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Brink SG, McFarren AE, Lincoln JM, Birney AJ. Cancer CAM™: Web-Based Continuing Education for Health Professionals. ACTA ACUST UNITED AC 2016. [DOI: 10.1177/1076167503252922] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Nurses and health educators who work with cancer patients are often asked about complementary and alternative medicine (CAM) therapies. “CAM and the Prostate Cancer Patient” is the prototype module for an online continuing education series on CAM. More than 60 nurses and health educators tested the product online. Outcome data indicate that such a program can increase learners’ CAM knowledge and perceived self-efficacy in addressing patient questions about CAM. Qualitative responses from testers indicate an appreciation for a balanced approach to the material. Testers found the combination of academic information with professional and patient tips to be useful.
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Affiliation(s)
| | - Ann E. McFarren
- Health Mark Multimedia, 1201 Connecticut Ave, NW, Suite 250,Washington, DC 20036
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Black DS, Li MJ, Ihenacho U, Nguyen NT, de Fatima Reyes M, Milam J, Pentz MA, Figueiredo JC. Shared health characteristics in Hispanic colorectal cancer patients and their primary social support person following primary diagnosis. Psychooncology 2016; 25:1028-35. [PMID: 26291178 PMCID: PMC4925318 DOI: 10.1002/pon.3938] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2015] [Revised: 06/02/2015] [Accepted: 07/15/2015] [Indexed: 11/07/2022]
Abstract
PURPOSE The aim of this paper was to determine individual and shared levels of psychosocial, behavioral, and symptomological health characteristics among Hispanics with recent history of cancer and their primary social support person (PSSP) in the years following diagnosis. PATIENTS AND METHODS Recruited from a population-based cohort study were 409 Hispanic patients with a previous diagnosis of colorectal cancer. Forty-seven patients identified a PSSP, who assists with medical decision-making and health-related matters, who also participated in the study. Current behavioral (smoking, alcohol use, physical activity, and complementary and alternative medicine use), psychosocial (stress and mindfulness), and physical symptom (fatigue) data were obtained using validated instruments. Analyses tested the individual and shared (between patients and PSSPs) variance in these health measures. RESULTS The sample was diagnosed on average 3.1 years (standard deviation = 1.7) prior to assessment. PSSPs were mainly spouses/partners (63%) or children (28%) of patients. Among patients, stress was positively associated with being a current smoker (p < 0.01) and with fatigue (r = 0.45, p < 0.001); stress was negatively correlated with mindfulness (r = -0.41, p < 0.001); mindfulness was negatively associated with smoking (odds ratio (OR) = 0.72, p < 0.01) and alcohol consumption (OR = 0.83, p < 0.05); the inverse relationship between mindfulness and fatigue was partially mediated through lower levels of stress (β = -0.17, p < 0.001). Similar patterns were observed among PSSPs. Patient mindfulness was negatively correlated with PSSP stress (r = -0.45, p < 0.01). Complementary and alternative medicine use showed interdependence between patients and PSSPs for use of herbal remedies (OR = 6.2; p < 0.01) and bodywork (OR = 8.3, p < 0.05). CONCLUSION Hispanic colorectal cancer patients and their PSSP share a common health milieu in the years following a cancer diagnosis, offering opportunities for advancing interpersonal intervention approaches in cancer care. Copyright © 2015 John Wiley & Sons, Ltd.
