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INTRODUCTION: Obesity has become a worldwide public health problem and is directly linked to loss of quality of life, complications and comorbidities. One of them is chronic pain, especially in the knees, which increases significantly and proportionally with weight gain. In patients with severe obesity, with indication for bariatric surgery, the presence of chronic pain disables and often prevents their participation in a pre-surgical rehabilitation programme. As an analgesic therapy, photobiomodulation (PBM) has been studied with safety, efficacy, well-tolerated used and low costs. Thus, this study aims to evaluate the use of PBM for the treatment of chronic knee pain in obese patients undergoing a pre-surgical rehabilitation programme for bariatric surgery. METHODS AND ANALYSES: This is a double-blinded, randomised, placebo-controlled clinical, superiority, trial protocol. The PBM will be applied in bilateral knees and lumbar paraspinal points levels referring to the roots of innervation of the knee. The outcomes evaluated will be pain intensity, functionality, quality of life and clinical signs of neurological sensitization of chronic knee pain pathways. ETHICS AND DISSEMINATION: This protocol has already been approved by the Comitê de Ética em Pesquisa do Hospital das Clínicas da Universidade Federal de Goiás/EBSERH-Ethics Committee and it is following SPIRIT guidelines. The results will be statistically analysed and subsequently published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: Clinical Trials Platform (https://clinicaltrials.gov/) with the number NCT05816798.
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Cirurgia Bariátrica , Dor Crônica , Terapia com Luz de Baixa Intensidade , Ensaios Clínicos Controlados Aleatórios como Assunto , Humanos , Método Duplo-Cego , Dor Crônica/etiologia , Dor Crônica/terapia , Terapia com Luz de Baixa Intensidade/métodos , Obesidade/complicações , Qualidade de Vida , Articulação do Joelho , Medição da Dor , Adulto , Artralgia/etiologia , Artralgia/terapiaRESUMO
INTRODUCTION: In critically ill children, pain management is complex owing to cognitive development and the nature of hospitalisation in paediatric intensive therapy units. Although there are many protocols and guidelines for pain control via pharmacological interventions, non-pharmacological practices should also be explored and disseminated for their potential benefit. METHODS AND ANALYSIS: A systematic literature search will be performed using the following databases: Academic Search Premier, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Excerpta Medica Database, Virtual Health Library, Medical Literature Analysis and Retrieval System Online, ScienceDirect, Scopus, Web of Science Core Collection, Theses from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Dart Europe, Open Access Theses and Dissertations and grey literature from Google Scholar. The research will consider quantitative and qualitative studies, mixed-method studies, systematic reviews, text articles, opinion articles, letters to editors and editorials in any language and from any database. The following will be eligible for inclusion: (1) newborns, infants, children and adolescents; and (2) non-pharmacological therapies used for pain in paediatric intensive care. ETHICS AND DISSEMINATION: This study does not require ethical approval. The results of this research will be disseminated through social media channels and podcasts about pain in children. TRIAL REGISTRATION NUMBER: This protocol has been registered with the Open Science Framework (DOI 10.17605/OSF.IO/DZHKT).
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Unidades de Terapia Intensiva Pediátrica , Manejo da Dor , Humanos , Manejo da Dor/métodos , Criança , Projetos de Pesquisa , Revisões Sistemáticas como Assunto , Lactente , Adolescente , Estado Terminal/terapia , Recém-NascidoRESUMO
INTRODUCTION: Photobiomodulation has been widely used as a complementary treatment for dentin hypersensitivity, with reports of clinical success. However, the literature offers only one study, in which photobiomodulation was used for the treatment of sensitivity in molars with molar incisor hypomineralisation (MIH). The aim of the proposed study is to determine whether photobiomodulation enhances the results of treatment with glass ionomer sealant on molars with MIH that present sensitivity. METHODS AND ANALYSIS: The study involves 50 patients from 6 to 12 years of age that will be randomly allocated in two groups. Group 1 (control group) (n=25): toothpaste with a concentration of fluoride ≤1000 ppm two times a day, glass ionomer sealant and sham low-level laser (LLL) and group 2 (n=25): toothpaste with a concentration of fluoride ≤1000 ppm two times a day, glass ionomer sealant and active LLL. The evaluations will involve MIH record, Simplified Oral Hygiene Index (OHI), Schiff Cold Air Sensitivity Scale (SCASS) and visual analogue scale (VAS) before the procedure. Immediately after the procedure, the hypersensitivity index (SCASS/VAS) will be registered. Records of OHI and SCASS/VAS will be registered after 48 hours as well as 1 month after the procedure. The persistence of the sealant will also be registered. It is expected that by the second consultation, a decrease in sensitivity will be observed due to the treatments received in the two groups. ETHICS AND DISSEMINATION: This protocol has been approved by the local medical ethical committee (certificate: CEUCU 220516). The findings will be published in a peer-reviewed journal. TRIAL REGISTRATION NUMBER: NCT05370417.
