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Effects of COVID-19 fear and anxiety on attitudes towards complementary and alternative medicine use in women with gynecological cancer during the COVID-19 pandemic

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Journal of Integrative medicine 2023年第4期21卷 377-384页

作者： Fatma Uslu-Sahan Ilknur Yesilcınar Gonul Kurt Elif Hancer Gulten Guvenc Department of Obstetrics and Gynecologic Nursing Faculty of NursingHacettepe UniversityAnkara 06100Turkey Department of Obstetrics and Gynecologic Nursing Faculty of Health SciencesIzmir Katip Celebi UniversityIzmir 35620Turkey Department of Obstetrics and Gynecology Nursing Gulhane Faculty of NursingUniversity of Health SciencesAnkara 06018Turkey Department of Obstetrics and Gynecology Gynecologic Oncology ClinicHacettepe University Faculty of MedicineAnkara 06800Turkey

Objective:Patients with gynecological cancer commonly use complementary and alternative medicine(CAM)methods to cope with the ***,despite the existence of treatment strategies,the effect of fear and anxiety caused by coronavirus disease 2019(COVID-19)pandemic on attitudes about CAM use is *** study was carried out to investigate the effect of fear and anxiety experienced by patients with gynecological cancer during the COVID-19 pandemic on their attitudes towards the use of ***:This is a cross-sectional and descriptive study that included 177 women with gynecological cancer;participants were recruited from a social networking site for cancer patients in Turkey between June and December *** were collected using an online survey that included the Personal Information Form,the Fear of COVID-19 Scale,the Coronavirus Anxiety Scale,and the Attitude Towards Holistic complementary and alternative medicine *** statistics,t-test,Pearson’s correlation test,and simple linear and multiple regression analyses were performed to analyze the ***:During the pandemic,55.4%of the participants reported using CAM methods,but only 22.6%were using CAM before the *** participants who used CAM during the pandemic also scored higher on the fear of COVID-19 and coronavirus anxiety scales(20.69±5.37 and 13.09±6.29,respectively)compared to the participants who did not use CAM(9.29±2.72 and 6.35±2.06,respectively).Fear of COVID-19 accounted for 52%of the CAM attitude score,while coronavirus anxiety accounted for 15%of the CAM attitude *** of COVID-19 and coronavirus anxiety together accounted for 53%of CAM ***:Gynecological cancer patients with high levels of COVID-19-related anxiety and fear during the pandemic used CAM *** that the psychological effects of the pandemic will continue in the coming years,CAM use should be evaluated as a coping strategy,especially due to the COVID-19-related anxiety an

关键词： complementary and alternative medicine Anxiety COVID-19 Fear Gynecological cancer

complementary and alternative medicine:Is It Possible to Be Mainstream?

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Chinese Journal of Integrative medicine 2012年第6期18卷 403-404页

作者：徐浩陈可冀 Cardiovascular Disease Center Xiyuan Hospital China Academy of Chinese Medical Sciences

complementary and alternative medicine （CAM）, also known as non-conventional medicine, is used to refer to a broad set of health care practices （such as herbal medicine, acupuncture, yoga, Taichi, Qigong, meditation, manual therapies, homeopathic medicine, etc.） that are not part of a country＇s own tradition, or not integrated into its dominant health care system.（1） In fact, CAM is generally used in most developed countries, especially in North America, Europe and Australia, while ＂traditional medicine （TM）＂ is more common instead when referring to Africa, Latin America, South-East Asia, and/or the Western Pacific region.

关键词： CAM In complementary and alternative medicine

complementary and alternative medicine applications in cancer medicine

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Traditional medicine Research 2020年第1期5卷 7-21页

作者： Milena Jurisevic Sergey Bolevich Department of Clinical Pharmacy Faculty of Medical SciencesUniversity of KragujevacKragujevac 34000Serbia Department of Human Pathology the Federal State Autonomous Education Institution of Higher Trainingthe First Sechenov Moscow State Medical University at the Ministry of Health of the Russian Federation(Sechenov University)Moscow 119991Russia

Besides conventional medicine,many patients with cancer seek complementary and alternative medicine(CAM)as an additional treatment *** the early 1970s,the use of CAM in cancer treatment has expanded ***,as a tempting option,was used by patients with cancer mainly due to easy *** with cancer used CAM to achieve better quality of life or to find a *** physicians are mainly unaware of CAM use by patients,doctor-patient communication about CAM use should be brought to a higher *** identify circumstances in which CAM are preferred,further investigations are needed especially in biologically based ***-based evidence for mind-body therapies have been established,so this type of CAM can be recommended for patients with cancer during *** studies are necessary to fill the gaps so that CAM users,as well as medical experts,are in position to clearly determine all the benefits and disadvantages of the mentioned therapy.

