المصدر: Department of Medical Oncology Faculty Papers

مستخلص: Racial and ethnic disparities in pain management pose major challenges to equitable cancer care delivery. These disparities are driven by complex interactions between patient-, provider-, and system-related factors that resist reductionistic solutions and require innovative, holistic approaches. On September 19, 2022, the Society for Integrative Oncology and the American Society of Clinical Oncology published a joint guideline to provide evidence-based recommendations on integrative medicine for cancer pain management. Integrative medicine, which combines conventional treatments with complementary modalities from cultures and traditions around the world, are uniquely equipped to resonate with diverse cancer populations and fill existing gaps in pain management. Although some complementary modalities, such as music therapy and yoga, lack sufficient evidence to make a specific recommendation, other modalities, such as acupuncture, massage, and hypnosis, demonstrated an intermediate level of evidence, resulting in moderate strength recommendations for their use in cancer pain management. However, several factors may hinder real-world implementation of the Society for Integrative Oncology and the American Society of Clinical Oncology guideline and must be addressed to ensure equitable pain management for all communities. These barriers include, but are not limited to, the lack of insurance coverage for many complementary therapies, the limited diversity and availability of complementary therapy providers, the negative social norms surrounding complementary therapies, the underrepresentation of racial and ethnic subgroups in the clinical research of complementary therapies, and the paucity of culturally attuned interventions tailored to diverse individuals. This commentary examines both the challenges and the opportunities for addressing racial and ethnic disparities in cancer pain management through integrative medicine.

مصطلحات الفهرس: humans, cancer pain, integrative medicine, pain, complementary therapies, pain management, neoplasms, Humans, Cancer Pain, Integrative Medicine, Pain, Complementary Therapies, Pain Management, Neoplasms, Medicine and Health Sciences, Oncology, article

URL: https://jdc.jefferson.edu/medoncfp/246
https://jdc.jefferson.edu/context/medoncfp/article/1246/viewcontent/REF_ID_4833.pdf

مستخلص: Background: The introduction of traditional, complementary and integrative medicine (TCIM) services into health systems has been advocated by the World Health Organization, but there is a paucity of reviews synthesising the experiences of (i) implementing TCIM services in conventional healthcare settings and (ii) introducing evidencebased practice in TCIM. Knowledge of the first issue will assist policymakers to innovate implementation interventions in their own health system contexts. Addressing the second issue will facilitate the closure of the evidence-practice gap in TCIM and improve the translation of research evidence into health outcome benefits. Purpose: The aim of this study was to identify, describe and analyse publications on these two key TCIM policy issues via an overview from an implementation science perspective. Methods: Publications describing international experiences of implementing TCIM services or evidence for TCIM practices were identified by searching MEDLINE, EMBASE and Global Health databases in November 2021. The findings were summarised using a narrative synthesis approach. Results: Sixty-three relevant publications were included in the analysis. Current experiences in China and the United Sates (US) reflect varying policy priorities at different stages of implementing TCIM services. In the US, where TCIM have yet to be introduced into mainstream healthcare settings, implementation interventions were designed to facilitate the provision of specific, evidence-based TCIM modalities via referrals from conventional clinicians. The application of these strategies at the health system, regulatory, financial, community, provider and patient levels provided a comprehensive picture of how TCIM implementation may be facilitated via multilevel interventions. In China, the major form of TCIM is traditional Chinese medicine (TCM), for which service provision has already been adopted at all levels of healthcare. With the high volume of clinical researc
Funding Agencies|Chinese Medicine Development Fund, Food and Health Bureau, Hong Kong SAR Government [20B2/031A]

مصطلحات الفهرس: Implementation science; Diffusion of innovation; Delivery of health care; Integrative medicine; Complementary therapies; Medicine; Chinese traditional, Pharmaceutical Sciences, Farmaceutiska vetenskaper, Article in journal, info:eu-repo/semantics/article, text

URL: http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-191992
Phytomedicine, 0944-7113, 2023, 109

عناروين إضافية: Naturheilkunde, Komplementäre und Integrative Medizin in der medizinischen Ausbildung - Positionspapier aus dem GMA-Ausschuss Integrative Medizin und Perspektivenpluralismus

