• 제목/요약/키워드: complementary and integrative medicine

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Attitude of Medical Students and Doctors towards Complementary, Alternative and Integrative Medicine: A Single-Center, Questionnaire-Based Study

  • Singh, Anika;Kamath, Ashwin
    • 대한약침학회지
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    • 제24권2호
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    • pp.84-90
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    • 2021
  • Objectives: Our study aimed to determine the attitudes of second- and final-year medical students and doctors (teaching faculty) of modern medicine towards complementary and alternative medicine (CAM) using the Complementary, Alternative, and Integrative Medicine Attitude Questionnaire (CAIMAQ). Methods: We invited 248 second-year medical students, 245 final-year medical students, and 48 faculty members to participate in the study. The CAIMAQ consists of 30 items, divided into five categories assessing various aspects of CAM, and scored using a 7-point Likert scale. The median scores obtained were compared between groups; a p-value < 0.05 was considered statistically significant. Results: A total of 138 medical students and faculty responded and participated in the study, of which, 24 (17.4%) were faculty, 40 (29%) were final-year medical students and 74 (53.6%) were second-year medical students. The overall attitude towards the various CAM concepts and therapies was positive. In general, the faculty were significantly less likely to consider referring patients for CAIM treatments, integrating them with conventional medicine, referring patients to alternative healthcare providers, considering the use of subtle energy fields as an ethical form of treatment, or considering CAIM treatments to be less invasive and harmful compared with conventional medicine. There was no significant difference in the attitudes of second- and final-year students. Conclusion: The attitude of medical students and doctors towards CAM is positive, and although the medical faculty have reservations in recommending specific types of CAM therapies or integrating them with conventional care, building evidence for supporting CAM therapies in specific diseases is likely to increase its uptake among health care professionals.

개원의중심연구망에서 수행된 보완통합의학 관련 연구 현황: 체계적 문헌고찰 (The Current Research Status of Complementary and Integrative Medicine in Practice-Based Research Networks: A Systematic Review)

  • 원지윤;한가진;김예진;박재량;노은영;지유진;아담스 존;이향숙
    • Korean Journal of Acupuncture
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    • 제37권4호
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    • pp.209-230
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    • 2020
  • Objectives : Practice-Based Research Networks (PBRNs), collaborations of practitioners and academic researchers, have provided platforms for conducting research to address clinical questions generated from daily routine care. This review aimed to critically analyse articles from PBRNs that are related to complementary and integrative medicine (CIM) and to suggest future directions for a PBRN which is appropriate for Korean Medicine (KM). Methods : PubMed, PBRN registries in Agency for Healthcare Research and Quality and relevant PBRN websites were searched up to November 2019 for research articles from PBRNs that focused on CIM regardless of study design. Methodological quality of the included studies was assessed. The included studies were read in full, classified and summarised according to their topics. Results : A total of 51 articles published from 1998 through 2020 were included in this review. They were categorised into three principal themes based on research questions and findings: health services research (embracing researches examining characteristics of patients and CIM practitioners/practices, and communication between patients and practitioners); effectiveness and safety of CIM practices/interventions; and feasibility studies of instruments and interventions in PBRN settings. The study designs varied including surveys (n=30), prospective observational studies (n=6), 2ndary analyses of existing studies (n=7), protocols (n=7), retrospective chart review (n=1) and qualitative study (n=1). Quality of the included studies greatly varied. Conclusions : PBRNs can serve as a feasible platform for conducting practice-relevant research on KM and CIM. Considering growing demands on evidence-base for routine practice of KM amid various stakeholders, a PBRN in KM community and further researches nested within PBRN designs are warranted.

The Concurrent Use of Rhus verniciflua Stokes as Complementary Therapy with Second or More Line Regimens on Advanced Non-small-cell Lung Cancer: Case Series

