In this Master's of Public Issues Anthropology thesis I examine the perceptions of health and healthcare services within a small rural subsistence farming community in South-Western Paraguay from a political ecology of health perspective. Qualitative research data was collected from May to September of 2010 in Lindo Manantial, a subsistence farming village, and Piribebuy, the closest town to Lindo Manantial and the location of the nearest health centre, the Piribebuy Centro de Salud. The primary goals of this research project were to gain an ethnographic understanding of current local health perspectives and concerns, as well as the local frameworks for health provision in Piribebuy. I argue that the introduction of culturally competent healthcare services could greatly improve individual and community health statuses and outcomes in Lindo Manantial and other similar rural subsistence farming communities in Paraguay. / Social Sciences and Humanities Research Council of Canada (SSHRC)

This thesis examines the meanings of naturopathy through the experiences of twelve women with refugee backgrounds involved in naturopathic treatment at the Victorian Foundation for Survivors of Torture (Foundation House), a refugee torture and trauma rehabilitation service in Melbourne, Australia. The findings of this research show that the naturopathic encounter provided a transformative and meaningful meeting place for healing, a place in which the women felt at ease and in place.At Foundation House naturopathy has been practised alongside counselling since 1989, two years after the organisation’s inception. The women I interviewed for this project came from diverse sociocultural backgrounds and a wide range of countries including Iraq, Iran, Yemen, Afghanistan, Somalia, Burma and Serbia.The thesis brings together two contemporary fields of practice: Western models of refugee health care and traditional medicine. It argues for the place of non-biomedical approaches in refugee health care in a Western setting. The thesis takes an interdisciplinary approach to theorise the naturopathic encounter. The distinction between holistic and reductionist perspectives on health, illness and the body is underpinned by the theoretical work of medical anthropologists Nancy Scheper-Hughes and Margaret Lock and that of medical sociologist Aaron Antonovsky. A cultural studies perspective, influenced by the work of embodiment scholar Elspeth Probyn is employed to theorise these women’s experiences of the naturopathic encounter.This qualitative study is based on in-depth interviews and draws on grounded theory as an approach to data analysis. Descriptions of respite, renewal, and healing in the naturopathic encounter are cited as the most observable themes emerging from the women’s stories. These themes represent a health-oriented, as opposed to a disease-focused, perspective. Importantly, a health-orientated approach is congruent with the core tenets of naturopathic philosophy. Listening to the body is a crucial therapeutic tool in the naturopathic encounter, where primacy is given to supporting and strengthening health-creating strategies. I argue that this orientation disrupts the existing dominant biomedical approach to refugee health care. I draw on the work of Probyn to theorise the movement from the naturopathic encounter (NE) to the naturopathic meeting place (NMP). Central to this transposition is Probyn’s articulation of the body’s awareness of being in and out of place. This awareness lends itself to an understanding of the connectedness between past and present in the bridge-making that these particular refugee women have engaged in across cultures in the NMP.The thesis addresses an important but often neglected focus in refugee research: the resilience and agency of refugees. This positive aspect of refugee recovery is revealed in the research by theorising the women’s stories through Probyn’s embodiment analysis and cognisance of the ‘everyday’ as a productive and creative process. The research interrupts the ubiquitous image of the ‘disempowered refugee victim’. It highlights the practical wisdom and agency of these particular women that is often overshadowed in the complex resettlement process. It makes a call for further health-orientated research to broaden and deepen our understanding of the refugee experience.

