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Patricolo GE, LaVoie A, Slavin B, Richards NL, Jagow D, Armstrong K. Beneficial Effects of Guided Imagery or Clinical Massage on the Status of Patients in a Progressive Care Unit. Crit Care Nurse 2018; 37:62-69. [PMID: 28148616 DOI: 10.4037/ccn2017282] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
BACKGROUND Patients in the progressive care unit typically experience high levels of pain and anxiety and exhibit difficulty sleeping. OBJECTIVE To determine whether either clinical massage or guided imagery could reduce pain and anxiety and improve sleep. METHODS This study included 288 inpatients on 2 floors of a progressive care unit. On 1 floor, each patient was offered daily a 15-minute complimentary clinical massage, whereas the patients on the other floor were provided access to a 30-minute guided-imagery recording. Patients were asked to rate their pain and anxiety levels immediately before and after the massage intervention or were asked whether the guided-imagery intervention was helpful for pain, anxiety, or insomnia. RESULTS The massage intervention showed an immediate and significant reduction in self-reported pain and anxiety (P < .001); likewise, a significant number of patients self-reported that guided imagery helped alleviate pain, anxiety, and insomnia (P < .001). CONCLUSION The results of this study indicate that clinical massage and guided imagery can benefit patients in the progressive care unit.
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Affiliation(s)
- Gail Elliott Patricolo
- Gail Elliott Patricolo is director of integrative medicine, Beaumont Health System, Royal Oak, Michigan. .,Amanda LaVoie is a registered dietitian with an interest in integrative medicine and improving patients' health care experiences. She is director of service excellence and environmental services, Beaumont Health System, Troy, Michigan. .,Barbara Slavin is an administrative manager in a progressive care unit in the Beaumont Health System-Troy. She has more than 30 years experience in critical care nursing and nursing leadership. .,Nancy L. Richards is a clinical nurse specialist for progressive care, Beaumont Health System, Troy, Michigan. .,Deborah Jagow is a registered nurse and nurse manager of a surgical progressive care unit, Beaumont Health System, Troy, Michigan. .,Karen Armstrong is manager of clinical massage and instructor of Beaumont's oncology and hospital massage, Beaumont Health System, Royal Oak, Michigan.
| | - Amanda LaVoie
- Gail Elliott Patricolo is director of integrative medicine, Beaumont Health System, Royal Oak, Michigan.,Amanda LaVoie is a registered dietitian with an interest in integrative medicine and improving patients' health care experiences. She is director of service excellence and environmental services, Beaumont Health System, Troy, Michigan.,Barbara Slavin is an administrative manager in a progressive care unit in the Beaumont Health System-Troy. She has more than 30 years experience in critical care nursing and nursing leadership.,Nancy L. Richards is a clinical nurse specialist for progressive care, Beaumont Health System, Troy, Michigan.,Deborah Jagow is a registered nurse and nurse manager of a surgical progressive care unit, Beaumont Health System, Troy, Michigan.,Karen Armstrong is manager of clinical massage and instructor of Beaumont's oncology and hospital massage, Beaumont Health System, Royal Oak, Michigan
| | - Barbara Slavin
- Gail Elliott Patricolo is director of integrative medicine, Beaumont Health System, Royal Oak, Michigan.,Amanda LaVoie is a registered dietitian with an interest in integrative medicine and improving patients' health care experiences. She is director of service excellence and environmental services, Beaumont Health System, Troy, Michigan.,Barbara Slavin is an administrative manager in a progressive care unit in the Beaumont Health System-Troy. She has more than 30 years experience in critical care nursing and nursing leadership.,Nancy L. Richards is a clinical nurse specialist for progressive care, Beaumont Health System, Troy, Michigan.,Deborah Jagow is a registered nurse and nurse manager of a surgical progressive care unit, Beaumont Health System, Troy, Michigan.,Karen Armstrong is manager of clinical massage and instructor of Beaumont's oncology and hospital massage, Beaumont Health System, Royal Oak, Michigan
| | - Nancy L Richards
- Gail Elliott Patricolo is director of integrative medicine, Beaumont Health System, Royal Oak, Michigan.,Amanda LaVoie is a registered dietitian with an interest in integrative medicine and improving patients' health care experiences. She is director of service excellence and environmental services, Beaumont Health System, Troy, Michigan.,Barbara Slavin is an administrative manager in a progressive care unit in the Beaumont Health System-Troy. She has more than 30 years experience in critical care nursing and nursing leadership.,Nancy L. Richards is a clinical nurse specialist for progressive care, Beaumont Health System, Troy, Michigan.,Deborah Jagow is a registered nurse and nurse manager of a surgical progressive care unit, Beaumont Health System, Troy, Michigan.,Karen Armstrong is manager of clinical massage and instructor of Beaumont's oncology and hospital massage, Beaumont Health System, Royal Oak, Michigan
| | - Deborah Jagow
