They were sentenced to three months in jail on June 24. Timothy Wyland, 44, and Rebecca Wyland, 23, of Oregon City were found guilty of criminal mistreatment for allowing their 18-month-old daughter's hemangioma, an abnormal proliferation of blood vessels, to grow into a golf ball-sized tumour that covered one eye. Two parents in Oregon who refused to seek treatment for their infant daughter's tumour on religious grounds were recently sentenced to jail time, but advocates for children's medical rights remain concerned about the leniency the justice system shows to “faith healing” families in some areas of the United States. In Canadian Medical Association Journal, 2011 The only controlled studies with positive results were of capsaicin and cannabis and had short-term follow-up (≤12 weeks). A recent systematic review found seven studies examined pharmacological interventions (gabapentin, pregabalin, capsaicin, analgesics including opioids) and four examined nonpharmacological interventions (cognitive behavioral therapy, self-hypnosis, smoked cannabis). 167 Little guidance is available for HIV providers seeking to address their patients’ chronic pain, especially in the current opioid epidemic in the United States. For example, chronic pain occurs in as many as 85% of individuals with HIV and is associated with substantial functional impairment, and many PLHIV seek integrative therapies for relief.
Research findings indicate that the use of complementary and integrative medicine (CIM) is often greater among people living with a chronic or life-threatening illness compared with the general population. The NCCIM, the Alternative Medicine’s Strategic Plan, and the Healthy People 2020 envision a society in which all people live long, healthy lives. Energy-based therapies include qi gong, reiki, therapeutic touch, healing touch, and electromagnetic therapy. Manipulative and body-based practices include massage and spinal manipulation. Biologically based practices include dietary and herbal supplements. Mind-body medicine includes meditation, prayer, mental healing, tai chi, yoga, art therapy, music therapy, and dance therapy. Whole medical systems include homeopathy, naturopathy, traditional Chinese medicine and Ayurveda. The US National Center for Complementary and Integrative Health (NCCIH), formerly National Center for Complementary and Integrative Medicine (NCCIM), established five medical system categories: whole medical systems, mind-body medicine, biologically based practices, manipulative and body-based practices, and energy therapies. 232, 233 Refer to Chapter 39 for additional information. In fact, movement therapy includes several similar constructs used in physical therapy and can be quite complementary to an individual’s program of more traditional exercise. During such times, less strenuous movement therapies may prove to be more appropriate and efficacious. The stage of disease and the type of illness itself may preclude more strenuous exercise activities at various times. However, the mode, duration, and intensity of many traditional standardized exercise programs may not always be entirely appropriate during episodic illness. There is substantial evidence to suggest that traditional, aerobic, and progressive resistance exercises can provide notable physiological and psychological benefits for most individuals, especially those with chronic diseases. Lazaro PT, PhD, DPT, in Umphred's Neurological Rehabilitation, 2020 Complementary and integrative therapies in human immunodeficiency virus infection
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