Bandi Hari Krishna, Pravati Pal, Gk Pal, J Balachander, E Jayasettiaseelon, Y Sreekanth, Mg Sridhar, Gs Gaur
{"title":"A Randomized Controlled Trial to Study the Effect of Yoga Therapy on Cardiac Function and N Terminal Pro BNP in Heart Failure.","authors":"Bandi Hari Krishna, Pravati Pal, Gk Pal, J Balachander, E Jayasettiaseelon, Y Sreekanth, Mg Sridhar, Gs Gaur","doi":"10.4137/IMI.S13939","DOIUrl":"https://doi.org/10.4137/IMI.S13939","url":null,"abstract":"<p><strong>Aims: </strong>The purpose of this study was to evaluate whether yoga training in addition to standard medical therapy can improve cardiac function and reduce N terminal pro B-type natriuretic peptide (NT pro BNP) in heart failure (HF).</p><p><strong>Methods: </strong>130 patients were recruited and randomized into two groups: Control Group (CG) (n = 65), Yoga Group (YG). In YG, 44 patients and in CG, 48 patients completed the study. Cardiac function using left ventricular ejection fraction (LVEF), myocardial performance index (Tei index), and NT pro BNP, a biomarker of HF, was assessed at baseline and after 12 weeks.</p><p><strong>Result: </strong>Improvement in LVEF, Tei index, and NT pro BNP were statistically significant in both the groups. Furthermore, when the changes in before and after 12 weeks were in percentage, LVEF increased 36.88% in the YG and 16.9% in the CG, Tei index was reduced 27.87% in the YG and 2.79% in the CG, NT pro BNP was reduced 63.75% in the YG and 10.77% in the CG. The between group comparisons from pre to post 12 weeks were significant for YG improvements (LVEF, P < 0.01, Tei index, P < 0.01, NT pro BNP, P < 0.01).</p><p><strong>Conclusion: </strong>These results indicate that the addition of yoga therapy to standard medical therapy for HF patients has a markedly better effect on cardiac function and reduced myocardial stress measured using NT pro BNP in patients with stable HF.</p>","PeriodicalId":89565,"journal":{"name":"Integrative medicine insights","volume":"9 ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/IMI.S13939","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32268504","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}
Alyssa T Brooks, Leanne Silverman, Gwenyth R Wallen
{"title":"Shared decision making: a fundamental tenet in a conceptual framework of integrative healthcare delivery.","authors":"Alyssa T Brooks, Leanne Silverman, Gwenyth R Wallen","doi":"10.4137/IMI.S12783","DOIUrl":"10.4137/IMI.S12783","url":null,"abstract":"<p><p>With the increased usage of complementary and alternative medicine (CAM) in the US comes a need for evidence-based and integrated care systems which encourage open communication between patients and providers. This paper introduces a conceptual framework for integrative care delivery, with shared decision making being the \"connecting force\" between holistic treatment and improved health outcomes for patients. </p>","PeriodicalId":89565,"journal":{"name":"Integrative medicine insights","volume":"8 ","pages":"29-36"},"PeriodicalIF":0.0,"publicationDate":"2013-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3782399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31780021","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}
Ian D Coulter, Raheleh Khorsan, Cindy Crawford, An-Fu Hsiao
{"title":"Challenges of systematic reviewing integrative health care.","authors":"Ian D Coulter, Raheleh Khorsan, Cindy Crawford, An-Fu Hsiao","doi":"10.4137/IMI.S11570","DOIUrl":"https://doi.org/10.4137/IMI.S11570","url":null,"abstract":"<p><p>This article is based on an extensive review of integrative medicine (IM) and integrative health care (IHC). Since there is no general agreement of what constitutes IM/IHC, several major problems were identified that make the review of work in this field problematic. In applying the systematic review methodology, we found that many of those captured articles that used the term integrative medicine were in actuality referring to adjunctive, complementary, or supplemental medicine. The objective of this study was to apply a sensitivity analysis to demonstrate how the results of a systematic review of IM and IHC will differ according to what inclusion criteria is used based on the definition of IM/IHC. By analyzing 4 different scenarios, the authors show that, due to unclear usage of these terms, results vary dramatically, exposing an inconsistent literature base for this field. </p>","PeriodicalId":89565,"journal":{"name":"Integrative medicine insights","volume":"8 ","pages":"19-28"},"PeriodicalIF":0.0,"publicationDate":"2013-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/IMI.S11570","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31571530","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}
