Journal articles on the topic 'Alternative medicine|Occupational psychology|Health care management'

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1

Team, Victoria, Rachel Canaway, and Lenore Manderson. "Integration of complementary and alternative medicine information and advice in chronic disease management guidelines." Australian Journal of Primary Health 17, no. 2 (2011): 142. http://dx.doi.org/10.1071/py10013.

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The growing evidence on the benefits and risks of complementary and alternative medicine (CAM) and its high rate of use (69% of Australians) – particularly for chronic or recurrent conditions – means increasing attention on CAM. However, few people disclose CAM use to their GP, and health professionals tend to inadequately discuss CAM-related issues with their patients, partly due to insufficient knowledge. As clinical and non-clinical chronic condition management guidelines are a means to educate primary health care practitioners, we undertook a content analysis of guidelines relevant to two
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Trevithick, Susan G. "Integrative Health and the Management of Pain at the End of Life." Home Health Care Management & Practice 20, no. 5 (2008): 380–88. http://dx.doi.org/10.1177/1084822307311847.

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The blend of complementary alternative medicine (CAM) and traditional Western medicine is known as integrative medicine (IM). It is based on the mind, body, spirit, and community and supports the concept that healing is always possible, even when curing is not; IM is relationship-centered care requiring the active participation of the patient to become more self-aware, to think about their experiences of health and illness, to develop and maintain caring relationships, and to commit to effective communication with the healing team. An integrated treatment strategy to meet the integrative healt
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Falade, Catherine O., Oyedunni S. Osowole, Joshua D. Adeniyi, Oladimeji Oladepo, and Ayoade M. J. Oduola. "Attitude of Health Care Workers to the Involvement of Alternative Healthcare Providers in the Home Management of Childhood Malaria." International Quarterly of Community Health Education 23, no. 2 (2003): 169–80. http://dx.doi.org/10.2190/p57g-tt8a-amyg-uvtr.

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The attitudes of 193 healthcare workers (Nurses (35.7%), auxiliary nurses (35.7%), followed by community health officers (26.4%)) in 55 primary and secondary healthcare facilities to home management of malaria were evaluated in four local government areas in Southwestern Nigeria. Results showed that mothers and patent medicine sellers were perceived as offering useful services in home management of malaria by giving first aid and selling antimalarial drugs, respectively. Although 79% of respondents expressed the opinion that mothers are the most appropriate to give first line management to chi
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4

Thobaben, Marshelle. "Complementary and Alternative Medicine (CAM) Therapies." Home Health Care Management & Practice 21, no. 3 (2008): 211–13. http://dx.doi.org/10.1177/1084822308327963.

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Mathieson, Fiona, and Sunny Collings. "Essay: Sub-threshold mental health syndromes: Finding an alternative to the medication of unhappiness." Journal of Primary Health Care 1, no. 1 (2009): 74. http://dx.doi.org/10.1071/hc09074.

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Sub-threshold anxiety and depression are common presentations in primary care. They carry a significant disability burden along with the risk of developing a frank disorder. Intervention options are limited, although there is some evidence that ultra brief interventions may be effective with this patient group. We argue that there is a need for a systematic but ultra brief, minimal contact intervention, that can be delivered by GPs or practice nurses. Such an intervention would be a form of facilitated self-management, a step up from self-help, from which people could be referred on to more in
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Jarvis, Aron, Rachel Perry, Debbie Smith, Rohini Terry, and Sarah Peters. "General practitioners’ beliefs about the clinical utility of complementary and alternative medicine." Primary Health Care Research & Development 16, no. 03 (2014): 246–53. http://dx.doi.org/10.1017/s146342361400022x.

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AimTo investigate GPs’ beliefs about complementary and alternative medicine (CAM) and its role in clinical practice.BackgroundDespite the prevalence of CAM in the United Kingdom, little is known about GPs beliefs regarding these alternative approaches to patient management and how they view it in relation to their clinical conduct and practice.MethodA qualitative study conducted on 19 GPs recruited from the North West of England. Semi-structured telephone interviews were analysed using an inductive thematic analysis.ResultsThree themes emerged from the data: limited evidence base, patient dema
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Mahto, M., S. Zia, D. Ritchie, and H. Mallinson. "Diagnosis, management and prevalence estimation of gonorrhoea: influences of Aptima Combo 2 assay with alternative target confirmation." International Journal of STD & AIDS 20, no. 5 (2009): 315–19. http://dx.doi.org/10.1258/ijsa.2008.008410.

