Use Of Herbal Remedies Research Articles

An investigation into the effectiveness of various professionals and behavior modification programs, with or without medication, for the treatment of canine fears

In this follow up study, we investigate a subset of 1,308 dogs whose owners (n = 1,048) described as having at least one form of fearful/anxious behavior. Using a self-reported questionnaire, owners were also asked to indicate the resolutions employed, including training methods and equipment, behavior modification programs, behavior modification and training techniques, medications, and forms of alternative medicine. Owners sought professional help for 50% of the fearful or anxious dogs. Nearly a quarter of the dogs were brought to a veterinarian for help; 15% of which were diagnosed with a medical condition contributing to the dog's misbehavior. Overall, reward-based training, mental stimulation, and habituation were associated with increased odds of improvement. For the specific fear/anxiety-based problems, various consultants and techniques or treatments were found beneficial. Inanimate fears benefited from the use of benzodiazepines, herbal remedies, and dietary changes. Animate fears had increased odds of improvement if the dog was brought to a behavior consultant, use of a relaxation protocol, and systematic desensitization. Situational fears benefitted from mental stimulation, a relaxation protocol, and short, frequent training sessions. Generalized anxiety had increased odds of improvement with nutraceutical therapy and enrollment in dog sporting activities. Negative odds of improvement were found if the dog had pre-existing aggression in conditions involving inanimate fears, situational anxiety, and post-traumatic stress disorder. Neutering (male or female) reduced odds of improvement for animate fears, as did consultation with a veterinarian or non-veterinary behaviorist and the use of benzodiazepines. Changes in management had a negative effect on treatment of situational fear/anxiety. Consulting a trainer and hormone therapy reduced odds of improvement with generalized anxiety disorder. Paradoxically, odds of improvement for post-traumatic stress disorder were reduced when increasing a dog's exercise level was employed in treatment.

Carotenoids in Palliative Care-Is There Any Benefit from Carotenoid Supplementation in the Adjuvant Treatment of Cancer-Related Symptoms?

Carotenoids are organic, liposoluble pigments found in nature, which are responsible for the characteristic colors of ripe tomatoes, carrots, peppers, and crustaceans, among others. Palliative care provided to patients with an incurable disease is aimed at improving the patient’s quality of life through appropriate treatment of symptoms accompanying the disease. Palliative care patients with burdensome symptoms related to advanced-stage cancers are especially interested in the use of natural dietary supplements and herbal remedies to reduce symptoms’ intensity and ameliorate the quality of life. Carotenoids seem to be a group of natural compounds with particularly promising properties in relieving symptoms, mainly due to their strong antioxidant, anti-inflammatory, and neuroprotective properties. Moreover, carotenoids have been used in folk medicine to treat various diseases and alleviate the accompanying symptoms. In this narrative review, the authors decided to determine whether there is any scientific evidence supporting the rationale for carotenoid supplementation in advanced-stage cancer patients, with particular emphasis on the adjuvant treatment of cancer-related symptoms, such as neuropathic pain and cancer-related cachexia.

Investigation of in vitro Cytotoxicity of Chelidonium majus against Leishmania major.

One of the public health issues in the endemic areas, especially in the Middle East region would be the Leishmaniasis. The suggested cure for leishmaniasis is pentavalent antimonials. These medications have drastic side effects and the risk of relapse. On the other hand, nowadays use of herbal remedies as safe and cost-effective treatments have been increased. Therefore this study was designed to determine in vitro anti-leishmanial activity of methanol extracts of greater celandine (Chelidonium majus) against Leishmania major. Greater celandine extract was added to L. major promastigotes and intra-macrophagic amastigotes. After 24, 48 and 72 h in vitro culture the percentage of promastigotes viability was calculated by direct counting method and MTT assay. Cytotoxicity in intra-macrophagic amastigotes was evaluated by direct counting method. Viability in minimum dose and maximum dose-treated groups (1.5 and 90 μg/ml) after 24 h, was 55.52% and 36.34%, respectively. After 48 h, it was 40% and 25.26% and after 72 h, it was 62.18% and 38.45%, respectively. The half maximal inhibitory concentration (IC50) was 0.92 μg/ml, after 24 h. Cytotoxicity in intra-macrophagic amastigotes treated by 3 μg/ml dose after 24 and 48 h, was 33.23% and 50.34%, respectively. It could be concluded that greater celandine methanolic extract has in vitro cytotoxic effect on the L. major in time and dose-dependent pattern.

