Malik K Tiedt, Bethany M Kavalakatt, Aisha Chilcoat, Jessica L Barnhill, Isabel J Roth
{"title":"Aligning Preprofessional Student Experiences in Integrative Group Medical Visits with Integrative Medicine Core Competencies.","authors":"Malik K Tiedt, Bethany M Kavalakatt, Aisha Chilcoat, Jessica L Barnhill, Isabel J Roth","doi":"10.1089/imr.2022.0052","DOIUrl":"https://doi.org/10.1089/imr.2022.0052","url":null,"abstract":"Introduction Wide utilization of complementary and integrative health care (CIH) approaches by the American public has warranted an increase in the presence and quality of CIH-focused education. Among U.S. medical schools with integrative medicine training programs, passive instruction rather than active involvement in clinical delivery is the norm. Future health professionals may benefit from innovative educational models framed around the core competencies for integrative medicine established by the Academic Consortium for Integrative Medicine and Health (ACIMH). One model that incorporates students into the delivery of CIH services is the integrative group medical visit (IGMV): a program offering peer support, education about nutrition, acupressure, mindfulness, yoga, sleep hygiene, and more. IGMVs increase access to CIH services, decrease emergency department utilization, and decrease pain medication usage in populations with chronic pain. Involvement in these programs present students with an opportunity to learn about CIH modalities and their delivery in underserved populations. Prior articles have discussed IGMVs as a component of preventive medicine residency training, but little has been said about how trainee experiences align with ACIMH’s core competencies. This commentary articulates, from students’ perspectives, how the IGMV (1) teaches the ACIMH’s integrative medicine core competencies and (2) offers a unique approach to actively involve future providers in CIH delivery.","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":"1 1","pages":"186-189"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9756384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10423542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Ellen Braun, Samantha N Mladen, Christina M Luberto, Patricia Anne Kinser
{"title":"Maintenance of Effects and Correlates of Changes Following Mindfulness for Interdisciplinary Health Care Professional Students.","authors":"Sarah Ellen Braun, Samantha N Mladen, Christina M Luberto, Patricia Anne Kinser","doi":"10.1089/imr.2021.0012","DOIUrl":"https://doi.org/10.1089/imr.2021.0012","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate long-term outcomes after an 8-week mindfulness intervention, Mindfulness for Interdisciplinary Health Care Professionals (MIHP), and investigate relationships between outcomes overtime.</p><p><strong>Design/methods: </strong>In this single-arm study, 35 participants received MIHP and completed measures of burnout, perceived stress, activity impairment, and dispositional mindfulness at baseline, post-MIHP, and a 3-month follow-up. Changes over time were evaluated using repeated-measures analysis of variance (ANOVA) and reliable change indices (RCIs). Then, correlations between dispositional mindfulness and distress/impairment outcomes were evaluated.</p><p><strong>Results: </strong>At follow-up, aspects of burnout and several mindfulness skills demonstrated maintained improvements. RCIs showed that a higher percentage of participants improved on all outcomes at each time period than declined-all outcomes showed little to no deterioration. However, most participants did not reliably change, and this was more pronounced at the follow-up. Changes in two mindfulness skills (acting with awareness and nonjudging of inner experience) were consistently negatively correlated with distress and impairment outcomes.</p><p><strong>Conclusions: </strong>Acquired mindfulness skills during MIHP were maintained at the follow-up. RCI analyses demonstrated that MIHP may protect against worsening stress and burnout during training. Two mindfulness skills, acting with awareness and nonjudging of inner experience, showed potential mechanistic effects on work-relevant outcomes. Booster sessions to encourage maintained mindfulness practices and skills should be investigated in future trials. This study was registered on clinicaltrials.gov (#NCT03403335) on January 11, 2018.</p>","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":"177-185"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9533631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33496326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ultradian Hemodynamics and Autonomic-Central Nervous System Activity During Sleep: A Pilot Study with Insights for Hypertension","authors":"D. Shannahoff-Khalsa, Roy Schult, B. Sramek","doi":"10.1089/imr.2021.0031","DOIUrl":"https://doi.org/10.1089/imr.2021.0031","url":null,"abstract":"","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42204215","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}
