Mohammed Alsabri, K. Viswanathan, Fiorella Castillo, P. Ghai, M. Hamrah
{"title":"Use of Complementary and Alternative Medicine for Children with Sickle Cell Disease: Prevalence and Factors Associated with Use","authors":"Mohammed Alsabri, K. Viswanathan, Fiorella Castillo, P. Ghai, M. Hamrah","doi":"10.21926/OBM.ICM.2102013","DOIUrl":"https://doi.org/10.21926/OBM.ICM.2102013","url":null,"abstract":"Sickle cell disease (SCD) is one of the most common hematologic disorders in the world. In the United States, it is the single most common genetic hematologic disorder. The burden of SCD and its complications on pediatric patients is tremendous, especially acute vaso-occlusive pain crises. Although allopathic medicine has provided numerous pain medications to treat this, they do not come without side effects and are not always effective. This review explores complementary and alternative medicine (CAM) methods of pain management available for pediatric SCD patients. A PubMed literature search was conducted, and the reference lists of shortlisted studies and review articles were screened after application of the exclusion criteria; 14 articles were used in this literature analysis. A wide range of CAM therapies exist. Common ones include praying, spirituality, and massage. Factors associated with CAM use are parental use of CAM, gender, SCD/pain severity, patient’s age, caregiver’s education level, and in some cases, financial means to access CAM methods. CAM has shown to be effective in reducing pain, patients’ depression and anxiety, analgesic use, and in increasing daily functioning. Thus, CAM has demonstrated potential in reducing pain and improving the quality of life of pediatric SCD patients. It holds great promise to be regularly encouraged by providers and employed by patients. Further research is needed on a larger scale to better study its efficacy; however, CAM use has repeatedly been associated with improved functioning and pain control.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47315686","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":"Auricular Acupuncture with Beads Supports Sustained Weight Loss","authors":"Takahiro Fujimoto, Hidetake Kobayashi, Takeshi Hataoka, Kazuo Taniguchi, Keisuke Miura","doi":"10.21926/obm.icm.2004045","DOIUrl":"https://doi.org/10.21926/obm.icm.2004045","url":null,"abstract":"Obesity causes serious long-term health problems in people worldwide. Since the effect of dietary advice is possibly limited, weight loss can be a major challenge; therefore, additional weight control techniques may be beneficial. We conducted four experiments to evaluate if auricular acupuncture point stimulation with simple metal beads (AA) rather than the popular use of intradermal needle (DA) to stimulate auricle would support weight loss. In this retrospective study, weight change in Japanese women (aged 18 to 78) was confirmed based on changes in body composition after receiving auricular acupuncture with AA for three months. Furthermore, as a prospective study, we compared three groups—AA, DA, and non-intervention groups—to evaluate if AA, which is simpler than DA, can adjust hunger and reduce food intake and snacking (n = 58). We evaluated the effect of treatment using a questionnaire that recorded changes in weight, number of snacking time, and the amount of food intake (appetite suppression monitoring study). Furthermore, to evaluate changes in post-prandial blood glucose by AA stimulation by comparing groups, we switched AA and non-intervention periods every 24 h to measure changes in blood glucose by the AA. Finally, to evaluate long-term weight loss, we conducted a follow-up study 6 months after AA intervention. The rate of weight loss in subjects who received AA intervention (n = 1362) was -11.15%, confirming a significant decrease. By comparing people who underwent AA with people who did not, we demonstrated that AA reduces snacking between meals and improves satiety. Compared to the non-intervention group (42.75 (65.23) times), the AA (6.6 (10.53) times) and DA (7.93 (4.92) times) groups saw significant decrease in the number of snacking times (p = 0.04 and p = 0.05). The rate of weight loss was -3.57%, -2.74%, and -1.38% in the AA, DA, and untreated groups, respectively; thus, presenting a significant difference (p = 0.02). Glucose decreased in the intervention group, where a significant difference was observed for the median value at 90 and 105 min (p = 0.05, p = 0.007, respectively). Interestingly, weight loss by AA was maintained for six months after the end of treatment. AA had effects equivalent to or even better than DA while being safe and simple. Thus, it can effectively support weight loss and maintain body weight.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47152773","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":"Nutritional Interventions in Cancer Cachexia Prevention and Treatment","authors":"Wangkuk Son, Jason Lin, Melissa J. Puppa","doi":"10.21926/obm.icm.2004044","DOIUrl":"https://doi.org/10.21926/obm.icm.2004044","url":null,"abstract":"Cancer cachexia contributes to 30% of cancer-related deaths. There is currently no treatment or standard of care for cancer cachexia. Many nutritional interventions show promise for the treatment and or prevention of cachexia. Supplementation with omega-3 fatty acids, protein and vitamins either alone or in combination has shown some beneficial effects in the prevention and treatment of cancer cachexia. The mechanisms through which many nutritional interventions work to attenuate cachexia are just beginning to be understood. Therefore, the purpose of this review is to examine several nutritional strategies that have been investigated in the prevention and or treatment of cancer cachexia and provide evidence for the use of additional nutritional interventions to combat cachexia.