Advances in integrative medicine最新文献

{"title":"Learning technologies and health technologies in complementary medicine clinical work and education: Examination of the perspectives of academics and students in Australia and the United States","authors":"Alastair C. Gray,&nbsp;Amie Steel,&nbsp;Jon Adams","doi":"10.1016/j.aimed.2021.10.001","DOIUrl":"https://doi.org/10.1016/j.aimed.2021.10.001","url":null,"abstract":"<div><h3>Background</h3><p>The use of technologies continues to grow in healthcare provision, and learning technologies now dominate tertiary education. Meanwhile, complementary medicine (CM) constitutes a substantial component of contemporary healthcare, yet the education of existing and future CM practitioners has received little empirical attention. In direct response, our study examines the perceptions of CM students and faculty related specifically to health and learning technologies in clinical CM work and education.</p></div><div><h3>Methods</h3><p>A cross-sectional online survey was administered to all current students (n = 4851) and tenured, contracted and adjunct academics (n =530) at two CM education institutions – in the US and in Australia.</p></div><div><h3>Results</h3><p>Most student respondents (n = 134, 49%) reported that they either felt they were unsure if they would use telehealth in clinical practice or that they would use it (n = 116, 43%). The majority of all academic respondents did not believe it possible to conduct basic clinical processes online such as reading a patient's body language (M3.8, SD 1.0), conducting quality clinical training in CM settings (M3.2, SD 1.3) or learning rapport skills (M3.2, SD 1.2). Of those academics who were also in clinical practice, only a small number reported conducting virtual consultations in their CM work (n = 7,15.9%).</p></div><div><h3>Conclusion</h3><p>Our findings highlight a potential disparity of perceptions between academics and students in these CM educational settings especially in relation to telehealth. Academics expressed hesitancy to fully rely on technologies to develop practitioners in a field where ‘formation of professional character’ is considered so important.</p></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91751218","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":"Effect of Aelwa (Aloe barbadensis Mill.) in fissure in Ano: A prospective study","authors":"Rabia Nizam ,&nbsp;Mohammad Shakeel Ansari","doi":"10.1016/j.aimed.2022.01.001","DOIUrl":"https://doi.org/10.1016/j.aimed.2022.01.001","url":null,"abstract":"<div><h3>Background</h3><p><span>Fissure in ano is a common benign </span>anorectal disorder<span><span> that occurs exclusively in midline, predominantly posterior midline. Fissures in ano generally arise with local trauma caused by hard stool and hypertonic </span>anal sphincter<span>, and affects more than 10% of patients attending proctology clinics.</span></span></p></div><div><h3>Objective</h3><p>To evaluate the effect of Aelwa (<span><em>Aloe barbadensis</em><em> Mill.</em></span>) in fissure in ano.</p></div><div><h3>Material and methods</h3><p>Anal fissure patients at the National Institute of Unani Medicine in the age group 18–60 years, were included in the study. The test drug<span> was given to patient in the form of fine powder packed in small sterilized container and asked to sprinkle the powder over the fissure two times a day. Assessment was carried on weekly basis for 3 weeks (7th, 14th and 21st day) on the basis of subjective and objective parameters. Post treatment follow-up carried out at 1 week after completion of trial (on 28th day).</span></p></div><div><h3>Results</h3><p><span>The mean age at presentation was 32.03 years, and male to female ratio was 16:14. The typical presentation was painful defecation and bleeding </span>per rectum. Pain scores significantly reduced on 7th, 14th and 28th days with this treatment (p &lt; 0.001). Healing of fissure, control of bleeding and reduction in anal spasm were seen in all patients with p-value&lt; 0.001. Hepatic and renal functions were unaltered in all patients. One patient in our study was HbsAg positive.</p></div><div><h3>Conclusion</h3><p><span>Topical application of Aelwa (</span><em>Aloe barbadensis Mill.</em>) appears to be effective, safe and less expensive in the management of anal fissures in this study. There were no adverse effects from the drug, nor any associated complications.