Kolaviron, A Biflavonoid Compound: Its Pharmacological Activity and Therapeutic Efficacy

Abstract: The use of herbal remedies for medicinal purposes is becoming more popular around the world. As a result, plants have become viable treatment options for a variety of diseases. Garcinia kola (bitter kola) is a perennially grown plant in the Guttiferae family that has been evaluated and reported to have numerous health-promoting properties. Kolaviron is a biflavanoid and major phytochemical found in Garcinia kola that includes Garcinia Biflavanoid-1 (GB-1), kolaflavanone, and Garcinia Biflavanoid-2 (GB-2). It is obtained as a fraction extracted from Garcinia kola. Kolaviron's pharmacological properties include anti-inflammatory, anti-spasmodic, ameliorative, anti-asthmatic, anti-cancer, anti-malarial, hepatoprotective, antioxidant, anti-atherogenic, neuroprotective, anti-diabetic, and anti-amnesic properties. Kolaviron is recommended for use in clinical settings because it has been shown to have a high therapeutic efficacy in clinical trials. The purpose of this review is to assess the therapeutic efficacy of kolaviron.

Attitude, Beliefs, and Use of Herbal Remedies by Patients in the Riyadh Region of Saudi Arabia.

Background: The consumption of herbal medicines (HMs) is increasing worldwide, especially in developing countries. This study attempts to investigate and evaluate the patient’s perception with regard to the security of HMs, their attitudes towards the concomitant use of HMs with modern medicines, and counseling about their use. Design: Self-administered questionnaire-based cross-sectional survey study. Setting: A self-administered structured questionnaire was administered to 200 patients who received HMs from four different government and private hospitals in the Riyadh region of Saudi Arabia, over a period of three months. Results: The response rate was 74.5%. Out of these, 76.83% of respondents reported using HMs in some form for a variety of conditions. There was no statistically significant relationship between various demographic characteristics and the use of herbs. The majority of the respondents (76.72%) reported using HMs without any professional supervision. This exposes them to the risk of harmful side effects and drug interactions. Conclusions: Physicians and pharmacists should work to provide evidence-based information about HMs to patients about effectiveness and side effects and be vigilant while writing prescriptions and dispensing drugs to them. Patient counseling and education about medication use are required to augment their awareness about their use.

The Particulars of Applying Odontoprotectors at Different Stages of Therapeutic Process of Periodontal Diseases (A Scoping Review)

Rational use of drugs underlies the development of a treatment strategy. In particular, it is important in dental practice to properly select odontoprotectors for the prevention, treatment and maintenance therapy of periodontal diseases. A methodological approach based on the Arskey & O’Malley’s framework was applied to analyse the state of knowledge and previous studies on the use of odontoprotector drug group at different stages of the therapeutic process of periodontal disease. Of the 6 initial scientific databases, the research was conducted in 3 databases that best met the specified search conditions: Google (Google Scholar); PubMed; Wiley InterScience (The Cochrane Library). The literature was selected for the last 5 years (2016-2021). A total of 492 scientific papers were analysed. It is established that the available scientific information is divided into 4 main areas: the use of herbal remedies and folk remedies; antibiotic therapy in dental practice; prospects for the use of nanotechnology in dentistry; results of experimental researches and review articles on a particular active pharmaceutical ingredient.

Acute oxalate nephropathy associated with herbal remedies

The use of herbal remedies has grown in recent years, largely due to their increased production and the media advertisements which target their use for the cure of almost all symptoms. Herbal remedies have also become popular in multi-plant forms and have recently become available in both industrial and condensed formulations, with higher doses being administered. We report a 68-year-old woman presenting with symptoms of flank pain, nausea, vomiting, anuria, and hematuria. She has history diabetes mellitus, hypertension and use of herbal including Achillea millefolium and Thymus migricus, Nasturtium for the last four months. Kidney biopsy was performed and was diagnosed with oxalate nephropathy. After the use of herbals was stopped, creatinine levels returned toward normal value in the following months with no complications. Herbal remedies would cause severe organ failures if administered in high-doses and should be considered as a possible cause in patients presenting with AKI.