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43140641","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":"Impact of SARS-CoV-2 Outbreak on Physical and Mental Health, Psychological Distress, and Suicidal Ideation, and the Mediating Role of Stressors","authors":"Keita Kiuchi, Katsumasa Kishi, Kanto Araki","doi":"10.31226/osf.io/wb45t","DOIUrl":"https://doi.org/10.31226/osf.io/wb45t","url":null,"abstract":"This study investigated the physical and psychological impacts of elements related to coronavirus disease (COVID-19) and demographic data in Japan both directly and as mediated by stressors, immediately following the rescinding of the state of emergency declaration accompanying the severe acute respiratory syndrome coronavirus 2 outbreak. An online survey was administered to 1,500 Japanese registered with an online outsourcing service. Data were analyzed with structural equation modeling using Mplus. Relatively large total effects were observed for “insufficient exercise” on physical health (β = –0.24, SE = 0.03), “mental health issues related to COVID-19” on mental health (β= –0.25, SE = 0.03) and psychological distress (β= 0.24, SE = 0.03), neuroticism on mental health (β= –0.30, SE = 0.02) and psychological distress (β= 0.36, SE = 0.02), and social support on suicidal ideation (β= –0.32, SE = 0.03). Thus, mitigating the harm resulting from the ongoing impact of the COVID-19 infection outbreak by raising awareness of risk factors and promoting social support is feasible.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41435638","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":"Hypnosis for Resilience","authors":"Enrico Facco, Experimental Hypnosis","doi":"10.21926/obm.icm.2003032","DOIUrl":"https://doi.org/10.21926/obm.icm.2003032","url":null,"abstract":"The topic of resilience is of paramount importance. Although the term resilience was coined in the fields of physics and engineering, its use has spread to the fields of social sciences, biology, psychology, and psychiatry, as well as to the industry. Moreover, the term is now endowed with a wide range of meanings. The topic of resilience plays a central role in all critical life events. It is of paramount importance in medicine as well as in psychology and psychotherapy, where it is involved in both psychiatric disorders and physical diseases, particularly when encountering the specter of chronic pain, suffering, disability, and death. The available data indicate the relevance and effectiveness of hypnosis for resilience in numerous clinical conditions, and propose hypnosis as a candidate for a central role in palliative care. Furthermore, resilience is endowed with deep philosophical implications that are not to be neglected during patient management. Indeed, suffering, including the perception of one’s doom as well as the real mystery of life and death, relies closely on philosophical, cultural, and ethnic factors. Eastern, as profoundly explored the inner–outer world relationship, allowing for so radical a resilience that has no equal in the modern Western culture. Therefore, these philosophies should be re-appraised and properly understood from a metaphilosophical perspective, in order to utilize their wisdom and knowledge in an efficient manner. A few examples of Eastern philosophical concepts drawn from Taoism, Yoga, and Buddhism, as well as those from Heraclitus and Parmenides, which would be potentially useful in patient care, are provided in the present article.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47996787","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":"Child Life Specialists in Pediatric Hospital Care","authors":"K. Jeyamurugan, Ratna B Basak","doi":"10.21926/OBM.ICM.2003034","DOIUrl":"https://doi.org/10.21926/OBM.ICM.2003034","url":null,"abstract":"Child life specialists (CLS) are trained providers who form part of a pediatric multidisciplinary and pediatric palliative care team. Their role is invaluable to mitigate the stress and anxiety of children during hospitalization. They may use various strategies in children like play, art and music therapy and pet therapy, to help self-express and cope with painful procedures.We present a brief narrative on CLS with a case of a 10- year- old Hispanic boy who had metastatic osteosarcoma.The case illustration is from a prior institute that one of the coauthors was associated with.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43392325","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}
Valérie Morin-Alain, Eddy Larouche, Anne-Marie Chouinard, M. Audet, S. Goulet, Louis-Simon Rousseau, C. Hudon
