Earticle

National Center for Complementary and Integrative Health(NCCIH) has divided complementary medicine into five main types. The first is biologically based therapy. Biological-based therapy is a field of treatment through an approach to human physical structure, which is not overlapped in modern medicine or is not deeply studied. The second is mind-body therapy. Mind-body therapy is medicine that mainly approaches the mind and treats the mind to treat physical diseases. The third is manual therapy. Manual therapy is a treatment that uses the hands directly on the patient's body part to treat. It is believed that humans are made up of the mind, body, and energy, and maintains an approach that local parts of the body are connected to the body as a whole. The fourth classification is energy therapy. Energy therapy is usually a therapy that approaches and treats the energy structure in the human body. Lastly, it is a therapy that is establishing a comprehensive medical system. Therapy, which establishes a comprehensive medical system, refers to a treatment that has been introduced from various cultures around the world for a long time and has its own independent system. Among the various complementary and alternative therapies, this study examines the most widely used biological-based therapy, mind and body therapy, and manual therapy, except for oriental medicine, excluding korean medicine, in consideration of the domestic medical dualization system.

Purpose: Perceptions of nurses regarding complementary and alternative therapies(CATs) acceptance illustrate how CATs can be applied in nursing practice and become the empirical basis for the expansion of nursing role. Purpose is to identify nurses’ perception of CATs acceptance. Methods: A Q-methodological study, which allows for analysis of subjectivity of data, was used. A convenience P-sample was consisted of 36 nurses. Twenty-seven Q-statements were derived from a literature review and interviews with six nurses, and were then categorized on a normal distribution using a 9-point scale. The collected data were analyzed using the QUANAL PC Program. Results: Three types of perception regarding acceptance of CATs were identified among nurses. Type I was called the “cautious type”; Type II, the “positive acceptance type”; and Type III, the “considering reality type.” Conclusion: Along with further exploration of the scientific evidence of CATs, adequate nursing education, and finding ways to overcome the obstacles needed for acceptance of effective and empirically tested CATs into a nursing practice, the results of this study may help promoting application of CATs as a nursing practice.

The purpose of the study was to find out oxygen therapy after exercise and electrical therapy effects the muscle weight and force of the hindlimb of the rat with disuse atrophy by cast immobilization. The results were as follows ; 1. The group that received the exercise and oxygen therapy recovered better and faster than the group with the exercise therapy only. 2. Rats with the electrical and oxygen therapy benefited more than with the electrical therapy, except for gaining weight of the relative muscle of soleus. 3. In the weight of the gastrocnemius, the electrical and oxygen therapy was most effective, while the exercise and oxygen therapy was most beneficial for the muscle force of the gastrocnemius, the weight of the gastrocnemius's relative muscle, and the force of the relative muscle. 4. The weight and force of the soleus benefited the most from the electrical and oxygen therapy, whereas the exercise and oxygen therapy was most effective for the weight of the soleus's relative muscle and the force of relative muscle. According to the results, we found out that any therapy, either exercise therapy or electrical one, is more effective in treating disuse atrophy when it is combined with oxygen therapy. To be recognized as an independent branch of the physical therapy, there should be more comprehensive researches on oxy- gen therapy, more specifically on the ways and periods of its applications.

본 연구의 목적은 퇴행성관절염 여성노인들의 보완대체요법 이용 유무에 따른 건강증진행위의 차이를 비교하는 것이다. 본 연구의 대상자는 총 621명으로 C도 1개 도시 보건소와 보건지소에 등록된 퇴행성관절염 여성노인이다. 자료 분 석 방법은 보완대체요법 이용률은 빈도와 백분율로, 대상자의 일반적 특성 및 질병관련 특성에 따른 보완대체요법 이용차이 는 χ2 검정, 보완대체요법 이용유무에 따른 건강증진행위 정도는 t-test, ANOVA로 분석하였다. 연구결과 전체 대상자 621 명의 보완대체요법 사용률은 61.7%였으며 보완대체요법 이용유무에 따른 두 집단간 건강증진행위 영역에서 운동(p<.001), 건강책임(p<.001), 자아실현(p=.016)은 유의한 차이가 있었다. 따라서 퇴행성관절염 여성노인들의 보완대체요법 이용 유무 에 따른 건강증진행위가 차이가 있으므로 보완대체요법의 안전하고 올바른 사용에 대한 상담 및 지도가 필요하고 건강증진 전략행위 개발이 필요함을 알 수 있다.