This thesis examines the meanings of naturopathy through the experiences of twelve women with refugee backgrounds involved in naturopathic treatment at the Victorian Foundation for Survivors of Torture (Foundation House), a refugee torture and trauma rehabilitation service in Melbourne, Australia. The findings of this research show that the naturopathic encounter provided a transformative and meaningful meeting place for healing, a place in which the women felt at ease and in place.At Foundation House naturopathy has been practised alongside counselling since 1989, two years after the organisation’s inception. The women I interviewed for this project came from diverse sociocultural backgrounds and a wide range of countries including Iraq, Iran, Yemen, Afghanistan, Somalia, Burma and Serbia.The thesis brings together two contemporary fields of practice: Western models of refugee health care and traditional medicine. It argues for the place of non-biomedical approaches in refugee health care in a Western setting. The thesis takes an interdisciplinary approach to theorise the naturopathic encounter. The distinction between holistic and reductionist perspectives on health, illness and the body is underpinned by the theoretical work of medical anthropologists Nancy Scheper-Hughes and Margaret Lock and that of medical sociologist Aaron Antonovsky. A cultural studies perspective, influenced by the work of embodiment scholar Elspeth Probyn is employed to theorise these women’s experiences of the naturopathic encounter.This qualitative study is based on in-depth interviews and draws on grounded theory as an approach to data analysis. Descriptions of respite, renewal, and healing in the naturopathic encounter are cited as the most observable themes emerging from the women’s stories. These themes represent a health-oriented, as opposed to a disease-focused, perspective. Importantly, a health-orientated approach is congruent with the core tenets of naturopathic philosophy. Listening to the body is a crucial therapeutic tool in the naturopathic encounter, where primacy is given to supporting and strengthening health-creating strategies. I argue that this orientation disrupts the existing dominant biomedical approach to refugee health care. I draw on the work of Probyn to theorise the movement from the naturopathic encounter (NE) to the naturopathic meeting place (NMP). Central to this transposition is Probyn’s articulation of the body’s awareness of being in and out of place. This awareness lends itself to an understanding of the connectedness between past and present in the bridge-making that these particular refugee women have engaged in across cultures in the NMP.The thesis addresses an important but often neglected focus in refugee research: the resilience and agency of refugees. This positive aspect of refugee recovery is revealed in the research by theorising the women’s stories through Probyn’s embodiment analysis and cognisance of the ‘everyday’ as a productive and creative process. The research interrupts the ubiquitous image of the ‘disempowered refugee victim’. It highlights the practical wisdom and agency of these particular women that is often overshadowed in the complex resettlement process. It makes a call for further health-orientated research to broaden and deepen our understanding of the refugee experience.

Submitted by Alexandre Sousa (alexandre.sousa@incqs.fiocruz.br) on 2014-08-18T14:15:27Z No. of bitstreams: 1 Tese José Luiz Neves de Aguiar.pdf: 5864381 bytes, checksum: b51a01e12385c8935e494b933a328f33 (MD5) / Made available in DSpace on 2014-08-18T14:15:27Z (GMT). No. of bitstreams: 1 Tese José Luiz Neves de Aguiar.pdf: 5864381 bytes, checksum: b51a01e12385c8935e494b933a328f33 (MD5) Previous issue date: 2014 / Fundação Oswaldo Cruz. Instituto Nacional de Controle de Qualidade em Saúde / O desenvolvimento de metodologia altamente discriminatória para a identificação e caracterização das espécies de plantas medicinais regulamentadas pelo sistema público de saúde brasileiro (SUS) é de suma importância para o controle de qualidade destas espécies como matérias-primas na produção de medicamentos fitoterápicos, consequentemente, minimizar o risco sanitário para o consumidor. No primeiro estudo foi utilizado o método RAPD-PCR para a elaboração de um perfil genético de três espécies diferentes de plantas medicinais regulamentadas pelo SUS do Brasil: Mikania glomerata Sprengel, Maytenus ilicifilia (Schrad)Planch e Schinus terebenthifolia Raddi, a partir de exemplares destas plantas, que foram cedidas pela Coleção Temática de Plantas Medicinais do Instituto de Pesquisas do Jardim Botânico do Rio de Janeiro, os perfis resultantes permitiram a identificação eficiente das espécies diferentes. No segundo estudo o método RAPD-PCR foi utilizado para a elaboração de um perfil de fragmentos de DNA (“fingerprint”) de Mikania glomerata coletadas no Horto Refúgio Biológico Bela Vista no Paraná e a cedida pela Coleção Temática de Plantas Medicinais do Instituto de Pesquisas do Jardim Botânico no Rio de Janeiro, os perfis resultantes permitiram a caracterização eficaz das duas plantas de mesma espécie de origem diferente (PR e RJ). No terceiro estudo foi desenvolvido um sistema de extração em água das plantas do primeiro estudo com detecção em CLAE-UV/VIS que gerou um perfil químico de cada planta, os perfis resultantes permitiram a identificação eficiente das três espécies diferentes. / The development of a highly discriminatory method for the identification