Incidence of complementary therapy use in patients undergoing vestibular assessment

2006 ◽  
Vol 120 (4) ◽  
pp. 272-275 ◽  
Author(s):  
David M Baguley ◽  
Rachel L Humphriss ◽  
Katy Butler ◽  
Richard Knight ◽  
Lisa Dawson ◽  
...  

Objectives: To determine the incidence of use of complementary therapies in patients with vestibular symptoms undergoing vestibular assessment.Design: A prospective, questionnaire-based study.Setting: A UK university hospital department of audiology with secondary and tertiary referrals.Participants: A consecutive series of 80 patients seen for vestibular assessment between November 2004 and May 2005.Main outcome measures: Use of complementary therapies; actual therapies used and patients' subjective opinion of efficacy.Results: Thirteen patients (16 per cent) had tried some form of complementary therapy for their vestibular symptoms. Ginkgo biloba and acupuncture were the two most popular treatments. Seven patients made their decision as to which treatment to try on the basis of personal recommendation. Six of the 13 patients (46 per cent) reported that their choice of treatment(s) helped them.Conclusions: Sixteen per cent of patients seen for vestibular assessment had tried some form of complementary therapy for their vestibular symptoms. Clinicians should be aware of this and of the potential interactions between complementary therapies and conventional medicine.

2021 ◽  
Vol 3 (2) ◽  
pp. 120
Author(s):  
Fatihatul Hayati

Complementary therapy in health care is a non-conventional treatment aimed at increasing the degree of public health. The terpi includes promotional, preventive, curative, and rehabilitative efforts that have proven their quality of safety, and effectiveness based on research and science (Evidence Based Medicine). In complementary therapy, the therapist treats various diseases or complaints using traditional techniques and is not done by surgery and drugs or pharmaceutical products, but by utilizing various types of therapy and herbs.The use of complementary therapies in the field of midwifery must be proven safe by research. Pregnant women are a group that is recommended to take advantage of complementary therapy or medicine in dealing with perceived complaints, because complementary therapy can avoid the side effects of conventional medicine and have great control over their own health. Although traditional / complementary medicine is relatively safer, it does not mean that it does not pose a risk, therefore pregnant women must have adequate knowledge about the use of safe complementary therapies during pregnancy.Health education on complementary therapies in pregnancy is provided by extension methods when pregnant women carry out motherhood classes in the working area of Puskesmas Putri Ayu, Jambi City. This activity was carried out in conjunction with the clinical practice of students of D III Midwifery Stikes Baiturrahim Jambi. 


1998 ◽  
Vol 16 (4) ◽  
pp. 1279-1286 ◽  
Author(s):  
C V Fernandez ◽  
C A Stutzer ◽  
L MacWilliam ◽  
C Fryer

PURPOSE Alternative and complementary therapies are infrequently studied in pediatric populations. We performed a population-based survey to aid health care workers in identifying and counseling parents who may use these remedies. PATIENTS AND METHODS We retrospectively surveyed the parents of 583 pediatric patients diagnosed with cancer in British Columbia between 1989 and 1995. Prevalence and factors that influence the use and nonuse of alternative and complementary therapies were estimated. RESULTS Alternative and complementary therapies were used by 42% of 366 respondents. Herbal teas, plant extracts, and therapeutic vitamins were the most commonly used alternative therapies. Relaxation/imagery strategies, massage, and therapeutic touch were the most commonly used complementary techniques. Factors that influenced the use of alternative/complementary therapies were prior use (chi2 = 60.0, P < .0001), prior positive attitude towards these remedies (chi2 = 41.6, P < .0001), soliciting information from family and friends (chi2 = 70.5, P < .0001) or from alternative care givers (chi2 = 58.7, P < .0001), high risk of death at diagnosis (chi2 = 9.6, P < .002), and advanced education of the father (chi2 = 7.4, P < .006) or mother (chi2 = 8.6, P < .003). Parents who used alternative/complementary therapies did so in conjunction with conventional medicine (98%). Lack of knowledge and fear of interference with conventional therapies were the most common reasons cited for nonuse. No parent believed that the quality of life of their child deteriorated due to the use of alternative/complementary therapies. CONCLUSION Alternative and complementary therapy use in pediatric oncology patients is common. Factors have been identified that may be associated with undertaking their use.


