Table of Content

Open Access Editorial

Highlights of Complementary and Alternative Medicine in Nervous System Conditions: An Interview with Dr. James David Adams, Jr.

Received: 24 May 2019;  Published: 24 May 2019;  doi: 10.21926/obm.icm.1902032

Abstract

Highlights of Complementary and Alternative Medicine in Nervous System Conditions: An Interview with Dr. James David Adams, Jr.

1175 7003

Open Access Review

Meditation, Sleep, and Performance

Received: 12 February 2019;  Published: 24 May 2019;  doi: 10.21926/obm.icm.1902031

Abstract

Meditation describes a large variety of traditions that are extremely variable, but all include the conscious focus or awareness of attention. By maintaining their attention, meditators experience both acute and long-term changes in physiology, anatomy, and cognitive performance. The literature shows that the type of performance benefits may depend on the specific type of mental training. During meditation practice there is a documented increase in neuronal coordination and slowing of neuronal firing across many re [...]

2362 33236

Open Access Opinion

The Link(s) between Compassion and Healing

Received: 30 January 2019;  Published: 30 April 2019;  doi: 10.21926/obm.icm.1902030

Abstract

While it may seem intuitive to suggest that compassion aids in the healing process, there is actual evidence to support that compassion changes physiology, which in turns affects emotional and physical healing. The focus of this opinion paper is on the use of compassion between health care providers and patients based on the use of compassion in the mental health field. Not only do patients benefit from compassion, but health care providers may also benefit. Creating compassionate relationships with patients may [...]

1600 7187

Open Access Research Article

Lifestyles and Complementary Medicine: A Survey in the Region of Tuscany

Received: 27 September 2018;  Published: 28 April 2019;  doi: 10.21926/obm.icm.1902029

Abstract

Background: According to the international literature, users of Complementary Medicine (CM), Complementary and Alternative Medicine (CAM) and Complementary and Integrative Medicine (CIM) are physically more active, less overweight and have healthier lifestyles than the average Tuscan population. Aim: To evaluate the socio-demographic characteristics and lifestyles of patients of CM public clinics in the region of Tuscany and to define their profiles in terms of physical exercise, smoking habits, diet, intake of alc [...]

1957 10912

Open Access Original Research

Observational Study on Auriculotherapy in the Treatment of Chronic Musculoskeletal Pain: Preliminary Data

Received: 26 September 2018;  Published: 28 April 2019;  doi: 10.21926/obm.icm.1902028

Abstract

Introduction: Pain in musculoskeletal disorders is a common problem that involves high social and individual costs. Systematic reviews and randomized controlled trials show that a number of treatments usually applied in this field are not effective. On the other hand, there is clinical evidence of the effectiveness of physical exercise, acupuncture, and auriculotherapy. Side effects of current medication limit their use. Aim: To evaluate the effectiveness of auriculotherapy on the pain of patients suffering from ch [...]

2253 16924

Open Access Review

Integrative Cancer Therapy with Special Focus on Add-On Homeopathy: The Experience at Lienz Hospital

Received: 02 March 2018;  Published: 25 April 2019;  doi: 10.21926/obm.icm.1902027

Abstract

The first part of this position paper focuses on the debate about the scientific status of homeopathy and presents some answers. The scientific debate however, does not represent the available scientific evidence, which actually supports our limited data. Thus, it seems important and we aim to present how homeopathy can be part of an integrated concept in cancer care and how this is approved by randomized controlled trials. We present some arguments which were helpful to us in the discussion with oncologists that d [...]

1945 8808

Open Access Review

The Role of Self-Compassion in Recovery from Substance Use Disorders

Received: 04 March 2019;  Published: 24 April 2019;  doi: 10.21926/obm.icm.1902026

Abstract

Background: A large body of empirical evidence has supported the notion that individuals with substance use disorders (SUDs) have difficulty regulating their negative emotions and employing emotion-regulation strategies. The aim of this article is to (a) explore the role of self-compassion in providing an emotion-regulation strategy for initiating a process of recovery from SUDs; (b) examine the role of self-compassion in building recovery capital (RC) to promote long-term recovery; and (c) examine the practice of [...]

4672 27716

Open Access Opinion

Compassion in Medicine – A Psychiatric Physician’s View

Received: 14 March 2019;  Published: 18 April 2019;  doi: 10.21926/obm.icm.1902025

Abstract

There are several definitions of sympathy, empathy, and compassion on the internet. I have chosen the above definitions to emphasize their salient differences, for the following reason: In medical school, in the early 1960s, we were taught not to sympathize with patients, but to empathize: By empathizing, one can retain some professional objectivity toward the patient, in order to be of some help. To sympathize, on the other hand, was to immerse oneself in the patient’s suffering and lose one’s professional per [...]

1603 8127

Open Access Research Article

Integrated Medicine Strongly Improves Post-Stroke Rehabilitative Performance in a Public Health Facility in Italy

Received: 30 September 2018;  Published: 17 April 2019;  doi: 10.21926/obm.icm.1902024

Abstract

Since 2011, the Tuscany Regional Authority has been funding the use of Integrated Medicine (IM) in a clinical setting in Pitigliano Hospital, with the aim of testing the true efficacy of complementary and alternative medicine (CAM) in a hospital setting. The clinical setting also comprises the Manciano rehabilitation facility whose services include post-stroke rehabilitation. This study aims to establish if IM helps to improve the rehabilitation performance of stroke patients. The study compared 212 patients divide [...]

1887 16951

Open Access Case Report

Unexpected Long Survival of a Patient with Polycythemia Vera

Received: 16 January 2019;  Published: 16 April 2019;  doi: 10.21926/obm.icm.1902023

Abstract

This case reports of a 71-year-old patient with polycythemia vera (PCV). Homeopathic treatment began 15 years after his diagnosis at the age of 51. The frequency of phlebotomies was lowered significantly after the start of the homeopathic treatment; the patient survived another 16 years without chemotherapy, which he had rejected despite appropriate education. For someone with PCV who denied chemotherapy, this patient had a long survival time of more than 30 years, essentially enjoying good health and high quality [...]

2140 32721

Open Access Communication

The Process of Integration of Complementary Medicines in Public Healthcare Service of Tuscany (Italy)

Received: 22 February 2019;  Published: 10 April 2019;  doi: 10.21926/obm.icm.1902022

Abstract

Complementary Medicine (CM) is being increasingly used by European citizens in order to increase their overall state of health and well-being, as well as to treat various illnesses and diseases. The interest for these therapies has progressively risen also in Italy and in Tuscany as well. In response to the increasing demand in the past few years by the Tuscan citizens, the region of Tuscany has started their integration in the healthcare service. Since 1996, the Tuscan Regional Healthcare Plans (RHPs) have been co [...]

1977 12222

Open Access Original Research

Comparison of Respiratory Sinus Arrhythmia between Zen-meditation and Control Groups

Received: 30 July 2018;  Published: 01 April 2019;  doi: 10.21926/obm.icm.1902021

Abstract

Background: This research aims to develop new methods to investigate the cardiorespiratory interaction of Zen-meditation practitioners (Zen-meditation group) and healthy ordinary young people (control group) by quantitatively evaluating respiratory sinus arrhythmia (RSA) behavior. Methods: Twenty-five voluntary controls and seven Zen-meditation practitioners were recruited. The experimental protocol involved five sessions of different mental-stress levels (control group) and five sessions of Zen-meditation practice [...]

1994 16843

Open Access Original Research

Acupuncture for Chemo-Related Nausea and Vomiting

Received: 29 September 2018;  Published: 28 March 2019;  doi: 10.21926/obm.icm.1901020

Abstract

Background: In recent years, complementary and alternative medicine (CAM) techniques have become very widespread; among these, acupuncture can play an important role in the treatment of adverse effects related to chemotherapy. This role has been recognized by the National Institutes of Health after many clinical studies, thus allowing the official introduction of acupuncture in supportive therapy for oncological diseases, particularly to prevent nausea and vomiting. The aim of this paper is to describe the activity [...]

