Use Of Complementary Treatments Research Articles

“The effects of non-surgical periodontal treatment plus zinc and magnesium supplementation on oxidative stress and antioxidants enzymes in type 2 diabetes patients: a quasi-experimental study”

BackgroundPeriodontal Disease (PD) associated with Type 2 Diabetes Mellitus (T2DM) is a chronic condition that affects the oral cavity of people living with T2DM. The mechanisms of the interaction between type 2 Diabetes Mellitus and Periodontal diseases are complex and involve multiple pathophysiological pathways related to the systemic inflammatory process and oxidative stress. Non-surgical periodontal treatment (NSTP) is considered the standard for the management of this disease; however, patients with systemic conditions such as type 2 Diabetes Mellitus do not seem to respond adequately. For this reason, the use of complementary treatments has been suggested to support non-surgical periodontal treatment to reduce the clinical consequences of the disease and improve the systemic conditions of the patient. The use of zinc gluconate and magnesium oxide as an adjunct to non-surgical periodontal treatment and its effects on periodontal clinical features and oxidative stress in patients with Periodontal diseases -type 2 Diabetes Mellitus is poorly understood.MethodsA quasi-experimental study was performed in patients with periodontal diseases associated with T2DM. Initially, 45 subjects who met the selection criteria were included. 19 were assigned to a control group [non-surgical periodontal treatment] and 20 to the experimental group (non-surgical periodontal treatment + 500 mg of magnesium oxide and 50 mg of zinc gluconate for oral supplementation for 30 days) and the data of 6 patients were eliminated. Sociodemographic characteristics, physiological factors, biochemical parameters, and clinical features of periodontal diseases were assessed.ResultsIn this research a change in periodontal clinical characteristics was observed, which has been associated with disease remission. Additionally, a shift in MDA levels was presented for both groups. Furthermore, the supplementation group showed an increase in antioxidant enzymes when compared to the group that only received NSPT.ConclusionThe use of Zinc gluconate and magnesium oxide can serve as a complementary treatment to non-surgical periodontal treatment, that supports the remission of PD as a result of regulation-reduction of oxidative biomarkers and increase in antioxidant enzymes activity.Trial Registrationhttps://www.isrctn.com ISRCTN 14,092,381. September 13º 2023. Retrospective Registration.Graphical

The Relationship Between the Use of Complementary Treatment and COVID-19 Perception of Elderly Individuals in Nursing Homes

The Relationship Between the Use of Complementary Treatment and COVID-19 Perception of Elderly Individuals in Nursing Homes

Hemşirelerin COVID-19’a Yönelik Tamamlayıcı ve Alternatif Tedavi Kullanım Durumu ve Tutumu

Giriş: Tüm dünyayı kısa sürede etkileyen Koronavirüs (COVID-19) salgınıyla mücadelede hemşireler ön saflarda yer almaktadır. Bu süreçte hemşirelerin sağlıklarını koruyabilmeleri ve sürdürebilmeleri önem arz etmektedir. Amaç: Bu çalışmada hemşirelerin COVID-19’a yönelik tamamlayıcı tedavi yöntemlerini kullanım durumu ve tutumunun belirlenmesi amaçlanmıştır. Yöntem: Tanımlayıcı nitelikte olan bu araştırma, ülkemizde Ocak-Mart 2021 tarihleri arasında COVID-19 sürecinde kamu hastanelerinde hizmet veren ve Türkiye genelinde il sınırlaması olmaksızın sanal kartopu örnekleme yöntemiyle yürütülen online ankete yanıt veren 385 hemşire ile yürütülmüştür. Araştırmanın verilerinin toplanmasında, Birey Tanıtım Formu ve Tamamlayıcı Tedavileri Kullanmaya Yönelik Tutum Ölçeği (TTTÖ) kullanılmıştır. “Google Forms” uygulaması kullanılarak hazırlanan veri toplama formunun online anket linki hemşirelere e-posta veya WhatsApp uygulaması üzerinden gönderilerek araştırmanın verileri toplanmıştır. Araştırma verilerinin değerlendirilmesinde ortalama, standart sapma, yüzde, bağımsız gruplarda t testi ve ikiden fazla grupların karşılaştırılmasında One-way ANOVA testi kullanılmıştır. Bulgular: Bu çalışmaya katılan hemşirelerin yaş ortalaması 29.67 ± 7.27 ve %76.1’i kadındır. Hemşirelerin %32.5’inin en az bir tane tamamlayıcı tedavi yöntemi kullandığı ve en sık tercih edilen tamamlayıcı tedavi yönteminin bitkisel ürün kullanımı olduğu belirlenmiştir. Hemşirelerin Tamamlayıcı Tedavileri Kullanmaya Yönelik Tutum Ölçeği toplam puan ortalamasının 22.16 ± 6.06 olduğu saptanmıştır. Bu çalışmada kadın, 31-41 yaş grubunda olan ve COVID-19’da doktor önerisi dışında tedavi kullanan hemşirelerin Tamamlayıcı Tedavileri Kullanmaya Yönelik Tutum Ölçeği toplam puan ortalamasının istatistiksel olarak anlamlı derecede yüksek olduğu saptanmıştır (p < .05). Sonuç: Bu çalışmada hemşirelerin tamamlayıcı tedavi yöntemi kullanım oranı düşük olmasına rağmen tamamlayıcı tedavi yöntemlerine ilişkin tutumunun olumlu olduğu saptanmıştır. Bu nedenle hemşirelerin hem hastaları hem de kendileri için tamamlayıcı tedavi yöntemlerine ilişkin bilgilerini güncellemeleri ve bu yöntemlere ilişkin planlı eğitimler yapılması önerilmektedir.