2021 ◽  
Vol 10 (2) ◽  
pp. 289
Author(s):  
Fatihatul Hayati

Complementary therapy has been applied in various regions to accompany conventional / medical therapy. Pregnant women are a group that is encouraged to take advantage of complementary therapy or medicine in dealing with their perceived complaints, because complementary therapy can avoid the side effects of conventional medicine and have great control over their own health. The purpose of this study was to determine the perceptions of pregnant women about complementary therapies in pregnancy. This research is a quantitative study with a cross sectional approach. Primary data collection research using a questionnaire. The population in this study were all pregnant women at PuskesmasPutri Ayu Jambi City with a sample of 88 people. The sampling technique is accidental sampling. Data analysis was carried out by univariate. From the results of the research on the perceptions of pregnant women about complementary therapies in pregnancy, it was concluded that most pregnant women had a positive perception, namely 73.3%. The results of this study are expected to contribute to increasing the knowledge of pregnant women about complementary therapies that are safe for pregnant women, so that pregnant women can achieve optimal health by utilizing non-pharmacological therapies and the fetus can grow healthy


2021 ◽  
Vol 162 (42) ◽  
pp. 1678-1686
Author(s):  
Sándor Árpád Soós ◽  
Orsolya Szűcs ◽  
Katalin Darvas ◽  
Csaba Hoffmann ◽  
László Harsányi ◽  
...  

Összefoglaló. Bevezetés: A 2019 végén Vuhanból kiinduló, SARS-CoV-2 okozta koronavírus-járvány jelentős hatást gyakorolt életünkre. Specifikus terápia hiányában az emberek egy része alternatív gyógymódokhoz fordult. Célkitűzés: Vizsgálatunk célja annak feltárása volt, milyen hatást gyakorolt a koronavírus-járvány a betegek komplementer gyógymódokhoz való viszonyulására elektív sebészeti műtétek előtt. Módszer: Egy magyarországi klinika és egy városi kórház elektív sebészeti műtétre váró betegei körében végeztünk anonim kérdőíves felmérést 2020. augusztus 3. és december 18. között. 279 kérdőívet dolgoztunk fel, a válaszadási arány 69,7% volt. Eredmények: A koronavírus-járvány hatására a válaszadók 91,4%-ának nem változott meg a véleménye a nem konvencionális kezelésekről, 8,2%-a bizakodóbban tekintett ezekre. A komplementer terápia betegségmegelőző hatása iránt a kitöltők 16,8%-a volt bizakodó, 25,4%-a elutasító, 57,7%-a nem formált véleményt. A válaszadók 24,7%-a vett igénybe élete során alternatív módszereket, a koronavírus-fertőzés megelőzésére csak a nyilatkozók 10%-a alkalmazna ilyen gyógymódokat. Kizárólag a pandémia hatására senki nem kezdett el komplementer gyógymódokat használni. A kérdőívet kitöltők 55,6%-a használt gyógynövénykészítményt élete során. A járvány ideje alatt a válaszadók 27,5%-a vett igénybe gyógynövénykészítményeket; a gyógymód alkalmazása és a vizsgált szociodemográfiai tényezők között nem találtunk összefüggést. A gyógynövények alkalmazása alacsonyabb mértékű volt a daganatos és a thromboemboliás betegek között. Következtetés: Vizsgálatunk alapján a komplementer gyógymódok használata feltehetően a járvány miatt elrendelt korlátozásokból adódóan csökkent, a gyógynövények alkalmazása azonban nem változott lényegesen. A válaszadók tizede használt komplementer gyógymódot a koronavírus-fertőzés megelőzésére. Orv Hetil. 2021; 162(42): 1678–1686. Summary. Introduction: The coronavirus epidemic caused by SARS-CoV-2 from Wuhan at the end of 2019 had considerable impact on our lives. In the absence of specific therapy, some people have resorted to alternative therapies. Objective: The aim of our study was to explore the effect of the coronavirus epidemic on the patients’ attitudes toward complementary and alternative medicine. Method: We have performed anonymous questionnaire survey among patients of a Hungarian university hospital and a city hospital waiting for elective surgery between August 3, 2020 and December 18, 2020. We received 279 questionnaires, the response rate was 69.7%. Results: As a result of the coronavirus epidemic, 91.4% of the respondents did not change their opinion about complementary and alternative treatments, 8.2% were more optimistic about them. 16.8% of respondents were optimistic, 25.4% rejected, and 57.7% did not form an opinion about the disease-preventing effect of complementary therapy. A quarter of respondents (24.7%) had used complementary therapies in their lifetime, with only 10% of respondents using such therapies to prevent coronavirus infection. As a result of the pandemic, no one started using complementary therapies. 55.6% of the respondents used a herbal preparation during their lifetime. In the course of the epidemic, a high proportion of respondents (27.5%) used herbal preparations; no correlation was found between the use of the treatment and the socio-demographic factors examined. The use of herbs was lower among cancer and thromboembolic patients. Conclusion: Based on our study, the use of complementary therapies presumably decreased due to the restrictions imposed in the epidemic, however, the use of herbs did not change significantly. One-tenth of the respondents used naturopathic cure to prevent coronavirus infection. Orv Hetil. 2021; 162(42): 1678–1686.


