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      Children's versus adult's knowledge of medicinal plants: an ethnobotanical study in Tremezzina (Como, Lombardy, Italy)

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          Abstract

          Abstract The study was developed in order to collect information about knowledge on medicinal plant uses by students from some primary school classes located in a small community on the western shore of Lake Como (northern Italy). This information was compared with the one collected from the students' relatives and from other people they were in contact with, in order to evaluate differences and similarities between the children's and the adults' knowledge. Two workshops were led in each of the classes taking part in the project. The first one was performed to introduce our research and the topic of healing plants to the students. During the second workshop we asked the students to fill a survey focusing on which plant remedies they would use as medicines. In another phase of the project each child was given a new survey to be filled in at home while conducting the interviews with their relatives or other adults. Tremezzina children reported the use of 24 medicinal species; 78% of students listed at least one species but only 9% showed to know more than three species and uses. In total, adults reported 85 species in eighteen categories of use. Children listed eight species and eleven uses that were not reported by the adults, suggesting that some of the Tremezzina children's knowledge of the medicinal plants are specific to them. Both children and adults learned about the use of the medicinal plants mainly from their family; however, other sources of knowledge were also reported. Differences related to age and gender in both the informants' groups were also discussed. Our results provide valuable qualitative and quantitative data on the plants used for the medicinal purpose within the studied community.

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          Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey.

          A prior national survey documented the high prevalence and costs of alternative medicine use in the United States in 1990. To document trends in alternative medicine use in the United States between 1990 and 1997. Nationally representative random household telephone surveys using comparable key questions were conducted in 1991 and 1997 measuring utilization in 1990 and 1997, respectively. A total of 1539 adults in 1991 and 2055 in 1997. Prevalence, estimated costs, and disclosure of alternative therapies to physicians. Use of at least 1 of 16 alternative therapies during the previous year increased from 33.8% in 1990 to 42.1% in 1997 (P < or = .001). The therapies increasing the most included herbal medicine, massage, megavitamins, self-help groups, folk remedies, energy healing, and homeopathy. The probability of users visiting an alternative medicine practitioner increased from 36.3% to 46.3% (P = .002). In both surveys alternative therapies were used most frequently for chronic conditions, including back problems, anxiety, depression, and headaches. There was no significant change in disclosure rates between the 2 survey years; 39.8% of alternative therapies were disclosed to physicians in 1990 vs 38.5% in 1997. The percentage of users paying entirely out-of-pocket for services provided by alternative medicine practitioners did not change significantly between 1990 (64.0%) and 1997 (58.3%) (P=.36). Extrapolations to the US population suggest a 47.3% increase in total visits to alternative medicine practitioners, from 427 million in 1990 to 629 million in 1997, thereby exceeding total visits to all US primary care physicians. An estimated 15 million adults in 1997 took prescription medications concurrently with herbal remedies and/or high-dose vitamins (18.4% of all prescription users). Estimated expenditures for alternative medicine professional services increased 45.2% between 1990 and 1997 and were conservatively estimated at $21.2 billion in 1997, with at least $12.2 billion paid out-of-pocket. This exceeds the 1997 out-of-pocket expenditures for all US hospitalizations. Total 1997 out-of-pocket expenditures relating to alternative therapies were conservatively estimated at $27.0 billion, which is comparable with the projected 1997 out-of-pocket expenditures for all US physician services. Alternative medicine use and expenditures increased substantially between 1990 and 1997, attributable primarily to an increase in the proportion of the population seeking alternative therapies, rather than increased visits per patient.
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            Traditional knowledge on medicinal and food plants used in Val San Giacomo (Sondrio, Italy)--an alpine ethnobotanical study.

            This work increases the ethnobotanical data from Northern Italy and, in particular, the Lombardy region, till now poorly documented, safeguarding the local folk knowledge, and provides information on new or scarcely reported properties of medicinal plants, whose traditional use needs to be validated experimentally. The present study aimed to gather, analyse and evaluate the ethnobotanical information on the species used for medicinal and food purposes by the native people of Val San Giacomo. The plant use was documented by speaking with more than 100 people, mainly over 60 years old, born and resident in Val San Giacomo. Information was collected using semi-structured interviews and then analysed by indices such as Ethnophytonomic Index (EPI), Ethnobotanicity Index (EI), relative frequency of citation (RFC), use value (UV), relative importance (RI) and factor informant consensus (FIC). Information on 66 plants belonging to 35 families (Asteraceae, Rosaceae and Lamiaceae, mainly) was gathered. The preference ranking placed Achillea moschata Wulfen at first place, both for the citation number and for RFC and UV. Arnica montana L., Thymus pulegioides L. and Artemisia genipi Stechm. were also in relevant use. Sixty species were wild and six were cultivated. Leaves, flowers, complete aerial parts and fruits were the plant parts most commonly used for remedy preparation (infusion, especially). The interviewees collected local flora for medicinal purposes, specifically. About 51.5% of the plant species were used to treat gastrointestinal tract of humans as digestive, depurative, appetiser, laxative, astringent and carminative remedies. About 56% of the plants were used in cookery, 24.2% in veterinary field, and 3% as cosmetics. The calculated indices demonstrated that in the studied area there is a small retention of plant knowledge. Only 6.2% of the autochthonous plants proved useful in folk tradition. Despite this, the uses of Sempervivum montanum L., Rhododendron ferrugineum L. and Panicum miliaceum L. were never documented by other ethnobotanical investigations conducted in the alpine area. This survey was an extension of the ethnobotanical investigations performed in the Italian Alps. A study like this, though performed in a small area with a reduced traditional knowledge, could be the basis for subsequent research on the species that are interesting from a phytochemical point of view and on the potential use of their active metabolites. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
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              Complementary medicine in Europe.

              Complementary or unconventional treatments are used by many doctors and other therapists throughout Europe. The major forms are acupuncture, homoeopathy, manual therapy or manipulation, and phytotherapy or herbal medicine. The relative popularity of therapies differs between countries, but public demand is strong and growing. Regulation of practitioners varies widely: in most countries only registered health professionals may practice, but in the United Kingdom practice is virtually unregulated. Germany and some Scandinavian countries have intermediate systems. Legal reforms are in progress in the Netherlands and the United Kingdom. European institutions are starting to influence the development of complementary medicine. Harmonisation of training and regulation of practitioners is the challenge for the future.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rbfar
                Revista Brasileira de Farmacognosia
                Rev. bras. farmacogn.
                Sociedade Brasileira de Farmacognosia (Curitiba, PR, Brazil )
                0102-695X
                1981-528X
                October 2019
                : 29
                : 5
                : 644-655
                Affiliations
                [1] Firenze orgnameUniversity of Firenze orgdiv1Department Agri-Food Production and Environmental Sciences Italy
                [4] Brescia orgnameUniversity of Milano orgdiv1G.E. Ghirardi Botanic Garden orgdiv2Department of Pharmaceutical Sciences Italy
                [5] Pratolino FI orgname Italy
                [2] Tremezzina Como orgnameEnte Villa Carlotta Italy
                [3] Milano orgnameUniversity of Milano orgdiv1Department of Pharmaceutical Sciences Italy
                Article
                S0102-695X2019000500644 S0102-695X(19)02900500644
                10.1016/j.bjp.2019.04.009
                01074609-4000-4b30-9ccf-bcf1a3aaa822

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 29 April 2019
                : 07 January 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 75, Pages: 12
                Product

                SciELO Brazil

                Categories
                Original articles

                Children,Parents,Ethnopharmacological knowledge,Knowledge transmission

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