Knowledge, attitudes and practices of animal farm owners/workers on antibiotic use and resistance in Amhara region, north western Ethiopia

Inappropriate use of antibiotics in animal and human plays a role in the emergence and spread of bacteria resistant to antibiotics which threatens human health significantly. Although extensive use of these antibiotics could contribute to the development of drug resistance, information on the knowledge, attitude and practice of antimicrobial resistance and use among animal farm owners/workers in north western Ethiopia is rare. The objective of the present study was to assess knowledge, attitude and practice of animal farm owner/workers towards antibiotic resistance and use in Amhara regional state north western Ethiopia. A cross sectional study was conducted in selected cities of Amhara regional state from January to February, 2020. Data was collected from 91 participants using structured questionnaire and analyzed using SPSSS version 23. The results showed that 96.7% of respondents gave antibiotics to treat their livestock from different sources. Most of the respondents bought their antibiotics from private pharmacies without prescription and the most frequently mentioned antibiotics used to treat animal diseases was tetracycline (76.9%), followed by ampicillin (72.5%). Although, 90.1% of the animal farm owners heard about antibiotics and antibiotic resistance from different sources, they did not know the factors contributing to the transmission of resistant bacteria to humans and the impact of antibiotic resistance on human and animals’ health. Using the mean score 4.44 ± 0.15 as the cut-off, half of the animal farm owners/workers had good knowledge about antimicrobial resistance and use. 52.5% of animal farm owners/workers had positive attitudes towards wise antibiotic use and resistance with a mean score of 28.4 ± 0.5. However, 52.75% participants had poor practice with the mean score of practice 4.95 ± 0.17. Better knowledge, positive attitudes and better practices on antibiotic use and resistance were associated with farm owners/workers who engaged in higher education. Although poor awareness on antimicrobial resistance was perceived by 76.9% of respondents as very important factors that contribute to increasing antibiotic resistance, increasing the use of complementary treatments was perceived by the majority of respondents as very important strategies that contribute to reduce antibiotic use and resistance. The current study disclosed that there is low level of awareness among animal farm owners about the correct use of antibiotics and resistance. It is necessary to raise awareness, develop and implement interventions to reduce antimicrobial use and antibiotic resistance in the study area.