Phytochemical analysis and comprehensive evaluation of pharmacological potential of Artemisia brevifolia Wall. ex DC

Multitude of diseases and side effects from conventional drugs have surged the use of herbal remedies. Thus, the current study aimed to appraise various pharmacological attributes of Artemisia brevifolia Wall. ex DC. Extracts prepared by successive solvent extraction were subjected to phytochemical and multimode antioxidant assays. Various polyphenolics and artemisinin derivatives were detected and quantified using RP-HPLC analysis. Compounds present in methanol (M) and distilled water (DW) extracts were identified using high resolution mass spectrometry (HRMS). Extracts were pharmacologically evaluated for their antibacterial, antifungal, antimalarial, antileishmanial and antidiabetic potentials. Moreover, cytotoxicity against Artemiasalina, human cancer cell lines and isolated lymphocytes was assessed. Genotoxicity was evaluated using comet, micronucleus and chromosomal aberration assays. Lastly, anti-inflammatory potential was determined through a series of in vitro and in vivo assays using BALB/c mice.Maximum extract recovery (5.95% w/w) was obtained by DW extract. Highest phenolics and flavonoids content, total antioxidant capacity, total reduction potential, percentfree radical scavenging, β-carotene scavenging and iron chelating activities were exhibited by M extract. RP-HPLC analysis revealed significant amounts of various polyphenolic compounds (vanillic acid, syringic acid, emodin and luteolin), artemisinin, dihydro artemisinin, artesunate and artemether in ethyl acetate (EA) extract. Total 40 compounds were detected through HRMS. A noteworthy antimicrobial activity (MIC 22.22 µg/ml) was exhibited by EA extract against A. fumigatus and several bacterial strains. Maximum antimalarial, antileishmanial, brine shrimp lethality and cytotoxic potential against cancer cells was manifested by EA extract. None of the extracts exhibited genotoxicity and toxicity against isolated lymphocytes. Highest α-amylase and α-glucosidase inhibition capacities were demonstrated by DW extract. Various in-vivo anti-inflammatory models revealed significant (p < 0.05) anti-inflammatory potential of M and DW extracts. In conclusion, present findings divulged theremarkable pharmacological potential of A. brevifolia and endorse its richness in artemisinin.

Antidepressant-like effects of aqueous extracts of miswak (Salvadora persica) and date palm (Phoenix dactylifera) on depression-like behaviors using CUMS model in male rats.

This study aimed to evaluate the antidepressant-like effects of aqueous extracts of miswak (Salvadora persica) and date palm (Phoenix dactylifera) and their combination on depression-like behaviors using a chronic unpredictable mild stress (CUMS) rat model of depression and to investigate the underlying possible mechanisms. Results showed that CUMS induced depression-like behaviors and anxiety in male rats, as determined by behavioral tests (FST, EPM, and OFT). CUMS significantly increased the levels of plasma malondialdehyde (MDA), cortisol, and pro-inflammatory cytokines (TNF-α and IL-6), in addition to enhancing acetylcholinesterase (ACHE) activity while plasma total antioxidant capacity and serotonin level were reduced. In the prefrontal cortex, CUMS decreased the expression of CREB and BDNF mRNA. However, aqueous extracts of miswak and date palm and their combination effectively ameliorated depressive-like behaviors, body weight loss, and oxidative stress induced by CUMS and restored serotonin and cortisol secretion to normal levels. Furthermore, the studied extracts improved the levels of plasma pro-inflammatory cytokines and CREB and BDNF mRNA expression in the prefrontal cortex. In conclusion, aqueous extracts of miswak and date palm have significant antidepressant-like effects on depression-like behaviors in CUMS model in rats. Moreover, their combination has higher antidepressant-like effects than either extract alone, suggesting that it may be an effective treatment for stress-induced depression-like behaviors acting through modulating pro-inflammatory cytokines and CREB/BDNF signaling pathway in the prefrontal cortex. PRACTICAL APPLICATIONS: Chronic stress is a major contributor to the development of depression. In recent years, there has been a significant increase in the use of herbal remedies for the treatment of a variety of diseases, particularly mood disorders. Because of the side effects encountered by antidepressant drugs such as anxiety, sexual dysfunction, loss of appetite, and inadequate response or developing tolerance to these medications, there is a need for more efficient and convenient antidepressant treatments. According to this study, aqueous extracts of miswak and date palm are effective treatments for stress-induced depression-like behaviors.

