صفحه 1:
ss
a
صفحه 2:
Will duct tape cure
my warts? Examining
Complementary and
Alternative Medicine
Karen Vargas
sumer Health Outreach Coordinator
, onal Network of Libraries of Medicine
South Central Region
صفحه 3:
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Agenda
* Introducing CAM PE
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۰ ۴۷۵۱۷۵۲۱۱9 ۷۷/۵0 5عغ51
* Recommended Websit
* Reviewing the Evidence
صفحه 4:
عم م0۳
vusior vil 5
pe موه نز
How’doyou get rid of a
wart?
sik thresd = gal posts 7
pe ادنك
ray wet wits kazet
aloe وه ار
35 IP per queers
صفحه 5:
What is CAM?
Complementary and Alternative Me ۷
٠ Complementary: together with 7 an
— aromatherapy to help with pain after
surgery
: أ»
Alternative: in place of 2
—using garlic to lower blood pres:
صفحه 6:
CAM becomes “legit”
1990 er
— Wilk et al v. AMA Ne
ol
1991
-—$2 million in funding to establish NIH
Office of Alternative Medicine
1994
— Dietary Supplement Health and
Education Act
صفحه 7:
CAM becomes “legit”
2711995
—NIH Office of Dietary ۹
— FDA declassifies Acupuncture
needles as experimental prod إل
٠ 06
—NIH Consensus Conference on
Acupuncture
* 1997
— First large trial of CAM therapy, St. John’s
Wort for depression
صفحه 8:
CAM becomes “legit”
1998
— National Center for Complementary &
Alternative Medicine (NCCAM) established
http://nccam.nih.gov/
— First full scale article in JAMA on herbal
medicine
— Office of Cancer Complementary and
Alternative Medicine (OCCAM) established
http://www.cancer.gov/cam/
2001
— CAM on PubMed (NCCAM and NLM)
2009 - $296 million in NIH CAM research
۰
صفحه 9:
Impact of CAM
* CDC Report (2007)
— 38% of adults used some form of CAM
— Children whose parent used CAM were 2x
as likely to have used CAM
— CAM use more prevalent for: women, adults
aged 30-69, higher levels of education,
adults who were not poor, adults living in
the West, and former smokers
¢ Full report:
http://nccam.nih.gov/news/camstats/
صفحه 10:
Diseases/Conditions for Which CAM
كرا Most Frequently Used Among Adults - 2007
صفحه 11:
Top CAM Therapies
10 Most Common CAM Therapies Among Adults - 2007
Therapies with significant increases
between 2002 a 2007 are
20022007
Deep brea a7
Meditation 5 9a
Massage Oe eae
صفحه 12:
Top 10 Supplements
of ff ی 07
ف 5
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Categorization of
Therapies
* Whole Medical Systems
* Biologically Based Practices
* Energy Medicine
* Manipulative and Body-Based
Practices
٠ Mind-Body Medicine
9
creed Orcier of Onamecaraay ont Olen Decker 1-4
صفحه 14:
Whole Medical Systems
* Complete systems of theory and
practice that evolved independently
* Traditional systems of medicine that
are practiced by individual cultures
throughout the world
— Includes traditional Chines4.¢
medicine, Ayurvedic medi:
homeopathy, naturopathy
ered Crater مها له رو ماو Dede
صفحه 15:
Biologically Based
Practices
Includes: botanicals, animal-derived
extracts, vitamins, minerals, fatty
acids, amino acids, proteins, whole
diets, and functional foods
— Dietary supplements are a subset
of biologically based 2 = or
&
ee et
cere 26
ered Crater مها له رو ماو Dede
صفحه 16:
Biologically Based -
Supplements
* What is a supplement?