Cynthia Ann Leaver, Claiborne Miller-Davis, Gwenyth R Wallen
{"title":"Naturopathic management of females with cervical atypia: a delphi process to explore current practice.","authors":"Cynthia Ann Leaver, Claiborne Miller-Davis, Gwenyth R Wallen","doi":"10.4137/IMI.S11088","DOIUrl":"https://doi.org/10.4137/IMI.S11088","url":null,"abstract":"<p><strong>Background: </strong>Human papillomavirus is the most significant factor contributing to cervical cancer. Naturopathic doctors (NDs) implement an integrative approach to treat cervical atypia. This study explored practice consensus and variance among NDs.</p><p><strong>Methods: </strong>A purposefully selected panel of six NDs participated in a modified Delphi study to validate practice. Three electronic web-based surveys were completed over nine months.</p><p><strong>Results: </strong>Local and systemic treatments were included in all ND protocols. Six protocols included cervical cancer screening guidelines, green tea suppositories, and oral folic acid. Five protocols included oral green tea, diindoylemethane (DIM), and cartenoids. Four protocols incorporated Vitamin C. Two NDs considered escharotics when managing cervical atypia. All NDs included health behavior management in their protocols.</p><p><strong>Conclusion: </strong>Naturopathic management of cervical atypia varies across practitioners. However, in general, elements of management include (1) cervical cancer screening guidelines, (2) local and systemic treatments, (3) health behavior/lifestyle recommendations, and (4) immune system support.</p>","PeriodicalId":89565,"journal":{"name":"Integrative medicine insights","volume":"8 ","pages":"9-17"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/IMI.S11088","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31230071","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":"Effect of the Botanical Compound LCS101 on Chemotherapy-Induced Symptoms in Patients with Breast Cancer: A Case Series Report.","authors":"Noah Samuels, Yair Maimon, Rachel Y Zisk-Rony","doi":"10.4137/IMI.S10841","DOIUrl":"https://doi.org/10.4137/IMI.S10841","url":null,"abstract":"<p><p>The treatment of breast cancer invariably results in severe and often debilitating symptoms that can cause significant distress and severely impair daily function and quality-of-life (QOL). We treated a series of 20 female breast cancer patients with the botanical compound LCS101 as adjuvant to conventional chemotherapy. At the end of the treatment regimen, patients rated their symptoms. 70% reported that they had either no or mildly severe levels of fatigue; 60% none to mildly severe weakness; 85% none to mildly severe pain; 70% none to mildly severe nausea; and 80% none to mildly severe vomiting. Only 20% reported severe impairment of overall function, and only 40% severely impaired QOL. No toxic effects were attributed by patients to the LCS101 treatment, and 85% reported that they believed the botanical compound had helped reduce symptoms. The effects of LCS101 on clinical outcomes in breast cancer should be tested further using randomized controlled trials.</p>","PeriodicalId":89565,"journal":{"name":"Integrative medicine insights","volume":"8 ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/IMI.S10841","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31231045","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":"Report on disaster medical operations with acupuncture/massage therapy after the great East Japan earthquake.","authors":"Shin Takayama, Tetsuharu Kamiya, Masashi Watanabe, Atsushi Hirano, Ayane Matsuda, Yasutake Monma, Takehiro Numata, Hiroko Kusuyama, Nobuo Yaegashi","doi":"10.4137/IMI.S9541","DOIUrl":"https://doi.org/10.4137/IMI.S9541","url":null,"abstract":"<p><p>The Great East Japan Earthquake inflicted immense damage over a wide area of eastern Japan with the consequent tsunami. Department of Traditional Asian Medicine, Tohoku