ALLERGY, RESPIRATORY
Air Quality Better in Northeast, Midwest
Traffic, Dust Linked to Asthma in Kids
Keep Asthma, Allergies at Bay for the Holidays
ALTERNATIVE MEDICINE
Could Chinese Herb Be a Natural Viagra?
Indigo Ointment Benefits Psoriasis Patients
Relaxation Tapes or Mozart Lower Blood Pressure
ANIMAL CARE
'Comfort Dogs' Come to Emotional Rescue
Beware of Dog Bites
Separation Anxiety, Canine-Style
BONES & JOINTS
Improved Hip Implants Can Last 20 Years
Cane Use May Cut Progression of Knee Osteoarthritis
Rheumatoid Arthritis Hits Women Harder
CANCER
Smoking Ups Risk of Second Breast Cancer
Get to Know the Pap Test
Acupuncture May Help Relieve Polycystic Ovary Syndrome
CAREGIVING
Older Caregivers Prone to Worse Sleep Patterns
Study Casts Doubt on Influential Hospital Safety Survey
Recession Scrambling Health Spending in U.S.
CIRCULATORY SYSTEM
Potassium-Rich Foods May Cut Stroke, Heart Disease Risk
Migraines in Pregnancy Boost Vascular Risks
Health Tip: Are You Anemic?
COSMETIC
With Psoriasis, the Internet May Offer Hope
Get Sugared!.... Its a sweet choice for hair removal
Gum Chewing May Cut Craving for Snacks
DENTAL, ORAL
Gum Disease Might Boost Cancer Risk
A Sweet Way to Shield Baby's Teeth
Acupuncture May Ease Anxiety Over Dental Work
DIABETES
Abnormal Heart Rhythm Boosts Death Risk for Diabetics
Poor Blood Sugar Control After Heart Surgery Impacts Outcomes
Study Shows Turmeric May Prevent Type 2 Diabetes
DIET, NUTRITION
Red Meat No No No But Oily Fish Yes Yes Yes
Compound in Red Wine Fights Ravages of Age
Iced Teas Pose High Risk of Kidney Stones
DISABILITIES
Review Finds Marijuana May Help MS Patients
Could Your Cell Phone Help Shield You From Alzheimer's?
ENVIRONMENTAL HEALTH
Air Quality Better in Northeast, Midwest
Hypertension May Hit Black Males Earlier
Heavy Traffic Can Be Heartbreaking
EYE CARE, VISION
Brain Adapts to Age-Related Eye Disease
Clues Found to Brain Mechanism Behind Migraines
Decorative Halloween Eye Lenses May Pose Serious Risks
FITNESS
Have Fun This Summer, But DO Be Careful
Fitness Fades Fast After 45
School Phys. Ed. Injuries Up 150 Percent
GASTROINTESTINAL PROBLEMS
Olive Oil May Protect Against Bowel Disease
Traditional Nonsurgical GERD Treatments Not Impressive
New Yogurt May Ease Stomach Ulcers
GENERAL HEALTH
Soluble Fiber, But Not Bran, Soothes Irritable Bowel
Asparagus May Ease Hangover
Music Therapy For Prehistoric Man?
HEAD & NECK
Many Children Will Outgrow Headaches
Zen May Thicken Brain, Thwart Pain
Ski Helmets Encouraged for All
HEALTH & TECHNOLOGY
The Internet Is Becoming One-Stop Shopping for Health Help
Magnet Therapy May Ease Hard-to-Treat Depression
Airport Full Body Scanners Pose No Health Threat: Experts
HEARING
Summer Sounds Can Lead to Hearing Loss
Noise Hurts Men's Hearing More, Study Shows
HEART & CARDIOVASCULAR
Women Who Run May Benefit From Extra Folic Acid
Vigorous Exercise Cuts Stroke Risk for Men, Not Women
Obese People Seem to Do Better With Heart Disease
INFECTIOUS DISEASE
Grapefruit Compound Inhibits Hepatitis C Virus
More Medicinal Uses for Pomegranate
Swine Flu Is Now a Pandemic Says W.H.O.
INFERTILITY
Obesity May Affect Fertility in Young Womene
KID'S HEALTH
Teen Internet Addicts More Likely to Self-Harm: Study
Eating Fish, Breast-Feeding Boost Infant Development
Daily Exercise at School Yields Rewards
MEN'S HEALTH
Eating Fast Until Full Triples Overweight Risk
Vigorous Exercise Cuts Stroke Risk for Men, Not Women
Could Chinese Herb Be a Natural Viagra?
MENTAL HEALTH
Psychotherapy Can Boost Happiness More Than Money
Memory Loss Help from Brain Supplement Prevagen
Music Soothes Anxiety as Well as Massage Does
PAIN
'Cell Phone Elbow' -- A New Ill for the Wired Age
Alleviating Rheumatoid Arthritis
Tai Chi May Help Ease Fibromyalgia
PHYSICAL THERAPY
PREGNANCY
Alternative Treatments May Boost IVF Success
Pregnant Women Exposed To Certain Pollutants Could Lower Childs IQ
Obesity May Affect Fertility in Young Womene
SENIORS
Exercise Benefits Even the Oldest Old
Video Gaming Just Might Fight Aging
Any Old Cane Won't Do
SEXUAL HEALTH
SLEEP DISORDERS
Daylight Savings: Not a Bright Time for All
6 to 8 Hours of Shut-Eye Is Optimal for Health
Exercising Throat Muscles May Relieve Sleep Apnea
WOMEN'S HEALTH
Natural Relief for Painful Menstrual Cramps
Flame-Retardant Chemical Linked to Conception Problems
Heal Your Life® Tips for Living Well
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Awareness of Alternative Therapies May Be Lacking