2018 ◽  
Vol 79 (S 04) ◽  
pp. S362-S370 ◽  
Author(s):  
Constantin Tuleasca ◽  
Alda Rocca ◽  
Mercy George ◽  
Etienne Pralong ◽  
Luis Schiappacasse ◽  
...  

Objective Planned subtotal resection followed by Gamma Knife surgery (GKS) in patients with large vestibular schwannoma (VS) has emerged during the past decade, with the aim of a better functional outcome for facial and cochlear function. Methods We prospectively collected patient data, surgical, and dosimetric parameters of a consecutive series of patients treated by this method at Lausanne University Hospital during the past 8 years. Results A consecutive series of 47 patients were treated between July 2010 and January 2018. The mean follow-up after surgery was 37.5 months (median: 36, range: 0.5–96). Mean presurgical tumor volume was 11.8 mL (1.47–34.9). Postoperative status showed normal facial nerve function (House–Brackmann I) in all patients. In a subgroup of 28 patients, with serviceable hearing before surgery and in which cochlear nerve preservation was attempted at surgery, 26 (92.8%) retained serviceable hearing. Nineteen had good or excellent hearing (Gardner–Robertson class 1) before surgery, and 16 (84.2%) retained it after surgery. Mean duration between surgery and GKS was 6 months (median: 5, range: 3–13.9). Mean residual volume as compared with the preoperative one at GKS was 31%. Mean marginal dose was 12 Gy (11–12). Mean follow-up after GKS was 34.4 months (6–84). Conclusion Our data show excellent results in large VS management with a combined approach of microsurgical subtotal resection and GKS on the residual tumor, with regard to the functional outcome and tumor control. Longer term follow-up is necessary to fully evaluate this approach, especially regarding tumor control.


Author(s):  
Silvana Marques e SILVA ◽  
Viviane Fernandes ROSA ◽  
Antônio Carlos Nóbrega dos SANTOS ◽  
Romulo Medeiros de ALMEIDA ◽  
Paulo Gonçalves de OLIVEIRA ◽  
...  

BACKGROUND: Colorectal cancer is a major cause of morbidity and mortality and can arise through the adenoma-carcinoma sequence. Colonoscopy is considered the method of choice for population-wide cancer screening. AIM: To assess the characteristics of endoscopically resected polyps in a consecutive series of patients who underwent colonoscopy at a university hospital and compare histopathology findings according to patient age and polyp size. METHODS: Retrospective, cross-sectional of 1950 colonoscopy reports from consecutively examined patients. The sample was restricted to reports that mentioned colorectal polyps. A chart review was carried out for collection of demographic data and histopathology results. Data were compared for polyps sized ≤0.5 cm and ≥0.6 cm and then for polyps sized ≤1.0 cm and ≥1.1 cm. Finally, all polyps resected from patients aged 49 years or younger were compared with those resected from patients aged 50 years or older. RESULTS: A total of 272 colorectal polyps were resected in 224 of the 1950 colonoscopies included in the sample (11.5%). Polyps >1 cm tended to be pedunculated (p=0.000) and were more likely to exhibit an adenomatous component (p=0.001), a villous component (p=0.000), and dysplasia (p=0.003). These findings held true when the size cutoff was set at 0.5 cm. Patients aged 50 years or older were more likely to have sessile polyps (p=0.023) and polyps located in the proximal colon (p=0.009). There were no significant differences between groups in histopathology or presence of dysplasia. CONCLUSION: Polyp size is associated with presence of adenomas, a villous component, and dysplasia, whereas patient age is more frequently associated with sessile polyps in the proximal colon.


