The effect of CAM comprehensive nursing interventions on the improvement of quality of life to patients with breast cancer and gynaecological tumours

Breastcancerin females, which is consideredthe most dreadfuldisease in India andthe worldas compared toother gynaecological cancers,demands extensive care and proper medicationin order to control itsprogressive growth. In addition to the conventional care ofthe patients, Complementary andAlternative Medicine(CAM)is administeredin a controlled way through proper guidance and counselling in orderto attainimprovedphysical andmental health forthe patients.Objective: The aim of the study wasto assess the effectiveness of CAMcomprehensive nursing interventionsand their benefit forpatients who havebreast cancer and gynaecological tumours.Methods: Statistical data was used to map the adult womendiagnosed with breast and gynaecological cancer and who were set to start new chemotherapy treatments. A total of 450 patients from different states of East India were enrolled in the studyover a period of four years. The patients wereselectedbased on their preference for undergoing CAM.The research was conducted usingacross-sectionalanonymous self-administered questionnaireto examine women's perspectivestowards the use of CAM and itseffect on their mental andphysical health.Results:42%of the women preferred theuseofCAM astheir alternative treatment. Breast cancer patients disclosed that 48.1% of them had used CAM and 39% of women with gynaecological cancersstated that they had usedCAM. The results further indicated a less frequent deteriorationin the health of CAM users(38.4%) thantonon-users(55%). In terms of those who utilizedvitamins and nutritional diets,60% of the participants reported using a proper diet, including antioxidants, minerals, vitamins and herbs etc. 37% opted for spiritual healing through yoga, 26% utilized energy healing, 42.4% utilized acupuncture,72% preferred massagesand 23% of patients utilized chiropractic methods.The use of CAM was foundmainlyin the patients with proper education and awareness and those with a family history of cancer who were not receiving the necessary care from their previous primary physician.Conclusion:CAM still requiresextensive research in terms of its applications in dealing with patients and in orderto successfully launch programmes aimed at promoting its useworldwide andto eradicate all the other false notions about it.[Ethiop. J. Health Dev. 2022; 36(2):000-000]Keywords: Breast Cancerand gynaecological tumours,Complementary And Alternative Medicine (CAM), Complementary Oncology,Quality Of Life, Nutritional Diet and Spiritual Healing, HRQL (Health-Related Quality Of Life).IntroductionCancer has been the primaryconcern in Indiafrom the onset,resulting in thousands of deaths due to the lack of adequatemedication and therapy.Breast cancer is considered to bea common invasive form of cancer which is responsible for the second highest mortality rate among the primaryfatal conditions of cancer-causing deaths in women. Under the National Cancer Registry Program,the breast, cervix, uteri,and oral cavity(7)are the most common cancer sitesin women. According to statistics, 50-60% of all cancers amongIndian women are commonly found inthe cervix uteri, breast, corpus uteri and ovaries,which are the main organs forcancer invasion. The percentage of women who experience these types of cancer is increases, with more women becoming susceptible to breast cancer, in women up to 3-8% suffer fromovarian cancer,0.5-4.8%have cancer of the corpus uteri, 1-3% have vulva and/or gestational trophoblastic tumours and a staggering75,000 or more women have breast cancer. With the advancements of the disease through time,research programs were also improved in order to enable the improvement of existing measures and/or the development of new measures aimed at combating the diseas and decreasing mortality rates. Apart from the conventional chemotherapy technique,various other programs have been introduced andencorporated into treatment regimes in order to improve the lives of those who are affected by cancer.Complementary andAlternative Medicine (CAM) emphasizesthe methods and practices that are therapeutic and which help diagnose or curethe disease,these methods are intended tocomplement the conventional methods and can be used in place of mainstream medicine. Women with breast cancer and other gynaecological tumoursare increasingly inclined towards the use of CAM. With the increasing number of cancer reports in Indiaand the world,and with the principal amount leading to mortality, women with proper education and awareness are inclined to choosealternative methods rather than the old conventional ones. The side-effects resulting from the chemotherapy are immense and toxic,which is one of the reasons women are inclined to choose.Various research projects and cumulative studies have been conducted in order to review and discoverthe

