RESULTS OF PARAMETERS

ASCITES- Effusion and accumulation of serous fluid in the abdominal cavity. experimental group (Liver Support) experienced a 28.8% reduction of ascites while the placebo group experienced no change The.

ENCEPHALOPATHY- a DEGENERATIVE DISEASE OF THE BRAIN. Hepatic encephalopathy- a condition usually occurring secondarily to advanced disease of the liver. It is marked by disturbances of consciousness that may progress to deep coma (hepatic coma) psychiatric changes of varying degree flapping tremor and fetor hepaticas. Also called portal-systemic encephalopathy. Patients on Liver Support experienced a 34.55% reduction of hepatic encephalopathy. The placebo group experienced a 5.5% reduction.

SPLENOMEGALIA- Enlargement of the spleen. An 18.18% reduction was observed in the Liver Support group and a 55% reduction was observed in the placebo group.

WEAKNESS- Lacking physical strength or vigor marked by asthenia atony cardiasthena enervation fatigue and lassitude. The Liver Support group experienced an 83.45% decrease in the incidence of weakness while the placebo group reported no change.

PERIPHERAL EDEMA- A condition in which the body tissues contain an excess amount of fluid. The Liver Support Group experienced an 11.10% reduction in peripheral edema while the placebo group had a 0.69% reduction.

HEMORRHAGES- Bleeding. This was one of the most important benefits observed in the Liver Support group. The Liver Support group had an 89.41% reduction in hemorrhages while the placebo had a 31% reduction.

ANOREXIA- Loss of appetite. Seen in depression malaise commencement of fevers and illness also in disorders of the alimentary tract especially of the stomach and as a result of alcoholic excess and drug addiction. Anorexia was diminished by 86.07% in the Liver Support group. There was no change in the placebo group.

TOTAL BILIRUBIN LEVEL - The predominant pigment of human bile. Total serum bilirubin may be increased in cirrhosis of the liver and acute viral hepatitis. The Liver Support group obtained 25.11% reduction in bilirubin whereas the placebo group had a 7.2% increase.

OGT - (Oxalacetic Glutamic Transaminase). It is distributed all over body tissue especially in the heart and liver. Fewer amounts are found in the spleen pancreas kidneys lungs and brain. Any lesion of a tissue leads to the secretion of this enzyme to the blood stream. The activity of OGT is risen under hepatic necrosis cirrhosis of the liver or hepatic metastasis. In those patients who received Liver Support this level diminished 22.56% in only 15 days of treatment and in the placebo group it diminished 8.51%.

PROTHROMBINE TIME - A test of clotting time made by determining the time for clotting to occur after thromboplastin and calcium are added to decalcified plasma. There was 30.82% reduction in prothrombin time for Liver Support patients whereas the placebo group's time increased 1.25%. This is very important data because it means that Liver Support helps the healing of wounds faster.

SERUM ALBUMIN - One of a group of simple proteins widely distributed in tissues. Albumin is a constituent of blood. Low levels of albumin in blood plasma are associated with a pathologic condition of the liver. The Liver Support group experienced an increase of 8.85% of total albumin levels while the placebo group experienced a 5.35% increase.

2nd Double Blind Study

COMPARATIVE STUDY BETWEEN A COMPLEX OF FLAVONOIDS AND POLYPHENOLS CREATED FROM EXTRACTS OF ARTICHOKE AND SARSAPRILLA AND A PLACEBO IN ALCOHOL RELATED LIVER DISEASE

DECEMBER 12 1998

In a previous study completed over two years ago in this same hospital an extract of artichoke (Cynara Floridanum) and sarsaparilla (Smilax Aristolochiaefolia) was evaluated in addressing the symptoms related to alcoholic liver disease. This study was accomplished over a fifteen-day period with exceptional results. Because of these results noted over a very short period of time the hospital researchers were anxious to set up the same study over a longer period (30 days). Please refer to the July 3 1996 study for descriptions of symptoms and study parameters. Results of this study are as follows:

ASCITES
A 72.38% reduction of the accumulation of serous abdominal fluid was noted in the treated group. The placebo saw a 6.35% increase in abdominal fluid.

ENCEPHALOPATHY
A 66.08% reduction of symptoms related to encephalopathy was noted in the treated group. The placebo group saw a 12.24% increase in these symptoms.