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Affiliation(s)
- David S. Black
- Department of Preventive Medicine, Keck School of Medicine of University of Southern California, Los Angeles CA
- Norris Comprehensive Cancer Center, Keck School of Medicine of University of Southern California, Los Angeles CA
| | - Michael J. Li
- Department of Preventive Medicine, Keck School of Medicine of University of Southern California, Los Angeles CA
| | - Ugonna Ihenacho
- Department of Preventive Medicine, Keck School of Medicine of University of Southern California, Los Angeles CA
- Norris Comprehensive Cancer Center, Keck School of Medicine of University of Southern California, Los Angeles CA
| | - Nathalie T. Nguyen
- Department of Preventive Medicine, Keck School of Medicine of University of Southern California, Los Angeles CA
- Norris Comprehensive Cancer Center, Keck School of Medicine of University of Southern California, Los Angeles CA
| | - Maria de Fatima Reyes
- Department of Preventive Medicine, Keck School of Medicine of University of Southern California, Los Angeles CA
| | - Joel Milam
- Department of Preventive Medicine, Keck School of Medicine of University of Southern California, Los Angeles CA
| | - Mary Ann Pentz
- Department of Preventive Medicine, Keck School of Medicine of University of Southern California, Los Angeles CA
- Norris Comprehensive Cancer Center, Keck School of Medicine of University of Southern California, Los Angeles CA
| | - Jane C. Figueiredo
- Department of Preventive Medicine, Keck School of Medicine of University of Southern California, Los Angeles CA
- Norris Comprehensive Cancer Center, Keck School of Medicine of University of Southern California, Los Angeles CA
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Raszeja VM, Jordens CFC, Kerridge IH. Survey of practices and policies relating to the use of complementary and alternative medicines and therapies in New South Wales cancer services. Intern Med J 2013; 43:84-8. [DOI: 10.1111/imj.12010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2012] [Accepted: 09/09/2012] [Indexed: 11/28/2022]
Affiliation(s)
- V. M. Raszeja
- Centre for Values, Ethics and the Law in Medicine; School of Public Health; University of Sydney
| | - C. F. C. Jordens
- Centre for Values, Ethics and the Law in Medicine; School of Public Health; University of Sydney
| | - I. H. Kerridge
- Centre for Values, Ethics and the Law in Medicine; School of Public Health; University of Sydney
- Haematology Department; Royal North Shore Hospital; Sydney New South Wales Australia
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Hajtó T, Fodor K, Perjési P, Németh P. Difficulties and perspectives of immunomodulatory therapy with mistletoe lectins and standardized mistletoe extracts in evidence-based medicine. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2011; 2011:298972. [PMID: 19939951 PMCID: PMC3135167 DOI: 10.1093/ecam/nep191] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/24/2009] [Accepted: 10/19/2009] [Indexed: 01/06/2023]
Abstract
Viscum album preparations are aqueous mistletoe plant extracts used in complementary and alternative medicine as immunomodulators in cancer therapy. However, evidence of immunological efficacy of mistletoe extracts (MEs) used in clinical trials is often lacking. Mechanisms involved in anti-tumor properties of ME and mistletoe lectins (MLs) modify both innate and adaptive immune systems, according to animal model experiments. In the background of these effects, a selective binding of ML on CD75 ganglioside receptors of interleukin 12 (IL-12)-producing macrophages or dendritic cells can play an important role. Immunological effects of ME correlate with their lectin activity, showing a bell-shaped dose-response curve of efficacy. Therefore, a correct determination of MLs for the standardization of commercial ME is essential. However, plant MLs exhibit heterogeneity, which most likely results from post-translational processing. In addition, amino acid analysis of ML has revealed numerous conservative substitutions along their amino acid sequence. Consequently, ML research needs new perspectives, and the advantages and disadvantages of purified and biologically better defined ML preparations are also discussed in this article.
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Affiliation(s)
- Tibor Hajtó
- Department of Immunology and Biotechnology, University of Pécs, Pécs, Hungary
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PIRRI C, KATRIS P, TROTTER J, BAYLISS E, BENNETT R, DRUMMOND P. Use of complementary and alternative therapies by Western Australian cancer patients. Asia Pac J Clin Oncol 2008. [DOI: 10.1111/j.1743-7563.2008.00180.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Ejindu A. The effects of foot and facial massage on sleep induction, blood pressure, pulse and respiratory rate: Crossover pilot study. Complement Ther Clin Pract 2007; 13:266-75. [DOI: 10.1016/j.ctcp.2007.03.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2006] [Accepted: 03/09/2007] [Indexed: 11/17/2022]
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Abstract
Issues regarding patient care near the end of life can be challenging and rewarding for emergency physicians. Knowledge of the patient's wishes is essential, and may be accomplished by advance directives or communication with patients and surrogates. Resuscitative efforts are appropriate for many patients, but inappropriate for others. The goals of medicine remain the following: providing optimal health care, provision of the best possible symptom control, communication, empathy, and caring. As death approaches, provision of the best possible medical care, in accordance with the patient's wishes, can be rewarding for patients, families, and health care providers.