EFFECT OF MUSIC THERAPY ON ANXIETY LEVELS AMONG INFERTILE WOMEN UNDERGOING IVF PROCEDURES: A RANDOMIZED CONTROL TRIAL

Millions of people in reproductive age group, are affected by infertility worldwide. It is a stressful condition that disturbs the psychological and emotional well-being of couples. When the couple resort to IVF, they would have to undergo certain diagnostic and therapeutic procedures, that might add up to the stress, with positive outcome of treatment still unconfirmed. In recent years, the use of complementary treatment in invasive procedures has increased significantly. The complementary therapy of music is known to reduce patient's anxiety and stress levels, alleviate pain. The objective of the study is to determine the effect of music therapy on the anxiety levels among women undergoing IVF procedures. This is a randomized controlled trial which was conducted in 144 infertile women that underwent IVF procedures. Women aged between 21 to 45 years, undergoing IVF procedures like ovum pick up or embryo transfer were included. Based on the eligibility criteria and consent the participants were assigned to either groups; music therapy along with standard therapy(Group 1 n=72) or the standard therapy(Group 2 n=72) through block randomization. The study data was collected using the Personal Information Form that also included the Beck Inventory Anxiety scale. Analysis of the subjects irrespective of the groups showed a statistically significant difference in anxiety scores in relation to duration of infertility (p 0.017) and type of procedure(p <0.001). The mean anxiety scores in the interventional group, reduced from 13.50 to 8.60 which was found to have a statistically significance (p <0.001). In the control group, there was no significant difference in the anxiety scores (p 0.065). Comparing the posttest anxiety score between group I and group II there was no significant difference between the two groups 6.73 vs. 4.23(t=-1.33 p=1.00). The result of the study shows that therapy with music, reduces the anxiety of women before undergoing an invasive IVF procedure.

Polyphenols from Sugarcane Vinasses, Quantification, and Removal Using Activated Carbon After Biochemical Treatment in Laboratory-Scale Thermophilic Upflow Anaerobic Sludge Blanket Reactors

Studies on the removal of polyphenols from sugarcane vinasses using three upflow anaerobic sludge blanket (UASB) reactors operating isothermally at temperatures of 45, 55, and 65 °C are presented. The procedure started evaluating the stability of the reactors through the quantification of four important parameters of the process: temperature, pH, alkalinity factor, and acetic acid production. The physical and chemical characterizations of the vinasses were made to evaluate the applied treatment. Total polyphenols were quantified before and after the biochemical treatment using the Folin-Ciocalteu’s method. The obtained results showed that this biochemical treatment was not enough by itself to remove the phenolic compounds present in the vinasses feed. The use of complementary treatment for the removal of polyphenols with activated carbon was proposed and evaluated. The effectiveness of the adsorption process was analyzed and compared through the models of Langmuir, Freundlich, and Dubinin-Radushkevich, using the obtained experimental data. The model that provided the best fit of the experimental data was the Langmuir model with a correlation coefficient of 0.991. The adsorption process achieved to reduce the concentration of polyphenols in the vinasses from 3600 mg of gallic acid equivalent (GAE)/L to 1072 mg GAE/L by single-step adsorption. That is equivalent to an overall reduction of 70.2%.

A comprehensive review of clinical studies with herbal medicine on polycystic ovary syndrome (PCOS).

Polycystic ovary syndrome (PCOS) is a frequent medical condition characterized by both metabolic and reproductive disorders. Different pharmaceutical treatments have been proposed for PCOS. However, side effects of long-term treatments and their probable low efficacy have made complementary and alternative treatments a valuable option. Recent reports have indicated the increased use of complementary treatments. Herbal medicine, as part of complementary medicine, was find introduced in traditional Persian and Chinese medicine. Medicinal herbs have used for a long time in the treatment of gynecological and infertility problems of PCOS patients. In this study, we aimed to review herbal medicines used for PCOS worldwide. PubMed, Embase, Cochrane, and Scopus databases were searched for clinical trials and Randomized Controlled Trials based on related keywords. Data were collected from 1990 to 2019. According to a multitude of studies, a wide spectrum of herbs can be used to improve various aspects of PCOS. Herbs such as Cinnamomum verum, Trigonella foenum-graecum L., and Vitex agnus-castus can impact on menstrual and ovulatory dysfunctions, obesity, insulin resistance, lipid-metabolism dysfunction, and androgen excess-related conditions. Some plants as natural remedies may have beneficial effects on improving different aspects of PCOS; but further studies are needed to investigate their mechanisms and safety.

Syndrome néphrotique idiopathique corticodépendant de l’enfant : facteurs prédictifs de recours à un traitement immunosuppresseur