- Gail Elliott Patricolo is director of integrative medicine, Beaumont Health System, Royal Oak, Michigan.,Amanda LaVoie is a registered dietitian with an interest in integrative medicine and improving patients' health care experiences. She is director of service excellence and environmental services, Beaumont Health System, Troy, Michigan.,Barbara Slavin is an administrative manager in a progressive care unit in the Beaumont Health System-Troy. She has more than 30 years experience in critical care nursing and nursing leadership.,Nancy L. Richards is a clinical nurse specialist for progressive care, Beaumont Health System, Troy, Michigan.,Deborah Jagow is a registered nurse and nurse manager of a surgical progressive care unit, Beaumont Health System, Troy, Michigan.,Karen Armstrong is manager of clinical massage and instructor of Beaumont's oncology and hospital massage, Beaumont Health System, Royal Oak, Michigan
| | - Karen Armstrong
- Gail Elliott Patricolo is director of integrative medicine, Beaumont Health System, Royal Oak, Michigan.,Amanda LaVoie is a registered dietitian with an interest in integrative medicine and improving patients' health care experiences. She is director of service excellence and environmental services, Beaumont Health System, Troy, Michigan.,Barbara Slavin is an administrative manager in a progressive care unit in the Beaumont Health System-Troy. She has more than 30 years experience in critical care nursing and nursing leadership.,Nancy L. Richards is a clinical nurse specialist for progressive care, Beaumont Health System, Troy, Michigan.,Deborah Jagow is a registered nurse and nurse manager of a surgical progressive care unit, Beaumont Health System, Troy, Michigan.,Karen Armstrong is manager of clinical massage and instructor of Beaumont's oncology and hospital massage, Beaumont Health System, Royal Oak, Michigan
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Gaire BP. Herbal Medicine in Ischemic Stroke: Challenges and Prospective. Chin J Integr Med 2018; 24:243-246. [PMID: 29696521 DOI: 10.1007/s11655-018-2828-2] [Citation(s) in RCA: 48] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Indexed: 01/14/2023]
Abstract
Herbal medicines, mainly of plant source, are invaluable source for the discovery of new therapeutic agents for all sorts of human ailments. The complex pathogenesis of stroke and multifactorial effect of herbal medicine and their active constituents may suggest the promising future of natural medicine for stroke treatment. Anti-oxidant, anti-inflammatory, anti-apoptotic, neuroprotective and vascular protective effect of herbal medicines are believed to be efficacious in stroke treatment. Herbs typically have fewer reported side effects than allopathic medicine, and may be safer to use over longer period of time. Herbal medicines are believed to be more effective for the longstanding health complaints, such as stroke. Several medicinal plants and their active constituents show the promising results in laboratory research. However failure in transformation of laboratory animal research to the clinical trials has created huge challenge for the use of herbal medicine in stroke. Until and unless scientifically comprehensive evidence of the efficacy and safety of herbal medicine in ischemic stroke patients is available, efforts should be made to continue implementing treatment strategies of proven effectiveness. More consideration should be paid to natural compounds that can have extensive therapeutic time windows, perfect pharmacological targets with few side effects. Herbal medicine has excellent prospective for the treatment of ischemic stroke, but a lot of effort should be invested to transform the success of animal research to human use.
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Affiliation(s)
- Bhakta Prasad Gaire
- Department of Herbal Pharmacology, College of Korean Medicine, Kyung Hee University, Seoul, 130-701, Republic of Korea.
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Hu JZ, Bai L, Chen DG, Xu QT, Southerland WM. Computational investigation of the anti-HIV activity of Chinese medicinal formula Three-Huang Powder. Interdiscip Sci 2010; 2:151-6. [PMID: 20640783 DOI: 10.1007/s12539-010-0074-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2009] [Revised: 03/18/2010] [Accepted: 03/18/2010] [Indexed: 10/19/2022]
Abstract
An essential step in the life cycle of human immunodeficiency virus type 1 (HIV-1) is integration of the double-stranded retroviral DNA into the genome of the host cell. HIV-1 integrase, the enzyme that inserts the vital DNA into the host chromosome, is an attractive and rational target for anti-AIDS drug design because it is essential for HIV replication and there are no known counterparts in the host cell. Inhibitors of this enzyme have the great potential to complement the therapeutic use of HIV protease and reverse transcriptase inhibitors. Natural products have provided a source of new drug candidates for anti-AIDS therapy. Baicalein and baicalin, identified components of a Chinese herbal medicine Scutellaria baicalensis Georgi, have been shown to inhibit infectivity and replication of HIV. They are therefore promising lead compounds for developing new anti-AIDS drugs. To understand how the inhibitors work and therefore design more potent and specific inhibitors, we have used molecular modeling techniques to investigate the binding modes of these inhibitors. The three-dimensional structures of these inhibitors were first built. Then, computational binding studies of these inhibitors, based on the crystal structure of the HIV-1 integrase catalytic domain, were performed to study the complex structure. The preliminary results of our computational modeling study demonstrated that Baicalein binds to the active site region of the HIV-1 integrase. Our study will be of help to identify the pharmacophores of inhibitors binding to HIV-1 integrase and design new pharmaceuticals for the treatment of AIDS.
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Affiliation(s)
- Jack Z Hu
- Department of Biochemistry and Molecular Biology, Howard University College of Medicine, Washington, DC 20059, USA.
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