scholarly journals Traditional Chinese Medicine in the United States: Current state, regulations, challenges, and the way forward

2020 ◽  
Vol 03 (02) ◽  
pp. 77-84
Author(s):  
Louis Lei Jin ◽  
Jin Zheng ◽  
Niyaz M. Honarvar ◽  
Xiqun Chen

In the United States, there has been a steady presence and growth of Traditional Medicine (interchangeable in this paper with Complementary or Alternative Medicine) over the past few decades. The costs for such practices are relatively low along with minimal-to-no obvious side effects. Amongst a variety of traditional medical systems, Traditional Chinese Medicine is one of the most popular alternatives to help manage chronic health conditions or to improve the overall quality of life. While not exhaustive, this paper provides a snapshot of Traditional Chinese Medicine in the United States with insights into its current state, regulations, challenges, and the way forward.

Author(s):  
Amanda Henton ◽  
Thanos Tzounopoulos

Tinnitus is a pervasive public health issue that affects approximately 15% of the United States population. Similar estimates have also been shown on a global scale, with similar prevalence found in Europe, Asia, and Africa. The severity of tinnitus is heterogeneous, ranging from mildly bothersome to extremely disruptive. In the United States, approximately 10-20% of individuals who experience tinnitus report symptoms that severely reduce their quality of life. Due to the huge personal and societal burden, in the last twenty years a concerted effort on basic and clinical research has significantly advanced our understanding and treatment of this disorder. Yet, neither full understanding, nor cure exists. We know that tinnitus is the persistent involuntary phantom percept of internally-generated non-verbal noises and tones, which in most cases is initiated, by acquired hearing loss and maintained only when this loss is coupled with distinct neuronal changes in auditory and extra-auditory brain networks. Yet, the exact mechanisms and patterns of neural activity that are necessary and sufficient for the perceptual generation and maintenance of tinnitus remain incompletely understood. Combinations of animal model and human research will be essential in filling these gaps. Nevertheless, the existing progress in investigating the neurophysiological mechanisms has improved current treatment and highlighted novel targets for drug development and clinical trials. The aim of this review is to thoroughly discuss the current state of human and animal tinnitus research, outline current challenges, and highlight new and exciting research opportunities.


2020 ◽  
pp. 1-14

Abstract Background: Research has documented many geographic inequities in health. Research has also documented that the way one thinks about health and quality of life (QOL) affects one’s experience of health, treatment, and one’s ability to cope with health problems. Purpose: We examined United-States (US) regional differences in QOL appraisal (i.e., the way one thinks about health and QOL), and whether resilience-appraisal relationships varied by region. Methods: Secondary analysis of 3,955 chronic-disease patients and caregivers assessed QOL appraisal via the QOL Appraisal Profile-v2 and resilience via the Centers for Disease Control Healthy Days Core Module. Covariates included individual-level and aggregate-level socioeconomic status (SES) characteristics. Zone improvement plan (ZIP) code was linked to publicly available indicators of income inequality, poverty, wealth, population density, and rurality. Multivariate and hierarchical residual modeling tested study hypotheses that there are regional differences in QOL appraisal and in the relationship between resilience and appraisal. Results: After sociodemographic adjustment, QOL appraisal patterns and the appraisal-resilience connection were virtually the same across regions. For resilience, sociodemographic variables explained 26 % of the variance; appraisal processes, an additional 17 %; and region and its interaction terms, just an additional 0.1 %. Conclusion: The study findings underscore a geographic universality across the contiguous US in how people think about QOL, and in the relationship between appraisal and resilience. Despite the recent prominence of divisive rhetoric suggesting vast regional differences in values, priorities, and experiences, our findings support the commonality of ways of thinking and responding to life challenges. These findings support the wide applicability of cognitive-based interventions to boost resilience. Keywords: appraisal; resilience; cognitive; quality of life; societal; geographic Abbreviations: MANOVA = Multivariate Analysis of Variance; PCA = principal components analysis; QOL = quality of life; SES = socioeconomic status; US = United States; ZIP = Zone Improvement Plan (postal code)


