RESUMO
INTRODUCTION: Acupuncture has been progressively included in the practice of mainstream medicine in recent decades. The State of Sao Paulo Cancer Institute is a public hospital established in 2008 and its acupuncture service follows the experience and model of several oncology centres in the USA, aiming to optimise the treatment of symptoms such as postoperative pain, oncological pain, neuropathic pain, nausea, vomiting, xerostomia and fatigue induced by chemotherapy. This paper describes the population given acupuncture treatment and the effects of the intervention on symptom management. METHODS: One hundred and eighty-three patients from our service were enrolled in the study. Baseline and final symptom intensity was recorded using a visual analogue score (VAS) ranging from 0 to 10 cm, with a higher score meaning higher symptom intensity. RESULTS: Fifty-four (29.50%) were receiving active treatment with chemotherapy and/or radiotherapy, 29 (15.85%) were receiving hormone therapy and 100 (54.65%) were considered to be in remission. The main symptoms were: oncological pain in 44 (24.04%), chemotoxicity in 34 (18.6%), lumbar pain in 53 (28.96%) and chronic postoperative pain in 54 (28.4%). The mean (SD) initial symptom score was 7.04 (1.8), which was reduced to 2.56 (2.75) after treatment (p<0.001), an improvement of 63.6% in control of the symptoms. Further analysis of the data showed that the effect was similar in different indications for acupuncture treatment. CONCLUSIONS: Use of acupuncture may have improved symptom control in patients enrolled in this study.
Assuntos
Terapia por Acupuntura , Dor Musculoesquelética/terapia , Neoplasias/terapia , Manejo da Dor , Dor Pós-Operatória/terapia , Academias e Institutos , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil , Feminino , Humanos , Vértebras Lombares , Masculino , Pessoa de Meia-Idade , Neoplasias/complicações , Resultado do TratamentoRESUMO
O raciocínio clínico diagnóstico mudou muito ao longo dos anos, partindo de diagnóstico (e tratamento) de sinais para, nos dias de hoje, fazermos diagnósticos mais precisos, visando o melhor tratamento. A partir da anamnese e usando técnicas de raciocínio diagnóstico hipotético-dedutivo ou reconhecimento de padrão (as duas mais utilizadas) procura-se, a partir de diagnósticos sindrômicos, chegar a diagnósticos etiológicos / Clinical diagnosis changed a lot in history, starting with diagnosing (and treating) signs and symptoms to, in modern times, making more precise diagnosis, seeking the best treatment. Starting with clinical history and using hypothetic-deductive way of thinking or pattern recognition (the two most used techniques), we seek, through syndromic diagnosis, the etiologic diagnosis...
Assuntos
Humanos , Anamnese , Diagnóstico Clínico , Técnicas e Procedimentos DiagnósticosRESUMO
O aprendizado baseado em problemas (ou problem based learning - PBL) e uma tecnica de ensino que utiliza...
Assuntos
Aprendizagem Baseada em Problemas , Conhecimentos, Atitudes e Prática em Saúde , Educação Baseada em CompetênciasAssuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Medicina InternaRESUMO
Este artigo descreve como e o curso de propedeutica clinica ministrado ao 3 ano da graduacao na faculdade de medicina da Universidade de Sao Paulo. Este curso vem implementando algumas tecnicas de ensino e aprendizagem, nos ultimos anos, de maneira a torna-lo mais dinamico e interessante para os alunos. O ensino em pequenos grupos e a principal caracteristica do curso de propedeutica clinica ministrado na faculdade de medicina da Universidade de Sao Paulo...