Examining Complementary and Alternative Medicine
اسلاید 1: www.tabaye.ir
اسلاید 2: Will duct tape cure my warts? Examining Complementary and Alternative MedicineKaren VargasConsumer Health Outreach CoordinatorNational Network of Libraries of MedicineSouth Central Region
اسلاید 3: AgendaIntroducing CAMEvaluating Web SitesRecommended WebsitesReviewing the Evidence
اسلاید 4: How do you get rid of a wart?raw meatbanana peelpotatowitch hazelduct tapesilk threadalfalfa pills apple cider toothpastecastor oilquartersdandelion juice cigarette ashesgarlic pillscabbageorange peel nail polishiodinealoece
اسلاید 5: What is CAM?Complementary and Alternative Medicine Complementary: together with aromatherapy to help with pain after surgeryAlternative: in place ofusing garlic to lower blood pressure
اسلاید 6: CAM becomes “legit”1990Wilk et al v. AMA1991 $2 million in funding to establish NIH Office of Alternative Medicine1994 Dietary Supplement Health and Education Act
اسلاید 7: CAM becomes “legit”1995NIH Office of Dietary SupplementsFDA declassifies Acupuncture needles as experimental product1996NIH Consensus Conference on Acupuncture1997First large trial of CAM therapy, St. John’s Wort for depression
اسلاید 8: CAM becomes “legit”1998National Center for Complementary & Alternative Medicine (NCCAM) established http://nccam.nih.gov/First full scale article in JAMA on herbal medicineOffice of Cancer Complementary and Alternative Medicine (OCCAM) established http://www.cancer.gov/cam/2001CAM on PubMed (NCCAM and NLM)2009 - $296 million in NIH CAM research
اسلاید 9: Impact of CAMCDC Report (2007)38% of adults used some form of CAM Children whose parent used CAM were 2x as likely to have used CAMCAM 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 smokersFull report: http://nccam.nih.gov/news/camstats/
اسلاید 10: Diseases and Conditions
اسلاید 11: Top CAM Therapies
اسلاید 12: Top 10 Supplements
اسلاید 13: Categorization of Therapies Whole Medical SystemsBiologically Based PracticesEnergy Medicine Manipulative and Body-Based PracticesMind-Body Medicine National Center of Complementary and Alternative Medicine
اسلاید 14: Whole Medical SystemsComplete systems of theory and practice that evolved independently Traditional systems of medicine that are practiced by individual cultures throughout the world Includes traditional Chinese medicine, Ayurvedic medicine, homeopathy, naturopathyNational Center of Complementary and Alternative Medicine
اسلاید 15: Biologically Based PracticesIncludes: botanicals, animal-derived extracts, vitamins, minerals, fatty acids, amino acids, proteins, whole diets, and functional foodsDietary supplements are a subset of biologically based practicesNational Center of Complementary and Alternative Medicine
اسلاید 16: Biologically Based - SupplementsWhat is a supplement?Regulated by FDA http://www.fda.govno requirements for FDA testingmanufacturers responsible for ensuring product safetylabel requirementsSafety alerts: http://www.cfsan.fda.gov/~dms/ds-warn.html
اسلاید 17: Energy MedicineVeritable - energy that can be measuredIncludes sound, visible light, magnetismPutative – energy that has yet to be measuredhuman beings are infused with a subtle form of energy Includes qi (ki in Japanese); doshas; prana, homeopathic resonanceNational Center of Complementary and Alternative Medicine
اسلاید 18: Energy Medicine - AcupunctureFew complications Scientific evidence?post chemotherapy management of nauseapain reliefNIH Consensus Statement (1997)http://consensus.nih.gov/1997/1997Acupuncture107html.htm
اسلاید 19: Manipulative and Body-BasedStructures and systems of the body, including the bones and joints, the soft tissues, and the circulatory and lymphatic systemsIncludes chiropractic manipulation, massage therapy, reflexology, rolfing, Alexander technique, Feldenkrais method*National Center of Complementary and Alternative Medicine
اسلاید 20: Mind-Body MedicineInteractions among the brain, mind, body, and behaviorThe ways in which emotional, mental, social, spiritual, and behavioral factors can directly affect healthIncludes relaxation, hypnosis, visual imagery, meditation, yoga, biofeedback, tai chi, group support, and spirituality *National Center of Complementary and Alternative Medicine
اسلاید 21: Other CAM TherapiesAromatherapyColonic IrrigationTherapeutic TouchEDTA ChelationCuppingPrimordial Sound Meditation
اسلاید 22: Avoiding Bad ScienceThe “One Product Does It All” claimhttp://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
اسلاید 23: Evaluating Web SitesAccuracyAuthorityBiasCurrency Coverage
اسلاید 24: Evaluation Exercises
اسلاید 25: Recommended WebsitesAbout Herbs, Botanicals & Other Products
اسلاید 26: Examining the ResearchObservational StudiesClinical Trials/Studiescontrolledblind/double-blindrandomizedClinicalTrials.govGovernment and private clinical studies involving humanshttp://clinicaltrials.gov
اسلاید 27: Clinical Trials and CAMDrug companies vs. supplement companiesCustomization of treatment in CAMCAM does not necessarily want to be studied CAM has only recently become “legit” in the scientific community
اسلاید 28: Money to fund CAMNCCAM: $121.7 million (2009)OCCAM: $121.9 million (2009)Total all NIH: $296 millionWhat 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)
اسلاید 29: The other sideSome say CAM research should not be fundedhttp://www.nccamwatch.org/ (Stephen Barrett)Or some CAM research should not be fundedhttp://tinyurl.com/46ayhjj
اسلاید 30: Reviewing the EvidenceEvidence 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
اسلاید 31: CAM on PubMed Exercises
اسلاید 32: Questions?Karen Vargaskaren.vargas@exch.library.tmc.eduNational Network of Libraries of MedicineSouth Central Region800-338-7657
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