• 제목/요약/키워드: complementary and alternative treatment

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한방의료기관에 내원한 106명 유방암 환자 기초자료 분석 (Clinical Data Analysis of 106 Breast Cancer Patients Who Received Oriental Medical Treatment)

  • 최진영;이지영;김은숙;이상헌;정현식;이진무;이경섭
    • 대한한방부인과학회지
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    • 제21권4호
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    • pp.228-236
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    • 2008
  • Purpose: The purposes of this study is to provide basic informations on oriental medical research and treatment through analysis of breast cancer patients, who visited M $\mu$ integrative cancer center, O O university East-West neo medical center. Methods: Electronic medical records of 106 breast cancer patients who visited oriental medical center from June 2, 2006 to February 28, 2008 were selected to collect clinical data of those patients. Clinical data were analyzed for types of clinical characteristics, and received therapies. For analysis of survival and recurrence, Kaplan-Meier method was used. All the data were processed and analyzed using SPSS version 13.0. Results: Average age of breast cancer patients, who visited oriental medical center was 48.72 ($\pm$10.13). The stage distribution record indicated stage I (5.8%), stage II (7.0%), stage III (5.8%), and stage IV (81.4%). Original purposes of patients were analyzed to be supplementary treatment for western therapy (68.9%), treatment for recurrence prevention (18.9%), and oriental medical treatment (12.2%) in order. While receiving oriental medical treatment, 60.4% of patients received conventional medical treatment simultaneously. Conclusion: Majority of patients who visited oriental medical hospital were stage IV at terminal stage and mainly visited for the purpose of supportive care. Further clinical study of breast cancer patients is needed to validate the effectiveness of oriental medical treatment based on this study.

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수지침 경험자들의 수지침에 대한 효율성과 효과성 인식정도 (Recognition of Efficiency and Effectiveness of the Experiences with Hand Acupuncture)

  • 이연주;박경민
    • 지역사회간호학회지
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    • 제12권1호
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    • pp.278-287
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    • 2001
  • The purpose of this study is to provide with basic information on application of hand acupuncture as a complementary and alternative therapy by giving some recognition of efficiency and effectiveness of hand acupuncture. And so, answers for questionnaires of 290 respondents were used for this research and collected from June 5 through 13, 1999 from adults twenty and over who were participating in the hand acupuncture training program in Seoul and had some direct experiences with hand acupuncture therapy, whatever they had been treated and/or had treated. To secure reliability of measurement tool. Cronbach'a has been calculated and Factor Analysis was done as Validity Analysis of question classification. Demograprucal characteristics of hand acupuncture experienced people and factors related to hand acupuncture experiences are calculated based on the real number and percentage. The degree of recognition of efficiency and effectiveness of hand acupuncture is made as average and standard deviation, while the degree of recognition of efficiency and effectiveness based on general characteristics come from one-way ANOVA. 1. According to socio-demographical analysis. the questioned could be classified firstly as age (40-49 : 32.5%. 30-39 : 24.9%. 50-59 : 21.9%. 60-69 : 14.7%. 20-29 : 6.0%). secondly gender (male 36.6%. female 63.4%). thirdly occupation (housewife: 43.8%. self-employed: 15.5%. company-employee: 14.8%). fourthly education (high school graduate: 41.9%, college graduate: 37.9%), and lastly monthly-income (1 to 2 million: 51.4%. 2 to 3 million: 20,3%) 2, As for the general aspects related to hand acupuncture. 80,0% of the respondents answered almost zero for the monthly average number of visit to hospital and 15.5% responded 1 to 2 visits, 6,2% of the respondents is complaining of a disorder of digestive system. 19,0% circulatory disease, 10.7% bad nervous system. By utilizing hand acupuncture, 84% of the questioned have following experiences in curing diseases: digestive system 47.3%, circulatory system 9.3%, nervous system 8.3%, 54,1% are curing 1 to 2 and 10.3% 3 to 4 patients on a daily basis with hand acupuncture. Research on the demerits of giving medical treatment with hand acupuncture shows 23,8% are feeling economic burden. 16.6% difficulty of learning and 16.2% weak theoretical backgrounds. 3. Among the efficiency recognition, possibility of general application is average 4,29 and simple treatment is 4,19. economic merits 4.36. possibility of establishment with supplementary and alternative medicine 4.17, medical effectiveness 4.09. 4, As a result of demographical analysis on the efficiency and effectiveness of hand acupuncture therapy, it appears that the recognition of efficiency based on occupation and the recognition of effectiveness based on monthly income are most significant to be noticed. In an orderly fashion. government-employee, self-employed, company-employee. and then housewife have perceived hand acupuncture very efficiently, And those who recognize hand acupuncture to be most effective are people earn 1 million to 2 million won a month, 5. The efficiency(p = .003) and effectiveness (p= .049) of hand acupuncture therapy by number of visit to hospital were statiscally significant, and effectiveness of hand acupuncture therapy by disease exist was statiscally significant (p= .033).

