Complementary and Alternative Medicine

Alternative medicine describes practices used in place of conventional medical treatments. Complementary medicine describes alternative medicine used in conjunction with conventional medicine. The term complementary and alternative medicine (CAM) is an umbrella term for both branches. Alternative medicine includes practices that incorporate spiritual, metaphysical, or religious underpinnings; non-European medical traditions, or newly developed approaches to healing. There are almost 500 such systems. Alternative medical systems - edit Ayurveda Chiropractic Herbalism Homeopathy Naturopathic Medicine Osteopathic medicine Traditional Chinese Medicine Unani NCCAM classifications [2] 1. Alternative Medical Systems 2. Mind-Body Intervention 3. Biologically Based Therapy 4. Manipulative and body-based methods 5. Energy Therapy See also Alternative medicine The National Center for Complementary and Alternative Medicine defines complementary and alternative medicine as "a group of diverse medical and health care systems, Prácticas, and products that are not presently considered to be part of conventional medicine". It also defines integrative medicine as "[combining] mainstream medical therapies and CAM therapies for which there is some high-quality scientific evidence of safety and effectiveness".[1] Proponents of evidence-based medicine regard the distinction between conventional and alternative medicine as moot, preferring "good medicine" (with provable efficacy) y "bad medicine" (without it). "Bad medicine" is any treatment where the efficacy and safety of which has not been verified through peer-reviewed, double blind placebo controlled studies, regarded as the "gold standard" for determining the efficacy of a compound. It is thus possible for a method to change categories in either direction, based on increased knowledge of its effectiveness or lack thereof. [2] Contenido 1 Alternative Definition 2 Problems in definition 3 Regulation 4 Contemporary use of alternative medicine 4.1 Medical education 4.2 Public popularity 5 Support for alternative medicine 5.1 Efficacy 5.2 Danger reduced when used as a complement to conventional medicine 6 Criticism of alternative medicine 6.1 Efficacy 6.1.1 Lack of proper testing 6.1.2 Problems with known tests and studies 6.2 La seguridad 6.2.1 Delay in seeking conventional medical treatment 6.2.2 Danger can be increased when used as a complement to conventional medicine 6.2.3 Danger from undesired side-effects 6.2.4 Danger related to self-medication 6.2.5 Issues of regulation 7 Evidence-based medicine 8 Notas 9 Referencias 10 Otras lecturas 10.1 Dictionary definitions 10.2 World Health Organization publication 10.3 Journals dedicated to alternative medicine research 10.4 Other works that discuss alternative medicine 11 Enlaces externos 11.1 Criticism Alternative Definition The terms "alternative medicine", "complementary medicine" y "CAM" are generally understood in terms of their relationship to mainstream medicine, as described above.[3] Richard Dawkins, Professor of the Public Understanding of Science at Oxford, argues for a different definition of alternative medicine, based not on sphere of usage but on evidence: "alternative medicine is defined as that set of practices which cannot be tested, refuse to be tested, or consistently fail tests. If a healing technique is demonstrated to have curative properties in properly controlled double-blind trials, it ceases to be alternative. It simply...becomes medicine." He also states that "There is no alternative medicine. There is only medicine that works and medicine that doesn't work."[4] Well-known proponents of evidence-based medicine who study CAM, such as the Cochrane Collaboration and Edzard Ernst, Professor of Complementary Medicine at the University of Exeter, have retained CAM's generally-accepted definition and do not define CAM as Dawkins does. In their view, there can be "good CAM" o "bad CAM" based on evidentiary support. [5][6][7] Problems in definition The main problem that most scientists have with this terminology is that the CAM definition is not sufficiently culturally senstive, since what is "alternative" and/or "complementary" towards a pre-existing medical tradition/school can be very different in different cultures of the world.So, what in the West is considered "alternative" medicine may elsewhere be considered "traditional" medicine - for example Chinese medicine and Ayurveda. Paradoxically, industrial "pharmaceuticals" could also be seen as CAMs