Alternative therapies in health and medicine pdf free,low income energy assistance program texas,living with hsv 1,genital herpes treatment side effects 8mg - 2016 Feature

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The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors and orthopedic surgeons: The North Carolina back pain project.
A comparison of physical therapy, chiropractic manipulation and provision of an educational booklet for the treatment of patients with low back pain. Medical officers are able to put their client’s medical information and their medical records on the internet. A migrant waits to disembark from a Coast Guard ship in the Sicilian harbour of Messina, Italy August 4, 2015.
Europe's migrant crisis is forcing the advancement of new psychological therapies that go beyond existing treatments to help victims not of one traumatic event, but of multiple traumas such as rape, war and torture.
Among the hundreds of thousands of people fleeing Syria, Afghanistan and other war-torn areas, significant numbers are likely to have severe psychiatric illnesses, including complex Post-Traumatic Stress Disorder (PTSD), according to studies in peer-reviewed scientific journals.
PTSD plagues sufferers with flashbacks and panic attacks, and can render them sleepless, emotionally volatile and less likely to be able to settle into a new home.
Deploying mainstream therapies designed for victims of single-event trauma in stable, well-funded settings - such as returning soldiers or car crash survivors - will not tackle this migrant mental health crisis effectively, specialists say. So therapists in Europe are honing their skills in relatively new, refugee-focused psychological techniques such as Narrative Exposure Therapy and Intercultural Psychotherapy. Italian psychotherapist Aurelia Barbieri is one of a handful of volunteer mental health experts on Europe's front line. Almost half of 23 refugees assessed by doctors in Dresden, Germany met the diagnosis for PTSD, according to research published in the journal Nature Psychiatry in November. In Sicily's Ragusa province, MSF says screening showed almost 40 percent of those suffering mental health effects had PTSD. Some refugees lose the ability to trust or form positive relationships, according to experts at the Helen Bamber Foundation, a British charity that supports survivors of human rights violations. This makes treatment more difficult, but also more critical if refugees are to have a chance of a new life and their host countries are to successfully integrate them, says Mina Fazel, a refugee mental health specialist at Oxford University. A review published in The Lancet in 2005 of 20 studies looking at mental illness among 7,000 refugees resettled in Western countries, found they were about 10 times more likely than the general population to have PTSD.
While refugees are not a new phenomenon, it is only in about the past decade that psychologists have refined approaches specifically for them, partly because the international response has focused on such needs as food, clothing and shelter. Studies of a specifically refugee-relevant psychological therapy called Narrative Exposure Therapy (NET) show it can produce swift and meaningful results.
Since time matters when treating refugees, who often do not stay in one place for very long, NET - first devised by German researchers Frank Neuner, Maggie Schauer and Thomas Elbert 10 years ago - was developed specifically for victims of multiple trauma and designed to be delivered in refugee camp settings.
The treatment, typically administered in six sessions of about an hour each, focuses on clearly documenting the atrocities endured.
One clinical trial in 43 Sudanese refugees, designed to examine the effectiveness of NET, compared results in of those who had four sessions of NET versus others who had four supportive counselling sessions, versus others who had one session of another established form of psychological therapy called psychoeducation. A year later, only 29 percent of the NET patients still met the diagnosis for PTSD, compared with 79 of the counselling patients and 80 percent of the psychoeducation group.
Patients are encouraged to relate what has happened to them, ideally in a chronological framework. Robjant says that in the past year, around 30 to 35 patients at the foundation had been treated using NET. None of the organisations mentioned in this story would allow Reuters access to refugees undergoing therapy, citing concerns about patient confidentiality and welfare.
It is also difficult to gauge the costs of the treatments described, since they are often administered by therapists working for charities on a voluntary basis. Other specialists prefer a different approach, using their own experiences as refugees now settled and working in a new country to help others deal with their trauma.