Microscopic analysis of herbal teas against flu and cold

Summary. The common cold and flu are caused by common respiratory viruses, sometimes leading to hospitalization and even death. Among viral infections, influenza viruses have spread around the world with a major impact on public health. Changes in the antigenic structures of influenza viruses lead to a lack of effective treatments. Therefore, the use of herbal remedies is an alternative way to treat flu and colds. For this purpose, you can use both individual medicinal plants and their collections. The aim of the study – to learn the anatomical structure against cold herbal teas from two manufacturers (Ukraine and Bulgaria) to establish microscopic diagnostic features. Materials and Methods. Gripophytol tea (Liktravy Ukraine) and Pri Stud i Zima herbal tea (Bioprograma, Bulgaria) were selected for analysis. The manufacture of drugs was performed according to the method described in the SPU. Results. When examining phytotea remedies, fragments of the upper and lower epidermis of leaves, stomata complex and its types, fragments of large hairs, numerous simple hairs on the edges of leaves, densely pubescent inner epidermis, probably fertile rose hips, druze of calcium oxalate, etc were found. Particles of herbal teas made it possible to identify their composition and make a general picture of the microscopic structure of the studied samples. Conclusions. Thus, a microscopic study was conducted and the anatomical structure of herbal teas Gripofitol (Ukraine) and "Pri Stud i Zima" (Bulgaria) was established. The main microscopic diagnostic features of the anatomical structure of the components of these fees, which can be used in the future to diagnose these herbal teas, have been identified

Cumulative incidence of and risk factors for herpes zoster among patients with diabetes mellitus: Results from a 10-year nested case-control study

BackgroundDiabetes mellitus (DM) is a well-known risk factor for herpes zoster (HZ). Data specific to the incidence of and risk factors for HZ among Thai DM patients are scarce. MethodsThis nested case-control study evaluated a 10-year cohort of DM patients (N = 1428) treated at Siriraj Hospital (Bangkok, Thailand). We included 40 cases with ≥1 episode of HZ, and we randomly sampled 175 non-HZ controls. Data were obtained from chart review and the ICD-10 diagnosis code, pharmacy database, and laboratory database. ResultsDuring 2005–2014, the cumulative incidence and incidence rate of HZ among all study patients was 2.80% [95%CI: 2.00–3.79%] and 3.96 [95%CI: 2.90–5.28] per 1000 person-years, respectively. The most common site was trunk (27.5%) followed by zoster ophthalmic (22.5%). Only 1 case required hospitalization. Independent risk factors for HZ included underlying hypertension [aOR: 3.48, 95%CI: 1.28–9.43; p = 0.01], number of hypoglycemic drugs used [aOR: 1.46, 95%CI: 1.03–2.08; p = 0.04], and previous herbal remedy use [aOR: 3.83, 95%CI: 1.06–13.84; p = 0.04]. Higher body mass index was a protective factor against HZ [aOR: 0.89, 95%CI: 0.81–0.98; p = 0.02]. ConclusionThe incidence of HZ among DM patients at our center is comparable to other Asian countries. The identified independent risk factors can be used to discern patients who would benefit most from preventive interventions.

Using Intersectionality to Identify Gendered Barriers to Health-Seeking for Febrile Illness in Agro-Pastoralist Settings in Tanzania.