HEPATOMEGALY
The treated group experienced a 93.33% reduction in enlarged livers. In the placebo group their livers continued to enlarge by another 7.14%.

SPLENOMEGALY
An 88.40% reduction in spleen enlargement was noted with the treated group. The placebo group worsened by 11.54%.

WEAKNESS
The treated group noted a 73.64% increase in strength. There was a decrease in muscle strength by 7.41% in the placebo group.

PERIPHERAL EDEMA
Edema in the extremities of the treated patients decreased by 48.21%. There was no change in the placebo group.

HEMORRHAGES
The treated group noted a 100% decrease in capillary hemorrhaging in the skin gums and nasal membranes. The placebo group saw an increase of 28.57% in hemorrhaging.

ANOREXIA
Loss of appetite decreased in the treated group by 76.98%. The placebo group noted a decrease of 3.70%.

ABDOMINAL WALL VEINS
The treated group experienced a 60.62% decrease in tortuous veins in the abdomen related to ascites. The placebo group saw a 3.33% decrease.

PALMAR ERYTHEMA
The treated group noted a 26.67% decrease in red and swollen palms. In the placebo group there was no change.

TELANGIECTASIA
A 60.00% reduction in vascular lesions was noted in the treated group. A 3.33%
reduction was seen in the placebo group.

TOTAL BILIRUBIN
The treated group noted a reduction of total bilirubin by 38.95%. The placebo group increased by 5.68%.

ALKALINE PHOSPHATASE
The treated group obtained 25.91% reduction in alkaline phosphates. There was an 11.69% increase in the placebo group.

SERUM GLUTAMIC OXALCETIC TRANSAMINASE (SGOT)
The treated group noted a decrease of 23.83% in SGOT levels. The placebo group experienced a worsening of 11.71%.

PROTHROMBIN TIME
A 42.00% reduction in clotting time was noted with the treated group. An increase in clotting time was noted in the placebo group of 6.60%.

SERUM ALBUMIN
An increase of 37.27% in serum albumin was noted in the treated group. There was a decrease in the placebo group of 1.95%.

GAMMA GLUTAMYL TRANSPEPTIDASE (GGT)
The treated group noted a reduction of 23.79% in GGT. The placebo group experienced an increase of 9.92%.

DR. CHARLES COCHRAN

SCIENTIFIC RESEARCH

Beneficial effects of flavonoids have been described for successfully treating many health conditions including cancer viral infections diabetes headaches liver disease ulcers and allergies. They can also bind to enzymes and DNA chelate heavy metals and play a role in electron transport.
Van Acker S. et al; Structural Aspects of Antioxidant Activity of Flavonoids Flavonoids in Health and Disease Rice-Evans C. editor Marcel Dekker Inc. 1998.

It is highly unlikely that the therapeutic value of medicinal plants is due to either one flavonoid or an entire flavonoid fraction alone.
Packer Lester et al; Ginkgo biloba Extract Egb 761; Biological Actions Antioxidant Activity and Regulation of Nitric Oxide Synthase Flavonoids in Health and Disease Rice-Evans C. editor Marcel Dekker Inc. 1998.

Phytosterols are plant fats. Plants do not contain cholesterol but phytosterols play a similar role in plants to that of cholesterol in humans primarily the forming of cell membrane structures sources of fuel for storage and transport and protective surface coatings. The most common plant sterols are ß-sitosterol campesterol and stigmasterol. Recent studies have shown that phytosterols have antihyperglycemic and insulin-releasing effects anti-inflammatory and antipyretic activities and important immune regulating and T-cell proliferative activities.
Ivorra MD et al; Antihyperglycemic and Insulin-releasing Effects of ß-sitosterol 3-B-glucoside and Its Aglycone ß-sitosterol Archives of the International Phamnacodyn V. 296 April 1988 224-231.
Gupta R. et al; Anti-inflammatory and Antipyretic Activities of ß-sitosterol Planta Medica (Journal of Plant Medicine) V. 39 1980 157-163.
Pegel Karl The Importance of Sitosterol and Sitosterolin in Human and Animal Nutrition South African Journal of Science V. 93 June 1997 263-268.