University, started providing medical assistance to the disaster-stricken regions mainly employing traditional Asian therapies.We visited seven evacuation centers in Miyagi and Fukushima Prefecture and provided acupuncture/massage therapy. While massage therapy was performed manually, filiform needles and press tack needles were used to administer acupuncture. In total, 553 people were treated (mean age, 54.0 years; 206 men, 347 women). Assessment by interview showed that the most common complaint was shoulder/back stiffness. The rate of therapy satisfaction was 92.3%. Many people answered that they experienced not only physical but also psychological relief.At the time of the disaster, acupuncture/massage therapy, which has both mental and physical soothing effects, may be a therapeutic approach that can be effectively used in combination with Western medical practices.</p>","PeriodicalId":89565,"journal":{"name":"Integrative medicine insights","volume":"7 ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/IMI.S9541","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30598263","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}
Cameron G McCarthy, Rick J Alleman, Zach W Bell, Richard J Bloomer
{"title":"A dietary supplement containing chlorophytum borivilianum and velvet bean improves sleep quality in men and women.","authors":"Cameron G McCarthy, Rick J Alleman, Zach W Bell, Richard J Bloomer","doi":"10.4137/IMI.S9720","DOIUrl":"https://doi.org/10.4137/IMI.S9720","url":null,"abstract":"<p><strong>Background: </strong>Impaired sleep quality is commonplace within industrialized societies, as evidenced by the increasing number of prescription sleep aids available. Certain herbal preparations have been suggested to provide a natural benefit to sleep; however, limited controlled data are available documenting this benefit. In the present study we tested the effect of an experimental dietary supplement, containing the active ingredients Chlorophytum borivilianum and Velvet bean, on sleep quality using the Pittsburgh Sleep Quality Index (PSQI).</p><p><strong>Methods: </strong>Eighteen healthy and active men and women, with evidence of impaired sleep quality, consumed the supplement daily for 28 days. The PSQI was administered before and after the intervention period. As indicators of safety, resting heart rate and blood pressure were measured, and a complete blood count, comprehensive metabolic panel, and lipid panel were determined.</p><p><strong>Results: </strong>Sleep quality was influenced by the supplement, as evidenced by an improvement in every category of the PSQI questionnaire (P < 0.05), with most category scores improving approximately 50% from pre to post intervention. No adverse outcomes were noted with use of the supplement, as indicated by no change in resting heart rate, blood pressure, or any bloodborne parameter.</p><p><strong>Conclusions: </strong>An investigational dietary supplement containing the active ingredients Chlorophytum borivilianum and Velvet bean improves sleep quality in men and women. Additional placebo controlled trials are needed to corroborate these findings in individuals with self-reported sleeping difficulty.</p>","PeriodicalId":89565,"journal":{"name":"Integrative medicine insights","volume":"7 ","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/IMI.S9720","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30750012","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":"To Tell or Not to Tell: Shared Decision Making, CAM Use and Disclosure Among Underserved Patients with Rheumatic Diseases.","authors":"Gwenyth R Wallen, Alyssa T Brooks","doi":"10.4137/IMI.S10333","DOIUrl":"https://doi.org/10.4137/IMI.S10333","url":null,"abstract":"<p><p>The purpose of this analysis was to assess the impact of perceived shared decision-making (SDM) on complementary and alternative medicine (CAM) use and disclosure in a sample of urban, underserved minority patients (n = 109) with rheumatic diseases. Nearly three quarters of the patients (71.6%) reported CAM use. Of these, 59% disclosed CAM use to their provider. Logistic regression models were created. In model 1 SDM significantly predicted CAM use; however, the overall model fit was not significant. In model 2, gender, ethnicity, and SDM predicted CAM disclosure with 73.2% correctly classified. Females were more likely and Hispanics were less likely to disclose CAM use. Those with higher SDM scores were more likely to disclose CAM use. SDM played a role in whether patients used CAM and disclosed CAM use to their providers. Improving SDM strategies may be especially important among patients who are least likely to disclose CAM use.