BackgroundResearch has shown that gender is a significant determinant of health-seeking behavior around the world. Gender power relations and lay etiologies of illness can influence the distribution of household resources, including for healthcare. In some rural settings in Africa, gender intersects with multiple forms of health inequities, from proximal socio-cultural factors to more “upstream” or distal health system determinants which can amplify barriers to health-seeking for specific groups in specific contexts.AimWe used an intersectionality approach to determine how women in particular, experience gendered barriers to accessing healthcare among Maa and non-Maa speaking agro-pastoralists in northern Tanzania. We also explored lay etiologies of febrile illness, perceptions of health providers and rural health-seeking behavior in order to identify the most common barriers to accessing healthcare in these settings.MethodsMixed method ethnographic approaches were used to collect data between 2016 and 2018 from four Maa-speaking and two Swahili-speaking agro-pastoralist villages in northern Tanzania. Maa-speaking villages were based in Naiti, Monduli district while non-Maa speaking villages were selected from Msitu in Babati district. Data on health seeking behaviors was collected through semi-structured questionnaires, in-depth interviews, focus group discussions, and home and facility-based participant observation.FindingsThe results primarily focus on the qualitative outcomes of both studies. We found that febrile illness was locally categorized across a spectrum of severity ranging from normal and expected illness to serious illness that required hospital treatment. Remedial actions taken to treat febrile illness included attending local health facilities, obtaining medicines from drug sellers and use of herbal remedies. We found barriers to health-seeking played out at different scales, from the health system, community (inter-household decision making) and household (intra-household decision making). Gender-based barriers at the household had a profound effect on health-seeking. Younger married women delayed seeking healthcare the most, as they often had to negotiate health-seeking with husbands and extended family members, including co-wives and mothers-in-law who make the majority of health-related decisions.ConclusionAn intersectional approach enabled us to gain a nuanced understanding of determinants of health-seeking behavior beyond the commonly assumed barriers such lack of public health infrastructure. We propose tapping into the potential of senior older women involved in local therapy-management groups, to explore gender-transformative approaches to health-seeking, including tackling gender-based barriers at the community level. While these social factors are important, ultimately, improving the public health infrastructure in these settings is a first step toward addressing structural determinants of treatment-seeking.

Medicinal Plants Used for Management of Asthma in FCT, Abuja and Its Environs

&#x0D; Aim: Asthma is a condition that affects the airways in human lungs. It causes its (lungs) inflammation and hyper-responsiveness. Conventional therapies used in its management are expensive and have been found to come with undesirable side effects. The use of herbal remedies in treating the disease is widespread especially in local communities with little or no access to primary health care. This indigenous knowledge on the cure of asthma is gradually being lost among the populace. This study is aimed at documenting local remedies used in the management of asthma.&#x0D; Methodology: Ethnobotanical survey was carried out in Federal Capital Territory (FCT)- Abuja and surrounding communities, among Traditional Medicine Practitioners (TMPs), Herb’s sellers and elderly in the community using semi-structured questionnaire and interview methods. Data were analysed using descriptive statistics and ethnobotany index.&#x0D; Results: 80 respondents were interviewed, 58 of them laid claims to knowledge about medicinal plants used in asthma management. Majority of the respondents are Traditional Medicine Practitioners (48%). 59 plants species belonging to 38 plant families was documented with most belonging to the Moraceae plant family (10%). The recipes mentioned were mostly prepared as decoctions which are taken orally with a case of two being by smoking and inhalation. &#x0D; Conclusion: This study has shown that the Federal Capital Territory and settlements within its environ are blessed with medicinal plants used in the management of asthma which serve as a cheap and alternative source of remedy for the local populace and as well, being a repository for scientific inquest that may lead to yet another drug discovery from plant origin used in the management of asthma.

Pengalaman Pasien Diabetes Mellitus yang Tinggal Sendiri dalam Melakukan Manajemen Diri

Self-management is an important component that will be integrated into the daily activity patterns of people with Diabetes Mellitus (DM) to regulate blood glucose levels, reduce symptoms, and prevent complications. DM patient s who live alone will face challenges and self-efficacy in self-management. The purpose of this study was to explore the experience of diabetes mellitus patient living alone in self management performance . Qualitative research design, a phenomenological study was used in this study. The number of participants was six , namely solitaire DM who have been diagnosed with DM for more than 1 year , able to communicate well . The technique of taking participants was using purposive sampling according to inclusion criteria. The main instrument is the researcher himself. C ollecting data with in-depth interviews, observations and field notes. Data analysis using Colaizzi's method begins with making transcripts, determining categories, formulating sub-themes and themes. This study generate n 6 themes, namely diet management, experience of antidiabetic treatment, herbal treatment as the main choice, modification of physical activity around the house, blood sugar monitoring and personal wisdom in controlling blood sugar. proper use of antidiabetic drugs and herbal remedies . Implementation of home visits for DM sufferers who live alone can increase understanding of the use of antidiabetic drugs and appropriate herbal remedies Keywords: Diabetes Mellitus, Self Management, Solitaire

