Integrative medicine : integrating conventional and alternative medicine最新文献

{"title":"Phytoestrogens and Breast Cancer","authors":"Joya Tillem MD","doi":"10.1016/S1096-2190(99)00020-7","DOIUrl":"10.1016/S1096-2190(99)00020-7","url":null,"abstract":"","PeriodicalId":80285,"journal":{"name":"Integrative medicine : integrating conventional and alternative medicine","volume":"2 2","pages":"Pages 145-146"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1096-2190(99)00020-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85696045","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 alternative treatments by chronic fatigue syndrome discordant twins","authors":"Niloofar Afari PHD ,&nbsp;David M Eisenberg MD ,&nbsp;Richard Herrell MS ,&nbsp;Jack Goldberg PHD ,&nbsp;Ellen Kleyman BA ,&nbsp;Suzanne Ashton BS ,&nbsp;Dedra Buchwald MD","doi":"10.1016/S1096-2190(99)00017-7","DOIUrl":"10.1016/S1096-2190(99)00017-7","url":null,"abstract":"<div><p><em>Background:</em><span> Patients with chronic fatigue syndrome (CFS) have been faced with difficulties in diagnosis and lack of effective treatments. Anecdotal evidence suggests that use of alternative treatments may be common in these patients. Our primary objective was to compare the prevalence and patterns of alternative medicine use among twins who met the Centers for Disease Control and Prevention (CDC) CFS criteria to that of their non-CFS co-twins. Secondary goals were to assess how often alternative medicine use was discussed with physicians and the perceived benefit of these therapies. </span><em>Methods:</em> Sixty-three twin pairs discordant for CFS completed a survey about their use of 22 alternative therapies. Matched pair odds ratios and 95% confidence intervals were used to examine differences in the use between CFS twins and their non-CFS co-twins. <em>Results:</em><span><span><span> 91% of twins with CFS and 71% of non-CFS twins had used at least 1 alternative treatment in their lifetime. Twins with CFS were more likely to use homeopathy, mega-vitamins, herbal therapies, </span>biofeedback, relaxation/meditation, guided imagery, </span>massage therapy, energy healing, religious healing by others, and self-help groups than their non-CFS counterparts. A large proportion of all twins </span><span><math><mtext>CFS</mtext><mtext> = 81%; </mtext><mtext>non-CFS</mtext><mtext> = 71%</mtext></math></span> found alternative therapies helpful; however, only 42% of those with CFS and 23% of those without CFS discussed their use of alternative medicine with a physician. <em>Conclusions:</em> Individuals with CFS frequently used alternative medical treatments yet rarely communicated this use to their medical doctor. Future research should ascertain the usefulness of alternative practices in the management of CFS.</p></div>","PeriodicalId":80285,"journal":{"name":"Integrative medicine : integrating conventional and alternative medicine","volume":"2 2","pages":"Pages 97-103"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1096-2190(99)00017-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21725027","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":"Personal and professional beliefs and practices regarding herbal medicine among the full time faculty of the newark-based schools of the university of medicine and dentistry of new jersey","authors":"Kelly Dougherty MS, RD ,&nbsp;Riva Touger-Decker PHD, RD, FADA ,&nbsp;Julie O'Sullivan Maillet PHD, RD, FADA","doi":"10.1016/S1096-2190(00)00012-3","DOIUrl":"10.1016/S1096-2190(00)00012-3","url":null,"abstract":"<div><p><em>Background:</em> The use of alternative and herbal medicine is increasing among the general population in the United States. The use of herbal medicine by health care professionals has not been documented. Health care professionals tend to base personal and professional practices on scientific research and facts. This population interacts with the public and with health care students. Therefore, personal and professional practices will impact these audiences. <em>Methods:</em><span> A survey was distributed to all faculty members of the University of Medicine and Dentistry of New Jersey via interoffice mail. A total of 904 surveys were sent. Statistical analyses included descriptive analysis of personal and professional practice regarding herbal medicine and χ</span>² analysis of the relationship between personal and professional practices regarding herbal medicine. Significance was set at alpha &lt;.05. <em>Results:</em> The overall response rate was 51%. Approximately one-third (29.6%, <em>n</em> = 134) of the population reported personal use of herbal medicine, 22.1% (<em>n</em> = 42) of the population who provide patient care recommend herbal medicine, 9.4% (<em>n</em> = 36) of those involved in teaching include herbal medicine in coursework, and 1.1% of the population were involved in research on herbs. Respondents who use herbal medicine were more likely to recommend herbs to patients (<em>p</em> &lt; .0001); likewise, users of herbal medicine were more likely to teach students about herbal medicine (<em>p</em> = .001). <em>Conclusions:</em> The results support the hypothesis that personal beliefs and practices do impact professional practices within the clinical and academic settings of the university.