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유방암환자의 한의약의료서비스이용 결정요인 (Determinants on Korean Medicine Use among Breast Cancer Patients)

  • 한동운;김운용;최수정;황정혜
    • 대한예방한의학회지
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    • 제16권3호
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    • pp.37-51
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    • 2012
  • Objectives : The objective of this study is to determine the present state of patients with breast cancer use of Korean medicine(KM) and predictive factors for the use. Through this, the present study is intended to present reasonable treatment approaches for patients with breast cancer as well as communicating correct information on KM to healthcare providers and presenting objective alternatives for patients with breast cancer management based on the subjects' experience in health benefits obtained from their use of KM. Methods : To collect data for the present study, questionnaire surveys were conducted on outpatients who visited four hospitals located in Seoul, Korea during around three weeks from May 31, 2012. Although the total number of the questionnaire sheet distributed in the form of directly asking questionnaire questions was 300, 12 incomplete questionnaire sheets were excluded. Therefore, the number of questionnaire sheets actually used in analyses was 288 and thus the collect rate was 96%. Results : Major results of this study are as follows. First, the number of subjects who responded to the questionnaire was 288 in total. Forty-six percent of the patients reported KM usage and the most commonly used ginseng and qigong/exercise. KM use was found to be associated with age, experiencing side effects of cancer treamnent. Factors that affect the use of KM were analyzed by Linear Logistic Regression and the results showed that age, experiencing side effects of cancer treatment, effectiveness of cancer treatment, and satisfaction of the treatment were factors that were related with relatively more frequent use of KM. Conclusions : Comparing the previous studies, it could be seen that patients with breast cancer were highly interested in and used KM in which conventional medicine and KM are used simultaneously. Knowledge on the integrative use of KM and conventional therapies is necessary for cancer physicians and traditional Korean medical doctors to help patients make informed choices. KM use may play a role in the positive benefits associated with process of breast center treatment. Healthcare providers should communicate correct information on the KM use that has been scientifically verified and talk with each other openly. The fact that the significant correlation between predictive factors for the use of KM was identified trough the present study is quite meaningful.

주의력 저하 아동에 대한 뉴로피드백 치료의 주의집중력 향상 (Neurofeedback Treatment for Improvement of Attention in Inattentive Children)