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Fluoretos , Hipomineralização Molar , Humanos , Criança , Fluoretos/uso terapêutico , Cremes Dentais/uso terapêutico , Projetos de Pesquisa , Ensaios Clínicos Controlados Aleatórios como AssuntoRESUMO
BACKGROUND: Complementary and alternative medicine (CAM) is widely used for multiple reasons such as treatment of diseases and their symptoms, empowerment, self-care, disease prevention, dissatisfaction, adverse effects or cost of conventional medicine, perception of compatibility with beliefs, and idiosyncrasy. This study investigated CAM use in patients with chronic kidney disease (CKD) undergoing peritoneal dialysis (PD). METHODS: A cross-sectional survey study was conducted with 240 eligible patients with CKD in the PD program. By applying the I-CAM-Q-questionnaire, the frequency, level of satisfaction, and reasons for CAM use were explored, and the demographic and clinical data of users and non-users were analyzed. Data analysis included descriptive analysis, Student's t-test, Mann-Whitney U, chi-square, and Fisher tests. RESULTS: The main types of CAM used were herbal medicine, and chamomile was the most commonly used. To improve the state of well-being was the main reason for use, the attributable benefit of CAM was high, and only a low percentage of users reported side effects. Only 31.8% of the users informed their physicians. CONCLUSION: The use of CAM is popular among renal patients, and physicians are not adequately informed; in particular, the CAM type ingested represents a risk for drug interactions and toxicity.
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Neste artigo apresentamos um conceito de "práticas corporais integrativas", tecendo reflexões sobre as práticas corporais no contexto das Práticas Integrativas e Complementares em Saúde. Discutimos apontamentos teórico-metodológicos para o trabalho com estas práticas no Sistema Único de Saúde, dialogando com as tensões do campo da Educação Física, as quais ensejam diferentes formas de abordagem. A argumentação provém de uma tese de doutorado que analisou experiências de grupos de yoga, lian gong, qi gong e danças circulares presentes na Atenção Básica do município de Florianópolis-SC, por meio da metodologia Grounded Theory. As práticas corporais integrativas foram gestadas e institucionalizadas no contexto de mudança do modelo de saúde no Brasil, sinalizando a necessidade de que a produção de conhecimento, a formação e a intervenção profissional absorvam o debate da Reforma Sanitária e da Saúde Coletiva em perspectiva crítica. (AU)
In this article, we present a concept of 'Integrative mind-body practices', weaving reflections on bodily practices in the context of Traditional, Complementary and Integrative Medicine. We discuss theoretical-methodological topics for working with these practices in Brazil's Unified Health System, relating them to the tensions in the field of Physical Education, which give rise to different approaches. The argument comes from a doctoral thesis that examined experiences of yoga, lian gong, qi gong and circular dance groups in Primary Health Care in the city of Florianópolis, Santa Catarina, based on Grounded Theory. Integrative mind-body practices were conceived and institutionalized in the context of changes in Brazil's healthcare model, pointing to the need for knowledge production, training and professional intervention to incorporate the debate on Health Care Reform and Collective Health from a critical perspective. (AU)
En este artículo presentamos un concepto de "prácticas corporales integrativas", tejiendo reflexiones sobre las prácticas corporales en el contexto de las Medicinas Tradicionales, Complementarias e Integrativas en Salud. Discutimos apuntes teórico-metodológicos para el trabajo con estas prácticas en el Sistema Único de Salud, dialogando con las tensiones en el campo de la Educación Física, que dan lugar a diferentes abordajes. El argumento proviene de una tesis doctoral que analizó experiencias de grupos de yoga, lian gong, qi gong y danzas circulares presentes en Atención Primaria de la ciudad de Florianópolis-SC, a través de la metodología Grounded Theory. Las prácticas corporales integrativas fueron concebidas e institucionalizadas en el contexto del cambio de modelo de salud en Brasil, señalando la necesidad de producción de conocimiento, formación e intervención profesional para absorber el debate sobre Reforma Sanitaria y Salud Colectiva en una perspectiva crítica. (AU)
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Humanos , Masculino , FemininoRESUMO
The concept of alternative medicine was created by Western medicine to differentiate conventional medicine from medical practices such as traditional Chinese medicine and acupuncture, homeopathy, neural therapy, osteopathic and chiropractic medicine, Ayurvedic medicine, and indigenous traditional medicine, which also have philosophical, scientific, and therapeutic foundations. Unfortunately, over time, the belief that alternative medicine encompasses all medical practices that are not part of conventional medicine has gained ground, causing many inaccuracies and controversies. Medicine arose from the need for human self-preservation, with health defined as a state of complete well-being and disease as a loss of this state. Over the course of history, various approaches have appeared and some of them have developed into medical systems. Conventional medicine was structured in the West based on existing medical reasoning and focused on modifying disease, resulting in marked conceptual differences with existing medical treatment systems that focused on the individual and on modifying disease processes. All medical systems have had an impact in various social fields. Likewise, trends and strategies aimed at integrating conventional medicine with other medical systems such as electroacupuncture according to Voll, homotoxicology, electromagnetic polar balance, anthroposophy, sintergenetics, and biophotonics have also emerged. It is now considered that the aim of medicine is to integrate and complement knowledge from different medical approaches within the concept of a single medicine. Taking this into account, this paper aims to clarify the concepts of the different forms of medicine, propose some definitions, and offer a definition of alternative, complementary, and integrative medicine.