The aim of this study is to compare the differences in health promotion behaviors by the use of complementary alternative therapy(CAT) in elderly women with osteoarthritis. A total of 621 elderly women with osteoarthritis from public health centers and their branches at a city of C state were enrolled. This study analyzed the frequency and percentage of complementary alternative therapy utilization; a Chi-square test was used for utilization analysis according to subjects’ general characteristics and disease features. Degree of health promotion behaviors according to CAT utilization was analyzed by a t-test and ANOVA. The study found that the CAT utilization rate for the total of 621 people was 61.7 %. For health promotion behaviors according to CAT utilization, statistically significant differences were found in exercise (p<0.001), health responsibility (p<0.001) and self-realization (p=0.016) from the domains. This study demonstrated the differences of health promotion behaviors based on CAT utilization. Due to the results of this study it is notable to mention that counseling, instruction for CAT utilization, and strategy development for health promotion are necessary for elderly women with osteoarthritis.

본 연구는 중년 여성의 폐경 상태 및 갱년기 증상과 관련된 보완 및 대체 요법(CAT)의 사용을 조사하는 것이다. 설문 조사지는 사회 인구 통계 학적 특성, CAT 사용, 폐경기 및 갱년기 특성으로 구성되었고, 폐경기 증상은 폐경기 평가 척도 (MRS)를 사용하여 측정되었으며, 갱년기 증상은 폐경기 특정 삶의 질 설문지(MENQOL)에 의해 평가되었다. 응답자 (n=491)는 폐경 전 여성과 폐경 후 / 폐경 후 여성의 두 그룹으로 나누어졌다. 전반적으로 폐경 전 여성의 88.1 %와 폐경 후 / 폐경 후 여성의 90.1 %가 CAT를 사용하였다. 모든 응답자에게 가장 일반적으로 사용되는 CAT는 식이 요법과 조작 요법이었으며, 가장 만족스러운 CAT는 마사지 후 저녁 요법과 요가 / 필라테스였다. 단순 로지스틱 회귀 분석 결과 CAT 사용은 연령, 체질량 지수, 교육 수준, MRS 및 MENQOL과 관련이 있지만, 폐경기 상태, 월 소득, 질병 및 호르몬 대체 요법과는 관련이 없음을 보여주었다. 또한 다중 로지스틱 회귀분석 결과 CAT 사용은 체질량 지수 및 교육 수준을 조정 한 후 MRS 및 MENQOL과 유의한 관련이 있음을 보여주었다. 결론적으로 중증의 폐경기 및 갱년기 증상이 있는 중년 여성은 보완 요법과 대체 요법을 더 자주 사용하는 것으로 나타났다.

This study investigates the use of complementary and alternative therapies (CAT) associated with menopausal conditions and menopausal symptoms in middle-aged women. The questionnaire consisted of socio-demographic characteristics, CAT use, menopause and menopausal characteristics, Menopausal symptoms were measured using the Menopause Assessment Scale (MRS), Menopausal symptoms were assessed by the Menopausal Specific Quality of Life Questionnaire (MENQOL). Respondents (n = 491) were divided into two groups: premenopausal women and postmenopausal / postmenopausal women. Overall, 88.1% of premenopausal women and 90.1% of postmenopausal / postmenopausal women used CAT. The most commonly used CAT for all respondents was diet and manipulation. The most satisfactory CAT were evening therapy and yoga / pilates after massage. Simple logistic regression analysis showed that CAT use was related to age, body mass index, education level, MRS and MENQOL, It has been shown to be unrelated to postmenopausal status, monthly income, disease and hormone replacement therapy. In addition, multiple logistic regression analysis showed that CAT use was significantly related to MRS and MENQOL after adjusting body mass index and education level. In conclusion, it appears that middle-aged women with severe menopausal and menopausal symptoms use complementary and alternative therapies more frequently.

Purpose: The purpose of this study was to investigate caregiver's use and attitude to complementary and alternative therapy for pediatric cancer patients. Methods: The study subjects were 80 caregivers of pediatric oncology patients at the four university hospitals located in D metropolitan city. The data were analyzed percentage, mean, standard deviation chi-square test, t-test and ANOVA with SPSS PC 14.0 program. Results: Caregivers of leukemia patients, patients with moderate symptoms, and with chemotherapy had more positive attitude toward complementary and alternative treatment. Conclusion: Caregiver's attitude of cancer oncology patients on complementary and alternative treatment was neutral but there was demand for the provision of reliable information about scientific and systematic treatment of complementary and alternative treatment.

