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TM/CAM Update First Quarter 2011

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TM/CAM Update First Quarter 2011 New Zealand Centre for Evidence‐based Research into Complementary and Alternative Medicine (ENZCAM) ENZCAM Newsletter TM/CAM Update First Quarter 2011 The purpose of this update on traditional medicine and complementary medicine (TM/CAM) is to inform healthcare professionals, researchers, funders and policy‐makers about developments. The update provides links to new material published or released as well as links to classic resources on traditional, complementary and integrative medicine as we gather them for the web‐site. 1. Policy and Legislation World Health Organization (WHO) The World Health Organization (WHO) has a site devoted to Traditional Medicine (TM), including Complementary and Alternative Medicine (CAM). See http://www.who.int/medicines/areas/traditional/en/index.html The first ENZCAM Brief for Professionals will deal in more detail with WHO policy with respect to TM/CAM. 2. Research Organisations National Center for Complementary and Alternative Medicine (NCCAM) The National Center for Complementary and Alternative Medicine (NCCAM), is part of the National Institutes of Health (NIH) in the USA. http://nccam.nih.gov/ NCCAM is the USA “Federal Government's lead agency for scientific research on the diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine.” NCCAM “is dedicated to exploring complementary and alternative healing practices in the context of rigorous science, training CAM researchers, and disseminating authoritative information to the public and professionals.” The Resources for Health Care Providers section at http://nccam.nih.gov/health/providers/ includes: Educational Resources: including lectures, material for continuing education and data on CAM use; Evidence‐based Medicine: Results of NCCAM‐sponsored research and literature reviews of CAM modalities; Clinical Practice Guidelines: Abstracts and full‐text guidelines from other organizations; and For Patients: printable fact sheets for patients. ENZCAM Newsletter TM/CAM Update First Quarter 2011 The Herbs at a Glance section is at http://nccam.nih.gov/health/herbsataglance.htm . Herbs at a Glance is a series of fact sheetsa that provides basic information about specific herbs or botanicals—common names, uses, potential side effects, and resources for more information. A PDF of the full series can be downloaded. There is a monthly clinical newsletter, NCCAM Clinical Digest Newsletter. http://nccam.nih.gov/news/subscribe.htm “NCCAM's monthly e‐newsletter offers evidence‐based information on CAM, including scientific literature searches, summaries of NCCAM‐funded research, fact sheets for patients, and more.” Literature Reviews on Specific CAM Modalities (PubMed® Citations) http://nccam.nih.gov/health/providers/evidencebased.htm Acupuncture Chiropractic Massage Meditation There are also literature reviews using pre‐set PubMed searches for specific conditions in the section Health Topics A–Z at http://nccam.nih.gov/health/atoz.htm . Cochrane CAM Field http://www.compmed.umm.edu/cochrane_about.asp “The Cochrane CAM Field is an international group of individuals dedicated to facilitating the production of systematic reviews of randomized clinical trials in areas such as acupuncture, massage, chiropractic, herbal medicine, homeopathy and mind‐body therapy. It is a member entity of the Cochrane Collaboration, a worldwide organization that prepares systematic reviews of all kinds of healthcare therapies, and publishes these reviews in The Cochrane Library.” “Founded in 1996 and coordinated by the University of Maryland Center for Integrative Medicine, the Cochrane CAM Field has worked steadily to meet the growing demand for information about CAM therapies among both practitioners and the general public by identifying published clinical trials of alternative therapies, preparing systematic reviews, training systematic reviewers, disseminating systematic reviews to the general public and healthcare providers, and conducting research to improve systematic review methodology.” A list of all Cochrane Collaboration's systematic reviews related to CAM is at: http://www.compmed.umm.edu/cochrane_reviews.asp Some examples from the extensive listb: Acupuncture for acute stroke Acupuncture for shoulder pain Antioxidant vitamin and mineral supplements for slowing the progression of age‐related macular degeneration a There were 42 fact sheets available on 28 January 2011 b There were 438 Complementary and Alternative Medicine Reviews in Cochrane Library Issue 10, 2010. There were also 256 Complementary and Alternative Medicine Protocols in that Library. ENZCAM Newsletter TM/CAM Update First Quarter 2011 Antioxidants for preventing pre‐eclampsia