</p></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91751221","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":"Decolonising integrative health: learning more from and elevating the voices of rich but often neglected health traditions","authors":"Jon Wardle","doi":"10.1016/j.aimed.2022.02.003","DOIUrl":"10.1016/j.aimed.2022.02.003","url":null,"abstract":"","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89883924","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":"Acupressure combined with pharmacological treatment in patients with osteoarthritis of the knee: a randomized trial","authors":"Meenu Rani,&nbsp;Lokendra Sharma,&nbsp;Uma Advani","doi":"10.1016/j.aimed.2021.09.001","DOIUrl":"10.1016/j.aimed.2021.09.001","url":null,"abstract":"<div><h3>Objectives</h3><p><span>To test the effect of noninvasive self-performed acupressure therapy as an add-on to pharmacological treatment to manage knee main and to evaluate the improvement of pain due to intervention according to age and </span>body mass index.</p></div><div><h3>Methods</h3><p>In the study, 240 participants were assigned into three groups (1) KAP group (verum acupressure and pharmacological treatment) (2) Comparison Group 1 (sham acupressure and pharmacological treatment), and (3) Comparison Group 2 (pharmacological treatment only). Outcome measures were subscales of Western Ontario and McMaster Universities Osteoarthritis Index<span> (WOMAC), Visual analog scale and 36-item Short-Form Health Survey. Intention–to–treat analysis was used and missing data was deal with multiple imputation method. The general linear mixed model was carried out to assess the differences between the study groups at different durations (3 months, 6 months, and 1 year).</span></p></div><div><h3>Results</h3><p>Compared with CG-1 and CG-2, participants of the KAP group reported considerable improvements in WOMAC pain (mean difference: −2.50 units; 95% CI, 3.74–1.25, and mean difference: −1.69 units; 95%CI, −3.24 to −0.13 respectively) at 1 year. Similarly, VAS pain, stiffness, and physical function were also improved among the participants of KAP group.</p></div><div><h3>Conclusion</h3><p>Self-administered acupressure has an additive effect to the pharmacological treatment to improve pain, stiffness, and physical function as compared to pharmacological treatment only.</p></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87370215","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":"Therapeutic effect of Plantago major on active severe pancolitis: A case report","authors":"Vahid Tafazoli ,&nbsp;Erfan Taherifard ,&nbsp;Majid Nimrouzi ,&nbsp;Mehdi Pasalar","doi":"10.1016/j.aimed.2021.03.001","DOIUrl":"10.1016/j.aimed.2021.03.001","url":null,"abstract":"<div><h3>Background</h3><p>Ulcerative colitis<span> is a highly prevalent disease globally that presents with significant symptoms including as bloody defecation and inflammation. Current therapeutic options are limited and may result in complications such as colon perforation. Herbal medicines could be a promising therapy for ulcerative colitis.</span></p></div><div><h3>Objective</h3><p><span>The aim of this case report was to provide data from an alternative approach for treatment of </span>pancolitis<span> using a traditional herbal medicine.</span></p></div><div><h3>Intervention</h3><p>Case presentation of a case of 35-year-old man with chronic pancolitis who received <span><em>Plantago</em><em> major</em></span><span> (5 g in 250 ml hot water) decoction, a traditional Persian medicine formula, twice daily.</span></p></div><div><h3>Results</h3><p>The patient's symptoms improved in a few days after commencing treatment. Different items including clinical examination, patient's history, colonoscopy, pathology test and myoclonic score were clinically stable after 2 years follow-up visit.</p></div><div><h3>Conclusion</h3><p>The findings of this case study show potentially positive benefits of <em>Plantago major</em> for the management of pancolitis. Further research is suggested on a larger scale to confirm results for this traditional Persian treatment.</p></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aimed.2021.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90946457","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":"Naturopathy and yoga based lifestyle intervention for type 2 diabetes mellitus – Study protocol for a randomized parallel group trial","authors":"Prashanth Shetty ,&nbsp;Shivaprasad Shetty ,&nbsp;H.C. Shashikiran ,&nbsp;T. Rajany","doi":"10.1016/j.aimed.2021.07.002","DOIUrl":"10.1016/j.aimed.2021.07.002","url":null,"abstract":"<div><h3>Background</h3><p>Type 2 Diabetes Mellitus<span> (T2DM) is one of major life style disorder with multiple systemic complications. Lifestyle modification and management of chronic mental stress plays a major role in treating and preventing T2DM. Naturopathy uses lifestyle modification and natural therapies to cure the diseases. Effectiveness of Yoga practice in stress management<span> is proven through various studies. In this study we evaluate the effect of Naturopathy and Yogic lifestyle intervention on the anthropometric, biochemical, electrophysiological parameters and development of cardiovascular risk among T2DM patients.