El concepto de medicina alternativa fue creado por la medicina occidental para identificar prácticas médicas diferentes a la medicina convencional, tales como la medicina tradicional china y acupuntura, la homeopatía, la terapia neural, la medicina osteopática y quiropráctica, la medicina ayurveda y la medicina tradicional indígena, que también tienen fundamentos filosóficos, científicos y terapéuticos. Desafortunadamente, con el tiempo se estableció la creencia de que la medicina alternativa comprende todas las prácticas médicas que no son parte de la medicina convencional, lo que ha causado muchas inexactitudes y controversias. La medicina surgió como una necesidad de auto preservación del ser humano que considera a la salud como bienestar completo y a la enfermedad, como pérdida de esta condición. A lo largo de su evolución han emergido diversas racionalidades y algunas de ellas se han convertido en sistemas médicos. La medicina convencional se estructuró en Occidente, fundamentada en racionalidades médicas existentes para la época y enfocada en modificar la enfermedad, lo que resultó en marcadas diferencias conceptuales con sistemas de tratamiento médico ya existentes que se centraban en el individuo y en modificar los procesos de la enfermedad. Todos los sistemas médicos han tenido un impacto en diversos campos sociales. Asimismo, han surgido tendencias y estrategias de integración de la medicina convencional con otros sistemas médicos como la electroacupuntura de Voll, la homotoxicología, el balance polar electromagnético, la antroposofía, la sinter -gética y la biofotónica. Actualmente se considera que el objetivo de la medicina es integrar y complementar conocimientos de diferentes racionalidades médicas dentro del concepto de una sola medicina. Teniendo en cuenta lo anterior, el objetivo del presente artículo es clarificar los conceptos de las diferentes formas de medicina, plantear algunas definiciones al respecto, y proponer una definición de medicina alternativa, complementaria e integrativa.
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OBJECTIVE: To verify the effect of foot reflexology on the electrical muscle activity of the lateral and medial gastrocnemius muscle, and to examine the distribution, plantar pressure, and body sway in patients with type 2 diabetes mellitus. METHODS: This pilot randomized controlled trial enrolled 17 volunteers who were clinically diagnosed with diabetes mellitus. The sample was assigned to one of two groups: the control group (CG, n = 7), who received information on foot care and health, and the intervention group (IG, n = 10), who received the application of foot reflexology on specific areas of the feet, for 10 consecutive days. There was blinding of the evaluator and the therapist. Surface electromyography (EMG) was used to assess the electrical activity of the medial and lateral gastrocnemius muscles in maximum voluntary isometric contraction (MVIC) and isotonic contraction (IC); baropodometry and stabilometry were used to analyze unloading, plantar weight distribution, and body sway. RESULTS: There was a statistically significant difference for the variables of maximum peak electrical activity of the left medial gastrocnemius (p = 0.03; effect size = 0.87 and power = 0.81) and left lateral gastrocnemius muscles (p = 0.04, effect size = 0.70 and power = 0.66) respectively, in the intragroup IC, and median frequency of the left medial gastrocnemius muscle in the intragroup MVIC (p = 0.03; effect size = 0.64 and power = 0.59), and in the variables intergroups of the total area on the right side (p = 0.04; effect size = 1.03 and power = 0.50) and forefoot area on the left side (p = 0.02; effect size = 0.51 and power = 0.16). CONCLUSIONS: We conclude that foot reflexology influenced some variables of the intergroup plantar distribution and intragroup EMG in the sample studied. There is a need for a placebo group, a larger sample and a follow-up to strengthen the findings of these experiments.
