1.Evaluation of Complementary and Alternative Medicine for Treating Patients with Erectile Dysfunction.
Bong Hee PARK ; Soo Woong KIM ; Sae Woong KIM ; Je Jong KIM ; Hong Sik KIM ; Kweon Sik MIN ; Kwangsung PARK ; Nam Cheol PARK ; Sung Won LEE ; Woo Sik CHUNG ; Jun Hyuk HONG ; Jong Kwan PARK
Korean Journal of Urology 2006;47(9):987-993
Purpose: The aim of this study was to evaluate complementary and alternative medicines (CAM) employed for treating patients with erectile dysfunction. Materials and Methods: A total of 204 patients with erectile dysfunction who completed a questionnaire between January and June 2005 were evaluated. The questionnaire was composed of 13 questions. This survey employed a broad definition for CAM, including acupuncture, biofeedback, folk remedies, chiropractic, homeopathy, hypnosis, massage, psychotherapy, relaxation, energy healing, imagery, special diet, spiritual healing and herbal medicine. The CAMs used by the patients with erectile dysfunction were divided into processed health foods, natural health foods and other therapies, and these were all analyzed. Results: The mean age was 57.9+/-10.1 years. 78 of the total patients with erectile dysfunction had employed at least one CAM. CAM users were more likely to be high school educated, nonsmokers and exercisers. The CAMs used were processed health foods 62% (48/78), natural health foods 15% (12/78), and other therapies 66% (52/78). The processed health foods were soy 25%, ginseng 23% and mushroom 19%. Of the natural health foods, tomato was 42%, soy was 25% and ginseng was 17%. Of the other therapies, herbal medicine was 45%, acupuncture was 25%, moxibustion and cupping a boil were 17%. 35% (27/78) of the patients with erectile dysfunction had employed more than one of the processed health foods, natural health foods and other therapies. Conclusions: Patients with erectile dysfunction had mainly employed processed health foods more than the natural health foods, herbal medicine and acupuncture. We think that more research is required about the effects and benefits of CAM in association with ED.
Acupuncture
;
Agaricales
;
Biofeedback, Psychology
;
Chiropractic
;
Complementary Therapies*
;
Diet
;
Erectile Dysfunction*
;
Health Food
;
Herbal Medicine
;
Homeopathy
;
Humans
;
Hypnosis
;
Lycopersicon esculentum
;
Male
;
Massage
;
Medicine, Traditional
;
Moxibustion
;
Panax
;
Psychotherapy
;
Surveys and Questionnaires
;
Relaxation
;
Spiritual Therapies
;
Food, Organic
3.Promoting whole person health: Exploring the role of traditional Chinese medicine in Polish healthcare.
Monika RYBICKA ; Jing ZHAO ; Karolina PIOTROWICZ ; Sara PTASNIK ; Kamila MITKA ; Magdalena KOCOT-KĘPSKA ; Ka-Kit HUI
Journal of Integrative Medicine 2023;21(6):509-517
Poland has a unique history of traditional Chinese medicine (TCM) dating back to the 17th century when Polish missionary Michael (Michał) Boym was a pioneer in the field. In the 20th century, his successor, Professor Zbigniew Garnuszewski, reintroduced acupuncture to medical practice in Poland. However, other methods of TCM and its holistic approach to patient care have not found their place in modern medicine in Poland. At present, the legal status of TCM in Poland remains unregulated, with TCM included in the broad spectrum of complementary and alternative medicine (CAM) practices. Few reports are available on the use of TCM methods among the Polish population. Integrative medicine combines conventional medicine with evidence-based CAM interventions and considers all aspects of a patient's health, including physical, emotional, mental, social, and environmental factors. An integrative healthcare model that incorporates TCM modalities and lifestyle recommendations as well as a whole person approach may provide a more sustainable solution for the constantly underfinanced Polish healthcare system, which faces challenges of multimorbidity in an aging society and limited access to care. The coronavirus disease 2019 pandemic, war in Ukraine, and ongoing climate crisis have underscored the need to strengthen the resilience of the Polish healthcare system and search for new solutions. A model of care that blends the best of biomedicine and TCM healing approaches may be a better option for both patients and the healthcare system in Poland. Please cite this article as: Rybicka M, Zhao J, Piotrowicz K, Ptasnik S, Mitka K, Kocot-Kępska M, Hui KK. Promoting whole person health: Exploring the role of traditional Chinese medicine in Polish healthcare. J Integr Med. 2023; 21(6): 509-517.
