MedWorm: Complementary Medicine

Early Research Into The Role Of Vitamin D Suggests It May Ease Symptoms Of MS

Complementary Medicine / Alternative Medicine News From Medical News Today — Thu, 19 Nov 2009 10:00:00 +0100

Australian researchers have presented findings at a national scientific conference for medical research in Hobart, Australia that suggests vitamin D may play a role in preventing relapses in people with multiple sclerosis (MS). The research, which is yet to be published in a peer-reviewed scientific journal, may form the basis of a larger clinical trial that would take several years to complete. (Source: Complementary Medicine / Alternative Medicine News From Medical News Today)

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Why Consumers Turn To Alternative Medicine

Complementary Medicine / Alternative Medicine News From Medical News Today — Thu, 19 Nov 2009 08:00:00 +0100

Alternative health remedies are increasingly important in the health care marketplace. A new study in the Journal of Consumer Research explores how consumers choose among the many available remedies. "Examples of the wide array of health remedy options available to consumers include drugs, supplements, acupuncture, massage therapy, Ayurveda, and Traditional Chinese Medicine (to name a few). (Source: Complementary Medicine / Alternative Medicine News From Medical News Today)

Inhibition of NMDA receptors underlies the neuroprotective effect of ginsenoside Rb3.

The American Journal of Chinese Medicine — Wed, 18 Nov 2009 23:20:03 +0100

Authors: Peng LL, Shen HM, Jiang ZL, Li X, Wang GH, Zhang YF, Ke KF In order to investigate the mechanisms underlying the neuroprotective effect of ginsenoside Rb3, rat hippocampal neurons were primarily cultured, and exposed to 1 mM N-methyl-D-aspartate (NMDA), cell viability and lactate dehydrogenase leakage were measured. Ca2+ influx was determined by calcium imaging with a laser confocal microscopy. The influences of ginsenoside Rb3 on these variables were examined. Patch-clamp technique was used to observe the effects of ginsenoside Rb3 on NMDA-evoked current. The results show that treatment of Rb3 raised the neuronal viability, reduced the leakage of lactate dehydrogenase, and inhibited NMDA-elicited Ca2+ influx in a dose-dependent manner. In the presence of Rb3, NMDA-evoked peak...

Research Symposium Will Explore the Science of CAM

NCCAM Featured Content — Wed, 18 Nov 2009 18:44:18 +0100

The National Center for Complementary and Alternative Medicine (NCCAM) will celebrate a decade of rigorous research with NCCAM's 10th Anniversary Research Symposium: Exploring the Science of Complementary and Alternative Medicine. Speakers will discuss topics including natural products, mind-body medicine, and the intersection of behavioral science and integrative medicine. People have used some CAM therapies since ancient times and often with little scientific evidence. (Source: NCCAM Featured Content)

Acupuncture for Treatment of Insomnia: A Systematic Review of Randomized Controlled Trials

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:59:47 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1171-1186. (Source: The Journal of Alternative and Complementary Medicine)

Increased Theta and Alpha EEG Activity During Nondirective Meditation

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:59:36 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1187-1192. (Source: The Journal of Alternative and Complementary Medicine)

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Effects of Scalp Acupuncture Versus Upper and Lower Limb Acupuncture on Signal Activation of Blood Oxygen Level Dependent (BOLD) fMRI of the Brain and Somatosensory Cortex

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:59:32 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1193-1200. (Source: The Journal of Alternative and Complementary Medicine)

Garlic Extract as a Novel Addition to Antikeloid Armamentarium: An Untested Hypothesis

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:59:28 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1153-1154. (Source: The Journal of Alternative and Complementary Medicine)

A Clinical Trial of the Traditional Medicine Vernonia amygdalina in the Treatment of Uncomplicated Malaria

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:59:25 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1231-1237. (Source: The Journal of Alternative and Complementary Medicine)

Falling Trees, Fractals, and Sophistry: Some Philosophical “Biohazards” En Route to Reconciling Biomedicine and Homeopathy

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:59:09 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1247-1254. (Source: The Journal of Alternative and Complementary Medicine)

Acupuncture Anesthesia for Complicated Dental Extractions in Patients with Lidocaine Allergy

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:59:06 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1149-1152. (Source: The Journal of Alternative and Complementary Medicine)

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Efficacy of Cranberry Capsules in Prevention of Urinary Tract Infections in Postmenopausal Women

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:59:01 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1155-1155. (Source: The Journal of Alternative and Complementary Medicine)

The Truth, the Whole Truth and Nothing But The Truth? A Call for Scientific Rigor

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:58:50 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1147-1148. (Source: The Journal of Alternative and Complementary Medicine)

Therapeutic History of Parkinson's Disease in Chinese Medical Treatises

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:58:34 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1223-1230. (Source: The Journal of Alternative and Complementary Medicine)

Effect of Acupuncture on Induction of Labor

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:58:10 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1209-1214. (Source: The Journal of Alternative and Complementary Medicine)

A Systematic Review of the Therapeutic Effects of Reiki

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:57:59 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1157-1169. (Source: The Journal of Alternative and Complementary Medicine)

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Cross-Cultural Comparison of Visitors to CAM Practitioners in the United States and Norway

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:57:56 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1201-1207. (Source: The Journal of Alternative and Complementary Medicine)

Indigenous Drugs in Ischemic Heart Disease in Patients with Diabetes

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:57:52 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1215-1221. (Source: The Journal of Alternative and Complementary Medicine)

Iatrogenic Bullae Following Cupping Therapy

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:57:37 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1243-1245. (Source: The Journal of Alternative and Complementary Medicine)

The Efficacy of a Topical Gel Prepared Using Lake Urmia Mud in Patients with Knee Osteoarthritis

The Journal of Alternative and Complementary Medicine — Wed, 18 Nov 2009 16:57:22 +0100

The Journal of Alternative and Complementary Medicine Nov 2009, Vol. 15, No. 11: 1239-1242. (Source: The Journal of Alternative and Complementary Medicine)

Complementary and Alternative Medicine: Focus on Research and Care November 2009

NCCAM Featured Content — Wed, 18 Nov 2009 14:59:08 +0100

Urinary Tract Conditions: Examining the Evidence on Cranberry and Saw PalmettoPatients with urinary tract infections often ask health care providers about using complementary and alternative medicine to relieve symptoms or prevent recurrences.Also Featuring: NCCAM's 1st Decade of Discovery and Achievement; An Interview With Wendy Weber, N.D., Ph.D., M.P.H.; North American Research Conference on CAM/Integrative Medicine; New Survey Details Americans' Spending on CAM; and other storiesTake our Reader Survey at http://nccam.nih.gov/news/newsletter/survey.html?nav=rss (Source: NCCAM Featured Content)

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A descriptive report of management strategies used by chiropractors, as reviewed by a single independent chiropractic consultant in the Australian workers compensation system.

Chiropractic & Osteopathy — Wed, 18 Nov 2009 00:00:00 +0100

Conclusion: It is essential chiropractic practitioners perform reasonably necessary treatment to reduce dependency on passive treatment, increase compliance to active care programs and reduce the progression to chronic pain states. It is recommended that common findings be integrated into further research to expedite and refine the management of patients with an occupational injury. (Source: Chiropractic & Osteopathy)

Preventing the Common Cold

ChiroACCESS: Tools for Better Patient Care — Tue, 17 Nov 2009 00:00:00 +0100

Cold prevention research was the emphasis of several studies in 2009. This work included both new clinical trials and additional reviews of past literature. The status of Vitamin C remains the same. It may decrease the duration of common colds but the evidence does not support a role in prevention. (Source: ChiroACCESS: Tools for Better Patient Care)

The Attitude of Orthopedic Surgeons toward Chiropractors

ChiroACCESS: Tools for Better Patient Care — Tue, 17 Nov 2009 00:00:00 +0100

Several surveys of the medical community suggest that collegial interaction and education of other health providers can translate into an effective means of ethically building your practice. The results of a survey of orthopedic surgeons, published and released today by Spine, indicate that opinions about chiropractic vary significantly. (Source: ChiroACCESS: Tools for Better Patient Care)

The Nordic back pain subpopulation program - individual patterns of low back pain established by means of text messaging: a longitudinal pilot study

Chiropractic & Osteopathy — Tue, 17 Nov 2009 00:00:00 +0100

Conclusions: Patients with nonspecific LBP were shown to have a number of different course-patterns. The next step is to explore whether the identified patterns relate to different LBP diagnoses. (Source: Chiropractic & Osteopathy)

Commercial activities and subsistence utilization of mangrove forests around the Wouri estuary and the Douala-Edea reserve (Cameroon)

Journal of Ethnobiology and Ethnomedicine — Tue, 17 Nov 2009 00:00:00 +0100

Conclusions: Our findings revealed that big logs of Rhizophora were commonly sold by the loggers. A majority of loggers (60 %) reported that mangrove marketed wood constitute a principal source of income. Most of the villagers (85.83 %) often depend on mangroves for subsistence needs and for them there is no substitute for mangrove wood. Therefore, more efforts should be undertaken at the national level to implement conservation, management and sustainable use of these coastal forests. (Source: Journal of Ethnobiology and Ethnomedicine)

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Bee products prevent VEGF-induced angiogenesis in human umbilical vein endothelial cells

BMC Complementary and Alternative Medicine — Tue, 17 Nov 2009 00:00:00 +0100

Conclusions: Among the bee products, Chinese red propolis and CAPE in particular showed strong suppressive effects against VEGF-induced angiogenesis. These findings indicate that Chinese red propolis and CAPE may have potential as preventive and therapeutic agents against angiogenesis-related human diseases. (Source: BMC Complementary and Alternative Medicine)

UK Doctors to earn bonuses linked to up-take of swine flu jabs

Alliance for Natural Health — Mon, 16 Nov 2009 17:47:38 +0100

ANH looks at the US & UK H1N1 vaccine program (Source: Alliance for Natural Health)

Pai You Guo, Marketed as Dietary Supplement, Recalled

NCCAM Featured Content — Mon, 16 Nov 2009 17:19:17 +0100

GMP Herbal Products and FDA notified consumers and healthcare professionals of a recall of Pai You Guo, a weight loss dietary supplement, due to the presence of undeclared drug ingredients. FDA lab analyses of dietary supplements were found to contain undeclared sibutramine, an FDA-approved drug used as an appetite suppressant for weight loss; and phenolphthalein, a solution used in chemical experiments and a suspected cancer-causing agent that is not approved for marketing in the United States. The FDA has not approved the Pai You Guo products as a drug; therefore the safety and effectiveness of this product is unknown. The product is sold either in a box of 30 capsules or a bag of 10 g powder. The affected products were sold and distributed nationwide via the internet. (Source: NCCAM Fea...