Purpose: This study is to analyze the research trends centering on the theses related to CAT released in nursing of Korea. Method: The researcher collected the academic degrees and theses published on the book of the academic society from 1980 to 2001, and examined 88 domestic dissertations on nursing science of the CAT. Result: 1) By department, the results were: the nursing thesis 88(43.3%), medical field 45(22.1%), psychology?counseling education 28(14%). 2) In the type of the CAT in nursing, the results were: acupressure 28(31.5%), Dan-Jeon Breathing 14(15.7%), aroma therapy 5(5.6%) in order. 3) The number of theses increased every year after 1997. 4) As for the type of study design, the results were: the experimental research had the most(47), and the survey research(30). 5) As for the subject, the results were: patients with disea se(44), healthy adults(29), literature(9) and medical staff were only 6 theses. 6) In the theme of the theses, the results were: the effect of therapy(76), the experience of therapy(26), adaptation of nursing of therapy(11) and literature review were 7. Conclusion: More research needs to be encouraged in the unsatisfactory fields. Researches should be conducted to extend into the practical fields as Korean nursing mediation, project for the establishment of health policies should be conducted.

본 연구는 만다라명상미술치료가 신체적⋅정신적⋅영적 측면의 통합적인 치료방식을 추구하는 보완대체의학적 관점에서 어느 정도로 긴밀한 상관성을 가지고 있는지에 대 한 타당성을 검토하려는 목적을 가지고 있다. 이를 위해 정통 주류의학과 보완대체의 학의 변별적 차이에 대한 명료한 인식을 위해 양자의 개념을 검토하고, 보완대체의학 으로서의 미술치료적 특성을 살피며, 만다라를 통해 자신의 내면을 탐구하며, 갈등과 조화의 역동적 변화 속에서 성장하고 성숙하는 과정의 특성을 이해하였다. 본 연구는 경기도에 위치한 상담소에서 2012년 2월부터 두 달간, 주 2회 90분씩 총 10회기에 걸 쳐, 만다라명상미술치료에 참여한 38세∼51세의 고졸 이상 학력 기혼여성 7명을 대상 으로 하여, BES-2000 뇌파검사 도구와 Kims 전두엽-관리기능 신경심리검사를 통한 사 전⋅사후 검사를 실시하였다. 그 결과 뇌파검사를 통해 좌우뇌의 활성이 균형적으로 변화됨을 확인하였고, 전두엽 관리기능이 긍정적으로 강화됨을 확인할 수 있었다. 이 는 만다라명상미술치료가 통합적 치료요법을 강조하는 보완대체의학에 적합한 한 분 야라는 것을 증명해주는 데이터라고 할 수 있다. 본 연구를 통해서 다음과 같은 효과 를 기대할 수 있다. 첫째, 미술치료의 자체적 치료요법의 위상을 제고할 수 있다. 둘 째, 마음의 생리적 상관자인 뇌의 기능은 고차적 심리상태를 반영하고 있기 때문에, 뇌파와 전두엽관리기능과 같은 뇌생리학에 기반한 변화상태들은 미술치료와 같은 분 야의 치료적 효과를 객관적으로 지지해 준다. 셋째, 상대적으로 활발하지 못했던 미술 치료의 보완대체의학적 연관성에 대한 구체적인 사례들을 기존 연구 결과의 새로운 해석을 통해 조명하고, 이와 함께 미술치료에 관한 역사적 문헌 사례들을 수집하고 검토할 수 있는 연구 방향에 긍정적인 역할을 할 수 있을 것이다.

The present study is closely correlated to a certain extent, from a medical standpoint, you want to review the validity on whether complementary and alternative treatment to pursue physical⋅mental and spiritual aspects of an integrated treatment purposes art mandala meditation. For this purpose, orthodox mainstream medicine and complementary alternative to a clear recognition of the distinctive difference of medical review of the concept of quantum and to art therapeutic properties salpimyeo as Complementary and Alternative Medicine, through the mandala inside yourself and explore conflict and harmony understand the characteristics of the dynamic changes in the process of growth and maturation.Kims frontal-management capabilities through neuropsychological tests, tools and BES-2000 EEG examinations were performed pre-, and post- The result was a change of the balance of the left and right brain activity through EEG prefrontal management capabilities that strengthen the positive. This meditation mandala art therapy is to emphasize the integrative therapies that prove complementary and alternative medicine is suitable for one area that can be thought of as data. Through this study, the following effects can be expected. First, the phase of self-therapy art therapy can be enhanced. Second, because the physiological correlation of the heart, brain function, and higher-order reflects the psychological state areas such as art therapy and the therapeutic effect of the change in status based on the physiology of the brain, such as management functions and the frontal EEG and gives objective support.You will be able to role.

