Online Journal of Complementary & Alternative Medicine最新文献

{"title":"Selective Systematic Review: Planned Healthcare Environments Impact on Healing, Health and Well-being","authors":"Karen L. Hoblet","doi":"10.33552/OJCAM.2020.05.000605","DOIUrl":"https://doi.org/10.33552/OJCAM.2020.05.000605","url":null,"abstract":"Aim: The objective of this study was to review research to determine if evidence existed to support the assertion that planned healthcare environments utilizing evidence-based design improve healing, health and well-being. Background: Millions of people are treated in hospitals in the United States annually [1]. These facilities are environments where people interact with healthcare experts to achieve healing, health, and wellbeing. Purpose: The literature was investigated to determine if evidence-based design, the planned design of healthcare facilities, impacts human healing, health, and wellbeing. Methods: A systematic review of selected literature was planned and attempted utilizing PRISMA 27-item check list and four-phase flow diagram. Databases included the Cumulative Index of Nursing and Allied Health Literature (CINAHL), Psych INFO produced by the American Psychological Association, and PubMed search engine of the MEDLINE database of references and abstracts from the United States National Library of Medicine at the National Institutes of Health. This exploration included research and literature regarding the design and development of planned healthcare environments that promote healing, health and wellbeing and the consideration of theory that supports the significance of environment in human development. Results: No evidence was found that support the assertion that planned healthcare environments utilizing evidence-based design improve healing, health and well-being. Limited research evidence prohibited organization and reporting using PRISMA. Conclusion: Research should be completed utilizing a design that helps determine if there is a relationship between planned healthcare environments and healing, health, and well-being.","PeriodicalId":19661,"journal":{"name":"Online Journal of Complementary & Alternative Medicine","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79666347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Taking Time to Enjoy Some Coffee! Adding Mindfulness to the Curriculum","authors":"Audrey Tolouian","doi":"10.33552/OJCAM.2020.05.000603","DOIUrl":"https://doi.org/10.33552/OJCAM.2020.05.000603","url":null,"abstract":"Nursing students and graduate nurses are notoriously stressed, with high impact exams and the need to learn mass amounts of information plus clinical skills, creates an area ripe for tension [1]. Add in a pandemic halfway through the semester, and anxiety levels increase even more. Once they graduate, however, this stress does not go away, it often intensifies for the first couple of years postgraduation [2]. Current information shows once they graduate, only 18% of nurses feel they are prepared with adequate self-care skills to manage the effects caused from day to day events of the work environment. Nursing school curriculums typically do not help prepare students to deal with the stressors of their jobs, with only 6% of nursing schools providing any type of mindfulness skills in the curriculum [3,4].","PeriodicalId":19661,"journal":{"name":"Online Journal of Complementary & Alternative Medicine","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82180733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Complementary and Alternative Medicine among Breast Cancer Women in Jordan","authors":"K. Hamash","doi":"10.33552/ojcam.2020.04.000600","DOIUrl":"https://doi.org/10.33552/ojcam.2020.04.000600","url":null,"abstract":"Purpose of the study: This study aimed to determine the use of Complementary and Alternative Medicine (CAM) and its associated demographic factors among breast cancer patients in Jordan. Methods: A cross-sectional study was conducted. Patient demographic and clinical characteristics were collected using a self-administered survey that included practices and CAM therapies used in Jordan. Findings: Two hundred and fifty-six participants between 18 and 65 years completed the questionnaire. Fifty percent of patients used more than one CAM therapy. The most commonly used CAM therapy was listening to the holy book, followed by herbal treatment, and nutritional therapy. The use of CAM was influenced by income, education, and marital status. Conclusion: CAM use was found to be higher among well educated, married, and economically stable patients. The high prevalence of spiritual and nutritional CAM practices indicates that patients need psychological support to ease their unpleasant symptoms. Although cancer patients contemplate CAM therapies as important and favorable treatment, some CAM therapies can have a lethal effect on the patient’s health outcomes. The high prevalence of using CAM therapies among breast cancer patients in Jordan oblige the need to boost awareness among health practitioners’ and necessitates the need for patient’s education regarding unsafe and lethal CAM practices. Future studies might investigate the physiological effect of CAM therapies on the patient’s symptoms and health outcomes to report evidence of its effectiveness. More studies should investigate the potential side effects and possible interactions between CAM therapies and conventional treatment.","PeriodicalId":19661,"journal":{"name":"Online Journal of Complementary & Alternative Medicine","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82533295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cannabidiol – A Role for COVID-19?","authors":"G. Nahler","doi":"10.33552/OJCAM.2020.05.000601","DOIUrl":"https://doi.org/10.33552/OJCAM.2020.05.000601","url":null,"abstract":"Although the lung is considered as the primary organ affected by SARS-CoV-2, responsible for tissue and organ hypoxia, cerebrovascular complications such as stroke and neurological impairment such as Guillain-Barré syndrome have been repeatedly reported in COVID-19 patients. Many drugs that are currently administered to patients are experimental treatments which poorly cross the blood-brain-barrier. Cannabidiol (CBD) is known since long for reaching