Gunpreet Kaur, P. Bansal, Ravinder Sharma, Amar Nath, Vikas Gupta
{"title":"A Market Basket Folklore Survey of Ethnobotanical Usage of Plants for Treatment of Mumps in North India","authors":"Gunpreet Kaur, P. Bansal, Ravinder Sharma, Amar Nath, Vikas Gupta","doi":"10.1089/imr.2022.0071","DOIUrl":"https://doi.org/10.1089/imr.2022.0071","url":null,"abstract":"","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42002626","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}
Michiko Onuma, K. Tomooka, I. Saito, K. Maruyama, Den-ichiro Yamaoka, T. Tanigawa
{"title":"Association Between the Electroconductive Value at 24 Acupoints and Blood Pressure in Community-Dwelling Japanese: The Toon Health Study","authors":"Michiko Onuma, K. Tomooka, I. Saito, K. Maruyama, Den-ichiro Yamaoka, T. Tanigawa","doi":"10.1089/imr.2022.0008","DOIUrl":"https://doi.org/10.1089/imr.2022.0008","url":null,"abstract":"","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47222850","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}
Joji Suzuki, Bianca Martin, Sara Prostko, Peter R Chai, Roger D Weiss
{"title":"Cannabidiol Effect on Cue-Induced Craving for Individuals with Opioid Use Disorder Treated with Buprenorphine: A Small Proof-of-Concept Open-Label Study.","authors":"Joji Suzuki, Bianca Martin, Sara Prostko, Peter R Chai, Roger D Weiss","doi":"10.1089/imr.2022.0070","DOIUrl":"https://doi.org/10.1089/imr.2022.0070","url":null,"abstract":"<p><strong>Background: </strong>Opioid use disorder (OUD) remains a major public health concern. Despite the use of medications for OUD such as buprenorphine, the current gold-standard treatment, relapse in the context of increased craving remains common. Cannabidiol (CBD) has been shown to reduce cue-induced craving in individuals with OUD, but among those who were not receiving any buprenorphine treatment. This small proof-of-concept open-label study sought to evaluate the effect of CBD on cue-induced craving among individuals with OUD who were being actively treated with buprenorphine.</p><p><strong>Methods: </strong>Participants (<i>n</i> = 5) received CBD (Epidiolex<sup>®</sup>) 600 mg once daily for 3 consecutive days in an open-label manner. Primary outcome was cue-induced craving measured on a visual analog scale of 0 to 10, calculated as the difference in craving in response to drug-related versus neutral cues. The cue-reactivity paradigm was performed at baseline before CBD administration, and was repeated after 3 days of CBD. Secondary outcomes included scores on depression, anxiety, pain, opioid withdrawal, and side effects.</p><p><strong>Results: </strong>All participants were actively taking buprenorphine for an average of 37.8 months (range 1-120 months). Cue-induced craving was significantly lower after CBD dosing compared with baseline (0.4 vs. 3.2, paired <i>t</i>-test, <i>p</i> = 0.0046). No significant changes in scores for depression, anxiety, pain, or opioid withdrawal were noted. CBD was well tolerated, although one participant experienced moderate sedation; otherwise, no other adverse effects were reported.</p><p><strong>Conclusions: </strong>Given the high risk for bias in a small uncontrolled open label study such as this, results must be interpreted with caution. A larger adequately powered trial with a suitable control group is needed to confirm the finding that CBD may help to reduce cue-induced craving among individuals with OUD currently on buprenorphine treatment. Research should further evaluate whether adjunctive use of CBD can improve clinical outcomes for individuals with OUD maintained on buprenorphine. ClinicalTrials.gov (NCT04192370).</p>","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":"157-163"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9462449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40355957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brittany Guidos, M. V. van Zuilen, D. Murphy, Andrea Luce, Joni Calvario