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Diabetes Mellitus Tipo 2 , Manipulações Musculoesqueléticas , Humanos , Projetos Piloto , Pé/fisiologia , Eletromiografia , Músculo Esquelético/fisiologiaRESUMO
Trata-se de um estudo brasileiro, transversal, mediado pela Internet com o objetivo de descrever como diferenças temperamentais associam-se ao uso de oito práticas de medicina alternativa e complementar (MAC): ioga, meditação, reiki, acupuntura, massagem, tai chi chuan, homeopatia e floral. A amostra foi composta por 22.415 indivíduos, sendo 69,5% mulheres, com idade média de 28,8 anos (DP = 9,1). As práticas mais utilizadas foram massagem e ioga e as variáveis sexo, idade, renda e diagnóstico psicopatológico ao longo da vida associaram-se a todas as práticas, exceto com tai chi chuan. Análise inferencial se baseou em modelo de regressão logística e os resultados foram calculados com base na razão de chances com intervalo de confiança de 95%. Observou-se que manifestações adaptativas de traços e de tipos psicológicos, associaram-se a maiores chances de praticar MAC. Resultados sugerem que perfis com maior regulação emocional tendem a utilizar mais frequentemente MAC e, possivelmente, obter benefícios. (AU)
The present study is a cross-sectional web-based survey conducted in Brazil aiming to describe how individual differences in temperament traits and types could predict the use of the following eight categories of complementary and alternative medicine (CAM): yoga, meditation, reiki, acupuncture, massage, tai chi chuan, homeopathy, and flower remedies. The sample consisted of 22,415 individuals, 69.5% of whom were women, with a mean age of 28.8 years (SD= 9.1). The most commonly used practices were massage and yoga and the variables sex, age, income, and psychopathological diagnosis throughout life were associated with all practices, except tai chi chuan. The inferential analysis relied on logistic regressions and results were calculated based on the odd ratios with 95% confidence intervals. Adaptive manifestations of psychological traits and types were associated with greater use of complementary and alternative medicine practices. Results suggested that profiles with greater emotional regulation tend to use CAM more frequently and possibly obtain benefits. (AU)
Se trata de un estudio brasileño, transversal, mediado por Internet, con el objetivo de describir cómo las diferencias temperamentales se asocian con el uso de ocho prácticas de medicina alternativa y complementaria (MAC): yoga, meditación, reiki, acupuntura, masaje, tai chi chuan, homeopatía y floral. La muestra estuvo compuesta por 22.415 individuos, de los cuales 69,5 % eran mujeres, con una edad media de 28,8 años (DS= 9,1). Las prácticas más utilizadas fueron el masaje y el yoga, y las variables sexo, edad, renta y diagnóstico psicopatológico a lo largo de la vida se asociaron a todas las prácticas, excepto al tai chi chuan. El análisis inferencial se basó en un modelo de regresión logística y los resultados se calcularon con base en la odds ratio con un intervalo de confianza del 95 %. Se observó que las manifestaciones adaptativas de rasgos y tipos psicológicos se asociaron con mayores posibilidades de practicar MAC. Los resultados sugieren que los perfiles con mayor regulación emocional tienden a usar MAC con mayor frecuencia y, posiblemente, obtienen beneficios. (AU)
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Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Temperamento , Terapias Complementares/psicologia , Individualidade , Adaptação Psicológica , Modelos Logísticos , Estudos Transversais , Inquéritos e Questionários , Distribuição por Idade e Sexo , Regulação Emocional , Fatores SociodemográficosRESUMO
Latin America is a multicultural region with ancient traditional medicine. There is extensive knowledge of the use of medicinal plants for wound healing in this region. Nevertheless, many of these medicinal plants lack pharmacological, toxicological, and chemical studies. This review focuses on the ethnomedicinal, phytochemical, and pharmacological (preclinical and clinical) studies of medicinal plants with wound healing activity, from Latin America. An electronic database search was conducted by consulting scientific articles and books. A total of 305 plant species with wound healing activity were recorded, based on traditional medicine. Most medicinal plants used in wound healing in Latin America are topically administered; their methods of preparation are mainly by water infusion from aerial parts. Only thirty-five percent of medicinal plants used in traditional medicine for wound healing have been experimentally validated for their pharmacological effects, and the wound healing activity of five medicinal plants has been studied in clinical trials. In all, 25 compounds (mostly terpenes and flavonoids) have been isolated from medicinal plants with wound healing activity; therefore, extensive work is necessary for a multidisciplinary approach to evaluate the wound healing effects of medicinal plants in Latin America. The mechanism of action of medicinal plants, their toxicological actions on the skin, and their bioactive compounds, have yet to be investigated. This review on the ethnomedicinal, phytochemical, and pharmacological studies, of medicinal plants from Latin America with wound healing activity, offers promising data for further studies, as well as providing new insights into their possible role in wound care.