</p></div>","PeriodicalId":80285,"journal":{"name":"Integrative medicine : integrating conventional and alternative medicine","volume":"2 2","pages":"Pages 57-64"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1096-2190(00)00012-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21725127","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":"Changes in heart transplant recipients that parallel the personalities of their donors","authors":"Paul Pearsall PHD. ,&nbsp;Gary E.R Schwartz PHD. ,&nbsp;Linda G.S Russek PHD","doi":"10.1016/S1096-2190(00)00013-5","DOIUrl":"10.1016/S1096-2190(00)00013-5","url":null,"abstract":"<div><p><em>Context:</em> It is generally assumed that learning is restricted to neural and immune systems. However, the systemic memory hypothesis predicts that all dynamical systems that contain recurrent feedback loops store information and energy to various degrees. Sensitive transplant patients may evidence personal changes that parallel the history of their donors. <em>Objective:</em><span> To evaluate whether changes following heart transplant surgery parallel the history of the donors. </span><em>Design:</em> Open-ended interviews with volunteer (1) transplant recipients, (2) recipient families or friends, and (3) donor families or friends. <em>Setting:</em> Hospitals in various parts of the country. <em>Patients:</em> Ten recipients (7 males, 3 females; 7 months to 56 years old), received heart (or heart–lung) transplants (5 males, 5 females; 16 months to 34 years old). <em>Main Outcome Measures:</em> Transcripts of audio taped interviews quoted verbatim. <em>Results:</em> Two to 5 parallels per case were observed between changes following surgery and the histories of the donors. Parallels included changes in food, music, art, sexual, recreational, and career preferences, as well as specific instances of perceptions of names and sensory experiences related to the donors (<em>e.g.</em>, one donor was killed by a gun shot to the face; the recipient had dreams of seeing hot flashes of light in his face). <em>Conclusion:</em><span> The incidence of recipient awareness of personal changes in cardiac transplant patients is unknown. The effects of the immunosuppressant drugs, stress of the surgery, and statistical coincidence are likely insufficient to explain the findings. The plausibility of cellular memory, possibly systemic memory, is suggested.</span></p></div>","PeriodicalId":80285,"journal":{"name":"Integrative medicine : integrating conventional and alternative medicine","volume":"2 2","pages":"Pages 65-72"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1096-2190(00)00013-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21725128","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":"Exploring the role of progestins and phytoestrogens in menopause","authors":"Georgina Hale MD,&nbsp;Marsha Bievre BA,&nbsp;Claude Hughes MD, PHD","doi":"10.1016/S1096-2190(00)00011-1","DOIUrl":"10.1016/S1096-2190(00)00011-1","url":null,"abstract":"","PeriodicalId":80285,"journal":{"name":"Integrative medicine : integrating conventional and alternative medicine","volume":"2 2","pages":"Pages 133-141"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1096-2190(00)00011-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21725031","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":"Can children with spastic cerebral palsy use self-hypnosis to reduce muscle tone? a preliminary study","authors":"Karen Mauersberger MD ,&nbsp;Katie Artz BS ,&nbsp;Burris Duncan MD ,&nbsp;Steven Gurgevich PHD","doi":"10.1016/S1096-2190(00)00008-1","DOIUrl":"10.1016/S1096-2190(00)00008-1","url":null,"abstract":"<div><p><span>A few scattered reports suggest self-hypnosis may be helpful in reducing muscle tone in children with spastic cerebral palsy (CP). These reports are largely anecdotal and offer little objective evidence. This study used the Biocomp 2000 </span>biofeedback<span><span> electomyogram device to measure the degree of muscle tension in two muscle groups before, during, and after hypnosis in four children with spastic quadriplegic CP. Three of the four children were able to show a very significant decrease in muscle tension while under “trance” and were able to use self-relaxation techniques when confronted with stressful situations. Two of the children also had athetoid or </span>involuntary movements and each was able to better control those movements with the aid of hypnosis. All four children demonstrated improved functional abilities.