  • 신기석;이영진;이용호;성형모;서호석
    • 정신신체의학
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    • 제17권1호
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    • pp.23-29
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    • 2009
  • 연구목적 : 본 연구에서는 주의집중력이 저하된 아동에게 뉴로피드백 훈련이 주의집중력의 향상에 효과가 있는가를 알아보고, 더 나아가 과잉행동(hyperactivity)과 충동성(impulsivity)의 호전에 효과가 있는가를 알아보고자 하였다. 방법 : 본 연구에서는 주의집중력이 저하된 아동 20명을 대상으로 각 아동별로 뉴로피드백 C3-A1 프로토콜을 15~20회 시행하였으며, 뉴로피드백 시행 전과 후의 주의집중력 정도를 ADHD Rating Scale-IV : Parent Version(ARS)과 Attention Deficit Disorder Evaluation Scale-Home Version(ADDES-HV)을 이용하여 비교하였다. 결과 : ARS 점수는 뉴로피드백 시행 전 inattention 소척도 평균 점수 14.2점에서 20회 시행 후의 평균 점수 8.8점으로 유의하게(p<0.05) 감소하였으며, impulsivity/hyperactivity 소척도의 평균 점수는 13.3점에서 7.1점으로 유의하게 감소하였다. ADDES-HV의 경우는 뉴로피드백 시행 전 inattention 소척도 평균 점수 34.8점에서 20회 시행 후의 평균 점수 20.7점으로 유의하게 감소하였으며(p<0.05), impulsivity 소척도는 22.5점에서 12.7점, hyperactivity 소척도는 18.8점에서 9.9점으로 유의하게 감소하였다. 이 점수들은 대개 10~15회 시점부터 유의하게 변화하기 시작하였다. 결론 : 뉴로피드백 치료를 통하여 아동의 주의집중력, 과잉행동, 충동성이 호전되었으며, 이는 뉴로피드백이 주의력 향상, ADHD의 치료에 한 방법이 될 수 있는 가능성을 시사하고 있다.

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임상물리치료에 있어서 아로마테라피의 활용 (The Utilization of Aromatherapy in Clinical Physical Therapy)

  • 장정훈;정동혁;박래준
    • The Journal of Korean Physical Therapy
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    • 제15권1호
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    • pp.82-95
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    • 2003
  • Our health is intimately connected to the health of our environment. The contemporary world view which sees a radical distinction between humans as subjects and world as object can obscure our recognition of how much we rely on nature for health and survival. Indigenous traditions and contemporary scholars remind us that we live in a universe in which all things are connected, and in which nature continues to offer its gifts in co-creative partnership for the health and wellbeing of all. Living in awareness of our relationship with nature enables us to open more to the experience of nature's nurturing. Many complementary therapies derive from ancient practices that involve nature in healing partnership. Essential oils have been used for thousands of years. Hippocrates claimed that the way to health was through aromatic baths and massages. Much anecdotal evidence exists regarding aromatherapeutic positive effects on recipients. Aromatherapy is a branch of complementary or alternative therapy which is increasing in popularity, yet has scant scientific credibility. Aromatherapy should be defined as treatment using odors and practised as such. However, essential oils are usually used in conjunction with therapeutic massage and often combined with counselling of some kind. Aromatherapy complements and enhances the therapeutic powers of massage. Massage is one of the most wonderful ways to relax and is throughly beneficial to health. Massage can help unknot tense and aching muscles and other minor symptoms of stress, leaving patients fresh and energized. As the use of aromatherapy within a health care setting has grown so rapidly in recent years, and will continue to do so, the need for suitable training has become apparent. No health service can afford the risk of having staff who are inadequately trained in the practice of aromatherapy using essential oils incorrectly on those in a state of ill-health, especially if the essential oils used are not to a standard suitable for therapeutic use. Training to an acceptable level in aromatic therapy is essential for safety and effectiveness. Knowledge of the nature and make-up of essential oils, their effect on the body and the emotions, and how, when, and where to apply them is imperative in order for them to be beneficial to a patient's health. In order to achieve best practice, further research is necessary to explore the use of aromatherapy in the management of multiple disorder.