المصدر: GMS Journal for Medical Education; VOL: 39; DOC16 /20220414/

مستخلص: Background: A large part of the population in Germany makes use of naturopathic, complementary and integrative medical treatments. There are now numerous scientific studies that provide evidence of efficacy for certain indications. At German medical faculties, selected procedures and their application are taught within the cross-sectoral unit called QB 12 and some elective courses, with a focus on specific aspects are offered. So far, however, there has been no structured curriculum that longitudinally anchors teaching across medical studies and enables all students to consider naturopathic and complementary medical options for patient care later on and to integrate them effectively into the diagnostic and treatment process.Objective: The aim of this position paper is to show the relevance of this topic for medical education, to clarify terminology and to present core competencies and possible implementation options for training.Method: The Integrative Medicine and Perspective Pluralism Committee of the German Association for Medical Education developed this position paper in a multi-stage consensual process, in cooperation with the Forum of University Work Groups on Naturopathic Treatment and Complementary Medicine.Results: First, different umbrella terms were discussed and an existing definition of integrative medicine and health was chosen for subsequent use. Building on this step, the status of education and its scientific foundation in Germany was considered in an international context. In the next step, a competency profile for medical training, consisting of seven areas of competency, was developed and described in detail with regard to naturopathic, complementary and integrative medicine. Implementation options were identified using possible starting points in the curriculum and using established examples of best practice.Conclusion: Despite different priorities at each faculty, it was possible to find an agreement on the development of competencies and anch
Hintergrund: Ein großer Anteil der Bevölkerung in Deutschland nimmt naturheilkundliche, komplementär- und integrativmedizinische Therapieverfahren in Anspruch. Mittlerweile existieren zahlreiche wissenschaftliche Studien, die einen Wirksamkeitsnachweis bei bestimmten Indikationen liefern. An deutschen Medizinischen Fakultäten werden ausgewählte Verfahren und deren Anwendung im Rahmen des Querschnittsbereichs 12 gelehrt, an einigen werden Wahlfächer mit eigenen Schwerpunktsetzungen angeboten. Bislang fehlt jedoch ein strukturiertes Curriculum, welches longitudinal die Lehre über das Medizinstudium hinweg verankert und alle Studierende befähigt, naturheilkundliche und komplementärmedizinische Optionen in der späteren Patientenversorgung zu berücksichtigen und wirksam in den Diagnostik- und Therapieprozess einzubinden.Zielsetzung: Ziel dieses Positionspapiers ist, die Relevanz des Themas für die medizinische Ausbildung darzustellen, begriffliche Klarheit zu schaffen sowie Kernkompetenzen und mögliche Implementierungsmöglichkeiten für die Ausbildung vorzustellen.Methode: Der Ausschuss Integrative Medizin und Perspektivenpluralismus der Gesellschaft für Medizinische Ausbildung erarbeitete in Zusammenarbeit mit dem Forum universitärer Arbeitsgruppen Naturheilverfahren und Komplementärmedizin das vorliegende Positionspapier in einem mehrstufigen konsensualen Prozess.Ergebnisse: Zunächst wurden unterschiedliche Oberbegriffe diskutiert und für die weitere Arbeit eine bestehende Definition für Integrative Medizin und Gesundheit ausgewählt. Darauf aufbauend wurde der Stand der Ausbildung und deren wissenschaftliche Fundierung in Deutschland im internationalen Kontext reflektiert. In einem weiteren Schritt wurde ein Kompetenzprofil für die medizinische Ausbildung, bestehend aus sieben Kompetenzbereichen, entwickelt und im Hinblick auf Naturheilverfahren, komplementäre und integrative Medizin detailliert dargestellt. Implementierungsmöglichkeiten wurden anhand möglicher Anknüpfu

مصطلحات الفهرس: medical training, curriculum development, skills, naturopathy, complementary medicine, integrative medicine, evidence-based medicine, health, patient orientation, interprofessional education, Ärztliche Ausbildung, Curriculumsentwicklung, Kompetenzen, Naturheilverfahren, Komplementäre Medizin, Integrative Medizin, Evidenzbasierte Medizin, Gesundheit, Patientenorientierung, Interprofessionelle Ausbildung, ddc: 610, article

URL: http://nbn-resolving.de/urn:nbn:de:0183-zma0015372
http://www.egms.de/en/journals/zma/2022-39/zma001537.shtml
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مصطلحات الفهرس: 11 Medical and Health Sciences, Journal Article

URL: http://hdl.handle.net/10453/173313
European Journal of Integrative Medicine
10.1016/j.eujim.2023.102314

مصطلحات الفهرس: Journal Article

URL: http://hdl.handle.net/10453/172533
J Integr Complement Med
10.1089/jicm.2023.0071

مستخلص: The aim of this conference was to explain the role of integrative and complementary medicine in breast cancer patients. The topics covered are numerous and their peculiarities are the multidisciplinary characteristics of the researchers involved. The Integrative Medicine Research Group (IMRG) believes in the complementary and integrative approach in cancer patients to improve the quality of life in this particular setting.