of genotypes and species of medicinal plants regulated by the public Brazilian health system (SUS) is of paramount importance for quality control of these species as raw material in the production of herbal medicines, to consequently minimize the health risks to the consumer. We used RAPD-PCR method to generate a genetic profile of three species of medicinal plants regulated by SUS in Brazil. Mikania glomerata Sprengel, Maytenus ilicifilia (Schrad)Planch e Schinus terebenthifolia Raddi, from specimens of these plants, which were donated by Theme Collection of Medicinal Plants of the Instituto de Pesquisas do Jardim Botânico do Rio de Janeiro, the profiles generated allowed the effective discrimination of the species. In the second study, the RAPD-PCR method was used to prepare a profile of DNA fragments ("fingerprint") of Mikania glomerata collected in Horto Refúgio Biológico Bela Vista no Paraná and courtesy Theme Collection of Medicinal Plants of the Instituto de Pesquisas do Jardim Botânico do Rio de Janeiro, the resulting profiles allowed the effective characterization of two plants of the same species of different origin (PR and RJ). In the third study we developed a system of water extraction plant of the first study with detection in HPLC-UV/VIS generating a chemical profile of each plant, the resulting profiles allowed the efficient identification of three different species.

Introdução: A curcumina é um polifenol presente no rizoma da espécie Curcuma longa L. que tem sido usado há séculos como medicamento anti-inflamatório na medicina asiática. A síndrome nefrótica é classicamente tratada com corticosteroides, uma potente classe antiinflamatória e imunossupressora. O tratamento pode trazer sérios efeitos adversos. Objetivos: Este estudo foi desenhado para avaliar o efeito anti-inflamatório e antiproteinúrico da C. longa na forma de droga vegetal, na lesão renal induzida pela doxorrubicina. Desenho do estudo: Trata-se de um estudo experimental in vivo. Métodos: O efeito anti-inflamatório e anti-proteinúrico da C. longa foi avaliado utilizando-se 4 grupos de ratos Wistar: dois grupos com lesão renal induzida por doxorrubicina (3,5 mg/kg) em dose única endovenosa, sendo um alimentando-se de ração padrão e outro com ração misturada a C. longa (5 mg/g de ração). Outros dois grupos controles sem lesão renal foram alimentados, sendo um com ração padrão e outro com C. longa. Foram coletadas amostras de urina para dosagem de albuminúria a cada 2 semanas. Após 8 semanas os animais foram anestesiados e coletado sangue para dosagem no plasma de creatinina, albumina, sódio, potássio, colesterol e osmolalidade. Nas amostras de urina foram dosados albuminúria, sódio, potássio, osmolalidade e os mediadores inflamatórios proteína quimiotática para monócitos-1 e fator de transformação do crescimento beta urinário. Foi coletado tecido renal para realização de microscopia de luz e de imuno-histoquímica para desmina, vimentina e células ED-1 positivas. Resultados: Após a 8a semana de acompanhamento, o tratamento com C. longa atenuou o aumento do MCP-1 urinário, do TGF-? urinário, da imunomarcação para desmina, vimentina e células ED-1+ nos ratos com lesão renal induzida. Conclusão: Os resultados sugerem que o uso de C. longa em um modelo experimental de lesão renal por doxorrubicina, por 8 semanas, não reduz a albuminúria, mas leva a diminuição dos mediadores inflamatórios renais MCP-1 e TGF-? urinário, além de imunomarcação para desmina, vimentina e células ED-1+ no tecido renal. / Background: Curcumin is a polyphenol present in the rhizome of the species Curcuma longa L., which has been used for centuries as an anti-inflammatory remedy in Asian medicine. Nephrotic syndrome is classically treated with corticosteroids, a potent antiinflammatory and immunosuppressive class. The treatment can cause serious adverse effects. Objectives: This study was designed to evaluate the anti-inflammatory and antiproteinuric effects of C. longa, as powdered dried rhizomes, in renal injury induced by doxorubicin. Study design: This is an in vivo experimental study. Methods: The antiinflammatory and anti-proteinuric effects of C. longa were evaluated in four groups of Wistar rats: two groups with intravenous doxorubicin-induced kidney injury (3.5 mg/kg), one fed with standard food and another with standard food mixed with C. longa (5 mg/g food). Two other control groups without kidney injury were fed, one with standard and one with C. longa-mixed food. Urine samples were collected for albuminuria every 2 weeks. After 8 weeks, the animals were anesthetized and blood was collected for measurement of plasma creatinine, albumin, sodium, potassium, cholesterol and osmolality. In the urine samples, measurements of albuminuria, sodium, potassium, osmolality and inflammatory mediators as monocyte chemoattractant protein-1 and transforming growth factor beta were done. Renal tissue was collected for light microscopy and immunohistochemistry for desmin, vimentin and ED-1 positive cells. Results: After the 8th week of follow-up, treatment with C. longa attenuated the increase of urinary MCP-1, urinary TGF-?, and immunostaining for desmin, vimentin and ED-1+ cells in rats with doxorubicin-induced kidney injury. Conclusion: The results suggest that the use of C. longa in an experimental model of nephrotic syndrome for 8 weeks does not reduce albuminuria, but there is a decrease in the inflammatory mediators urinary MCP- 1, urinary TGF-?, and immunostaining for desmin, vimentin and ED-1+ cells.