Humans
;
Medicine, Chinese Traditional
;
Poland
;
Holistic Health
;
Complementary Therapies/psychology*
;
Delivery of Health Care
4.The Gap Between Knowledge And Perception On Education In Traditional And Complementary Medicine Among Medical Staff In Malaysia
Maihebureti Abuduli ; Zaleha Md Isa ; Syed Mohamed Aljunid
Malaysian Journal of Public Health Medicine 2015;15(1):77-82
Although the Ministry of Health Malaysia has been encouraging the practice of Traditional and Complementary Medicine (T&CM)1, 2, 3, 4 but patients/clients has not been able to apply it for their need of medical treatments and sometimes it leads to negative outcomes due to lack of knowledge on T&CM and its safe applications5,6’7,8 Most of the western-trained physicians are ignorant of risk and benefits of T&CM9,10,11. This study was aimed to determine the gap between knowledge regarding T&CM and perception on education in T&CM among the medical staffs in five selected hospitals in Malaysia. A cross-sectional survey was done at five public hospitals among medical staff in Malaysia by using quantitative methods. A total of 477 medical staffs were involved in this study. The study showed that the overall knowledge of T&CM among the medical staffs were poor (61.2%). Having good knowledge regarding T&CM were significantly higher in Hospital Duchess of Kent (52%, p=0.001), among the non-Malays (44%, p=0.047) and pharmacists (47.2%, p=0.030). Positive perception on health education in T&CM among medical staffs were high (85.3%) especially among females (88.1%, p=0.002) and pharmacists (93.7%, p<0.001). The use of T&CM among the general population is relatively high in Malaysia and many patients increasingly seek the information on T&CM therapies from medical staffs. Knowledge regarding T&CM was poor in this study because most of the medical staffs have not been exposed to T&CM education. This interesting scenario between poor knowledge and high positive perception on health education in T&CM shows the demand of urgent intervention in educating the medical staffs. We recommend that medical staffs must have some basic education and knowledge about T&CM before they could offer advice to their patients. Doctors are of the utmost important in this regard because they play a very important role in patient care. Providing T&CM education to medical staff may help to integrate T&CM into the mainstream medicine.
Medicine, Traditional
;
Complementary Therapies
5.Traditional and Complementary Medicine (TCM) among Study Population with Cardiovascular Risk; use and Substitution for Conventional Medicine in Pahang, Malaysia
Yueting Kew ; Yuik Ling Chia ; Su Meng Lai ; Kim Yeong Chong ; Xin Lun Ho ; Da Wei Liew ; Foong Ming Moy ; Sharmini Selvarajah
The Medical Journal of Malaysia 2015;70(2):86-92
Introduction: Cardiovascular diseases are the main cause of
morbidity and mortality in Malaysia. There is evidence of
high traditional and complementary medicine (TCM) use
among population with cardiovascular risk and there have
been anecdotal reports about substitution of conventional
medicines with TCM. We investigated the prevalence of TCM
use, treatment preference and substitution of conventional
medicines in study population with cardiovascular risk
factors in Pahang, Malaysia.
Methods: A cross-sectional survey was conducted using an
interviewer-administered questionnaire in five districts of
Pahang. A total of 1250 households were chosen through
proportionate and systematic sampling. Respondents aged
18 years and above were selected.
Results: The study population with cardiovascular risk
factors who used TCM was higher than the general
population (31.7% versus 25.9%). There were no clear
preferences in using TCM by gender, age groups,
educational level and income even though other
bumiputeras showed a slight inclination towards TCM use.
Among the study population with cardiovascular risk
factors who consumed TCM, 20-30% of them were using
TCM as a substitute for their conventional medications.
Respondents from the younger age group (18-40 years)
(57.1%), highest educational level (43.2%), other
bumiputeras (38.4%) and highest income group (31.4%)
preferred the combination of both conventional and
traditional medicine.
Conclusion: TCM use among population with cardiovascular
risk factors is high. The high preference for combination
therapy of TCM and conventional medications among young
adults and the use of TCM to substitute conventional
medications show that much research is needed to provide
proven TCM therapies to avoid self-mismanagement of
cardiovascular risk in Malaysia.
Complementary Therapies
;
Medicine, Traditional
6.Use of Alternative Therapies by Rehabilitation Outpatients with the Musculoskeletal Pain.
Sang Il PARK ; Soo A KIM ; Dong Won PARK ; Cheol Ho SON ; Eun CHOI ; Yang Gyun LEE
Journal of the Korean Academy of Rehabilitation Medicine 2000;24(6):1191-1195
OBJECTIVE: The purpose of this study is to document the prevalence and patterns of use of alternative therapies and effectiveness in a rehabilitation medicine outpatient practice. METHOD: This study was performed that a random sample of 200 patients of rehabilitation outpatient were given a questionnaire addressing their use of alternative therapies. RESULTS: One or more alternative therapies had been used by 51.3% of subjects for their presenting problem. The most common therapies were acupuncture, oriental medicine, chiropractic and massage. Musculoskeletal pain syndrome involving the low back and shoulder were the most common problems of use of alternative therapies. Of the patients who used alternative treatments, 40.2% reported some degree of efficacy. CONCLUSION: A significant proportion of rehabilitation outpatients use alternative therapies and frequently perceived a benefit from them. Incorporating alternative therapies into physiatric practice is a desirable future direction for the speciality.