within the context of traditional medicine/traditional healers in Africa or even among Traditional Chinese Medicine. Other continental European scientific communities -- with even a much longer history in traditional medicine or herbal medicine (such us Germany or France)-- do not know this term, neither do they use it. Moreover, the list of what is considered to be CAM can change continually, as those therapies that are proven to be safe and effective become adopted into conventional health care and as new approaches to health care emerge. (eg Acupuncture, mindfulness CAM should not be confued with integrative medicine. Ralph Snyderman and Andrew Weil state "integrative medicine is not synonymous with complementary and alternative medicine (CAM). It has a far larger meaning and mission in that it calls for restoration of the focus of medicine on health and healing and emphasizes the centrality of the patient-physician relationship".[8] ==Classification of CAMs According to the NIH (Institutos Nacionales de Salud): 1. complementary medicine is used together with conventional medicine. An example of a complementary therapy is using aromatherapy to help lessen a patient's discomfort following surgery; 2. alternative medicine is used in place of conventional medicine. An example of an alternative therapy is using a special diet to treat cancer instead of undergoing surgery, radiation, or chemotherapy that has been recommended by a conventional doctor. A less extreme example would be choosing an echinacea medicine from a naturopath, for hayfever, rather than an NSAID pharmaceutical or conventional doctor recommendation/prescription. NCCAM classifies CAM therapies into five categories, or domains: 1. Alternative Medical Systems Alternative medical systems are built upon complete systems of theory and practice. Frecuentemente, these systems have evolved apart from and earlier than the conventional medical approach used in the United States. Examples of alternative medical systems that have developed in Western cultures include homeopathic medicine and naturopathic medicine. Examples of systems that have developed in non-Western cultures include traditional Chinese medicine and Ayurveda. 2. Mind-Body Interventions Mind-body medicine uses a variety of techniques designed to enhance the mind's capacity to affect bodily function and symptoms. Some techniques that were considered CAM in the past have become mainstream (por ejemplo, patient support groups and cognitive-behavioral therapy). Other mind-body techniques are still considered CAM, including meditation, prayer, mental healing, and therapies that use creative outlets such as art, música, or dance. 3. Biologically Based Therapies Biologically based therapies in CAM use substances found in nature, such as herbs, foods, and vitamins. Some examples include dietary supplements,3 herbal products, and the use of other so-called natural but as yet scientifically unproven therapies (por ejemplo, using shark cartilage to treat cancer).  4. Manipulative and Body-Based Methods Manipulative and body-based methods in CAM are based on manipulation and/or movement of one or more parts of the body. Some examples include chiropractic or osteopathic manipulation, and massage. See Bodywork 5. Energy Therapies Energy therapies involve the use of energy fields. They are of two types: Biofield therapies are intended to affect energy fields that purportedly surround and penetrate the human body. The existence of such fields has not yet been scientifically proven. Some forms of energy therapy manipulate biofields by applying pressure and/or manipulating the body by placing the hands in, or through, these fields. Examples include qi gong, Reiki, and Therapeutic Touch. Bioelectromagnetic-based therapies involve the unconventional use of electromagnetic fields, such as pulsed fields, magnetic fields, or alternating-current or direct-current fields. CAM is often erroneously confused in Western countries with traditional medicine. Regulation Jurisdiction differs concerning which branches of alternative medicine are legal, which are regulated, and which (if any) are provided by a government-controlled health service or reimbursed by a private health medical insurance company. A number of alternative medicine advocates disagree with the restrictions of government agencies that approve medical treatments (such as the American Food and Drug Administration) and the agencies' adherence to experimental evaluation methods. They claim that this impedes those seeking to bring useful