A busca por saúde e bem-estar é intrínseca ao ser humano. Além da medicina convencional ou alopática, existem numerosas modalidades terapêuticas consideradas parte da Medicina Complementar e Alternativa (MCA). No Brasil, essas terapias foram chamadas Práticas Integrativas e Complementares (PIC), definidas pela Portaria nº 971, de 3 de maio de 2006 do Ministério da Saúde. Embora sejam amplamente utilizadas com apoio da Organização Mundial da Saúde, faltam materiais de suporte aos tradutores sobre esse tema. Dessa forma, procuramos desenvolver um glossário bilíngue português brasileiro/inglês britânico dessa área de especialidade, por meio da compilação de corpora comparáveis nos dois idiomas, escolhendo textos representativos sobre essa temática. Para a realização desse trabalho, utilizamos como referenciais teóricos a Linguística de Corpus e a Terminologia Bilíngue. Como ferramenta computacional usamos o WordSmith Tools. Após a compilação dos corpora, utilizando artigos acadêmicos, livros, textos de sites institucionais e legislação, examinamos a linguagem utilizada na área de PIC e extraímos os termos pertinentes à pesquisa por meio de uma análise quantitativa e qualitativa. Verificamos a ocorrência de termos simples, compostos, complexos e siglas. Em seguida, buscamos os equivalentes em língua inglesa para os termos selecionados. Nem todos os equivalentes foram encontrados no corpus em inglês, portanto, realizamos nova busca usando a web como corpus. Explicitamos a macroestrutura e a microestrutura propostas e apresentamos a primeira versão do glossário, com exemplos de contextos de uso autêntico em ambos os idiomas. Propusemo-nos também a buscar os equivalentes em inglês para uma terapia desenvolvida no Brasil cuja terminologia ainda não tivesse sido vertida para o inglês. Foi escolhida a terapia floral baseada na alquimia, da qual elaboramos um corpus, extraímos os termos mais representativos e buscamos os equivalentes em inglês por meio de pesquisas pontuais. Elaboramos um glossário ilustrado de plantas utilizadas na produção das essências florais utilizadas nessa terapia. Esperamos contribuir com um material de apoio inicial aos tradutores da área de PIC, além de incentivar o desenvolvimento de novas pesquisas sobre essa lingua de especialidade. / The search for health and well-being is intrinsic to the human being. In addition to conventional or allopathic medicine, there are numerous therapeutic modalities considered part of Complementary and Alternative Medicine (CAM). In Brazil, these therapies are called Complementary and Integrative Practices (CIP), defined by Ministry of Health Ordinance No. 971 of May 3, 2006. Although widely used with support from the World Health Organization, there is a lack of reference terminological materials for translators on this topic. Thus, we seek to develop a Brazilian Portuguese/British English bilingual glossary of this area of expertise, by compiling comparable corpora in both languages, choosing representative texts on this topic. In order to carry out this work, we used as theoretical references Corpus Linguistics and Bilingual Terminology. As a computational tool we used WordSmith Tools. After the compilation of corpora, using academic articles, books, texts of institutional websites and legislation, we examined the language used in the area of CIP and extracted the related terms to the research through a quantitative and qualitative analysis. We verified the occurrence of simple terms, compound terms, complex terms and acronyms. Next, we searched for English equivalents of the selected terms. Not all of the equivalents were found in the English corpus, so we performed a new search using the web as a corpus. Then, we explained the proposed macrostructure and microstructure and presented the first version of the glossary, with examples of contexts of authentic use in both languages. We also proposed to seek equivalents in English for a therapy developed in Brazil whose terminology had not yet been translated into English. Alchemy based flower essences therapy was chosen, from which we developed a corpus, extracted the most representative terms and searched for equivalents in English through a one-on-one research. We developed an illustrated glossary of plants used in the production of the flower essences used in this therapy. We hope to contribute an initial reference material to translators in the area of CIP, as well as encouraging the development of new research on this specialized language.