Trypanocidal function of Terminalia catappa leaf extract in Albino rat

Trypanocidal function of Terminalia catappa leaf extract in Albino rat

Anti-inflammatory Effects in LPS-treated RAW 264.7 Cells and the Influences on Drug Metabolizing Enzyme Activities by the Traditional Herbal Formulas, Yongdamsagan-Tang and Paljung-san

Objectives: Yongdamsagan-tang (YST) and Paljung-san (PJS) in traditional medicine and finasteride in modern medicine are used to treat benign prostatic hyperplasia (BPH). In recent, the use of combination herbal remedies with conventional drugs has been increasing. Therefore, we investigated the anti-inflammatory effects of these drugs to treat BPH and the influence of herbal formulas on finasteride metabolism.Methods: The inhibitory effects of the herbal formulas and finasteride on the production of inflammatory mediators and cytokines were determined in lipopolysaccharide (LPS)-treated RAW 264.7 cells. Additionally, the influence of herbal formulas on activities of human drug metabolizing enzymes (DMEs) was assessed using human microsomal enzymes.Results: We observed that YST, PJS and finasteride inhibited the production of nitric oxide (NO), prostaglandin E2 (PGE2) and interleukin-6 (IL-6) in RAW 264.7 cells. The half maximal inhibitory concentration (IC50) of YST on PGE2 production was calculated to be below 25 μg/mL. YST inhibited the activity of uridine diphosphateglucuronosyltransterase (UGT) 1A4 with an IC50 value of 49.35 μg/mL. The activities of cytochrome P450 (CYP) 1A2, CYP2B6, CYP2C19, CYP3A4, and UGT1A1 were inhibited by PJS (IC50 &lt; 100 μg/mL, each). Although PJS and YST inhibited the activities of CYP3A4 and UGT1A4, respectively, these formulas may not influence the metabolism of finasteride because the IC50 values of herbal formulas on DMEs are too high to affect metabolism.Conclusions: Our results suggest that the combination of finasteride and YST or PJS might not influence their drug metabolism and that the drugs may have synergistic effects against BPH.

The effect of carvacrol on respiratory syncytial virus infection in mice model: caution in the use of herbal medicines

Background and Objectives:Respiratory syncytial virus (RSV) is one of the most common viruses associated with acute lower respiratory tract infections in infants, young children, and the elderly. Due to a lack of effective anti-viral drugs or vaccines, using an immunomodulatory strategy is probably the best option to decrease the burden of RSV disease. Here, we studied carvacrol as a known immunomodulator on RSV infection outcome in a mice model.Materials and Methods:Balb/c mice were infected by intranasal inoculation of RSV-A2, and treatment started daily 24 h after infection. Mice were sacrificed on day five after infection and experimental analyses were performed to study airway immune cell influx, CD4 and CD8 subtypes, cytokine/chemokine secretion, lung histopathology, and viral load.Results:Results showed that using carvacrol enhanced immune cell influx, cytokine/chemokine production, and virus titer, and aggravated lung pathology. Our result showed that carvacrol administration increased viral titer compared to the RSVPBS group. Also, carvacrol significantly induced IFN-γ production and did not induce IL-10 production. Besides, carvacrol non-significantly increased lymphocytes and monocytes count but did not affect the neutrophil count.Conclusion:Carvacrol at the concentration of 80 (mg/kg) did not show immunomodulatory activity to alleviate the RSV infection outcome. Further research is needed to uncover the effects of the carvacrol intervention on virus replication and immune responses following RSV infection. Many herbal remedies in use contain carvacrol. However, the use of herbal remedies to treat viral respiratory infections such as RSV has to be performed with caution.

Prevalence of complementary and alternative medicine despite limited perceived efficacy in patients with rheumatic diseases in Mexico: Cross-sectional study.

