This editorial provides a commentary on the recent article.The paper reviews current literature and explores innovative treatment strategies for lower extremity arteriosclerosis obliterans(LEASO)through an integrative...This editorial provides a commentary on the recent article.The paper reviews current literature and explores innovative treatment strategies for lower extremity arteriosclerosis obliterans(LEASO)through an integrative approach.It highlights the effectiveness of combination therapies that merge traditional Chinese medicine(TCM)with Western medical practices,suggesting that such integrative methods may improve patient compliance and outcomes through personalized care.This paper stresses the importance of rigorous clinical trials to evaluate the efficacy and safety of TCM interventions within LEASO treatment protocols,advocating for evidence-based validation of these combined therapies.Our recommendations emphasize accurate diagnosis,appropriate pharmacological in-terventions,the use of advanced surgical and endovascular techniques,and the inclusion of TCM to address underlying dysfunctions.Additionally,continuous monitoring,patient education,and lifestyle modifications are essential to slow disease progression and achieve optimal patient outcomes.The paper concludes by calling for further research to develop standardized treatment protocols that effectively integrate both Western and Chinese medical approaches in managing LEASO.展开更多
In September 2015, Nordic Integrative Medicine （NIM）, in partnership with the European Society of Integrative Medicine （ESIM）, convened the 8th European Congress lbr Integrative Medicine （ECIM） 2015 Global Summi...In September 2015, Nordic Integrative Medicine （NIM）, in partnership with the European Society of Integrative Medicine （ESIM）, convened the 8th European Congress lbr Integrative Medicine （ECIM） 2015 Global Summit on Integrative Medicine and Healthcare in Greater Copenhagen, Denmark, to explore the prominent issues that healthcare is facing, globally and the scientific evidence for or against integrative medicine （lM） that includes conventional medicine （CM）, complementary and alternative medicine （CAM）, and traditional medicine （TM）.展开更多
OBJECTIVE： Integrative medicine refers to ongoing efforts to combine the best of conventional and evidence-based complementary therapies. While this effort for collaboration is increasing, traditional complementary a...OBJECTIVE： Integrative medicine refers to ongoing efforts to combine the best of conventional and evidence-based complementary therapies. While this effort for collaboration is increasing, traditional complementary and alternative medicine （TM-CAM） remains poorly integrated into the current healthcare system of Ghana. At present, it is not clear if practitioners of mainstream medicine favor integrative medicine. The present study, therefore, sought to explore the perceptions of conventional healthcare professionals on integrative medicine. METHODS： A qualitative design composed of semi-structured interviews was conducted with 23 conventional healthcare professionals comprising pharmacists, physicians, nurses and dieticians from two quasi-government hospitals in Accra, Ghana. RESULTS： Participants＇ knowledge of TM-CAM was low, and although they perceived alternative medicine as important to current conventional healthcare in Ghana, they expressed anxieties about the potential negative effects of the use of TM-CAM. This paradox was found to account for the low levels of use among these professionals, as well as the low level of recommendation to their patients. The practitioners surveyed recommended that alternative medicine could be integrated into mainstream allopathic healthcare in Ghana through improving knowledge, training as well as addressing concerns of safety and efficacy. These findings are discussed under the themes： the knowledge gap, the paradox of TM-CAM, experience of use and prescription, and guided integration. We did not observe any differences in views among the participants. CONCLUSION： The conventional healthcare professionals were ready to accept the idea of integrative medicine based on knowledge of widespread use and the potential role of TM-CAM products and practices in improving healthcare delivery in the country. However, to achieve an institutional integration practitioners＇ understanding of TM-CAM must be improved, with specific attention to issues of safety, regulation and evidence-based practice of TM-CAM products and services in Ghana.展开更多
Poland has a unique history of traditional Chinese medicine(TCM)dating back to the 17th century when Polish missionary Michael(Michal)Boym was a pioneer in the field.In the 20th century,his successor,Professor Zbignie...Poland has a unique history of traditional Chinese medicine(TCM)dating back to the 17th century when Polish missionary Michael(Michal)Boym was a pioneer in the field.In the 20th century,his successor,Professor Zbigniew Garnuszewski,reintroduced acupuncture to medical practice in Poland.However,other methods of TCM and its holistic approach to patient care have not found their place in modern medicine in Poland.At present,the legal status of TCM in Poland remains unregulated,with TCM included in the broad spectrum of complementary and alternative medicine(CAM)practices.Few reports are available on the use of TCM methods among the Polish population.Integrative medicine combines conventional medicine with evidence-based CAM interventions and considers all aspects of a patient's health,including physical,emotional,mental,social,and environmental factors.An integrative healthcare model that incorporates TCM modalities and lifestyle recommendations as well as a whole person approach may provide a more sustainable solution for the constantly underfinanced Polish healthcare system,which faces challenges of multimorbidity in an aging society and limited access to care.The coronavirus disease 2019 pandemic,war in Ukraine,and ongoing climate crisis have underscored the need to strengthen the resilience of the Polish healthcare system and search for new solutions.A model of care that blends the best of biomedicine and TCM healing approaches may be a better option for both patients and the healthcare system in Poland.展开更多
随着区域医疗信息共享系统集成实现和应用,医疗卫生信息化的安全问题变得更加重要和突出。根据国际医疗保健企业集成(IHE)提出的审计跟踪和节点认证(Audit Trail and Node Authentication)技术规范(Profile),结合上海多家医院的实验经验...随着区域医疗信息共享系统集成实现和应用,医疗卫生信息化的安全问题变得更加重要和突出。根据国际医疗保健企业集成(IHE)提出的审计跟踪和节点认证(Audit Trail and Node Authentication)技术规范(Profile),结合上海多家医院的实验经验,提出了一个采用代理(Proxy)+服务器(Server)架构的区域医疗信息系统集成方案,解决了现有系统平台异构集成的安全问题,并为现有的各类系统提供了中央用户认证、审计跟踪和节点认证等安全保障措施。展开更多
基金Supported by The Scientific Research Project of Guangdong Provincial Bureau of Traditional Chinese Medicine,China,No.2022ZYYJ01The Guangzhou Municipal Science and Technology Bureau's 2024 Basic and Applied Basic Research Topic,China,No.2024A04J4254.