and effective treatments and approaches to the public, and protest that their contributions and discoveries are unfairly dismissed, overlooked or suppressed. Alternative medicine providers often argue that health fraud should be dealt with appropriately when it occurs. In India, which is the home of several alternative systems of medicines, Ayurveda, Siddha, Unani, and Homeopathy are licenced by the government. Naturopathy will also be licensed soon because several Universities now offer bachelors degrees in it. Other activities connected with AM/CM, such as Panchakarma and massage therapy related to Ayurveda are also licenced by the government now. Contemporary use of alternative medicine Edzard Ernst wrote in the Medical Journal of Australia that "about half the general population in developed countries use complementary and alternative medicine (CAM)" (Ernst 2003). A survey (Barnes et al 2004) released in May 2004 by the National Center for Complementary and Alternative Medicine, part of the National Institutes of Health in the United States, found that in 2002, 36% of Americans used some form of alternative therapy in the past 12 Meses — a category that included yoga, meditation, herbal treatments and the Atkins diet. If prayer was counted as an alternative therapy, the figure rose to 62.1%. Another study by Astin et al (1998) suggests a similar figure of 40%. A British telephone survey by the BBC of 1209 adults in 1998 shows that around 20% of adults in Britain had used alternative medicine in the past 12 Meses (Ernst & Blanco 1999) The use of alternative medicine appears to be increasing. Eisenburg et al carried out a study in 1998 which showed that use of alternative medicine had risen from 33.8% en 1990 Para 42.1% en 1997. En el Reino Unido, un 2000 report ordered by the House of Lords suggested that "limited data seem to support the idea that CAM use in the United Kingdom is high and is increasing"[3].  Medical education Increasing numbers of medical colleges have begun offering courses in alternative medicine. Por ejemplo, the University of Arizona College of Medicine offers a program in Integrative Medicine under the leadership of Dr. Andrew Weil which trains physicians in various branches of alternative medicine which "neither rejects conventional medicine, nor embraces alternative practices uncritically." [4] In three separate research surveys that surveyed the 125 medical schools offering an MD degree, el 19 medical schools offering a DO degree, y 585 schools of nursing in the United States: 60 percent of U.S. medical schools offering an MD degree teach CAM, 95% of Osteopathic medical school teach CAM, y 84.8% of US schools of nursing teach CAM. (Wetzel et al 1998, Saxon et al 2004, Fenton & Morris 2003) En el Reino Unido, no medical schools offer courses that teach the clinical practice of alternative medicine. Sin embargo, alternative medicine is taught in several schools as part of the curriculum. Teaching is based mostly on theory and understanding alternative medicine, with emphasis on being able to communicate with alternative medicine specialists. To obtain competence in practicing clinical alternative medicine, qualifications must be obtained from individual medical societies. The student must have graduated and be a qualified doctor. The British Medical Acupuncture Society, which offers medical acupuncture certificates to doctors, is one such example, as is the College of Naturopathic Medicine UK and Ireland. Public popularity The NCCAM surveyed the American public on complementary and alternative medicine use in 2002. According to the survey[9]: 36 percent of U.S. adults age 18 years and over use some form of complementary and alternative medicine (CAM). When prayer specifically for health reasons is included in the definition of CAM, the number of adults using some form of CAM in 2002 rose to 62 por ciento. The majority of individuals (54.9%) used CAM in conjunction with conventional medicine. Most people use CAM to treat and/or prevent musculoskeletal conditions or other conditions associated with chronic or recurring pain. "The fact that only 14.8% of adults sought care from a licensed or certified CAM practitioner suggests that most individuals who use CAM" prefer to treat themselves." "Women were more likely than men to use CAM. The largest sex differential is seen in the use of mind-body therapies including prayer specifically for health reasons". "Except for the groups of therapies that included prayer specifically for health reasons, use of CAM increased