high brain levels and for its favourable safety profile. It has been shown to be neuroprotective and anti-inflammatory and has prevented sequelae in various hypoxic-ischemic disease models as well as in animal models of demyelination. In the past, it has been demonstrated that CBD can be safely co-administered with a number of other medications. CBD may be able to prevent and attenuate complications and long-term damages also in COVID-19 patie nts.","PeriodicalId":19661,"journal":{"name":"Online Journal of Complementary & Alternative Medicine","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80905478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toxic World","authors":"Viviana Siddhi","doi":"10.33552/ojcam.2020.05.000602","DOIUrl":"https://doi.org/10.33552/ojcam.2020.05.000602","url":null,"abstract":"","PeriodicalId":19661,"journal":{"name":"Online Journal of Complementary & Alternative Medicine","volume":"174 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88196976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qualitative Outcomes of an Occupation-Based Theatre Intervention for Substance Use Disorders","authors":"Sally Wasmuth","doi":"10.33552/ojcam.2020.04.000599","DOIUrl":"https://doi.org/10.33552/ojcam.2020.04.000599","url":null,"abstract":"Background: The prevalence of substance use disorders (SUD) among military veterans is higher than the general population at approximately 11 percent and continues to rise despite ongoing efforts to improve SUD treatment. Purpose: This study reports the potential mechanisms of change that may have contributed to increased drug abstinence and improved social and occupational participation during and after a six-week occupation-based theatre intervention for SUD. Method: Thematic analysis was used to explore themes of participants’ experiences collected via focus groups. This analysis was conducted in the context of findings from the larger, explanatory sequential mixed methods feasibility and acceptability study of which this study is a part. Findings: Data suggested that the interdependent and immersive nature of theatre contributed to participant perseverance leading to changed attitudes, new behaviors, and new internal experiences. Implications: Engaging in an occupation-based theatre intervention during SUD recovery may bolster recovery outcomes. More research is needed.","PeriodicalId":19661,"journal":{"name":"Online Journal of Complementary & Alternative Medicine","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80754140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paracelsus’ Medicine – an Effective Holistic Approach to Contemporary Health and Ecological Issues","authors":"M. Serbulea","doi":"10.33552/ojcam.2020.04.000597","DOIUrl":"https://doi.org/10.33552/ojcam.2020.04.000597","url":null,"abstract":"Paracelsus (1493 – 1541) is mainly known as an alchemist and a “miracle doctor”, the first who challenged the dogma which prevailed in western medicine for around 1300 years. In his comprehensive treaties he included the science about studying the effects of the movement of celestial bodies on nature and humans, as well as astute observations of various life forms. The doctrine of signatures is an associative, artistic method reflecting similitude in aspect, habitat and organoleptic characteristics of the substance and the symptoms addressed. He was also the first to introduce the concept of dose in medical treatment. Paracelsus’ description of pathophysiological processes and their address through something similar to them, not antagonistic methods, was innovative and reflect approaches in other traditional medicine systems. He viewed health as the capacity to resonate with the rhythms of nature and understood disease as disharmony in the person’s relationship to the material and spiritual world. Remedies should prolong the precious life, improve its quality and offer support for self-discovery. Paracelsus was a truth-seeker and truth has no validity date. Studying his legacy is of currently of great relevance and could offer deep insights into solving the conundrums facing humankind, including new disease outbreaks, antibiotic resistance and environmental toxins. His life-style advice and practical application in our daily routine could offer relief for an abundance of dis-eases plaguing modern man. It is also encouraging and refreshing to notice that similar (plant) remedies and ceremonies such as fumigation, bathing, sweating, and sound therapy are practiced as they have always been in different parts of the world, confirming the unity of humanity all over the planet.","PeriodicalId":19661,"journal":{"name":"Online Journal of Complementary & Alternative Medicine","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78760237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Anaesthesia on Oral Fibreoptic Tracheal Intubation in A Patient of Ankylosing Spondylitis","authors":"Weiqian Tian","doi":"10.33552/ojcam.2020.04.000596","DOIUrl":"https://doi.org/10.33552/ojcam.2020.04.000596","url":null,"abstract":"Airway management in patients with ankylosing spondylitis (AS) is a challenging problem for anaesthesiologists. The fibreoptic intubation (FOI) is designed to assist tracheal intubation for patients with a difficult airway. If we chose to do FOI, our first step is to decide whether to do a fibreoptic intubation with the patient anesthetized or awake. Once we’ve decided on anesthetized or awake, chose either the oral or nasal route. The aim of the study was to report the successful intubation by anesthetized nasal fibreoptic tracheal intubation of an AS patient after the failed intubation by anesthetized oral fibreoptic tracheal intubation because of a difficult airway found, and to discuss the effect of anaesthesia on oral fibreoptic tracheal intubation in patients with AS. One patient with chronic, severe AS were evaluated preoperatively and had features associated with a difficult direct laryngoscopy. Awake oral fibreoptic intubation was recommended to the patient. Patients were kept in supine position, with their head and neck supported on pillows. We performed the necessary preparations for difficult airway and intubation. First, we attempted awake fibreoptic orotracheal intubation. When a gap was