Extracts of the artichoke leaf stimulates bile production in the liver and increased bile release from the gall bladder and thus has been effective in helping to eliminate toxic substances normalizing blood cholesterol levels lowering blood lipids and providing liver protective qualities.
Adzet T et al; Hepatoprotective Activity of Polyphenolic Compounds from Cynara Scolymnus Against CC14 Toxicity in Isolated Rat Hepatocytes Journal of Natural Products 50: 612 1987.
Gebhart R; Inhibition of Cholesterol Biosynthesis in Primary Cultured Rat Hepatocytes by Artichoke Extracts. J Pharmacol Exp Ther 286; 3 1998.
Fintelmann V; Therapeutic Profile and Mechanism of Action of Artichoke Leaf Extract; Hypolipemic Antioxidant Hepatoprotective and Choleretic Properties. Phytomedicine 1996. Supplement 1:50.
Kirchoff R et al; Increase in Choleresis By Means of Artichoke Extract. Results of a Randomized Placebo-controlled Double-blind study. Phytomedicine 1: 107 1994.

European physicians consider sarsaparilla root as an alterative tonic blood purifier diuretic and diaphoretic. With its clinical uses as a blood purifier it was registered as an official herb in the U.S. Pharmacopoeia as a treatment for syphilis from 1820 to 1910. Clinical observations in China demonstrated that sarsaparilla is effective in about 90% of acute cases and 50% of chronic cases of syphilis. In 1942 it was shown to dramatically improve psoriasis and in the 1950's the antibiotic properties of sarsaparilla were documented.
An herbal Saudi Arabian drug created from sarsaparilla has been used for many years to treat rheumatism and various forms of arthritis. Further studies showed that sarsaparilla inhibited carrageenan-induced inflammation in rats. Recent research from China has shown that an extract of sarsaparilla was able to prevent immunological liver damage. And three studies performed between 1994 and 1999 have shown that extracts of sarsaparilla have snake venom inhibitory activity.
Hobbs C; Sarsaparilla A Literature Review HerbalGram No. 17 1988.
Lung A Foster S; Encyclopedia of Common Natural Ingredients John Wiley & Sons Inc. New York 1996.
Thurman FM; The Treatment of Psoriasis with Sarsaparilla Compound New England Journal of Medicine 337 128-133 1942.
D'Amico ML; Ricerche Sulla Presenza Di Sostanze Ad Azione Antiiotica Nelle Piante Superiori Fitoterapia 21(1) 77-79 1950.
Fitzpatrick FK; Plant Substances Active Against Mycobacterium Tuberculosis Antibiotics and Chemotherapy 4(5) 528-536 1954.
Ageel AM et al; Experimental Studies on Antirheumatic Crude Drugs Used in Saudi Traditional Medicine College of Pharmacy Kind Daud University Riyadh Saudi Arabia Drugs Exp Clin Res 1989 15(8): 369-372.
Chen T et al; A New Flavanone Isolated From Rhizoma Smilacis Glabrae and the Structural Requirements of Its Derivatives for Preventing Immunological Hepatocyte Damage. Planta Med 1999 Feb;65(1):56-59.
Alam MI et al; Isolation Purification and Partial Characterization of Viper Venom Inhibiting Factor from the Root Extract of the Indian Medicinal Plant Sarsaparilla Toxicon 1994 Dec;32(12): 1551-1557.
Castro O et al: Neutralization of the Hemorrhagic Effect Induced by Bothrops Asper (Serpentes Viperidae) Venom with Tropical Plant Extracts Rev Biol Trop 1999 Sep: 47(3): 605-616.

COMPARISON WITH OTHER NATURAL SUBSTANCES
Oftentimes ASE is compared with extracts of milk thistle alpha-lipoic acid other artichoke extracts N-acetyl cysteine and nucleic acids in its effectiveness to support liver detoxification and aid in liver disease. Since no side-by-side studies have been performed comparing these nutrients we cannot say that anyone of these natural very valuable substances is better than the other. However clinically we have found that by combing the ASE with any of the above-mentioned nutrients results can be enhanced tremendously. Another very effective common method is to alternate nutrients. This keeps the body from developing sensitivities or desensitivities to any one nutrient during prolonged treatments.
 