</span></span></p></div><div><h3>Methods</h3><p>The study is a prospective randomized parallel group trial. The study is divided into two phases, intensive phase and continuation phase. 252 T2DM patients will be randomized into intervention group and control group after screening. The intervention group will receive intense N&amp;Y intervention with a strict treatment protocol and diet regimen, whereas the control group will not receive any intervention. Data for both groups will be collected on day 1 and day 11, after which participants will be followed prospectively for nine months with intermittent assessments scheduled once in every three months that is, day 1, day 11, day 90, day 180, day 270. As per the protocol we started recruiting the subjects and their data were collected successfully till day 90 and the follow up for the next assessments is being done systematically.</p></div><div><h3>Conclusion</h3><p>During the intensive phase, patient will be learning a lifestyle regimen which can treat or control T2DM and the prospective follow up will encourage in maintaining it. Hence, we believe that integrated N&amp;Y approach will give more effective and lasting effects in treating and preventing complications of T2DM. The study is potential enough to give scientific evidence on effectiveness of N&amp;Y intervention on T2DM and associated risk factors.</p><p>Clinical trial registration number; CTRI/2018/12/016550</p></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aimed.2021.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90295690","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":"Effectiveness of court-type traditional Thai massage plus meditation in patients with myofascial pain syndrome on upper trapezius","authors":"Nunthiya Srikaew,&nbsp;Somboon Kietinun,&nbsp;Kusuma Sriyakul,&nbsp;Parunkul Tungsukruthai,&nbsp;Kammal Kumar Pawa","doi":"10.1016/j.aimed.2021.07.006","DOIUrl":"https://doi.org/10.1016/j.aimed.2021.07.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Court-type traditional Thai massage (CTTM) is one of the most common treatments<span> for myofascial pain syndrome (MPS) in Thailand. Although discussed in numerous studies, the effect of CTTM with or without meditation among patients with MPS on the upper trapezius is still unknown.</span></p></div><div><h3>Objectives</h3><p>The aim of this study was to determine the effectiveness of CTTM combined with meditation on pain and substance p (SP) levels in patients with MPS on the upper trapezius.</p></div><div><h3>Methods</h3><p>The participants in this randomized controlled trial<span> study were outpatients at the Thammasat University Hospital, Thailand, who have been suffering from MPS for more than 6 months and have at least one trigger point in the trapezius muscles<span><span> diagnosed by orthopedic specialist. A total of 64 participants, were equally divided into two groups, and each group received CTTM with or without meditation. The </span>visual analog scale (VAS) and SP level were recorded before and immediately after the treatment period.</span></span></p></div><div><h3>Results</h3><p>The VAS pain score was significantly different in both the CTTM plus meditation and the CTTM only groups (P &lt; 0.05). In addition, the CTTM with meditation group, showed a significant decrease in the SP levels after the first day of treatment (P &lt; 0.05). There were no statistically significant differences between groups at baseline and week 4 (P &gt; 0.05).</p></div><div><h3>Conclusions</h3><p>Both CTTM with or without meditation significantly relieved pain in the MPS patients, and the CTTM with meditation group experienced a greater reduction in SP levels within the first week of treatment. This result suggests that CTTM with or without meditation may offer benefit for treating MPS patients.</p></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aimed.2021.07.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91711096","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":"Auriculotherapy in obesity care in primary health care: A systematic review","authors":"Melissa Costa Santos ,&nbsp;Joyce Ribeiro Rothstein ,&nbsp;Charles Dalcanale Tesser","doi":"10.1016/j.aimed.2021.07.004","DOIUrl":"10.1016/j.aimed.2021.07.004","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to develop a systematic review<span><span> of the use of auriculotherapy (AT) in obesity to support an evidence-based recommendation guide with emphasis on its applicability in </span>Primary Health Care (PHC).