as education levels increased". The most common CAM therapies used in the USA in 2002 were prayer (45.2%), herbalism (18.9%), breathing meditation (11.6%), meditation (7.6%), chiropractic medicine (7.5%), yoga (5.1%), body work (5.0%), diet-based therapy (3.5%), progressive relaxation (3.0%), mega-vitamin therapy (2.8%) and Visualization (2.1%) Support for alternative medicine Advocates of alternative medicine hold that alternative therapies often provide the public with services not available from conventional medicine. This argument covers a range of areas, such as patient empowerment, alternative methods of pain management, treatment methods that support the biopsychosocial model of health, stress reduction services, other preventive health services that are not typically a part of conventional medicine, and of course complementary medicine's palliative care which is practiced by such world renowned cancer centers such as Memorial Sloan-Kettering (see Vickers 2004).  Efficacy Advocates of alternative medicine hold that the various alternative treatment methods are effective in treating a wide range of major and minor medical conditions, and contend that recently published research (such as Michalsen 2003, Gonsalkorale 2003, and Berga 2003) proves the effectiveness of specific alternative treatments. They assert that a PubMed search revealed over 370,000 research papers classified as alternative medicine published in Medline-recognized journals since 1966 in the National Library of Medicine database (such as Kleijnen 1991, Linde 1997, Michalsen 2003, Gonsalkorale 2003, and Berga 2003).  Advocates of alternative medicine hold that alternative medicine may provide health benefits through patient empowerment, by offering more choices to the public, including treatments that are simply not available in conventional medicine: "Most Americans who consult alternative providers would probably jump at the chance to consult a physician who is well trained in scientifically based medicine and who is also open-minded and knowledgeable about the body's innate mechanisms of healing, the role of lifestyle factors in influencing health, and the appropriate uses of dietary supplements, Hierbas, and other forms of treatment, from osteopathic manipulation to Chinese and Ayurvedic medicine. En otras palabras., they want competent help in navigating the confusing maze of therapeutic options that are available today, especially in those cases in which conventional approaches are relatively ineffective or harmful." (Snyderman, Weil 2002) Although advocates of alternative medicine acknowledge that the placebo effect may play a role in the benefits that some receive from alternative therapies, they point out that this does not diminish their validity. Researchers who judge treatments using the scientific method are concerned by this viewpoint, desde, according to standard controlled studies, it is an acknowledgement of the inefficacy of alternative treatments. Danger reduced when used as a complement to conventional medicine A major objection to alternative medicine is that it may be done in place of conventional medical treatments. As long as alternative treatments are used alongside standard conventional medical treatments, most medical doctors find most forms of complementary medicine acceptable (Vickers 2004). Consistent with previous studies, the CDC recently reported that the majority of individuals in the United States (es decir,, 54.9%) used CAM in conjunction with conventional medicine. (CDC Advance Data Report #343, 2002) Patients should however always inform their medical doctor they are using alternative medicine. Some patients do not tell their medical doctors since they fear it will hurt their patient-doctor relationship. However some alternative treatments may interact with orthodox medical treatments. The issue of alternative medicine interfering with conventional medical practices is minimized when it is only turned to after the conventional medicine path has been exhausted. Many patients believe alternative medicine can help in coping with chronic illnesses for which conventional medicine offers no cure and only management. It is becoming more common for a patient's own MD to suggest alternatives when they cannot offer a treatment. Criticism of alternative medicine Due to the wide range of therapies that are considered to be "alternative medicine" few criticisms apply across the board. For more information about a particular therapy or branch of alternative medicine, including specific criticism, please refer to the following link: List of branches of alternative medicine. Criticisms directed at specific branches of alternative medicine range from the fairly minor (conventional treament is believed to be more effective in a particular area) to incompatibility with the known laws of physics (por ejemplo, in homeopathy).  