Forschende Komplementarmedizin最新文献

{"title":"[Does salt prolong your life?].","authors":"Karl-Ludwig Resch","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54318,"journal":{"name":"Forschende Komplementarmedizin","volume":"14 3","pages":"184-5"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26906259","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":"Is black cohosh a hepatotoxic medicinal herb?","authors":"Luigi Gori, Fabio Firenzuoli","doi":"10.1159/000101352","DOIUrl":"https://doi.org/10.1159/000101352","url":null,"abstract":"Recently, the European Medicines Agency (EMEA) and the Committee on Herbal Medicinal Products (HMPC) have released a public statement to draw the attention of European health authorities to 42 cases (34 directly reported from European national competent authorities and 8 published) of suspected hepatotoxic reactions to Cimicifugae racemosae rhizoma (black cohosh, root) in patients, probably all of them women, who were treated for menopause-related disorders. Following a review of all data available, this statement assumes a connection between herbal medicinal products that contain Cimicifugae racemosae rhizoma and human hepatotoxic adverse reactions. Nevertheless, this highly authoritative review of such an impressive number of cases concludes in its summary that ‘Overall, all discussed cases of literature and pharmacovigilance reports are poorly documented,’ and only ‘two can be considered as possible’ and ‘two can be classified as probable’ [1, p 9]: (1) In case 28, according to the numeration in the EMEA statement, RUCAM score 4, the only case directly collected from European national competent authorities, the adverse reaction was considered possible, but information on differential diagnostic assessment was not available. The patient consumed 80 mg of an unknown extract daily and for an unknown period. (2) In another case report [2] (RUCAM score 3) the patient was a 54-year-old woman suffering from hypothyroidism, fibromyalgia, osteoarthritis and depression. She had taken 1,000 mg black cohosh (unclear, if a type of extract or crude drug) daily for several months. The patient was on fluoxetine, propoxyphene and paracetamol (a well known hepatotoxic substance) concomitantly and used to drink 2 glasses of wine in the evenings. The statement claims ‘that since there is no further information on the herbal preparation, the case report is not of great relevance in the assessment of cimicifuga-related hepatotoxicity’ [1]. (3) A 57-year-old multimorbid Afro-American woman [3] (RUCAM score 7) with a history of polymyositis had developed an autoimmune hepatitis about 3 weeks after the first intake of Cimicifugae racemosae rhizoma (brand and dose unknown; no information if it was a combination product). After discontinuation of Cimicifugae racemosae rhizoma intake and starting a therapy with steroids and azathioprine, the patient recovered. Here, autoimmune hepatitis may as well have been a manifestation of a multisystem autoimmune disease. According to the draft recommendations of the Scientific Advisory Panel Subgroups on Hepatotoxicity, the case could be classified as idiosyncratic liver necrosis. Inititally, the causal relationship to black cohosh in this case was assessed ‘unclassifiable’, as information concerning the reaction was considered incomplete and inconsistent, and the follow-up publication includes more (although to some extent still inconsistent) information about the therapy [1]). (4) In another well-documented case [4] (RUCAM score ","PeriodicalId":54318,"journal":{"name":"Forschende Komplementarmedizin","volume":"14 2","pages":"109-10"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000101352","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26691182","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":"[Health promotion and prevention in medicine--empowering rather than prescribing].","authors":"Dieter Melchart","doi":"10.1159/000100934","DOIUrl":"https://doi.org/10.1159/000100934","url":null,"abstract":"In der Beratung von Gesunden und in der Behandlung von chronisch Kranken ist die Förderung ihrer Gesundheit meist das wichtigste Ordnungsund Therapieziel. Dabei steht die Verbesserung der individuellen Gesundheitskompetenz, der Lebensqualität, des persönlichen Wohlbefindens und der Genusssowie Leistungsfähigkeit des Einzelnen im Vordergrund. In den westlichen, überwiegend konservativen und sozialliberalen Gesellschaften zeigt sich ein Trend zu mehr Emanzipation und Selbstbestimmung in Gesundheitsund Krankheitsfragen: Der früher passive Konsument oder uninformierte Patient wird zunehmend zum aktiven, mitbestimmenden Partner. Forderungen nach informationeller Selbstbestimmung, Zweitmeinungen bei wichtigen medizinischen Entscheidungen und Berücksichtigung von Vorlieben für bestimmte