In the light of the current patient-centred approach to healthcare delivery, this research investigated the effectiveness and safety of paediatric complementary and alternative medicines (CAMs) from the users' perspective in order to generate suitable data to inform healthcare policy and planning. The research was in three parts: a systematic review (SR), a database analysis and a survey. The SR of papers published on the topic from 2000 to July 2011 identified 46 eligible studies conducted predominantly in the USA (14; 30%); with only 5 UK studies (11%), of which 2 were Scottish. Generally, their findings indicated a high report of positive health outcomes by CAM users, and a low report of adverse outcomes. Critical appraisal, however, highlighted the low methodological quality of most studies; with an overall quality rating of 45%, and only 9 studies (20%) possessing up to 8 of 12 quality indices. A tendency towards selective outcome reporting bias was also observed. The database research explored the suspected adverse reactions (ADRs) associated with paediatric use of natural health products (NHPs) as reported on the Yellow Card Scheme (YCS) from its inception until July 2012. The YCS data was mined to estimate the frequency and seriousness of the ADRs reported. NHPs were found to have contributed < 1% of ADR reports within the period, with paediatric subjects contributing 8.6% of NHP reports (192 reports). These profiled 332 specific ADRs, 30% of which were described as serious. Female subjects contributed marginally more ADRs than males (51.5%). Rash and other skin and subcutaneous disorders were the most common ADRs. Herb-drug combination products were found to generate the most ADRs, with the senna-piperazine combination being the most frequently reported (89 ADRs). The product most associated with fatalities was soybean oil (5 reports). Generally, however, NHP-related ADRs reported for paediatric subjects in the YCS were found to be relatively few, and of low severity (6%) and fatality (2%); with over 75% resolution, and mostly within 3 days (68%). The survey component of the research was a bi-modal analytic cross-sectional survey of parents in Aberdeen, and aimed to determine the nature and demography of the use and user-reported outcomes of CAM among children in Aberdeen. Consenting parents recruited from the general population were invited to complete online or paper versions of a validated questionnaire. 212 parents of 391 children completed the survey, of which 143 reported CAM use in their children (67.5%). Participants were mainly mothers (73.6%); Caucasian (84.4%); aged 30-44 years (59.7%); and educated beyond secondary level (85.3%). 213 children had ever used CAM, 64.3% of which had always used CAM; while 21.1% had only used CAM within the last 12 months, and 14.6% had used it only previously. 53.1% of child CAM users were female. Parental self CAM use was found to be the strongest predictor of paediatric CAM use. 102 of the 123 parents that rated their children's CAM use (82.9%) perceived them as helpful; 76 of which said they helped 'a lot'. Finding personal CAM use helpful was the only factor found to significantly predict perceived effectiveness for paediatric CAM use. 9 parents reported adverse outcomes, mainly allergic skin reactions. In all, this research featured the first SR of user-perceived effectiveness and safety outcomes of paediatric CAMs; the first analysis of NHP-associated ADR reports on the YCS; and the first population-based Scottish study of paediatric CAM use. A triangulation of the results from these three strands validated the key finding that CAM is used widely among children, with high perceived effectiveness and safety outcomes. The implications of this finding for healthcare policy and planning were highlighted.