In an old piano factory that has become the Refugee Therapy Centre in north London, a 44-year-old Syrian man wrings his hands, his desperate eyes darting and restless as he tells of being imprisoned and torture. He doesn't want to give his name, or details of what his jailers did to him, but he hopes staff at the centre can help. The therapists here work in 14 languages - including Arabic, Farsi, French, Spanish and Turkish - to help patients like the Syrian refugee deal with issues of cultural alienation, social isolation, anxiety and depression. The centre's clinical director, Aida Alayarian, doesn't use NET, saying she prefers to avoid exposing her patients to painful memories and instead wants to focus on overcoming present fears and anxieties. With its roots in the development of cross-cultural psychiatry of the 1970s, the treatment was refined in the past decade to focus on refugees. Over the last year, the centre - funded in part by charitable donations and in part by local government grant - has been seeing about 50 patients a week. Some health experts argue that while psychological first aid may be desirable, refugees often have more pressing needs such as food, clothing, shelter, safety and access to justice. Alternative and complementary medicine, including chiropractic care, dietary supplements, massage, and other non-medical therapies, has never been more popular; 4 out of 10 Americans use it to treat everyday aches and pains.
Experts estimate that more than 27 million Americans suffer from osteoarthritis, the most common form of arthritis, and more than 60 percent are women.
Most back pain goes away on its own, but for people dealing with chronic aches, chiropractic care may be a good option.
Abdominal pain and discomfort are the most common symptoms of irritable bowel syndrome (IBS), and experts aren’t entirely sure what causes it. For other digestive problems, 35 percent of survey respondents who’d tried probiotic supplements found them helpful, dwarfing the 20 percent who eat yogurt. Sixty-nine percent of survey respondents who tried medication to help with their depression found it helpful. Most of the survey respondents had tried prescription meds to control their anxiety, and almost all of them found relief.
Not surprisingly, over-the-counter and prescription medications dominated the list of effective remedies in this category, but 34 percent of survey respondents who had tried acupuncture found it helpful. More than half of respondents who suffered from chronic sleeplessness used prescription meds, and 64 percent found them effective. Although prescription meds were praised by more than three-quarters of those who tried them, goldenseal, deep-breathing exercises, and over-the-counter medications were deemed almost equally useful to those who’d tried them. Herbal tea was deemed the most effective dietary supplement for relieving allergies; 18 percent of those who tried it found relief (compared to 17 percent of those who tried vitamin C and 9 percent who said that a simple multivitamin helped).

While chiropractic care was the most popular (41 percent tried it) and most effective (64 percent said it helped) alternative remedy for neck pain, both deep-tissue and Swedish massage were close runners-up, outperforming both prescription and over-the-counter meds in terms of effectiveness. From our SponsorsEveryday Solutions are created by Everyday Health on behalf of our sponsors. By remaining open-minded, you can learn a lot about your patients’ use of unconventional therapies.
Encourage your patients to ask alternative providers about their background and training and the treatment modalities they use.
Instead, let me suggest that we learn more, keep the lines of communication open and become effective guides for our patients. Steyer is an assistant professor of family medicine at the Medical University of South Carolina, Charleston, and a former Robert Wood Johnson clinical scholar at the University of Michigan, Ann Arbor.
A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. When a patient goes into their office describing their symptoms they expect the doctor to be able to diagnose them right away.
There are a number of medical databases online that allow a doctor to find the best treatment for their patient. Her foundation is one of five specialist trauma services in London, and all use NET for many of their multiple trauma PTSD patients. His wife says he wakes up crying in the night, can't work, and can become angry and unpredictable when people make comments in the street.