La sanación desde otro paradigma: neochamanismos y su emergencia global en el caso español / The healing from another paradigm: neoshamanisms and its global emergency in the Spanish case

Resumen Entre la multitud de medicinas y terapias alternativas presentes en el mundo Occidental, el neochamanismo es una de las que, en la actualidad, ha despertado mayor interés y que se sitúa entre las nuevas formas espirituales y los procesos de patrimonialización fruto de la modernidad globalizada. En este artículo se muestra el proceso de reconfiguración de prácticas y conocimientos ancestrales, -etiquetados como chamánicos- y cómo éstos constituyen una respuesta adaptativa en la búsqueda de nuevos espacios vitales y de experiencias colectivas que den sentido a la existencia en el contexto occidental. Desde el caso español y tomando la Comunidad Valenciana como unidad de análisis, nos adentramos en el proceso de adaptación de distintas corrientes chamánicas que han llegado a nuestras tierras y en cómo, desde ellas, mostrando ejemplos concretos, se entiende la sanación como un proceso de recuperar la salud y el bienestar que incluye al ser humano en su totalidad, así como las relaciones que establece con los demás y con su entorno.

Abstract Amongst multitude of alternative medicines and therapies that are present in the western world, neo-shamanism is one that has awakened more interest and has been established between the new spiritual ways and the heritagisation of processes as a result of globalized modernity. In this article, we will show the process of reconfiguration of shamanic practices and knowledge and how they constitute an adaptive response in the search of new vital spaces and collective experiences that give meaning to existence in western context. From the Spanish case and using the Autonomous Community of Valencia as an analysis unit, we will go in depth into the adaptation process that different shamanic movements reaching our land have suffered and how one can understand healing as a process to regain health and wellbeing that includes the human being in entirety of bodies, as well as established relationships with others and with the environment.

Report on 8 th annual ICCMR Congress / 全日本鍼灸学会雑誌

The International Congress of Complementary Medicine Research (ICCMR) 2013was held in London, UK, on April 11-13, 2013. This conference was organized by the Royal London Hospital for Integrated Medicine and the University of Southampton School of Medicine. There were 450 participants at the conference, which offered 6 workshops, 8plenary sessions, 10 symposiums, 90 oral presentations, and 255 posters. These presentations were not only about acupuncture but also a wide range of traditional medicine, integrative medicine (IM), and complementary and alternative medicine (CAM). It became clear that the spread and awareness of IM and CAM in the EU varied depending on the country.

Report on 2012 International Research Congress on Integrative Medicine and Health / 全日本鍼灸学会雑誌

The 2012 International Research Congress on Integrative Medicine and Health was held in the US in Portland, Oregon on May 15-18, 2012. This conference was organized by the International Society for Complementary Medicine Research (ISCMR) and the Consortium of Academic Health Centers for Integrative Medicine (CAHCIM) . There were 1000 participants at the conference, which offered 7 workshops, 8plenary sessions, 30 symposiums, 65 oral presentations, and 433posters. Many researchers with grants from NIH or NCCAM gave presentations. These presentations were not only about acupuncture but also complementary and alternative medicine in general. My attendance to this conference was sponsored by the Department of International Affairs of the Japan Society of Acupuncture and Moxibustion.

Report on 6th ICCMR (International Congress on Complementary Medicine Research) 2011 in Chengdu / 全日本鍼灸学会雑誌

The 6th International Congress on Complementary Medicine Research (ICCMR) was held at the Sofitel Wanda Hotel in Chengdu, China on May 7-9, 2011. A pre-conference workshop was held on the 6th at Sichuan University. This conference was organized by the International Society for Complementary Medicine Research (ISCMR). There were 400 participants at the conference, which offered 4 workshops, 12 plenary sessions, 134 oral presentations, and 287 posters. Half of total presentations were from China and also many were from South Korea. The methodology of Randomized Controlled Trial (RCT) and Systematic Review (SR) were discussed for building Evidence-Based Medicine for Complementary and Alternative Medicine (CAM) and many researches with RCT and SR were at the presentation. I attended this conference by reguest from the International Department of The Japan Society of Acupuncture and Moxibustion.