More than half of the children with idiopathic nephrotic syndrome become steroid-dependent (or frequent relapsers) and will later require the use of complementary treatment aiming to reduce steroids' side effects and to limit the number of proteinuria relapses. It appears important to identify these children as early as possible in order to adapt their treatment. The aim of this study was to analyze the population of children, under 18 years of age, diagnosed between 1/01/2000 and 31/05/2015 with an idiopathic nephrotic syndrome and followed at the Montpellier University Hospital to search for criteria predictive of steroid-sparing agent use. In this retrospective study of children with idiopathic nephrotic syndrome, the exclusion criteria were primary steroid resistance and children with no proteinuria relapse after diagnosis. Eighty-four children (54 boys) were included in this study. The mean follow-up duration was 5.5 years (0.75-16). The mean age at diagnosis was 4.6 years. Sixty-five children (77%) received at least one steroid-sparing agent during their follow-up, within a mean 10 months after diagnosis. In these patients, the first relapse of the disease occurred earlier when compared with the children who were maintained on steroid alone (4 months vs 7 months; P<0.001). The use of methylprednisolone pulses to obtain a remission, the cumulative dose of steroid treatment, and the number of proteinuria relapses were also significantly correlated with the use of complementary immunosuppressive therapy. We found no predictive criteria of the use of steroid-sparing agents at diagnosis in our population of children. Nevertheless, with the steroid regimen used, the time within which the first proteinuria relapse occurred appears to be a significant criterion for the secondary use of a steroid-sparing agent. These data should be taken into account when choosing the treatment regimen.

Exogenous Cushing's syndrome due to a Chinese herbalist’s prescription of ointment containing dexamethasone

Eczema in children is a chronic disabling condition. The impact of this condition on the lives of families is often underestimated by conventional physicians. As a consequence parents may investigate...

Osteoarthritis Patients' Experiences of Pharmacotherapy for Pain Management in Iran: A Qualitative Study.

Despite the effectiveness of pharmacotherapy for pain management in patients with osteoarthritis (OA), personal biases in the selection, administration, and continuation of pharmacotherapy challenge the proper management of symptoms and the effectiveness of the therapy. This study was conducted to carry out an in-depth examination of the experiences of patients with OA about their use of pharmacotherapy for the OA pain management and the existing challenges. The present qualitative study was conducted on 17 patients with OA, 5 of their family members and 8 healthcare personnel using a conventional content analysis approach. Data were collected through 35 interviews, which were unstructured at first but became semi-structured later on. Data collection continued until data saturation and analyzed simultaneously. The criteria used to determine the rigor of the study included the credibility, transferability, dependability and conformability of the data. The analysis of the data revealed 3 main categories and 8 subcategories. The main categories including preference for non-pharmacological modalities, preference for symptomatic slow-acting drugs for osteoarthritis (SySADOAs) and preference for vitamins and minerals. Briefing the patients on the therapeutic goals, participating them in the clinical decision-making process, modifying drug administration patterns through prescribing the minimum effective dosage and substituting alternative therapies whenever possible, consistently monitoring the therapeutic responses and any unexpected complications and use of complementary treatments, makes up strategies that can help improve OA pain management.

161: BRIDGING BETWEEN PATIENTS PREFERENCE AND EVIDENCE BASED PRACTICE ACCORDING TO GUIDELINES IN OSTEOARTHRITIS MANAGEMENT: A QUALITATIVE STUDY

Background and aims:Osteoarthritis is the major cause of disability worldwide that causes significant problems in activities of daily living and deeply affects the quality of life. Osteoarthritis is predicted to...

Needs and requests – patients and physicians voices about improving the management of spinal cord injury neuropathic pain

Purpose: The present purpose was to explore patients’ and involved physicians’ needs and requests for improving their management of neuropathic pain following spinal cord injury (SCI). Methods: Sixteen patients with SCI and neuropathic pain, and nine physicians, were interviewed in focus-groups or individual interviews. An emergent design was used and the interviews and analyses were carried out in parallel, making it possible to use and deepen new emerging knowledge. The interviews were transcribed verbatim and processed according to content analysis. Results: A final model with four themes described the results. Three themes covered the current situation: limitations in structure, lack of knowledge and competence, and frustrations. A fourth theme, needs and requests, described suggestions by patients and physicians for future improvements. Suggestions included increased participation, increased patient involvement in the pain rehabilitation process, support in the process of learning to live with pain, implementation of multi-modal pain rehabilitation, and the use of complementary treatments for neuropathic pain. Conclusion: Neuropathic pain following SCI needs to be assessed and treated using a structured, inter-disciplinary, multi-modal rehabilitation approach involving patients in planning and decision-making.Implications for RehabilitationFor improving SCI neuropathic pain management, there is a great need for individually-tailored management, planned in a dialogue on equal terms between health care and the patient.Patients desire continuity and regularity and the possibility of receiving complementary treatments for SCI neuropathic pain.Access to structured pain rehabilitation is needed.Support and tools need to be provided in the learning-to-live with pain process.