IDS Sports Voluntary Nationwide Recall of Products

NCCAM Featured Content — Mon, 16 Nov 2009 17:18:18 +0100

IDS Sports announced today that it is conducting a voluntary nationwide recall of five of the companys dietary supplement products sold under the following names: Bromodrol, Dual Action Grow Tabs, Grow Tabs, Mass Tabs, and Ripped Tabs TR. (Source: NCCAM Featured Content)

Heart And Bone Damage From Low Vitamin D Tied To Declines In Sex Hormones

Complementary Medicine / Alternative Medicine News From Medical News Today — Mon, 16 Nov 2009 10:00:00 +0100

Researchers at Johns Hopkins are reporting what is believed to be the first conclusive evidence in men that the long-term ill effects of vitamin D deficiency are amplified by lower levels of the key sex hormone estrogen, but not testosterone. In a national study in 1010 men, to be presented Nov. (Source: Complementary Medicine / Alternative Medicine News From Medical News Today)

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Interleukin-6 and Cyclooxygenase-2 downregulation by fatty-acid fractions of Ranunculus constantinopolitanus

BMC Complementary and Alternative Medicine — Mon, 16 Nov 2009 00:00:00 +0100

Conclusions: Our studies demonstrate the existence of potential anti-inflammatory bioactivities in R. constantinopolitanus and attribute them to a FA mix in this plant. (Source: BMC Complementary and Alternative Medicine)

Mutagenicity of Chinese traditional medicine Semen Armeniacae amarum by two modified Ames tests

BMC Complementary and Alternative Medicine — Sun, 15 Nov 2009 00:00:00 +0100

Conclusion: The standard Ames test was not suitable for evaluating the mutagenicity of SAA, because false-positive result could be resulted by the histidine content in SAA. However, the two modified Ames tests were suitable, because the experimental results proved that the effect of histidine in SAA and therefore the false-positive result were effectively excluded in these two modified Ames tests. This conclusion needs more experimental data to support in the future. Moreover, the experimental results illustrated that SAA had no mutagenicity in vitro and in vivo. This was in agreement with the clinical safety of SAA long-term used in China. (Source: BMC Complementary and Alternative Medicine)

Continuing Professional Development Activity

International Journal of Osteopathic Medicine — Sat, 14 Nov 2009 13:56:17 +0100

(Source: International Journal of Osteopathic Medicine)

NICE clinical guidelines. Low back pain: The early management of persistent non-specific back pain

International Journal of Osteopathic Medicine — Sat, 14 Nov 2009 13:56:14 +0100

In May 2009 the National Institute for Health and Clinical Excellence (NICE) published a guideline to improve the early management of low back pain. NICE clinical guidelines recommend the care that is suitable for most patients with an identified condition in the National Health Service (NHS) for England and Wales. The development of the guideline involved assessing the clinical and cost effectiveness of treatments and management strategies for non-specific low back pain of between 6 weeks and 12 months duration. They are based on the best available research evidence and expert consensus. The back pain guidelines are good news for patients and practitioners alike. They offer guidance on treatments that have been shown to be effective and a common pathway for care that will allow consistent...

Editorial Board

International Journal of Osteopathic Medicine — Sat, 14 Nov 2009 13:56:14 +0100

(Source: International Journal of Osteopathic Medicine)

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Illegal GM flax seed found in Marks & Spencer bread

Alliance for Natural Health — Fri, 13 Nov 2009 19:16:08 +0100

UK FSA accused of failing to protect consumers from GM contaminated food (Source: Alliance for Natural Health)

Guide for Authors

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:54 +0100

(Source: European Journal of Integrative Medicine)

Author Index

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:54 +0100

(Source: European Journal of Integrative Medicine)

The NADA-Protokoll-standardised groupacupunture for improvement of metal state in patients with different psychiatric diseases

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:54 +0100

Acupuncture provided for a single person is time- and cost consuming and there is less experience with acupuncture in psychiatric diseases because of the common opinion that acupuncture is not useful in acute crisis or severe phases of psychiatric diseases.In the 1970 a standardized earacupunture (NADA-Protocol) for treatment of drug addiction provided for a group setting of patients was developed and showed positive clinical effects: relief of agitation and disturbance of sleep, reduction of stress and relaxing effect for patients with different mental problems. The method is used in a group setting on dressed patients without need of any detailed diagnostic steps. Therefore it is very time- and cost effective and works also well on severe sick patients.The goal of the study was to invest...

Uncontrolled therapeutic observations in complementary medicine—What is the benefit?

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:54 +0100

Discussion: Vandenbroucke suggested differentiating between two hierarchies of study design: one for intended effects of therapy (cf., 〈http://www.cebm.net/index.aspx?o=1025〉) and another one for discovery and studying new explanations. In the latter hierarchy, the traditional ranking of the levels of evidence is reversed: uncontrolled interventions administered in the context of clinical practice (as well as findings in patient or laboratory data and in the literature) are given the greatest importance because they may serve as catalysts for follow-up research (using the traditional hierarchy), which in turn might lead to new knowledge regarding diagnosis, therapy, and/or prevention. This double strategy may open another door towards the concept of integrative medicine. (Source: Europ...

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Health training—A health coaching developments with integrative medicine

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:54 +0100

Far-reaching changes, developments and trends can currently be witnessed in the fields of health counselling and health training. New and innovative counselling/training forms come more and more into the limelight and try to establish themselves, besides well-known and proven professions such as nutrition, exercising, relaxation, etc., as new professions in the service sector. Coaching belongs to those counselling models which are currently most under discussion. It is marked by a highly ambilvalent reputation: on the one hand, it is very successful in practice as a sound panacea that promises, to people who are afflicted with crises, rapid and professional help for self-help. On the other hand, it is looked upon rather sceptically since the term has not been defined so far; coaching has n...

Antiviral activity of a composition of Gentiana lutea L., Primula veris L., Sambucus nigra L., Rumex spec. and Verbena officinalis L. (Sinupret®) against viruses causing respiratory infections

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:54 +0100

Sinupret®, an aqueous-ethanolic extract from five plants, Gentiana lutea L., Primula veris L., Sambucus nigra L., Rumex spec. and Verbena officinalis L., is frequently used in the treatment of acute and chronic rhinosinusitis and respiratory viral infections such as common cold. To date little is known about basic mechanisms of its potential antiviral activity. Therefore experiments have been performed for the detection of its antiviral activity against a broad panel of human pathogenic enveloped and non-enveloped RNA and DNA viruses causing infections of the upper respiratory tract: influenza A virus, parainfluenza virus, human rhinovirus B, coxsackievirus, adenovirus C, and respiratory syncytial virus.Determination of virus production was performed after treatment of the infected cells ...

Dissimilarities in reception and development of TCM in Germany and the USA

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:54 +0100

Chinese Medicine has been labeled traditional in its external communication since the 1950s. It is widely thought of as a coherent, orthodox medical system that has been handed down to us in pristine and unaltered teachings. However, as Chinese Medicine is going global it is unlike orthodox teachings simultaneously adapting swiftly to local patterns of perception and interpretation, thereby being shaped into hitherto unknown forms. The globalization of Chinese Medicine produces multiple localized visions of a healing system that is permeable to external ideas and influences and very open to individual interpretations.In Germany biomedical patterns of perception and adaptation and a tendency to physiologize prevail among patients and Chinese Medical therapists whereas in the US the psycholo...

Cost-effectiveness of Breech Version by Acumoxa for women with a breech fetus at 33 weeks gestation: A modelling approach

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:50 +0100

Conclusions: Our results suggest that offering Acumoxa to women with a breech foetus at 33 weeks gestation reduces the number of breech presentations at term, thus reducing the number of caesarean sections, and is cost-effective compared with expectant management including associated events as External Cephalic Version. (Source: European Journal of Integrative Medicine)

Health-related quality of life in patients with musculoskeletal complaints in a general acupuncture practice: An observational study

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:50 +0100

Question: Aim of this study was to (i) compare the HRQoL of patients undergoing routine acupuncture treatment for musculoskeletal complaints with a Dutch population sample and (ii) to investigate changes in HRQoL during the course of acupuncture treatment.Methods: We performed an observational study of 26 patients between 18 and 65 years of age in a single acupuncture practice. HRQoL was measured on eight functional domains using a RAND-36 health survey at baseline and after six and twelve treatment sessions. Baseline RAND-36 scores were compared with data from a Dutch population sample (n=1063) using t-test, and longitudinal data were analyzed using repeated measurement analyses.Results: At baseline, patients had significantly lower RAND-36 scores compared with the Dutch population sample...

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Water temperature affects heart rate and core body temperature during whole body immersion

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:50 +0100

Conclusion: WI with a water temperature of 39°C increased heart rate and core body temperature and decreased HRV. Hence, WI at this temperature induces moderate cardiovascular stress and moderate hyperthermia. Spectral components of HRV and more specific analysis of temperature regulation may reveal more subtle changes during WI at different water temperatures. (Source: European Journal of Integrative Medicine)

Impact of eurythmy therapy on stress coping strategies and health-related quality of life

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:50 +0100

Background: Eurythmy therapy (EYT, Greek: eurythmy=harmonious rhythm) is a mind–body therapy derived from anthroposophic medicine. EYT is an approach that allows patients to participate actively in the process of achieving balance and good health and can lead to long-term alleviation of chronic disease symptoms. However, there is a discrepancy between the prevalence of EYT use and its empirical data base regarding efficacy.The aim of this study was to investigate the impact of EYT on stress coping strategies (SCS) and health-related quality of life (hrQoL) in a controlled study with moderately stressed subjects (N=74).Participants/method: In total 55 healthy adults (age=42.2±8.2) performed 10h of EYT over 6 weeks in a group setting. Controls did not receive any intervention (n=19; age=4...