 

The Hepatitis-Cirrhosis Connection Published Article in "The Townsend Letter for Doctor's Patients" HEPATITIS LIVER CIRRHOSIS/HCC

According to the American Liver Foundation, more than 25 million Americans are afflicted with liver and gallbladder disease and more than 43,000 die of liver disease each year. While several factors contribute to liver damage, viral hepatitis is the single most important cause of liver disease in the United States and worldwide. Roughly 200 million people worldwide are infected with the Hepatitis C virus (HCV). 4.9 million of those are in the United States (estimates go as high as 15 million) and 5 million in Western Europe. For every one person infected with the AIDS virus, there are more than four infected with Hepatitis C. There are up to 230,000 new hepatitis C infections in the U.S. every year. Currently, 8,000 to 10,000 deaths each year are a result of HCV. Within the next 10-20 years, chronic hepatitis C is predicted to become a major burden on the health care system as patients with no symptoms progress to end-stage liver disease and develop hepatocellular carcinoma. Predictions in the USA suggest that there will be a 60% increase in the incidence of cirrhosis, a 68% increase in hepatoma incidence, a 528% increase in the need for transplantation, and a 223% increase in liver death rate.

The roles of hepatitis B virus (HBV) and hepatitis C virus (HCV) infection in causing hepatocellular carcinoma (HCC) are well documented. The frequency of HCC correlates with chronic HBV infection rates. HCC is a cancer arising from the liver. It is also known as primary liver cancer or hepatoma. HCC is the fifth most common cancer in the world and the majority of patients with HCC will die within one year because of the cancer. The majority of primary liver cancers (over 90 to 95 %) arises from liver cells and is called hepatocellular cancer or carcinoma. In 1990, the World Health Organization estimated that there were about 430,000 new cases of HCC worldwide, and a similar number of patients died resulting from this disease. Moreover, recent data show that the frequency of HCC in the U.S. overall is rising. Is there a way to curb this rise?

A Healthy Liver is Essential!

While there is no cure for hepatitis and no completely effective treatment, the threats resulting from HCC, cirrhosis, and various hepatitis strands may best be combated by supporting the liver with natural supplements.

Extreme Health's Liver Support Formula

This extremely effective combination of ingredients has Double Blind Studies verifying decreases in degenerative liver damage in patients with chronic liver disease (cirrhosis of the liver) in as few as 30 to 90 days. This combination has proven studies for detoxifying the liver, normalizing liver metabolism and preventing further liver damage due to internal and external toxins like alcohol, cigarettes, long term pharmaceutical use, and environmental poisons.

The artichoke bud / sarsaparilla extract utilized in Extreme Health's Liver Support Formula is an entirely unique complex of phytochemicals extracted from the bud of a hybrid artichoke plant (Cynara floridanum) and the root of the sarsaparilla plant (Smilax officinalis). Proprietary extraction process uses a method in which all plant materials are first combined, macerated, and put into a distilled water / ethanol solvent. This allows the plant materials to interact within the solvent resulting in an exceptional, health-providing formulation of polyphenols and flavonoids.

The artichoke has a long folk history in treating many liver diseases. Recent evidence supports this longtime use. The active ingredient in artichoke is cynarin. This compound is found in highest concentrations in the leaves. Cynara extract has demonstrated liver-protecting and regenerating effects, and promotes the outflow of bile from the liver to the gallbladder. This is very important because if the bile is not being transported adequately to the gallbladder, the liver has an increased risk of being damaged.

Again, there is no cure or completely effective treatment for hepatitis, however the risk of hepatitis-related cirrhosis should not be ignored. Extreme Health is proud to offer perhaps the only liver support protocol with Double Blind Studies verifying its ability to decrease cirrhosis-related liver damage.

The Liver's Functions Include

An expanding corpus of scientific studies verifies the healthy liver's prophylactic role in maintaining optimal health. This is precisely due to the liver's role in regulation, synthesis, and secretion of substances key to maintaining a healthy body. The liver's functions include, but are not limited to the following:

  • Converts nutrients into energy
  • Helps resist infection
  • Metabolizes proteins
  • Helps regulate blood-sugar levels
  • Filtering and removing toxins
  • Removing drugs in our system
  • Manufacturing and storage of bile
  • Removing bacteria from our system
  • Regulating fat storage
  • Manufacturing protein and nutrients
  • Storing iron and essential nutrients
  • Manufacturing new body proteins

We easily comprehend why the liver is considered the body's refinery. Accordingly, an overburdened, toxic, or otherwise diseased liver necessarily comprises centrifugal detoxification organs such as the kidneys and gallbladder and can result in extreme pain and even death within 12 to 24 hours! Reciprocally, various diseases and viruses actually engender liver damage; the most dangerous of which is potentially hepatitis.

