Includes bibliographical references and index.

Bachelor-Arbeit Univ. St. Gallen, 2004.

Regulation of integrative and complementary medicine Student: Eva Škulková Tutor: PharmDr. Jitka Pokladníková, Ph.D. Dept. of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University, the Czech Republic Background: The prevalence of complementary and alternative medicine (CAM) is high 76% and it is rising. In the Czech Republic, there are no legislation or general standards that would ensure uniform requirements for providing CAM. At present, there is a lack of comprehensive understanding of how CAM methods are provided. Aim: To determine the level of regulation of the most commonly used CAM methods in the Czech Republic. Methods: The level of regulation has been evaluated according to regulatory criteria based on requirements for healthcare professionals. The list of the researched methods is based on foreign studies and at the same time specific CAM methods for the Czech Republic were added. Specific methods were selected by the expert group. The data was obtained by searching the Internet using The Google. The obtained data was processed in MS Excel using descriptive statistics. Results: Altogether, 98 CAM methods were searched. Of these, 28 methods were excluded from the evaluation, 70 methods were evaluated according to the criteria, and 2 methods were double...

In second language research and pedagogy, motivation has been labeled as a key factor for success (Clément, 1980; Dörnyei, 1998; Tremblay & Gardner, 1995; Deci & Ryan, 1985); namely, language learners with high levels of motivation will be more successful than those who exhibit more negative attitudes towards learning the TL. Through classroom observations, student survey responses and personal interviews conducted in a beginner-level university French class, this study attempted to determine broad motivational patterns using Gardner's (1982) binary integrative and instrumental model, and then determine specific origins for these motivations. Four interviewees were selected: two with high instrumental and integrative orientation, and two with low integrative and instrumental orientation. Research questions aimed to determine initial motivational tendencies of the students and how these changed or remained consistent throughout the semester; additionally, a comparison between what interviewees indicated about their own motivational tendencies and their class performance were analyzed. The findings of this study indicated that integrative motivational tendencies shifted positively over the course of the semester, whereas instrumental motivational tendencies remained consistent. The change in integrative motivation was mainly due to cultural francophone insights brought to the classroom through the instructor and textbook materials. The malleable nature of integrative motivation presupposes that students' investment (Norton-Pierce, 1995) in, or motivation, to learn the TL language culture must grow in order for integrative motivation to do so as well. Implications include how larger university environments can more successfully hone in on individual achievement through teacher awareness of student motivational behaviors in the classroom. Additionally, pedagogical implications will aid educators in better understanding their pupils' motivation for learning foreign languages and recognizing how student behavior can be helpful indicators of waning or waxing motivation in class. Results suggest that teaching culture in the FL classroom can help augment integrative motivation.

Made available in DSpace on 2014-06-11T19:29:34Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-05-11Bitstream added on 2014-06-13T19:59:14Z : No. of bitstreams: 1 cruz_mz_me_botfm.pdf: 399271 bytes, checksum: 5cacfbb4f0052462d6ff6d30f2bedcbf (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Este estudo é uma revisão teórica e uma reflexão crítica que tem como objetivo investigar o campo da psicossomática, incluindo fundamentos teóricos, bases fisiológicas e as implicações na Saúde Coletiva. Ao longo da história, as concepções sobre saúde e doença, assim como o pensamento médico, incluem suposições filosóficas a respeito do problema mente-corpo, que se configuram em perspectivas monistas ou dualistas. O desenvolvimento das neurociências e da psiconeuroimunologia têm sugerido complexas interações bidirecionais entre os sistemas nervoso, imune e endócrino, assim como um papel central dos aspectos emocionais e cognitivos no processo saúde-doença, que questionam a perspectiva dualista. As crescentes pesquisas em psiconeuroimunologia trazem consigo a necessidade de se discutir uma abordagem mais ampla em saúde, para que se possa maximizar os benefícios das intervenções e proporcionar uma maior qualidade de vida. O modelo biopsicossocial proposto por George Engel, que contempla uma abordagem centrada na integralidade do ser humano, demanda estratégias de intervenção que promovam o bem estar físico e psíquico, melhorem as relações sociais e as condições de vida e trabalho, atuando no âmbito da macroestrutura econômica, social e cultural. Estudos no campo da psicossomática mostram-se importantes para fortalecer as bases científicas que contribuirão para a construção e a implementação do paradigma biopsicossocial na Saúde Coletiva, tendo em vista a efetivação do princípio da integralidade / This study is a theoretical review and a critical reflection that aims to investigate the major studies in the psychosomatic field, including theoretical foundations, physiological basis and implications in public health. Throughout history, the concepts of health and illness, as well as the medical thinking, have been influenced by the philosophical discussion of the mind-body problem, which leads to a monistic or dualistic perspective. Development of the neurosciences and psychoneuroimmunology has shown complex bidirectional interactions among the nervous, immune and endocrine systems, as well as the role of emotional and cognitive aspects for the healthdisease process, thus questioning the dualistic concept. Research in psychoneuroimmunology implies the need to discuss a broader approach to health, in order to maximize the benefits of interventions and provide a higher quality of life. The biopsychosocial model proposed by George Engel, an approach that considers the whole of the human being, demands interventional strategies that promote physical and mental well being, improve social relations, living and work conditions and also act within the economic, social and cultural macrostructure. Studies in the psychosomatic field are important to strengthen the scientific basis that will contribute to the building and implementation of the biopsychosocial paradigm in public health, moving towards the realization of the principle of integrality