Submitted by Biblioteca da Faculdade de Farmácia (bff@ndc.uff.br) on 2018-02-19T14:35:57Z No. of bitstreams: 1 andrea bezerra.pdf: 12074509 bytes, checksum: bff0fcc6e68b661b6e17ee0dd01c0bcc (MD5) / Made available in DSpace on 2018-02-19T14:35:57Z (GMT). No. of bitstreams: 1 andrea bezerra.pdf: 12074509 bytes, checksum: bff0fcc6e68b661b6e17ee0dd01c0bcc (MD5) / Eugenia florida DC, espécie nativa da Mata Atlântica que pertencente à família Myrtaceae, apresenta, na sua composição química, dentre outros constituintes, o ácido betulínico (AB), um triterpeno com vasta literatura acerca de sua atividade antitumoral. O presente trabalho teve como objetivo avaliar a viabilidade do desenvolvimento tecnológico de insumos ativos vegetais a partir das folhas de E. florida. Foi feita caracterização da matéria-prima vegetal, que, dentre outros resultados, demonstrou: (i) como caracter de diagnose da droga vegetal, a célula de topo reniforme que recobre a estrutura secretora, (ii) ausência de contaminação microbiológica: (iii) eficiência dos métodos de processamento e armazenagem dados pelos estudos de integridade. Estudos de prospecção química corroboraram dados da literatura, evidenciando a produção de flavonoides, taninos, antraquinonas, terpenos e cumarinas pela espécie vegetal. A avaliação farmacológica de extratos, frações e substância pura (AB) demonstrou resultados promissores para a linhagem tumoral de mama (MCF-7), com TGI=16,3 μg/mL para o extrato metanólico bruto de folhas de E. florida obtido por maceração, com resultado melhor que o encontrado para o padrão de AB (TGI=39,0 μg/mL). A atividade antioxidante, avaliada através do sequestro do radical livre DPPH, demonstrou grande potencial na produção de substâncias capazes de neutralizar a ação de radicais livres, o que pode corroborar com a atividade antiproliferativa. Um método por CLAE foi validado para determinação qualitativa e quantitativa do marcador AB cuja concentração mínima sensível ao método foi de 2,0 μg/mL. Extratos etanólicos foram produzidos e utilizados para obtenção de extratos secos através de métodos de liofilização, nebulização e granulação úmida. Os testes de caracterização físicoquímicos foram realizados com os insumos a fim de estabelecer parâmetros do produto, e foi possível observar melhores resultados para os insumos que utilizaram adjuvantes na composição. Estudos de estresse: temperaturas, hidrólise (ácida e alcalina), oxidação, fotólise, e ciclos de temperaturas foram realizados para avaliar o comportamento dos extratos, sendo observado, em alguns casos, a degradação do ácido betulínico. O estudo de estabilidade revelou que os insumos obtidos na forma de extratos liofilizado, nebulizado e granulado são estáveis quanto ao aspecto, perfil cromatográfico e marcador químico (AB), nas condições de estabilidade acelerada e longa duração preconizadas na RE n.1/2005, sugerindo-se, no mínimo, 12 meses de prazo de validade / Eugenia florida DC, a native species of the Mata Atlântica belonging to the Myrtaceae family. Its composition includes, among other constituents, betulinic acid (BA), a triterpene with a large literature about its antitumor activity. The present work had as objective the technological development of herbal active pharmaceutical ingredients from the leaves of E. florida. It was made the characterization of the vegetal raw material, which, among other results, demonstrated: (i) as a diagnostic character of the plant drug, the reniform top cell that covers the secretory structure, (ii) absence of microbiological contamination; (iii) efficiency of the processing and storage methods given by the integrity studies. Studies of chemical prospection corroborated data from the literature, evidencing the production of flavonoids, tannins, anthraquinones, terpenes and coumarins by the plant species. Pharmacological evaluation of extracts, fractions and pure substance (AB) showed promising results for the breast tumor line (MCF-7), with TGI = 16.3 μg / mL for the crude methanolic