With accompanying and alternative medicine an eclectic mix of healing approaches and therapies is meant that has historically not part of the conventional mainstream Western medicine.
(Nutritional supplements Overview.) By accompanying and alternative medicine an eclectic mix of healing approaches and therapies is meant that has historically not part of the conventional mainstream Western medicine. CAM (complementary and alternative medicine) is often referred to as a medical device that is not based on the principles of Western medicine. However, this characterization is not entirely accurate. Probably the most important differences between CAM and conventional medicine concerning scientific validation (if scientifically validated practices considered mainstream) The basis for their practices (a related topic) Most CAM therapies have not been scientifically validated, and this standard was used to the two to distinguish types of medications. However, the use of some dietary supplements that are often included in CAM, scientifically validated and can be regarded as mainstream. Some of these therapies are also available in hospitals and partially reimbursed by the health insurance, which further blurs the boundaries. Some traditional medical schools, including 45 North American medical schools in the “Consortium of Academic Health Centers for Integrative Medicine” offer instruction in accompanying, alternative and integrative medicine. Conventional medicine intended to support their practices only on the best available science. In contrast, the CAM tends their practices philosophy to justify sometimes-contradictory and even mutually exclusive philosophies and is not based on strict evidence-based standards. CAM Conditions Several different terms are used for the CAM procedure: With concomitant medicine are called unconventional practices here that are applied in addition to conventional medicine. Alternative Medizinbezieht to unconventional practices that are applied in place of conventional medicine. The term integrative or holistic Medizinist a health treatment (whether conventional or alternative) includes all appropriate therapies and always the human being in the whole focus. In this context, the relationship of the therapist to the patient a great significance. KAM = Complementary and Alternative Medicine 38% of adults and 12% of children have CAM to a certain point, depending on how wide is defined CAM used. The latest National Health Interview Survey (2007) indicates that the CAM most commonly used therapies are following Manipulative therapy for low back pain (22%) massage (16%) forms of exercise such as yoga (6.5%), which in various types of CAM acupuncture can be used (6.5%) The use of other CAM therapies and approaches remains low: Homeopathy (3.6%), Naturopathy (1.5%) and energy recovery (1.7%). A 2006 survey reported that 53% of adults use at least a dietary supplement in the US. Because patients often fear being criticized, they do not give their doctors can provide information on their use of alternative treatment methods. Therefore, it is for doctors very important to ask their patients specifically thereafter (including the use of medicinal herbs and Nahrungsergänzungfsmitteln), but in a leaving clear, non-judgmental way. To learn from patients about CAM therapies, which he has done, you can do the following: strengthening the relationship and building trust is an opportunity to discuss evidence of CAM and its plausibility and risks. Sometimes the help that doctors can possibly also detect potentially harmful interactions between prescribed drugs and alternative methods Monitor help patients progress the patient in deciding whether to apply special certified or recognized alternative healing methods or not. Learn from patients’ experiences with CAM differences between conventional and alternative medical field medicine Alternative Medicine definition of health A state of physical, mental and social well-being and the absence of diseases and other abnormalities Optimal balance, resilience and integrity of body, mind and soul their connections to one another definition of disease organ dysfunction, ungeordne te biochemical processes or unwanted symptoms symptom-oriented and on an individual basis: imbalance of body, mind and soul concept of vitality life processes that are based on known physical laws, and the physical and biochemical events include a soul and spirit, not scientifically accessible life force that body and mind unites them is the foundation of all living beings and (often called vitalism) is the foundation of health defining the consciousness only of the physical processes in the brain Not limited to the brain; can healing effect on the body exercise treatment method Each evidence-based intervention, including medication, surgery, radiation therapy, electrical treatments, medical equipment, physical therapy, exercise, and dietary and lifestyle interventions to support and strengthen the inherent the patient’s ability to heal itself Reliance on scientific evidence, the strict dependence on the established principles of scientific knowledge Flexible use of scientific knowledge; Treatments instead often rely on tradition and / or anecdotal support (anecdotal support) effectiveness study of alternative therapies with the aim of the efficacy and safety, in 1992 alternative from the National Institutes of Health (NIH), the Office of Alternative Medicine (Office of Medicine ) furnished. 1998 went from the National Center for Complementary and Alternative Medicine (NCCAM) produced and 2015 it became the National Center for Complementary and Integrative Health (NCCIH). Other NIH offices (eg. As the National Cancer Institute) also fund some studies to study the accompanying and alternative medicine. A review of research from 2009 – funded by the NCCAM – has revealed that in the first 10 years NCCAM has spent $ 2.5 billion trials of CAM therapies, without clear evidence of the effectiveness of a CAM therapy. There are three types of documents for accompanying and alternative therapies. The effectiveness due to clinical outcomes in controlled clinical trials demonstrated (is considered as the strongest evidence for clinical use into account) documents established physiological mechanisms of action (eg change of ?