关键词： complementary and alternative medicine Cancer Breast cancer Safety

The knowledge, attitude, practice and predictors of complementary and alternative medicine use among type 2 diabetes mellitus patients in Indonesia

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Journal of Integrative medicine 2021年第4期19卷 347-353页

作者： Yunita Sari Akhyarul Anam Annas Sumeru Eman Sutrisna Department of Nursing Universitas Jenderal SoedirmanPurwokerto 53122Central JavaIndonesia Department of Pharmacology Universitas Jenderal SoedirmanPurwokerto 53147Central JavaIndonesia

Objective: The prevalence of complementary and alternative medicine(CAM) usage among patients with type 2 diabetes mellitus(T2DM) in Indonesia is high. However, to date, little is known about why Indonesian T2DM patients choose CAM therapies, how their knowledge, attitude and practice(KAP) of CAM affects their choices, or how demographics correlate with patient choices. Therefore, this study aimed to investigate the KAP and predictors of CAM usage in T2DM patients in ***: This was an observational, cross-sectional study. Patients were interviewed using a questionnaire. Chi-square tests or Fisher’s exact tests were used to compare demographic and clinical data, as well as KAP assessments, between T2DM patients who use and do not use CAM. Multivariate logistic regression analyses were used to investigate predictors of CAM ***: A total of 628 T2DM patients were enrolled in the study. CAM therapies were used by 341 patients(54.3%). The most common therapies were herbs and spiritual healing, used by 100.0% and 68.3% of CAM-using patients, respectively. CAM therapies were frequently recommended by family members(91.5%), and CAM users had significantly more knowledge and more positive attitudes toward CAM therapies than nonusers. Among users, 66% said they would not follow their healthcare providers’ instructions to not use CAM therapies, and 69.5% said they would not disclose their plan to use CAM therapies with their healthcare provider. Neither demographic nor clinical characteristics were associated with CAM use. The factors that best predicted the use of CAM therapies were their availability and low cost(odds ratio [OR] = 4.59;95% confidence interval [CI]: 3.01–7.01), the belief that CAM therapies were safe(OR = 2.04;95% CI: 1.40–2.95), the belief that CAM therapies could help with diabetes control(OR = 1.75;95% CI: 1.15–2.66), and the belief that CAM therapies could help maintain physical health(OR = 1.68;95% CI: 1.13–2.49).Conclusion: CAM the

关键词： Attitude complementary and alternative medicine Diabetes mellitus Knowledge Practice Predictors

A Survey of Application of complementary and alternative medicine in Chinese Patients with Parkinson’s Disease: A Pilot Study

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Chinese Journal of Integrative medicine 2020年第3期26卷 168-173页

作者： PAN Xue-wei ZHANG Xiao-guang CHEN Xia-chan LU Qi HU Ying-si HAN Li-ya ZHENG Jian-le JIN Jie ZHENG Guo-qing Department of Neurology the Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical UniversityWenzhouZhejiang Province325000China Department of Neurology Wenzhou Central HospitalTheorem Clinical College of Wenzhou Medical UniversityWenzhouZhejiang Provinee325000China Department of Neurology Ruian People's Hospitalthe Third Affiliated Hospital of Wenzhou Medical UniversityWenzhouZhejiang Province325200China

Objective:To investigate the prevale nee and spectrum of complementary and alternative medicine(CAM)application and its related-factors in Parkinson's disease(PD)patients in ***:A structured questionnaire regarding the use of CAMs was administered to PD patients by face-to-face *** and social variables,clinical characteristics and treatments,and the related factors of PD were also ***:Ninety out of 113 patients(79.6%)reported that they had received CAMs treatment,of which 48.6%(55/113)patients had received CAMs treatment for *** top 3 kinds of CAMs for PD were Chinese materia medica,rehabilitation exercise,and acupuncture *** source of information regarding CAMs treatment mainly came from relatives and friends(51.8%,73 cases),followed by physicians(31.9%,45 cases),and medias such as television,newspapers or the internet(16.3%,28 cases).Fifty percent of CAM users reported a good therapeutic efficacy,whereas 39% patients reported that they felt neither better nor worse after the treatment,while 11% patients claimed worsening of *** correspondence analyses survey found the main factors affecting the selectivity of CAMs ranked in the following order:in come,education,occupati on,habitati on,age at on set,Hoeh n and Yahr staging,PD durati on,and gen ***:CAMs,especially Chin ese materia medica,rehabilitation exercise,and acupuncture,are widely used for PD patients in China.

关键词： Parkinson's disease complementary and alternative medicine Chinese medicine

A Survey of complementary and alternative medicine in Iran

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Chinese Journal of Integrative medicine 2012年第6期18卷 409-416页

作者： Hassan Abolhassani Mohsen Naseri Sanam Mahmoudzadeh Department of Comple-mentary alternative medicine Tehran University of Medical SciencesTehranIran complementary alternative medicine Research Group Student Research InstituteTehran University of Medical SciencesTehranIran Research fellow Tehran University of Medical SciencesTehranIran

Objective： To survey the use, capability and satisfaction of complementary and alternative medicine （CAM） in comparison with conventional medicine in Iran. Methods： In this national survey, a cross-sectional study was designed, 5,000 people were surveyed to identify predictors of Iranian traditional medicine （ITM） use compared with conventional medicine. Data were collected through a questionnaire that covered three different predictor categories： demographic information, patient＇s viewpoint, and patients＇ experiences. Results： Most of the participants preferred government owned hospitals rather than other places. Praying for one＇s own health was the most frequent and favorable ITM domain （P=0.017） based on patients＇ interests, both in low- （P=0.08） and high- level （P=0.011） educated subjects. Among the participants, 97.8% had previous conventional medicine history due to their chronic diseases Conclusions： Iranianpatients resort to ITM as a choice at the late stage of the disease. Current deficiency in integration of CAM and conventional medicine is in contrast to the increasing demand on patients＇ side. Health care organizers should be facilitating the CAM services by tuition of CAM practitioners and supporting eligible CAM centers for diagnosis and treatment of patients.