A gait analysis pilot study of back pain patients before and after a multimodal pain therapy

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:49 +0100

Conclusion: The analysis of gait parameters confirms changes in gait patterns and indicates an increase in symmetrical gait and lower stride-to-stride variability as a result of the multimodal integrative pain therapy. (Source: European Journal of Integrative Medicine)

Water drinking cure for alleviating menopausal complaints—A randomised controlled trial

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:49 +0100

Question: To investigate the efficacy of drinking St. Leonhard's Water in comparison to tap water on menopausal symptoms. St. Leonhard's Water is low mineralized water from a natural fountain in the German prealp region, which claims to be beneficial in menopausal complaints.Methods: We conducted a double-blinded, randomised controlled clinical trial in 60 out-patients with a minimum score of 15 on Menopause Rating Scale II (MRS II). Patients were randomised to either drinking 2L daily of St. Leonhard's Water (verum) or 2L of tap water (control) from identical looking bottles.Main outcome parameter was the group difference of MRS II changes after 12 weeks of intervention. MRS II was evaluated every 3 weeks during intervention and at follow-up after 9 months. Secondary outcomes include the ...

Case conference on integrative medicine—Results of an experiment and future perspectives of a new interdisciplinary approach

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:49 +0100

Conclusion: The Case Conference on Integrative Medicine should serve as a model for testing similar activities in academic hospitals and establishing such approaches in routine care. This integrative strategy has the potential to improve patient care in medicine. (Source: European Journal of Integrative Medicine)

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The Dutch complementary and alternative medicine (CAM) protocol

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:49 +0100

Conclusion: In this presentation the prejudices are negated and the CAM protocol is presented. (Source: European Journal of Integrative Medicine)

Treatment of severe insulin-resistance with a 2-day oat-diet in clinical routine

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:49 +0100

Introduction: The estimated prevalence of Diabetes Type 2 (T2D) in Europe is 8% with increasing tendency. Key feature of T2D is the insulin resistance (IR) which is accompanied amongst others by raised inflammation markers and increased risk for cardiovascular diseases and sleep apnoea. In Diabetes therapy, oat diet is being used since decades. Recently there has been a publication of data concerning the treatment of severe IR with oatmeal. The goal of this study is to verify feasibility within clinical routine.Methods: Retrospective assessment of data of 30 patients (13f, 17m, age 62.1, SD 15.9) with a daily insulin dose (DID) of 134 IU (SD 48.9) and HbA1c of 10.2% (SD 2.0) having been treated with a 2-day diet of 3×3 carbohydrate units of oatmeal. Mean blood glucose (MBG) and DID was me...

Speech therapy changes blood circulation and oxygenation in the brain and muscle

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:49 +0100

Introduction: Anthroposophic speech therapy (ATS) affects heart rate variability . The aim of this pilot study was to investigate whether ATS also affects important physiological parameters, i.e. hemodynamics and tissue oxygenation in the brain and skeletal muscle of the leg measured by near infrared spectrophotometry (NIRS).Material and methods: Seven subjects (professional speech therapists, 3 male, 4 female, age range 29–49 years) were measured during ATS. The measurement included 10min pre-baseline before reciting, 10min reciting a hexameter followed by 10min post-baseline. An ISS OxiplexTS NIRS instrument non-invasively measured oxy-, deoxy- and total hemoglobin (O2Hb, HHb, tHb) and tissue oxygen saturation (StO2). The last 5min of pre-baseline were compared with hexameter recitatio...

Influence of Traumeel on cultured chondrocytes and recombinant human matrix metalloproteinases: Implications for chronic joint diseases

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:49 +0100

Conclusion: Our data suggest that Traumeel offers a potential therapeutic option for chronic joint diseases which needs to be further investigated. (Source: European Journal of Integrative Medicine)

A systematic review of remedies and indications of the use of homeopathic Hypericum perforatum (St. John's Wort) in dental practice

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:49 +0100

Discussion: Although the identified case reports suggest a high therapeutic potential of Hypericum for neuropathic pain, this effect up to now was not proven in clinical studies. Based on our results, studies on Hypericum in dental care going beyond the indication of post-extraction pain are highly encouraged. (Source: European Journal of Integrative Medicine)

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Attitudes towards remedies of Complementary Medicine of pharmacy customers and pharmacists

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:49 +0100

Discussion: The area of CAM will gain in importance in official pharmacies. Therefore reliable sources of information are necessary for the pharmacist to satisfy the increasing demand on CAM. As a consequence a cross-sectional area of education in complementary medicine should be part of curriculum in pharmaceutical studies. Additionally, independent and certified continuous pharmaceutical education programs for CAM should be developed. (Source: European Journal of Integrative Medicine)

Effectiveness and tolerability of Lymphomyosot N solution for injection in treating oedemas and swellings of thrombotic or inflammatory aetiology in general clinical practice

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:48 +0100

Conclusions: The results will show whether Lymphomyosot N can be considered an effective and well-tolerated treatment of oedemas and swellings of thrombotic or inflammatory aetiology under conditions of everyday clinical practice. (Source: European Journal of Integrative Medicine)

Strategies for increasing spontaneous Adverse Drug Reaction reporting rates among Portuguese pharmacists

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:48 +0100

Conclusions: Educational interventions are efficient in increasing the ADR spontaneous reporting rate, among Portuguese pharmacists. Among this professional group, workshops are as efficient as telephone interview to improve ADR spontaneous reporting. (Source: European Journal of Integrative Medicine)

Stiff-Man-Syndrome: Association of an autoimmune-encephalomyelitis with endocrinopathies and organ-specific antibodies

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:48 +0100

Stiff-Man-Syndrome (SMS) is a complex neuroimmunological disease of the Central Nervous System (CNS) with endocrinological, motoric, vegetative symptoms and is associated with autoantibodies to glutamate decarboxylase (GAD). SMS and its variants, stiff limb syndrome (SLS) and progressive encephalomyelitis with rigidity and myoclonus (PERM), appear to occur more frequently than hitherto thought. The cause of SMS is unknown.In a retrospective assessment of 92 patients (1989–2005) we investigated the correlation between SMS/SLS/PERM, associated autoimmune disorders, organ-specific antibodies and immungenetic HLA-association to find out the immunological differences between SMS, its variants and GAD-Ab positive- and negative patients. In total 54 of 92 patients with SMS and its variants were...

Hospital-to-home®-mobility supported postoperative care management for surgical wards

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:48 +0100

Background: To reduce costs in the inpatient sector, hospitals are tending towards reducing the duration of hospitalisation. With respect to demand- and resource-based inpatient admissions and bed-occupancy planning, patient management systems have proven their value and are established on surgical wards. Nevertheless, as the final link in the process chain, patient-centred inpatient discharge procedures are not without problems. In many cases, in the absence of provision for competent aftercare in the patient's home, the situation becomes a crisis-management scenario, particularly for post-operative surgery patients.Methods: Solutions to this area of potential conflict have been developed by hospital-to-home® mobile health services. These prototypical solutions were monitored and evaluat...

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Immune messengers in Neuralgia Inducing Cavitational Osteonecrosis (NICO) and systemic disease

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:48 +0100

Question: In the practice of the author astounding improvements of systemic complaints which accompanied apparently rheumatic, neuralgic and other chronically inflammatory systemic diseases are consistently observed after cleaning pain-free edentulous areas of the jaw. These are marked by fatty-degenerative osteonecrosis of the cancellous bone (NICO). Where is the connection between the local surgery of the jaw bone and the systemic results?Methods of research: In order to clarify systemic interrelations of NICO, samples of cancellous bone have been extracted from six subjects. The specimens were then analyzed by bead-based multiplex technology and tested for 27 immune messengers.Results: All six specimens concordantly showed highest concentration for IL 1-ra (Interleukin-1-receptor antago...

Integrative medicine—Answer for burn out patients

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:48 +0100

Introduction: The burnout syndrome is a highly complex constellation with emotional, mental, somatic and social deficits. A psychosomatically oriented module has been developed with the integrative medicine approach.Methodology and conclusions: In total 60 patients (36 female, 52±8.5J; 24 male, 49±5.8J.) were treated with the above therapeutical concept. Pre- and post-treatment situations were assessed on the basis of the stress management questionnaire, the Maslach inventory and a concept appraisal, which was developed specifically for this purpose. It was possible to show in a significant way that stress management and the degree of the burnout risk constellation were improved. According to the treated patients’ evaluation, the concept builds up synergistically and is profound. (Sour...

Classifying the questionnaire on self-reported autonomic regulation (aR)

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:47 +0100

Conclusion: The aR scale is a reliable questionnaire indicating probable loss of regulation below 34, suspected loss of aR from 39, unclear loss or lightly low constitutional aR from 40 to 47 and no constriction above 47. The possible qualitative differences between low constitutional aR and loss of aR demand further research. (Source: European Journal of Integrative Medicine)

Structure of S-3 medical guidelines—Implications for CAM researchers

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:47 +0100

Medical guidelines are intended to guide decisions and criteria regarding diagnosis, management, and treatment. Strategy is to review, summarize and evaluate the best evidence and most current data on prevention, diagnosis, prognosis and therapy. Then the most important questions related to clinical practice are defined and all possible decision options and their outcomes are identified. There are currently about 800 German guidelines available, classified into 3 levels. Only 50 of them are of the highest, the so-called S-3 level, incorporating expert opinion on the basis of current evidence within the paradigm of evidence-based medicine.To date, Complementary and Alternative Medicine (CAM) is not yet a well integrated part of existing medical guidelines. However, responding to patient req...