Complementary Medicine in Gynecology / 한양의대학술지

The use of complementary and alternative medicine (CAM) for health maintenance and disease management has been on a steady rise for more than 10 years. The number of visits to alternative care providers seems to have exceeded the number of visits to primary care providers. Most of these users are women who are frequently making decisions regarding treatment options without the advice of their physicians. The spectrum of CAM is broad and includes methods worthy of integration into our current practics, as well as ineffective or fraudulent practices that should be avoided. The management of many women's health issues can be enhanced by the integration of selected CAM approaches. Important issues of CAM use in the gynecologic field are menstrual disorders such as premenstrual syndrome and dysmenorrhea, Infertility and menopause. The purpose of this article is to provide the clinician with current information of CAM of the above mentioned gynecologic issues and to be helpful in providing benefits to patients with appropriate treatment options.

Complementary and Alternative Medicine (CAM) Education and Medical Students' Attitudes toward CAM / 한양의대학술지

Complementary and alternative medicine (CAM), also referred to as complementary medicine describes those unconventional healthcare practices that are not considered standard medical approaches. The increasing popularity and use of CAM modalities by consumers indicate a high need to integrate CAM education into conventional medical curriculum and evaluate CAM-related educational outcomes including the medical students' attitudes towards CAM. The number of Korean medical schools offering courses in CAM has risen sharply in recent years. Educational courses of study in CAM have developed. The Korean Society of Complementary and Integrative Medicine proposed a standard 16-hour CAM curriculum for medical students. The CAM Health Belief Questionnaire (CHBQ) is useful in measuring the medical students' attitudes toward CAM theories and practices. The students have shown positive attitudes toward CAM. The findings of positive attitude/beliefs toward CAM is useful for guiding future CAM curriculum development. The didactic CAM instruction curriculum appeared not to have additionally impacted on already positive attitudes toward CAM. It seems that we have to collect information on changes in CAM knowledge and skills to demonstrate an increase in these domains of learning.

Evaluation in the Music Therapy / 日本補完代替医療学会誌

Music therapy(MT) is generally classified into recreational MT in broad sense and therapeutic MT in the narrow meaning. In the latter cases, observing and evaluating the case is necessary. The MT sessions are held rather common for the aged people. We must set a long-term goal in response to the cases; to prevent the reducing mental/physical function and to avoid dementia for the healthy people, to maintain/improve the various functions for the patients with dementia and cerebral vascular accident (CVA), to aim the advancement of QOL for the patients with severe status or in the palliative care. Various evaluating methods are seen: Bando proposed 20 items including sensation, behavior and ADL/QOL; Saji proposed 10 items including activity, persistence, cooperation, emotion, intelligence, singing/playing, handling, walking, smooth action, verbal response. Matsui summarized general MT diagnostic table and MT evaluation table for the aged, and other methods by Kitamoto (Utatsuyama), Okazaki/ Monma, and Akaboshi are seen. The number of the music therapists registered by Japanese Music Therapy Association is increasing, and 1^st Asian International Symposium of Music Therapy was held in March 2009. Thus, MT has become more important in Complementary and Alternative Medicine (CAM).<br>