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천년초에서 분리한 점질다당의 면역자극 활성 (Immune System-Stimulating Activities of Mucilage Polysaccharides Isolated from Opuntia humifusa)

  • 서이슬;신광순
    • 한국식품영양과학회지
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    • 제41권1호
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    • pp.95-102
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    • 2012
  • 천년초(Opuntia humifusa)에 존재하는 점질다당의 새로운 이용방안을 모색하기 위해 천년초로부터 다당을 분리하여 면역자극활성을 측정하였다. 천년초의 주요 다당 CNC-E는 상업용 효소처리, 물 추출 및 ethanol 침전을 거쳐 조제하고 이들의 특성을 검토하였다. CNC-E는 분자량 약 700 kDa의 다당체로, 구성당 조성을 확인한 결과, arabinose, galactose 및 xylose를 높은 비율로 함유하고 있었으며 rhamnose와 fucose를 미량 함유하고 있었다. 한편 CNC-E는 비장세포 유래 림프구에 대해서는 비교적 높은 증식활성을 농도 의존적으로 나타냈다. CNC-E로 자극한 macrophage는 IL-6, IL-12, IL-10 및 TNF-${\alpha}$와 같은 cytokine의 생산을 농도 의존적으로 증진시켰으며 CNC-E를 mouse에 정맥 주사한 후 얻어진 NK세포는 Yac-1 종양 세포주에 대한 높은 치사작용을 보였다. 특히 CNC-E를 mouse 당 $100{\mu}g$ 처리한 후 얻어진 NK세포는 미처리 대조군에 비해 3배 높은 치사활성을 나타냈다. CNC-E는 인체 초기 면역반응에 있어 중요한 역할을 담당하는 보체계에 대하여 농도 의존적인 활성을 나타냈으며, anti-human C3를 이용한 면역전기영동실험과 $Ca^{2+}$이온이 제거된 상태에서의 항보체 활성 실험을 통해 천년초 다당 CNC-E는 고전경로와 부경로를 모두 경유하여 활성을 나타내고 있음을 확인하였다. 이상의 결과로부터 한국산 선인장 천년초에는 인체에 유익한 면역 활성 다당체를 다량 함유함을 알 수 있었다.

Synergistic Effects of Jerusalem Artichoke in Combination with Pegylated Interferon Alfa-2a and Ribavirin Against Hepatic Fibrosis in Rats

  • Abdel-Hamid, Nabil Mohie;Wahid, Ahmed;Nazmy, Maiiada Hassan;Eisa, Marwa Abdel-Moniem
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.1979-1985
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    • 2016
  • Background: Complementary and alternative medicine has been highly appreciated as a supportive regimen for classical treatment strategies. Here we offer a nutrition-based adjuvant therapy for liver fibrosis, a major risk factor for cirrhosis and hepatocellular carcinoma. Aim of the study: To evaluate the possible hepatoprotective effects of Jerusalem artichoke tubers (JAT) in combination with interferon and ribavirin. Materials and Methods: Twelve groups of rats were administered JAT, interferon and ribavirin either separately or in combination from day one of $CCL_4$ administration until the end of the study. Animals were killed after 8 weeks of $CCL_4$-induced hepatotoxicity. Results: Hepatocytes from rats treated with triple combination of interferon, ribavirin, and JAT showed more less normal architecture compared to $CCL_4$-treated rats. We also detected significantly higher hepatic protein expression levels of p53, BAX and transforming growth factor-${\beta}$ (TGF-${\beta}$) in the $CCL_4$-intoxicated group compared to normal controls, as evidenced by immunohistochemical staining and western blotting analyses. Addition of JAT as a supportive regimen improved response to ribavirin and interferon and effectively participated in retaining normal histopathological and biochemical criteria and significantly lowered protein expression of p53, BAX, and TGF-${\beta}$. Conclusions: We suggest that addition of JAT as a supportive r egimen to interferon and ribavirin effectively potentiates their anti-fibrotic effects.

Comparative Study on the Effects of Herbal Medicine and Western Medicine on the Liver Function Based on Cross-Sectional Design