2021 ◽  
Vol 5 (3) ◽  
pp. 101-112
Author(s):  
A. V. Appolonov

In 1999, Rodney Stark announced that the secularization theory had died and should be buried in a graveyard of failed doctrines. He presented the rationale for this verdict in Secularization, R.I.P., which was supposed to show that the theory of secularization is not capable of correctly describing either the past or the current state of religiosity in European countries, and even more so in the rest of the world. While Stark’s findings have been accepted by many scholars, the current researches show that Stark was too hasty with his conclusion, and the theory of secularization still has significant descriptive and explanatory potential. Thus, the results of recent research by Ronald F. Inglehart show that, although religions continue to play an important role in the modern world, their importance is steadily declining even in countries and regions that were previously considered permanently religious (for example, in the United States or in South America). Accordingly, Inglehart speaks of “recent acceleration of secularization” as the reality in which most countries in the world live. In the situation of the ongoing discussion about how fully and accurately the secularization theory is able to describe the laws and mechanics of social changes, it also becomes relevant to consider the question of why the previous criticism of the theory, including that of Stark, was not very effective. It seems that in Stark’s case the following factors have played a negative role: an ideologized approach equating the theory of secularization with secularism, the interpretation of the subjective religiosity of some societies as an unchangeable constant, which, moreover, should be accepted as constant for all other societies, and an extremely simplified interpretation of fundamental principles of secularization theory, which, according to Stark, is no more than the prophecy about the end of religion. The incorrectness of some Stark’s critical ideas is demonstrated by a statistical analysis of long-term trends in the religiosity of Iceland, Great Britain, and the United States. The most telling example seems to be that of Iceland, whose religious landscape has changed dramatically over the past three decades and bears little resemblance to the image of rural religiosity of the 1980s that Stark drew in Secularization, R.I.P., and which he considered unchanged.


Author(s):  
Laura Forlano

Over the past three years, cities across the United States have announced ambitious plans to build community and municipal wireless networks.  The phrase ‘anytime, anywhere’ has had a powerful impact in shaping the way in which debates about these networks have been framed.  However, ‘anytime, anywhere’, which alludes to convenience, freedom and ubiquity, is of little use in describing the realities of municipal wireless networks, and, more importantly, it ignores the particular local characteristics of communities and the specific practices of users.  This paper examines the media representations and technological affordances of wireless networks as well as incorporating the practices of those that build and use them in an attempt to reframe these debates.


2020 ◽  
Vol 38 (4) ◽  
pp. 336-349
Author(s):  
Shelley F. Conroy ◽  
Marie Hastings-Tolsma ◽  
Kathryn Voreis ◽  
Hannah Deboskey

Purpose: Traditional Chinese medicine (TCM) proposes the world as a holistic unity of energy. With a long history of use, TCM is generally accepted in the Chinese health care system. Despite growing global interest and use, TCM has received a mixed response from Western health care systems. This study aimed to describe the underpinnings of TCM, compare TCM and Western medicine, and suggest how key modalities might be applied to strengthen holistic nursing care in the United States. Design: A qualitative, descriptive exploratory investigation employing a constructivist grounded theory. Method: Interview of TCM healers in Hong Kong ( n = 5). Transcripts were reviewed to identify common themes and categories. Findings: Five themes were identified: improvement in energy flow and health, TCM as “a way of knowing,” curing source versus symptoms of disease, declining TCM practice in Hong Kong, and need for interprofessional education. Conclusions: TCM is considered useful in chronic illnesses, whereas those with acute illnesses often seek Western medicine. Failing to address the holistic care needs and preferences of individuals results in less than optimal health outcomes. Nurses need explicit TCM content and would benefit from a restructuring of curricula and clinical experiences to foster integration into caring practices.


Author(s):  
Anna Clayfield

This chapter investigates the on-going legacy of the guerrilla struggle between 2006 and 2018, the period of Raúl Castro’s tenure as Cuban President. It argues that, while many foreign commentators viewed the political, social, and economic change of these years as evidence that the Revolution and its socialist model were on the way out, the discursive phenomenon of guerrillerismo still very much anchored it in the past. Such an anchor remained of high importance to the leadership at a time of not only domestic upheaval but also shifting relations with its long-standing enemy to the north: the United States.


2021 ◽  
Author(s):  
Dejan Romih

Over the past year and a half, as long as the Covid-19 pandemic has lasted, uncertainty has become the new normal. In just a few months, the Covid-19 pandemic has changed the way we live, work, travel and socialise. Due to the Covid-19 pandemic, there is a lot of interest among policymakers and researchers in studying uncertainty and its impact on the economy. In this paper, I study the uncertainty in Slovenia and the United States before and during the Covid-19 crisis, which hit both countries hard. I find that uncertainty in Slovenia and the United States peaked in early 2020, when SARS-CoV-2, the virus that causes Covid-19, began to spread outside of China. During this time, companies and households had to adapt to the new situation.


2017 ◽  
Vol 45 (1) ◽  
pp. 112-128 ◽  
Author(s):  
Ariane Lewis ◽  
Katherine Cahn-Fuller ◽  
Arthur Caplan

In 1968, the definition of death in the United States was expanded to include not just death by cardiopulmonary criteria, but also death by neurologic criteria. We explore the way the definition has been modified by the medical and legal communities over the past 50 years and address the medical, legal and ethical controversies associated with the definition at present, with a particular highlight on the Supreme Court of Nevada Case of Aden Hailu.


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