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Affiliation(s)
- Catherine A Marco
- Department of Emergency Medicine, Acute Care Services, St Vincent Mercy Medical Center, Toledo, OH 43608-2691, USA.
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Lowenthal RM. Public illness: how the community recommended complementary and alternative medicine for a prominent politician with cancer. Med J Aust 2005; 183:576-9. [PMID: 16336134 DOI: 10.5694/j.1326-5377.2005.tb00039.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2005] [Accepted: 10/26/2005] [Indexed: 11/17/2022]
Abstract
When a prominent Australian politician, the then Premier of Tasmania, The Honourable Jim Bacon, publicly announced in February 2004 that he had lung cancer, he was inundated with well-wishing communications sent by post, email and other means. They included 157 items of correspondence recommending a wide variety of complementary and alternative medicines (CAMs). The most common CAMs recommended were meditation, Chinese medicine, "glyconutrients", juices, Laetrile and various diets and dietary supplements. Although proof of benefit exists or promising preliminary laboratory studies have been carried out for a small number of the recommendations, no scientific evaluation has been performed for most of these treatments. Their potential benefits and harms are not known. Several recommendations were for treatments known to be useless, harmful or fraudulent. Bacon's experience suggests that cancer patients may receive unsolicited advice to adopt one or more forms of CAM. Both patients and practitioners need access to authoritative evidence-based information about the benefits and dangers of CAMs.
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Affiliation(s)
- Ray M Lowenthal
- Royal Hobart Hospital, GPO Box 1061 L, Hobart, TAS 7001, Australia.
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Steginga SK, Occhipinti S, Gardiner RAF, Yaxley J, Heathcote P. A prospective study of the use of alternative therapies by men with localized prostate cancer. PATIENT EDUCATION AND COUNSELING 2004; 55:70-77. [PMID: 15476992 DOI: 10.1016/j.pec.2003.07.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2003] [Revised: 07/16/2003] [Accepted: 07/31/2003] [Indexed: 05/24/2023]
Abstract
Although the use of alternative therapies is highly prevalent amongst men with prostate cancer, research about the predictors of such use is limited. The current study aimed to describe prospectively the use of alternative therapies by men diagnosed with localized prostate cancer and identify predictors of alternative therapy use. In all, 111 men newly diagnosed with localized prostate cancer (93% response) were recruited to the study prior to treatment. Men's use of alternative therapies and psychological variables including: psychological distress, orientation to health care, decisional conflict, and health locus of control, were assessed at three time points-(1) before treatment; (2) 2 months after completion of treatment; and (3) 12 months after completion of treatment. Demographic information was also obtained. The percentage of men using alternative therapies was 25, 17 and 14% before treatment, 2 and 12 months after treatment, respectively. In general, the most commonly used therapies were dietary changes, vitamins and herbal and nutrient remedies. Alternative therapy use was not related to final treatment choices. Before treatment, men who used alternative therapies were more uncertain about prostate cancer compared to men who were not using these therapies. Men who were using alternative therapies 12 months after treatment were less psychologically distressed that men who were not using these therapies. Health locus of control and orientation to health care were not found to be related to men's use of alternative therapies. In conclusion, men's use of alternative therapies after localized prostate cancer varied across time in terms of the incidence of use, the types of therapies used, and the psychological correlates of therapy use. Informational support that targets uncertainty about prostate cancer may assist men at diagnosis who are considering alternative therapy use. The potential for alternative therapies to have a supportive function in patient care requires further investigation.
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Affiliation(s)
- Suzanne K Steginga
- School of Applied Psychology, Griffith University, Brisbane 4111, Queensland, Australia.
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Moyad MA, Barada JH, Lue TF, Mulhall JP, Goldstein I, Fawzy A. Prevention and treatment of erectile dysfunction using lifestyle changes and dietary supplements: what works and what is worthless, part I. Urol Clin North Am 2004; 31:249-57. [PMID: 15123405 DOI: 10.1016/j.ucl.2004.01.006] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Clinicians working in urology should adhere to the same guidelines that are observed in cardiovascular medicine when dealing with a patient with ED. A golden opportunity exists to discuss lifestyle changes with any man with or concerned about ED. Providing heart-healthy recommendations to men with minimal to extensive ED may produce a twofold impact: (1) patients may be able to affect the future extent of their disease, and (2) patients may become healthier overall. Patients following a heart-healthy lifestyle after a diagnosis of ED or to prevent ED should enjoy increased quality or quantity of life. The time is more than ripe for patients to understand that heart health is tantamount to erectile health.