2221 11816

Open Access Case Report

Increase in Electrodermal Activity on Acupuncture Points of Lymphatic, Lung, Nervous, Endocrine and Heart Meridians after Running Exercise, a Single Case Study

Received: 10 December 2018;  Published: 25 March 2019;  doi: 10.21926/obm.icm.1901019

Abstract

Background: Electrodermal measurement of acupuncture points has been correlated to physiologic and pathologic conditions with clinical and laboratory studies. Emerging evidence indicates that in addition to therapeutic effect, acupuncture points may also have diagnostic properties. However, physiologic basis of this phenomenon is still unknown. Objective: To determine how electrodermal activity of acupuncture points on hands and feet responds to exercise-induced sympathetic stress and how electrodermal measurement [...]

2155 16383

Open Access Short Review

The Effects of Aquatic Exercise on Cognitive Function: Systematic Review

Received: 07 February 2019;  Published: 21 March 2019;  doi: 10.21926/obm.icm.1901018

Abstract

The objective of this brief systematic review was to examine the effects of aquatic exercise on cognitive function. Studies were identified using electronic databases, including PubMed, PsychInfo, Sports Discus and Google Scholar. In total, 13 articles met the inclusionary criteria. Among the 13 studies, all 13 demonstrated beneficial cognitive effects from exercise. This included chronic aquatic exercise-induced improvements in global cognition, executive function, attention, learning and memory, cognitively-relat [...]

3107 15354

Open Access Communication

Proposal for a Compassionate Emotional Accompaniment Technique (CEAT) Based on Mindfulness to Manage Disturbing Emotions

Received: 23 August 2018;  Published: 14 March 2019;  doi: 10.21926/obm.icm.1901017

Abstract

One of the objectives of psychological intervention is to help patients manage their emotions effectively by providing them with the necessary skills to accompany their own emotional states. To this regard, there seems to be a current lack of therapeutic resources aimed at helping patients assimilate and regulate emotions. This article proposes the application of a new technique which incorporates mindfulness, building on the premises of the model of psychological flexibility which defines "mindfulness" as a practi [...]

1995 11610

Open Access Editorial

Compassion in Clinical Care

Received: 01 March 2019;  Published: 04 March 2019;  doi: 10.21926/obm.icm.1901016

Abstract

Compassion in Clinical Care

1865 8350

Open Access Research Article

Psychophysiological Coherence in Community Dynamics – A Comparative Analysis between Meditation and Other Activities

Received: 26 November 2018;  Published: 04 March 2019;  doi: 10.21926/obm.icm.1901015

Abstract

Background: Psychophysiological coherence has been widely studied as a bodily state associated with general well-being and cognitive clarity. Heart Rate Variability (HRV) has been shown to be a good biomarker to assess psychophysiological coherence. This paper presents the first general set of results concerning a study that is part of a team effort between a body of researchers in 5 countries led by the HeartMath Institute under the name, International Heart Rate Variability Synchronization (IHRVS) Study. This stu [...]

2057 13428

Open Access Editorial

The Treatment of the Nervous System with Complementary and Alternative Medicine

Received: 25 February 2019;  Published: 27 February 2019;  doi: 10.21926/obm.icm.1901014

Abstract

The nervous system is everywhere in the body, especially in the skin. Ancient Chinese acupuncture charts show us that the nerves are all connected and can work together to promote health. This connection occurs through the brain and brain stem. It is clear that acupuncture is analgesic by inhibition of transient receptor potential cation channels in the skin [1]. The role of chemokines in pain is becoming understood. Chemokines promote pain in the skin and activate ascending neural pathways that regulate chemo [...]

1788 8719

Open Access Concept Paper

New Paradigm in International Ear Acupuncture

Received: 16 October 2018;  Published: 26 February 2019;  doi: 10.21926/obm.icm.1901013

Abstract

Background: In the international auriculotherapy practice there are relatively big differences in the exact localization of the same ear acupuncture point. On one hand, there are specialists who devote their efforts to find the active points. In that case it becomes intriguing that there may be another point (at 1-2 mm distance) near the point to be treated, indicating a relatively strong, even stronger activity than the one they were initially aiming to find. That point may be active because of another health prob [...]

3062 45140

Open Access Case Report

Chronic Pain after Reported Whiplash Injury – A Patient Case Report

Received: 13 April 2018;  Published: 25 February 2019;  doi: 10.21926/obm.icm.1901012

Abstract

Chronic pain is notoriously multifactorial, multifaceted and difficult to manage. Twenty per cent of reported whiplash-injured persons go on to develop a Whiplash Associated Disorder (WAD) where persistent pain becomes chronic with no prospect of change [1]. Paucity of effective therapies to address the effect of WAD enforces new approaches. This case report, with a patient’s perspective, illustrates a novel therapy, Adapted Reflextherapy (AdRx), which is akin to reflexology and has been used, developed and revised [...]

1943 16400

Open Access Review

A Brief Primer on Learning and Memory-Based Strategies to Enhance Memory Function

Received: 17 December 2018;  Published: 21 February 2019;  doi: 10.21926/obm.icm.1901011

Abstract

Background: Learning and memory, unquestionably, are critical for many aspects of life, including acquisition and retention of educational material. The purpose of this brief narrative review is to provide a primer on empirical-based, learning and memory techniques. Methods: A narrative review approach is employed. Results: This review is structured by first discussing contextual factors that influence learning and memory, followed by addressing several specific techniques to help facilitate learning and memory ret [...]

2046 10366

Open Access Technical Note

An Initial Investigation of Neural Changes in Overweight Adults with Food Cravings after Emotional Freedom Techniques

Received: 11 December 2018;  Published: 15 February 2019;  doi: 10.21926/obm.icm.1901010

Abstract

Background: This pilot randomised clinical trial investigated the effect of Clinical Emotional Freedom Techniques (EFT) on brain activation in response to food craving stimuli using functional magnetic resonance imaging. EFT is a brief stress reduction technique which involves stating a cognitive statement with stimulation of acupressure points with a tapping technique. Method: Fifteen overweight/obese adults were allocated to a four-week group EFT treatment or control condition and completed a measure of food crav [...]

2818 877229

Open Access Original Research

An Evaluation of a New Programme Training Mindfulness Teachers to Deliver Non-Eight Week Adapted Mindfulness-Based Interventions

Received: 13 October 2018;  Published: 02 February 2019;  doi: 10.21926/obm.icm.1901009

Abstract

Background: Training is generally not available for those wishing to deliver non 8 week Mindfulness Based Interventions (MBIs) adapted for specific contexts and populations. A new model for training in MBIs is developed with the following principle components: teaching on theory, participation in a practice, followed by teaching the practice and receiving feedback, and consultation and discussion of live mindfulness-based work. Methods: A quantitative and qualitative evaluation is presented of the experience of the [...]

1899 9680

Open Access Research Article

Integrated Oncology in an Integrated Medicine Hospital in Pitigliano (Grosseto, Italy)

Received: 29 September 2018;  Published: 01 February 2019;  doi: 10.21926/obm.icm.1901008

Abstract

Background: Complementary medicines (CM), including homeopathy, acupuncture, and traditional Chinese medicine, have been introduced for cancer patients undergoing chemotherapy and radiotherapy treatment in the Pitigliano Hospital Centre of Integrated Medicine in order to minimize the side effects of these treatments, which improves quality of life and adherence to conventional therapies. Methods: Cancer patients (240) were enrolled in an integrated care model offering a comprehensive protocol including homeopathy a [...]

1757 9198

Open Access Review

Is Self-Compassion Important for Health Care Practitioners?

Received: 25 November 2018;  Published: 31 January 2019;  doi: 10.21926/obm.icm.1901007

Abstract

The cornerstone of health care practice is the provision of competent, compassionate care. Compassion is generally considered an important component in the provision of health care; however, self-compassion may be of equal importance for health care practitioners (HCP) to observe and develop. Self-compassion promotes well-being and overall mental health and may reduce fatigue and “burn-out” for HCPs [1]. Estimates of burn out in physicians and nurses range from 35-50% and is associated with emotional exhaustion, hi [...]