Critics argue that alternative medicine practitioners may not have an accredited medical degree or be licensed physicians or general practitioners. This cannot always be considered a serious criticism, because unless a new system of medicine becomes established, it does not receive accreditation of any kind, except by its own professional organizations. This is the route homeopathy, ayurveda, siddha, unani, and naturopathy had to follow in those countries where it is now offered by accredited institutions. Proponents of the various forms of alternative medicine reject criticism as being founded in prejudice, financial self-interest, or ignorance. Refutations of criticism sometimes take the form of an appeal to nature. Efficacy Lack of proper testing Although proponents of alternative medicine often cite the large number of studies which have been performed, critics point out the fact that there are no statistics on exactly how many of these studies were controlled, double-blind peer-reviewed experiments or how many produced results supporting alternative medicine or parts thereof. They contend that many forms of alternative medicine are rejected by conventional medicine because the efficacy of the treatments has not been demonstrated through double-blind randomized controlled trials. Some skeptics of alternative practices point out that a person may attribute symptomatic relief to an otherwise ineffective therapy due to the natural recovery from or the cyclical nature of an illness (the regression fallacy), the placebo effect, or the possibility that the person never originally had a true illness [5].  Problems with known tests and studies Critics contend that observer bias and poor study design invalidate the results of many studies carried out by alternative medicine promoters. A review of the effectiveness of certain alternative medicine techniques for cancer treatment (Vickers 2004), while finding that most of these treatments are not merely "unproven" but are proven not to work, notes that several studies have found evidence that the psychosocial treatment of patients by psychologists is linked to survival advantages (although it comments that these results are not consistently replicated). The same review, while specifically noting that "complementary therapies for cancer-related symptoms were not part of this review", cites studies indicating that several complementary therapies can provide benefits by, por ejemplo, reducing pain and improving the mood of patients. Some argue that less research is carried out on alternative medicine because many alternative medicine techniques cannot be patented, and hence there is little financial incentive to study them. Drug research, por el contrario, can be very lucrative, which has resulted in funding of trials by pharmaceutical companies. Many people, including conventional and alternative medical practitioners, contend that this funding has led to corruption of the scientific process for approval of drug usage, and that ghostwritten work has appeared in major peer-reviewed medical journals. (Flanagin et al. 1998, Larkin 1999). Increasing the funding for research of alternative medicine techniques was the purpose of the National Center for Complementary and Alternative Medicine. NCCAM and its predecessor, the Office of Alternative Medicine, have spent more than $200 million on such research since 1991. The German Federal Institute for Drugs and Medical Devices Commission E has studied many herbal remedies for efficacy. [6] Safety Critics contend that "dubious therapies can cause death, serious injury, unnecessary suffering, and disfigurement" [7] and that some people have been hurt or killed directly from the various practices or indirectly by failed diagnoses or the subsequent avoidance of conventional medicine which they believe is truly efficacious [8].  Alternative medicine critics agree with its proponents that people should be free to choose whatever method of healthcare they want, but stipulate that people must be informed as to the safety and efficacy of whatever method they choose. People who choose alternative medicine may think they are choosing a safe, effective medicine, while they may only be getting quack remedies. Grapefruit seed extract is an example of quackery when multiple studies demonstrate its universal antimicrobial effect is due to synthetic antimicrobial contamination.