A busca por saúde e bem-estar é intrínseca ao ser humano. Além da medicina convencional ou alopática, existem numerosas modalidades terapêuticas consideradas parte da Medicina Complementar e Alternativa (MCA). No Brasil, essas terapias foram chamadas Práticas Integrativas e Complementares (PIC), definidas pela Portaria nº 971, de 3 de maio de 2006 do Ministério da Saúde. Embora sejam amplamente utilizadas com apoio da Organização Mundial da Saúde, faltam materiais de suporte aos tradutores sobre esse tema. Dessa forma, procuramos desenvolver um glossário bilíngue português brasileiro/inglês britânico dessa área de especialidade, por meio da compilação de corpora comparáveis nos dois idiomas, escolhendo textos representativos sobre essa temática. Para a realização desse trabalho, utilizamos como referenciais teóricos a Linguística de Corpus e a Terminologia Bilíngue. Como ferramenta computacional usamos o WordSmith Tools. Após a compilação dos corpora, utilizando artigos acadêmicos, livros, textos de sites institucionais e legislação, examinamos a linguagem utilizada na área de PIC e extraímos os termos pertinentes à pesquisa por meio de uma análise quantitativa e qualitativa. Verificamos a ocorrência de termos simples, compostos, complexos e siglas. Em seguida, buscamos os equivalentes em língua inglesa para os termos selecionados. Nem todos os equivalentes foram encontrados no corpus em inglês, portanto, realizamos nova busca usando a web como corpus. Explicitamos a macroestrutura e a microestrutura propostas e apresentamos a primeira versão do glossário, com exemplos de contextos de uso autêntico em ambos os idiomas. Propusemo-nos também a buscar os equivalentes em inglês para uma terapia desenvolvida no Brasil cuja terminologia ainda não tivesse sido vertida para o inglês. Foi escolhida a terapia floral baseada na alquimia, da qual elaboramos um corpus, extraímos os termos mais representativos e buscamos os equivalentes em inglês por meio de pesquisas pontuais. Elaboramos um glossário ilustrado de plantas utilizadas na produção das essências florais utilizadas nessa terapia. Esperamos contribuir com um material de apoio inicial aos tradutores da área de PIC, além de incentivar o desenvolvimento de novas pesquisas sobre essa lingua de especialidade. / The search for health and well-being is intrinsic to the human being. In addition to conventional or allopathic medicine, there are numerous therapeutic modalities considered part of Complementary and Alternative Medicine (CAM). In Brazil, these therapies are called Complementary and Integrative Practices (CIP), defined by Ministry of Health Ordinance No. 971 of May 3, 2006. Although widely used with support from the World Health Organization, there is a lack of reference terminological materials for translators on this topic. Thus, we seek to develop a Brazilian Portuguese/British English bilingual glossary of this area of expertise, by compiling comparable corpora in both languages, choosing representative texts on this topic. In order to carry out this work, we used as theoretical references Corpus Linguistics and Bilingual Terminology. As a computational tool we used WordSmith Tools. After the compilation of corpora, using academic articles, books, texts of institutional websites and legislation, we examined the language used in the area of CIP and extracted the related terms to the research through a quantitative and qualitative analysis. We verified the occurrence of simple terms, compound terms, complex terms and acronyms. Next, we searched for English equivalents of the selected terms. Not all of the equivalents were found in the English corpus, so we performed a new search using the web as a corpus. Then, we explained the proposed macrostructure and microstructure and presented the first version of the glossary, with examples of contexts of authentic use in both languages. We also proposed to seek equivalents in English for a therapy developed in Brazil whose terminology had not yet been translated into English. Alchemy based flower essences therapy was chosen, from which we developed a corpus, extracted the most representative terms and searched for equivalents in English through a one-on-one research. We developed an illustrated glossary of plants used in the production of the flower essences used in this therapy. We hope to contribute an initial reference material to translators in the area of CIP, as well as encouraging the development of new research on this specialized language.

This study is an investigation into why people with depression and anxiety use complementary and alternative medicines at higher rates than the general population. The study examines perceptions of mental illness and meanings assigned to depression and anxiety, others’ perceptions of mental illness, and experiences with conventional medicine. All participants were using complementary and alternative medicine at the time of the study; their reasons for CAM use as well as how CAM affected perceptions of their illness were main research questions. I conducted three focus groups with individuals diagnosed with depression who were using complementary and alternative medicine as forms of treatment. Focus groups were transcribed verbatim and analyzed using the coding software Nvivo. Participants were also given two questionnaires that were analyzed using SPSS. This study shows that complementary and alternative medicine ultimately gives individuals perceived control, a sense of agency, action, and acceptance in regards to their mental illness.

This thesis explores the ontological content of the integration of complementary and alternative medicine (CAM) in biomedical education, through a critical exploration of “CAM" policy related documents from the World Bank, the World Health Organization and Health Canada, as a means of contextualizing "CAM" in biomedical education. It also interrogates curriculum documents from a project that seeks to standardize “CAM” in biomedical education. This thesis suggests that there are ontological parallels to the colonial era conversion of indigenous medicine evoked in the contemporary 'integration' of CAM in biomedical education.