2707 16875

Open Access Original Research

Acupuncture in Palliative Care

Received: 14 October 2018;  Published: 30 January 2019;  doi: 10.21926/obm.icm.1901006

Abstract

Background: Acupuncture is an innovative and scientifically supported treatment for oncologic patients, as well as an effective palliative care option. At the Palliative Care Department of "Misericordia" Grosseto Hospital in Tuscany, real integration of acupuncture in palliative medicine has been possible. The objective of this work is to retrospectively evaluate patient treatment outcomes obtained using an integrated medical care approach administered within a palliative care unit. Methods: Medical records of onco [...]

5725 14048

Open Access Review

Ashitaba (Angelica keiskei) Exerts Possible Beneficial Effects on Metabolic Syndrome

Received: 18 July 2018;  Published: 23 January 2019;  doi: 10.21926/obm.icm.1901005

Abstract

Metabolic syndrome is a serious health condition comprising a combination of glucose metabolism disorder, high blood pressure and obesity. The main underlying risk factors for metabolic syndrome are abdominal obesity and insulin resistance. Various studies have shown that herbal medicines can effectively reduce the risk of developing metabolic syndrome. Angelica keiskei Koidzumi (ashitaba), a large perennial herb native to the Southeast Pacific coast of Japan, has recently become a popular herbal medicine, dietary [...]

2674 28127

Open Access Original Research

Mindful Self-Compassion and Adult Learner Retention in Post-Compulsory Education

Received: 15 July 2018;  Published: 23 January 2019;  doi: 10.21926/obm.icm.1901004

Abstract

Background: Adult learners often engage in formal education because they want to create changes in their lives and are determined to succeed in their chosen field. However, they also come with emotional "baggage" of early educational experiences, frequently have to deal with a multitude of competing demands, have financial strain, may face a lack of support, illness and/or injury. In addition, they are often dealing with the challenges of unfamiliar academic work, competing deadlines and initially lack basic academ [...]

2161 14558

Open Access Review

Cultivating Well-Being through the Three Pillars of Mind Training: Understanding How Training the Mind Improves Physiological and Psychological Well-Being

Received: 03 October 2018;  Published: 16 January 2019;  doi: 10.21926/obm.icm.1901003

Abstract

Research on the physiological and emotional health benefits of meditative practices has grown exponentially over the last two decades, influencing both scientific literature and popular media. Research has highlighted three distinct components or pillars at the core of meditative practices and mind training. They are, focused attention, open awareness, and kind intention. Neuroimaging studies and recent research highlight that the repeated practice of directing attention and awareness can enhance neural connections [...]

3422 32346

Open Access Review

Health Benefits of (Mindful) Self-Compassion Meditation and the Potential Complementarity to Mindfulness-Based Interventions: A Review of Randomized-Controlled Trials

Received: 04 July 2018;  Published: 06 January 2019;  doi: 10.21926/obm.icm.1901002

Abstract

Background: In this study, we performed a systematic review of randomized-controlled trials (RCTs) examining the health benefits of (mindful) self-compassion-based interventions (SCBIs) and studies which explicitly combine SCBIs and mindfulness-based interventions (MBIs). Based on the compelling evidence supporting the effectiveness of MBIs, we evaluated the potential use of MBIs and SCBIs to complement one another, and whether SCBIs may serve as supplementary, or preliminary interventions for individuals not fully [...]

2907 22528

Open Access Review

State of the Research: Physical and Mental Health Benefits of Mindfulness-Based Interventions for Children and Adolescents

Received: 20 August 2018;  Published: 04 January 2019;  doi: 10.21926/obm.icm.1901001

Abstract

Background: Research support for a variety of health benefits of mindfulness-based interventions for adults is robust. These include management of stress, anxiety, and depression; as a supportive treatment for eating disorders, PTSD, and psychosis; improved sleep; chronic pain management; support for tobacco, alcohol, and substance abstinence; and as adjunctive treatments for serious or chronic medical illnesses such as HIV, cancer, and heart conditions. As is typical with newer interventions, mindfulness intervent [...]

4296 45478

Open Access Communication

Mindfulness Based Therapies for Autoimmune Diseases and Related Symptoms

Received: 18 April 2018;  Published: 28 December 2018;  doi: 10.21926/obm.icm.1804039

Abstract

Over the past few decades, there have been minimal advances in effective new behavioral or psychotherapeutic interventions for people living with autoimmune diseases such as systematic lupus erythematosus. This is problematic due to the severe, debilitating and potentially life-threatening nature of these diseases. Mindfulness based interventions, such as Mindfulness Based Stress Reduction, have demonstrated effectiveness in a wide range of patient populations and we hypothesize such treatment would also benefit pa [...]

2496 22469

Open Access Review

Healthcare Provider’s Guide to Kratom: Succinct Introduction to the Basics and the Questions

Received: 27 July 2018;  Published: 28 December 2018;  doi: 10.21926/obm.icm.1804038

Abstract

Background: The leaves of Mitragyna speciosa (kratom), a tropical tree that is indigenous to Southeast Asia, have been used traditionally to increase stamina, as a digestive aid, and as an analgesic. Kratom use is now increasingly popular in the rest of the world because of easy availability through the Internet and real, or perceived, views of efficacy and safety. Methods: PubMed and MedLine searches were conducted of published articles available in English. Results: Mitragynine and 7-hydroxymitragynine are the pr [...]

1898 12384

Open Access Review

Binary Model of the Dynamics of Active versus Passive Mindfulness in Managing Depression

Received: 27 July 2018;  Published: 23 December 2018;  doi: 10.21926/obm.icm.1804037

Abstract

Background: Meditation has developed over many centuries within a diverse range of religious traditions including Middle-Eastern, Indian, and East-Asian. Of these, mindfulness meditation from the Buddhist (Indian) tradition, has been the most extensively adopted in the Western secular world primarily with applications in health and well-being as pioneered by Jon Kabat-Zinn. Review: While originally developed to treat chronic pain and stress in the U.S., mindfulness training was later coupled with cognitive-behavior [...]

1973 13443

Open Access Research Article

Evaluating a 3-Week Model for Reducing Symptoms of Stress in Traumatised Youth Using the Trauma Tapping Technique (TTT) for Self-help: A Pilot Trial

Received: 12 September 2018;  Published: 22 December 2018;  doi: 10.21926/obm.icm.1804036

Abstract

Background: This pilot trial investigated whether a 3-week self-help model for stress reduction using the Trauma Tapping Technique (TTT) would impact traumatized youth in the Democratic Republic of the Congo on post-traumatic stress symptoms and general happiness. It also focussed on the acceptability of the program to recipients and implementation in a community with complex trauma and conflict. Methods: The study involved 77 youth who received a TTT 3-week model of intervention (self-applied). Post traumatic stre [...]

2239 22577

Open Access Case Report

Chronic Pain Two Cures

Received: 14 January 2018;  Published: 19 December 2018;  doi: 10.21926/obm.icm.1804035

Abstract

Background: This study presents several case reports of chronic pain patients treated with two different plant medicines from the Chumash Indian tradition. Methods: Patients suffering from self-reported fibromyalgia, chronic back pain, chronic bursitis, chronic tendinitis and other conditions were treated. California sagebrush (Artemisia californica) was grown by the author and made into a liniment. The liniment was applied to painful sites on the skin. Black sage (Salvia mellifera) was made into a sun tea. Chronic [...]

2077 9665

Open Access Research Article

Experimental Effects of Exercise on Forgetting

Received: 06 September 2018;  Published: 17 December 2018;  doi: 10.21926/obm.icm.1804034

Abstract

Background: The present study evaluates the effects of selective directed forgetting (SDF) and directed forgetting (DF) on subsequent memory retrieval and investigate whether acute exercise can facilitate the effects of SDF. Methods: A four-arm (n=20 per group; N=80; Mage=20 yrs), parallel-group, randomized controlled experiment was employed. The four groups included: 1) exercise plus SDF (Ex+SDF), 2) SDF only (SDF), 3) DF only (DF) and 4) R (remember) only (R). Participants viewed two separate word lists (list 1 a [...]