Orientador: Regina Stella Spagnuolo / Banca: Karina Pavão Patrício / Banca: Marcelo Marcos Piva Demarzo / Resumo: Embora a biomedicina seja indispensável à vida contemporânea, a crescente procura por Práticas Integrativas e Complementares (PIC) denuncia as fragilidades deste modelo em responder integralmente às diversas demandas de saúde da população. Apoiando-se na necessidade de efetivação do principio da integralidade no SUS e atendendo as diretrizes da OMS para implantação das medicinas tradicionais, alternativas e complementares nos sistemas nacionais de saúde, o governo brasileiro lançou em 2006 a Política Nacional de Práticas Integrativas e Complementares no SUS (PNPIC). O presente trabalho se propõe a caracterizar as produções científicas acerca das PIC no SUS antes e após a implantação da PNPIC, destacando as principais fragilidades, potencialidades e perspectivas apontadas pelas pesquisas em relação a este processo. Utiliza-se o método de revisão integrativa, considerando o período temporal entre 2000 e 2013. No período entre Agosto e Novembro de 2013, foram consultadas as bases de dados da Medline, Lilacs, Scielo e Scopus e incluídos 35 artigos, que atenderam os seguintes critérios: trabalhos completos publicados em periódicos, relevantes ao tema e escritos em português, espanhol e/ou inglês. Os dados foram analisados por meio de abordagem quali-quantitativa, apresentados em tabelas e em categorias temáticas e discutidos à luz da integralidade em saúde. Observou-se que a produção sobre PIC no SUS começa a crescer em 2007, que a maioria dos artigos são brasileiros e se concentram na base de dados da Lilacs. A região sudeste concentra o maior volume de artigos sobre o tema e, dentre as universidades, a Universidade Federal de Santa Catarina (UFSC). A maioria dos autores possui graduação na área da saúde e título de doutor. Em relação à abordagem metodológica, os estudos qualitativos possuem maior representatividade e em relação ao desenho de pesquisa destacam-se os estudos descritivos. Os sujeitos... / Abstract: While biomedicine is indispensable to contemporary life, the growing demand for Integrative and Complementary Practices (ICP) denounces the weaknesses of this model to fully meet the diverse health needs of the population. Relying on the need for realization of the principle of comprehensiveness in SUS and meeting the WHO guidelines for deployment of traditional, complementary and alternative medicines in national health systems, the brazilian government launched in 2006 the National Policy on Integrative and Complementary Practices in the Unified Health System (UHS) (NPICP). This study aims to characterize the scientific production about the ICP in the UHS before and after the implementation of NPICP, highlighting the main weaknesses, potential and prospects indicated by the research regarding this process. We use the integrative review method, considering the time period between 2000 and 2013. Between August and November 2013, Medline databases were consulted, Lilacs, SciELO and Scopus and included 35 articles that met the following criteria: full papers published in journals relevant to the topic and written in Portuguese, Spanish and / or English. Data were analyzed using qualitative and quantitative approach, presented in tables and themes and discussed based on health comprehensiveness. It was observed that the production of ICP in UHS begins to grow in 2007, that most articles are Brazilian and are concentrated in the Lilacs database. The southeast region concentrates the largest number of articles on the subject and, among universities, the Federal University of Santa Catarina (FUSC) holds the biggest percentage of articles. Most authors hold a degree in health and doctor's degrees. Regarding the methodological approach, qualitative studies have greater representation and in relation to research design stand out from the descriptive studies. The most studied subjects were UHS users and professionals. It is observed that most of ... / Mestre