Calcium supplementation for the management of primary hypertension in adults Chelation therapy for atherosclerotic cardiovascular disease Dietary advice for the prevention of type 2 diabetes mellitus in adults Dietary interventions for rheumatoid arthritis Ginkgo biloba for cognitive impairment and dementia Gluten‐ and casein‐free diets for autistic spectrum disorder Homeopathy for chronic asthma Homocysteine lowering interventions for peripheral arterial disease and bypass grafts Homocysteine lowering interventions for preventing cardiovascular events Honey as a topical treatment for wounds Hypnotherapy for smoking cessation Low glycaemic index, or low glycaemic load, diets for diabetes mellitus Magnesium supplementation for the management of essential hypertension in adults Mistletoe therapy in oncology Music therapy for end‐of‐life care Nutritional supplementation for hip fracture aftercare in the elderly Omega 3 fatty acids for prevention and treatment of cardiovascular disease Oral zinc for arterial and venous leg ulcers Phytoestrogens for vasomotor menopausal symptoms Probiotics for induction of remission in ulcerative colitis Saline nasal irrigation for acute upper respiratory tract infections Silver based wound dressings and topical agents for treating diabetic foot ulcers Therapeutic ultrasound for venous leg ulcers Valerian for anxiety disorders Vitamin C for preventing and treating the common cold The CAM‐related Cochrane reviews and protocols below are available in The Cochrane Library. Abstracts of the reviews can be viewed at no charge. See http://www.cochrane.org/cochrane‐reviews and http://www.thecochranelibrary.com/view/0/index.html Another way to access the Cochrane Reviews on CAM topics only is to use: http://www2.cochrane.org/reviews/en/subtopics/22.html or http://www2.cochrane.org/reviews/en/topics/22_reviews.html 3. Practitioner Organisations in the Region The Australasian Integrative Medicine Association (AIMA) “Integrating complementary and Mainstream Medicine” http://www.aima.net.au/home.html “Mission Statement: To act as the peak medical body promoting the practice of evidence‐based integrative medicine, research and education as the gold standard for optimising wellbeing, prevention and management of disease in Australasian healthcare systems.” “The Australasian Integrative Medicine Association (AIMA) is an independent not for profit organisation of individual medical practitioners seeking to provide whole person medical care by ENZCAM Newsletter TM/CAM Update First Quarter 2011 integrating evidence‐based complementary medicine into mainstream practice. AIMA is supported by its membership and governed by a Board of voluntary doctors and academic leaders in the field of integrative medicine. Since its inception in 1992, AIMA has grown to be the leading voice for integrative practitioners. AIMA’s membership and successful events, including the International Holistic Health Conference, have helped promote the growing body of research and provide education about complementary medicines and therapies.” AIMA New Zealand http://www.aima.net.au/aima_nz.html Education in Integrative Medicine in Australia http://www.aima.net.au/resources/education.html E‐Newsletter http://www.aima.net.au/resources/e‐newsletter.html 4. New Books General Practice: The Integrative Approach By Prof. Kerryn Phelps and Dr. Craig Hassed Publication Date: 15 Nov 10 http://shop.elsevier.com.au/article.jsp?pageid=9305 http://shop.elsevier.com.au/product.jsp?isbn=9780729538046 “The aim of this book is to provide a comprehensive, contemporary and integrative approach to diagnosis, investigation and management of health issues and disease states encountered in the general practice environment. General Practice: The Integrative Approach informs doctors as fully as possible about potential treatment and prevention options, as well as potential pitfalls according to the growing evidence base in this area. The book is directed at best practice rather than alternative practice. The first section of the textbook lays the foundations and principles of Integrative Medicine and the second section examines important medical conditions in a systems based approach.” “Each chapter begins by detailing the medical and consulting knowledge required of a standard GP text, discussing physiology and pharmacological management plans of systems‐based conditions. The chapter then leads into an evidence‐based discussion of the therapeutic options available for the treatment of associated factors, essentially providing practitioners with the knowledge required to adapt their approach to meet the needs of the individual patient. Approaches covered include specific lifestyle advice, nutrition, herbs and supplements, mind‐body therapies, Traditional Chinese
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