{"title":"Effects of a Mindfulness-Based Intervention on Circulating Cytokine Levels in Individuals with Amnestic Mild Cognitive Impairment: A Pilot Study","authors":"Valérie Morin-Alain, Eddy Larouche, Anne-Marie Chouinard, M. Audet, S. Goulet, Louis-Simon Rousseau, C. Hudon","doi":"10.21926/obm.icm.2002022","DOIUrl":"https://doi.org/10.21926/obm.icm.2002022","url":null,"abstract":"Peripheral inflammation plays an important role in the pathophysiology of Alzheimer’s disease (AD) and dysregulations in circulating levels of different inflammatory mediators are detectable as early as the mild cognitive impairment (MCI) stage towards AD. Depressive symptoms, another risk factor of AD, are often found in individuals with MCI and associated with heightened levels of peripheral inflammatory mediators. Diminution in depressive symptoms and alterations of peripheral inflammation profiles have been observed following Mindfulness-based interventions (MBIs). In this pilot randomized-control trial, the impact of a mindfulness-based intervention (MBI) was compared to that of a psychoeducation-based intervention (PBI) on the peripheral inflammation profile and depressive symptomatology of participants with MCI. Plasma samples and scores on the Geriatric Depression scale (GDS) were obtained from 12 participants per group before and after the 8-week interventions. OBM Integrative and Complementary Medicine 2020; 5(2), doi:10.21926/obm.icm.2002022 Page 2/24 Flow cytometry allowed for inter-group comparisons of the pro-inflammatory cytokines Interleukin (IL)-6 and Tumor Necrosis Factor (TNF)-α levels. Post-MBI, two tendencies stand out regarding inflammation profiles: 1) a decrease of TNF-α for participants having higher initial levels of this cytokine, and 2) an increase of IL-6 levels for all participants. In the PBI group, the cytokine levels remained unchanged post-intervention. Regarding depressive symptomatology, no significant variations were noted for both groups. Moreover, variations on depressive symptoms and peripheral levels of cytokines were not correlated. MBI could exert a physiological effect on an important feature of AD, namely inflammation. Furthermore, action mechanisms behind physiological and psychological effects of MBIs could stem from independent sources. This remains to be demonstrated with more robust data.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44519951","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}
L. Watts, Joanna Smith, W. Mcsherry, M. Tatterton, Alison Rodriguez, Wetherby Uk Nurse Consultant Martin House Hospice, Lecturer Child
{"title":"Stakeholder Perceptions of Dignity Therapy for Children and Young People with Life-Limiting and Life-Threatening Conditions in the UK","authors":"L. Watts, Joanna Smith, W. Mcsherry, M. Tatterton, Alison Rodriguez, Wetherby Uk Nurse Consultant Martin House Hospice, Lecturer Child","doi":"10.21926/obm.icm.2001012","DOIUrl":"https://doi.org/10.21926/obm.icm.2001012","url":null,"abstract":"In palliative and end of life care settings supporting people to make sense of their lives is as important as managing disease symptoms. Dignity Therapy is a validated psychotherapeutic intervention designed to bring about a sense of meaning and purpose for individuals at the end of life. Dignity Therapy has primarily been implemented and evaluated in adult palliative care settings. Prior to designing studies that evaluate Dignity Therapy for children and young people with life-limiting and life-threatening conditions, it is essential to establish stakeholders’ perceptions of Dignity Therapy, and whether adaptations would be required OBM Integrative and Complementary Medicine 2020; 5(1), doi:10.21926/obm.icm.2001012 Page 2/19 for this client group. We aimed to explore the acceptability of Dignity Therapy for children and young people with life-limiting and life-threatening conditions and health professionals, and report findings from our stakeholder activities. Stakeholder consultation activities involved one Death Café and two workshops, with over 80 health professionals, hosted at two hospice settings, and a range of social media activities including feedback from five young people with life-limiting and life-threatening conditions via a closed Facebook group and a twitter chat with 22 contributors. Data included field notes, workshop outputs (‘post-it ideas storm’ and ‘diamond ranking’) and social media postings that were analysed using thematic analysis. Across stakeholders, there was overwhelming support for explicit interventions that support the psychosocial and spiritual needs of children and young people with life-limiting conditions. Dignity Therapy could be a supportive intervention to promote open conversations about life, meaning and purpose and dying, between the child or young person, family members and health professionals, but needs adapting to meet their needs. A tool kit of interventions, appropriate to a range of ages and cognitive abilities was suggested, for example a storybook for young children and a digitalised version of dignity therapy for older children/young people. Collaboration with stakeholders is the first stage in developing, or adapting an existing intervention in a different context, a complex intervention. Our stakeholder consultation highlighted that Dignity Therapy has potential to improve the psychosocial and spiritual wellbeing of children and young people with life-limiting and lifethreatening conditions, through recalling memories and thinking about the things that are important to them and what they want to be remember for. Research is now needed to develop and test a Dignity Therapy intervention for children and young people with lifeliming and life-threatening conditions in the UK.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46406574","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}