[10][11][12][13][14] Delay in seeking conventional medical treatment They state that those who have had success with one alternative therapy for a minor ailment may be convinced of its efficacy and persuaded to extrapolate that success to some other alternative therapy for a more serious, possibly life-threatening illness. Por esta razón, they contend that therapies that rely on the placebo effect to define success are very dangerous. Danger can be increased when used as a complement to conventional medicine A Norwegian multicentre study examined the association between the use of alternative medicines (AM) and cancer survival. 515 patients using standard medical care for cancer were followed for eight years. 22% of those patients used AM concurrently with their standard care. The study revealed that death rates were 30% higher in AM users than in those who did not use AM: "The use of AM seems to predict a shorter survival from cancer." [15] Associate Professor Alastair MacLennan of the Department of Obstetrics and Gynaecology in Adelaide University, Australia reports that [Cómo hacer referencia y vincular a un resumen o texto] a patient of his almost bled to death on the operating table. She had failed to mention she had been taking "natural" potions to "build up her strength" for the operation - one of them turned out to be a powerful anticoagulant which nearly caused her death. Danger from undesired side-effects Conventional treatments are thoroughly checked for undesired side-effects, whereas alternative treatments are normally not. REDIRECT Template:Verify source Any alternative treatment that has a biological or psychological impact may also have potentially dangerous biological or psychological side-effects. Attempts to refute this sometimes use the appeal to nature fallacy, es decir. "that what is natural cannot be harmful".  Danger related to self-medication Similar problems as those related to self-medication also apply to parts of alternative medicine. Por ejemplo, an alternative medicine may instantly make problems better, but actually worsen problems in the long run. The result may be addiction[Cómo hacer referencia y vincular a un resumen o texto] and deteriorating health. Issues of regulation Critics contend that some branches of alternative medicine are often not properly regulated in some countries to identify who practices or know what training or expertise they may possess. Critics argue that the governmental regulation of any particular alternative therapy does necessitate that the therapy is effective. Evidence-based medicine Main article: Evidence-based medicine Evidence-based medicine (EBM) applies the scientific method to medical practice, and aims for the ideal that healthcare professionals should make "conscientious, explicit, and judicious use of current best evidence" in their everyday practice. Prof. Edzard Ernst is a notable proponent of applying EBM to CAM. This section is a stub. You can help by adding to it. NotesWhat is Complementary and Alternative Medicine (CAM)?. URL a la que se accede en 2006-07-11. ↑ "There cannot be two kinds of medicine - conventional and alternative. There is only medicine that has been adequately tested and medicine that has not, medicine that works and medicine that may or may not work. Once a treatment has been tested rigorously, it no longer matters whether it was considered alternative at the outset. If it is found to be reasonably safe and effective, it will be accepted." Angell M, Kassirer JP, Alternative medicine--the risks of untested and unregulated remedies. N Inglés J Med 1998;339:839. ↑ alternative medicine Function: sustantivo: "any of various systems of healing or treating disease (as chiropractic, homeopathy, or faith healing) not included in the traditional medical curricula taught in the United States and Britain." Merriam-Webster Online; retrieved from on 5 Agosto 2006. ↑ Dawkins, Richard (2003). A Devil's Chaplain, Weidenfeld & Nicolson. ↑ The Cochrane Collaboration Complementary Medicine Field, Obtenido 5 Agosto 2006. ↑ The HealthWatch Award 2005: Prof. Edzard Ernst Complementary medicine: the good the bad and the ugly., retrieved 5 Agosto 2006 ↑ "Complementary medicine is diagnosis, treatment and/or prevention which complements mainstream medicine by contributing to a common whole, by satisfying a demand not met by orthodoxy or