2003 10616

Open Access Research Article

The Lived Experience of Individuals with Chronic Traumatic Brain Injury: An Adapted Group Yoga Intervention

Received: 04 November 2018;  Published: 16 December 2018;  doi: 10.21926/obm.icm.1804033

Abstract

Background: An adapted yoga intervention was delivered to seven individuals with chronic traumatic brain injury. The purpose of this study was to explore and describe the participants' experience of engaging in the 8-week intervention. Methods: Using a phenomenological design, data were collected, analyzed, and coded to generate themes regarding experiences that occurred, how experiences occurred, and why experiences occurred. Results: Participants described experiencing the yoga intervention as a process: from ini [...]

1448 9364

Open Access Review

Meditation and Immune Function: The Impact of Stress Management on the Immune System

Received: 16 July 2018;  Published: 02 December 2018;  doi: 10.21926/obm.icm.1804032

Abstract

As alternative forms of medicine have become increasingly popular, research on the health benefits of meditation has grown. Specifically, Mindfulness Meditation, Transcendental Meditation, and Qigong have been shown to be effective in treating psychological disorders, enhancing immune function, and in delaying disease progression in patients diagnosed with HIV, the varicella-zoster virus, and dermatomyositis. This paper briefly reviews the historical background of the many forms of meditation and examines in detail [...]

3379 55578

Open Access Original Research

Complementary and alternative treatment of MS – A study of three cases

Received: 09 June 2018;  Published: 27 November 2018;  doi: 10.21926/obm.icm.1804031

Abstract

Background: People suffering from multiple sclerosis (MS) commonly use complementary and alternative medicine due to the partial efficacy of conventional treatments, the chronic aspect of MS, the impact of pain and the side-effects of medication. An exploratory descriptive study of three cases was performed to document and analyse the experience patients treated for MS with applied kinesiology. Methods: Qualitative interviews were conducted with three patients who had been diagnosed with MS at the Neurology Departm [...]

2026 19954

Open Access Review

What is the Current Evidence to Support the Use of Herbs and Supplements to Treat Mood and Anxiety Disorders?

Received: 10 March 2018;  Published: 13 November 2018;  doi: 10.21926/obm.icm.1804030

Abstract

Background: Treatment of mood and anxiety disorders with supplements, herbs and nutraceuticals (dietary supplements) is at this point viewed as an integrative or alternative treatment, however these substances have been around for quite some time and are regarded as basic to the understanding of human biochemistry, physiology, health and illness in medicine. Methods: This review article was done using a literature search utilizing the National Library of Medicine online data base and the PCOM electronic library dat [...]

2577 20662

Open Access Communication

Meditation: Awakening the Intuitive and Creative Self

Received: 17 July 2018;  Published: 08 November 2018;  doi: 10.21926/obm.icm.1804029

Abstract

What is meditation? A tool that empowers you to create your life through working it from inside out, beginning with a thought. There is a story. A father had two sons: one felt a victim of life. He viewed his life through the prism of “My childhood was difficult. My father was an alcoholic. The reason my life is failing is because of that. I was not loved enough.” This is his inner mantra – a cycle of a repetitive thought patterns that he continuously told himself. His life followed that very mantra. He didn’t try [...]

1712 8826

Open Access Original Research

Impacts of Mindfulness-Based Cognitive Therapy (MBCT) on the Psychological and Functional Wellbeing of Patients with Bipolar Disorders

Received: 24 July 2018;  Published: 05 November 2018;  doi: 10.21926/obm.icm.1804028

Abstract

Background: This study investigated variations in psychic and somatic anxiety during and after completion of MBCT compared to baseline in patients diagnosed with BD. Secondary variables considered were sleep quality and quality of life, as well as depressive and manic symptoms. Methods: HAMD-29, HAMD-7 and YMRS were administered at baseline (n=34), and every two weeks until the end of the eight-week program. PSQI (n=22) and Q-LES-Q-SF (n=29) were also administered at pre, mid- and post- MBCT assessments. Results: T [...]

1781 14778

Open Access Review

Integrating Mindfulness and Physical Exercises for Medical Students: A Systematic Review

Received: 25 May 2018;  Published: 26 October 2018;  doi: 10.21926/obm.icm.1804027

Abstract

Background: The purpose of this systematic review was to appraise the empirical evidence pertaining to medical students and the integration of mindfulness and physical exercise regimens. Methods: A systematic review was undertaken. Five databases were used to survey the salient literature. Results: The initial search identified 353 potentially relevant articles of which 17 articles were considered for the final review. The findings indicated that the research was mainly conducted in the USA with some research origi [...]

2159 12251

Open Access Original Research

A Mixed Methods Approach to Understanding Conceptions of Mindfulness Meditation

Received: 19 June 2018;  Published: 14 October 2018;  doi: 10.21926/obm.icm.1804026

Abstract

Background: Mindfulness meditation (MM) is an increasing area of interest for health professionals and the general public alike. Beneficial outcomes are associated with this practice; however, definitions of mindfulness and meditation are varied, and anecdotal accounts suggest that people hold conceptions about the constructs. Furthermore, mindfulness has been incorporated into therapeutic modalities without much consideration for context, including the client’s previous experiences with and understanding of MM. To [...]

1994 12026

Open Access Communication

Meditation as an Intervention for Health: A Framework for Understanding Meditation Research

Received: 30 July 2018;  Published: 09 October 2018;  doi: 10.21926/obm.icm.1804025

Abstract

We propose a framework for understanding meditation that can support greater scientific rigor in reporting meditation research, and selecting meditation health interventions. There is no consistent and thorough framework for describing meditation research interventions. This impedes rigor of meditation research design and interpretation of findings. This also limits meaningful comparisons across research studies. The audience for this article includes researchers, meditation experts, healthcare professionals, and t [...]

2897 15676

Open Access Original Research

Feasibility of a Meditation Video Game to Reduce Anxiety in College Students

Received: 27 July 2018;  Published: 07 October 2018;  doi: 10.21926/obm.icm.1804024

Abstract

(1) Background: Meditation is a common intervention for college students suffering from issues with anxiety. Due to this popularity, several meditation-based video games have been released which can be used to supplement or motivate meditation practice. However, these tools are not often given scrutiny in a laboratory setting before being released to the public. Our lab conducted a brief feasibility pilot study to investigate Meditation Deathmatch, an open-source meditation video game aimed at stimulating meditatio [...]

2259 32849

Open Access Original Research

Specific Somatic Symptoms Alleviated by Mindfulness Meditation Training

Received: 20 April 2018;  Published: 29 September 2018;  doi: 10.21926/obm.icm.1804023

Abstract

Background: Mindfulness-Based Stress Reduction (MBSR) is an evidence-based intervention developed to teach mindfulness meditation to a wide range of patients. Although the efficacy of MBSR has been established for a variety of medical and psychiatric conditions, measured outcomes rarely include physical symptoms related to anxiety, depression, and/or stress. The current study presents a secondary analysis of data obtained from patients seeking MBSR for symptoms of anxiety, depression, and/or other stress-related co [...]

2003 14279

Open Access Review

Fructose Increases Uric Acid Contributing to Metabolic Syndrome - Herbal, Nutritional and Dietary Strategies to Reduce Uric Acid

Received: 09 July 2018;  Published: 28 September 2018;  doi: 10.21926/obm.icm.1803022

Abstract

The metabolism of fructose by the liver produces uric acid and elevated serum uric acid levels are an independent risk factor for hypertension, metabolic syndrome, and cardiovascular disease. Fructose occurs in fruits and fruit juices, honey as well as in the sweeteners sucrose (common white sugar) and High Fructose Corn Syrup (HFCS). Dietary fructose may be considered a naturally occurring toxin because it is largely metabolised by the liver with little fructose reaching the systemic blood circulation. Uric acid i [...]