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Case-notes and laboratory data were retrospectively reviewed for influences of dual testing by Aptima Combo 2 (AC2) for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) on the diagnosis, management and prevalence estimation of gonorrhoea in the genitourinary (GU) medicine clinic and community. NG positives by AC2 were confirmed by Aptima Gonococcus assay. Unconfirmed positives were rare. Our study showed that in the GU medicine clinic, AC2 detected about 20% extra cases of NG beyond culture. For best standard of care, NG culture and microscopy are still required in some patients to en
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Hyman, I., D. Patychuk, Q. Zaidi, et al. "Self-management, health service use and information seeking for diabetes care among recent immigrants in Toronto." Chronic Diseases and Injuries in Canada 33, no. 1 (2012): 12–18. http://dx.doi.org/10.24095/hpcdp.33.1.02.

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Introduction Our objective was to explore self-management practices, health services use and information-seeking for type 2 diabetes care among adult men and women from four recent immigrant communities in Toronto. Methods A structured questionnaire was adapted for the Canadian context and translated into 4 languages. A total of 184 participants with type 2 diabetes—130 recent immigrants and 54 Canadian-born—were recruited in both community and hospital settings. Results Recent immigrants were significantly less likely than the Canadian-born group to perform regular blood glucose and foot chec
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Mudonhi, Nicholas, and Wilfred Njabulo Nunu. "Traditional Practitioners and Nurses’ Perspectives on Traditional Medicine Utilisation During Antenatal Care in Matabeleland South Province, Zimbabwe." Health Services Insights 14 (January 2021): 117863292110344. http://dx.doi.org/10.1177/11786329211034462.

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Background: Traditional Health System has been reported to be the most accessible, affordable, and acceptable in resource-poor settings, particularly in Sub-Saharan Africa. It is utilised for different health needs, including pregnancy management. This study sought to explore traditional and Nurses’ perspectives on traditional medicine utilisation during antenatal care in Bulilima District, Plumtree, Zimbabwe. Methods: A qualitative survey was conducted on purposively selected nurses’ and snowballed traditional health practitioners who responded to unstructured interviews. Data were collected
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Waldhorn, Richard. "What Role Can Alternative Care Facilities Play in an Influenza Pandemic?" Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science 6, no. 4 (2008): 357–58. http://dx.doi.org/10.1089/bsp.2008.1029.

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11

Woolcock, Michael. "Enhancing public health outcomes in developing countries: from good policies and best practices to better implementation." Scandinavian Journal of Public Health 46, no. 22_suppl (2018): 10–18. http://dx.doi.org/10.1177/1403494818765690.

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In rich and poor countries alike, a core challenge is building the state’s capability for policy implementation. Delivering high-quality public health and health care—affordably, reliably and at scale, for all—exemplifies this challenge, since doing so requires deftly integrating refined technical skills (surgery), broad logistics management (supply chains, facilities maintenance), adaptive problem solving (curative care), and resolving ideological differences (who pays? who provides?), even as the prevailing health problems themselves only become more diverse, complex, and expensive as countr
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Lam, Clarence, Richard Waldhorn, Eric Toner, Thomas V. Inglesby, and Tara O'Toole. "The Prospect of Using Alternative Medical Care Facilities in an Influenza Pandemic." Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science 4, no. 4 (2006): 384–90. http://dx.doi.org/10.1089/bsp.2006.4.384.

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13

Meng, Eana. "Use of Acupuncture by 1970s Revolutionaries of Color: The South Bronx “Toolkit Care” Concept." American Journal of Public Health 111, no. 5 (2021): 896–906. http://dx.doi.org/10.2105/ajph.2020.306080.