Complications
  • 25,000 Americans die of cirrhosis, the seventh leading cause of death in the U.S.
  • 85% of individuals infected with HCV will develop long-term infection.
  • 75% of individuals may develop chronic liver disease.
  • 15% of individuals may develop cirrhosis over a long period of time.
Fatty Liver (Steatosis) Steato Hepatitis / Cirrhosis
Fatty liver or steatosis is a common condition where fat has accumulated within liver cells (hepatocytes) without causing any specific symptoms. Recent studies demonstrate that a fatty liver of either alcoholic or non-alcoholic origin can lead to inflammation, cell death, and fibrosis (steatohepatitis), and eventually even cirrhosis.
 

REFERENCES:

Accardo P Whitman B Caul J Rolfe U. Autism and plumbism. A possible association. Clinical Pediatric 1988; 27(1):41-4.
Alberti A Pirrone P Elia M Waring RH Romano C. Sulphation deficit in "low-functioning" autistic children: a pilot study. Biol Psychiatry 1999;46(3):420-4.
Cohen DJ Johnson WT Caparulo BK. Pica and elevated blood lead level in autistic and atypical children. Am J Dis Child 1976;130(1):47-48.
Edelson SB Cantor DS. Autism: Xenobiotic influences. Toxicology and industrial health 1998;14(4):553-563.
Emory E Pattillo D Archibald E Byroh M Sung F. Neurobehavioral effects of low-level lead exposure in human neonates. Am J Obstet Gynecol 1999;181:S2-S11.
Eufemia P Celli M Finocchiaro R Pacifico L Viozzi L Zaccagnini M Cardi E Giardini O. Abnormal intestinal permeability in children with autism. Acta Paediatr 1996:85(9):1076-9.
Goodwin MS Cowen MA Goodwin TC. Malabsorption and cerebral dysfunction: a multivariate and comparative study of autistic children. J Autism Child Schizophr 1971; 1:48-62.
Halsey NA. Limiting infant exposure to thimerosal in vaccines and other sources of mercury. JAMA. 199 Nov 10;282(18):1763-6.
Horvath K Papadimitriou JC Rabsztyn A Drachenberg C Tildon JT. Gastrointestinal abnormalities in children with autistic disorder. J. Pediatr 1999; 135:559-63.
Kozielec T Starobrat-Hermelin B. Assessment of magnesium levels in children with attention deficit hyperactivity disorder (ADHD). Magnes Res; 1997 Jun; 10(2):143-8.
Lanphear BP Dietrich K Auinger P Cox C. Subclinical lead toxicity in U.S. children and adolescents [abstract#894]. APS/SPR Joint Meeting; 2000 May 12-16;
Boston MA. McFadden SA. Phenotypic variation in xenobiotic metabolism and adverse environmental response: focus on sulfur-dependent detoxification pathways. Toxicology 1996;111 (1-3):43-65.
Shannon M Graef Jw. Lead intoxication in children with pervasive developmental disorders. J Toxicol Clin Toxicol 1996;34(2):177-81.
Tuthill RW. Hair lead levels related to children's classroom attention-deficit behavior. Arch Enciron Health 1996;(3):214-220.
Wecker L Miller SB Cochran SR Dugger DL Johnson WD. Trace element concentrations in hair from autistic children. J Ment Defic Res 1985; 15-22.
Wilson MA Johnston MV Goldstein GW Blue ME. Neonatal lead exposure impairs development of rodent barrel field cortex. PNAS 2000; 97(10):5540-5545.


Disclaimer:

All information on this site is provided for informational purposes only! By no means is any information presented herein intended to substitute for the advice provided to you by your own physician or health care provider. You should not use any information contained in our site to self-diagnose or personally treat any medical condition or disease or prescribe any medication. If you have or suspect you have a medical condition you are urged to contact your personal health care provider immediately. All health supplements or products purchased in this site contain clearly labeled product packaging, which must be read to ensure proper use. All information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease.

Advanced Alternatives Center
9340 Helena Rd F 193
Birmingham AL 35244
 About Us
 Privacy Policy
 Contact Us