MONDAY, April 13 (HealthDay News) -- About 25 percent of practicing clinicians in the United States aren't aware of two major federal government-funded clinical trials of complementary and alternative (CAM) therapies, a new survey has found.

The survey, which included 1,561 acupuncturists, naturopaths, internists and rheumatologists, also found that many clinicians aren't fully confident in their ability to interpret research results.

CAM therapies are widely used in the United States, but it's only been in recent years that rigorous studies of the safety and effectiveness of the treatments have been conducted, according to background information in the study. For example, the U.S. National Institutes of Health has spent more than $2 billion on research into CAM therapies in the past decade.

The survey found that 59 percent of the respondents were aware of at least one of two major clinical trails recently published on CAM therapies for osteoarthritis of the knee (one on acupuncture and one on the supplement glucosamine), and 23 percent were aware of both trials.

Rheumatologists (49 percent) and acupuncturists (46 percent) were more likely to be aware of the acupuncture study than naturopaths (30 percent) and general internists (22 percent). Rheumatologists (88 percent) and internists (59 percent) were more likely to know about the glucosamine trial than naturopaths (39 percent) and acupuncturists (20 percent).

The survey also found that a minority of respondents said they were "very confident" in their ability to critically interpret research literature: 33 percent of rheumatologists, 25 percent of naturopaths, 20 percent of acupuncturists and 17 percent of internists. Most said they were "moderately confident": 67 percent of internists, 64 percent of naturopaths, 59 percent of acupuncturists and 59 percent of rheumatologists.

Respondents who were aware of CAM trials "were more likely to be rheumatologists, to be practicing in an institutional or academic setting, to have some research experience, to express greater ability to interpret evidence and to report greater acceptance of evidence," the researchers wrote.

The findings, which are in the April 13 issue of the journal Archives of Internal Medicine, suggest that the training, attitudes and experiences of clinicians may have a major effect on whether CAM trial results are translated into clinical practice.

"For evidence from clinical research to have an impact on medical practice, health-care professionals must first be aware of the research," wrote Dr. Jon C. Tilburt, of the NIH and the Mayo Clinic in Rochester, Minn., and his colleagues. "Once aware, health-care professionals must be able to interpret these findings, judging both their validity and their implications. Finally, they must apply the scientific evidence to their own practices."

They concluded that "concerted efforts must be undertaken that more deliberately train clinicians in critical appraisal, biostatistics and use of evidence-based resources, as well as expanded research opportunities, dedicated training experiences and improved dissemination of research results."

More information

The U.S. National Center for Complementary and Alternative Medicine has more about CAM therapies.



-- Robert Preidt



SOURCE: JAMA/Archives journals, news release, April 13, 2009

Last Updated: April 13, 2009

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