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Failed by mainstream medical institutions, 1970s revolutionaries of color sought to take health care into their own hands. A lesser-known phenomenon was their use of acupuncture. In 1970, an alliance of Black, Latinx, and White members at Lincoln Detox, a drug treatment program in the South Bronx area of New York City, learned of acupuncture as an alternative to methadone. In Oakland, California, Tolbert Small, MD, used acupuncture for pain management following his exposure to the practice as part of a 1972 Black Panther Party delegation to China. Unaware of one another then, the Lincoln team
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Reynolds, Andrew N., Ian Moodie, Bernard Venn, and Jim Mann. "How do we support walking prescriptions for type 2 diabetes management? Facilitators and barriers following a 3-month prescription." Journal of Primary Health Care 12, no. 2 (2020): 173. http://dx.doi.org/10.1071/hc20023.

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ABSTRACT INTRODUCTIONPrescribing physical activity is an inexpensive method to promote patients’ long-term health, but determinants of adherence with physical activity prescriptions are seldom considered. AIMTo identify facilitators and barriers experienced by adults with type 2 diabetes when prescribed regular walking. METHODSParticipants were prescribed a regular walking routine that met current physical activity guidelines for type 2 diabetes management for a period of 3 months. Pre- and post-intervention questions considered participants’ self-rated health and physical activity amount. The
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Mccarthy, K. M. "Stress Management in the Health Care Field: A Pilot Program for Staff in a Nursing Home Unit for Patients with Alzheimer's Disease." Music Therapy Perspectives 10, no. 2 (1992): 110–13. http://dx.doi.org/10.1093/mtp/10.2.110.

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16

Olakunde, Babayemi O., Daniel A. Adeyinka, John O. Olawepo, et al. "Towards the elimination of mother-to-child transmission of HIV in Nigeria: a health system perspective of the achievements and challenges." International Health 11, no. 4 (2019): 240–49. http://dx.doi.org/10.1093/inthealth/ihz018.

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Abstract Despite its scaled-up response for prevention of mother-to-child transmission of HIV (PMTCT), Nigeria still contributes the greatest number of infants infected with HIV worldwide. Drawing on our knowledge, and review of policy documents and research papers, we explored the achievements and challenges in the elimination of mother-to-child transmission of HIV in Nigeria using the WHO’s health systems framework. We found that Nigeria has increased the number of PMTCT sites, decentralized and integrated PMTCT care for expanded service delivery, adopted task-shifting to address the shortag
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Davis, Bryon, Aaron Brockshus, Clay Merritt, and Chase Donaldson. "Ruptured Abdominal Aortic Aneurysm Presenting as Septic Shock." Military Medicine 185, no. 11-12 (2020): e2189-e2191. http://dx.doi.org/10.1093/milmed/usaa205.

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Abstract A patient presented to the emergency department with undifferentiated shock 4 days after discharge from a hospitalization for a lower gastrointestinal bleed. The patient fulfilled 4/4 of the Systemic Inflammatory Response Syndrome criteria and 3/3 of the quick Sequential Organ Failure Assessment criteria on presentation to the emergency department, notably, without a localized source of infection and no localizing symptoms. After admission, the patient’s hemoglobin was found to have dropped more than expected after intravenous (IV) fluid administration, suggesting a potential alternat
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Arroll, Bruce, Merran Bennett, Nicola Dalbeth, Dilanka Hettiarachchi, Ben Cribben, and Ginnie Shelling. "More allopurinol is needed to get gout patients <0.36 mmol/L: a gout audit in the form of a before–after trial." Journal of Primary Health Care 1, no. 4 (2009): 315. http://dx.doi.org/10.1071/hc09315.

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AIM: To establish a benchmark for gout control using the proportion of patients with serum uric acid (SUA)&lt;0.36 mmol/L, assess patients’ understanding of their preventive medication and trial a mail and phone intervention to improve gout control. METHODS: Patients clinically diagnosed with gout and baseline SUAs were identified in two South Auckland practices. A mail and phone intervention was introduced aimed at improving the control of gout. Intervention #1 took place in one practice over three months. Intervention #2 occurred in the other practice four to 16 months following baseline. RE
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Gantt, MeLisa, and Judy Ann T. Orina. "Educate, Try, and Share: A Feasibility Study to Assess the Acceptance and Use of Reiki as an Adjunct Therapy for Chronic Pain in Military Health Care Facilities." Military Medicine 185, no. 3-4 (2019): 394–400. http://dx.doi.org/10.1093/milmed/usz271.