Atendendo à premissa de expor a vivência do pesquisador em inovação e empreendedorismo, esse trabalho trata-se de um estudo de caso adaptado que teve como objetivo, propor um quadro de modelo de negócios para uma organização de Medicina Integrativa. A proposta do modelo de negócios atendeu um processo proposto por Kolb, onde através da experiência concreta, observação reflexiva e experimentação ativa, conseguiu-se realizar a conceptualização abstrata para um modelo de negócios inovador. Engajando-se na racionalidade médica contemporânea, que busca encontrar um mecanismo de cuidado com o indivíduo por práticas e protocolos que possam ser eficientes e de menor custo, e impulsionado pela experiência profissional e interesse de um investidor, realizou-se uma sequência de ações que pudessem formar um modelo de negócios estruturado e que atendesse um negócio inovador. Foi possível observar que: A) O modelo de negócios mostra-se bastante eficaz para compreender um negócio inovador; B) A Medicina Integrativa é um conjunto de práticas que envolve o cuidado global do indivíduo; C) APor meio do modelo de negócios, é possível proporcionar subsídios para alcançar investidores e, por fim, D) Por meio do modelo de negócios foi possível que o principal stakeholder, o médico proprietário, pôde obter, após a aplicação da ferramenta, novas ideias e insights a respeito de ações imediatas e futuras. Para os outros, a compreensão estabeleceu clareza e direcionamento maior dos objetivos, assim como, possibilitou a definição das responsabilidades e prioridades de cada um. / Given the premise of exposing the experience of research in innovation and entrepreneurship, this work is an appropriate case study that aimed to propose a business model framework for an organization of Integrative Medicine. The proposed business model attended a process proposed by Kolb, which through concrete experience, reflective observation and active experimentation, was managed to achieve the abstract conceptualization to an innovative business model. Engaging in contemporary medical rationality, which seeks to find a care facility with the individual for practices and protocols that may be efficient and lower-cost, driven by experience and interest of an investor, was held a sequence of actions that could form a structured business model and that meets an innovative business. It was observed that: A) The business model is the most effective way to understand an innovative business; B) The Integrative Medicine is undoubtedly the most effective and involves less cost in the overall individual care; C) Through the business model, it is possible to provide subsidies to reach investors and, finally, D) Through the business model it was possible that the main stakeholder, the physician owner could get, after application of the tool, new ideas and insights regarding immediate and future actions. For others, understanding clearly established and greater targeting of objectives, as well as made possible the definition of responsibilities and priorities of each.

nÃo hà / A Visita DomiciliÃria (VD), tecnologia utilizada na atenÃÃo à saÃde, nÃo à uma prÃtica recente e està presente em todo o contexto de cuidados de saÃde no mundo. A prÃtica baseada em evidÃncia apresenta-se como o referencial teÃrico-metodolÃgico adotado neste estudo, que selecionou a revisÃo integrativa como mÃtodo de pesquisa para utilizar, na atenÃÃo bÃsica e na assistÃncia de enfermagem, os resultados encontrados na prÃtica clÃnica da visita. O objetivo deste estudo à avaliar as produÃÃes cientÃficas disponÃveis na literatura nacional e internacional sobre VD em seus aspectos conceituais, metodolÃgicos, finalidade e situaÃÃes diante do processo saÃde e doenÃa.. Para a seleÃÃo dos artigos foram utilizadas cinco bases de dados, Cinahl, Pubmed, Lilacs, Cochrane e Scielo, e a amostra desta revisÃo constituiu-se de 13 artigos, referentes à VD na atenÃÃo bÃsica. Os resultados evidenciaram que conceituar VD ainda nÃo à uma preocupaÃÃo para aqueles que a estudam, o que se pode inferir que por ser uma tecnologia incorporada na rotina dos serviÃos da atenÃÃo bÃsica, torna-se desnecessÃrio, para alguns autores, a sua conceituaÃÃo. Os artigos avaliaram a tecnologia e sua eficÃcia na prestaÃÃo dos serviÃos de saÃde. Observa-se uma variedade de grupos populacionais que recebem visitas, tais como recÃm-nascidos, crianÃas, adolescentes, idosos e aqueles em situaÃÃes especÃficas: puÃrperas, grÃvidas e diabÃticos. Visualiza-se, porÃm, um predomÃnio das visitas realizadas aos idosos na faixa etÃria de 70 a 84 anos. Quanto aos profissionais que estÃo realizando a visita domiciliÃria, houve diversificaÃÃo, concentrando-se no enfermeiro, seguido pelo agente de saÃde, como executores dessa prÃtica. Diante do processo saÃde-doenÃa a VD està sendo realizada na prestaÃÃo de cuidados centrados ainda na doenÃa, o que satisfaz a prestaÃÃo de serviÃos momentaneamente, desvalorizando o efeito favorÃvel do ambiente familiar para aÃÃes de promoÃÃo à saÃde, prevenÃÃo ou diagnÃstico de doenÃa. Este estudo pretendeu fornecer subsÃdios para a melhoria da prÃtica da VD na atenÃÃo bÃsica, bem como estimular os enfermeiros no desenvolvimento de pesquisas que produzam evidÃncias fortes relativas à elaboraÃÃo de novas metodologias e teorizaÃÃo para a realizaÃÃo da VD a grupos especÃficos na atenÃÃo bÃsica. / Home Visit (HV) is a technology used in health care which, although it is not recent practice, is present in the entire world. Evidence-based practice is the theoretical and methodological framework adopted in this study which selected the integrative review as research method. Results found in the clinical practice of visits will be used in both primary care and nursing care. This study aims at assessing the scientific production about HV and its concept, methodology, purpose as well as situations available in both national and international literature. CINAL, PubMed, Lilacs, Scielo and Cochrane were the five databases used for the selection of articles. The sample of this review consisted of 13 articles concerning HV in primary care. Results showed that the ones who study HV are still not worried about conceptualizing it. Based on these findings it can be inferred that since HV is a technology incorporated into primary care service routine, it is unnecessary, for some authors, the conceptualization of HV. The articles have evaluated this technology and its effectiveness in health care services. It was observed a variety of population groups receiving visits, such as, infants, children, adolescents, the elderly and the ones in specific situations: women in recovery stage, pregnant women and diabetics. However, there is the predominance of visits to the elderly aged between 70 and 84. Concerning the professionals carrying out the visits, there was some variety as well, but nurses, followed by health workers, are the main conductors of such practice. Given the health-disease process, HV has been held in the care focusing on the disease, which fulfills the service temporarily, devaluing the favorable effect of family environment for actions of health promotion, prevention or diagnosis of diseases. This study aimed at providing information to improve the practice of HV in primary care as well as encouraging nurses to develop researches which have as result strong evidences related to the production of new methodologies for HV to specific groups in primary care.