extract of E. florida leaves obtained by maceration, with a better result than the AB standard (TGI = 39.0 μg / mL). The antioxidant activity, evaluated by the free radical sequestration DPPH, showed great potential in the production of substances able to neutralize the action of free radicals, which can corroborate with the antiproliferative activity. A method by HPLC was validated for qualitative and quantitative determination of the AB marker whose minimum sensitivity to the method was 2.0 μg / mL. Ethanolic extracts were used to obtain dry extracts through lyophilization, atomization and wet granulation methods. The physical-chemical characterization tests were performed with the ingredients in order to establish product parameters, and it was possible to observe better results for the inputs that used adjuvants in the composition. Stress studies: temperatures, hydrolysis (acid and alkaline), oxidation, photolysis, and temperature cycles were performed to evaluate the behavior of the extracts, in some cases, the degradation of betulinic acid was observed. The stability study showed that the inputs obtained in the form of lyophilized, atomization and granulated extracts are stable in terms of appearance, chromatographic profile and chemical marker (AB), under the conditions of accelerated stability and long duration recommended in RE n.1 / 2005, suggesting a minimum, of 12 months of validity

Made available in DSpace on 2014-07-29T15:07:55Z (GMT). No. of bitstreams: 1 Anna Carolina da Costa.pdf: 691308 bytes, checksum: 6714037f8e5e5965d7add36bb39f6e67 (MD5) Previous issue date: 2010-02-25 / This study was conducted on 12 dairy farms and in laboratories Bacteriology and Quality of Milk, both of the School of Veterinary Medicine Federal University of Goias objective of this study to characterize the microorganisms in milk from cows with subclinical mastitis and relate the pathogens identified with the variation of cell count somatic (CCS), also identify the risk factors and the likely sources of infection to subclinical mastitis, by visual observations, application of questionnaires, by isolation and identification of pathogens from the hands of milkers, swabs and solutions liners and pre posdipping. The profile sensitivity to key antimicrobial and bactericidal effect of the extract of Calendula officinalis has been determined on the pathogens isolated in most cases subclinical mastitis in herds. To evaluate the variation of CCS in relation to the pathogens involved, we used analysis of frequency and Chi-square, and the risk factors were analyzed for Logistic regression to test associations between variables and increased CCS. It was found that agents with higher frequency of isolation were S. aureus (28.8% of samples), E. coli (19.8%) and Enterobacter spp. (11.3%). CCS average herd was approximately 875 x 103cél/mL, and the type etiologic agent of a significant influence on the variation in SCC. It was found that S. aureus and Streptococcus spp. were responsible for greater increase in SCC, with an average of 1192 x 1174 x 103cél/mL and 103cél/mL, respectively. This variation was significantly higher (p <0.05) when compared to the average SCC in milk were the other isolates microorganisms: S. coagulase negative, Pseudomonas spp., E. coli and Enterobacter spp. It was found that the risk factors that showed significant association with increased SCC were unsatisfactory hygiene environment and milker, inadequate drying of the teats, and factors related to milking equipment, such as poor maintenance and inadequate cleaning. The hands of the milkers and the sets of liners were able to convey both the infectious agents as the environment, important in epidemiology of bovine mastitis. It was also concluded that the extract of marigold showed bactericidal activity in vitro against S. aureus isolates, and antimicrobial agents used showed variation in the spectrum of sensitivity. / O presente trabalho foi conduzido em 12 explorações leiteiras e nos