Preference for complementary and alternative medicine among patients on long-term treatment in Jos university teaching hospital, Nigeria

Yoga is increasingly ubiquitous in the United States and globally. The growth of yoga's popularity alongside Indian healing philosophies, including Ayurvedic medicine, makes yoga an important influence on conceptualization of health in holistic terms. Because of these philosophies, the growing use of yoga has implications for how healthcare is sought and utilized. Yoga practitioners are likely to engage in pluralistic health care-seeking practices, yet, the underlying perspectives that drive yoga practitioners to engage in particular health practices are poorly understood in anthropological and public health literature. This study examined perspectives on health care-seeking among long-term yoga practitioners in a yoga community in Florida. Based on semi-structured interviews conducted in 2010 with 26 adults in a Florida yoga center who have practiced yoga at least once per week for at least one year, the study found that long-term yoga practitioners utilized yoga and other systems of complementary and alternative medicine (CAM) to address health needs that were not met by biomedicine. Moreover, once individuals embarked on long-term yoga practice, they expanded their health care-seeking practices to other CAMs. This study contributes to understanding of the pluralization of health care-seeking practices, highlights concerns with the biomedical health system, and contributes to current debates on health care reform.

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Complementary and alternative medicine use among elderly patients living with chronic diseases in a teaching hospital in Ethiopia

Complementary Therapies in Medicine ◽

10.1016/j.ctim.2017.10.006 ◽

2017 ◽

Vol 35 ◽

pp. 115-119 ◽

Cited By ~ 5

Author(s):

Asnakew Achaw Ayele ◽

Henok Getachew Tegegn ◽

Kaleab Taye Haile ◽

Sewunet Admasu Belachew ◽

Amanual Getnet Mersha ◽

...

Keyword(s):

Elderly Patients ◽

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Chronic Diseases ◽

Teaching Hospital ◽

Medicine Use ◽

Complementary And Alternative

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Complementary and Alternative Medicine Use among Gynaecological Cancer Patients in Enugu, South-East Nigeria

Global Journal of Health Science ◽

10.5539/gjhs.v13n9p16 ◽

2021 ◽

Vol 13 (9) ◽

pp. 16

Author(s):

Leonard Ogbonna Ajah ◽

Dickson Tochukwu Ifezuoke ◽

Monique Iheoma Ajah ◽

Theophilus Ogochukwu Nwankwo ◽

Ijeoma Victoria Ezeome ◽

...

Keyword(s):

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Cancer Patients ◽

Teaching Hospital ◽

Significant Influence ◽

Common Type ◽

Gynaecological Cancer ◽

P Value ◽

Medicine Use ◽

Complementary And Alternative

INTRODUCTION: The high cost and associated adverse effects of conventional therapy make the patients seek complementary and alternative medicine. Complementary and alternative medicine use may contribute to the delay the patients have before seeking orthodox care. OBJECTIVES: To determine the prevalence, pattern, factors responsible for complementary and alternative medicine use and if complementary and alternative medicine use causes delay in seeking orthodox care among gynaecological cancer patients in Enugu. MATERIAL & METHODS: A pretested, semi-structured interviewer-administered questionnaire -based cross-sectional survey of 396 eligible gynaecological cancer patients recruited from both University of Nigeria Teaching Hospital, Enugu and Enugu State University of Science and Technology Teaching Hospital, Enugu between January, 2018 and June, 2020. The data was analyzed using the statistical package for social sciences version 23 (IBM SPSS, Chicago, IL). RESULTS: The mean age of the respondents was 57.3 years and it ranged from 41 to 77 years. Cervical cancer (76%) was the most common type of gynaecological cancer. A total of 283(71.5%) of the respondents used complementary and alternative medicine. Herbs (65%) were the most common type of complementary and alternative medicine used. Majority (56.9%) of complementary and alternative medicine users rarely used it. A total of 178(62.8%) complementary and alternative medicine users presumed that it would cure them while 105 (37.1%) presumed that it would relieve the symptoms of their cancer. However, 197 (69.6%) complementary and alternative medicine users stated that there was no actual benefit from its use. The low educational status has a statistically significant influence on complementary and alternative medicine use among the respondents(P-value=<0.0001). Complementary and alternative medicine use had a significant influence on delay to seek orthodox care among the study participants (P-value=<0.0001). Majority (84.5%) of the doctors, caring for the patients, were not aware of the patients’ use of complementary and alternative medicine. CONCLUSION: Complementary and alternative medicine use among gynaecological cancer patients is high in Enugu. It also delays their presentation for orthodox care. Female education and public sensitization on the effect of complementary and alternative medicine use is necessary to curb this trend.