Biophoton emission in high-potency research on wheat seeds models

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:45 +0100

Conclusion: The results back the hypothesis, that the effects of homeopathic agents on biological systems may be recognized in very early stages by biophoton coherence measurings. The observations of the present data showed similarities with the growth length experiments, which had been done in the same time period. The wheat seed model which showed some fluctuations, has to be refined, and might thus be an interesting model for studying coherence interactions in relation to homeopathic agents. Further research is required to make the model more stable, to define his boundaries and to increase the amount of data. (Source: European Journal of Integrative Medicine)

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Proposal for a comparison of relative differences in fundamental botanical homoeopathy research

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:45 +0100

Question: To standardise a statistical approach to comparing relative differences in homoeopathy research.Background: Betti et al. (1997) and Brizzi et al. (2005) reported a stimulation of the longitudinal growth of wheat stalks through treatment of the seeds with high potencies of arsenic. On replicating the experiment however, Binder et al. (2005) found a significant decrease in longitudinal growth. Hamann et al. (2003) described biphasic effects of seed germination under high dilutions of gibberellic acid.Several independent researchers working at the Interuniversity College found significantly reduced longitudinal growth of wheat stalks in groups treated with gibberellic acid 30× (stepwise diluted and succussed, 10e–30: G 30×) as compared with groups treated with water 30× (W 30×...

Inter-rater reliability in homoeopathic repertorisation and remedy selection

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:45 +0100

Conclusion: The experimental design presented here should be further investigated by experienced homeopaths. (Source: European Journal of Integrative Medicine)

Peoples integrated alliance: Supplementing Bangladeshi traditional medical practice with western technologies

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:44 +0100

Bangladesh is a country in South Asia. It is bordered by India on all sides except for a small border with Myanmar to the far southeast and by the Bay of Bengal to the south. Traditional medical system is part of every society. It reveals the concept of health and illness which is unique to that particular society and behavioral dimensions of the illness and health. Despite massive technological developments throughout South Asia, most medical technologies bypass the Bangladeshi nomadic population who continue to experience high levels of poor health, infant mortality and lack of access to basic health care and education. Living at high altitudes, remote from towns and villages, Bangladeshi herders and farmers maintain the traditions and cultures that have existed for thousands of years. P...

Clinical research in CAM: Promoting dialogue between promoters and evaluators

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:44 +0100

Since 2005 the Emilia Romagna Region (Italy) adopted the policy of introducing traditional/non-conventional treatments the Regional Health Service after a strict evaluation of their safety and effectiveness. In order to introduce and evaluate those treatments in a western ethno-cultural context, a strategy including a plurality of research designs is required. Increasingly often, the local Ethical Committees (ECs) had to consider and evaluate research designs and protocols on complex procedures with long-standing practice but scarce biological foundations. Intense discussion and dialogue between researchers and the ECs was and is still needed in order to develop shared knowledge and reciprocal understanding. In particular, the central role of pragmatic trials and qualitative research in CA...

Treatment of pollen allergy with high-potency homeopathy C 50,000 (HP50) and voice frequency analysis (VFA) as controlling method—Controlled trial practice with 15 patients

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:44 +0100

Discussion: The study suggests, that HP50, which in addition to SIT concerns the patient's individual emotional and functional responses and thereby the entire internal and external milieu of the organism, stabilizes pollen allergy patients on a long-term basis. The individualized emotional–functional diagnosis by VFA is an appropriate tool to monitor this finding. The additional attention to individual emotional and functional responses – in the sense of an integrated medicine – can to be of great importance for success in the treatment of pollen allergy patients. (Source: European Journal of Integrative Medicine)

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Treatment of pollen allergy with Multi-Integrative Kinesiology Activity (MIKA) and voice frequency analysis (VFA) as controlling method—Controlled trial practice with 26 patients

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:44 +0100

Discussion: The study suggests, that MIKA, which in addition to SIT concerns the patient's individual emotional and functional responses and thereby the entire internal and external milieu of the organism, stabilizes pollen allergy patients on a long-term basis. The individualized emotional–functional diagnosis by VFA is an appropriate tool to monitor this finding. The additional attention to individual emotional and functional responses – in the sense of an integrated medicine – can to be of great importance for success in the treatment of pollen allergy patients. (Source: European Journal of Integrative Medicine)

Teaching TCIM as part of the integrative curriculum in medical school

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:44 +0100

Conclusions: The elective in TCIM increased the motivation of students to continue to study and receive teaching in this field. The course was evaluated by the majority of students as good or very good. Negative comments included the lack of structure to the seminars and the final examination.Take-home messages: A good understanding can be achieved, as well as increased motivation of students in the field of TCIM. This was developed particularly through experiencing the practical exercises and treatment participation. (Source: European Journal of Integrative Medicine)

Teaching homeopathy as part of the integrative curriculum in medical school

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:44 +0100

Conclusions: The elective in homeopathy increased the motivation of students to continue to study and receive teaching in this field. The course was evaluated by the majority of students as good or very good. On the negative side, many felt the course to be too long in duration. Where prior attitudes were concerned some students found that they re-evaluated these, whereas others found theirs strengthened.Take-home messages: A good understanding can be gained of the field of Homeopathy, as well as increased motivation in the students. This was developed particularly through experiencing practical exercises and treatment participation. (Source: European Journal of Integrative Medicine)

Therapeutic effects of mud packs on joint ailment and quality of life from patients with gonarthrosis—A controlled clinical study

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:44 +0100

Conclusion: Results suggest that mud packs raise the quality of life and lowering the discomfort of patients with gonarthrosis. It is an additional therapy which has low side effects. (Source: European Journal of Integrative Medicine)

The scientific validation of Unani Eye drop on conjunctivitis

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:44 +0100

Conclusions: Thus eye drop have triple action as an anti-inflammatory, antimicrobial and anti-allergic and is safe and effective in the treatment of conjunctivitis. (Source: European Journal of Integrative Medicine)

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Quantitative sensory testing as a neurobiological tool for measuring “specific” effects of naturopathic reflex therapies in chronic pain

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:44 +0100

Evidence from recent RCTs has shown that naturopathic reflex therapies such as massage, acupuncture, Gua Sha, cupping, wet packs, etc. are helpful in reducing symptoms of chronic pain . These bodily oriented therapies are likely able to influence chronic pain not only through brain mechanisms, but also at the level of the nociceptor and the spinal cord. However, the neurobiological basis of these effects has rarely been investigated even though the accumulating knowledge of the pathophysiology of chronic pain syndromes allows for specific hypotheses. (Source: European Journal of Integrative Medicine)

Sensation and perception of pain according to the theory of constitution in Tibetan Medicine

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:44 +0100

Based on a holistic humoral medical theory and practice, Tibetan Medicine, Sowa Rigpa, opens access to a deep understanding of specific concepts of chronic diseases. The threefold humoral theory of the interaction of wind (rLung), bile (tripa) and phlegm (bedken) can only be revealed by the core of Tibetan Medicine, its body mind concept. Constitutional weakness as well as the patient's diet and behavior play a central role in medical theory, diagnosis and therapy. The theory of constitution is an important diagnostic method to differentiate between constitutional disorders and humoral diseases.The three main constitutions in Tibetan Medicine are differentiated as follows: wind constitution, bile constitution and phlegm constitution, followed by four mixed constitutions. Constitution impli...

Anthroposophical injectable Arnica montana extract in acute low back pain: A prospective study

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:43 +0100

Acute low back pain is a common pathology, often treated with use or misuse of NSAID. NSAID are often used as over the counter medications, can have side effects and increase health costs.In anthroposophic medicine (AM), potentised Arnica montana extracts ampules are often prescribed for acute low back pain. A. montana is a trauma and pain remedy, well known in phytotherapy, traditional and homeopathic medicine. According to anthroposophical medical system, it is prescribed as a remedy against inflammation, through warmth and neurosensory organism modulation.To assess safety and effectiveness of arnica in acute low back pain, a non-randomised prospective trial was performed in the General Medicine Department of the Istituto Clinico San Siro (ICSS), in Milan, where AM is regularly prescribe...

Integrative psychosomatics east–west in pain treatment

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:43 +0100

Asian and western cultures have developed different concepts of the connection between body, mind and spirit strongly influenced by culture, worldview and spirit of the age. These concepts are reflected in different medical systems, their different diagnostic and therapeutic procedures.An integration process of different psychosomatic concepts is going on in east and west.In the last decades the west has become increasingly interested in the holistic/psychosomatic approach of acupuncture, Ayurveda and Tibetan medicine. After the integration of western scientific medicine China is looking more and more for western mental health strategies, respectively, for western psychotherapy and its broad spectrum of schools. Based on the different historical and cultural background the process of integ...

Application and subjective benefit of Crataegus extracts in patients with incipient heart failure with regard to performance and quality of life—A qualitative study

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:43 +0100

Conclusion: Patients with heart failure in an early stage can estimate the benefit and the absence of side effects of Crataegus extracts. In most cases they agree to bear the costs for the medicine. (Source: European Journal of Integrative Medicine)

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How do patients choose acupuncturists? A mixed methods project

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:40 +0100

Question: Government policy is to develop statutory regulation of complementary medicine practitioners in the UK. Acupuncturists are not yet subject to statutory regulation and hence potential patients face difficult decisions. A qualitative study explored patients’ experiences. A quantitative vignette study investigated the impact of 3 practitioner-factors (gender, training location, qualifications) and 1 patient-factor (gender).Methods: Qualitative study: 35 acupuncture patients were recruited from 7 clinics and the community (maximum variation sampling). Semi-structured interviews about their experiences of acupuncture were recorded, transcribed, and analysed using thematic analysis.Quantitative study: 83 participants imagined wanting to consult an acupuncturist for persistent back pa...