</p>","PeriodicalId":89565,"journal":{"name":"Integrative medicine insights","volume":"7 ","pages":"15-22"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/IMI.S10333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30980319","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":"Effect of kampo medicine on pain and range of motion of osteoarthritis of the hip accompanied by acetabular dysplasia: case report and literature review.","authors":"Toshiaki Kogure, Takeshi Tatsumi, Tetsuya Shigeta, Hiroshi Fujinaga, Takahisa Sato, Atsushi Niizawa","doi":"10.4137/IMI.S7884","DOIUrl":"https://doi.org/10.4137/IMI.S7884","url":null,"abstract":"<p><p>We report a 52-year-old female with end-stage osteoarthritis of the hip accompanied by acetabular dysplasia in whom quality of life (QOL) was improved by Kampo treatment.When she was 42 years old, she developed pain in the left hip joint, and early-stage OA of the hip was diagnosed by hip joint x-ray. Therefore, she took NSAIDs, and received conservative therapies such as diet and muscle training. However, pain in the hip joint increased and her activity of daily life (ADL) decreased at the age of 50, although she continued to receive the conservative therapies. At the age of 52, she consulted our department requesting Japanese Oriental (Kampo) Medicine. Kampo formulae; Keishikaryojutsubuto (12Tab/day: Kuracie Co. Ltd. Japan), and Boiougito (7.5 g/day: Kuracie Co. Ltd. Japan), were administered. Treatment for 3 months resulted in a decrease in the left hip joint pain using visual analogue scale (VAS) and improvement of her ADL. One year later, her joint symptoms have not increased, and both the Harris hip score and the clinical evaluation criteria of osteoarthritis of the hip have improved.The course of this disease varies depending on the lifestyle of the patient, and Kampo formulations may offer safe, potent supplemental treatment.</p>","PeriodicalId":89565,"journal":{"name":"Integrative medicine insights","volume":"6 ","pages":"13-7"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/IMI.S7884","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30330284","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":"Edematous erythema at the hands and feet probably caused by the traditional herb \"radix astragali\".","authors":"Toshiaki Kogure, Takeshi Tatsumi, Yuko Oku","doi":"10.4137/IMI.S5824","DOIUrl":"https://doi.org/10.4137/IMI.S5824","url":null,"abstract":"<p><strong>Objective: </strong>To describe a patient with erhythema and edema after Radix Astragali was added to a kampo formula.</p><p><strong>Case summary: </strong>A 21-year-old male, who was diagnosed as having atopic dermatitis in 1989, demonstrated systemic dry eruptions and consulted our department for treatment with traditional herbal medicine (THM) in 2004. The oral administration of herbal medicine resulted in decreased symptoms as well as a reduction in the serum IgE level. In August 2007, he complained of sweating on the neck and we added Radix Astragali to the previous formula. About 18 hours after he ingested the new formula including Radix Astragali, erhythema appeared with swelling of the bilateral hands and feet. Administration of the formula was discontinued and about 48 hours later, his symptoms had almost disappeared. Astragaloside, which is the main ingredient of Radix Astragali, was negative on lymphocyte transforming test (LTT) and we could not determine the ingredient that induced erhythema.</p><p><strong>Conclusion: </strong>We consider that the Radix Astragali induced acute erhythema with swelling based on the clinical course. Acute edematous erythema due to THM is very rare and we discuss allergic reactions to traditional herbs and review the litrature.</p>","PeriodicalId":89565,"journal":{"name":"Integrative medicine insights","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/IMI.S5824","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40110418","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}