文摘This editorial provides a commentary on the recent article.The paper reviews current literature and explores innovative treatment strategies for lower extremity arteriosclerosis obliterans(LEASO)through an integrative approach.It highlights the effectiveness of combination therapies that merge traditional Chinese medicine(TCM)with Western medical practices,suggesting that such integrative methods may improve patient compliance and outcomes through personalized care.This paper stresses the importance of rigorous clinical trials to evaluate the efficacy and safety of TCM interventions within LEASO treatment protocols,advocating for evidence-based validation of these combined therapies.Our recommendations emphasize accurate diagnosis,appropriate pharmacological in-terventions,the use of advanced surgical and endovascular techniques,and the inclusion of TCM to address underlying dysfunctions.Additionally,continuous monitoring,patient education,and lifestyle modifications are essential to slow disease progression and achieve optimal patient outcomes.The paper concludes by calling for further research to develop standardized treatment protocols that effectively integrate both Western and Chinese medical approaches in managing LEASO.
文摘In September 2015, Nordic Integrative Medicine （NIM）, in partnership with the European Society of Integrative Medicine （ESIM）, convened the 8th European Congress lbr Integrative Medicine （ECIM） 2015 Global Summit on Integrative Medicine and Healthcare in Greater Copenhagen, Denmark, to explore the prominent issues that healthcare is facing, globally and the scientific evidence for or against integrative medicine （lM） that includes conventional medicine （CM）, complementary and alternative medicine （CAM）, and traditional medicine （TM）.
文摘OBJECTIVE： Integrative medicine refers to ongoing efforts to combine the best of conventional and evidence-based complementary therapies. While this effort for collaboration is increasing, traditional complementary and alternative medicine （TM-CAM） remains poorly integrated into the current healthcare system of Ghana. At present, it is not clear if practitioners of mainstream medicine favor integrative medicine. The present study, therefore, sought to explore the perceptions of conventional healthcare professionals on integrative medicine. METHODS： A qualitative design composed of semi-structured interviews was conducted with 23 conventional healthcare professionals comprising pharmacists, physicians, nurses and dieticians from two quasi-government hospitals in Accra, Ghana. RESULTS： Participants＇ knowledge of TM-CAM was low, and although they perceived alternative medicine as important to current conventional healthcare in Ghana, they expressed anxieties about the potential negative effects of the use of TM-CAM. This paradox was found to account for the low levels of use among these professionals, as well as the low level of recommendation to their patients. The practitioners surveyed recommended that alternative medicine could be integrated into mainstream allopathic healthcare in Ghana through improving knowledge, training as well as addressing concerns of safety and efficacy. These findings are discussed under the themes： the knowledge gap, the paradox of TM-CAM, experience of use and prescription, and guided integration. We did not observe any differences in views among the participants. CONCLUSION： The conventional healthcare professionals were ready to accept the idea of integrative medicine based on knowledge of widespread use and the potential role of TM-CAM products and practices in improving healthcare delivery in the country. However, to achieve an institutional integration practitioners＇ understanding of TM-CAM must be improved, with specific attention to issues of safety, regulation and evidence-based practice of TM-CAM products and services in Ghana.
基金partially supported by a Shirley Hui Memorial Fund scholarship and by a grant (N41/DBS/000600) from Jagiellonian University Medical College in Krakow,Poland for her PhD thesis on acupuncture in older patients with chronic musculoskeletal low-back painpartially supported by the Annenberg Foundation and the Gerald Oppenheimer Family Foundation
文摘Poland has a unique history of traditional Chinese medicine(TCM)dating back to the 17th century when Polish missionary Michael(Michal)Boym was a pioneer in the field.In the 20th century,his successor,Professor Zbigniew Garnuszewski,reintroduced acupuncture to medical practice in Poland.However,other methods of TCM and its holistic approach to patient care have not found their place in modern medicine in Poland.At present,the legal status of TCM in Poland remains unregulated,with TCM included in the broad spectrum of complementary and alternative medicine(CAM)practices.Few reports are available on the use of TCM methods among the Polish population.Integrative medicine combines conventional medicine with evidence-based CAM interventions and considers all aspects of a patient's health,including physical,emotional,mental,social,and environmental factors.An integrative healthcare model that incorporates TCM modalities and lifestyle recommendations as well as a whole person approach may provide a more sustainable solution for the constantly underfinanced Polish healthcare system,which faces challenges of multimorbidity in an aging society and limited access to care.The coronavirus disease 2019 pandemic,war in Ukraine,and ongoing climate crisis have underscored the need to strengthen the resilience of the Polish healthcare system and search for new solutions.A model of care that blends the best of biomedicine and TCM healing approaches may be a better option for both patients and the healthcare system in Poland.
文摘随着区域医疗信息共享系统集成实现和应用,医疗卫生信息化的安全问题变得更加重要和突出。根据国际医疗保健企业集成(IHE)提出的审计跟踪和节点认证(Audit Trail and Node Authentication)技术规范(Profile),结合上海多家医院的实验经验,提出了一个采用代理(Proxy)+服务器(Server)架构的区域医疗信息系统集成方案,解决了现有系统平台异构集成的安全问题,并为现有的各类系统提供了中央用户认证、审计跟踪和节点认证等安全保障措施。