Pain, stress and relaxation: Involvement of basic biological principles and healthy autoregulation

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:40 +0100

Trauma and stress often involve the expression of pain. In the course of traumatic and stressful events, an ‘orchestra’ of neurobiological mechanisms and signaling molecules get activated with the primary goal of ensuring survival and fighting against the perturbating event, i.e., stressor. Pain can be a major process in this phenomenon, directing attention to the initial trigger situation. It is now known that pain processes also involve local and/or systemic immune as well as cardiovascular and neuronal pathways, including proinflammtory endogenous opioid peptides (e.g., endorphins) and down-regulatory opiate alkaloids (e.g., morphine). Usually, relaxation is a result of the systemic down-regulation that occurs after stress response pathways get shut-down, following their initial ind...

Chronic pain in Ayurveda Medicine and Neuroscience—An Integrative medical approach

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:40 +0100

With the present work I am setting out to use an integrative medical approach to describe the perception and processing of chronic pain. Neuroanatomical and biological (neuroscience) concepts and the associated computer-controlled high-tech brain examination methods will be integrated with the concepts of Ayurvedic medicine in a complementary semantic manner.Although positron emission tomography (PET) and fMRI (functional magnetic resonance imaging) can be used to make the perception of pain in the brain visible and thus forms of mental experience can be displayed objectively as a snapshot, many questions remain unanswered. This is especially true with regards to the many individual differences in this experience of pain. The subjective analysis method of Ayurveda, which has been tried and...

Impact of yoga on chronic pain—A review

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:40 +0100

Purpose: Mind–Body therapies are considered as adjunctive treatments to help ameliorate or at least cope with chronic pain conditions. Despite a lack of scientific acceptance, these approaches are of interest to patients which widely use relaxation techniques, biofeedback, imagery, hypnosis, etc. We intended to analyze the scientific literature with respect to the impact of yoga on chronic pain conditions.Methods: In January 2009 we searched the databases Medline, Pubmed and CAMbase. The search terms were >yoga< and >pain (Source: European Journal of Integrative Medicine)

Effectiveness and tolerability of Euphorbium comp. SN for the symptomatic treatment of rhinitis in children aged 2–6 years

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:40 +0100

Conclusions: The homeopathic preparation Euphorbium comp. SN is an effective and well tolerated therapy for the symptomatic treatment of acute rhinitis in young children in everyday clinical practice. (Source: European Journal of Integrative Medicine)

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Phytotherapy in neonatology: A systematic literature review

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:39 +0100

Conclusion: Indication, study design and study power of these publications were quite heterogeneous. Data about aromatherapy are most promising. Phytotherapy is used very commonly and parents ask for it frequently, studies are necessary to fulfill the academic and economic demands of this part of CAM. This Literature review shows that there is a lack of sufficient data. (Source: European Journal of Integrative Medicine)

Homeopathic therapy in paediatrics: An observational study from 1998 to 2008

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:39 +0100

Methods: An observational longitudinal study was conducted on 2141 patients consecutively visited at the Homeopathic Clinic situated at the Campo di Marte Provincial Hospital—ASL 2 Lucca from its establishment in September 1998 until December 2008, and 514 patients (24%) are below or equal to the age of 14. The homeopathic prescription strategy is to administer a single remedy and involves the initial use of the remedy in Quintamillesimal dilutions (De Schepper L. 1999) beginning with 6Q and on a progressive scale of dilutions; if there is a subsequent phase, the prescription then proceeds with a single dose according to Hahnemann's centesimal scale (CH).Treatment of acute cases generally involves the use of remedies in centesimal dilutions at low potencies (from 6 to 30 CH).Results: The...

Bioresonance therapy with children suffering from allergies—An overview about clinical reports

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:39 +0100

Conclusion: The greater majority of the performing scientists and physicians believe – on the basis of their investigations – that the classical bioresonance therapy is clinically effective in allergy therapy for children. (Source: European Journal of Integrative Medicine)

Changes of blood flow volume in the superior mesenteric artery and brachial artery with abdominal thermal stimulation

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:39 +0100

Background: In traditional Chinese medicine, moxibustion is a local thermal therapy that is used for several conditions. Quantifying the effects of moxibustion therapy has been difficult because the treatment temperature depends on the physician's experience, and the temperature distribution in the target area is not uniform.Aims: This prospective observational study aims to quantify the effect of local thermal stimulation to the abdomen.Methods: We developed a heat transfer control device (HTCD) for local thermal stimulation. Twenty-four healthy subjects were enrolled and they underwent abdominal thermal stimulation to the para-umbilical region with the device for 20min. Blood flow volume in the superior mesenteric artery (SMA) and brachial artery, the heart rate, and the blood pressure w...

Role of Homoeopathy in the treatment of cases of heartburn with the help of different repertory and Materia Medica Pura

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:39 +0100

Following medicines are most frequently used in different sensation with heartburn.Here, my conclusion is that rubric heartburn is not complete in the sensation of heartburn is concern, because many repertories are successful to cover modalities but all repertories fail to note down different sensations or pains of heartburn. Different types of pains are given in our Meteria Medica Pura.Short list of different sensations or pain in throat during heartburn is given bellow.Burning—Incomplete burning eructation rise only to pharynx, there burn for hours. Lyc. (Boericke).Contracted—In Bell. esophagus dry; feels contracted (Boericke).Choking—In Pulsa. choking pain in the oesophagus, as if a large lump of new backed bread had been swallowed (M.M.Pura).Pricking—In Rhus. tox. when swallowi...

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A comparison of intima-media thickness of common carotid artery in diabetic and non-diabetic patients who refer to the Radiology Department of Poursina Hospital in Rasht City in 2008

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:38 +0100

Background: Diabetes mellitus is a common disease. Vascular complication of that can affect carotid artery with formation of atherosclerosis.Aims: As in Iran the ages of diagnosis is higher than in the rest of the world the complications are seen more. So screening of diabetic patients for decreasing the mortality and morbidity seems to be mandatory. The aim of this study is to compare the IMT of common carotid artery in diabetic and non-diabetic patients who refer to the Radiology Department of Poursina hospital in 2008.Material and method: This is a cross-sectional study. There are 80 participants (40 diabetic, 40 non-diabetic) in our study which is matched for age and gender. IMT of distal carotid was measured. t-Test and ANCOVA were used to data analysis.Results: Diabetic patients had ...

Primary prevention of stroke in women: A course concept and its feasibility

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:38 +0100

Conclusion: On the basis of the results modification of the course concept will be made if needed and the prevention course will be realized in target populations, which are not easy to reach for primary stroke prevention. (Source: European Journal of Integrative Medicine)

Medicinal plants from Sundarbans used for the prevention of cardiovascular diseases: A pragmatic randomized ethnobotanical survey in Khulna division of Bangladesh

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:38 +0100

Khulna division of Bangladesh has cool and salubrious climate that favor the growth of diversity of medicinal plants. For the reason that in the south-western part of Bangladesh, in the districts of Khulna, Satkhira and Bagerhat lays the Sundarbans, the beautiful forest. About 33 medicinal plants being used by Khulna division as folk medicines have been identified and documented along with their curative properties for the treatment of cardiovascular diseases. Use of medicinal plants and cultural ethics are closely linked among the Khulna division and they possessed high conservative and descended through generations. They keep outmost secrecy of the curative properties of the plants in the form of oral and traditional ethics which help in the conservative management of rare and endangered...

Effectiveness and tolerability of the homeopathic treatment Vertigoheel for the treatment of vertigo in hypertensive subjects in general clinical practice

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:38 +0100

Conclusions: Vertigoheel appears to have positive effects on vertigo in hypertensive patients >aged 50 years. Given its good tolerability Vertigoheel could be particularly beneficial for treating vertigo in an elderly population with a diagnosis of hypertension and further concomitant diseases. (Source: European Journal of Integrative Medicine)

Systematic review of women's knowledge of warning signals and risk factors of stroke

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:38 +0100

Effective stroke risk reduction also depends on the public's knowledge of stroke. To determine people's knowledge of stroke and possible gender differences in knowledge of stroke warning signals and risk factors a systematic review of the literature was conducted. Studies published up to August 2008 were searched using MEDLINE and EMBASE. Studies were eligible if the research question addressed stroke knowledge, if results were reported separated by gender (or women only), and if they focused on adult populations. In total, 2158 studies were identified and 22 studies (20 cross-sectional, 2 longitudinal) were included in the review. Overall, there seems to be only inadequate knowledge of both warning signals and risk factors in the general population of various countries including but not l...

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Integrated treatment of cardiovascular common pathologies with conventional pharmacological therapy integrated with a typical remedy of anthroposophic medicine, Cardiodoron (Onopordon/Primula comp)

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:37 +0100

Anthroposophic medicine (AM) in Italy is mostly practiced in private settings: practices, multidisciplinary day-centers and a thermal clinic. In the General Medicine Department of the Istituto Clinico San Siro (ICSS), in Milan, AM has been used since 2000 in an integrated context, as a complementary or alternative treatment to conventional therapies.The department has one ambulance and 10 beds and treats acute, subacute and chronic orthopedic, postoperative, cardiovascular and oncological pathologies. Approximately 250 patients are treated each year. ICSS is a private clinic operating under a convention with the Italian NHS. The department medical team practices also anthroposophic medicine.At the beginning of XX century, the typical remedy Cardiodoron (a special composition of Onopordon a...

Complementary treatment with plant food constituents—Powerful or harmful?