Interventionen (z.B. Naturheilverfahren) sind immer häufiger anzutreffen. Die begrenzten finanziellen Ressourcen des Gesundheitssystems und die wachsende Einsicht, dass es nicht sinnvoll ist, einen Großteil davon in die Versorgung von Folgeschäden und Endzuständen chronischer Erkrankungen zu investieren, werden künftig dazu zwingen, stärker in die Prävention und Gesundheitsförderung zu investieren als bislang. Folglich rücken Themen wie Prophylaxe, Selbstbehandlung und Förderung von Selbstkompetenz in den Vordergrund der Reformdiskussionen. Auch die abnehmende Zahl von Erwerbstätigen, die für immer mehr Rentnerinnen und Rentner die Altersruhegelder erwirtschaften müssen, hat sich für diese Aufgabe am Arbeitsplatz gesund zu erhalten. Damit wird Gesundheitsförderung zu einer gesamtgesellschaftlichen Aufgabe, die auf die Unterstützung der Gesundheitsmündigkeit aller Bürger abzielt. Sie soll zu einem gesundheitsfördernden Lebensstil im Alltag befähigen und als bevorzugtes Lebensweisenkonzept propagiert werden. Diese Befähigung des Gesunden und Kranken ist eine gegenwärtige und anhaltende Aufgabe, bei der einer klassischen Naturheilkunde vielfältige Bedeutung zukommt [1, 2]. Neben den gesellschaftlichen Veränderungen fördern aber auch wissenschaftliche und technologische Entwicklungen eine in Richtung Gesundheit und Selbstregulation orientierte, salutogene Medizin. Hierzu zählt die Erkenntnis, dass die Wirklichkeit von Leben (also von Gesundheit und Krankheit) aus verschiedenen wissenschaftlichen Paradigmen zu betrachten und zu analysieren ist. Eine umfassende und kontextbezogene wissenschaftliche Betrachtung des Menschen bezieht – neben dem biomedizinischen körperlichen Modell – psychische Prozesse, individuelles Verhalten und Gewohnheiten, Familie sowie Freunde als biographisches Modell mit ein. Da Personen in Gemeinschaften leben, ist auch ihre Rolle in der Gesellschaft, am Arbeitsplatz und im Gemeinwesen ein wichtiger Aspekt, der – nach Göpel [3] – als ethnographisches Modell die Verhältnisse der Menschen beschreibt. Schließlich unterscheidet Göpel noch das ökologische Modell, das den Lebensraum, die Lokalitäten des Menschen, analysiert. Eine solche pluralistische wissens","PeriodicalId":54318,"journal":{"name":"Forschende Komplementarmedizin","volume":"14 2","pages":"68-9"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000100934","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26767211","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":"[Pilot study of breathing therapy in groups for patients with bronchial asthma].","authors":"Karoline von Steinaecker,&nbsp;Justus Welke,&nbsp;Malte Bühring,&nbsp;Rainer Stange","doi":"10.1159/000100378","DOIUrl":"https://doi.org/10.1159/000100378","url":null,"abstract":"<p><strong>Background: </strong>The present study examines the efficacy of breathing and body therapy (according to the organization of breathing therapists, BVA) on bronchial asthma. This psychophysical therapy procedure has never before been studied for its efficacy on asthma, much in contrast to breathing exercises, which have been extensively examined.</p><p><strong>Patients and methods: </strong>This uncontrolled observational study is of preliminary character. It examines the influence of psychophysical breathing and body exercises practiced in short-term intervention groups on quality of life (SF-36) as well as subjective discomfort (discomfort diary) in patients with bronchial asthma. As there are no prior studies on the breathing and body therapy (BVA) method, it was hypothesized, based on experience, that it would improve ventilation, lower anxiety, and perhaps even allow for a reduction of medication.</p><p><strong>Results: </strong>An anti-obstructive effect could not be addressed here, as the study only included patients who were free of clinically relevant obstructions through conventional treatment. However, a tendency for an anxiety-relieving effect could be observed in the SF-36. Subjective reports of respiratory discomfort, obtained through assessment of the patients' diaries, did not show any tendencies or even significant changes over the course of the therapy.</p><p><strong>Conclusion: </strong>The suggested anxiety-relieving effect of breathing therapy should be examined in future studies with more patients and stricter inclusion criteria.</p>","PeriodicalId":54318,"journal":{"name":"Forschende Komplementarmedizin","volume":"14 2","pages":"86-91"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000100378","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26691179","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":"Evidence based complementary and alternative medicine: promises and problems.","authors":"Ian D Coulter","doi":"10.1159/000101054","DOIUrl":"https://doi.org/10.1159/000101054","url":null,"abstract":"<p><strong>Objective: </strong>The present paper examines the experience of establishing a center for evidence-based complementary and alternative medicine (EBCAM) practice. It examines both the difficulties and the challenges of doing research to establish EBCAM. The paper also examines the political context of the demand for evidence- based practice (EBP) for CAM.