3211 196931

Open Access Review

Potentially Beneficial Effects of St. John’s Wort (Hypericum perforatum) in Patients with Metabolic Syndrome

Received: 27 June 2018;  Published: 27 September 2018;  doi: 10.21926/obm.icm.1803021

Abstract

St. John’s wort (SJW), or Hypericum perforatum, is a perennial herb that is used to treat depression in several countries. Based on the available evidence, it can be hypothesized that SJW would also have beneficial prophylactic and therapeutic effects in patients with metabolic syndrome. In this review, we summarize and discuss the best designed studies that have investigated the effects of SJW extract on adipocyte differentiation, the inflammatory process, and glucose metabolism, all of which are relevant to [...]

2139 16478

Open Access Original Research

Thai Ethnomedicinal Plants Used for Diabetes Treatment

Received: 25 April 2018;  Published: 24 September 2018;  doi: 10.21926/obm.icm.1803020

Abstract

Background: Diabetes is a metabolic disorder and a serious global health problem. Over 400 million people suffer from diabetes and it is estimated that the number will dramatically increase in the future. The cost of diabetes treatment for individual patients is very high. However, traditional knowledge could be used to support conventional diabetes treatments. Here, we identify medicinal plants that have been used as treatments for diabetes based on Thai ethnobotanical knowledge. Methods: We present a literature r [...]

3010 21492

Open Access Opinion

Pain in Oncology, Reality and Paradox of Homeopathic Care

Received: 31 May 2018;  Published: 15 September 2018;  doi: 10.21926/obm.icm.1803019

Abstract

Background: After fatigue, pain is one of the major complaints from cancer patients. Regular use of Class 1 analgesics may cause side effects and is not always sufficient to relieve pain. Homeopathy is the complementary and integrative medicine most frequently used in France in supportive care in oncology (SCO). What is its place in the treatment of pain? Method: Extraction and analysis of results concerning pain from three surveys, two of which were carried out in France, on the main indications of homeopathy in S [...]

2128 25942

Open Access Review

A Review of the Efficacy of Yoga and Meditation-Based Interventions for Rheumatoid Arthritis

Received: 27 June 2018;  Published: 05 September 2018;  doi: 10.21926/obm.icm.1803018

Abstract

Background: This paper presents a review of the evidence regarding the efficacy and impact of Yoga and mindfulness with meditation among patients with rheumatoid arthritis (RA). Patients who suffer from RA express a variety of symptoms that negatively impact their physical functioning and performance in social roles. Yoga and meditation-based therapies have been previously used to manage chronic pain conditions and other persisting disorders in affected populations. The suitability and effectiveness of these practi [...]

2120 12610

Open Access Original Research

Homeopathy and Complementary Integrative Medicine, Dietary and Lifestyle Advices to Reduce Adverse-Effects of Anti-Cancer Therapy: A Cohort Study with Breast Cancer Patients

Received: 28 March 2018;  Published: 03 September 2018;  doi: 10.21926/obm.icm.1803017

Abstract

Background: To manage the adverse effects of anti-cancer treatment, the Homeopathic Clinic of Lucca collaborated with the oncology department of the the Health Unit Toscana North West Lucca and set up an Integrative Oncology Outpatient Unit in the Public Hospital Campo di Marte. Aim: The purpose of this study was to present the results of the homeopathic and complementary integrative medicine treatment targeted at reducing the adverse effects of anti-cancer therapy and cancer symptoms, and to give dietary and lifes [...]

2441 23004

Open Access Original Research

Homeopathy and Cancer – Some Conceptual Issues

Received: 06 June 2018;  Published: 23 August 2018;  doi: 10.21926/obm.icm.1803016

Abstract

This paper explores some of the conceptual issues that arise when comparing homeopathy with the mainstream medical system, both in terms of their underpinning philosophies and in their treatment methods, and especially when applied to the problem of cancer. A review is under-taken of the key concepts that underpin both medical approaches: the holistic approach of homeopathy and the reductionist approach of mainstream medicine. The article closes with a discussion of the emerging conflicts between classical homeopat [...]

2436 38640

Open Access Original Research

The Four-Facet Model of Eudaimonic Resilience and Its Relationships with Mindfulness, Perceived Stress and Resilience

Received: 10 July 2018;  Published: 21 August 2018;  doi: 10.21926/obm.icm.1803015

Abstract

Elevated levels of psychological distress in university students is a growing area of concern as it is associated with a variety of consequences including mental illness symptoms, absenteeism, and poor academic performance. A growing body of research has indicated that resilience in university students is associated with reduced psychological distress and perceived stress. The construct of resilience and the factors that contribute to its development are not well understood, hampering the development of effective i [...]

1873 11515

Open Access Original Research

Emotional Freedom Techniques for Food Cravings in Overweight Adults: A Comparison of Treatment Length

Received: 17 May 2018;  Published: 02 July 2018;  doi: 10.21926/obm.icm.1803014

Abstract

(1) Background: Because patients vary in their response to treatment, including adherence, the effect of treatment length in the use of EFT on food cravings was examined by comparing two studies in order to ascertain if shorter programs are as effective. This may then impact treatment adherence and completion. (2) Methods: In study one, 96 overweight and obese adults were randomly allocated to a 4-week treatment for their food craving or waitlist condition. In study two, an 8-week EFT program for 47 adults, the sam [...]

2103 11159

Open Access Case Report

Living with Spondylolisthesis with (Relative) Equanimity

Received: 23 April 2018;  Published: 02 July 2018;  doi: 10.21926/obm.icm.1803013

Abstract

Objectives: Living with any chronic pain condition is a challenge that can be met when one reduces reactivity to the sensory and evaluative aspects of it. The aim of this case study is to show how a clinical psychologist with expertise in chronic illness applied Buddhist principles to her own experience. Methods: When one realizes that suffering is the combination of pain plus resistance then one can learn how to accept rather than exacerbate it. Applying the Four Noble Truths from Buddhist psychology to understand [...]

1900 9765

Open Access Communication

Auricular Interventions in Neurology: the Vascular Autonomic Signal Challenge

Received: 09 May 2018;  Published: 25 June 2018;  doi: 10.21926/obm.icm.1802012

Abstract

The Auricular approach to diagnostics and therapeutics has gained momentum over the last 15 years. Battlefield Acupuncture has taken on a life of its own and has been adopted into NATO and even been introduced into neonatal intensive care. It is time to take on the challenge of Auricular Medicine - the application of the neurophysiological phenomenon referred to as the Vascular Autonomic Signal or VAS to identify active ear sites in Auricular interventions. It is time to utilize the VAS in therapeutics, recognizing [...]

2252 13070

Open Access Review

The Efficacy of Mindfulness-Based Interventions on Depressive Symptoms and Quality of Life: A Systematic Review of Randomized Controlled Trials

Received: 28 March 2018;  Published: 25 June 2018;  doi: 10.21926/obm.icm.1802011

Abstract

Background: An increasing number of patients and practitioners are using mindfulness meditation programs despite uncertainty about the evidence supporting these programs’ health benefits. Aim: To review the current evidence on the effectiveness of mindfulness-based interventions (MBI) on depressive symptoms and quality of life (QOL) among patients with depression comorbid medical conditions and those with major depressive disorder. Methods: A comprehensive search of PubMed, Ovid MEDLINE, and PsycINFO was performed [...]

2154 12612

Open Access Original Research

A Multi-modal Intervention after Stroke: The Caregiver Experience

Received: 07 March 2018;  Published: 11 June 2018;  doi: 10.21926/obm.icm.1802010

Abstract

Background: A fall prevention intervention was delivered to people with chronic stroke (Merged Yoga and Occupational Therapy intervention-MY-OT). All caregivers were invited to also attend the 8-week intervention and were included in these analyses. Methods: The aim of this study was to examine changes in caregiver burden, positive aspects of caring, and caregiver's experiences after participating in the MY-OT intervention. This was a secondary data analyses and the purpose of this mixed-methods study was to quanti [...]

1949 10439

Open Access Review

Healthcare Clowning: Use of Specific Complementary and Alternative Medicine for Hospitalized Children

Received: 16 February 2018;  Published: 31 May 2018;  doi: 10.21926/obm.icm.1802009

Abstract

Clowning has a varied tradition and a long history. Recently, clowns have been adopted in the medical setting with the aim of decreasing the negative emotions that can be experienced during hospitalization and medical procedures, as well as inducing positive feelings in patients, their relatives, and the hospital staff. Due to an increase in the number of clowns working in hospitals and the large amount of interest shown in utilizing this approach, an increasing number of studies have focused on testing the efficac [...]