2006 ◽  
Vol 3 (4) ◽  
pp. 425-432 ◽  
Author(s):  
Peter H. Canter ◽  
Joanna Thompson Coon ◽  
Edzard Ernst

Objectives: The aim of this review is to systematically summarize and assess all prospective, controlled, cost-effectiveness studies of complementary therapies carried out in the UK.Data sources: Medline (via PubMed), Embase, CINAHL, Amed (Alternative and Allied Medicine Database, British Library Medical Information Centre), The Cochrane Library, National Health Service Economic Evaluation Database (via Cochrane) and Health Technology Assessments up to October 2005.Review methods: Articles describing prospective, controlled, cost-effectiveness studies of any type of complementary therapy for any medical condition carried out in the UK were included. Data extracted included the main outcomes for health benefit and cost. These data were extracted independently by two authors, described narratively and also presented as a table.Results: Six cost-effectiveness studies of complementary medicine in the UK were identified: four different types of spinal manipulation for back pain, one type of acupuncture for chronic headache and one type of acupuncture for chronic back pain. Four of the six studies compared the complementary therapy with usual conventional treatment in pragmatic, randomized clinical trials without sham or placebo arms. Main outcome measures of effectiveness favored the complementary therapies but in the case of spinal manipulation (four studies) and acupuncture (one study) for back pain, effect sizes were small and of uncertain clinical relevance. The same four studies included a cost-utility analyses in which the incremental cost per quality adjusted life year (QALY) was less than £10 000. The complementary therapy represented an additional health care cost in five of the six studies.Conclusions: Prospective, controlled, cost-effectiveness studies of complementary therapies have been carried out in the UK only for spinal manipulation (four studies) and acupuncture (two studies). The limited data available indicate that the use of these therapies usually represents an additional cost to conventional treatment. Estimates of the incremental cost of achieving improvements in quality of life compare favorably with other treatments approved for use in the National Health Service. Because the specific efficacy of the complementary therapies for these indications remains uncertain, and the studies did not include sham controls, the estimates obtained may represent the cost-effectiveness non-specific effects associated with the complementary therapies.


2015 ◽  
Vol 1 (1) ◽  
pp. 46-62
Author(s):  
Nur Aishah Nor Hashim ◽  
Florianna Lendai Michael Mulok ◽  
Helmi Sumilan

Occupational stress is caused by various reasons, such as, workload and long working hours. This leads to occurrence of trend in using wellness activities to treat physical and psychological illness that is known as complementary therapy, which is Yoga, Aromatherapy, Qi gong, and Islamic Medical Practices (Ruqyah). Therefore, this research offered a perspective on the use of complementary therapies as a tool in improving and maintaining mental health condition of employees located in Penang, Malaysia. Qualitative method was used where 5 complementary therapy practitioners were interviewed to identify the perceptions towards the use of complementary therapy and to identify the type of therapy that can be practiced to reduce stress, as well as, discuss the benefits of complementary therapies. It was found that complementary therapy is very beneficial as it acts as a holistic treatment, natural way of healing and more empowering, as it helps to improve employee’s mental, emotional and physical health.Keywords: occupational stress; complementary therapy; mental health; holistic; conventional


2020 ◽  
Vol 4 (1) ◽  
pp. 205-214
Author(s):  
Arjuna Arjuna ◽  
Etty Rekawati

This study aims to determine complementary therapies that can be applied to managing anxiety and depression in the elderly in the community. Methods for searching articles through English databases: EBSCO host, Scopus, Pro-Quest, Wiley Online Library, Sage Publications, Science direct, and Springer Link in the last ten years. The search results obtained 282 articles, and six reports identified that met the inclusion criteria. Systematic review analysts use the PRISMA diagram. There are six complementary therapies used: aromatherapy, reiki, laughter therapy, acupressure, religion, aromatherapy, music, and reiki. In conclusion, all of these complementary therapies are effective in the management of anxiety or depression. The complementary treatment suggested in the direction of pressure is aromatherapy, while depression is religious therapy.   Keywords: Depression, Anxiety, Parents, Complementary Therapy


Author(s):  
Lonnie K. Zeltzer

There is increasing paediatric use of complementary therapies (CTs), especially for paediatric pain. This chapter reviews the key literature on studies that pertain to CTs that impact pain in children. The research is still in its infancy with few studies that have been well designed and replicated. Likely the strongest of the studies is in hypnotherapy, which will have its own chapter, and in biofeedback for headaches. Acupuncture research is growing but there are few well designed studies in children compared to those in adults. Risks in CTs mostly relate to training of the practitioner and good clinical judgement (e.g. avoiding massage in children aversive to touch). Most are safe when used with clinical judgement.


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