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Affiliation(s)
- Mark A Moyad
- Department of Urology, University of Michigan Medical Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0330, USA.
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Yu T, Tsai HL, Hwang ML. Suppressing tumor progression of in vitro prostate cancer cells by emitted psychosomatic power through Zen meditation. THE AMERICAN JOURNAL OF CHINESE MEDICINE 2004; 31:499-507. [PMID: 12943181 DOI: 10.1142/s0192415x03001132] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Human prostate cancer PC3 cells were treated in vitro with psychosomatic power emitted by a Buddhist-Zen Master. A significant decrease of growth rate was observed as determined by MTT assay after 48 hours. These cells also had two- to three-fold higher levels of prostatic acid phosphatase (PAcP) activity, a prostate tissue-specific differentiation antigen. In addition, the treated cells formed fewer and smaller colonies in soft agar as compared with control cells, which displayed anchorage-independent growth. These observations provide insight into the suppressive effects of healing power through the practice of Buddhist-Zen meditation on tumor progression. The emitted bioenergy may be suggested as an alternative and feasible approach for cancer research and patient treatment.
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Affiliation(s)
- Tiing Yu
- Department of Applied Chemistry, National Chiao Tung University, Hsinchu 300, Taiwan.
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Evaluation of an Unconventional Treatment Modality with Mistletoe Lectin to Prevent Recurrence of Superficial Bladder Cancer:. J Urol 2002. [DOI: 10.1097/00005392-200207000-00018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Evaluation of an Unconventional Treatment Modality with Mistletoe Lectin to Prevent Recurrence of Superficial Bladder Cancer: A Randomized Phase ii Trial. J Urol 2002. [DOI: 10.1016/s0022-5347(05)64834-3] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Peeke PM, Frishett S. The role of complementary and alternative therapies in women's mental health. Prim Care 2002; 29:183-97, viii. [PMID: 11856666 DOI: 10.1016/s0095-4543(03)00081-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The advent of the newly evolving field of Integrative Medicine has provided women with an opportunity to expand the health care resources available to prevent and treat mental health conditions. Aided by evidence-based science, practitioners can now broaden the scope of their therapeutic armamentarium and allow women to use the best of what western and complementary medicine has to offer in the field of mental health care. Acupuncture, medication, herbalism, and guided imagery are included in a list of therapeutic modalities designed to augment traditional care. It is clear that by providing such comprehensive care, a woman's physical and mental wellness and her longevity are optimized.
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Affiliation(s)
- Pamela M Peeke
- Department of Medicine, University of Maryland, Bethesda, Maryland 20814, USA
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Mamtani R, Cimino A. A primer of complementary and alternative medicine and its relevance in the treatment of mental health problems. Psychiatr Q 2002; 73:367-81. [PMID: 12418362 DOI: 10.1023/a:1020472218839] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The use of complementary and alternative medicine (CAM) is widespread. Those with psychiatric disorders are more likely to use CAM than those with other diseases. There are both benefits and limitations to CAM. Many controlled studies have yielded promising results in the areas of chronic pain, insomnia, anxiety, and depression. There is sufficient evidence, for example, to support the use of a) acupuncture for addiction problems and chronic musculoskeletal pain, b) hypnosis for cancer pain and nausea, c) massage therapy for anxiety, and the use of d) mind-body techniques such as meditation, relaxation, and biofeedback for pain, insomnia, and anxiety. Large doses of vitamins, herbal supplements, and their interaction with conventional medications are areas of concern. Physicians must become informed practitioners so that they can provide appropriate and meaningful advice to patients concerning benefits and limitations of CAM.
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Mendelson G. A primer of complementary and alternative medicine commonly used by cancer patients. Med J Aust 2001; 174:611-2. [PMID: 11453342 DOI: 10.5694/j.1326-5377.2001.tb143462.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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