No description available.

Orientador: Nelson Filice de Barros / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-10T23:18:34Z (GMT). No. of bitstreams: 1 Christensen_MarisaCorrea_M.pdf: 2069610 bytes, checksum: 7f25dd4128aa377912aae836c708536c (MD5) Previous issue date: 2008 / Resumo: Devido ao aumento crescente da utilização das Medicinas Alternativas e Complementares (MAC) há a necessidade de que os profissionais de saúde estejam aptos a informar e atender seus pacientes, reconhecer efeitos colaterais, interações medicamentosas e praticar as medicinas complementares isoladas ou associadas às medicinas convencionais com segurança. Neste trabalho foi feita uma Revisão Sistemática da Literatura (RSL) sobre o ensino das MAC em escolas médicas, com a finalidade de refletir sobre as evidências publicadas. Foram analisados 33 artigos indexados no banco eletrônico de dados Pubmed utilizando o descritor: ¿complementary and alternative medicine teaching¿. Identificou-se vários exemplos de inserção das MAC no ensino e, de modo geral, os estudantes de medicina têm atitudes positivas frente às MAC, desejam aprendê-las tendo com o objetivo tratar e orientar seus futuros pacientes com essas medicinas. O ensino das MAC nas escolas de medicina tem, como fundamento, adicionar à prática médica ferramentas diagnósticas e terapêuticas a serem utilizadas em atenção, prevenção e promoção a saúde nos diversos níveis de complexidade do sistema de saúde / Abstract: Due to the continuous increase in the use of Complementary and Alternative Medicines (CAM) there is the need to health professionals to be able to inform and attend their patients, recognize adverse effects, drugs interactions and to practice complementary medicines isolated or associated with conventional medicine safely. In this study, a Literature Systematic Review was made concerning the teaching of CAM in medical schools with the interest of reflecting upon the published evidences. 33 articles indexed in the electronic database Pubmed using the key-words ¿complementary and alternative medicine teaching¿ were analyzed several examples of CAM teaching, in section were identified and in general, medical students have positive attitudes toward CAM, want to learn them, having as aim treat and orient their future patients with this medicines. CAM teaching in medical school have, as basis, add to medical practices therapeutic and diagnosis tools to be used in health care, prevention and health promotion in the diverse complexity levels of the health system / Mestrado / Saude Coletiva / Mestre em Saude Coletiva

This mixed methods study examined the association between the frequency of five lifestyle-related complementary and alternative medicine (CAM) practices and perceived quality of life (QOL) and stress among patients in Japan diagnosed with chronic disease, and also examined why patients decided to receive Okada purifying therapy [(OPT) biofield therapy]. Data from 1,190 patients were analyzed using bivariate and multiple regression analysis, followed by analysis of one-on-one in-depth interviews conducted among 25 patients on reasons why patients decided to practice OPT. Grounded theory methodology was used to analyze transcribed interview data. Results of multiple regression analysis indicated that engaging in arts and cultural activities and exercise was associated with a decrease in perceived stress, while arts and cultural activities, exercise, consumption of organic (additive-free) food, and practice of OPT were associated with increased QOL. Gender weakly moderated the effects of arts and cultural activities on stress but not on QOL, and gender did not have any moderating effects on the association of OPT with either stress or QOL. One theme, five clusters, and 13 categories emerged from the qualitative analysis. Feelings of desperation due to unrelieved symptoms of disease seemed to be the principal reason for most patients’ practice of OPT. Other reasons were perception of the limits of conventional medicine in being able to treat patients’ disease, dissatisfaction with conventional medicine, positive relationship with staff and doctors of the integrative medicine clinic providing OPT, and benefits of OPT, among others. Although many patients expressed feeling doubts towards the practice of OPT at first, many seemed satisfied with the results of the practice, mainly because they were able to manage their symptoms and gain a sense of control. This may have led to an increase in QOL. The mixed methods design was able to inform the interpretation of the association of OPT with reported increase in QOL in the quantitative phase of the research.