Laboratórios de Bacteriologia e de Qualidade de Leite, ambos da Escola de Veterinária da Universidade Federal de Goiás. Objetivou-se neste estudo caracterizar a população microbiana presente no leite de vacas com mastite subclínica e relacionar os patógenos identificados com a variação da contagem de células somáticas (CCS), além de identificar os fatores de risco e as prováveis fontes de infecção para a mastite subclínica, através de observações visuais, aplicação de questionários, pelo isolamento e identificação de patógenos das mãos de ordenhadores, suabes de teteiras e em soluções de pre e posdipping. O perfil de sensibilidade aos principais antimicrobianos e o efeito bactericida do extrato da Calendula officinalis foi determinado sobre os patógenos mais isolados em casos de mastite subclínica dos rebanhos estudados. Para avaliação da variação da CCS em relação aos patógenos envolvidos utilizou-se análises de frequência e o teste de qui-quadrado, e para os fatores de risco foram realizadas análises de Regressão Logística para testar associações entre as variáveis e o aumento da CCS. Constatou-se que os agentes com maior frequência de isolamento foram S. aureus (28,8% das amostras), E. coli (19,8%) e Enterobacter spp. (11,3%). A CCS média dos rebanhos foi de aproximadamente 875 x 103cél/mL, sendo que o tipo de agente etiológico apresentou efeito significativo sobre a variação na CCS. Verificou-se que S. aureus e Streptococcus spp. foram os responsáveis pela maior elevação da CCS, com média de 1.192 x 103cél/mL e 1.174 x 103cél/mL, respectivamente. Essa variação foi significativamente maior (p < 0,05) ao ser comparado às CCS médias do leite em que foram isolados os demais microrganismos: S. coagulase negativo, Pseudomonas spp., E. coli e Enterobacter spp. Verificou-se que os fatores de risco que apresentaram associação significativa com o aumento da CCS foram higiene insatisfatória do ambiente e ordenhador, secagem inadequada dos tetos, e fatores relacionados ao equipamento de ordenha, como falta de manutenção e limpeza inadequada. As mãos dos ordenhadores assim como os conjuntos de teteiras foram capazes de veicular tanto os agentes contagiosos quanto os ambientais, importantes na epidemiologia da mastite bovina. Conclui-se também que o extrato de calêndula apresentou atividade bactericida in vitro sobre S. aureus isolados, e os antimicrobianos utilizados apresentaram variação no espectro de sensibilidade.

Dans les trois anciens pays indochinois, le Vietnam, le Cambodge et la RDP Lao, la médecine traditionnelle rencontre un succès grandissant auprès de la population. Conscients de l’importance de la médecine traditionnelle, les trois gouvernements l’ont reconnue et intégrée, chacun différemment, dans leur système de soins de santé national. L’encadrement juridique de cette médecine millénaire diffère d’un pays à l’autre. La législation de la médecine traditionnelle du Cambodge demeure particulièrement faible. De plus, de nombreux problèmes persistent et menacent la préservation et le développement de cet héritage précieux. Avec l’aide de partenaires internationaux, les trois gouvernements aséaniens tentent de renforcer l’encadrement juridique de leurs médecines et de leurs pharmacopées traditionnelles / In the three former Indochinese countries, Vietnam, Cambodia and PDR Lao, traditional medicine success is growing among the population. Recognizing the importance of traditional medicine, the three governments have recognized and integrated it in a different way into the national health care system. The legal framework of this millennial medicine differs from one country to another. Traditional medicine legislation in Cambodia remains particularly weak. Moreover, many problems persist and threaten the preservation and development of this precious heritage. With the help of international partners, the three ASEAN governments are trying to strengthen the legal framework for their traditional medicines and pharmacopoeias.

No description available.