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Detection of Coccidian Parasites and their Clinical Manifestation, Treatment and Prophylaxis in HIV Infected Patients in Tribhuvan University Teaching Hospital

Scientific World ◽

10.3126/sw.v8i8.3849 ◽

1970 ◽

Vol 8 (8) ◽

pp. 51-55 ◽

Cited By ~ 1

Author(s):

A Basnet ◽

BB Sherchan ◽

B Rijal ◽

S Sharma ◽

P Khadga

Keyword(s):

Clinical Manifestation ◽

Teaching Hospital ◽

Opportunistic Infections ◽

Previous History ◽

University Teaching ◽

Hiv Patients ◽

Cryptosporidium Spp ◽

Long Term Treatment ◽

Coccidian Parasites

The objective was to know the prevalence of coccidian parasites, their clinical manifestation, treatment and prophylaxis in HIV infected patients in Tribhuvan University Teaching Hospital, Nepal.A total of 300 stool samples from 128 (64.00%) HIV patient without previous history of treatment with antiretroviral therapy (ART), 72 (36.00%) under ART treatment and 100 HIV seronegative control samples were collected and examined by wet mount, Kinyoun modified Ziehl Neelsen staining, Sheather's sucrose flotation and modified formalin-ethyl acetate sedimentation methods.The coccidian parasites were detected in 22 (11.0%) of the 200 HIV infected patients, 18 (9.0%) without ART and 4 (2.0%) with ART undertaking patients. Those without ART had majority of 11 (8.5%) Cryptosporidium spp and those with ART had equal percentage of 2 (0.03%) Cryptosporidium spp and 2 (0.03%) Cyclospora spp. The prevalence of coccidian parasites was significantly higher in patients with diarrhea (20/22) than in those without diarrhea (2/22) (P value < 0.05). The drug therapy indices of the antibiotic, Cotrimoxazole given for 30 days in combination with ART for treatment and/or prophylaxis for opportunistic infections showed that long term treatment was needed for the clearance of coccidian parasites. Among 8 Cyclospora identified, 7.6% cleared from stool anlaysis after 30th days of treatment likewise 15.3% of Cryptosporidium cleared after 45th days of treatment.In conclusion, Cryptosporidium followed by Cyclospora appeared to be the predominant coccidian parasite associated with diarrhea among HIV patients. Clinicians are requested to query for coccidian parasites to evaluate diarrhea in HIV patients. Cotrimoxazole is the drug of choice in curing coccidian parasites. So, it should be given along with ART as a treatment and/ or prophylaxis that act against both opportunistic infections as well as coccidian parasites. However its side effects should be evaluated for its long term prophylaxis. Key words: AIDS; Coccidian; Diarrhea; HIV; ART; OIs. DOI: 10.3126/sw.v8i8.3849 Scientific World Vol.8(8) 2010 pp.51-55

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Complementary and Alternative Medicine and Integrative Therapies in Long-Term and Residential Dementia Care Settings

Complementary and Integrative Therapies for Mental Health and Aging ◽

10.1093/med/9780199380862.003.0032 ◽

2015 ◽

pp. 517-528

Author(s):

Jo-Anne Rayner ◽

Michael Bauer

Keyword(s):

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Dementia Care ◽

Integrative Therapies ◽

Complementary And Alternative

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From disappointment to holistic ideals: a qualitative study on motives and experiences of using complementary and alternative medicine in Sweden

Journal of Public Health Research ◽

10.4081/jphr.2015.538 ◽

2015 ◽

Vol 4 (2) ◽

Cited By ~ 4

Author(s):