  • Lee, Sang-Hun;Kim, Kyung-Suk;Choi, Won-Cheol;Yoon, Seong-Woo
    • 대한한의학회지
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    • 제30권6호
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    • pp.112-117
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    • 2009
  • Objective: Rhus verniciflua Stokes (RVS) has anticancer effect confirmed by preclinical studies and historical records. We thus tried to evaluate retrospectively the effect of RVS as a complementary medicine for patients with advanced non-small-cell lung cancer (NSCLC) showing refractory to conventional chemotherapy. Patients and Methods: From June 1, 2006 to June 30, 2007, patients with advanced NSCLC who received both the standardized RVS extract and a standard course of second or more line therapy such as pemetrexed ($Alimta^{(R)}$), erlotinib ($Tarceva^{(R)}$), and gefitinib ($Iressa^{(R)}$) were checked. A total of 13 patients were eligible for the final analysis after fulfilling inclusion/exclusion criteria. Time to progression (TTP) of these patients treated with the standardized RVS extract was checked in the aftercare period. Results: Patients received RVS treatment for a median period of 296 (range 84-698) days. The median TTP was 220.5 (range 36-489) days, and three patients (23.1%) had TTP values of 15 more months. No significant side effects from RVS treatment have been observed. Conclusion: The standardized RVS extract might have synergetic effects by assisting apoptosis in advanced NSCLC with concurrent standard therapy agents, since it prolonged TTP without significant adverse effects. This study suggests that the standardized RVS extract is beneficial to patients with chemotherapy-refractory NSCLC. Further clinical trials and preclinical studies are necessary to determine the efficacy and safety of the standardized RVS extract in NSCLC.

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The History of Liquid Ear Acupuncture and the Current Scientific State of the Art

  • Litscher, Daniela;Litscher, Gerhard
    • 대한약침학회지
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    • 제19권2호
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    • pp.109-113
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    • 2016
  • This short review article presents a current overview of existing publications and scientific results regarding liquid (ear) acupuncture. The injection of liquids into defined acupuncture points of the ear is not a method commonly used in the Western world. The term liquid acupuncture has different definitions, which makes understanding each definition and differentiating one from the other difficult. General terms like pharmacopuncture, homeosiniatry, and liquid acupuncture, which all describe the method of injecting different kinds of drugs into a defined body acupuncture point, are used. This article presents the history of liquid acupuncture, as well as the current scientific state of the art, from the point of view of two European researchers. Some articles are discussed and a few practical examples are presented.

뇌성마비 아동의 한방 및 보완대체의료 이용 실태 (Review of the Use of Korean Medicine or Complementary and Alternative Medicine among Children with Cerebral palsy)

  • 김유림;구현경;윤영주
    • 대한예방한의학회지
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    • 제19권2호
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    • pp.13-22
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    • 2015
  • Objective : The aim of this study was to review the use of Korean medicine (KM) or Complementary and Alternative Medicine (CAM) therapies among children with cerebral palsy (CP). Method : Literature searches were performed using Pudmed, CNKI, J-STAGE and four Korean databases. We investigated the frequency, types, predictors of the use of KM or CAM therapies used in children with CP. Results : Thirteen survey studies including use of KM or CAM among children with CP were selected - six Korean studies and seven overseas studies. The utilization rate of CAM among children with CP varied 26.8~56.0% according to the studies. CP children used KM or CAM more than other children with chronic disease. Acupuncture and Korean herbal medicine was the major treatment used in Korea, however physical manipulations such as massage, osteopathy and chiropractic were in high demand in western country. Disease severity of CP, use of CAM in the past by the parent or family member and high education of parent are the factors that significantly affect CAM utilization. Conclusion : Further studies on effectiveness and safety of KM therapies combined with conventional rehabilitation treatment would be required to expand the implementation of KM treatment for CP children.

Korean Pharmacopuncture Meets Austrian High-Tech Acupuncture - A Short Review Article Including a Bibliometric Analysis of Pharmacopuncture over the Last 15 Years - Pharmacopuncture and Europe

  • Litscher, Daniela;Litscher, Gerhard;Kang, Dae-In
    • 대한약침학회지
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    • 제16권1호
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    • pp.7-11
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    • 2013
  • Objective: Pharmacopuncture, a new therapy in traditional medicine, has attracted significant attention since its introduction to the Western world. This short review article employs a database analysis to examine the profile of publication activity related to pharmacopuncture. Methods: Three databases were searched: PubMed, Embase, and Cochrane. About 300 papers related to the topic "pharmacopuncture" were found in these three most-commonly-used databases. Results: Fourteen papers are described in detail and are discussed in the context of the research performed at the Medical University of Graz, especially by the Frank Bahr Research Group "Auriculomedicine and Pharmacopuncture." Conclusion: High-tech research methods concerning future pharmacopuncture studies are briefly discussed.