-aminobutyric acid [GABA] activity in the brain with the use of valerian), although the evidence of a validated physiological mechanism of action does not necessarily indicate the efficiency of clinical results. Use over long periods that last from decades to centuries (as anecdotal and unreliable evidence form considered) A large amount of information about alternative treatments should be in peer evaluated contributions in scientific publications, in evidence-based studies, in documents of panels of experts and relevant textbooks Find; many of which are published in languages ??other than English, for. As German and Chinese. Many therapies of complementary and alternative medicine were examined and considered to be ineffective, or at best, the studies showed contradictory and inconsistent results. Some alternative therapies have not been tested in clinical trials. Among the factors that limit this research include: The pharmaceutical industry has no financial incentive to fund the research. Often CAM is not practiced in a culture of evidence-based medicine. Manufacturers of alternative medicine products are not necessarily prove their effectiveness. The FDA, under the “Dietary Supplement Health and Education Act” of 1994, allowed the marketing of food supplements and the use of alternative medicine products, but restricts the claims for efficacy considerably. Generally, manufacturers of dietary supplements can – without having to provide proof of the safety or the benefits to the FDA – advertise that they generally do something for the health of the body (for example, improve cardiovascular.) but may not claim that they can cure diseases (eg. as the hypertension). The research Designing studies of accompanying and alternative therapies, the scientific research before the following challenges: The therapies can not be standardized. For example, there are different systems of acupuncture and dosages, as well as the biological activity of extracts of the same plant species may vary considerably (a chemical identification and standardization of the active ingredients here is not common). Diagnoses can not be standardized, the use of many alternative therapies (eg. As the traditional herbal medicine, homeopathy, acupuncture) is based more on the individual characteristics of the patient rather than to a particular clinical picture. Double or double-blind studies are often difficult or impossible. For example, patients may be unaware not about whether they meditate or not. Reiki practitioners can not have been unaware of whether they practice with energy work or not. Results are difficult to standardize because they are often specifically tailored to the individual, instead of being objectively and uniformly (such. As mean arterial pressure, hemoglobin A1c -mirror and mortality). apply placebo, is also difficult since the identification of the effective component of an alternative therapy can often be problematic. For example, when massaging the active component may be the touch, but also massaging a specific part of the body, the special massage technique, but also the time spent with the patient. From the traditional research perspective, the use of a placebo control group is particularly important when subjective results (eg. As pain, nausea, indigestion) are evaluated and if disturbances are investigated, which are self-limiting or temporarily (eg. As headaches). However, these disturbances are often the very ones specialize in alternative therapies. However, alternative therapists interpret placebo effects as non-specific healing effect which results from the therapeutic interaction and can not be separated from the specific treatment. In practice alternative therapies aim to improve the quality of the healing environment and the therapeutic ratio and thus the ability of patients to heal itself (Placebo Response) and treatment-specific effects to optimize, making it difficult the effects of the specific treatment of those of placebo to distinguish. Therefore, a scientific study of the active components of alternative medicine without disturbing the integrity of these circumstances remains a methodological challenge. This interpretation of placebo is assessed differently. Many studies suggest that the placebo effects (eg. As regression to the mean) are mostly subjective and statistically and wide reflect any meaningful self-healing. The researchers can isolate reasonably specific variables of the individual treatments and determine if these variables are added to the overall effectiveness. Despite these challenges, many high-quality studies on complementary medical therapies were (eg. As acupuncture, homeopathy) designed and conducted. For example, a study 1 has determined that a double-blind study for acupuncture is possible if an opaque envelope, which includes a penetrating or non-penetrating needle is used. Another study 2 compares the effects of acupuncture (individualized or standardized) with a simulated acupuncture with a toothpick in a needle guide tube (and usual care). Thus, to isolate the effects of some CAM therapies on the overall clinical response, researchers through the use of carefully designed placebos. Thus CAM therapies are considered effective, evidence must be furnished that they are more effective than placebos. 1Takakura N, Yajima H: A placebo acupuncture needle with potential for double blinding-a validation study. Acupunct Med 26 (4): 224-230, 2008. 2Cherkin DC, Sherman KJ, Avins AL, et al: A randomized trial comparing acupuncture, simulated acupuncture, and usual care for chronic low back pain. Arch Intern Med169 (9): 858-66, 2009. Security Although the security of most alternative therapies have not been studied in clinical trials, many of these therapies have a good safety record. Many alternative therapies (eg. As non-toxic herbal supplements, techniques such as meditation and yoga, as well as practices such as massage) were used for thousands of years without any negative results, and many seem to have no harmful effect. However, there are some security considerations such. B .: Use of an alternative approach to a life threatening disease, which can be conventionally treated effectively (z. B. Meningitis, diabetic ketoacidosis, acute leukemia). This is perhaps the greatest danger of alternative medicine, more importantly (as the risk of direct damage caused by the alternative treatment itself. Toxicity of certain herbal preparations such. B. Hepatotoxicity of pyrrolizidine alkaloids, Atractylis gummifera, chaparral, germander, greater celandine, Jin Bu Huan , kava, pennyroyal or others; nephrotoxicity of Aristolochia; adrenergic stimulation of ephedra) contamination (eg heavy metal pollution of some Chinese and Ayurvedic herbal preparations;. contamination of other products, such as PC-SPES and some Chinese herbs, etc.) interactions between alternative therapies ( z. B. herbal supplements, trace elements, other nutritional supplements) and other drugs (eg. B. induction of cytochrome P-450 [CYP3A4] food enzymes by St. John’s wort, resulting in decreased activity of antiretroviral drugs, immunosuppressants and other Medi kamenten lead), especially if the drug has a narrow therapeutic index (As with any physical manipulation of the body including conventional techniques such as physical therapy): injuries (eg. B. nerve damage caused by spinal manipulation in patients with risk of bruising in patients with bleeding disorders) warnings about harmful dietary supplements are in the FDA Web site (safety alerts and advisories). Historically, the FDA has the production of dietary supplements are not strictly regulated. However, recent FDA regulations now require compliance with manufacturing techniques that ensure the quality and safety of dietary supplements. To avoid injury by physical manipulation, patients should look for a therapist who ine certified training respected institutions can boast. The likelihood of complications is very low when chiropractic or acupuncture therapists with professional and certified training is undertaken.