  • Park, Hae-Mo
    • 대한예방한의학회지
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    • 제14권1호
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    • pp.49-58
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    • 2010
  • Objective : The purpose of this study is to examine safety of herbal medicine on liver function and compare with western medicine. Method : 303 subjects of skin disease(vitiligo and psoriasis) were chosen at a local oriental medical clinic, and tested with a spot liver function test from Sept 1, 2006 to Dec 31, 2006. Subjects were grouped into untreated, herbal medicine, western medicine, and combination group by treatment record. Total bilirubin, AST, ALT and LDH was compared in each group, odds ratio and regression coefficient was calculated. Results : Subjects comprised of 116 individuals receiving western medication(38.28%), 54 receiving herbal medication(17.82%), 107 receiving combined forms of medication(35.31%), and 26 individuals without any types of medication(8.58%). With the mean age of 37.0 yr. 204 were male(67.3%), 99 were female(32.7%). Comparing variables of liver functions, there was no significant difference between the control and experiment groups. After adjusting potential confounders, monthly $\beta$(SE) of multiple regression -0.009~0.000 for the herbal group, -0.005~0.000 for the western group, and -0.001~0.001 for the combination group. No significant difference between the groups. OR of T-bilirubin were 1.02, 1.05, and 1.04. AST were 0.92, 0.94, and 0.98. ALT were 0.85, 0.99, and 0.97. LDH were 0.96, 1.06, 1.00 for the herbal, western, and combination group, respectively. Conclusion : Comparing with western medication, herbal medication did not cause special ill-effect on the liver function based on liver function tests.

일부 한국농촌지역의 8대 한방공공보건사업에 대한 주민의 이용실태 및 개선방향;강원도 홍천군을 중심으로 (Utilization and Improvement of 8 Principle TKM Public Health Services in Rural Areas of Korea)

  • 신헌태;이선동;주재신;한상백;한용주;박해모
    • 대한예방한의학회지
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    • 제11권1호
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    • pp.23-34
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    • 2007
  • Health promotion program utilizing traditional korean medicine(TKM) is very unique modality uncommonly conducted throughout the world. Korea's TKM public health services went through initial stage from 2001 and spread throughout the country by 2003. 35 public health centers in the nation is appointed as 'TKM health promotion HUB' and in operation from 2007. But the program is still in the early state and evaluation of usage, satisfaction, and community service is still in demand. This study aims to verify current situations of TKM public health service by examining public awareness, usage, and satisfaction and suggest improvements based on findings. 2.5% of local residents were sampled and 1739 were chosen as subjects. Knowledge, attitude, satisfaction and others for TKM public health service were examined. TKM treatment service was most widely utilized(13.2%), followed by CVA prevention program(5.2%). For satisfaction level, CVA prevention program showed highest satisfaction(73.3%), closely followed by (Qi-gong program 63%). In general, awareness and utilization of TKM public health service were low but compensated by high satisfaction level. More active promotion and development of community specific programs should become available in the future.

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Therapeutic Efficacy of Extracts from Root of Acnthopanax Sessiliflorus as Anti-cancer Drug ; in vivo and in vitro Study

  • Kim, Hyung-Woo;Jeong, Sun;Baek, Gwang-Hyun;Cho, Su-In;Jeon, Byung-Gwan;Kim, Gye-Yeop;Cho, Young-Lim;Jeong, Hyun-Woo
    • 동의생리병리학회지
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    • 제21권2호
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    • pp.518-522
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    • 2007
  • The cortex and root of Acnthopanax sessiliflorus, a herbal medicine, have been used for several diseases including cancer in Oriental countries. In the previous study, we showed that the cortex of this plant have anti-cancer activity. But its therapeutic efficacy of CORTEX ACANTHOPANAX RADICIS (CAR) is not clarified. For these reasons, we investigated immuno-potentiating and anti-cancer properties of CAR compared with CA, in terms of body and tumor weights, proliferation of thymocytes and tumor cells, and nitric oxide production from macrophages through in vitro and in vivo studies. In our results, administration of CAR reduced tumor mass and increased body weights. CAR also inhibited proliferation of tumor cells in vivo and in vitro dose-dependently. Thymocyte proliferation was accelerated by treatment with CAR and NO production was also promoted by CAR in vivo and vitro. In conclusion, we demonstrated that CAR is useful to treat for cancer as complementary or alternative medicine to Western medication, its therapeutic efficacy is involved in direct inhibition of tumor growth and immuno-potentiating activity.