Complementary and alternative medicine (CAM) is frequently used by patients with rheumatic diseases (RD) to improve their symptoms; however, its diversity and availability have increased notably while scientific support for its effectiveness and adverse effects is still scarce. To describe the prevalence and diversity of CAM in patients with RD in Chihuahua, Mexico. A cross-sectional study was conducted in 500 patients with RD who were interviewed about the use of CAM to treat their disease. The interview included sociodemographic aspects, characteristics of the disease, as well as a description of CAM use, including type, frequency of use, perception of the benefit, communication with the rheumatologist, among others. The prevalence of CAM use was reported by 59.2% of patients, which informed a total of 155 different therapies. The herbal CAM group was the most used (31.4%) and included more than 50 different therapies. The use of menthol-based and arnica ointments was highly prevalent (35%). Most patients (62.3%) reported very little or no improvement in their symptoms. Only a fourth of the patients informed the rheumatologist of the use of CAM. The use of CAM was influenced by female sex, university degree, diagnosis delay, lack adherence to the rheumatologist's treatment, family history of RD, and orthopedic devices. The use of CAM in our population is highly prevalent and similar to reports in different populations suggesting a widespread use in many different societies. We found high use of herbal remedies; however, there were many different types suggesting a lack of significant effect. Patients continue using CAM despite a perception of no-effectiveness. Recurrent use of CAM is explained by factors other than its efficacy.

Fear of COVID-19 and the Media Influence on Herbal Medication Use in Uganda: A Cross-Sectional Study.

BackgroundThe coronavirus disease-2019 (COVID-19) pandemic has created fear in people around the world. This has led to the widespread use of various herbal remedies in its prevention and treatment regardless of the paucity of scientific evidence about their safety and efficacy. This study assessed the fear of COVID-19 and the influence of media on the use of herbal medicine to prevent or treat COVID-19 in Uganda.MethodsIn the first 2 weeks of July 2021, a descriptive online cross-sectional study was carried out anonymously in the general population in Uganda. A validated questionnaire was used to collect data on herbal medicine use and the influence of media. Fear of COVID-19 was rated using the Fear of COVID-19 Scale (FCV-19S).ResultsWe recruited 488 participants, 273 (55.9%) were female, with a median age of 25 (range: 18–73) years. Sixty-seven (57.8%) participants had a confirmed COVID-19 diagnosis. The mean FCV-19S score was 21.7 SD 5.9 with 53.3% reporting high levels of COVID-19 fear. About 57.4% of participants reported using herbal remedies either to prevent or treat COVID-19-like symptoms. Media was the main source of information, with more than 80% of the participants reporting seeing or accessing information about herbal medication use. Women (adjusted odds ratio (aOR): 1.74, 95% CI: 1.2–2.5, p=0.003) and people with a previously confirmed COVID-19 diagnosis (aOR: 3.1, 95% CI: 1.35–7.14, p=0.008) had a statistically significantly higher FCV-19S score. Being unemployed (aOR: 1.0, 95% CI: 1.1–2.3, p=0.008) and a female (aOR: 1.0, 95% CI: 1.1–2.3, p=0.012) were statistically significantly associated with herbal medicine use. Participants who used herbal remedies had a higher median FCV-19S score compared to non-users (23 versus 21, p<0.001).ConclusionThe use of herbal medicines to treat or prevent COVID-19 is a widespread practice among the general population in Uganda amidst the high levels of fear of COVID-19.

On the Effect of Honey, Bitter Kola, Ginger, and Alligator Pepper for Voice Care: A Case Study on the Perception of Undergraduate Actors

ABSTRACT This study examines herbal remedies and the undergraduate actor’s voice, specifically within a Nigerian. The study is a preliminary one and focuses on the perception and preference of undergraduate actors for specific herbal remedies (honey, bitter kola, ginger, and alligator pepper) in a single university in Nigeria. A questionnaire was administered to 180 undergraduate actors which comprised of first year to final year actors. These undergraduate actors have shown a preference for specific singular or combination herbal remedies to help improve their vocal output. Gender, level of study, and age differences emerged in this study as patterns for controlling relevant predictive choice and perception value of herbal remedy use. The findings are consistent with the conclusion that these herbal remedies are gradually becoming a norm for assisting freshmen into the acting profession and optimal vocal performance.