</span></p></div>","PeriodicalId":80285,"journal":{"name":"Integrative medicine : integrating conventional and alternative medicine","volume":"2 2","pages":"Pages 93-96"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1096-2190(00)00008-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21724522","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":"Index","authors":"","doi":"10.1016/S1096-2190(00)00014-7","DOIUrl":"https://doi.org/10.1016/S1096-2190(00)00014-7","url":null,"abstract":"","PeriodicalId":80285,"journal":{"name":"Integrative medicine : integrating conventional and alternative medicine","volume":"2 2","pages":"Page 147"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1096-2190(00)00014-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137405596","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":"Uses of guided imagery for pain control by african-american and white women with metastatic breast cancer","authors":"Rhonda J Moore PHD ,&nbsp;David Spiegel MD","doi":"10.1016/S1096-2190(00)00003-2","DOIUrl":"10.1016/S1096-2190(00)00003-2","url":null,"abstract":"<div><p>Understanding the meanings patients attach to their experiences can help clinicians and researchers to more adequately address a patient's experience with cancer pain. Indeed, many patients seem to desire to and benefit from attaching meaning to the disease and its treatment. In particular, many patients are drawn to guided imagery as a tool in the management of cancer-related anxiety and pain. Using excerpts from African-American and White women's breast cancer narratives, we show that breast cancer survivors use guided imagery as a vehicle for reconnecting to the self, to make sense of their experiences with breast cancer, and as a tool for managing cancer pain. Cancer pain increases the disruption in the connection between the body and the mind that is already part of the illness experience. Guided imagery can be regarded as one response to this problem, and may be understood as an attempt to reconnect mind and body in a manner that increases the sense of control, thereby alleviating the suffering of the survivor.</p></div>","PeriodicalId":80285,"journal":{"name":"Integrative medicine : integrating conventional and alternative medicine","volume":"2 2","pages":"Pages 115-126"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1096-2190(00)00003-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21725029","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 a chinese herbal medicine for treatment of hiv-associated pathogen-negative diarrhea","authors":"Misha R Cohen OMD, LAC ,&nbsp;Thomas F Mitchell MPH ,&nbsp;Peter Bacchetti PHD ,&nbsp;Carroll Child RN, MSC ,&nbsp;Sherrill Crawford RN ,&nbsp;Andrew Gaeddert ,&nbsp;Donald I Abrams MD","doi":"10.1016/S1096-2190(00)00007-X","DOIUrl":"10.1016/S1096-2190(00)00007-X","url":null,"abstract":"<div><p><em>Background:</em> Diarrhea is a frequent problem among persons with advanced HIV disease. In the absence of treatable pathogens, symptomatic relief is all that is available for current therapy. As a result, many patients with HIV and chronic diarrhea have turned to herbal formulas for treatment. We assessed the effectiveness and safety of a Chinese herbal formulation (Source Qi™) in reducing the number of stools per day related to HIV-associated, pathogen-negative diarrhea. <em>Methods:</em><span> Sixteen male patients received treatment with Source Qi™ in an 8-week, open-label study. Patients tested negative for cryptosporidium and other gastrointestinal pathogens, and had chronic diarrhea, defined as having three or more loose stools/day for ≥14 days (and no other treatable causes for diarrhea). Measurements of diarrhea included numbers of bowel movements/day, abnormal bowel movements/day, and liquid bowel movements/day. Subjects completed daily stool diaries an average of 2 weeks before and up to 8 weeks after starting Source Qi™. Paired Wilcoxon tests compared the last week before treatment with each week of treatment. </span><em>Results:</em> There was a reduction in average number of stools/day in each week of treatment (−0.2 to −0.8), except week 1 (+0.1), with improvements in weeks 2–6 approaching or reaching statistical significance <span><math><mtext>p = .11 </mtext><mtext>to</mtext><mtext> p = .0092</mtext></math></span>. <em>Conclusions:</em> A modest but sustained decrease in average number of stools/day was observed in patients with HIV-associated, pathogen-negative diarrhea. The entry criteria, 2-week run-in period, lack of benefit in week 1, and sustained benefit thereafter all suggest that the improvement was not due to bias.</p></div>","PeriodicalId":80285,"journal":{"name":"Integrative medicine : integrating conventional and alternative medicine","volume":"2 2","pages":"Pages 79-84"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1096-2190(00)00007-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21725130","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":"Index","authors":"","doi":"10.1016/S1096-2190(00)00015-9","DOIUrl":"https://doi.org/10.1016/S1096-2190(00)00015-9","url":null,"abstract":"","PeriodicalId":80285,"journal":{"name":"Integrative medicine : integrating conventional and alternative medicine","volume":"2 2","pages":"Page 148"},"PeriodicalIF":0.0,"publicationDate":"2000-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1096-2190(00)00015-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137405595","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}