Current Topics in Exercise Therapy / 日本補完代替医療学会誌

Stone age humans were nomadic and dependent on hunting, which made genes for “thriftiness” beneficial for survival. However, in modern man—with his gluttony and lack of exercise—this gene possesses no merit, leading to the increase of lifestyle-related disease and necessity of exercise. Continuous exercise improves insulin resistance and decreases visceral fat. In the case of elderly with less muscle volume, resistance exercise is necessary. According to the 2007 Exercise Guidelines of the American College of Sports Medicine (ACSM) and the American Heart Association (AHA), exercise for health is different from typical movements in daily life, and vigorous exercise is necessary. In Japan, the Ministry of Health, Labor and Welfare formulated the “Exercise and Physical Activity Guide for Health Promotion 2006”, in which physical activity is classified into exercise and non-exercise activity (NEA), and the quantity goal of physical activity for health promotion was set at 23 units or more per week. In the exercise formula for respiratory rehabilitation, we can set 4 variables of frequency, intensity, time and type (FITT), and utilize Target Dyspnea Rating (TDR). And for cardiac rehabilitation, we can use the guidelines of the Agency for Health Care Policy and Research (AHCPR) and Guidelines for Exercise Training in Patients with Heart Disease (JCS 2002).<br>

Current Status of Music Therapy / 日本補完代替医療学会誌

Currently, music therapy (MT) is a focus within complementary and alternative medicine (CAM). MT is divided into two categories: recreational music (covering a broad field) and medical music therapy. It is not sufficient that the patient simply feel better; the evaluation methodology itself should be improved. MT can also be categorized as passive (ie, listening) and active (singing and/or playing instruments). Common MT subjects in Japan are infants, patients with psychiatric disorders or dementia, and the aged. Recently, combination therapy of MT and other CAM therapies has become more common and is gaining official recognition at a policy level. As MT is further developed, it is expected to play an increasingly important role in CAM in the future. Research in evidence- and narrative-based MT is also expected to progress.<br>

Use of Complementary and Alternative Medicine by Gastric Cancer Patients

PURPOSE: Complementary and alternative medicine (CAM) has recently been spotlighted, and CAM can be defined as methods for treating diseases or ways to maintain physical health that out lie outside the boundaries of conventional medicine. We have conducted research to determine the status of CAM usage among Korean gastric cancer patients and their attitudes toward it, to determine what better can be done about CAM. METHODS: We surveyed those patients in St. Mary Hospital who were diagnosed to gastric cancer and who volunteered to participate in this study. The survey consists of 38 questions and each question covered personal characteristics information as to whether they have used CAM, whether they were satisfied after taking CAM and their intentions for re-use. RESULTS: A total of 195 patients answered the survey. 80 patients (41%) experienced CAM for the purpose of remedying their gastric cancer. The top leading CAM was dietary supplement for 52% of the patients, ginseng for 26% of the patients and Chinese herbal medicine for 10.8% of the patients. 54 patients (67.5%) were satisfied with the results of the CAM and they said that it had an effect on fatigue (45%). The statistics showed positive correlation between the level of education and the CAM users (P=0.001). CONCLUSION: The percentage of patients using CAM among the gastric cancer patients was high, up to 41%. Most of these patients wanted more information and discussion with their physicians about CAM therapies. The interesting thing was that most of the CAM was oral medicine. Based on our findings, research on the safety and effectiveness of CAM is required.

A Study of Complementary and Alternative Medicine used by Cancer Patients in Korea / 성인간호학회지

PURPOSE: The purpose of this study was to study complementary and alternative medicines (CAM) used among cancer patients in Korea. METHOD: This study was a descriptive survey. Study participants were 1,150 cancer patients selected from 28 representative hospitals in Korea. Data were collected between December 1, 2004 and March 30, 2005. RESULTS: Their diagnosis were as follows : 20.0% for breast cancer, 15.6% for stomach cancer, 14.4% for liver cancer, 10.8% for lung cancer, 10.0% for colon cancer, and 10.0% for uterine cancer. 75.0% of cancer patients had used CAM. The most popular categories of CAM use were diet with 153.2%, non-prescription of oriental medical doctor 47.9% and mind-body control 20.3%. CAM use gender, age, cancer type, cancer treatment method, and current treatment type was significantly different in. CONCLUSION: CAM use among cancer patients in Korea was very popular (75.0%) and so systemic guidelines of CAM use are needed.