The purpose of this study was to analyze the extent to which a sample of Swedish psychotherapists used techniques and interventions that are not part of the methods that they have been trained in. i.e. to what extent do they have an integrated approach in their professional activities. The hypothesis is that most psychotherapists in Sweden do not work strictly with just one psychotherapeutic orientation, but that they use techniques and methods from other orientations, which would be consistent with international research results in this field. Participants were recruited by mailed letters to a sample of authorized Swedish psychotherapists of all potential orientations. The letters contained an information paper and a questionnaire.

Investigations were made examining the relationships between gastropod species richness and abundance across 20 phosphate and 20 natural lakes in Central Florida. In additional to lake category, age of phosphate lakes was used to determine if phosphate lakes ever approximate natural lakes. Additional physical, chemical, and biological parameters, including chlorophyll a, Ca, secchi, phosphorous, conductance, fish predation, and recreational lake use were investigated in order to determine if they affected gastropods with lake age. Comparisons were also made between gastropod species richness and average abundance and two groups of dominant vegetation categories: Panicum, a structurally complex macrophyte, and Typha, a less structurally complex macrophyte. After phosphate mining operations are completed, Florida state regulations require the establishment of ecologically viable habitat (created lakes) which reflects the properties of regional natural lakes including vegetation structure, littoral zone, bank slope, and lake depth. The littoral zone is part of the mandated structure of the lake, and is of considerable importance to the uptake, storage, transformation and release of nutrients. Within the littoral zone, gastropods are a critical link in the food web with implications for the long term structure and function of a lake. They are known for their close associations with macrophytes and are common environmental indicators since they have limited mobility, high diversity, are well studied, are representative of their habitat type and have a widespread geographic range. They are also an important food sources for many predators in aquatic environments, include migratory waterfowl and game fish. Gastropod species richness and abundance data were collected via standard net sweep methodology. Abundance was presented in catch per unit effort, therefore all abundance data were averages. Initial comparisons between gastropod species richness and average abundance yielded no significant differences between natural and phosphate lakes. However, when age was applied as a covariate, there was a significant difference between lake age as a continuous variable in species richness comparisons. Additionally, categorical comparisons between lakes older or younger than 30 years indicated significantly higher species richness and average abundance of gastropods in lakes phosphate lakes older than 30 years. Physical and chemical properties of the lakes did not appear to influence gastropod populations between lakes of different ages. Fish predation interactions did not indicate any significant influence either. However, the presence of boat ramps did indicate a positive relationship between average gastropod abundance and species richness and recreational lake use. Littoral zone macrophyte comparisons between dominant vegetation Typha and Panicum indicated a significantly positive relationship between gastropod species richness and average abundance in older phosphate lakes dominated by the more structurally complex Panicum macrophytes. Confidence in the Typha and Panicum results was confounded by lack of access to younger, Typha dominated, phosphate lakes. An increase in sample size for younger Typha lakes, with additional site access, may further support these findings.