关键词： effectiveness complementary and alternative medicine conventional medicine

Action Mechanisms of complementary and alternative medicine Therapies for Rheumatoid Arthritis

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Chinese Journal of Integrative medicine 2011年第10期17卷 723-730页

作者： Imada Keisuke 边宝林李向东 Sato Takashi Ito Akira Department of Biochemistry and Molecular Biology School of PharmacyTokyo University of Pharmacy and Life Sciences1432-1 HorinouchiHachiojiTokyo(192-0392)Japan China Academy of Chinese Medical Sciences

Rheumatoid arthritis （RA） is characterized as a chronic inflammatory disease in joints and concomitant destruction of cartilage and bone. Cartilage extracellular matrix components, such as type Ⅱ collagen and aggrecan are enzymatically degraded by matrix metalloproteinases （MMPs） and aggrecanases in RA. Currently, treatments targeting cytokines, including anti-tumor necrosis factor （TNF） α antibodies, soluble TNF receptor, anti-interleukin （IL）-6 receptor antibody, and IL-1 receptor antagonist, are widely used for treating RA in addition to anti- inflammatory agents and disease-modifying antirheumatic drugs （DMARDs）, such as methotrexate, but these treatments have some problems, especially in terms of cost and the increased susceptibility of patients to infection in addition to the existence of Iow-responders to these treatments. Therefore, therapeutics that can be safely used for an extended period of time would be preferable. complementary and alternativemedicines including traditional Chinese medicines （TCM） have been used for the arthritic diseases through the ages. Recently, there are many reports concerning the anti-arthritic action mechanisms of TCM-based herbal formulas and crude herbal extracts or isolated ingredients. These natural herbal medicines are thought to moderately improve RA, but they exert various actions for the treatment of RA. In this review, the current status of the mechanism exploration of natural compounds and TCM-based herbal formulas are summarized, focusing on the protection of cartilage destruction in arthritic diseases including RA and osteoarthritis.

关键词： rheumatoid arthritis extracellular matrix aggrecanase matrix metalloproteinase complementary and alternative medicine

Policies on Chinese medicine in China May Have Enlightenments to complementary and alternative medicine in the World

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Chinese Journal of Integrative medicine 2018年第10期24卷 789-793页

作者： CHEN Wei LI En-chang ZHENG Wei-rong Center for Health and Bioethics Wenzhou Medical University

From the event of TU You-you winning the Nobel Prize, this paper briefly reviewed the history of formation and development of policies on Chinese medicine （CM） in China. On the basis of analyzing the causes of policies on CM, it is believed that policies on CM in China may have 4 kinds of enlightenments to the development of complementary and alternative medicine （CAM） in the world. Forming the political advantages of policy-making by main leaders of the country attaching importance to CAM; implementing a diversified health care system policy for the goal of maximizing people＇s health interests; ensuring development of CAM by the coerciveness of law and the timeliness of policy adjustment; and promoting the protection and mining, sorting out and improving of CAM based on open and comprehensive policies.

关键词： complementary and alternative medicine Chinese medicine policies on Chinese medicine integrated Chinese and Western medicine

Evidence-based Practice Method of Integrative Chinese and Western medicine Based on Literature Retrieval through PICO Question and complementary and alternative medicine Topics

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Chinese Journal of Integrative medicine 2010年第6期16卷 542-548页

作者：闫秀峰倪青魏军平徐浩 Guang'anmen Hospital China Academy of Chinese Medical Sciences National Integrative medicine Center for Cardiovascular Disease China-Japan Friendship Hospital

An evidence-based practice method according to literature retrieval through PICO （Patients,Intervention,Comparison,Outcome） questions and complementary and alternative medicine （CAM） topics,which can obtain helpful evidence for guiding clinical practice,was introduced with a practical example in this *** knowledge of diseases and Western medicine treatment can be acquired by literature retrieval through PICO question,while searching by CAM topics may provide evidence for Chinese medicine （CM）.Thus the author held that literature retrieval through both PICO question and CAM topics was an ideal evidencebased practice method for integrative Chinese and Western medicine （ICWM）.However,since the standard in CM evidence hierarchy is still under study,the value of the CAM thematic retrieval method remains very *** the future,studies on the definition and hierarchy of CM evidences and the herb-drug interaction between Western and Chinese medicine during a combination therapy should be strengthened to improve the status of ICWM evidence-based practice.

关键词： integrative medicine evidence-based practice evidence-based medicine complementary and alternative medicine medical informatics