2305 13906

Open Access Case Report

Dietary Supplements in Dyslipidemia

Received: 04 March 2018;  Published: 23 May 2018;  doi: 10.21926/obm.icm.1802008

Abstract

Lifestyle and dietary interventions can have a significant impact on patients with dyslipidemia and should be encouraged with the use of dietary supplements. With new research, there is evidence that using dietary supplements, specifically nutraceuticals can be helpful for cholesterol management. Four commonly used supplements are: Red Yeast Rice, Omega 3 Fatty Acids, Niacin and Berberine.

1826 9341

Open Access Original Research

Leveraging Mindfulness to Build Resilience and Professional Quality of Life in Human Service Professionals

Received: 04 April 2018;  Published: 15 May 2018;  doi: 10.21926/obm.icm.1802007

Abstract

Objective: Mindfulness-based interventions (MBIs) have shown promise in cultivating resilience and are widely accepted as efficacious in the treatment of a range of psychological disorders. This paper explores the feasibility of a Mindful-Awareness and Resilience Skills Training (MARST) program to enhance mindfulness and resilience, as a means of increasing psychological well-being and alleviating burnout and compassion fatigue in human service professionals. Method: In this randomised control trial, 46 human servi [...]

2264 16462

Open Access Original Research

Mindfulness Meditation in College Students to Advance Health Equity

Received: 21 February 2018;  Published: 15 May 2018;  doi: 10.21926/obm.icm.1802006

Abstract

Purpose: High levels of mindfulness correspond with some positive health behaviors such as exercise participation, fruit and vegetable intake, and effective stress management. This study provided mindfulness meditation during an academic semester to a group of predominantly minority college students derived from a population in which 77.9% of the students are considered economically disadvantaged, to assess the effects of mindful meditation on various health behaviors and mindfulness to combat avoidable health ineq [...]

2001 12927

Open Access Review

How Can Acupuncture Be Used in Treating Dementia?

Received: 02 March 2018;  Published: 23 April 2018;  doi: 10.21926/obm.icm.1802005

Abstract

Background: Dementia erodes the quality of life of patients and their caregivers, and the growing dementia population threatens public finance in the health and social services. In addition to formal medical treatments, complementary and alternative medicine is applicable to dementia, in which acupuncture has become an option for prevention, remedy, and rehabilitation. Acupuncture is a traditional Chinese medical method that uses needle penetration at acupoints (specific points throughout the body which will be sti [...]

2228 12731

Open Access Editorial

Application of Additive Homeopathy in Cancer Patients

Received: 07 April 2018;  Published: 20 April 2018;  doi: 10.21926/obm.icm.1802004

Abstract

Oncology patients often suffer from the side-effects of conventional therapy, such as chemotherapy, radiation and/or surgery. Additive complementary medicine, such as homeopathy might be beneficial in the support of these patients. Several case reports as well as some studies have suggested the beneficial effects of homeopathy in cancer patients. Furthermore, homeopathy may also be helpful in improving quality of life (QoL). Homeopathic remedies also offer the advantage that they can be combined with a variety of c [...]

1871 10005

Open Access Case Report

Miraculous Healings of Chronic Lyme disease, Fibromyalgia and Sarcoidosis without the Use of Pharmaceuticals or Antibiotics

Received: 09 March 2018;  Published: 12 April 2018;  doi: 10.21926/obm.icm.1802003

Abstract

While “miraculous healings” of various disease states have been scientifically reported previously, the exact mechanism, which allow for these seeming miracles or spontaneous remissions is poorly understood. [1,2,3,4,5,6,7,8,9,10,11,12,13,14,15] By contrast, the mechanism of action underlying the “miraculous healings” in the three case studies reported herein: Sarcoidosis, Chronic Lyme disease and Fibromyalgia seems to be understood with greater clarity, as these case reports are representative of the many hundreds [...]

2204 21967

Open Access Review

Obesity and Non-Alcoholic Fatty Liver - Therapies in Ayurvedic Medicines

Received: 10 February 2018;  Published: 28 March 2018;  doi: 10.21926/obm.icm.1801002

Abstract

Ayurveda is an ancient Indian medicinal practice. The present review includes translational research characterizing obesity, non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH). We reviewed published research on improving function through Ayurvedic medicine by searching electronic databases (Medline, Embase) using terms such as: Ayurveda, obesity, NAFLD, NASH, the effect of exercise interventions in obesity, change in body composition. We aim to (1) determine the immuno-pathology of [...]

2110 20468

Open Access Communication

Open Dialogue and the Impact of Therapist Mindfulness on the Health of Clients

Received: 28 January 2018;  Published: 27 March 2018;  doi: 10.21926/obm.icm.1801001

Abstract

The value of mindfulness for clinical staff in the mental health field has thus been increasingly recognised over recent year and thus is now culminating in the evaluation and, potential future role out, of whole system approaches like Open Dialogue that put clinician mindfulness at the heart of the model. It is anticipated that this will ultimately be for the benefit of both staff and clients of these services alike, creating improvements and improving lives, therefore, on many levels.

1982 9031

Open Access Editorial

Auricular Medicine

Received: 07 November 2017;  Published: 10 November 2017;  doi: 10.21926/obm.icm.1704004

Abstract

The treatment by auricular therapy has a long history. Ear acupoint research has been advancing step by step worldwide [1-17] . The introduction of lasers into medicine brought besides the already existing stimulation with needles, electricity, pressure and liquids an additional technique to auricular acupuncture.

1790 9351

Open Access Review

Spirituality in Medical Acupuncture

Received: 02 May 2017;  Published: 20 July 2017;  doi: 10.21926/obm.icm.1703003

Abstract

Spirituality may be generally conceptualized as the precious, personal path of our apparently soulful vital energy within the context of the power of our compassionate consciousness. The body, mind and spirit encompasses a constantly inspiring vital energetic field that must be in diligent interaction and harmony in the interest of past, present and future generations. In the clinical application of the healing arts and sciences, as physicians or other dedicated health care providers of whatever nation, race, cultu [...]

1841 8666

Open Access Review

Healthcare-Related Qigong for the Prevention of Lifestyle-Related Diseases

Received: 19 February 2017;  Published: 08 May 2017;  doi: 10.21926/obm.icm.1702002

Abstract

Qigong is a form of traditional Chinese exercise combining breathing, movement, and meditation to improve fitness for the purpose of preventing disease and prolonging life. We review the clinical efficacy and underlying mechanism of the application of Qigong in the healthcare setting. In addition, we discuss topics such as the impacts on respiratory, cardiovascular function, and immune function, as well as studies of the influences on brain function and mental health. In summary, there is strong evidence of the cli [...]

2085 12789

Open Access Original Research

Modulation of Excitability of Spinal Neural Functions by Acupoint Stimulation Physical Therapy at LU5 (Chize) in Three Hemiplegic Patients with Cerebrovascular Disease

Received: 21 January 2017;  Published: 20 February 2017;  doi: 10.21926/obm.icm.1701001

Abstract

(1) Background: Acupoint stimulation physical therapy (ASPT) is a novel method of physical therapy that combines physical and acupuncture methods. This study aimed to examine the effect of ASPT in three hemiplegic patients with cerebrovascular disease using F-wave as a measure of the excitability of spinal neural function. (2) Methods: Subjects included three hemiplegic patients with cerebrovascular disease who presented with three types of neurological findings. All patients had moderate hypertonic muscles on the [...]