مصطلحات الفهرس: Breast cancer, Integrative medicine, Microbiota, Nutrition, Patients, Treatment, Female, Humans, Quality of Life, Breast Neoplasms, Complementary Therapies, Integrative Medicine, Settore MED/09 - MEDICINA INTERNA, info:eu-repo/semantics/article

URL: http://hdl.handle.net/10807/201305
info:eu-repo/semantics/altIdentifier/pmid/35179761
volume:26
issue:3
firstpage:947
lastpage:956
numberofpages:10
issueyear:2022
journal:EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES

المصدر: International Research Journal of Ayurveda & Yoga; Vol. 5 No. 6 (2022); 38-43; 2581-785X

مستخلص: India, the cradle of civilization has always been anepicenter of medical pluralism. India gifted the world withsome of the popular health care systems which includes Ayurveda, Yoga and Siddha and disciplines of Unani and Sowa Rigpa (Amchi). These organized systems of health care evolved on this great land to be propagated all across the world. The beauty of medical pluralism is that these systems have so deeply in grained in the Indian culture that even after the wider popularization of western biomedical medicine, a great proportion of Indian population seek health care from these systems of medicine vis a vis biochemical medicine which laid the foundation of integrative medicine in India. In recent years, with the increasing burden of communicable and noncommunicable diseases, health care policy makers have realized that a single system of health care is not sufficient to provide holistic health and cater the health needs of an individual or a community, which changed the focus of health care policy makers to look towards the idea of integrative medicine. In the recent years, due to emergence of Covid-19 pandemic, the global upsurge of utilization of Ayush and Complementary and Alternative interventions for prevention and management of Covid-19 has been registered. Public health agencies in India promoted the use of integrated medical interventions in order to tackle this global health problem when there was no vaccine on the horizon. Patients and physicians worldwide use integrative medicine for the management of Noncommunicable diseases in order to reverse it or stop its progression. It is therefore necessary to understand the term in the larger perspective of health care and its scope in the health care delivery system for better public health

مصطلحات الفهرس: info:eu-repo/semantics/article, info:eu-repo/semantics/publishedVersion

URL: https://irjay.com/index.php/irjay/article/view/Integrative-Medicine-in-JK-Opportunities-and-Challenges
https://irjay.com/index.php/irjay/article/view/Integrative-Medicine-in-JK-Opportunities-and-Challenges/708
https://irjay.com/index.php/irjay/article/view/Integrative-Medicine-in-JK-Opportunities-and-Challenges/708

المصدر: International Research Journal of Ayurveda & Yoga; Vol. 5 No. 6 (2022); 38-43; 2581-785X

مستخلص: India, the cradle of civilization has always been anepicenter of medical pluralism. India gifted the world withsome of the popular health care systems which includes Ayurveda, Yoga and Siddha and disciplines of Unani and Sowa Rigpa (Amchi). These organized systems of health care evolved on this great land to be propagated all across the world. The beauty of medical pluralism is that these systems have so deeply in grained in the Indian culture that even after the wider popularization of western biomedical medicine, a great proportion of Indian population seek health care from these systems of medicine vis a vis biochemical medicine which laid the foundation of integrative medicine in India. In recent years, with the increasing burden of communicable and noncommunicable diseases, health care policy makers have realized that a single system of health care is not sufficient to provide holistic health and cater the health needs of an individual or a community, which changed the focus of health care policy makers to look towards the idea of integrative medicine. In the recent years, due to emergence of Covid-19 pandemic, the global upsurge of utilization of Ayush and Complementary and Alternative interventions for prevention and management of Covid-19 has been registered. Public health agencies in India promoted the use of integrated medical interventions in order to tackle this global health problem when there was no vaccine on the horizon. Patients and physicians worldwide use integrative medicine for the management of Noncommunicable diseases in order to reverse it or stop its progression. It is therefore necessary to understand the term in the larger perspective of health care and its scope in the health care delivery system for better public health

مصطلحات الفهرس: info:eu-repo/semantics/article, info:eu-repo/semantics/publishedVersion