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Abstract Introduction Reiki, a biofield energy therapy, continues to struggle in finding its permanent place among the portfolio of complementary and alternative medicine modalities in many military health care facilities. Although it has been shown to help in the management of pain, lack of knowledge and limited first-hand experience impact its foothold. The purpose of this feasibility study was to (1) educate participants about the concept of Reiki, (2) give participants the opportunity to experience six Reiki therapy sessions and subsequently assess outcomes on chronic pain, and (3) assess
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Molinari, Deana. "Book Review: Manifesto for a New Medicine: Your Guide to Healing Partnerships and the Wise Use of Alternative Therapies, by James S. Gordon. Cambridge, MA: Perseus 1996." Home Health Care Management & Practice 15, no. 3 (2003): 269. http://dx.doi.org/10.1177/1084822302250733.

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Johnson, Alisa, Lynae Roberts, and Gary Elkins. "Complementary and Alternative Medicine for Menopause." Journal of Evidence-Based Integrative Medicine 24 (January 1, 2019): 2515690X1982938. http://dx.doi.org/10.1177/2515690x19829380.

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Menopause is associated with problematic symptoms, including hot flashes, sleep problems, mood disorders, sexual dysfunction, weight gain, and declines in cognitive functioning. Many women seek complementary and alternative medicine (CAM) for symptom management. This article critically reviews the existing literature on CAM treatments most commonly used for menopausal symptoms. Electronic searches were conducted to identify relevant, English-language literature published through March 2017. Results indicate that mind and body practices may be of benefit in reducing stress and bothersomeness of
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Curtis, Peter, and Susan Gaylord. "Safety Issues in the Interaction of Conventional, Complementary, and Alternative Health Care." Complementary health practice review 10, no. 1 (2005): 3–31. http://dx.doi.org/10.1177/1533210105275144.

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This article reviews issues of safety in health care, applied particularly to the interface between conventional medicine and complementary and alternative medicine. These issues include errors in treatment and medical management, adverse effects of pharmaceuticals, and defining risk for patients. For complementary and alternative medicine, especially dietary supplements, problems of quality control, licensing, regulation, and misrepresentation are discussed. An important issue is the interface between conventional and complementary therapies, in terms of drug/herb interactions, laboratory dia
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Esch, Tobias, Gregory L. Fricchione, Stefanie Joos, and Michael Teut. "Self-Care, Stress Management, and Primary Care: From Salutogenesis and Health Promotion to Mind-Body Medicine." Evidence-Based Complementary and Alternative Medicine 2013 (2013): 1–2. http://dx.doi.org/10.1155/2013/327415.

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Zoumakis, Michail, Elisavet Kaitalidou, and Ioannis Petrou. "The implementation of alternative therapies in cancer management." Hellenic Journal of Nursing Science 12, no. 1 (2019): 13–22. http://dx.doi.org/10.24283/hjns.20191.13-22.

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Cancer is probably the greatest threat to human societies globally. Currently, the majority of cancer patients suffer daily from a tremendous emotional stress and agony due to an expected premature death in the near future. On the other hand, the conventional treatment of the disease has many types of side effects, which can easily torture patients and have a negative influence on their everyday life. It is therefore reasonable that many oncology patients, globally, are seeking a cure to alternative methods of cancer treatment. Throughout the centuries, the ancient techniques of herbal medicin
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Patterson, Chris, and Heather M. Arthur. "A Model for Implementing Integrative Practice in Health Care Agencies." Integrative Medicine Insights 3 (January 2008): 117863370800300. http://dx.doi.org/10.4137/117863370800300001.

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Over the last few years, there has been increased awareness and use of complementary/alternative therapies (CAM) in many countries without the health care infrastructure to support it. The National Centre for Complementary and Alternative Medicine referred to the combining of mainstream medical therapies and CAM as integrative medicine. The creation of integrative health care teams will definitely result in redefining roles, but more importantly in a change in how services are delivered. The purpose of this paper is to describe a model of the necessary health care agency resources to support a
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Henderson, David K. "Managing Occupational Risks for Hepatitis C Transmission in the Health Care Setting." Clinical Microbiology Reviews 16, no. 3 (2003): 546–68. http://dx.doi.org/10.1128/cmr.16.3.546-568.2003.