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:37 +0100

Conclusions: In the presentation data concerning prevention, antitumoral therapy and side effects for each substance will be presented distinguishing epidemiological, experimental and clinical reports. Some suggestions on how to go on with clinical studies will be given. (Source: European Journal of Integrative Medicine)

Portuguese physician and pharmacist attitudes towards the use of herbal complementary and alternative medicines in oncology

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:37 +0100

Conclusion: The level of reliability estimated suggests that physicians and pharmacists familiarity with CAM, and attitude towards its use by cancer patients, can be adequately measured by the developed questionnaires. (Source: European Journal of Integrative Medicine)

Mistletoe therapy as a therapeutic option in a child with lymphomatoid papulosis/CD 30-positive cutaneous lymphoproliferative papulosis

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:37 +0100

In conclusion we present a patient with a rare skin disease (LP) with lymph node involvement who is successful treated with mistletoe as a new promising therapeutic option for patients with lymphomatoid papulosis. Further studies should be initiated. (Source: European Journal of Integrative Medicine)

A preliminary study on the efficacy of medicinal plants from Sundarbans used against all forms of cancer

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:35 +0100

Sundarbans, the largest single block of tidal halophytic mangrove forest in the world, located in the south-western part of Bangladesh. It lies on the Ganges–Brahmaputra delta at the point where it merges with the Bay of Bengal. The forest lies a little south to the tropic of cancer between the latitudes 21°30′N and 22°30′N, and longitudes 89°00′E and 89°55′E. With its array of trees and wildlife the forest is a showpiece of natural history. Cancer continues to be one of the leading killers of the century. No matter how much information is gained about this dreadful and mysterious disease, it still haunts the imagination of humanity, which continues to suffer from its relentless attack. Despite the huge advancement in science and technology: its new age and all-round research...

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Durable tumour responses following primary high-dose induction with mistletoe extracts: Two case reports

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:35 +0100

Mobilising the host's innate defences against established cancer and residual disease is an attractive and rational therapeutic approach to treat solid tumours and their known and occult metastases, from which relapses occur. Over the last decades significant progress has been made in understanding the immunological mechanisms that develop in relationship between the host and a developing tumour. However, the effectiveness of immunotherapy in humans remains quite limited. Tumours have robust mechanisms that disable tumour-specific immunity. It is generally accepted that an effective anti-tumour response of the immune system will require breaking the tumour-induced immune suppression and eliciting anti-tumour immunity. Immune-augmentative therapy with Mistletoe extracts (Viscum Album L., VA...

Traditional European Medicine—After all, is Hildegard von Bingen really right?

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:34 +0100

The term of Traditional European Medicine (TEM) was coined analogue to Traditional Chinese Medicine (TCM). TEM consists of various approaches of traditional medical healing systems in Europe, beginning with Hippocrates in ancient Greece and ending in current times. In the German-speaking areas, the so-called Hildegard medicine (HM) is very popular and according to a national survey about 3% of all inhabitants of Germany trusts on HM.However, the use of HM in tumor patients is not well described. An own exploratory interview study in 120 tumor patients showed, that 7.5% of patients are actively using HM, 56.6% know about HM and 20.8% are interested in HM, further 12.5% would like to try it. On the other hand 15% of patients completely reject HM.HM should trace back to the life and visions o...

Impact of mistletoe therapy on the quality-of-life of cancer patients

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:34 +0100

Quality-of-life (QoL) of cancer patients is an issue both in conventional and in complementary/alternative medicine (CAM). In clinical studies, QoL is usually estimated by questionnaires, which represent a possibility to objectively quantify it in a wide number of patients, but lack the subjective dimension of each patient's QoL perception.Mistletoe (Viscum album) preparations are often used in the adjuvant setting and several clinical studies have shown that mistletoe – often in combination with standard treatments – can improve QoL [1]. In our previous work, we have detected a tendency for an improvement of the patients’ QoL as detected by various questionnaires (EORTC QLQ-C30 Version 3.0 [2], SELT-M [3] and HLQ Version 2.5 [4]), in a cohort of 25 patients with different types of m...

Prostate cancer and its treatment with Iscucin®Populi—Introduction and case reports: der Merkurstab, Heft 3, 2009, pp. 255–261

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:30 +0100

Background: Since prostate cancer is the most frequently diagnosed malignancy among males, the treatment of this disease becomes more and more important. A number of well-established forms of treatment are available in conventional medicine. These treatments are effective, but patients often suffer from considerable side effects (particularly concerning their sexuality), leading to an increased interest in complementary treatments.Objectives: Misteltoe therapy is a frequently applied complementary treatment in oncological practice, however, the state of knowledge regarding misteltoe therapy in prostate cancer is so far limited to very few publications.Case reports: Three patients with prostate cancer refused conventional therapies, because they were worried to risk their quality of life (t...

CHOICE, an international, observational study to examine current practice use of darbepoetin alfa in the management of chemotherapy-induced anaemia

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:30 +0100

Introduction: In February 2008, the European product label for darbepoetin alfa (DA) in the treatment of chemotherapy-induced anaemia (CIA) was changed to stipulate target haemoglobin (Hb) values between 10 and 12g/dL. EORTC guidelines on ESA use state similar Hb target levels. The primary aim of this study is to assess adherence to the recommended Hb target range in patients (pts) receiving DA in routine clinical practice.Methods: This prospective, multicenter, observational study evaluated the routine clinical practice use of DA in 11 European countries in pts with various non-myeloid malignancies (breast, colorectal, ovarian and lung cancer) at any time during chemotherapy treatment. Key outcome measures were Hb levels and the requirement for red blood cell (RBC) transfusions.Results: 3...

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Life quality and subjective feeling with additional homeopathic treatment in cancer patients

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:29 +0100

Conclusion: In summary, homeopathy was well accepted by the investigated patients. Improvement in QoL as well as in subjective existential orientation warrants further investigations. Oncologists may want to receive information about the use of homeopathy and other forms of complementary medicine in patients undergoing treatment for cancer. (Source: European Journal of Integrative Medicine)

Strengthening self-healing—Integrative approaches to cancer therapy with mind/body medicine

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:29 +0100

Cancer patients often perceive themselves as radically injured in their capacities to self-regulate their health and well being. Their mind literally feels betrayed by their bodies. This condition of hopelessness diminishes their self-efficacy and greatly adds to their suffering. At the Clinic for Naturopathy and Integrative Medicine in Essen we have developed an 11-week outpatient program in Mind/Body Medicine that empowers patients to regain responsibility for their own well being. In addition to their conventional therapies patients learn to use self-help strategies like regular exercise and a healthy diet as well as relaxation and mindfulness techniques. To most of our cancer patients the experience that through applying these measures in their daily lives they can positively influence...

Acupuncture in Seasonal Allergic Rhinitis (ACUSAR)—Multidisciplinary approach of a clinical trial including experimental and qualitative research

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:29 +0100

Conclusion: The ACUSAR study is one of the largest and most rigorous studies of acupuncture including a sham control group conducted in SAR thus far. The additional sub-trials are aimed to complement the clinical results leading to a better and more complex understanding of acupuncture in SAR. (Source: European Journal of Integrative Medicine)

Citrus/Cydonia comp. for seasonal allergic rhinitis: A randomized study to compare treatment effects of the subcutaneous and the nasal routes of administration

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:29 +0100

Objectives: Allergic rhinitis is a condition characterized by sneezing, watery nasal discharge, nasal obstruction and itching. It is an increasingly prevalent condition, particularly in the Western world where it affects around 20% of the adult population. Citrus/Cydonia comp. is an anthroposophic medicine, which contains extracts of lemon (Citrus lemon) and quince (Cydonia oblongata). Several observational studies have shown that Citrus/Cydonia comp. solution either as a subcutaneous injection or as a nasal spray might be an effective treatment for seasonal allergic rhinitis (SAR) patients. In addition, in vitro is has been shown that it has a selective effect on the differentiation of T-cells by producing relatively more IL-10 than IL-12. By that, it also seems to have an effect on the i...

Health and economic profit with equitable licencing

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:29 +0100

Public funds provide approximately 50% of the funding for research and development of new medical innovations. The German federal government aims with the “Patentverwertungsoffensive” to increase patenting of university inventions. Innovations are mostly exclusively licenced to private pharmaceutical companies, with the belief that pharmaceutical industries are the only bodies capable of translating basic research results into marketable products.With acquired patent rights, or exclusive licences of patent protection, private companies hold a monopoly over production, marketing and pricing of the innovation, which can last a minimum of 20 years. Without alternative licencing arrangements, patents can prevent cheap and affordable production of vaccines, diagnostics and medicines by gene...

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The homeopath's personality profile

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:29 +0100

Background: Research has indicated several specific characteristics of the homeopathic consultations and their patients. Homeopaths treat more children; their consultations are longer and encompass a whole-person-approach to a greater degree than in general medical practice. This is likely to indicate a difference in treatment philosophy, but might also be indication of difference in personality traits. Personality profiles of different occupational groups have been studied and include investigations on the personality traits of doctors, medical students, surgical residents, urology residents, and psychotherapists, and on personality as a prognostic factor for speciality choice in medicine. However, to date no study has investigated the personality trait of homeopaths.Aim: The aim of this ...

Salutogenesis as a possible link between conventional medicine and complementary methods

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:29 +0100

Background: Understanding the genesis of health is a fundamental theme in the medical professions. However, conventional medicine with its focus on causal explanations of diseases has led to a neglect of this issue. In recent times, the question was brought back into the focus of scientific enquiry within the framework of salutogenesis. The term originates in the work of medical sociologist Aaron Antonovsky (1923–1994). He raised the question how certain survivors of the Holocaust could remain healthy despite their terrifying experiences in concentration camps. He developed the concept of the “sense of coherence”, with which he tried to explain how people manage psychosocial stress and do not succumb to ill health. He proposed salutogenesis as a completion of the pathogenetical parad...