</p><p><strong>Implementation: </strong>A center for EBCAM was funded for 3 years within the Southern California Evidence-Based Practice Center by the National Center for CAM and administered by the Agency for Health Research Quality. This experience provides the basis for this paper.</p><p><strong>Results: </strong>While the experience of creating an EBM Center for CAM has shown that much work can be accomplished by applying standard methods of EBP medicine, it also highlights the weaknesses of such an agenda. Many standard research methods are simply not applicable to CAM, and even where they are, effectiveness is a much more important means of assessing CAM than simply efficacy. Researchers however, must be conscious of the political motivations behind much of the demand for EBCAM. Where such demands are coming from allopathic medicine, they clearly form a continuing part of medical opposition to CAM and may be intended to perpetuate the dominance of the biomedical paradigm in healthcare. The challenge for CAM is to recognize the limitations of EBP but not to throw the 'baby out with the bathwater'. There is much in EBP that clearly should be emulated by the CAM community but only where it is appropriate.</p>","PeriodicalId":54318,"journal":{"name":"Forschende Komplementarmedizin","volume":"14 2","pages":"102-8"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000101054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26691181","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":"[Replacing the hormone replacement therapy].","authors":"Cornelia von Hagens","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54318,"journal":{"name":"Forschende Komplementarmedizin","volume":"14 2","pages":"116-7"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26767217","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":"[An old answer to an old question].","authors":"Rainer Lüdtke","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54318,"journal":{"name":"Forschende Komplementarmedizin","volume":"14 2","pages":"114-5"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26767215","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":"Abstracts from the International Congress on Complementary Medicine Research, May 11-13, 2007, Munich, Germany.","authors":"","doi":"10.1159/000101984","DOIUrl":"https://doi.org/10.1159/000101984","url":null,"abstract":"The quantity and quality of research in complementary therapies has increased dramatically over the last decade in parallel with the expertise and intellectual capacity available for evaluating this challenging field. While CAM research is highly heterogeneous, many of the questions and problems within CAM are similar and researchers in general benefit enormously from exchanging ideas. In 2000, the Centre for Complementary Medicine Research at the Technical University in Munich hosted a congress titled ‘Evidence-Based Complementary Medicine – State of the Evidence and Methodological Challenges’. This event was organized in collaboration with the Centre for Alternative Medicine Research and Education, Beth Israel Deaconess Medical Centre, Harvard Medical School. A total of 80 abstracts from 14 different countries were submitted for presentation, of which 65 were accepted [1]. Now in 2007, the Centre for Complementary Medicine Research and the International Society for Complementary Medicine Research (ISCMR) have jointly-organized the International Congress on Complementary Medicine Research which will be held Munich in May. ISCMR was established in 2003 to foster co-operative and multidisciplinary research and development within complementary, traditional and integrative medicine. We hope that ISCMR will build on its success and continue to be a major international forum for researchers in the field. These continuing conferences will be the forum through which leading Complementary and Alternative Medicine (CAM) researchers can present their new research and discuss future strategies. The conference organisers received a total of 264 abstracts from researchers in 26 different countries. In order to ensure scientific quality and to manage the Congress schedule, the Scientific Committee appointed a reviewing panel of 55 international expert volunteers. We are very grateful to them for their time, effort and expertise and would like to formally thank them for their work. Each abstract was evaluated by two external peer reviewers focussing on