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SUMMARY Hepatitis C virus (HCV) infection is a significant contemporary health problem in the United States and elsewhere. Because it is primarily transmitted via blood, hepatitis C infection presents risks for both nosocomial transmission to patients and occupational spread to health care workers. Recent insights into the pathogenesis, immunopathogenesis, natural history, and treatment of infection caused by this unique flavivirus provide a rationale for the use of new strategies for managing occupational hepatitis C infections when they occur. This article reviews this developing information
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Bell, Ronny A., Jeanette M. Stafford, Thomas A. Arcury, et al. "Complementary and Alternative Medicine Use and Diabetes Self-Management Among Rural Older Adults." Complementary health practice review 11, no. 2 (2006): 95–106. http://dx.doi.org/10.1177/1533210106292461.

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Complementary and alternative medicine (CAM) is a growing form of self-care and is related to other healthy behaviors. This study examines the relationship between CAM use and diabetes self-management. A survey of rural older African American, Native American, and White adults with diabetes was conducted. Data were collected on diabetes self-management domains and general and diabetes-specific CAM use. Some associations were observed, particularly for CAM use and following a healthy eating plan. CAM is part of the health maintenance strategy of rural older adults with diabetes. Further researc
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Thobaben, Marshelle. "Alternative Approaches to Mental Health Care." Home Health Care Management & Practice 16, no. 6 (2004): 528–30. http://dx.doi.org/10.1177/1084822304266501.

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Hussain-Gambles, Mahvash, and Philip Tovey. "The Experience of Complementary Alternative Medicine Use among People with Multiple Sclerosis." Complementary health practice review 9, no. 1 (2004): 21–30. http://dx.doi.org/10.1177/1076167503252948.

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People with multiple sclerosis (MS) are increasingly using complementary and alternative medicine (CAM) for symptom management, despite the absence of an evidence base. This exploratory qualitative study ( n = 10) examined the experiences of CAM use among people with MS. Results suggest disillusionment with current medical treatments and a desperate search for something to relieve symptoms. Participants had an open attitude toward various approaches to health care, liked to be actively involved in their care, and viewed CAM as a “healthier” choice. Further research is needed to develop the pre
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R Reuter, Peter. "Health Professions Students’ Knowledge of and Attitude toward Complementary and Alternative Medicine." Journal of Alternative, Complementary & Integrative Medicine 7, no. 3 (2021): 1–7. http://dx.doi.org/10.24966/acim-7562/100184.

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Respondents reported an overall positive attitude toward and interest in CAM. Ninety percent had heard of and three-quarters reported previous experience with CAM practices. Respondents alluded to personal experience but also to knowledge gained about CAM in classes and clinical assignments. Acupuncture, yoga, massage therapy, meditation, cupping, aromatherapy, and chiropractic care were the CAM practices most respondents had heard about; yoga, meditation, massage therapy, aromatherapy, and chiropractic care were the CAM practices most respondents reported personal experience with. The top fiv
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Lindberg, Nangel M., Sonia Vega-López, Mayra Arias-Gastelum, and Victor J. Stevens. "Alternative Medicine Methods Used for Weight Loss and Diabetes Control by Overweight and Obese Hispanic Immigrant Women." Hispanic Health Care International 18, no. 2 (2019): 49–54. http://dx.doi.org/10.1177/1540415319858075.

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Introduction: Middle-aged Hispanic women have the highest prevalence of overweight and lifetime risk for diabetes of all gender/racial groups. This study examines use of alternative medicine for weight loss and diabetes management among overweight and obese Mexican American women with or at risk for diabetes. Method: As part of a diabetes risk-reduction intervention targeting overweight and obese Hispanic women at a federally qualified health center in Hillsboro, Oregon, we administered a survey of different treatment modalities, including alternative medicine, traditional Mexican medicine, an
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Lo, Alvin HY, Adrian CL Kee, Andrew Li, and Francesca Rubulotta. "Controversies in Sepsis Management—What is the Way Forward?" Annals of the Academy of Medicine, Singapore 49, no. 9 (2020): 661–68. http://dx.doi.org/10.47102/annals-acadmedsg.202090.

