Novel Model For Integrative Medicine Curriculum

While the use of Traditional, Complimentary, and Integrative Medicine (TCIM) is substantial, it continues to existat the periphery of allopathic medicine. This article provides a global scenario with the strengths and weaknesses of the present health care systems. Availability, affordability, and accessibility of healthcare coupledwith uneven growth and the double burden of diseases have become major concerns around the globe. Thisarticle emphasizes the need for mindset change from illness-disease-drug centric curative to person-healthwellness centric preventive and promotive approaches. It highlights the innovation deficit faced by conventionalallopathic medicine and delineates the significant benefits of the integration of conventional medicine withtraditional, complementary and integrative therapies in the medical curriculum.Medical heterogeneity is a rising trend, and people are trying to explore various options, including allopathic,complementary, and alternative medicine. In such a situation, knowledge from Yoga, Ayurveda, TraditionalChinese medicine/Acupuncture, and Homeopathy may play a vital role. We can progress with an appropriatemodel by integrating allopathic medicine with traditional medicine systems for affordable health care. Severalmedical scientists have contributed positive reflections and benefits of integrative approaches to health. Theseprovide not only clear insight into the historical roots of the healing traditions of traditional and complementary medicine, but also into the entire concept of integrative approaches to health.

"Esto de 'alternativo' no tiene nada". La construcción de la razonabilidad del uso de una medicina no-convencional desde la perspectiva de sus usuarios em Buenos Aires, Argentina / "This is not 'alternative' at all". The construction of the rationality of the use of non-conventional medicine from the perspective of its users in Buenos Aires, Argentina / "Isso não tem nada de 'alternativo'": a construção da racionalidade do uso de medicina não convencional na perspectiva de seus usuários em Buenos Aires, Argentina

El artículo explora un aspecto del campo médico no-convencional (Ciudad de Buenos Aires): la construcción colectiva de narrativas que justifican la elección y uso de una terapia particular (reflexología) en términos de una acción razonable y válida sobre la base de su inscripción en un supuesto sentido común compartido, más allá de la adhesión al ideario alternativo. El artículo se sustenta en una investigación de tesis doctoral, de enfoque interpretativo y cualitativo, a través de entrevistas en profundidad a usuarios de esta terapia. Los resultados enfocan la centralidad de tres ejes temáticos donde esta narrativa de la razonabilidad emerge: el que se sustenta en la experiencia de los "otros significativos", bajo la retórica de la recomendación y la prueba; el relacionado con definiciones específicas de "lo real", desde las cuales la terapia se visualiza como eficaz; y otro que convalida la terapia distinguiéndola de otras opciones consideradas alteridades radicales. Se concluye que este tipo de narrativa es una de las expresiones posibles de los procesos de aculturación y asimilación que atraviesan estas terapias en contextos occidentales, posibilitando su aceptación desde amplios sectores de la sociedad más allá de la adhesión al sistema de creencias alternativo.

The study explores one aspect of non-conventional medical field (Buenos Aires): the social construction of narratives justifying the choice and use of a particular alternative therapy (reflexology) in terms of a reasonable and valid action, beyond alternative notions. The study is based on interpretive and qualitative approach, through in-depth interviews with users of this therapy. The results focus on the centrality of three themes which this narrative of reasonableness arises: (a) the experience of the "significant others", under the rhetoric of recommendation and proof; (b) specific definitions of "medical reality" from which therapy is seen as effective; and (c) one that validates therapy distinguished from other options considered radical otherness. It is proposed that this type of narrative is one of the possible expressions of acculturation and assimilation processes that cross these therapies in Western contexts, enabling acceptance from many sectors of society beyond adherence to alternative belief system.

O artigo explora um aspecto do campo da medicina não convencional na cidade de Buenos Aires: a construção coletiva de narrativas que justificam a escolha e o uso de uma terapia particular (reflexologia) em termos de uma ação razoável e válida, baseada em sua inserção em um suposto senso comum, além da adesão a uma ideologia alternativa. O artigo se baseia em pesquisa de tese de doutorado, com abordagem interpretativa e qualitativa por meio de entrevistas em profundidade com usuários desta terapia. Os resultados enfocam a centralidade de três áreas temáticas em que esta narrativa da racionalidade emerge: a que se baseia na experiência dos "outros significativos", sob a retórica da recomendação e a prova; a que se relaciona com as definições específicas de "real", a partir da qual a terapia é considerada eficaz; e uma que valida a terapia, distinguindo-a de outras opções consideradas alteridades radicais. Conclui-se que este tipo de narrativa é uma das possíveis manifestações de processos de aculturação e assimilação que atravessam essas terapias em contextos ocidentais, permitindo sua aceitação por amplos setores da sociedade para além da adesão ao sistema de crenças alternativo.

Clinical effect of Salmeterol xinafoate and fluticasone propionate powder for inhalation in patients with chronicobstructive pulmonary disease / 中国生化药物杂志

Objective To observe the clinical effect of Salmeterol xinafoate and fluticasone propionate powder for inhalation in patients with chronic obstructive pulmonary disease.Methods 70 patients diagnosed with chronic obstructive pulmonary disease from March 2014 to March 2015, were randomly divided into two groups ( n =35 ) .Control group were given basic treatment, observation group was given Salmeterol xinafoate and fluticasone propionate powder for inhalation on the basis of control group , patients were followed up and changes of related indicators wererecorded. Results After treatment one month, serum airway remodeling index b-FGF, TIMP-1 values were (93.86 ±17.36 μg/L, 38.06 ±4.28ng/mL) respectively, more than control group(135.03 ±16.06μg/L, 53.95 ±4.15ng/mL)(P<0.05).After treatment one month, inflammatory markers IL-8, TNF-αwere(7.26 ±1.57 pg/mL, 4.29 ±1.02 ng/L)respectively, were more than the control group (14.27 ±1.71 pg/mL, 8.90 ±1.21 ng/L) (P<0.05).After treatment, the observation group, the total effective rate was 91.43%, higher than 77.14%(P <0.05).Conclusion Salmeterol xinafoate and fluticasone propionate powder for inhalation has good effect in treatment of chronic obstructive pulmonary disease , better than the use of basic treatment alone.