the criteria ‘relevance’, ‘clarity of methods’, ‘quality of writing style’ and ‘global assessment’. All the abstracts were also read by two of the conference organizers; only if the external peer reviewers disagreed were the actual scores used to decide upon the submission’s acceptance. Typical reasons for low scores were: prior publication of the submitted work, lack of clarity in the abstract, poor English, or a subject which might not be of interest to most Congress participants. We unfortunately had to reject 33% of the abstracts submitted, resulting in a scientific program of real excellence with 68 oral and 110 poster presentations. The variety of research topics submitted has increased dramatically when compared to the 2000 conference (see table). While in 2000 ‘miscellaneous topics’ comprised mainly methodological issues, these conferences’ abstracts now contain a number of new discrete disciplines such a","PeriodicalId":54318,"journal":{"name":"Forschende Komplementarmedizin","volume":"14 Suppl 1 ","pages":"vii-viii, 1-53"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000101984","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26797012","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":"Prophylactic role for complementary and alternative medicine in perinatal programming of adult health.","authors":"Deborah M Hodgson,&nbsp;Tamo Nakamura,&nbsp;Adam K Walker","doi":"10.1159/000100958","DOIUrl":"https://doi.org/10.1159/000100958","url":null,"abstract":"<p><strong>Background: </strong>The health status of an individual in adulthood is proposed to be determined by events occurring in the prenatal and early postnatal period. A common early life event proven to have long lasting effects on the developing fetus is stress, including pain. Exposure of fetal and neonatal infants to repetitive psychological (e.g., maternal stress) or physiological (e.g., pain, infection, and noise) stress during this period is proposed to alter mechanisms involved in the regulation of stress, immunological maturation, pain perception, and cognition. Such changes, which persist into adulthood, may occur via alterations in the development of the hypothalamic-pituitary-adrenal (HPA) axis. This process is typically referred to as 'perinatal programming'. Ontogenic alterations in the development of the HPA-axis have been related to a number of adult pathologies such as cardiovascular disease, type 2 diabetes, asthma, as well as psychopathologies such as anxiety and depression.</p><p><strong>Objective: </strong>In this review, the effectiveness of complementary and alternative medicine (CAM), such as music, dietary supplements, massage and aromatherapy, in reducing perinatal stress in mothers and infants is examined. An emphasis is placed on these therapies as preventative measures which may be of value to individuals at risk of developing disease profiles associated with the consequences of adverse perinatal programming. The widening interest in perinatal programming and CAM suggests the potential for CAM to become a valuable tool in offsetting negative adult health outcomes resulting from perinatal programming associated with adverse gestational early life environments.</p>","PeriodicalId":54318,"journal":{"name":"Forschende Komplementarmedizin","volume":"14 2","pages":"92-101"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000100958","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26691180","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":"[Japanese results are difficult to extrapolate to Europe].","authors":"Daniela Hacke","doi":"10.1159/000100962","DOIUrl":"https://doi.org/10.1159/000100962","url":null,"abstract":"Foko_2006präs3.indd 2 07.12.2005 16:47:32 Liebe Leserinnen und Leser, gute Nachrichten sind schlechte Nachrichten, erzählen uns die Journalisten. Und berichten daher mit Vorliebe von Katastrophen, Morden und wirtschaftlichen Schieflagen statt von guten Taten. Bei Wissenschaftlern ist es ähnlich: Für sie sind negative Ergebnisse keine Ergebnisse, daher werden fast ausschließlich statistische Signifikanzen publiziert. Mit diesem Journal Club stellen wir uns dem Trend entgegen und widmen uns negativen Ergebnissen zur Komplementärmedizin. Und dieses aus gutem Grund: Negative Ergebnisse sind immer schwerer zu interpretieren als positive. Unterschiedliche Sichtweisen auf ein Thema können zu unterschiedlichen Schlussfolgerungen führen. Und so kommen im Folgenden unsere Kommentatoren auch nicht immer zum gleichen Schluss wie die Autoren. Rainer Lüdtke, Essen","PeriodicalId":54318,"journal":{"name":"Forschende Komplementarmedizin","volume":"14 2","pages":"111-2"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000100962","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26767212","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}