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Fraturas de fêmur são casos recorrentes na clínica veterinária de pequenos animais, ocorrendo principalmente em filhotes. O seu diagnóstico considera histórico e sinais clínicos apresentados, como sensibilidade dolorosa e apoio do membro em pinça, e é confirmado por exame radiográfico do membro lesionado. Geralmente, esse tipo de fratura tem o tratamento cirúrgico como indicação, entretanto, com o perigo de submeter o animal a riscos tanto anestésicos quanto cirúrgicos. O presente relato de caso descreve o uso da ozonioterapia, uma forma diferente e menos invasiva de se tratar fratura femoral, com um maior potencial de adesão do tutor por ser um tratamento mais acessível e com excelentes resultados.(AU)
Femur fractures are recurrent cases in the small animal veterinary clinic, occurring mainly in puppies. It's diagnosis is based on the history and clinical signs presented, such as painful sensitivity and support of the limb on tweezers, and defined by radiographic examination of the injured limb. Generally, this type of fracture has surgical treatment indication, however, with the danger of subjecting the animal to both anesthetic and surgical risks. The present case report describes the use of ozone therapy, a different and less invasive way of treating a femoral fracture, with a greater potential for adherence by the tutor, as it is a more accessible treatment and with excellent results.(AU)
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Animais , Ozônio/uso terapêutico , Terapias Complementares , Fraturas do Fêmur/veterináriaRESUMO
Functional abdominal pain disorders (FAPDs) are an important and prevalent cause of functional gastrointestinal disorders among children, encompassing the diagnoses of functional dyspepsia, irritable bowel syndrome, abdominal migraine, and the one not previously present in Rome III, functional abdominal pain not otherwise specified. In the absence of sufficiently effective and safe pharmacological treatments for this public problem, non-pharmacological therapies emerge as a viable means of treating these patients, avoiding not only possible side effects, but also unnecessary prescription, since many of the pharmacological treatments prescribed do not have good efficacy when compared to placebo. Thus, the present study provides a review of current and relevant evidence on non-pharmacological management of FAPDs, covering the most commonly indicated treatments, from cognitive behavioral therapy to meditation, acupuncture, yoga, massage, spinal manipulation, moxibustion, and physical activities. In addition, this article also analyzes the quality of publications in the area, assessing whether it is possible to state if non-pharmacological therapies are viable, safe, and sufficiently well-based for an appropriate and effective prescription of these treatments. Finally, it is possible to observe an increase not only in the number of publications on the non-pharmacological treatments for FAPDs in recent years, but also an increase in the quality of these publications. Finally, the sample selection of satisfactory age groups in these studies enables the formulation of specific guidelines for this age group, thus avoiding the need for adaptation of prescriptions initially made for adults, but for children use.
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Abstract Objective Endometriosis is a hormone-dependent chronic inflammatory disease with symptoms such as pelvic pain, which affect the physical, emotional, and social health of women in reproductive age. The current overview article aims to explore the effect of complementary medicine on the treatment or in mitigating the risk of endometriosis. Methods This is an overview article done in Iran. Two separate researchers systematically searched 3 databases (Medline, Scopus, and Cochrane Central Register Trials) until September 2020. The methodological quality of each study was assessed using the assessment of multiple systematic reviews (AMSTAR) tool. Results The results of two reviews suggested that physical activity, tobacco smoking, diet, coffee and caffeine intake had no effect on mitigating the risk of endometriosis or improving its treatment, but acupuncture successfully reduced pain and related marker (serum CA-125) levels. Conclusion As endometriosis is an annoying disease with many complications and is hard to diagnose and treat, related studies in complementary medicine can help patients with endometriosis. Based on the relevant literature review, among the complementary medicine available for the treatment or to mitigate the risk of endometriosis, only acupuncture seems to alleviate the pain of endometriosis.