Qi therapy as a complementary therapy in chronic myeloid leukemia

  • Lee, Myeong-Soo
    • Advances in Traditional Medicine
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    • 제4권4호
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    • pp.275-277
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    • 2004
  • We describe the successful treatment of a case of chronic myeloid leukemia with Qi therapy. The patient's disease was managed with conventional medical treatment and Qi therapy as a complementary therapy. Before Qi therapy, 95% of the patient's bone marrow showed evidence of disease. A second bone marrow sample five months after Qi therapy revealed that 38% of the bone marrow was normal; one year after Qi therapy the bone marrow was no longer producing any cancer cells. Although these results were obtained for a single case only and may not constitute conclusive evidence, the data suggest that Qi therapy given as a complementary therapy during conventional medical treatment may have beneficial effects on chronic myeloid leukemia.

세계 전통의학과 CAM 엑스포 현황과 분석 - 2013 세계전통의학엑스포의 기획에 주는 시사점을 중심으로 - (The Current Status of Traditional Medicine and CAM's Events Abroad and its Implications for 2013 SanCheong Expo)

  • 권오민;박상영;강연석
    • 한국의사학회지
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    • 제24권2호
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    • pp.135-143
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    • 2011
  • The market of conferences and expos of traditional/ complementary and alternative medicine has not been mature enough while interests in those medicines are growing fast. Meanwhile, some related events in Europe, North America, and Asia, held on regular basis, have reached to the international level in size, such as CAMExpo The Complementary, Natural & Healthcare Show in Europe, Integrative Healthcare Symposium in North America, Ayurveda Congress & Arogya Expo in India, International Conference and Exhibition of the Modernization of Chinese Medicine & Health Products in Hong Kong. Those events have been held for 10 years or so, initiated their own features, and secured their own regular booth exhibitors and visitors. They open the homepage on the internet one or two years before their events are held and vigorously advertise their events on yearly basis. To succeed in, and bear fruits from, the 2013 World Traditional Medicine Expo in Sancheong, it is needed to analyze strong points of the events above and benchmark a practical timeline and technical road map to the 2013 Expo from them.

Successful Outcome of Breast Cancer Patient Refusing Conventional Treatments: A Case Report

  • Lee, Sanghun;Sohn, Kicheul;Chon, Songha
    • 대한한의학회지
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    • 제39권4호
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    • pp.177-182
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    • 2018
  • Background: Breast cancer is a treatable disease, but some women reject conventional treatment in favor of unproven "alternative therapies," which may have serious implications for their survival. Therefore, a process is needed to lead them to more appropriate treatment choices. Case presentation: Here, we present the case of a 51-year-old Korean female diagnosed with early-stage breast cancer (stage IIB, T2N1M0) in Nov. 2015. She refused a standard surgical resection together with chemotherapy and opted instead for moxibustion by nonmedical personnel. Consequently, her preference for alternative therapy without conventional treatment exacerbated her disease. Just a little over a year later, integrative cancer treatment, including chemotherapy based on histological founding, and complementary treatment, comprised of acupuncture, moxibustion, and herbal medicine, were administered for 5 months. Finally, she successfully underwent modified radical mastectomy showing a pathological complete response. She received only adjuvant chemotherapy without any alternative medicine afterwards, and she maintained a good status without recurrence. Conclusion: In the case of breast cancer patients who are resistant to surgery and chemotherapy, integrative therapy considering adverse effects from conventional treatment should be preferred to bitter opposition to alternative medicine.

통합 의료적 관점에서 바라 본 산림치유 지도사 양성 교육과정 개발안 (Integrated Medical Perspective View on Forest Healing Instructor Training Program and Curriculum Development)

  • 이민선;백태선;신희성;이왕림;박수진;박찬우;여상희;이성재
    • 디지털융복합연구
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    • 제11권8호
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    • pp.227-234
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    • 2013
  • 본 연구는 '치유의 숲'이라고 하는 공간 내에서 통합 의학적 헬스 케어, 산림치유 프로그램의 진행과 보완대체요법을 적용한 치유활동을 실현하고 발전시키는 데 있다. 이에 핵심적 역할을 담당할 가칭 '산림치유 지도사' 전문 인력을 양성하기 위해서 다양한 항목의 치유프로그램을 개발하여 보급해야 한다. 이를 위해 치유활동을 담당할 산림치유 지도사가 양성되어야 할 것이다. 이에 산림학 분야의 관련 깊은 교수 및 전문가들과 보건의료 및 보완대체요법 관련 전문가 20명을 대상으로 델파이 검사방법을 통해 교육과정에 대한 의견을 수렴하였다. 전문적인 산림학 및 의학 기초지식과 치유능력을 갖춘 산림치유 지도사를 양성하기 위한 교육대상, 이수범위, 자격취득과정, 교육목표와 교육과정 및 운영안을 만들었으며, 이를 바탕으로 교육방법과 평가방법을 만들었다.