Acupuncture
;
Chiropractic
;
Complementary Therapies*
;
Humans
;
Massage
;
Medicine, East Asian Traditional
;
Musculoskeletal Pain*
;
Outpatients*
;
Prevalence
;
Surveys and Questionnaires
;
Rehabilitation*
;
Shoulder
7.Content analysis of complementary and alternative medicine literature in the Journal of the Philippine Dermatological Society
Rowena Natividad S. Flores-Genuino
Journal of the Philippine Dermatological Society 2018;27(2):52-62
Background:
Complementary and alternative medicine (CAM) is a popular treatment option among patients. There is a need to assess
the content of published local literature on complementary and alternative medicine in dermatology in the Journal of the Philippine
Dermatological Society (JPDS) to provide evidence for its integration into clinical practice and to guide future research.
Objective:
To analyze the content of published literature on complementary and alternative medicine published in the JPDS
Method:
We screened the titles and abstracts of all published articles in the JPDS from 1992-2017 and included articles on any aspect
of complementary and alternative medicine. We extracted relevant characteristics such as study design, disease, type and details
of CAM therapies, from the included articles. We summarized data using descriptive statistics for continuous data, and frequency
distribution for ordinal data.
Results:
CAM articles accounted for 4% of all published articles in the JPDS over the past 25 years of its existence. Most were RCTs
(22%) (mean size=69), with the greatest number being on herbal medicine (66%), and for the treatment of infections, infestations and
bites (46%). Majority of articles were primarily authored by resident trainees (87%) and the most common institutional affiliation was
UP-PGH (24%). Among the herbal articles, the most common herb family was Fabaceae (9%), while coconut had the highest number
of articles. Leaves were the most common plant part used (40%), and creams were the predominant type of formulation (29%). Other
CAM interventions included were animal products, dietary supplements, and lifestyle modification.
Conclusion
The poor representation of CAM in the JPDS may reflect the lack of integration of this field in the local practice of
dermatology. There is a need to increase awareness and gather more evidence on the application of CAM in the maintenance of
healthy skin as well as prevention and treatment of skin diseases.
Complementary Therapies
;
Medicine, Traditional
;
Herbal
8.Exploring the knowledge, attitude, and practices of community pharmacists in Eastern Visayas towards readiness to provide information service on Complementary and Alternative Medicine (CAM) products
Archie M. Cabachete ; Judah Israel O. Lescano ; Lorraine V. Tagle ; Micah M. Areja ; Elizabeth Y. Tan ; Gea Abigail U. Ecoy ; Florencio V. Arce, Jr. ; Gerard Lee L. See
Acta Medica Philippina 2024;58(Early Access 2024):1-12
Background:
Community pharmacists are strategically positioned to dispense Complementary and Alternative Medicine (CAM) products as part of their innate roles in the provision of accurate drug information to patients. This unique position of the pharmacist could be best realized if equipped with good knowledge and skills in regard to CAM products.
Objectives:
This study aimed to assess the readiness of community pharmacists in the provision of CAM productrelated information to patients by assessing the knowledge and determined the attitudes and practices of community pharmacists regarding CAM products in Eastern Visayas, Philippines.
Methods:
A descriptive mixed-method (qualitative and quantitative) survey design was utilized in this study. Community pharmacists (n=58) in Eastern Visayas, Philippines were the research participants in the study. The survey questionnaire constituted four sections: socio-demographic profile, attitudes, practices, and knowledge of community pharmacists on CAM products. Descriptive statistical analysis was performed using SPSS Version 20.
Results:
Results revealed that the majority of respondents are female (87.93%), age range in between 21-30 (62.07%), working full-time (79.31%), and bachelor’s degree holder (98.28%). More than half of the participants (53.45%) did not receive any education or training on CAM products during undergraduate studies. Community pharmacists displayed strong positive attitudes (mean=3.74) and had a moderate frequency of practice on CAM products (mean=3.20). The knowledge test revealed that only a few of the community pharmacists (31.03%) were considered knowledgeable. A significant relationship between years of work experience in community pharmacy and knowledge was found in this study.
Conclusion
Despite having strong attitude and moderate level of practice, community pharmacists in Eastern Visayas showed a low level of knowledge on CAM products. Demand for CAM products by patients encouraged community pharmacists to dispense and provide information. Readiness of community pharmacists in terms of knowledge provision of CAM product-related information to patients were found to be insufficient while a moderate level of practice towards CAM products was reported. Community pharmacists displayed a strong positive attitude towards CAM products. Overall, the community pharmacists are not ready to provide CAM information service in the context of the knowledge, attitude, and practices.