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Sepsis is life-threatening and might potentially progress from dysregulation to severe organ dysfunction. It is recognised by the World Health Organisation as a global health priority. The mortality rate for sepsis has decreased in many countries, and this is credited to the earlier recognition and treatment of this complex syndrome. In 2002, the Surviving Sepsis Campaign was launched, and there have been several revisions to the sepsis recommendations therefrom. The latest sepsis guidelines focus on viral as well as bacterial infections, and advise that initiating resuscitation and management
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Lathakalidas, Amrutha. "SCOPE OF AYURVEDA IN MODERN ERA: NEW HORIZONS." International Journal of Advanced Research 9, no. 03 (2021): 666–75. http://dx.doi.org/10.21474/ijar01/12631.

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Health is elemental for good quality of life and a good healthcare system is a cornerstone of sustainable society. World health statistics 2019 summarises that, the global health status have been improved over the decades. Even though there are phenomenal achievements in global life expectancy and infectious disease management , the new outbreaks of communicable diseases and the additional burden of Non-communicable diseases stands as a flaw in the modern medical system that emerged in 18th century. It is at this point, there exists the need of bringing alternative system of medicine to the ma
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Lui, Chi-Wai, Jo Dower, Maria Donald, and Joseph R. Coll. "Patterns and Determinants of Complementary and Alternative Medicine Practitioner Use among Adults with Diabetes in Queensland, Australia." Evidence-Based Complementary and Alternative Medicine 2012 (2012): 1–7. http://dx.doi.org/10.1155/2012/659419.

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There is evidence that complementary and alternative medicine (CAM) use is common among people with diabetes. The role of CAM in the treatment or management of diabetes is an emerging health issue given the potential side effects and benefits associated with the use of this kind of medicine. This paper examined patterns and determinants of CAM practitioner use in Queensland, Australia, using a large population-based sample of people with type 1 and type 2 diabetes. The study found that within a 12-month period, 7.7% of people with diabetes used the services of CAM practitioners alongside or as
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Holmes, Michelle Marie. "Why People Living With and Beyond Cancer Use the Internet." Integrative Cancer Therapies 18 (January 2019): 153473541982983. http://dx.doi.org/10.1177/1534735419829830.

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People living with and beyond cancer suffer with a wide range of physical and psychological symptoms. To manage the challenges associated with cancer, patients use a variety of self-management resources, including the Internet. People living with and beyond cancer use the Internet to make decisions regarding their self-care, through information provision, online communities, and support groups. Using the Internet may empower patients, enabling them to feel they have the required knowledge to discuss complementary and alternative treatment options with their health care team. Patients use the I
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Curry, Lauren, Meghan Pike, Mary Lynch, Dana Marcon, and Jana Sawynok. "Observational Study of Qigong as a Complementary Self-Care Practice at a Tertiary-Care Pain Management Unit." Evidence-Based Complementary and Alternative Medicine 2021 (June 17, 2021): 1–14. http://dx.doi.org/10.1155/2021/6621069.

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Qigong, which can be characterized in many different ways, is offered as a complementary self-care practice at a tertiary-care pain management unit in Halifax, Nova Scotia. This report provides a quantitative and qualitative assessment of two groups engaged in qigong practice in this context as part of two Research in Medicine (RIM) projects (2014-15, 2016-17). It includes assessments of pain, mood, quality of life, sleep, and fatigue, considers outcomes in relation to the amount of practice, and considers whether health attitudes would help determine who might benefit from the practice. There
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Cushman, Margaret J., and Margaret J. Hoffman. "Complementary and Alternative Health Care and the Home Care Population." Home Health Care Management & Practice 16, no. 5 (2004): 360–73. http://dx.doi.org/10.1177/1084822304264608.

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Rojas Rojas, Teresa, Geneviève Bourdy, Eloy Ruiz, et al. "Herbal Medicine Practices of Patients With Liver Cancer in Peru: A Comprehensive Study Toward Integrative Cancer Management." Integrative Cancer Therapies 17, no. 1 (2016): 52–64. http://dx.doi.org/10.1177/1534735416681642.