URL: https://irjay.com/index.php/irjay/article/view/Integrative-Medicine-in-JK-Opportunities-and-Challenges
https://irjay.com/index.php/irjay/article/view/Integrative-Medicine-in-JK-Opportunities-and-Challenges/708
https://irjay.com/index.php/irjay/article/view/Integrative-Medicine-in-JK-Opportunities-and-Challenges/708

المؤلفون: Nguyen, Sarah A

المصدر: Current psychiatry reports; vol 24, iss 9, 469-480; 1523-3812

مستخلص: Purpose of reviewIntegrative medicine is the practice of combining conventional medical treatments with "alternative" or "complementary" therapies. Integrative psychiatry is a holistic, person-centered approach to neuropsychiatric disorders that emphasizes a person's physical, emotional, interpersonal, behavioral, nutritional, environmental, and spiritual dimensions to achieve well-being. Older adults are more prone to physical injury, interpersonal loss, chronic illnesses, and physical and cognitive decline that can manifest as anxiety, depression, with functional decline and inability to care for self. Additionally, stress of caring for older adults with dementia can adversely affect caregivers' health. Although integrative approaches are perceived as safer and less stigmatizing, it is important to understand the risks and benefits of such therapies for older adults with neurocognitive disorders and their caregivers.Recent findingsHere, we summarize the results of the recent clinical trials and meta-analyses that provide evidence for integrative approaches to treating older adults with cognitive disorders and their caregivers which include the use of diet and supplements, and mind-body therapies. Dietary and mind-body therapies have become increasingly popular and show the strongest evidence of effectiveness for cognitive disorders and caregiver stress. Vitamins and supplements are the most popular integrative intervention, but there is mixed evidence supporting their use and the concern for herb (supplement)-drug interactions. While there is increasing popularity of integrative treatments, information to guide clinicians providing care for older adults remains limited, with variable scientific rigor of the available RCTs for a large number of commonly used integrative interventions particularly for cognitive disorders and caregiver stress and well-being.

مصطلحات الفهرس: Humans, Complementary Therapies, Anxiety, Aged, Caregivers, Integrative Medicine, Neurocognitive Disorders, Alzheimer’s, Cognition, Complementary, Alternative, Integrative medicine, Dementia, Clinical Research, Mental Health, Basic Behavioral and Social Science, Mind and Body, Depression, Brain Disorders, Complementary and Integrative Health, Nutrition, Clinical Trials and Supportive Activities, Behavioral and Social Science, Acquired Cognitive Impairment, Prevention, Aging, Neurosciences, Mental health, Generic health relevance, Good Health and Well Being, Alzheimer's, Clinical Sciences, Psychology, Psychiatry, article

URL: https://escholarship.org/uc/item/5882k6bc
https://escholarship.org/

مستخلص: BackgroundComplementary and Integrative Medicine (CIM) is often taken up by individuals seeking relief from different diseases. This study investigates the prevalence and associated factors of CIM use in patients with COVID-19.MethodsIn this telephone-based, cross-sectional study, data on CIM usage were collected from COVID-19 patients from February till June 2020 in Fars province, Iran using a researcher-made checklist. Additionally, we asked about the patients’ attitudes toward these treatments.ResultsOut of 453 patients diagnosed with COVID-19, 400 (88.30%) responded to our calls and agreed to participate in the study. Among them, 276 patients reported using CIM to treat COVID-19 [prevalence: 69% (95% CI: 64.2 to 73.5)]. The most frequently used herbal medicine among COVID-19 patients was ginger (n = 273, 98.9%), thyme (n = 263, 95.3%), and black cumin (n = 205, 74.3%). Most of these patients were recommended to use herbal medicine by their families and friends (n = 96, 34.8%). Univariable logistic regression revealed that age under 50 years old, residency in urban areas (including the capital of the province and small cities), employment, academic education, and being an outpatient were statistically significant factors resulting in CIM usage. Multivariable logistic regression revealed that CIM use among outpatients was 3.65 times more than among inpatients. In addition, patients under 50 years old used CIM 85% more than older patients. Ultimately, only 9 (3.3%) patients consulted with their doctors regarding these medications. No side effects due to CIM use were reported.ConclusionMany patients with COVID-19 used CIM, but few consulted with their physicians in this regard. Therefore, physicians should ask their patients about CIM usage, and patients should also report their use of CIM therapies during their medical visits. Furthermore, age and hospitalization status affected CIM use among patients with COVID-19.

مصطلحات الفهرس: 1104 Complementary and Alternative Medicine, Journal Article

URL: http://hdl.handle.net/10453/169657
BMC Complement Med Ther
10.1186/s12906-022-03722-x