Recently, there has been active research on alternative and complementary therapy and increased interest in alternative and complementary therapy because of limitations of other unorthodox medical treatment. The main purpose in this research was to find out usage, treatment, effectiveness and satisfaction rate of alternative and complementary therapy in youth people. During 19 days from April 4, 2011 to April 22, 2011, researchers randomly selected workers from Youngdengpo-gu, Jung-gu, Seungdong-gu, Kwangjin-gu and Guro-gu Seoul to take a survey. The 71.4% of workers answered 'yes' when asked if they had ever tried alternative and complementary therapy, and only 28.6% answered 'no' that they did not. When asked if their pain was reduced after treatment, more than half the people answered 'yes'. Most respondents answered positively when asked about their satisfaction level on a scale of 1-5 with 5 being very satisfied. There should be more research to upgrade and develop alternative and complementary therapy. In addition, proactive advertising is needed on the facts that alternative and complementary therapy is a proven treatment on reducing side effect and also it's effectiveness. In order to maximize treatment, endless effort is needed to inform the public that medical treatment and alternative and complementary therapy can be used together to achieve the best results.

We describe the successful treatment of a case of chronic myeloid leukemia with Qi therapy. The patient's disease was managed with conventional medical treatment and Qi therapy as a complementary therapy. Before Qi therapy, 95% of the patient's bone marrow showed evidence of disease. A second bone marrow sample five months after Qi therapy revealed that 38% of the bone marrow was normal; one year after Qi therapy the bone marrow was no longer producing any cancer cells. Although these results were obtained for a single case only and may not constitute conclusive evidence, the data suggest that Qi therapy given as a complementary therapy during conventional medical treatment may have beneficial effects on chronic myeloid leukemia.

Chronic wounds, pressure sores, lesions, and infections of microbial origin in bedridden, paralyzed, or malnutrition patients remain the object of study of many researchers. A variety of factors behind the development of these disorders are related to the patient's immune system, making it unable to respond effectively to the treatment of the wound. These factors can be properly controlled, giving particular importance to the ethiology and stage of the wound, as well as the time periods corresponding to the replacement of the dressings. The present research reports a novel foam/soft material, ${{\small}L}$-Cys-g-PCL, with an application for decubitus/pressure ulcers, especially for wounds with a difficult healing process due to infections and constant oxidation of the soft tissues. During this work, the interactions between S. aureus and ${{\small}L}$-Cys-g-PCL foam were studied under conditions that simulate decubitus ulcers; namely, pH and exudate. The effects of duration of grafting (1 or 8 h) and pH (7.0 and 8.9) on wettability, surface energy, swelling, and porosity were also evaluated. Results showed an effective microbicidal activity exhibiting an inhibition ratio of 99.73% against S. aureus. This new ${{\small}L}$-Cys-g-PCL soft material showed saftey to contact skin, ability to be shaped to fill in sunken holes (craters) - pressure ulcers stage III - and to act as a smart material responsive to pH, which can be tailored to develop better swelling properties at alkaline pH where exudates are normally higher, so as to address exudate self-cleaning and prevention of desiccation.

Objective: Rhus verniciflua Stokes (RVS) has anticancer effect confirmed by preclinical studies and historical records. We thus tried to evaluate retrospectively the effect of RVS as a complementary medicine for patients with advanced non-small-cell lung cancer (NSCLC) showing refractory to conventional chemotherapy. Patients and Methods: From June 1, 2006 to June 30, 2007, patients with advanced NSCLC who received both the standardized RVS extract and a standard course of second or more line therapy such as pemetrexed ($Alimta^{(R)}$), erlotinib ($Tarceva^{(R)}$), and gefitinib ($Iressa^{(R)}$) were checked. A total of 13 patients were eligible for the final analysis after fulfilling inclusion/exclusion criteria. Time to progression (TTP) of these patients treated with the standardized RVS extract was checked in the aftercare period. Results: Patients received RVS treatment for a median period of 296 (range 84-698) days. The median TTP was 220.5 (range 36-489) days, and three patients (23.1%) had TTP values of 15 more months. No significant side effects from RVS treatment have been observed. Conclusion: The standardized RVS extract might have synergetic effects by assisting apoptosis in advanced NSCLC with concurrent standard therapy agents, since it prolonged TTP without significant adverse effects. This study suggests that the standardized RVS extract is beneficial to patients with chemotherapy-refractory NSCLC. Further clinical trials and preclinical studies are necessary to determine the efficacy and safety of the standardized RVS extract in NSCLC.