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Rationale: The highest burden of liver cancer occurs in developing countries, where the use of herbal medicine (HM) is still widespread. Despite this trend, few studies have been conducted to report HM practices of patients with a hepatic tumor in the developing world. Hence, this study aimed to document the use of HM among patients with liver cancer in Peru. Study Design and Methods: A comparative behavioral epidemiological survey was conducted among liver cancer patients attending the National Cancer Institute of Peru. Information was obtained by direct interviews based on a semistructured q
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Colbert, Colleen Y., John D. Myers, Christian T. Cable, et al. "An Alternative Practice Model: Residents Transform Continuity Clinic and Become Systems Thinkers." Journal of Graduate Medical Education 4, no. 2 (2012): 232–36. http://dx.doi.org/10.4300/jgme-d-11-00133.1.

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Abstract Background A changing health care environment has created a need for physicians trained in health system improvement. Residency programs have struggled to teach and assess practice-based learning and improvement and systems-based practice competencies, particularly within ambulatory settings. Intervention We describe a resident-created and resident-led quality and practice-improvement council in an internal medicine continuity clinic. We conducted focus groups and report on residents' perspectives on council membership, practice management experiences, quality improvement projects, an
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Asfaw Erku, Daniel, and Abebe Basazn Mekuria. "Prevalence and Correlates of Complementary and Alternative Medicine Use among Hypertensive Patients in Gondar Town, Ethiopia." Evidence-Based Complementary and Alternative Medicine 2016 (2016): 1–7. http://dx.doi.org/10.1155/2016/6987636.

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Background. Complementary and alternative medicine (CAM) therapies are being widely used by hypertensive patients worldwide. However, evidences regarding CAM use by hypertensive patients in Ethiopia are limited. This study aimed at assessing prevalence and correlates of CAM use among hypertensive patients attending ambulatory clinic at Gondar University Referral Hospital (GURH), Ethiopia.Methods. A cross-sectional study was employed on 423 patients visiting GURH. Descriptive statistics and bivariate and multivariate logistic regression tools were used to analyze/come up with the prevalence and
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Newadkar, UjwalaRohan, Lalit Chaudhari, and YogitaK Khalekar. "Knowledge, awareness, and practices of complementary and alternative medicine for oral health-care management among dental students." International Journal of Yoga 10, no. 1 (2017): 44. http://dx.doi.org/10.4103/0973-6131.194562.

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Baptiste, Sue. "Clinical Programme Management: A Model of Promise?" Canadian Journal of Occupational Therapy 60, no. 4 (1993): 200–205. http://dx.doi.org/10.1177/000841749306000406.

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As professionals working within a rapidly changing health care environment, it becomes critical to recognize alternatives for the management of clinical services to maximize the use of resources. However, it is also critical to remain constantly aware of the needs of valued and valuable employees, ensuring that the quality of working life is considered whenever any decisions are being made which will affect the work place. This paper reviews some of the literature related to decentralized structural models for health care institutions, and details the selection and implementation of one model
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Grzywacz, Joseph G., Wei Lang, Cynthia Suerken, Sara A. Quandt, Ronny A. Bell, and Thomas A. Arcury. "Age, Race, and Ethnicity in the Use of Complementary and Alternative Medicine for Health Self-Management." Journal of Aging and Health 17, no. 5 (2005): 547–72. http://dx.doi.org/10.1177/0898264305279821.

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Bodane, Carrie, and Kenneth Brownson. "The Growing Acceptance of Complementary and Alternative Medicine." Health Care Manager 20, no. 3 (2002): 11–21. http://dx.doi.org/10.1097/00126450-200203000-00003.

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Healy, Amber M., Jarrod L. Uhrig, Jay H. Shubrook, Nay Linn Aung, and Archana R. Sadhu. "Resident opinions of diabetes management in training: a survey." Journal of Osteopathic Medicine 121, no. 9 (2021): 755–62. http://dx.doi.org/10.1515/jom-2021-0035.