Complementary Therapies
;
Medicine, Traditional
;
Philippines
9.A Pilot Study on the Use of Complementary and Alternative Medicine for Androgenetic Alopecia.
Jun Young KIM ; Won Jeong KIM ; Ho Youn KIM ; Weon Ju LEE ; Seok Jong LEE ; Do Won KIM ; Byung Soo KIM ; Bo Min HWANG ; Hyung Sik SEO
Korean Journal of Dermatology 2011;49(7):579-586
BACKGROUND: Use of treatments categorized as complementary and alternative medicine (CAM) have increased considerably in the field of dermatology. However, most studies have been focused on atopic dermatitis and psoriasis, and little is known of the prevalence of use of CAM in patients with androgenetic alopecia (AGA). OBJECTIVE: We aimed to determine the frequency, type, duration, and factors associated with the use of CAM in the treatment of AGA at a dermatologic outpatient clinic. METHODS: AGA patients at the outpatient clinic (n=151) received a face-to-face structured questionnaire covering 5 types of CAM plus an open alternative labeled 'other type'. RESULTS: Overall 70.2% (106/151) of the subjects with AGA reported the current or previous use of at least 1 CAM. Topical application (85, 56.3%) was most frequently used, followed by diet therapy (35, 23.2%), health food supplements (15, 9.9%), massage therapy (13, 8.6%), and Oriental medicine (10, 6.6%). With respect to the reasons for using CAM, 'recommendation by people around the patient' (59.4%) was most commonly chosen by the patients. The subjective therapeutic effect and satisfaction with CAM were the best with health food supplements and topical application (80.0% and 21.1%, respectively). CONCLUSION: As our results indicate that the use of CAM continues to rise by patients with AGA, the need for reliable sources of information about specific CAM therapies becomes more essential. To assist AGA patients in selecting proper treatment modalities, further longitudinal and controlled studies are required to assess the efficacy and safety of CAM.
Alopecia
;
Ambulatory Care Facilities
;
Complementary Therapies
;
Dermatitis, Atopic
;
Dermatology
;
Food, Organic
;
Humans
;
Massage
;
Medicine, East Asian Traditional
;
Outpatients
;
Pilot Projects
;
Prevalence
;
Psoriasis
10.Current Status of Alternative Medicine.
Journal of the Korean Academy of Rehabilitation Medicine 2001;25(3):361-374
The ultimum goal of eliminating diseases and maintaining normal health is same both in western medicine, oriental medicine and alternative medicine. At the present time, the western medicine tends to take more scientific technological approach in their practice while the oriental medicine still maintain more humanistic approach. 5000 year old traditional medicine still challenges the 21 century scientific modern medicine in the field of clinical practices. The "disease-oriented" western medicine classify the human condition as "diseased and non-diseased" states. In the mean time the "health-oriented" oriental medicine classify it into "healthy and unhealthy" states. For the maintenance of normal health, five principles are emphasized. They are (1) eat right, (2) move right, (3) sleep right, (4) breathe right, and (5) mind right. To reverse an unhealthy condition back to normal healthy state, the methods of (1) natural substance therapy, (2) exercise therapy, and (3) stimulation therapies including acupuncture, moxibustion, finger pressure, and cupping techniques. In order to eliminate the diseases, four distinct approaches namely (1) chemical, (2) physical, (3) psychological, and (4) surgical treatments are utilized. Recent international trend of globalization has brought an information explosion and transcultural exchange of science, technology, arts and medicine. There are so many different kinds f traditional medicine, hidden popular folk medicine, and various less recognized techniques and theories of healing arts. Some are originated in oriental culture while others are originated in western culture. Experts of western medicine claim that only those informations clarified or proven by the objective and scientific methodology can be recognized as a part of western (orthodox or conventional) medicine. All kinds of traditional medicines, folk medicines, and many other fragments of medical techniques and theories are collectively labelled as "alternative medicine or complementary medicine". In western countries, the oriental medicine is included in the alternative medicine, but in Korea the oriental medicine is not included in the alternative medicine since both western medicine and traditional Korean medicine are considered to be the official conventional medicine. There are clear evidence that the western medicine, oriental medicine, and alternative medicine all are complimentary to each other. If and when all the complimentary components existing in various healing arts together in one medicine, a new integrated comprehensive wholistic medicine can be produced.
Acupuncture
;
Complementary Therapies*
;
Exercise Therapy
;
Explosions
;
Fingers
;
History, Modern 1601-
;
Holistic Health
;
Humans
;
Internationality
;
Korea
;
Medicine, East Asian Traditional
;
Medicine, Traditional
;
Moxibustion