* Regulated by FDA http://www.fda.gov
—no requirements for FDA testing
— manufacturers responsible for ens
product safety
— label requirements
* Safety alerts:
http://www.cfsan.fda.gov/~dms/ds-warn
-html
صفحه 17:
Energy Medicine +
* Veritable - energy that can hs
measured
—Includes sound, visible light, magnetism
۰ Putative - energy that has yet to be
measured
— human beings are infused with a subtle
form of energy
—Includes qi (ki in Japanese); doshas;
prana, homeopathic resonance
ered Crater مها له رو ماو Dede
صفحه 18:
Energy Medicine -
Acupuncture
* Few complications
* Scientific evidence?
— post chemotherapy management of
nausea
— pain relief
* NIH Consensus Statement (1997)
—http://consensus.nih.
TAST ALSO TACUpUNEE دج
صفحه 19:
Manipulative and Body-
Based
Structures and systems of the body,
including the bones and joints, the
soft tissues, and the circulatory and
lymphatic systems زر أ
—Includes chiropractic manipula لذ قار
massage therapy, reflexology,
rolfing, Alexander technique,
Feldenkrais method
مت ما لو اون خن لس
صفحه 20:
Mind-Body Medicine
* Interactions among the bri
mind, body, and behavior
* The ways in which emotional, mental,
social, spiritual, and behavioral factors
can directly affect health
— Includes relaxation, hypnosis, visual
imagery, meditation, yoga, biofeedback,
tai chi, group support, and spirituality
مت ما لو اون خن لس
صفحه 21:
Other CAM Therapies
* Aromatherapy
* Colonic Irrigation
۰ Therapeutic Touch
* EDTA Chelation
Cupping =
Primordial Sound Meditatiui
صفحه 22:
Avoiding Bad Science
* The “One Product Does It All” claim
http://www.emuoilcanada.com/
* Personal Testimonials
http://www.getslimslippers.com/
* Quick Fixes/Cures
http://www.improveyourhealthonline.com/
* The “No Risk Money Back Guarantee”
http://www.naturalhpvcure.com/
* The “Natural” claim
http://www.amtrueman.com/products.html
صفحه 23:
Evaluating Web Sites
* Accuracy
٠ Authority
* Bias
* Currency
* Coverage
صفحه 24:
Evaluation Exercises
صفحه 25:
cours اریز راد زج
for Complementa
ative Medicine
Office of ۱۰۱/۰
Dietary Supplements ما caren ee sca
ial Institutes of Health
Memorial Sloan -Kestering
ers, Dons & مس
One thru
صفحه 26:
Examining the Research
* Observational Studies
* Clinical Trials/Studies
— controlled
—blind/double-blind
—randomized
* ClinicalTrials.gov
— Government and private clinical studies
involving humans
—http://clinicaltrials.gov
صفحه 27:
Clinical Trials and CAM
+ Drug companies vs. supplement companies
* Customization of treatment in CAM
* CAM does not necessarily want to be
studied
* CAM has only recently become “legit” in
the scientific community
صفحه 28:
Money to fund CAM
* NCCAM: $121.7 million (2009)
* OCCAM: $121.9 million (2009)
—Total all NIH: $296 million
* What about funding for
pharmaceuticals?
—$65.2 billion on R&D (2008) by drug
companies
—$114.4 billion on R&D (2008) by NIH (this
includes NCCAM and OCCAM)
صفحه 29:
The other side
* Some say CAM research should not be
funded
—http://www.nccamwatch.org/ (Stephen
Barrett)
* Or some CAM research should not be
funded
—http://tinyurl.com/46ayhjj
صفحه 30:
Reviewing the Evidence
۰ Evidence Based Medicine: “What
evidence do we have to justify the
treatment...”
* National Center for Complementary
and Alternative Medicine (NCCAM)
* CAM on PubMed http://pubmed.gov
صفحه 31:
CAM on PubMed Exercises
صفحه 32:
Questions?
Karen Vargas
karen.vargas@exch.library.tmc.edu
National Network of Libraries of Medicine
South Central Region
800-338-7657