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Abstract Context Primary care physicians need a strong foundation in diabetes management, as they are the first line of care for patients with this complex disease, which is increasing in frequency in the United States. This foundational training begins in medical school, but its applications become more important during residency. Objectives To quantify osteopathic and allopathic family medicine residents’ amount of exposure to diabetes in residency training, investigate referral patterns related to diabetes management, and assess comfort levels with various diabetes treatment modalities. Met
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Serna, Dorothy Cohen. "Lifestyle Medicine in a Concierge Practice: My Journey." American Journal of Lifestyle Medicine 13, no. 4 (2019): 367–70. http://dx.doi.org/10.1177/1559827618821865.

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While lifestyle medicine (LM) has been increasingly recognized for its value in preventing and managing chronic disease, the conventional primary care practice has struggled to be a financially viable model for this time-intensive, highly personalized approach. However, the concierge medicine model provides many advantages to those seeking to incorporate the tenets of LM. Concierge medicine is characterized by smaller patient panels, extended visits, continuous follow-up, and a distinctive emphasis on prevention and wellness. These characteristics promote high-quality, individualized care. Nor
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Gimenez-Perez, Gabriel, Neus Robert-Vila, Marta Tomé-Guerreiro, Ignasi Castells, and Didac Mauricio. "Are YouTube videos useful for patient self-education in type 2 diabetes?" Health Informatics Journal 26, no. 1 (2018): 45–55. http://dx.doi.org/10.1177/1460458218813632.

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Objective: To evaluate the usefulness of YouTube videos as an educative tool for type 2 diabetes self-management. Design: Search terms were “diabetes diet” and “diabetes treatment.” Videos were jointly assessed by two reviewers. A third investigator evaluated a random sample to check for agreement. Main measures: Usefulness defined as making reference to AAD7 Self-Care Behaviors™ and presence of misleading information. Results: Of the 393 videos included, 42.2 percent (n = 166) classified as “alternative medicine.” 40.2 percent (n = 158) contained useful information. 25.7 percent (n = 101) vid
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Kivuti-Bitok, Lucy W., Angeline Chepchirchir, Peter Waithaka, and Irene Ngune. "Dry Taps? A Synthesis of Alternative “Wash” Methods in the Absence of Water and Sanitizers in the Prevention of Coronavirus in Low-Resource Settings." Journal of Primary Care & Community Health 11 (January 2020): 215013272093685. http://dx.doi.org/10.1177/2150132720936858.

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Objective: Social distancing and hand washing with soap and water have been advocated as the main proactive measures against the spread of coronavirus. We sought to find out what other alternative materials and methods would be used among populations without running water and who may not afford alcohol-based sanitizers. Results: We reviewed studies that reported use of sand, soil, ash, soda ash, seawater, alkaline materials, and sunlight as possible alternatives to handwashing with soap and water. We identified the documented mechanism of actions of these alternative wash methods on both inani
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Kasole, Rose, Haikael D. Martin, and Judith Kimiywe. "Traditional Medicine and Its Role in the Management of Diabetes Mellitus: “Patients’ and Herbalists’ Perspectives”." Evidence-Based Complementary and Alternative Medicine 2019 (July 4, 2019): 1–12. http://dx.doi.org/10.1155/2019/2835691.

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Background. Diabetes mellitus is a complicated health condition with multiple causes and many treatment options. Various myths may influence diabetics’ health-seeking behavior, and they may use traditional medicines, which include normal foods and herbs, for primary health care. The aim of this study was to determine patients’ and herbalists’ practices and perspectives regarding the use of traditional medicines and the role of traditional medicines in the management of diabetes. Methods and Findings. We conducted a cross-sectional study with a mixed-methods design. We interviewed 140 patients
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M. Brown, Rhonda. "Community Health Within the Context of Health Reform." Australian Journal of Primary Health 6, no. 1 (2000): 85. http://dx.doi.org/10.1071/py00009.

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Recent health reforms in Victoria based on a market model characterised by competition and market control of health services, have radically changed the funding and management of community health organisations and the way health services are provided. Community health has sustained ongoing funding cuts, restructures, amalgamations, and corporatisation over the past decade. Within the context of reform community health has been forced to become competitive through improvement in the efficiency and effectiveness of services. At the same time organisations must collaborate to ensure a co-ordinate
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