Esta pesquisa discute a Comunicação em Saúde no contexto das Práticas Integrativas e Complementares (PIC) no Sistema Único de Saúde (SUS), no que concerne ao tratamento do câncer realizado num hospital público de Campinas. O arcabouço teórico se debruça sobre as diretrizes do ideário da Promoção da Saúde e sobre as discussões da Educação em Saúde, por serem premissas fundamentais para que a Comunicação em Saúde seja participativa e democrática, e que a Comunicação das PIC conquiste maior espaço na Saúde Pública. O objetivo geral foi investigar o processo de comunicação entre profissionais de saúde e usuários do SUS participantes do Projeto de Construção do Cuidado Integrativo (PCCI). A metodologia utilizada foi a qualitativa tendo como instrumentos pesquisa documental e entrevistas semi-estruturadas para a coleta dos dados. Os participantes do estudo foram usuários que fizeram parte do grupo de Acupuntura e de Fitoterapia e usaram práticas complementares ao tratamento convencional do câncer, e também os profissionais de saúde envolvidos no PCCI realizado no Hospital de Clínicas da Universidade Estadual de Campinas (UNICAMP)/SP. Os dados foram analisados por meio da análise temática de conteúdo de Bardin, que permitiu identificar as seguintes categorias: Medo da intervenção, Analgesia como resultado, Continuidade do tratamento, Falta de informação e Divulgação das práticas. Os resultados mostraram que houve dificuldades de comunicação, indicando lacunas importantes em relação à infraestrutura, à falta de divulgação e continuidade do tratamento complementar com as PIC, a falta de valorização da participação popular e estímulo à autonomia como preconiza o ideário da Promoção da Saúde. Concluiu-se que o modelo de saúde vigente, de base biomédica, não tem permitido a participação dos usuários, e, mais ainda, tem dificultado o desenvolvimento da comunicação democrática, humanizada e solidária. O Projeto (PCCI) foi importante em sua execução, uma vez que trouxe resultados positivos com o uso das PIC por melhorar as condições da qualidade de vida dos usuários e ter promovido analgesia, conferido maior disposição e recuperação dos movimentos. Entretanto, o Projeto (PCCI) não teve potencial o suficiente para provocar uma mudança na lógica do tratamento convencional que está hegemonicamente imerso no modelo biomédico, com isso limitando a inserção e a comunicação das PIC na Saúde Pública e dificultando a abertura para o diálogo entre os diferentes saberes. Entende-se que este é um dos principais desafios da Medicina Tradicional e Complementar (MTC). / In this research is discussed Health Communication in the light of Integrative and Complementary Practices (PIC) of the Brazilian Unified Health System (SUS), regarding cancer treatment performed in a public hospital in Campinas. The rationale is Health Promotion as an idealistic guideline, as well as the discussions of Health Education. These are fundamental premises to guarantee Health Communication in a participatory and democratic manner, and that the communication of PIC conquers more space in Public Health. The overall objective was to investigate the process of communication between health professionals and users of the Unified Health System (SUS) that participate in the Construction of Integrative Care Project (Projeto de Construção do Cuidado Integrativo - PCCI). The methodology was qualitative having as documentary research tools and semi-structured interviews for data collection. Study participants were users part of the Acupuncture and Herbal Medicine Group, which used the practices complementing the conventional cancer treatment, and also the health professionals involved in the PCCI conducted at the Clinical Hospital of the State University of Campinas (Unicamp) / SP. The data were analyzed using thematic analysis of content (Bardin), which identified the following categories: \"Intervention Fear\", \"Analgesia as a Result\", \"Follow-up Care\", \"Lack of Information\" and \"Propagation of Practices\". The results showed that there were communication difficulties, indicating significant gaps in relation to infrastructure, lack of propagation and continuity of complementary treatment with PIC, and yet no proper appreciation of popular participation neither the encouragement of autonomy advocated by the ideas of Health Promotion. Concluding, the current Public Health policy, which is biomedical based, has not yet allowed the participation of users and, even more, has hindered the development of democratic, humane and supportive communication. The Project (PCCI) was important in its execution as it brought positive results regarding the use of PIC to improve the quality of life of users, promote analgesia, confer greater willingness and recovery of movement. However, the project (PCCI) did not have enough potential, yet, to promote a change in the logic of conventional treatment, which is hegemonic immersed in the biomedical model, thereby limiting the inclusion and communication of PIC in Public Health, and hindering an opening for dialogue between different knowledge. This is one of the main challenges of Traditional and Complementary Medicine (TCM).