{"title":"Integrative Medicine in Timor-Leste: A Report of Prevalence and Practice of Timorese Medicine Usage Alongside Conventional Health Care","authors":"Brittany Guidos, M. V. van Zuilen, D. Murphy, Andrea Luce, Joni Calvario","doi":"10.1089/imr.2021.0008","DOIUrl":"https://doi.org/10.1089/imr.2021.0008","url":null,"abstract":"","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46468968","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}
Christine Farag, Laurie C. Caines, Helen Wu, Mingda Sun, M. Guerrera
{"title":"Familiarity with Complementary and Alternative Medicine: A Multimodal Curriculum in Medical Education","authors":"Christine Farag, Laurie C. Caines, Helen Wu, Mingda Sun, M. Guerrera","doi":"10.1089/imr.2022.0024","DOIUrl":"https://doi.org/10.1089/imr.2022.0024","url":null,"abstract":"","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42261579","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 Anti-Viral Activity of Prunella vulgaris: A Narrative Review","authors":"W. Mak, S. Walsh","doi":"10.1089/imr.2022.0045","DOIUrl":"https://doi.org/10.1089/imr.2022.0045","url":null,"abstract":"Introduction: This narrative review reports on the anti-viral activity of Prunella vulgaris with the aim of providing an overview of P. vulgaris research to date. P. vulgaris is an aromatic perennial herb that is common across diverse geographic regions. This article includes information about the investigation strategies and methodologies used to identify the nature of P. vulgaris’ s anti-viral mechanisms. Given its diverse interest and use, the P. vulgaris literature over the previous three decades reports on the phytochemical, agricultural, and pharmacological uses of the herb. To provide some background to the review, a brief description of the life cycle of the virus is given. Materials and Methods: The review was based on a literature search with three databases: Embase, Medline, and PubMed. The review’s inclusion criteria were unrestricted: The time of publication was unlimited; the keywords included ‘‘virus,’’ along with HIV and HSV (given the research’s historical focus), and ‘‘prunella vulgaris’’ (and variations). The articles identified were then categorized. Results: The search identified 24 articles, with 10 articles on human immunodeficiency virus (HIV), 8 articles on herpes simplex virus (HSV), and the remainder on other viruses. In vitro experimental designs dominated the methods, whereas in vivo parts were also noted. Most frequent P. vulgaris extraction methods included boiling for aqueous extract, followed by ethanolic extraction. Several anti-viral effective chemicals were identified across the studies, including polysaccharides, polyphenolics, triterpenes, and a range of essential oils. In this review, the articles were then categorized according to the stages of viral development and analysis methods, such as time-of-addition, pseudo-typing, and the use of reverse transcriptase, integrase, protease, and viral protein detecting kits. This categorization exposed the mechanisms behind the anti-viral influenza-like diseases, other than P. vulgaris, can be the candidates for further investigations. Volatile compounds from these herbs are also good targets, which may be proved to yield fruitful results.","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49384088","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}
Julia Novielli, Karin Cinalioglu, A. Potes, Zoes Thomas, Joseph Inhaber, Marouane Nassim, Susanna G. Torres-Platas, L. Morin, J. Drapeau, Rebecca Fox, Suzanne Rouleau, Aileen Castro, M. Segal, K. Looper, S. Rej
{"title":"Tai Chi/Qigong in Adults with Depression and Anxiety: A Pilot Retrospective Study","authors":"Julia Novielli, Karin Cinalioglu, A. Potes, Zoes Thomas, Joseph Inhaber, Marouane Nassim, Susanna G. Torres-Platas, L. Morin, J. Drapeau, Rebecca Fox, Suzanne Rouleau, Aileen Castro, M. Segal, K. Looper, S. Rej","doi":"10.1089/imr.2021.0023","DOIUrl":"https://doi.org/10.1089/imr.2021.0023","url":null,"abstract":"","PeriodicalId":73395,"journal":{"name":"Integrative medicine reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45771840","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}