Professional Practice

Publication Title: 
Journal of Community Health

The purpose of this study was to identify the perceptions of nurses toward the effectiveness and safety, as well as their recommendations for and personal use of complementary and alternative medical therapies. A, random sample of 1000 nurses throughout the United States were surveyed using a three-wave mailing. About half of the respondents perceived there was conclusive evidence or preponderance of evidence that five therapies were effective: biofeedback, chiropractic, meditation/relaxation, multi-vitamins, and massage therapy.

Author(s): 
Brolinson, P. G.
Price, J. H.
Ditmyer, M.
Reis, D.
Publication Title: 
Complementary Therapies in Nursing & Midwifery

Massage has had a long history within orthodox medicine and is not an unknown, untried therapy of dubious origin. Writers on massage usually refer to its long history in ancient cultures but stop with Ling, to whom they attribute the development of modern massage in the early 19th century. Little attention is given to the rich massage literature of the late 19th and early 20th centuries, which reveals massage to have been an orthodox medical therapy practised by doctors and nurses.

Author(s): 
Goldstone, L. A.
Publication Title: 
The Journal of the American Board of Family Practice / American Board of Family Practice

BACKGROUND: Despite the growing popularity of complementary and alternative medical (CAM) therapies, little is known about the professionals who provide them. Our objective was to describe the characteristics of the four largest groups of licensed CAM providers in the United States and to compare them with the characteristics of conventional physicians. METHODS: Random statewide samples of licensed acupuncturists, chiropractors, massage therapists, and naturopathic physicians living in Arizona, Connecticut, Massachusetts and Washington were interviewed by telephone.

Author(s): 
Cherkin, Daniel C.
Deyo, Richard A.
Sherman, Karen J.
Hart, L. Gary
Street, Janet H.
Hrbek, Andrea
Cramer, Elaine
Milliman, Bruce
Booker, Jennifer
Mootz, Robert
Barassi, James
Kahn, Janet R.
Kaptchuk, Ted J.
Eisenberg, David M.
Publication Title: 
Journal of the American Pharmacists Association: JAPhA

OBJECTIVE: To assess actions of community pharmacists in response to their patients' concurrent use of prescription medications and complementary and alternative medicine (CAM). DESIGN: Nonexperimental, cross-sectional mail survey. SETTING: Texas. PARTICIPANTS: 107 community pharmacists. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Pharmacists' self-reported rate of patient inquiry about CAM use and actions taken in response to CAM use.

Author(s): 
Brown, Carolyn M.
Barner, Jamie C.
Shah, Sonalee
Publication Title: 
Spine

STUDY DESIGN: This is a prospective cohort study with a follow-up period of 6 months. OBJECTIVE: To describe the interventions applied by physical therapists in treating patients with complaints of the arm, neck, and/or shoulder. SUMMARY OF BACKGROUND DATA: Complaints of the arm, neck, and/or shoulder occur frequently and are usually treated within primary care. Many patients with these complaints are treated with physical therapy. METHODS: During a 1-year period, the participating physiotherapists included new consulters with musculoskeletal complaints of the upper extremity.

Author(s): 
Karels, Celinde H.
Polling, Wendy
Bierma-Zeinstra, Sita M. A.
Burdorf, Alex
Verhagen, Arianne P.
Koes, Bart W.
Publication Title: 
Forschende Komplementärmedizin (2006)

BACKGROUND: The aim of this study was to provide exploratory qualitative data on anecdotal reports by some physical therapists that they sometimes experience a sense of 'special connection' with patients or clients. PARTICIPANTS AND METHODS: 21 self-selected massage therapists provided written comments about their experience of therapy in response to a questionnaire (free-form response format) asking about the experience of connection. RESULTS: 20 out of 21 therapists reported a sense of 'special connection'.

Author(s): 
Hyland, Michael E.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

There is very little information in the literature to prepare massage therapists for what they might expect when they provide treatment to people with advanced cancer in hospice or palliative care. We report an analysis of a subset of data collected from a large multi-site clinical trial of the efficacy of massage therapy for people with advanced cancer. This is the first analysis of empirical data of patient presentation, massage treatment environment, and the characteristics of massage provided for this population.

Author(s): 
Smith, Marlaine C.
Yamashita, Traci E.
Bryant, Lucinda L.
Hemphill, Linnea
Kutner, Jean S.
Publication Title: 
The Medical Journal of Australia

OBJECTIVES: COAST (Chiropractic Observation and Analysis Study) aimed to describe the clinical practices of chiropractors in Victoria, Australia. DESIGN: Cross-sectional study using the BEACH (Bettering the Evaluation and Care of Health) methods for general practice. SETTING AND PARTICIPANTS: 180 chiropractors in active clinical practice in Victoria were randomly selected from the list of 1298 chiropractors registered on Chiropractors Registration Board of Victoria. Twenty-four chiropractors were ineligible, 72 agreed to participate, and 52 completed the study.

Author(s): 
French, Simon D.
Charity, Melanie J.
Forsdike, Kirsty
Gunn, Jane M.
Polus, Barbara I.
Walker, Bruce F.
Chondros, Patty
Britt, Helena C.
Publication Title: 
Transfusion

BACKGROUND: Postpartum hemorrhage (PPH) remains one of the leading causes of maternal morbidity and mortality worldwide, although the lack of a precise definition precludes accurate data of the absolute prevalence of PPH. STUDY DESIGN AND METHODS: An international expert panel in obstetrics, gynecology, hematology, transfusion, and anesthesiology undertook a comprehensive review of the literature. At a meeting in November 2011, the panel agreed on a definition of severe PPH that would identify those women who were at a high risk of adverse clinical outcomes.

Author(s): 
Abdul-Kadir, Rezan
McLintock, Claire
Ducloy, Anne-Sophie
El-Refaey, Hazem
England, Adrian
Federici, Augusto B.
Grotegut, Chad A.
Halimeh, Susan
Herman, Jay H.
Hofer, Stefan
James, Andra H.
Kouides, Peter A.
Paidas, Michael J.
Peyvandi, Flora
Winikoff, Rochelle
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

Managed care presents a challenge to homeopaths and to consumers of homeopathic care. If homeopaths want to be a part of managed care, they will have to organize themselves to a higher level of professional order. Although the vast majority of practicing homeopaths are licensed in one of many conventional health professions, with the medical license being the most common, homeopaths need to develop more clearly defined educational standards and certification programs in the specialty of homeopathic medicine, and they need to have these programs certified by respected, independent agencies.

Author(s): 
Ullman, D.

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