1658 9118

Open Access Research Article

Effects of Acupuncture at the Left Weizhong Acupoint on Heart Rate Variability in Thirty Post-Stroke Patients—Results from a Transcontinental Teleacupuncture Study

Received: 08 June 2016;  Published: 23 August 2016;  doi: 10.21926/obm.icm.1601003

Abstract

(1) Background: Within this study, we assessed the effects of acupuncture on heart rate variability (HRV) in Chinese post-stroke patients. (2) Methods: In 30 Chinese post-stroke patients (14 f, 16 m; mean age ± SD 64.3 ± 3.8 years; range 40 - 80 years) electrocardiographic signals before, during and after acupuncture at the left Weizhong acupoint (BL40) were recorded in Harbin and analyzed in Graz using teleacupuncture via internet. HRV data were analyzed in the time and frequency domain and a protoco [...]

1650 9271

Open Access Original Research

Modernization of Acupuncture Education in Europe and China: A Report from Austria

Received: 24 May 2016;  Published: 17 August 2016;  doi: 10.21926/obm.icm.1601002

Abstract

The present report deals with some current important aspects of traditional Chinese medicine (TCM) education and practice in Europe and China. The data and facts are based on a lecture of one of the authors (G.L.) prepared for a conference in Wuhan about acupuncture education in Europe, and lectures of two high-ranking representatives of renowned Chinese institutions (State Administration of TCM and Heilongjiang University of Chinese Medicine, Harbin). In addition to current figures regarding TCM in general, the ad [...]

2165 24139

Open Access Editorial

ICM-OBM—There’s No Better Way to Publish Your Complementary Medical, Basic and Clinical Research Results

Received: 27 May 2016;  Published: 15 August 2016;  doi: 10.21926/obm.icm.1601001

Abstract

Integrative and Complementary Medicine (ICM-OBM) is an international peer-reviewed, open-access journal which covers all evidence-based scientific studies on integrative and complementary approaches to improving health and quality of life. Integrative and complementary medicine comprises science-oriented “university” or academic medicine, but also experience-based medicine with all its complementary methods. It is not a special field in itself, but a signal for an all-encompassing medicine, open-minded about the p [...]

1590 9987

Open Access Review

Piperine: A Savor Inducer and a Cancer Reducer

Received: 26 July 2021;  Published: 15 September 2021;  doi: 10.21926/obm.hg.2103061

Abstract

Spices have been used for many decades, and although new and improved culinary spices have been developed, black pepper (Piper nigrum) continues to retain its distinguished title as the “King of spices” due to its particular pungent taste. An alkaloid called piperine is the main component in black pepper that, besides generating the well-known taste, imparts well-documented immunomodulatory, anti-inflammatory, antimicrobial, antioxidant, and even anti-cancer properties; these properties have led to rigorous researc [...]

1065 8467

Open Access Review

Gastro-Esophageal Reflux in the Newborn: Pathologic Event or Does Spit Happen?

Received: 19 April 2021;  Published: 13 August 2021;  doi: 10.21926/obm.hg.2103060

Abstract

Infants admitted to Neonatal Intensive Care Units (NICUs) are among the most vulnerable patients in medicine and are at risk for a variety of morbidities, many of which require pharmacologic therapy. Gastroesophageal Reflux Disease (GERD) is a common diagnosis in the NICU patient population and may or may not represent a truly pathologic process. Regardless, pharmacologic therapy is provided to many infants, who are already exposed to an inordinate number of pharmacologic agents, of which most are off label and hav [...]

1167 8443

Open Access Review

Non-Celiac Gluten Sensitivity in Children: Controversial Role of Gluten and Diagnostic Enigma

Received: 07 July 2021;  Published: 22 July 2021;  doi: 10.21926/obm.hg.2103059

Abstract

Non-celiac gluten sensitivity (NCGS) is a debatable condition that affects less than 6% of children. The absence of specific diagnostic markers and standardized diagnostic procedures make the diagnosis of NCGS challenging, covering patients with different and varied symptoms. Generally, the parents of small and younger children introduce a gluten-free diet (GFD) based on their personal experiences and expectations. Additionally, a “fad component” exists, contributing to the recent rise in the popularity of GFD. Thu [...]

1274 5676

Open Access Original Research

The Timing of Endoscopic Evaluation of Anti-TNFα Therapy Patients with Ulcerative Colitis

Received: 10 August 2020;  Published: 09 July 2021;  doi: 10.21926/obm.hg.2103058

Abstract

Anti-TNFα Therapy are used to induce remission and as maintenance therapy in refractory ulcerative colitis (UC) to achieve mucosal healing (MH). However, the time at which mucosal healing should be assessed is unclear. We retrospectively examined the optimal timing for colonoscopy and the criteria to determine the need for the continuation of treatment. We evaluated 44 UC patients that were treated with anti-TNFα Therapy and categorized them into the following groups according to the degree of MH within 12 months: [...]

1025 5503

Open Access Case Report

Varicella-Zoster Gastritis in a Liver Transplant Patient: A Call to Attention

Received: 01 March 2021;  Published: 21 June 2021;  doi: 10.21926/obm.hg.2102057

Abstract

The reactivation of the Varicella-zoster virus (VZV) is a rare cause of acute gastritis in adults. About 30 cases have been reported in the literature, mostly with immunocompromised patients and mainly after bone marrow transplantation or during the development of malignant hematological diseases. Clinically, it is usually accompanied by cutaneous manifestations. Here, we studied a case of VZV gastritis in a liver transplant (LT) patient. We described the main symptoms, endoscopic findings, histologic changes, and [...]

1178 5622

Open Access Review

The Effects of Mediterranean Diet on the Human Gut Microbiota; a Brief Discussion of Evidence in Humans

Received: 09 November 2020;  Published: 05 February 2021;  doi: 10.21926/obm.hg.2101056

Abstract

The Mediterranean diet (MD) is considered one of the healthiest dietary patterns due to its rich provision of phytochemicals, antioxidants, vitamins, fiber, polyunsaturated, omega-3, and short-chain fatty acids through a variety of foods. The supply of such nutrients and bioactive components can support gut health and reduce systemic inflammation, with accumulating evidence from several human studies demonstrating the utility of the Mediterranean diet in the prevention of chronic and metabolic diseases. Further stu [...]

1395 8033

Open Access Commentary

Deconstructing then Priming Gut Microbiota Resilience

Received: 11 December 2020;  Published: 01 February 2021;  doi: 10.21926/obm.hg.2101055

Abstract

The human intestinal microbiota represents a complex microbial community that plays an essential role in the maintenance of host health. Over the last decade, metagenomic and metabolomic analyses have revealed the influence of intestinal microbial diversity and composition on a range of biological functions in the host. While overall taxonomic composition of the intestinal microbiome is informative, changes in spatial dynamics within the community also have profound biological significance as microbial functions ar [...]

1391 8286

Open Access Editorial

Acknowlegement to Reviewers of OBM Hepatology and Gastroenterology in 2020

Received: 04 January 2021;  Published: 05 January 2021;  doi: 10.21926/obm.hg.2101054

Abstract

The editors of OBM Hepatology and Gastroenterology would like to express their sincere gratitude to the following reviewers for assessing manuscripts in 2020. We greatly appreciate the contribution of expert reviewers, which is crucial to the journal's editorial process. We aim to recognize reviewer contributions through several mechanisms, of which the annual publication of reviewer names is one. Reviewers receive a voucher entitling them to a discount on their next LIDSEN publication and can download a certificat [...]

1109 5783

Open Access Original Research

Multi-Species Probiotic Modulates Cytokine Production and the Interplay between Immune and Colon Cancer Cells

Received: 28 June 2020;  Published: 19 November 2020;  doi: 10.21926/obm.hg.2004053

Abstract

The current study aimed to investigate the effect of a multi-species probiotic (MSP) on cytokine production by human peripheral blood mononuclear cells (PBMCs) and their immune dialogue with HT-29 colon cancer cells. PBMCs were incubated with MSP and their effect on cell proliferation and TNFα, IL-1β, IL-2, IL-6, IFNγ, IL-10, and IL-1ra production was evaluated. The impact of MSP on the cytokine production by PBMC stimulated by HT-29 cells was detected. Not-stimulated PBMC incubated with MSP showed increased produc [...]