Visiting the Centers of CAM in the United States / 日本補完代替医療学会誌

We had the opportunities to visit some centers of CAM in the United States twice, on May & September, in 2005. Those are National Center of CAM (NCCAM) and Office of Cancer CAM (OCCAM) in Maryland. Further, as the cancer center, we visited the University of California at Davis and the University of Texas MD Anderson Hospital.<br> We also introduce regarding the 2^nd International Conference of Integrative Oncology which was held at San Diego on November in 2005.<br>

Fundamental Perspective on Complementary and Alternative Medicine / 全日本鍼灸学会雑誌

The use of complementary and alternative medicine (CAM) is increasing rapidly. CAM, as defined by the National Center for Complementary and Alternative Medicine (NCCAM) in the USA, is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional Western medicine. NCCAM classifies CAM therapies into five categories, or domains; 1. Alternative Medical Systems (Traditional Chinese medicine, Ayurveda, Homeopathic medicine, Chiropractic, Naturopathic medicine, etc.), 2. Mind-Body Interventions (Meditation, Prayer, Mental healing, Art, Dance, Music therapy, etc.), 3. Biologically Based Therapies (Foods, Herbs, Vitamins, Dietary supplements, Aromatherapy, etc.), 4. Manipulative and Body-Based Methods (Chiropractic or Osteopathic manipulation, and Massage, etc.), and 5. Energy Therapies (Qi Gong, therapeutic touch, electromagnetic fields). In the USA, CAM use increased from 33.8% in 1990 to 42.1% in 1997. In Japan, 65.6% of adults used CAM. Furthermore, in the USA, 61.5% of the CAM users did not tell their doctors while 78.9% of the CAM users in Japan did not tell theirs. In Japan, the domain of dietary supplements is most important, followed by aromatherapy, traditional Chinese medicine (Kampo), Ayurveda, and electromagnetic fields. An Agaricus blazei Murill is the most popular dietary supplement. Many cancer patients take this mushroom. The aim of this paper is to determine the actual status of dietary supplements in Japan.

Do Natural Health Products Cause Toxic Hepatitis?

Medicinal herb-induced liver injury reported on the literature ranges from mild elevation of liver enzymes to fulminant liver failure and liver cirrhosis. Medicinal herbs are common ingredients of traditional Chinese herbs. The mechanisms of medicinal herb-induced liver injury are mainly intrinsic hepatotoxicity. In addition to the potential for hepatotoxicity, medicinal herbs frequently induce herb-drug interaction and herb-herb interaction and may affect its own efficacy and safety. Sometimes hepatotoxicity of medicinal herbs originates from the substances of illegal adulterations and contaminations rather than its own indigenous components. Moreover, individual susceptibility to toxic liver injury should be considered in every instance. Two big problems exist in the management of medicinal herbs-induced liver injury. Because the release of prescriptions is not obligatory in Korea, it is impossible to identify ingredients in case of medicinal herbsinduced liver injury. Misconception on the safety of medicinal herbs prevails throughout the country.

Education in Complementary and Alternative Medicine in Japanese Medical Schools: Follow-Up Study, 1999-2004 / 医学教育

This is a follow-up study to our 1999 telephone survey of education in complementary and alternative medicine (CAM) in Japanese medical schools. We surveyed the same workers in curriculum offices in all 80 Japanese medical schools in 2004. The number of medical schools that offer CAM education has increased significantly, from 16 schools (20%) in 1999 to 69 schools (86%) in 2004. Treatment with <I>kampo</I> is being taught in all 69 schools with CAM education. Fourteen (20%) of these 69 schools also teach a new framework of CAM and integrative medicine, and 7 schools teach evidence-based medicine in relation to CAM, although almost all schools (95%) taught <I>kampo</I> and acupuncture as types of traditional Asian medicine in 1999.