by diversifying the conceptual frameworks of medicine." Ernst et al British General Practitioner 1995; 45:506 ↑ Snyderman, R.; Weil, Un. T. (2002-02-25). "Integrative Medicine: Bringing Medicine Back To Its Roots". Archives of Internal Medicine. Recuperado el 2006-07-11. PMID 11863470 ↑ Barnes, P. M.; Powell-Griner, E.; McFann, K.; Nahin, R. L. (2004). "Complementary and Alternative Medicine Use Among Adults: Estados Unidos, 2002". National Center for Health Statistics. ↑ Ganzera M, Aberham A, Stuppner H. Development and validation of an HPLC/UV/MS method for simultaneous determination of 18 preservatives in grapefruit seed extract. Institute of Pharmacy, University of Innsbruck, Innrain 52, 6020 Innsbruck, Austria. J Agric Food Chem. 2006 Mayo 31;54(11):3768-72. Abstracto ↑ Takeoka, G., Dao, L., Wong, R.Y., Lundin, R., Mahoney N. Identification of benzethonium chloride in commercial grapefruit seed extracts. J Agric Food Chem. 2001 49(7):3316–20. Abstracto ↑ von Woedtke, T., Schlüter, B., Pflegel, PAGS., Lindequist, U.; Jülich, W.-D. Aspects of the antimicrobial efficacy of grapefruit seed extract and its relation to preservative substances contained. Pharmazie 1999 54:452–456. Abstracto ↑ Sakamoto, S., sato, K., Maitani, T., Yamada, T. Analysis of components in natural food additive “grapefruit seed extractby HPLC and LC/MS. Bull. Natl. Inst. Health Sci. 1996, 114:38–42. Abstracto ↑ Takeoka, G.R., Dao, L. T., Wong, R.Y., Harden L.A. Identification of benzalkonium chloride in commercial grapefruit seed extracts. J Agric Food Chem. 2005 53(19):7630–6. Abstracto ↑ Risberg T, et al. Does use of alternative medicine predict survival from cancer? Eur J Cancer 2003 Feb;39(3):372-7 [1] References Astin JA "Why patients use alternative medicine: results of a national study" JAMA 1998; 279(19): 1548-1553 Barnes P, Powell-Griner E, McFann K, Nahin R. "Complementary and Alternative Medicine Use Among Adults: Estados Unidos, 2002." Advanced data from vital health and statistics 2004; Hyattsville, Maryland:NCHS Online Benedetti F, Maggi G, Lopiano L. "Open Versus Hidden Medical Treatments: The Patient's Knowledge About a Therapy Affects the Therapy Outcome." Prevención & Tratamiento, 2003; 6(1), APA online Berga SL, Marcus MD, Loucks TL. "Recovery of ovarian activity in women with functional hypothalamic amenorrhea who were treated with cognitive behavior therapy." Fertility and Sterility 2003; 80(4): 976-981 Abstract Downing AM, Hunter DG. "Validating clinical reasoning: a question of perspective, but whose perspective?" Man Ther, 2003; 8(2): 117-9. PMID 12890440 Manual Therapy Online Eisenberg DM. "Advising patients who seek alternative medical therapies." Ann Intern Med 1997; 127:61-69. PMID 9214254 Eisenberg, MD, Davis RB, Ettner SL "Trends in alternative medicine use in the United States 1990-1997." JAMA, 1998; 280:1569-1575. PMID 9820257 Ernst E. "Obstacles to research in complementary and alternative medicine." Medical Journal of Australia, 2003; 179'(6): 279-80. PMID 12964907 HTTP:// MJA online] Fenton MV, Morris DL. "The integration of holistic nursing practices and complementary and alternative modalities into curricula of schools of nursing." Altern Ther Health Med, 2003; 9(4):62-7. PMID 12868254 Flanagin A, Carey LA, Fontanarosa PB. "Prevalence of articles with honorary authors and ghost authors in peer-reviewed medical journals." JAMA, 1998; 280(3):222-4. Full text Gonsalkorale WM, Miller V, Afzal A, Whorwell PJ. "Long term benefits of hypnotherapy for irritable bowel syndrome." Gut, 2003; 52(11):1623-9. PMID 14570733 Gunn IP. "A critique of Michael L. Millenson's book, Demanding medical excellence: doctors and accountability in the information age, and its relevance to CRNAs and nursing." AANA J, 1998 66(6):575-82. Review. PMID 10488264 Kleijnen J, Knipschild P, ter Riet G. "Clinical trials of homoeopathy." BMJ, 1991; 302:316-23. Erratum in: BMJ, 1991;302:818. PMID 1825800 Larkin M. "Whose article is it anyway?" Lanceta, 1999; 354:136. Editorial Linde K, Clausius N, Ramirez G. "Are the clinical effects of homeopathy placebo effects? A meta-analysis of placebo-controlled trials." Lanceta, 1997; 350: 834-43. Erratum in: Lanceta 1998 Ene 17;351(9097):220. PMID 9310601 Michalsen A, Ludtke R, Buhring M. "Thermal hydrotherapy improves quality of life and hemodynamic function in patients with chronic heart failure." Am Heart J, 2003; 146(4):E11. PMID 14564334 Saxon DW, Tunnicliff G, Brokaw JJ, Raess BU. "Status of complementary and alternative medicine in the osteopathic medical school curriculum." J