Resumo Objetivo A endometriose é uma doença inflamatória crônica hormono-dependente com sintomas como dores pélvicas, que afetam a saúde física, emocional e social de mulheres em idade reprodutiva. O presente artigo de visão geral tem como objetivo explorar o efeito da medicina complementar no tratamento ou na mitigação do risco de endometriose. Métodos Trata-se de um artigo de visão geral feito no Irã. Dois pesquisadores separados pesquisaram sistematicamente 3 bancos de dados (Medline, Scopus e Cochrane Central Register Trials) até setembro de 2020. A qualidade metodológica de cada estudo foi avaliada usando a ferramenta avaliação da qualidade dos relatos de revisão sistemática (AMSTAR, na sigla em inglês). Resultados Os resultados de duas revisões sugeriram que atividade física, tabagismo, dieta, consumo de café e cafeína não tiveram efeito na redução do risco de endometriose ou na melhoria do tratamento, mas a acupuntura reduziu com sucesso a dor e os níveis de marcadores relacionados (CA-125 sérico). Conclusão Como a endometriose é uma doença incômoda, com muitas complicações e de difícil diagnóstico e tratamento, estudos relacionados em medicina complementar podem ajudar pacientes com endometriose. Com base na revisão da literatura relevante, entre os medicamentos complementares disponíveis para o tratamento ou risco de endometriose, apenas a acupuntura parece aliviar a dor da endometriose.
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Humanos , Feminino , Terapias Complementares , Endometriose/prevenção & controle , Exercício Físico , Dor Pélvica/etiologia , Dor Pélvica/prevenção & controle , Irã (Geográfico)RESUMO
Abstract Objective To evaluate the knowledge, attitudes, and behaviors regarding complementary and alternative medicine methods of patients who were admitted to gynecology outpatient clinics. Methods In the present survey, a questionnaire on complementary and alternative medicine practices was applied on 1,000 women (ages between 18 and 83 years old) who were admitted to the gynecology outpatient clinic of a tertiarymaternity hospital. Demographic features and knowledge, attitudes, and behaviors about these methods were inquired in face-to-face interviews. Results While 80.7% of the total participants thought that complementary and alternative medicine was beneficial, only 37.5% of them had used these methods previously. The rate of prior knowledge on this subject was of 59.7% and the source of information was physicians for 8.5% of the patients. However, 72.4% of all participants wanted to obtain information on these methods and 93.7% wanted to be informed by physicians. In the decision tree model, having knowledge about complementary and alternative medicine was the most effective factor determining its use (p<0.001). Phytotherapy was found to be the most used method, with 91.4%. The most preferred plant was onion (18.9%), and the most common reasons for herbal use were stress (15.4%) and fatigue (15.2%). Conclusion More than one-third of the patients who applied to the gynecology outpatient clinics used one of the complementary and alternativemedicine methods at least once. As gynecologists and obstetricians, we need to be more knowledgeable about these methods to provide correct guidance to our patients for accessing accurate and effective information.
Resumo Objetivo Avaliar o conhecimento, as atitudes e os comportamentos em relação aos métodos de medicina complementar e alternativa de pacientes internadas em ambulatórios de ginecologia. Métodos Na presente pesquisa, um questionário sobre práticas de medicina complementar e alternativa foi aplicado a 1.000 mulheres (idades entre 18 e 83 anos) que foram admitidas nos ambulatórios de ginecologia de uma maternidade terciária. Características demográficas e conhecimento, atitudes e comportamentos sobre esses métodos foram investigados em entrevistas pessoais. Resultados Enquanto 80,7% do total de participantes achavam que a medicina complementar e alternativa era benéfica, apenas 37,5% deles haviam usado esses métodos anteriormente. A taxa de conhecimento prévio sobre o assunto foi de 59,7% e a fonte de informação foi médica para 8,5% dos pacientes. No entanto, 72,4% de todos os participantes queriam obter informações sobre esses métodos e 93,7% queriam ser informados por médicos. No modelo de árvore de decisão, ter conhecimento sobre medicina complementar e alternativa foi o fator mais eficaz para determinar seu uso (p<0,001). A fitoterapia foi o método mais utilizado, com 91,4%. A planta preferida foi a cebola (18,9%), e osmotivos mais comuns para o uso de ervas foram estresse (15,4%) e fadiga (15,2%). Conclusão Mais de um terço das pacientes que se inscreveram no ambulatório de ginecologia utilizaram um dos métodos de medicina complementar e alternativa pelo menos uma vez. Como ginecologistas e obstetras, precisamos ter mais conhecimento sobre estes métodos a fimde fornecer orientações corretas aos nossos pacientes para o acesso a informações precisas e eficazes.