A Pilot Study on the Use of Complementary and Alternative Medicine for Androgenetic Alopecia / 대한피부과학회지

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.

Boundaries or bridges: what should Homeopathy?s relationship be with mainstream medicine? / Fronteiras ou pontes: como devem ser as relações da homeopatia com a medicina convencional? / Fronteras o puentes: ¿cuál debe ser la relación entre la homeopatía y la medicina convencional?

When Samuel Hahnemann devised homoeopathy he constructed multiple arguments that both vehemently supported his new system and criticized the conventional medical practice of his day. At the end of the 19th century when homeopathy had grown within Britain and America, homeopaths failed to make use of some of Hahnemann?s most successful arguments. Instead, homeopaths found themselves lose significant cognitive ground to their long time conventional rivals with the dawn of the 20th century, a ground they have not yet recovered. This paper uses the theoretical framework of Berger and Luckmann to analyse the dynamics of the arguments used against homeopathy and suggests that homeopaths failed to adopt a universalizing medical explanation that was available to them: the reverse action of drugs. Had they used this argument homoeopaths could have explained conventional medicine successes within their own universe of meaning and thus neutralized the impact of conventional on their practice. The implications of these conclusions for the future survival and success of homoeopathy are considered.

Quando Samuel Hahnemann formulou a Homeopatia, ele construiu uma série de argumentos que tanto apoiavam seu novo sistema como criticavam a prática alopática da época. No final do século 19, quando a homeopatia já estava estabelecida na Grã-Bretanha e América, os homeopatas falharam por não fazer uso de alguns dos bem elaborados argumentos de Hahnemann. Além disso, os homeopatas não desenvolveram uma base conceitual adequada, distanciando-se ainda mais, com o alvorecer do século 20, dos rivais alopatas, distância essa que ainda não foi recuperada. Este trabalho utiliza o referencial teórico de Berger e Luckmann para analisar a dinâmica dos argumentos utilizados contra a homeopatia e sugere que os homeopatas falharam por não conseguirem adotar uma explicação médica universal que estava disponível para eles: a ação reversa de drogas. Se tivessem usado este conceito, os homeopatas poderiam ter explicado os bem sucedidos resultados alopáticos dentro de seu próprio marco conceitual e, assim, neutralizar o impacto da alopatia sobre a sua prática. As implicações destas conclusões para a sobrevivência e sucesso da homeopatia são consideradas.

Cuando Samuel Hahnemann formuló la homeopatía, desarrolló diversos argumentos que tanto fundamentaban vehementemente su nuevo sistema como criticaban la práctica médica de su época. Sin embargo, al final del siglo XIX, cuando la homeopatía ya se había desarrollado en Gran Bretaña y los Estados Unidos, los homeópatas dejaron de lado los argumentos más sólidos de Hahnemann y, al contrario, perdieron una parte significativa de su base cognitiva comparados a sus tradicionales rivales de la medicina convencional, siendo que esta situación persiste hasta la actualidad. Este artículo utiliza el marco referencial teórico propuesto por Berger y Luckmann para analizar la dinámica del discurso contra la homeopatía y concluye que los homeópatas dejaron de utilizar un argumento científico fundamental ya disponible, el de la acción opuesta (fenómeno rebote, acción paradojal) de las drogas. Si lo hubieran utilizado, podrían haber explicado el éxito de la medicina convencional dentro del propio marco referencial de la homeopatía y consecuentemente, neutralizado su impacto. Finalmente, son discutidas las implicaciones de estas conclusiones en el sentido de la futura supervivencia y éxito de la homeopatía.

An Investigation on the Use of Complementary and Alternative Medicine for Psoriasis / 대한피부과학회지

BACKGROUND: Psoriasis is a chronic and intractable disease that drives patients to seek a complete cure. Recently, the patients who have failed with conventional medicine increasingly appear to be turning to complementary and alternative medicine (CAM), yet little is known of CAM's prevalence of use, and its effectiveness and safety, and especially for treating psoriasis. OBJECTIVE: The aim of this study was to qualify and quantify the usage of CAM for the treatment of psoriasis, and to offer valid information for dermatologists. METHODS: A total of 158 patients suffering from psoriasis were interviewed and they filled out a face-to-face structured questionnaire. RESULTS: Sixty-nine of 158 (43.7%) psoriasis patients reported the current or previous use of CAM. In the order of frequency, oriental medicine (49, 31.0%) was the most commonly used, followed by spa and bath therapy (31, 19.6%), health food supplements (28, 17.7%), topical applications (14, 8.9%) and dietary therapy (14, 8.9%). The majority of patients (60.9%) used CAM from the 'Desire to try everything'. The subjective therapeutic effect and satisfaction with CAM were predominant with health food supplements (57.1% and 53.6%, respectively). After the use of CAM, the patients most frequently complained of 'aggravation of psoriasis' as a side effect of CAM (14.0%). CONCLUSION: These results indicate that CAM is being widely used by patients with psoriasis. However, the use of CAM seems to not be very effective and it is not free of risks. Thus, the direct and indirect risks, and the merits and disadvantages of CAM should always be considered with prudence before using CAM in clinical practice.