Western and alternative medicine: A comparison of paradigms and methods

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:28 +0100

Conclusion: The presumed gap between WM and CAM seems to consist only of different paradigms, so it seems mainly related to our point of view. The biopsychosocial model as proposed by Engel seems valuable in bridging this presumed gap. (Source: European Journal of Integrative Medicine)

Integrative medicine and whole systems approaches: From heterogeneous practice to comprehensive scientific concepts

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:28 +0100

Conclusions: This could facilitate mutual understanding and common concepts between disciplines and lay the basis for their conceptual integration. (Source: European Journal of Integrative Medicine)

Trust in God's help as a measure of intrinsic religiosity and its association with depression and life satisfaction in patients with depressive disorders and addictions

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:28 +0100

Purpose: There are several studies that indicate that spirituality/religiosity (SpR) may be associated with lower incidence of depression and anxiety. Most of these studies were from the US, and one may doubt that these results can easily be transferred to more secular countries. We thus indented to investigate whether patients with depressive disorders and/or addiction utilize intrinsic religiosity as a resource to cope.Methods: The sample of this cross-sectional survey contained 96 patients recruited consecutively in 3 psychotherapeutic German clinics, i.e. Oberberg Clinics Schwarzwald, Weserbergland and Berlin/Brandenburg. Their mean age was 47.2±10.5 years; 50% women; 67% had a Christian denomination; 32% none; 67% had depressive disorders and 33% addictions (mostly alcohol). To measu...

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Hemodynamics of the radial artery, the site of traditional pulse diagnosis

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:28 +0100

Conclusion: Two peaks in the power spectrum of flow volume were observed, indicating the existence of fluctuation of radial artery blood flow volume. It is suggested that fluctuation of the blood flow volume is influenced by fluctuation of the end-systolic diameter and end-diastolic diameter. (Source: European Journal of Integrative Medicine)

Effect of acupuncture on cardiac output

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:28 +0100

Conclusions: Acupuncture did not have an effect on the cardiac index but decreased the heart rate. It is possible that parasympathetic sympathetic nerve activity due to acupuncture stimulation may decrease the heart rate. (Source: European Journal of Integrative Medicine)

Complementary therapeutic effects of definite alternating electromagnetic fields upon local regulating mechanism of microcirculation

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:28 +0100

Conclusion: The evaluated effect of definite alternating electromagnetic fields with special pulse configuration to stimulate spontaneous arteriolar vasomotion (BEMER Plus System) on the microcirculation and the immunologic system is relevant concerning prophylactic and complementary therapeutic use. (Source: European Journal of Integrative Medicine)

A controlled-feeding feasibility study of the anti-inflammatory diet in insulin-resistant subjects

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:28 +0100

Purpose: To evaluate the feasibility and initial effects of the anti-inflammatory (AI) Diet in type 2 diabetes and pre-diabetes on inflammatory, cardiovascular risk factors and weight outcomes.Methods: A randomized, 6-week, controlled-feeding study of the AI Diet compared with an ADA Control Diet: with 2 weeks of isocaloric followed by 4 weeks of ad lib feeding. The AI Diet was based on the recommendations from the naturopathic community emphasizing foods thought to reduce inflammation (fish, nuts, flaxseed, vegetables, and fruits) and excluding foods considered antigenic (wheat, dairy, corn, soy, eggs, red meat, and citrus) as well as alcohol, caffeine, and refined sugar. The Control Diet was based on guidelines for medical nutrition therapy from the American Diabetes Association (ADA). T...

Phlebotomy (bloodletting) in patients with metabolic syndrome: A randomized controlled trial

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:27 +0100

Question: Metabolic syndrome has an increasing prevalence worldwide and there is an urgent need for improvement of medical treatment. In traditional medical systems bloodletting is a frequently recommended therapy in subjects with obesity and vascular disease. Recent randomized studies showed that bloodletting improves insulin sensitivity in patients with diabetes mellitus and increased ferritin concentration and might be beneficial in younger patients with peripheral arterial vascular disease. We aimed to test if traditional bloodletting has beneficial effects in patients with metabolic syndrome.Methods: A randomized controlled study with a study period of 3 months was conducted in 64 self-referred subjects that had a confirmed diagnosis of metabolic syndrome as defined by recent guidelin...

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Prescribing love for the heart? Stress reduction and medical effects of altruism, compassion and love

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:27 +0100

Conclusions: Love facilitates health and stress reduction. This effect can be observed clinically and biologically. Thus, love and companionship not only ensure the survival of individuals and their species, but also support beneficial motivation and health behaviors. (Source: European Journal of Integrative Medicine)

Use and comprehension of complementary and alternative medicine in breast cancer patients: Results from cognitive interviews

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:27 +0100

Conclusion: Regarding the integration of CAM and conventional medicine many patients wish for and implement themselves, their comprehension of CAM modalities and modes of action plays an important role. Being aware of this is crucial in order to ensure a patient-centred treatment. (Source: European Journal of Integrative Medicine)

An integrative approach of cancer treatment with mistletoe therapy, surgery, irradiation and chemotherapy in CAM settings

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:27 +0100

Conclusion: In the settings investigated, an integrative approach was predominantly chosen when VA was administered. VA is used on a large variety of entities, predominantly by sc application. It is possible to differentiate between short- and long-term users but no data are yet available if there is a correlation between the length of treatment and either a curative use or the intention to improve quality. These data will provide a solid basis for the comparison of clinical trial data with routine use.Acknowledgements: This project was supported by Weleda AG, Helixor GmbH, and Abnoba GmbH. (Source: European Journal of Integrative Medicine)

Complementary and alternative medicine in lung cancer patients

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:27 +0100

Conclusions: The use of CAM is a frequent phenomenon in lung cancer patients. Our results suggest that it is very important to obtain information on the CAM use in lung cancer patients and, particularly in controlled clinical trials, to prospectively document it. (Source: European Journal of Integrative Medicine)

The influence of self- and autonomic regulation on cancer-related fatigue and distress in breast and colorectal cancer patients—A prospective study

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:27 +0100

Objective: Cancer-related fatigue (CRF) has an important impact on the quality of life in breast (BC) and colorectal (CRC) cancer patients. Until now only a limited number of prospective studies have investigated the effect of adaptive salutogenic mechanisms on CRF, in addition to the biological influences. The aim of our study was to assess a possible effect of autonomic Regulation (aR) and self-regulation (SR) on CRF and distress in long-term survivors. Therefore, questionnaires on aR and SR were combined with the Hospital Anxiety and Depression Scale (HADS-D) and the Cancer Fatigue Scale (CFS-D), including three subscales.Method: In total, 95 BC and 51 CRC patients as well as 120 healthy controls (C) had participated in the initial survey in 2000/2001. On average 6 years later, 62 BC, 1...

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Safety and immunological effects of Iscucin® Populi and Viscum Mali—A placebo-controlled study

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:27 +0100

Background: Mistletoe preparations Iscucin® Populi (IP) and Viscum Mali (VM, both WALA GmbH) are licensed in Germany as supportive cancer medication within the concept of Anthroposophical Medicine. Safety and immunological effects in humans of these preparations were for the first time investigated in this study.Methods: A 3-armed randomized study in healthy volunteers was performed. The probands injected in increasing doses either IP (strength F, G and H, each for 4 weeks) or VM (strength D3, D2 and 2% each for 4 weeks) or placebo (isotonic solution) subcutaneously twice weekly for a total of 12 weeks. Clinical and safety controls were performed weekly. Immunological outcome parameters (differential blood count, lymphocyte differentiation, interleukin (IL)-6) were analysed every 4 weeks....

Quality-of-life-related dimensions in cancer patients treated with mistletoe extract (Iscador): A systematic literature review

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:26 +0100

Purpose: Most clinical studies on the clinical effects of extracts from Viscum album, the European white-berry mistletoe, focus on the survival of cancer patients, while the effects on the patients’ quality of life (QoL) received less consideration. Thus, we intended to determine the effectiveness of the most commonly used mistletoe extracts which is covered by a large spectrum of published studies, the fermented plant extract Iscador, in the treatment of patients with cancer with respect to QoL-related dimensions.Methods: We searched several databases such as PubMed/Medline, Excerpta Medica Database (EMBASE), CAMbase and other. Inclusion criteria were controlled clinical studies on parameters associated with QoL in cancer patients treated with Iscador. Separate search terms were “Isca...

Comparative study of visitors to CAM practitioners in USA and Norway

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:26 +0100

Question: USA and Norway are among the countries that have highest total expenditure on health per capita and also high utilization of complementary and alternative medicine (CAM). But they have fundamentally different health care systems. The aim was therefore to compare the profile characteristics of adults who have visited a CAM practitioner the last year in the USA and Norway.Methods: Data from the National Health Interview Survey (NHIS) in USA from 2002 and the Level of Living Survey (LOLS) in Norway from 2002 were used. Both surveys were nationally representative household surveys of the non-institutionalized civilian population. The data consist of 6612 individuals from Norway and 31,044 individuals from USA.Results: In USA 7.4% of the population had visited a CAM practitioner durin...

Outcomes research in integrative health care clinics: What are the barriers?

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:26 +0100

Conclusion: Assessing and enhancing the research culture within IHC clinics is an important consideration and initial step which needs to be taken for the implementation of productive and cost-effective research programs. (Source: European Journal of Integrative Medicine)

Integration of traditional Japanese medicine in Japan—A survey on the use of Kampo among patients

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:26 +0100

Conclusion: Preliminary analysis shows that Kampo is often used by patients in Japan; also by patients visiting a conventional clinic. For most diseases patients suggest a combination of Kampo and conventional treatment. (Source: European Journal of Integrative Medicine)

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The implementation of integrative medicine in the Netherlands: A national survey among hospitals, psychiatric-, revalidation- and academic centres

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:26 +0100

Objectives: Integrative Medicine (IM) is based on four pillars: (i) relation of health professional with patient; (ii) patients’ responsibility in own healing process; (iii) use of evidenced-based and safe complementary therapies; and (iiii) healing environment. There is significant and growing national interest for introducing IM pillars into conventional medical centres and practices in the Netherlands. However up till now, no quantitative data are available about the impact of IM on national healthcare in the Netherlands. The current study aims to investigate the implementation of the four pillars of IM in the Netherlands, in qualitative terms of health programmes, education, research and human resource management, as a baseline to evaluate future planned IM implementation.Methods: Th...