It aims to rebuild psychological resilience and, Alayarian says, is relevant for migrants currently coming to Europe, particularly the young. Therapists use psychoanalytic techniques to work through past experiences, but the emphasis is on providing cultural support, including advice about schools, housing and employment, to help migrants adjust, tackle current difficulties and rebuild confidence and self-esteem, rather than documenting past trauma. But a survey of more than 45,000 Consumer Reports subscribers has found that few alternative remedies are more effective than prescription or over-the-counter medications at treating 12 common conditions, such as back pain, digestive issues and insomnia. For treating a bout of cold or flu, for instance, deep-breathing exercises were deemed nearly as useful by survey respondents as over-the-counter remedies. The Consumer Reports survey found that while over-the-counter pain relievers were the most popular treatment option, prescription drugs were more effective by a nearly 2-to-1 margin. Survey respondents found that it was the most helpful treatment for back pain (65 percent said it helped) surpassing both prescription and over-the-counter meds (53 and 28 percent said they helped, respectively).
According to survey, the most popular alternative remedy was yogurt containing the probiotic lactobacillis acidophilis (49 percent tried it), but only 17 percent found it useful. But both alternative remedies were considered much less effective than prescription and over-the-counter meds.
The most effective alternative therapy was meditation (36 percent of those who tried it said it helped). Of the survey respondents, a whopping 71 percent had tried prescription meds, followed by 49 percent who tried over-the-counter pain relievers. Goldenseal even out-performed the more popular zinc as a natural remedy — 34 percent of people found the herb helpful compared to 26 percent for zinc. But chiropractic care, tried by just 2 percent of respondents, was revealed to be surprisingly useful, with 42 percent of people getting relief. Participants considered deep-tissue massage slightly more helpful than the lighter Swedish massage technique. View all.ConnectDon't miss out on breaking news, live chats, lively debates, and inspiring stories.
Acupuncture is the ancient practice of inserting fine needles into carefully selected points located along meridians, or energy pathways, in the body.
By doing so, your patients will be better equipped to make educated decisions about their health care.Discuss CAM therapies with your patients at every visit. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.
The medical field is also taking notice to the convenience of technology and these new methods are being used to improve the ways that patients receive care.
A doctor can have complete access to a patient’s medical history within a matter of seconds and with the help of top companies like Medtunnel, doctors and patients can now exchange and examine medical info through a secure app.
They can send the doctor a message, read about new health care information, and even read reviews from customers.
Some cold and illnesses have very similar symptoms and a doctor does not want to make a mistake. They still need to know their medical conditions but now they have additional resources as a backup. The medical office does have to take extra measure to make sure that the information about their patients is kept safe. In fact, only two alternative therapies beat the effectiveness of meds: deep-tissue massage for fibromyalgia and chiropractic care for neck and back pain. Similarly, among those who tried yoga and Pilates to treat back pain, 49 percent found them effective, as compared to 53 percent who used prescription meds. But while glucosamine and chondroitin supplements were the most popular alternative remedy (54 percent of participants used them), deep-tissue massage and yoga were deemed the most helpful (50 percent of participants said they helped, compared to 25 percent who said glucosamine and chondroitin did). Deep-tissue massage, yoga, and Pilates were also deemed somewhat helpful by nearly half of those who’d tried them. In contrast, 31 percent said they found relief with probiotic supplements, which may contain stronger concentrations of the beneficial bugs. Nearly 70 percent of those who took a prescription drug found relief, while 42 percent who tried an over-the-counter medication found it helpful.
But neither were deemed as effective as deep-tissue massage, which proved useful to more than half (54 percent) of the 41 percent of respondents who tried it.
Join the conversation!Free NewslettersPersonalized tips and information to get and stay healthier every day. I recommend asking every patient about his or her use of alternative therapies during routine history taking.
They can also order tests, fill out prescriptions, and communicate with specialists online.

Social media allows the doctor to post updates on health conditions such as if there is going to be an outbreak of the flu.
They can use this technology to research the symptoms and see if their diagnose is correct. As long as they safeguard medical records technology can have many benefits to a medical practice. So if you or a member of your family is dealing with one of these common conditions (including arthritis, irritable bowel, insomnia, and depression), and you’re concerned about potential side effects from medication, there are natural treatments to try. Interestingly, fish oil supplements were a more popular alternative choice than yoga, but only 10 percent of those who took the mood-boosting supplements found them effective. Over-the-counter pain relievers, in fact, were deemed the least effective of all treatments, which also included deep breathing and chiropractic care.