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Humanos , Feminino , Gravidez , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Adulto Jovem , Terapias Complementares , Ginecologia , Atitude , Conhecimentos, Atitudes e Prática em Saúde , Inquéritos e Questionários , Instituições de Assistência Ambulatorial , Fitoterapia , Pessoa de Meia-IdadeRESUMO
BACKGROUND: The aim of this study was to assess the frequency of allopathic and complementary medicine use for preventing the infection with SARS-CoV-2 in Mexico. A descriptive and cross-sectional study was conducted using an online questionnaire among general adult population (n = 16,724) of the 32 Mexican states from March to November 2020. METHODS: The factors associated with the use, self-medication practice, and adverse reactions due the consumption of allopathic and complementary medicine to prevent infection with SARS-CoV-2 virus were assessed using a structured questionnaire. The suspected adverse reactions associated with the use of drugs or complementary medicine were reported. RESULTS: The prevalence (42.9%) of allopathic and/or complementary medicine use for preventing SARS-CoV-2 infection was mainly associated with unemployment [OR:2.026 (1.722-2.283)]. Acetaminophen (n = 2272) and vitamin C (n = 3252) were the main allopathic and complementary medicine products used to prevent SARS-CoV-2 infection, respectively. The prevalence of self-medication and adverse reactions was 35.3% and 4.8%, respectively. Self-medication [OR:1.930 (1.633-2.282)] and adverse reactions [OR:2.603 (2.015-3.363)] were mainly associated with individuals of low socioeconomic status. Hydroxychloroquine (21.2%) and chloroquine (15.2%) showed the highest prevalence of adverse reactions, which were mainly related to gastrointestinal disorders. CONCLUSION: The use of medications and complementary medicine to prevent SARS-CoV-2 infection is prevalent (almost one-half of the respondents) among Mexican population, and it is mainly associated with unemployment. Self-medication and the adverse reactions derived from self-medication are also prevalent and seem to be influenced by low socioeconomic status.
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Terapias Complementares , Medicina Integrativa , Pediatria , Adolescente , Brasil , Criança , Consenso , HumanosRESUMO
OBJECTIVE: We conducted a study in a tertiary hospital to investigate complementary and alternative medicine (CAM) prevalence in a Puerto Rican population. The study also evaluated demographic and clinical factors in order to correlate them with CAM use. METHODS: Spanish speaking residents with a known diagnosis of cancer being followed in the outpatient facilities at Auxilio Mutuo Cancer Center were invited to participate in the study. Patients who read and signed a consent form were given a questionnaire inquiring, among various things, on their use of any CAM treatment, education level, gender, place of residence and whether they had consulted their oncologist. The questionnaire also asked about their expectations for use of CAM. RESULTS: 215 patients were approached to participate out of which 200 signed the consent and accepted to participate. A total of 95 of 200 patients (47.5%) mentioned that they utilized at least one CAM treatment. Six factors were then analyzed for their correlation with CAM usage and three yielded statistically significant results at p<.05: age group, education level, and area of residence. After multivariate analysis all of these three factors behaved as independent variables. Gender, tumor type and stage were not significantly associated with use of CAM. CONCLUSION: Our data show that CAM use is significantly more common in those with higher education, younger age, and those living in non-metropolitan areas. Vitamin C and soursop (Graviola or guanábana) proved to be the two most common CAM treatments, respectively.
Assuntos
Terapias Complementares/estatística & dados numéricos , Neoplasias/terapia , Adolescente , Adulto , Fatores Etários , Idoso , Escolaridade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/patologia , Prevalência , Porto Rico , Fatores Sexuais , Inquéritos e Questionários , Centros de Atenção Terciária , Adulto JovemRESUMO
ABSTRACT BACKGROUND: The brief psychotherapeutic intervention "relaxation, mental images and spirituality" (relaxamento, imagens mentais e espiritualidade, RIME) is a form of complementary and alternative health-related therapy. It is a pioneer in the matter of relating the elements of spirituality to relaxation and to visualization of mental images. OBJECTIVE: To ascertain the history, use and benefits of RIME that have been reported in the scientific literature, within different health/disease contexts. The questions that guided this study were: In what contexts has the brief RIME psychotherapeutic intervention been used? What were its benefits? DESIGN AND SETTING: Systematic review, conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology, in a public university. METHODS: The BVSPsi, CINAHL, MEDLINE, SciELO, SCOPUS and Web of Science databases were searched in September and October 2018. RESULTS: The findings showed that RIME promoted resignification of the symbolic pain of the death of patients without the possibility of cure; improved quality of life within the process of dying; contributed to the quality of life of breast cancer patients with cure possibilities; contributed to the emotional wellbeing of ostomized patients; brought quality-of-life benefits for patients with head-and-neck cancer; promoted empowerment for women with breast cancer and strengthened their libido; and promoted resignification of the spiritual pain of bereaved youths, offering a satisfactory return from mourning preparation. CONCLUSIONS: It was found that RIME has a construct history based on rigorous scientific methodology, covering quality of life and spiritual, emotional and subjective wellbeing. RIME has not been used internationally and new studies within this field, with different cases, should be encouraged. SYSTEMATIC REVIEW REGISTRATION: PROSPERO ID 164211.