Objective: To explore the clinical application of recombinant human endostatin (Endostar) in the treatment of patients with non-small cell lung cancer (NSCLC) in Chinese mainland. Materials and Methods: A total of 75 patients diagnosed as NSCLC were randomly divided into control group (37 cases) and treatment group (38 cases). Control group was treated with postoperative complementary chemotherapy containing two-agent platinum protocol on postoperative d21, 3 weeks as a cycle, for totally 4~6 cycles. On this basis, treatment group was added with Endostar $7.5mg/m^2$ on postoperative d8~9, 3~4 h/time, qd, 14 weeks as a cycle, for totally 4 cycles. The interval between every two cycles was 7 d. The 5-year progression-free survival (PFS), 5-year survival time and complications in both groups were observed. Results: Compared with control group, the average PFS increased evidently in treatment group by 9.8 months (41.6 months vs. 31.8 months), and there was significant difference (P<0.05). And the median PFS was 42.5 months in treatment group, obviously longer than that in control group (33.7 months) by 8.8 months (P<0.05). Additionally, the 5-year overall survival rate (OS), average survival time and median survival time (MST) were 47.4%, 50.1 months and 59.3 months in treatment group, significantly higher than the 29.7%, 42.1 months and 43.5 months in control group (P<0.05). Only 1 patient showed poor healing of surgical wound in treatment group, but no surgery-associated complication was found in control group. Moreover, the postoperative complementary therapy-connected complication rates were 63.2% (24/38) and 59.5% (22/37) in treatment group and control group respectively, but there was no significant difference (P>0.05). Conclusions: The application of Endostar combined with sensitive platinum-contained chemotherapeutic agents in the postoperative complementary chemotherapy can be widely used in clinic because it can significantly prolong the long-term survival time of patients with NSCLC.

We present a case of The Miller Fisher Syndrome (MFS), showing a remission during a recently developed noninvasive therapy. Two weeks after an appearance of cough and fever, a 35 years old Japanese male developed diplopia, ataxia and numbness of his fingers and toes. He was diagnosed as MFS, and a fixed dose of prednisolone acetate (60mg/day) was administered for 3 months, but little improvement was observed. In addition to this administration, we tried 20 minutes of Photic Feedback (PFB) treatment daily for 40 days. The PFB system detects brain waves from the subject's forehead, and extracts alpha waves by the band-pass filter with a center frequency set at 10.0Hz. It also simultaneously modulates the augmentation of a red light-emitting diode, corresponding with the amplitudes of the extracted alpha waves. In this treatment, this adjusted photic stimulation was given to the subject's closed eyes, resulting in the effective alpha enhancement by photic driving response. The numbness increased during each of PFB treatment, but the symptoms started to improve gradually after 10 days. Other symptoms disappeared after 40 days. CD20 levels increased with this treatment. This case suggests that the PFB treatment may speed the natural remission of MFS. This treatment may be worth considering in patients who suffer polyneuropathy.

Objectives: In Korea, cancer is one of the most important causes of death. Cancer patients have sought alternative methods, like complementary and alternative medicine (CAM) together with Western medicine, to treat cancer. Also, there are many kinds of providers of CAM therapy, including providers of Korean oriental medicine therapy. The purpose of this study is to identify the behaviors of Korean oriental medicine therapy and CAM therapy providers who treat cancer patients and to provide background knowledge for establishing a new policy with the management and quality control of CAM. Methods: Structured and well organized questionnaires were made, and 350 persons were surveyed concerning the providers of CAM or Korean oriental medicine. The questionnaires were collected and analyzed. Results: The questionnaires (182) were collected. The questionnaires identified a total of 73 known providers, such as medicinal professionals or other providers of CAM suppliers, 35.6% of whom had had experience with treating cancer patients (52.6% vs. 29.6%). The treatment methods were a little different: alternative therapy and nutritional therapy being preferred by medicinal professionals and mind body modulation therapy and alternative therapy being preferred by other CAM providers. Four patients (7.4%) experienced side effects, and 6 patients (12.5%) experienced legal problems. As the method for managing the therapy, CAM providers, medicinal professionals, and other CAM providers had different viewpoints. For example, some CAM providers stated that both legislation and an official education on CAM or a national examination were needed as a first step to establish the provider's qualifications and that as a second step, a license test was needed for quality control. To the contrary, medicinal professionals stated that a license test was needed before legislation. Conclusion: Adequate management and quality control of CAM providers is thought to involve both education and legislation.