The meridians have been documented electronically to exist, yet how the disruption of these pathways allows healing to occur remains unknown. In 1997, a National Institutes of Health (NIH) panel of experts issued a consensus statement for the use of acupuncture.
A person has protection under the HIPAA laws that their information will remain confidential and safe. According to this statement, clear evidence supports the effectiveness of acupuncture for the treatment of postoperative and chemotherapy-induced nausea and vomiting, nausea associated with pregnancy, and postoperative dental pain.3Typically, acupuncturists receive training at schools of traditional oriental medicine.
Medical offices are using encryption software to make sure that a patient’s information will remain secure. Many of these schools are now accredited by the Accreditation Commission for Acupuncture and Oriental Medicine. Evidence for the use of naturopathic techniques often comes from the study of more specific complementary therapies.There are currently four schools of naturopathy in the United States. Individuals study many of the same topics taught in allopathic or osteopathic medical schools. If you determine the therapy might be harmful, you’ll have to ask the patient to stop using it.
It became an organized discipline approximately 100 years ago when Canadian Daniel David Palmer introduced it in the United States. There is strong evidence that chiropractic treatment is as beneficial for low back pain as treatment given by primary care providers, orthopedists and physical therapists.5,6 The evidence for the use of chiropractic for other conditions is less compelling. I would emphasize to the patient the benefits of conventional chemotherapy, radiation therapy and other treatments offered by physicians who specialize in oncology.
I would encourage the patient to discuss his proposed homeopathic treatment with his oncologists. Chiropractors are licensed in all 50 states and must pass either a state licensing examination or an examination given by the National Board of Chiropractic Examiners.Herbal medicine. If no hope is available from conventional medicine, I would try to encourage him to live one day at a time. The Ancient Greeks also used herbal remedies, but it was the Romans who brought herbal medicine to Northern Europe.
I would review each herb with the patient in detail and would ask her not to take any herb that I needed more time to review.
Once I had reviewed the herbal therapy, I would try to reach a joint decision with the patient regarding what would be safe for her to take.
However, as science became more established, people came to believe that synthetic ingredients were more effective than those found in nature and the use of herbal remedies quickly diminished, especially in the United States.
Today, herbs are widely used in Europe and are again gaining popularity in the United States.1,7 Some of the most popular herbal remedies include St.
Ginkgo biloba is thought to stimulate functioning nerve cells and protect nerve cells from pathologic influences. Thus, it will potentiate the effect of Coumadin and can lead to an increased risk of bleeding. I would let the patient know of the possible devastating outcome that may occur if he combines these drugs. There is also no guarantee that a herbal product is formulated to ensure that the same amount of active ingredient is present in each tablet. If he chooses to use Ginkgo biloba, I would stop Coumadin therapy immediately and document the reason for it in the patient’s record.
When using herbal therapies, finding a reputable manufacturer is essential to help ensure safety, appropriate use and response.Homeopathy. In other words, a substance that causes symptoms in well individuals can also be used to treat the same symptoms in sick individuals.
While Hippocrates understood the basic concepts of homeopathy and used some homeopathic cures, Samuel Hahnemann, a German physician and chemist founded modern homeopathy. Three states (Arizona, Connecticut and Nevada) do require a license to practice homeopathy, and two states (Delaware and New Hampshire) regulate the practice of homeopathy without licensure. It is most often used to treat osteoarthritis and non-union bone fractures.Diet and nutrition. Herbal therapy is considered to be the most popular alternative therapy used in the United States. Examples include psychotherapy, meditation, guided imagery, hypnosis, biofeedback and prayer. Used most commonly to treat nausea and vomiting (particularly for anesthesia or chemotherapy-induced hyperemesis gravidarum) and post-operative dental pain.Pharmacological and biological treatments. Examples include the use of shark cartilage, EDTA for chelation therapy (for coronary artery disease) and apiotherapy.

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