Assuntos
Humanos , Neoplasias da Mama , Espiritualidade , Qualidade de VidaRESUMO
Introdução: O aumento da expectativa de vida da população é uma realidade entre os diversos grupos populacionais. Esta realidade tem determinado uma modificação no perfil demográfico e de morbimortalidade, resultando em envelhecimento da população e consequente aumento proporcional das doenças crônico-degenerativas. Com isso, tem surgido uma tendência entre idosos: o uso excessivo de medicamentos, que pode causar muitos efeitos colaterais. Nesse sentido, as práticas integrativas surgem como um processo renovado de implementação de modos diferenciados de promover saúde, não lucrativos, menos onerosos e mais aptos a cuidar do ser humano em sua totalidade. Objetivo: O objetivo da pesquisa foi de reunir, sintetizar e descrever as evidências científicas a respeito das práticas integrativas e complementares utilizadas em idosos hipertensos. Método: Revisão Integrativa Estruturada da Literatura no período entre setembro de 2018 e fevereiro de 2019. Os artigos encontrados foram selecionados a partir das bases de dados Pubmed/Medline e Lilacs. A revisão incluiu estudos caso- controle randomizados, ensaios clínicos, estudo quase-experimental, estudo longitudinal, estudo piloto, estudo qualitativo exploratório e revisões sistemáticas. Resultados: Foram encontradas as seguintes modalidades de Práticas Integrativas: Respiração guiada; Musicoterapia; Yoga; Meditação; Quigong; Técncas de relaxamentos; Outros. Foram relatados resultados positivos, associados a saúde cardiovascular de forma geral, além disso, também apontaram redução nos índices de colesterol LDL, triglicerídeos, glicemia e aumento nas taxas de colesterol HDL entre o pré e pós intervenção dos indivíduos. Conclusão: É possível observar que existem práticas que podem auxiliar no processo de tratamento complementar da hipertensão em idosos, contribuindo para a saúde trazendo benefícios além do físico, como também para a qualidade de vida de seus praticantes.
Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou maisRESUMO
Introducción: El origen de la Medicina Natural y Tradicional está íntimamente unido con la historia del hombre en su lucha por la supervivencia. Las diferentes modalidades de la misma ofrecen grandes potencialidades a la medicina actual. Objetivo: Describir el uso terapéutico de algunas modalidades de la medicina natural y tradicional en la actualidad. Métodos: Se realizó un estudio cualitativo descriptivo mediante la técnica de revisión bibliográfica, a través del análisis, desde una visión integradora, de 40 artículos con calidad científica, publicados en los últimos 5 años, referentes a las modalidades de la Medicina Natural y Tradicional como tratamiento alternativo de múltiples enfermedades. Conclusiones: La Medicina Natural y Tradicional constituye una alternativa más de tratamiento para diferentes enfermedades. Dentro de las principales modalidades utilizadas en Cuba se encuentran: Acupuntura, fitoterapia, apiterapia, moxibuxtión, homeoterapia y ozonoterapia. Algunos de sus usos terapéuticos son: expectorantes, antihipertensivos, antifúngicos, antinflamatorios, analgésicas, estimulantes inmunológicos, sedantes, entre otros. En Cuba se aprobó un programa para su aplicación y una guía para la prescripción de productos naturales, que se convirtió en una herramienta de trabajo para el médico(AU)
Introduction: The origin of natural and traditional medicine is closely associated with the history of mankind in the struggle for survival. Its different modalities offer great potentialities to present-day medicine. Objective: To describe the therapeutic use of some modalities of natural and traditional medicine at present. Methods: A qualitative, descriptive study was carried out using the bibliographic review technique, through the analysis, from an integrating view, of 40 articles with scientific quality, published in the last five years, referring to the modalities of natural and traditional medicine as alternative treatment for multiple diseases. Conclusions: Natural and traditional medicine is another treatment alternative for different diseases. Among the main modalities used in Cuba are acupuncture, herbal medicine, apitherapy, moxibustion, homeotherapy, and ozone therapy. Some of its therapeutic uses are as expectorants, antihypertensive, antifungal, anti-inflammatory, analgesic, immune stimulants, and sedatives. In Cuba, a program was approved for its application, as well as it was a guide for prescribing natural products, which became a working tool for the physician(AU)