Effect of Socio-Demographic and Tumor Related Factors on use of Various Herbal and Other Mixtures in Lung Cancer (Use of Complementary Treatment in Lung Cancer)

Effect of Socio-Demographic and Tumor Related Factors on use of Various Herbal and Other Mixtures in Lung Cancer (Use of Complementary Treatment in Lung Cancer)

Use of complementary medicine in patients with chronic pain

IntroductionMedical care of patients with chronic pain has not yet been thoroughly analysed in the German health care system. In particular, there are only sparse data on the use of complementary treatments in chronic pain patients. Materials and methodsIn this multi-centre, prospective observational study with a comprehensive retrospective section, we analysed the qualitative and quantitative aspects of health care pathways in patients with chronic pain. Over a period of 10 months, patients with the three most common chronic pain syndromes were recruited consecutively at pain clinics in Berlin, Germany. Patients provided information on their prior medical histories and various forms of therapies by means of standardised interviews, and completed specific questionnaires on pain and quality of life. This article reports on data from the retrospective part of the study. ResultsOut of 288 participants (mean age 51.8 years, 72% women) 136 suffered from headache, 99 from low back pain and 53 from neuropathic pain. Patients had a history of chronic pain ranging from 1 to 30 years. Chronicity according to Gerbershagen (grade I: 33%, grade II: 42%, grade III: 25%) was moderate. Complementary therapies were used by up to two-thirds of patients before admission. Up to 54% of the patients indicated an improvement in syndromes under complementary medicine. ConclusionPatients utilised various complementary treatment approaches and indicated substantial subjective responses. The utilisation patterns did not follow systematic treatment approaches or recommendations based on current guidelines. These data are only valid for the German health care system. Early integration of different treatment options that consider patients’ preferences might improve the outcome.

Self-reported use of complementary treatments in youth diagnosed with juvenile fibromyalgia syndrome

Self-reported use of complementary treatments in youth diagnosed with juvenile fibromyalgia syndrome

Delivery of the paediatric curriculum of the Royal College of Paediatrics and Child Health (RCPCH)

<h3>AIM</h3> To determine the frequency of use of complementary treatment and measure its impact on clinical outcomes in a hospitalised general paediatric population. <h3>METHODS</h3> A population based random sample of...

Tumores espinales infantiles

We report a large series of 48 childhood spine tumors diagnosed and treated at our Hospital between 1986 and 2006. Spinal tumors in children are a rare and heterogeneous condition that frequently are diagnosed late because of their uncharacteristic clinical picture. Symptoms are usually limited to diffuse back pain or spinal deformities, prior to leg paresis or sphincter dysfunction. Diagnosis is usually made with MRI or CT. Treatment is surgical in most cases. The prognosis is variable due to the diverse histological findings and it may require the use of complementary treatments as chemotherapy or radiation.

Use of practitioner-based complementary therapies by persons reporting mental conditions in the United States.

To our knowledge, this study provides the first national estimates for use of practitioner-based complementary treatments by US residents reporting mental conditions. A total of 16038 respondents to the 1996 Medical Expenditure Panel Survey were asked about visits for 12 complementary medical services (eg, chiropractic services and herbal remedies). Bivariate and multiple regression models examined use of these therapies in individuals reporting a mental condition (n= 1803), fair or poor mental health status (n=992), and 1 of 4 chronic medical conditions (n = 3262) and in the remainder of the sample (n= 10 793). A total of 9.8% of those reporting a mental condition made a complementary visit, and about half of these (4.5%) made a visit to treat the mental condition. Persons reporting transient stress or adjustment disorders were most likely (odds ratio, 9.1%; 95% confidence interval, 5.5%-12.7%), and those with psychotic (odds ratio, 1.5%; 95% confidence interval, 0.0%-4.2%) and affective (odds ratio, 2.6%; 95% confidence interval, 1.5%-3.8%) conditions least likely, to use complementary therapies to treat their mental condition. In multivariate models controlling for medical comorbidity, fair or poor mental health status, and demographic factors, report of a mental condition predicted a 1.27-fold increase in the odds of a complementary visit (95% confidence interval, 1.04-1.54). Self-reported mental conditions were associated with increased use of complementary treatments, although use of these treatments was concentrated in respondents with transient distress rather than chronic and serious conditions. More research using structured diagnostic interviews is needed to examine the prevalence, patterns, and clinical implications of use of these treatments by individuals with mental conditions in "real world" community settings.

Use of complementary treatment by those hospitalised with acute illness

AIMTo determine the frequency of use of complementary treatment and measure its impact on clinical outcomes in a hospitalised general paediatric population.METHODSA population based random sample of children admitted to...