Background: Religious involvement is widespread and may influence patient engagement with their healthcare (patient activation) and health outcomes. This dissertation examined the association between religiosity and patient activation, changes in health-related quality of life (HRQOL), readmissions, and survival after hospitalization for acute coronary syndrome (ACS). Methods: We recruited 2,174 patients hospitalized for ACS in Georgia and Central Massachusetts (2011-2013) in a prospective cohort study. Participants self-reported three items assessing religiosity – strength/comfort from religion, petition prayers for health, and awareness of intercessory prayers by others. Patient activation was measured using the 6-item Patient Activation Measure. Generic HRQOL was assessed with the SF-36®v2 physical and mental component summary scores. Disease-specific HRQOL was evaluated with the Seattle Angina Questionnaire Quality of Life subscale. Unscheduled readmissions were validated from medical records. Mortality status was obtained from national and state vital statistics. Results: After adjustment for several sociodemographic, psychosocial, and clinical variables, reports of strength/comfort from religion and receipt of intercessions were associated with high activation. Praying for one’s health was associated with low activation. Prayers for health were associated with clinically meaningful increases in disease-specific and physical HRQOL. Neither strength/comfort from religion, petition, nor intercessory prayers were significantly associated with unscheduled 30-day readmissions and two-year all-cause mortality. Conclusions: Most ACS survivors acknowledge religious practices for their health. Religiosity was associated with patient activation and changes in HRQOL. These findings suggest that religiosity may influence patient engagement in their healthcare and recovery after a life-threatening illness, buttressing the need for holistic approach in patient management.

Bakgrund: Tidigare forskning visar att det i flertal länder inom sjukvården finns bristande kunskap kring implementering och rekommendation av komplementär alternativ medicin (KAM), där yoga ingår. Samtidigt visar forskning att patienter önskar alternativa behandlingsmetoder ensamt i tillägg till traditionell medicinsk behandling. Syfte: Att undersöka patienters erfarenheter av yogans effekt som omvårdnadsåtgärd inom primärvården. Metod: En litteraturöversikt där resultatet baseras på 15 vetenskapliga artiklar ifrån sex olika länder. Cinahl, PubMed och PsycINFO är databaserna som användes. Efter analys har resultat från artiklarna delats upp i tre teman och sex subteman. Resultat: Patienters erfarenhet av yogans effekt är att yoga kan öka livskvalitet, minska stress, öka medvetenhet och öka acceptans av kroppen. Yoga visar sig kunna vara ett verktyg för patienterna att hantera negativa tankar och minska eller förebygga ångest. Resultatet visar att patienters erfarenheter av yoga är att det finns utmaningar att upprätthålla yogautövningarna och att hitta tid för yoga i vardagslivet bland konkurrerande prioriteringar. Sammanfattningsvis visar litteraturöversiktens resultat att yoga har minst en psykologisk god effekt oavsett vad som undersöktes. Slutsats: Resultatet visar god effekt på psykologiska och fysiologiska symtom och yoga skulle kunna vara en effektiv omvårdnadsåtgärd i primärvården där egenvård och hälsofrämjande ligger i fokus. / Background: Previous research’s shows that there is a lack of knowledge about the implementation and recommendation of complementary alternative medicine (CAM), which includes yoga. At the same time research shows that patients want alternative treatment methods in addition to traditional medical treatment. Aim: Patients’ experience of the effect of yoga as a nursing measure in primary care. Method: A literature review where the result is based on fifteen scientific articles from six different countries from the databases Cinahl, PubMed and PsycINFO. After analysis, results from the articles were divided into three themes and six subthemes. Results: Patient’s experience of the effect of yoga is that yoga can increase quality of life, reduce stress, increase awareness and increased acceptance of the body. Yoga proves to be a tool for patients to deal with negative thoughts and reduce or prevent anxiety. The result shows that patients’ experience of yoga is that there are challenges in maintaining yoga practice and finding time for yoga in everyday life among competing priorities. In summary the literature review results shows that yoga has at least one psychologically good effect, regardless of what they examined. Conclusion: The result shows good effect on psychological and physiological symptoms and yoga could be an effective nursing measure in primary care where self-care and health promotion are in focus.