Jenny-Ann Danell

Keyword(s):

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Individual Responsibility ◽

Qualitative Understanding ◽

Patterns Of Use ◽

Conventional Health Care ◽

Design And Methods ◽

Depth Interviews ◽

Complementary And Alternative

Background. Recent studies indicate increased use of complementary and alternative medicine (CAM) in western societies, to ameliorate health problems. Even if there is substantial research on general patterns of use, there is limited knowledge on individual motives. This study contributes to a qualitative understanding of experiences of choosing and using CAM. Design and methods. This study consists of in-depth interviews with 10 CAM users in Sweden. The participants represent different backgrounds and experiences of using CAM. The interviews have been analysed in accordance with content analysis. Results. In analysing experiences of choosing and using CAM four main themes were identified: frustration and critique, values and ideology, individual responsibility, and combining treatments. In general, the participants were highly reflexive on issues concerning their health. They highlighted their own role and responsibility, combined a variety of treatments, and continuously dealt with questions on risks, even if they had relatively different approaches to if and when to use CAM. The results also show that motives may change over time. Even if initial choices were closely related to frustration and critique of conventional treatments (for example, by perceiving conventional health care as limited, not receiving proper diagnoses, or being critical to conventional drugs) was long-term use motivated by ideological characteristics of CAM (such as holistic and individualized treatments, and extensive interaction with practitioners). Conclusions. Four main themes, concerning experiences of choosing and using CAM were identified. This study also supports the idea that initial motives for choosing CAM may differ from those explaining long-term use.

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Use of Complementary and Alternative Medicine Among Patients With Epilepsy and Diabetes Mellitus, Focusing on the Outcome of Treatment

Frontiers in Neuroscience ◽

10.3389/fnins.2021.787512 ◽

2022 ◽

Vol 15 ◽

Author(s):

Michael Magdy Fahmy Girgis ◽

Klára Fekete ◽

Nóra Homoródi ◽

Sándor Márton ◽

István Fekete ◽

...

Keyword(s):

Diabetes Mellitus ◽

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

The Elderly ◽

Herbal Products ◽

Patients With Diabetes ◽

Cam Use ◽

Patients With Epilepsy ◽

Complementary And Alternative

Introduction: Millions all over the world live with epilepsy, and they may require long-term drug treatment. The use and interest in complementary and alternative medicine (CAM) have grown over the previous years. Coadministration of herbal products with medicines may result in adverse drug reactions (ADRs) and/or unfavorable interactions. The aims of this study were to determine the prevalence of CAM use among patients with epilepsy, to compare the results to those of the patients with diabetes mellitus (DM), to reveal factors that may drive the use of CAM, and to measure outcomes and adherence. It was also our intent to have state-of-the-art information on CAM use in our region among patients with the two diseases above.Materials and Methods: We conducted a non-interventional study using a self-developed questionnaire. It was distributed among adult patients with either epilepsy or DM who also suffered from cardiovascular consequences. A database was compiled from the anonymous questionnaires filled in voluntarily by the patients. Basic statistics were used to analyze this database.Results: A total of 227 questionnaires were filled in by 127 patients (55.9%) with epilepsy and 100 patients (44.1%) with DM. Mean age was 54.54 ± 17.33 years. Of the patients, 50.2% were male. Average body weight was 80.3 ± 17.3 kg. Of the patients, 22 (9.7%) used CAM because they believed in CAM. Two of them reported ADRs. Among the patients with epilepsy, the ratio was only 7.9% compared to 12% among those with DM. While the number of CAM users was higher among younger patients with epilepsy, it was the elderly patients with DM who tended to use CAM.Conclusion: Attention should be paid to reliance on CAM during the follow-up. Our finding that health-conscious patients tend to use CAM more often (than the general population) may indicate it is necessary to discuss CAM usage sincerely. CAMs modulating cytochrome P450 (CYP) enzymes were the most common, leading to interactions with medication used and resulting in ADRs. This shows the importance of educating patients and treating team including clinical pharmacists in this field.

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