Trade offs: A framework analysis of factors affecting adherence to orthodox medicine in complementary and alternative medicine users with chronic health conditions

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:26 +0100

Conclusion: Communication between patients and their conventional physicians about patient's use of CAM is often limited. This detailed model explains for the first time, how individuals with chronic illness manage their health by using conventional and complementary systems of healthcare, and the factors that affect the trade off of one system against the other. As such, it will provide a valuable insight for clinicians and could be used as a framework to stimulate communication to maximise the management of patient's ill health. (Source: European Journal of Integrative Medicine)

Why consumers maintain complementary and alternative medicine use: A qualitative study

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:25 +0100

Conclusions: Further work is needed to test and extend our findings in other settings. This study suggests that experiences of conventional medicine are of limited importance after the decision to initiate CAM. Experiences of CAM were foremost in our consumers’ decisions to maintain or stop specific CAM therapies. Maintenance of CAM could occur even if consumers’ experiences were not entirely positive. CAM practitioners may have a vital role to play in ethically supporting consumers’ decisions to maintain CAM use. (Source: European Journal of Integrative Medicine)

Professional development in complementary medicine/homeopathy

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:25 +0100

Conclusion: Homeopathy should be included as an optional addition to medical studies. The evaluation results assisted us in the conception of two clinical elective subjects: homeopathy and TCIM. Furthermore we are in the process of developing of a master's degree course in the integrated practice of homeopathy, in cooperation with the central Society of Homeopathy and Otto-von-Guericke-University, Magdeburg. (Source: European Journal of Integrative Medicine)

Improvements in sleep as an indicator of general health and wellbeing following Autogenic Training

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:25 +0100

Question: Can improvements in sleep be used as an indicator of the wider health benefits of Autogenic Training?Methods: This pragmatic observational prospective study investigated whether resolving sleep problems provides an additional indicator of AT benefits. All new patients attending an AT service in a conventional medical setting at the NHS Royal London Homeopathic Hospital (RLHH) between April 2007 and April 2008 were invited to participate, irrespective of presenting complaint.Participants completed a standard AT course as delivered at RLHH. Eight weekly, 2-h group sessions used six exercises to reduce autonomic activity by focussing the mind on sensations representing relaxation (including heaviness and warmth in the limbs, a calm, regular heart beat, easy natural breathing, abdomi...

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Fixed herbal drug combination with and without butterbur (Ze 185) for the treatment of patients with somatoform disorders: Randomized, placebo-controlled pharmaco-clinical trial

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:24 +0100

Herbals drugs – single or in combination – are often used in patients with somatoform disorders, yet the available evidence is limited. Aim of the present short-term study was to evaluate in a pharmaco-clinical trial the additional benefit of butterbur in a fixed herbal drug combination (Ze 185=4-combination versus 3-combination without butterbur versus placebo) in patients with somatoform disorders.A total of 182 patients were randomized for a 3-arm trial (butterbur root, valerian root, passionflower herb, lemon balm leaf versus valerian root, passionflower herb, lemon balm leaf versus placebo) for a 2-week treatment in patients with somatisation disorder (F45.0) and undifferentiated somatoform disorder (F45.1). Anxiety (visual analogue scale—VAS) and depression (Beck's Depression I...

Integration of CAM in medical guidelines

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:24 +0100

Medical guidelines aim to provide all professions involved in the treatment of a disease a systematically developed basis for the diagnosis and therapy. They have growing impact on political, juristic and educational issues in Medicine. In Germany, the AWMF (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften) is responsible for the coordination of the development of medical guidelines. In June 2009 a total of 154 scientific-medical societies constitute the group of members of the AWMF.The German Society for Natural Medicine (Deutsche Gesellschaft für Naturheilkunde) is currently not a member.Aim: What is necessary to integrate CAM into medical guidelines?To clarify problems and potential of CAM in medical guidelines, the field of gastroenterology was chosen. In Ga...

Fundamental research models on high dilution homeopathy—A project on the state of repetition

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:22 +0100

Conclusion: To perform this overview classification, a certain broadness of clusters concerning methodological details of the studies concerned was necessary, albeit further classification may need refinement of categories, this being of importance also for laboratory research recommendations. Data will be discussed and published in detail in Homeopathy, London. (Source: European Journal of Integrative Medicine)

Acupuncture for osteoarthritis: A qualitative analysis to interpret the results of a randomised controlled trial

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:22 +0100

Conclusions: This nested qualitative analysis offered novel insights into the RCT findings that would not have been possible from the quantitative data alone. Conceptualising and understanding RCT subjects as active participants has important implications for trial design particularly for interventions such as acupuncture when equipoise is unlikely. (Source: European Journal of Integrative Medicine)

Qigong for chronic neck pain—A randomized controlled trial

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:22 +0100

Conclusion: Qigong is more effective than no treatment in patients with chronic neck pain. For the comparison between qigong and exercise therapy this study was underpowered a further study with a larger patient sample is needed. (Source: European Journal of Integrative Medicine)

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Chronic low back pain: A randomised controlled multicenter trial comparing the local injection of Disci/Rhus toxicodendron comp.® and placebo, and waiting list group

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:22 +0100

Conclusion: Disci/Rhus toxicodendron comp.® is a safe treatment. After 8 weeks Disci/Rhus toxicodendron comp.® was superior to no treatment; however, no significant difference was observed between Disci/Rhus toxicodendron comp.® and placebo. (Source: European Journal of Integrative Medicine)

Randomized controlled pilot study: Quantitative sensory testing in patients with back pain before and after Gua Sha massage

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:22 +0100

Question: Permanent nociceptive influx may lead to functional changes in the nervous system, i.e. hyperalgesia and allodynia occur. These processes are suspected to contribute substantially to the ongoing pain process. Reflex therapies, like the Gua Sha, a traditional Chinese massage technique preferentially used in the treatment of back pain, are supposed to affect the transmission and processing of sensory information on receptor and spinal level . If so one could assume that the Gua Sha massage should not only decrease the pain level itself, but also change sensory thresholds in the affected areas. In order to test this, we applied the Gua Sha massage in patients with chronic back pain and evaluated sensory threshold changes.Methods: Thirty patients with chronic back pain (mean age 50.3...

Against all odds—living with fibromyalgia: A single case history on chronic illness and inner growth

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:22 +0100

Introduction: Chronic pain confronts patients with a constant struggle of coping with it and realigning their sense of self. Despite of that, some patients do develop beyond coping and come to personal transformation due to their struggle. The potential of tackling the challenges of severe illness for inner growth is empirically verified; nevertheless conditions to enable such a development are poorly understood. The crucial question about the personal resources fostering such a process remains. We will give insight into the potential of a biographical approach in understanding coping with chronic illness by presenting a single case history of fibromyalgia.Method: The case in question is part of a qualitative study on personal transformation and severe illnesses. Interviews were conducted ...

Quantitative sensory testing in patients with chronic neck pain before and after the application of the acupressure pad—A randomized, controlled pilot study

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:22 +0100

Conclusion: The present data suggest that an effect of the acupressure pad application is not only seen in VAS ratings but also in PPT. The elevated PPT after treatment supports the idea of a direct influence on transmission and processing of sensory information on the spinal level by reflex therapies such as the acupressure pad. (Source: European Journal of Integrative Medicine)

Analgesic effects of transcutaneous electrical nerve stimulation (TENS): Implications for acupuncture?

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:21 +0100

Discussion: In line with neurophysiological theories, considerable TENS effects were shown using the standard experimental pain paradigm of placebo research SETT. The results support the role of DNIC and gate control in TENS and acupuncture like TENS-induced analgesic effects. (Source: European Journal of Integrative Medicine)

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Design adaptive allocation in a controlled trial on the effectiveness of mindfulness-based stress reduction in migraine

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:21 +0100

Conclusion: It could be shown that this new allocation method guarantees extremely similar groups even with small samples. Our data prove that it is possible to avoid baseline differences in small pilot trials. Thus design adaptive allocation shows an advantage over the classical randomization procedures which often results in unbalanced groups when samples are small. (Source: European Journal of Integrative Medicine)

Preliminary results of a pragmatic randomised controlled trial in general practice investigating the effectiveness of acupuncture against migraine: Qualitative analysis of brain perfusion SPECT

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:21 +0100

Conclusion: Preliminary results illustrate that basal brain perfusion scan resembles a multi-infarct pattern in most patients. Verum acupuncture induces modifications in global and regional brain perfusion scans that also correlate with a clinical improvement in the number and intensity of the migraine crisis. (Source: European Journal of Integrative Medicine)

Acupuncture for osteoarthritis pain: A randomized controlled trial evaluating the relative effects of real acupuncture and two placebos with respect to patient empathy, empowerment, and the practitioner on treatment outcome

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:21 +0100

This study also suggests we are able to deliver convincing acupuncture placebos/controls and that a ‘placebo’ needle (SN) appears as clinically effective as MES. This implies that an enhanced placebo response is not associated with acupuncture needling. This suggests we should consider that the most important factor influencing treatment outcome for pain may be related to the therapist and not the procedure they employ. This hypothesis will require further investigation across a number of different interventions but may be important for pain management. (Source: European Journal of Integrative Medicine)

Influence of a peat bath series on heart rate variability (HRV) measures of patients with prolapse of the nucleus pulposus during an inpatient orthopaedic rehabilitation

European Journal of Integrative Medicine — Fri, 13 Nov 2009 13:55:20 +0100

Introduction: Peat baths are used in rehabilitation medicine to treat, e.g. pain syndromes. The resulting increase of the central body temperature by 1–1.5°C is a substantial stress for the cardiovascular system. The aim of the study was to investigate adaptive reactions of patients on a series of peat baths in a rehabilitative setting by means of HRV.Methods: Cardiovascular healthy, non-smoking patients (19 female, 10 male, 18–55 years) with lumbar prolapse of the nucleus pulposus were exposed to a series of 6 peat baths (40.5°C) during an inpatient orthopaedic rehabilitation of 3 weeks. RR-intervals were determined by a 24h ECG (Ela medical®, SORIN GROUP, France) to calculate HRV-parameters during the first and sixth measuring period. Each measuring period consisted of a recumbent...