observed between the epiglottis and posterior pharyngeal wall and wanted to further advance the instrument into the gap, Patient was unable to cooperate and presented with irritable cough. So, we decided to perform anesthetized oral fibreoptic tracheal intubation. Following sufficient preoxygenation, patients received i.v. sufentanil at 0.4μg/kg, propofol at 2mg/kg, and rocuronium at 1mg/ kg. Ninety seconds after the rocuronium administration, Fibreoptic bronchoscopy was attempted again. However, although anaesthesia provided skeletal muscle relaxation, but oropharyngeal and laryngeal muscle relaxation resulted in upper airway collapse. The upper airway collapse made fibreoptic visualization of the glottis difficult. After multiple attempts with oral fibreoptic laryngoscopy failed, nasal fibreoptic intubation was then performed with the jaw thrust manoeuvre. Fibreoptic laryngoscopy confirmed the glottis rapidly. Intubation was accomplished successfully with a 6.5 endotracheal tube lubricated with lidocaine gel. Surgery proceeded uneventfully, and the postoperative course was uncomplicated. Awake oral fibreoptic intubation was ideal and safe to secure airway in severe AS patients, but an anesthetized oral fibreoptic tracheal intubation could be difficult to do that. Anesthesia decreased muscle","PeriodicalId":19661,"journal":{"name":"Online Journal of Complementary & Alternative Medicine","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73062914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic Modeling of COVID-19","authors":"Bin Zhao","doi":"10.33552/ojcam.2020.04.000598","DOIUrl":"https://doi.org/10.33552/ojcam.2020.04.000598","url":null,"abstract":"Background: The novel coronavirus (COVID-19) suddenly appeared in Wuhan, Hubei since December 2019, and quickly swept across China, then the whole world. Today, after more than 100 days of fighting against the virus, China’s epidemic has been effectively controlled, but when we looking at the entire world, the novel coronavirus has rampaged globally, especially in the United States and many European countries. This paper mainly studies the impact of COVID-19 outbreaks at Hubei Province and the United States, fits the given data and predicts future trends. Methods: Dynamical modelling is one of the useful methods to reveal the transmission rule of COVID-19 spread which is based on the internal transmission mechanism and can dynamically predict the future trend according to the current information. Based on the theoretical basis of traditional differential equations and SIR infectious disease model [1] and combined with the actual situation to improve the model. Hubei Province is modeled in different time periods, and the effects of birth rate and natural mortality on the model are analyzed. Since the birth rate and natural mortality in the United States in recent years cannot be found, the epidemic situation in the United States can only be analyzed based on the absence of births and natural deaths. We will introduce some of the transmission dynamics models of COVID-19 under intervention. Finally, we used Netlogo [2] to establish a closed environment (Small World), and combined with known data to conduct simulation experiments on COVID-19 infection. Findings: Through the analysis of given data through the SIR model, it is found that before the Chinese government has taken comprehensive measures to cure patients (before 10 February), the number of patients in Hubei Province will reach the peak at the end of February, and will gradually decline thereafter, and on 20 March, the epidemic will be effectively controlled in the future, which coincides with the fact that Wuhan closed the last mobile cabin hospital on 10 March. On the other hand, after the Chinese government tried its best to cure the patients (after 21 February), the number of patients continued to decline over time and will reach 0 in mid-April, which is also consistent with the actual data. According to the factors of birth and natural death, the sensitivity analysis of the above model found that when the epidemic situation is at its peak, it has little effect on the curve, but when the epidemic situation gradually flattens, it still has a certain effect on the trend of the curve. Finally, looking at the situation in the United States, due to the high transmission rate, the number of patients in the United States continues to rise and is expected to reach its maximum in mid-June. We also use Netlogo to simulate the environment in which the virus spread, and find that the general trend of the curves is also consistent with the actual curves. Interpretation:","PeriodicalId":19661,"journal":{"name":"Online Journal of Complementary & Alternative Medicine","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88389394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alternative Therapies in Pain Management: A Brief Review","authors":"T. Mullins","doi":"10.33552/ojcam.2020.04.000595","DOIUrl":"https://doi.org/10.33552/ojcam.2020.04.000595","url":null,"abstract":"The purpose of this paper was to bring awareness to use of Reflexology as an effective therapy in managing pain especially in the post-operative setting. This paper was completed in conjunction with the authors and their faculty member as a requirement for completion of a master’s of science in nursing degree program. The oxford dictionary [1], defines reflexology as a system of massage used to relieve tension and treat illness, based on the theory that there are reflex points in the feet, hands, and head linked to every part of the body. Sensors in each body part are stimulated by applying the reflexology technique in order to improve the blood flow and energy circulation, giving a sense of relaxation to a specific body part or area [1]. A total of 12 articles were reviewed from the MEDLINE database for this paper. Reflexology has proven to be non-invasive, nonpharmacological, and is easy to use as a complimentary therapy. Training is required of providers to insure the consistency of the therapy provided.","PeriodicalId":19661,"journal":{"name":"Online Journal of Complementary & Alternative Medicine","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79106616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}