پاورپوینت کامل Complementary and Alternative Medicine (CAM) Resources for the Practitioner 45 اسلاید در PowerPoint


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پاورپوینت کامل Complementary and Alternative Medicine (CAM) Resources for the Practitioner 45 اسلاید در PowerPoint

اسلاید ۴: CAM- every where you look

اسلاید ۵: CAM in the NewsDying Woman Loses Marijuana Appeal March 14, 2007Evidence Mounts That Coping Skills Can Boost HIV Survival March 14, 2007Omega-3 in Fish Oils Might Ease Depression March 7, 2007Insomnia: Alternative Medicine Popular1.6 Million Adults Use Complementary Or Alternative Medicine For Insomnia September 2006

اسلاید ۶: Ernst MJA 2006; 185 (11/12): 680-681

اسلاید ۷: Complementary and Alternative Medicine (CAM)Complementary and alternative medicine A group of diverse medical and health care systems, practices, and products Not considered part of conventional medicineSome scientific evidence exists regarding CAM therapies For most, questions of safety and efficacy persistComplementary medicine is used together with conventional medicine. Alternative medicine is used in place of conventional medicine. http://nccam.nih.gov/health/whatiscam/

اسلاید ۸: Integrative or Holistic Medicine Integrative combines mainstream medical therapies and CAM therapies for which there is some high-quality scientific evidence of safety and effectiveness.“Healing-oriented medicine that takes account of the whole person (body, mind, and spirit), including all aspects of lifestyle. It emphasizes the therapeutic relationship and makes use of all appropriate therapies, both conventional and alternative.” http://nccam.nih.gov/health/whatiscam/http://ativemedicine.arizona.edu/about2.html

اسلاید ۹: Enhance themind’s capacityto affect bodilyfunction andsymptomsChiropracticeOsteopathyMassageMajor Classes of CAMAlternative medical systemsMind-bodyinterventionsManipulative & body-based methodsEnergytherapiesHomeopathicNaturopathicTraditional Chinese and Ayurvedic treatmentsDietary suppHerbsFoodsVitaminsNatural substancesBiofield therapyBioelectro- magnetic therapyBiologically-basedtherapieshttp://nccam.nih.gov/

اسلاید ۱۰:

اسلاید ۱۱: CAM UtilizationReasons for using CAM: Consistent with patient’s and families values: natural, and empoweringCAM providers are “patient-centered”, dedicated to promoting health. Conventional therapies are perceived to be emotionally or spiritually without benefitConventional therapies are not effective or are associated with side effects.CAM use is a circular: usage determines number of CAM practitioners Archives of Disease in Childhood 2006;91:96-97

اسلاید ۱۲: CAM Therapieshttp://nccam.nih.gov/news/camsurvey_fs1.htm#domain

اسلاید ۱۳: CAM Therapies

اسلاید ۱۴: Pediatric Use of CAMAsthma 80% Reznik, 2003(Broپاورپوینت کامل Complementary and Alternative Medicine (CAM) Resources for the Practitioner 45 اسلاید در PowerPoint, NY)Adolescents54-69% Wilson, 2002 (NY) Braun, 2005 (MN)Special Needs 64% Sanders, 2003 (Tucson, AZ)Rheumatology 64% Hagen, 2003 (Toronto)ADHD 54% Chan et al, 2003 (Boston Children’s)Emergency13-45% Losier, 2005 (Ottawa) Lanski, 2003 (Atlanta)

اسلاید ۱۵: Pediatric Use of CAMOncology 47-84% McCurdy, 2003 (WFU)Neuhouser, 2001 (Seattle)Kelly, 2000 (NYC)Cerebral Palsy 56% Hurvitz, 2003Ann Arbor, MIIBD 41% Heuschkel, 2002London, Boston, DetroitAutism Spectrum 30% Levy, 2003 CHOP, PAPreoperative 29.5% Lin, 2004Boston Children’sPrimary Care 12-21% Sawni, 2002 (Detroit)Ottolini, 2001 (Wash D.C.)

اسلاید ۱۶: Evidence Based CAM Therapies in PediatricsEffectiveness well documented: Acupuncture for nausea and vomiting Biofeedback for constipation Biofeedback for headache Hypnotherapy for headache Hypnotherapy for irritable bowel syndrome Lemon balm for herpes simplex Massage for constipation Archives of Disease in Childhood 2006;91:96-97

اسلاید ۱۷: CAM Treatments Commonly Thought Effective in PediatricsEffectiveness uncertain Acupuncture for asthma Acupuncture for hay fever Acupuncture for rheumatoid arthritis Chromium for diabetes Echinacea for common cold prevention or treatment Evening primrose for eczema Effectiveness unlikelyAcupuncture for body weight reduction Acupuncture for smoking cessation Flower remedies for aپاورپوینت کامل Complementary and Alternative Medicine (CAM) Resources for the Practitioner 45 اسلاید در PowerPointiety Homeopathy for aپاورپوینت کامل Complementary and Alternative Medicine (CAM) Resources for the Practitioner 45 اسلاید در PowerPointiety Spinal manipulation for asthma Spinal manipulation for infantile colic Archives of Disease in Childhood 2006;91:96-97

اسلاید ۱۸: Use of Herbs- EvidenceAlternative Health supplement of the 2002 National Health Interview Survey: data on 10 common herbsOf 30,616 adults, 19% used herbs in past 12 mo, 57% for a specific conditionApproximately 2/3 used herbs (except Echinacea) not in accordance with evidence based indicationsMayo Clin Proc, May 2007;82(5): 561-566

اسلاید ۱۹: Conventional Medicine, EvidenceMost conventional physicians believe in unconventional medicine because it is not scientificWhat is evidence-based medicine Treatment that will improve patient outcomes by well-designed, appropriately powered, randomized, controlled clinical trials. There is not good evidence (Grade A) that many of the commonly used therapies in conventional medicine are effective (ex: heparin, aspirin, and warfarin). The principal distinguishing characteristic of unconventional and conventional medicine therapies is the source of introduction. Conventional therapies are introduced by mainstream Western physicians and scientists, whereas most unconventional modalities are introduced by outsiders. One of the reasons that

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