</span></p></div><div><h3>Method</h3><p>The systematic review covered 15 databases and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and included clinical trials, systematic reviews and meta-analysis, among other criteria. The Scottish Intercollegiate Guidelines Network (SIGN50) was used to assess the quality of the selected studies.</p></div><div><h3>Results</h3><p><span><span>The search identified 3023 publications, of which 15 were selected for analysis. Of these 12 were randomized clinical trials<span> and three were systematic reviews. The number of participants in the trials varied from 58 to 204, with an average of 85. Two reviews included 8 and 18 randomized clinical trials, one review included 12 randomized clinical trials and one prospective clinical cohort. The number of participants of the studies ranged from 24 to 200. Four randomized clinical trials obtained an acceptable quality assessment, the others being classified as low quality, with methodological limitations in randomization, concealment and blinding. The three systematic reviews were classified as high quality. The findings of the 12 selected randomized clinical trials corroborate the results of the three systematic reviews included, and allow us to safely recommend auriculotherapy as a complementary treatment for obesity that shows a positive effect especially on </span></span>body mass index<span><span> and body weight. The most used points in these studies were shenmen, stomach, endocrine and hunger, but the use of the mouth, spleen, small intestine, </span>large intestine and </span></span><em>Sanjiao</em><span> acupoints were also reported.</span></p></div><div><h3>Conclusions</h3><p>This systematic review suggests auriculotherapy is potentially effective in obesity care and therefore has the potential to be used as a complementary therapy in PHC.</p></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aimed.2021.07.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85606077","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":"Approach of Persian medicine to health and disease","authors":"Vahid Tafazoli ,&nbsp;Ali Tavakoli ,&nbsp;Maryam Mosaffa-Jahromi ,&nbsp;Kieran Cooley ,&nbsp;Mehdi Pasalar","doi":"10.1016/j.aimed.2021.07.007","DOIUrl":"10.1016/j.aimed.2021.07.007","url":null,"abstract":"<div><p><span>Persian medicine (PM), as a holistic, whole system phenomenon of theory and practice that is sparsely known of among the international community, is an ancient human science with a history of several millennia. The philosophical, traditions and wisdom-based view of PM (also known as Iranian medicine and humoral medicine) comprises some of its most notable and indeed, defining features. The principles of health maintenance and disease prevention are highly regarded and come first in PM, with the principles of treatment (lifestyle modifications, nutrition, herbal medicines, etc.) possessing secondary importance. These principles are overlaid by the foundational concepts of balancing temperament (</span><em>Mizaj</em>) and body humors in PM. The natural temperament of an individual is a state of moderation that leads to good health, though any imbalances can give rise to disease and illness. With the recent revival of PM as a specialized academic discipline in Iran, research and discourse may help to the introduction of this ancient knowledge to the global community, ultimately with the goal of providing effective treatment strategies or options on a transnational scale. This has critical importance in providing and understanding culturally attentive care for patients who identify strongly with the traditions of PM. This article will introduce concepts relating to the origin of illness, and provide an overview of education, training and regulation, and research directions in PM as a means of knowledge dissemination within medical literature.</p></div>","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aimed.2021.07.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75019241","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":"Effect of Aelwa (Aloe barbadensis Mill.) in fissure in Ano: A prospective study","authors":"R. Nizam, M. Ansari","doi":"10.1016/j.aimed.2022.01.001","DOIUrl":"https://doi.org/10.1016/j.aimed.2022.01.001","url":null,"abstract":"","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77559684","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}