Am Osteopath Assoc 2004; 104(3):121-6. PMID 15083987 Snyderman R, Weil AT. "Integrative medicine: bringing medicine back to its roots." Arch Intern Med 2002; 162:395–397. Tonelli MR. "The limits of evidence-based medicine." Respir Care, 2001; 46(12): 1435-40; discusión 1440-1. Review. PMID 11728302 PMID: 11863470 Vickers A. "Alternative Cancer Cures: "Unproven" o "Disproven"?" CA Cancer J Clin 2004; 54: 110-118. Online Wetzel MS, Eisenberg DM, Kaptchuk TJ. "Courses involving complementary and alternative medicine at US medical schools." JAMA 1998; 280(9):784 -787. PMID 9729989 Zalewski Z. "Importance of Philosophy of Science to the History of Medical Thinking." CMJ 1999; 40: 8-13. CMJ online Further reading Dictionary definitions Complementary medicine World Health Organization publication WHO Global Atlas of Traditional, Complementary and Alternative Medicine Journals dedicated to alternative medicine research Alternative therapies in health and medicine. Aliso Viejo, California: InnoVision Communications, c1995- NLM ID: 9502013 Alternative medicine review: a journal of clinical therapeutic. Sandpoint, Idaho: Thorne Research, Inc., c1996- NLM ID: 9705340 BMC complementary and alternative medicine. Londres: BioMed Central, 2001- NLM ID: 101088661 Complementary therapies in medicine. Edimburgo; Nueva York: Churchill Livingstone, c1993- NLM ID: 9308777 Evidence based complementary and alternative medicine Evidence Based journal of Integrative medicine Journal of Integrative medicine. The journal of alternative and complementary medicine: research on paradigm, práctica, and policy. Nueva York, NY: Mary Ann Liebert, Inc., c1995- NLM ID: 9508124 Journal of alternative & complementary medicine. Londres: Argus Health Publications, c1989- NLM ID: 9883124 Journal for Alternative and Complementary Medicine Scientific Review of Alternative Medicine (SRAM) Other works that discuss alternative medicine Ninivaggi, F. J., An Elementary Textbook of Ayurveda: Medicine with a Six Thousand Year Old Tradition, International Universities/Psychosocial Press, Madison, Connecticut, 2001. Diamante, J. Snake Oil and Other Preoccupations, 2001, ISBN 0-09-942833-4 , foreword by Richard Dawkins reprinted in Dawkins, R., A Devil's Chaplain, 2003, ISBN 0-7538-1750-0 . Rosenfeld, Anna, Where Do Americans Go for Healthcare?", Case Western Reserve University, Cleveland, Ohio, ESTADOS UNIDOS. Planer, Felix E. 1988 Superstition, Revised ed. Búfalo, Nueva York: Prometheus Books Hand, Wayland D. 1980 "Folk Magical Medicine and Symbolism in the West", in Magical Medicine, Berkeley: Prensa de la Universidad de California, páginas. 305-319. Phillips Stevens Jr. Nov./Dec. 2001 "Magical Thinking in Complementary and Alternative Medicine", Skeptical Inquirer Magazine, Nov.Dec 2001 Illich, Ivan. Limits to Medicine. Medical Nemesis: The expropriation of Health. Libros de pingüinos, 1976. Dillard, James and Terra Ziporyn. Alternative Medicine for Dummies. Foster City, California: IDG Books Worldwide, Inc., 1998. Pert, Candace B., Molecules of Emotion: Why You Feel the Way You Feel, Scribners, 1997, ISBN 0-684-84634-9 Trudeau, Kevin, More Natural "Cura" Revealed, Alliance Publishing Group, 2006, ISBN 0-9755995-4-2. Wisneski, Leonard A. and Lucy Anderson, The Scientific Basis of Integrative Medicine, Prensa CRC, 2005. ISBN 0-8493-2081-X. External links Pine Street Foundation - Center for integrative approaches to cancer research The National Center for Complementary and Alternative Medicine - US National Institutes of Health Complementary and Alternative Medicine on PubMed - Alternative Medicine Research Database Web pages for new BBC/Open University television series "Alternative Medicine" that examines the evidence scientifically. The British Library - finding information on the complementary medicines industry Alternative medicine news Criticism A Different Way to Heal? - Scientific American Frontiers Web What is Complementary and Alternative Medicine? - By Steven Novella MD Skepdic Article on Alternative Medicine NCAHF Resource Documents - Includes a list of alternative medicine modalities with links to articles relating to them Index of Questionable Treatments - Includes a list of alternative medicine modalities and links to articles relating to them Who Gets to Validate Alternative Medicine - PBS article This page uses Creative Commons Licensed content from Wikipedia (ver autores). Alternative Medicine This article is part of the CAM series of articles. CAM Article Index

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