1413 7592

Open Access Review

The Physiology of Esophageal Reflexes

Received: 17 August 2020;  Published: 02 November 2020;  doi: 10.21926/obm.hg.2004052

Abstract

Several digestive tract reflexes involving the esophagus and its sphincter muscles have been identified, but to date, no comprehensive review has addressed most of these reflexes. The current review presents the known physiology of different esophageal reflexes in which either the esophagus or its sensory or motor portion of the reflex response is elaborated. The current review comprehensively examines the known and possible mechanisms underlying major esophageal reflexes, highlights the huge gaps in current knowle [...]

2250 8918

Open Access Case Report

Porto-Sinusoidal Vascular Disease with Obliterative Portal Venopathy Associated with Long-Term Azathioprine for Crohn’s Disease

Received: 04 March 2020;  Published: 25 September 2020;  doi: 10.21926/obm.hg.2003051

Abstract

Patients receiving immunosuppressive therapy for inflammatory bowel disease may be susceptible to non-cirrhotic portal hypertension, now referred to as porto-sinusoidal vascular disease. Here we describe a patient treated with long-term azathioprine for Crohn’s disease who developed porto-sinusoidal vascular disease with obliterative portal venopathy without nodular regenerative hyperplasia on histology. Specific signs of portal hypertension were present, including porto-systemic collaterals on imaging. Histopathol [...]

1569 8129

Open Access Review

Human Gut Microbiota: Friend or Foe?

Received: 06 March 2020;  Published: 07 August 2020;  doi: 10.21926/obm.hg.2003050

Abstract

The human gut is a house to approximately 1,000 different species of bacteria. The bacterial composition of gut microbiota is influenced by several factors, including age, sex, mode of delivery, geographical location, ethnicity, diet, drugs, and administration of prebiotics and/or probiotics. Similarly, human health depends on the composition of gut microbiome, with gut bacteria playing a crucial role in human physiology. For instance, gut microbiota synthesizes vitamins and amino acids, and affects the biotransfor [...]

1559 8598

Open Access Review

Use of Organs from Hepatitis C Viremic Donors: Addressing the Needs of a Changing Waitlist and the Effect of a Public Health Crisis

Received: 14 May 2020;  Published: 20 July 2020;  doi: 10.21926/obm.hg.2003049

Abstract

The combination of broad screening initiatives and development of effective antiviral therapies have led to a revolution in the treatment of hepatitis C virus and has reduced the proportion of patients with the virus who develop a need for liver transplantation in favor of other etiologies, such as alcohol-related liver disease and non-alcoholic steatohepatitis. However, the opioid epidemic and rise in injection drug use in the United States has simultaneously led to otherwise healthy hepatitis C viremic patients d [...]

1486 6732

Open Access Original Research

Prevalence of Chronic Constipation and Irritable Bowel Syndrome, and their Overlap, among Female Undergraduate Students in Japan

Received: 10 April 2020;  Published: 19 May 2020;  doi: 10.21926/obm.hg.2002048

Abstract

Chronic constipation and irritable bowel syndrome (IBS) are two of the most common functional gastrointestinal disorders, both of which negatively affect the quality of life of the patients. Since people may have co-existing symptoms of multiple disorders, chronic constipation and IBS with predominant constipation cannot be clearly distinguished. In this cross-sectional study, data were obtained from self-administered questionnaires to assess the prevalence of chronic constipation and IBS, and their overlap, among [...]

1335 8078

Open Access Original Research

Association between Sleep Deprivation and Metformin Treatment on Pancreatic and Liver Function in Mice

Received: 10 March 2020;  Published: 18 May 2020;  doi: 10.21926/obm.hg.2002047

Abstract

Metformin has been widely used as a therapeutic drug for hyperglycemia and diabetes. Sleep is a vital and restorative process that is necessary for the proper functioning of organs. Sleep deprivation can induce multi-organ injury, including damage to the pancreas and liver that may result in hyperglycemia and diabetes. We studied the role of metformin in reversing sleep deprivation-induced hyperglycemia and pancreatic and liver dysfunction in mice. Mice were kept in cages and fed water and food ad libitum. Mice wer [...]

1408 8997

Open Access Review

Can HCV Viremic Organs Be Used in Liver Transplantation to HCV Negative Recipients?

Received: 02 February 2020;  Published: 24 April 2020;  doi: 10.21926/obm.hg.2002046

Abstract

Liver transplantation has steadily increased worldwide resulting in a large number of patients on the waiting list. Due to the opioid epidemic in the US, the pool of Hepatitis C seropositive donors increased significantly in recent years. Direct acting antivirals played an instrumental role in making liver transplantation with hepatitis C positive allograft an acceptable option. Although hepatitis C positive liver transplantation to hepatitis C positive recipients is a common practice, there is limited data and agr [...]

1445 7458

Open Access Review

Low Prevalence of Spontaneous Bacterial Peritonitis in Ambulatory Asymptomatic Cirrhotic Patients: Consequences in Patients’ Care

Received: 21 August 2019;  Published: 15 April 2020;  doi: 10.21926/obm.hg.2002045

Abstract

The literature on the prevalence of spontaneous bacterial peritonitis (SBP) in cirrhotic outpatients who visited the hospital for therapeutic abdominal paracentesis was reviewed in order to assess the usefulness of urinary strips in this setting. The authors reviewed the studies published as peer-reviewed articles on the prevalence of SBP in ambulatory outpatients who visited the hospital for therapeutic paracentesis. Five such studies were available in the literature. It was found that the prevalence of SBP was in [...]

1231 6750

Open Access Opinion

Vitamin D in Patients with Chronic Hepatitis C Virus Infection Receiving the Direct Antiviral Agents

Received: 23 February 2020;  Published: 30 March 2020;  doi: 10.21926/obm.hg.2001044

1490 6949

Open Access Comment

On the Pathogenesis of Crohn´s Disease

Received: 07 February 2020;  Published: 09 March 2020;  doi: 10.21926/obm.hg.2001043

1399 6802

Open Access Review

Endoscopic Therapy for Recurrent Acute Pancreatitis

Received: 17 October 2019;  Published: 23 December 2019;  doi: 10.21926/obm.hg.1904042

Abstract

Recurrent acute pancreatitis (RAP) is a clinical entity characterized by episodes of acute pancreatitis which occurs on more than one occasion. Recurrence of pancreatitis generally occurs in a setting of a normal anatomical and functional gland, however, a chronic disease at early stage may be found either on the occasion of the first episode of pancreatitis or during the follow-up. The etiology of RAP can be identified in up to 70% of cases; for the remaining cases the term “idiopathic” is used. Most common caus [...]

1397 7728

Open Access Original Research

The Daclatasvir/Asunaprevir/Beclabuvir Combination Therapy for Chronic Hepatitis C Patients Experiencing Failure of IFN-Free DAA-Based Therapies

Received: 29 September 2019;  Published: 17 December 2019;  doi: 10.21926/obm.hg.1904041

Abstract

Background: Daclatasvir/asunaprevir/beclabuvir (DCV/ASV/BCV) combination therapy had been available for the treatment of chronic hepatitis C patients with genotype 1 (CHG1) in Japan. Our aim was to report the efficacy and safety of DCV/ASV/BCV in patients experiencing treatment failure with interferon (IFN)-free direct-acting antiviral agent (DAA)-based therapies, which have not been fully evaluated. Methods: We evaluated the efficacy and safety of 12-week DCV/ASV/BCV combination therapy for CHG1 patients experien [...]

1307 7940

Open Access Case Report

Hypereosinophilia with Gastrointestinal Involvement: A Case Report

Received: 29 September 2019;  Published: 22 November 2019;  doi: 10.21926/obm.hg.1904040

Abstract

Hypereosinophilic syndrome is currently defined by an absolute blood eosinophil count of more of 1500 cell per μL for more than 1 month and by multiorgan system infiltration. Eosinophilic colitis is an exceptionally rare inflammatory condition in which eosinophils infiltrate the colonic gut. It represents the least frequent manifestation of the wide spectrum of eosinophilic gastrointestinal disorders. We describe a case of an adult male patient with persistent eosinophilia for at least twenty-five years. During thi [...]

1475 9529

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