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As práticas integrativas e complementares fazem parte dos cuidados em saúde adotados pela população; e sua incorporação ao Sistema Único de Saúde (SUS) é objeto da Política Nacional de Práticas Integrativas e Complementares. Suas modalidades mais numerosas nos serviços de saúde e, também, menos incluídas nessa política são as práticas corporais e meditativas. Os objetivos da pesquisa foram descrever essas práticas: por que, de quem, com quem e como é produzido esse cuidado; e identificar suas contribuições à integralidade do cuidado. O método de pesquisa foi qualitativo e a produção dos dados foi realizada em duas regiões administrativas de uma Coordenadoria Regional de Saúde do município de São Paulo. Dos 32 serviços que funcionavam como porta de entrada para o SUS na região, participaram da pesquisa 16 serviços, sendo 12 Unidades Básicas de Saúde (UBS) e quatro outras unidades de saúde. A produção dos dados foi realizada de outubro/2013 a setembro/2014, através de entrevistas semiestruturadas com 29 profissionais e 36 usuários praticantes; e de observação participante de 31 práticas corporais e meditativas em grupo, entre as 67 existentes na região. Os critérios de escolha foram a diversidade das práticas, pressuposta pela diversidade dos nomes; e a observação de mais de uma prática entre as mais frequentes. Foram observadas práticas de Tai Chi, Lian Gong, Qi Gong, Yoga, Capoeira, Danças, Meditação, Relaxamento, Consciência e Percepção Corporal, limitadas a uma sessão por prática A análise foi inspirada no referencial fenomenológico existencial, na abordagem denominada Analítica do Sentido. As práticas foram investigadas em sua dimensão de trabalho em saúde, independentemente das abordagens empregadas. A corporeidade foi identificada como tema subjacente, traço definidor dos recursos dos profissionais e dos modos de cuidado em todas as práticas. Em relação à promoção da saúde, foram identificadas convergências em relação ao conceito positivo e ampliado de saúde, bem como contribuições ao protagonismo dos praticantes e ao seu acesso a bens e recursos culturais do território, através do apoio ao exercício da agência e da produção das práticas não somente nos serviços de saúde, mas também em espaços públicos do entorno. As contribuições à construção da Integralidade foram relativas à união entre promoção e cuidado terapêutico nessas práticas; enquanto os desafios se mostraram ligados à necessidade de informar e aprofundar o diálogo com os demais profissionais de saúde e de produzir conjuntamente o cuidado, de modo a contribuir mais significativamente na elaboração dos projetos terapêuticos singulares. Foram também apontados os diferenciais dessas práticas em relação àquelas desenvolvidas sob a lógica do mercado, quanto às formas de sociabilidade e ao risco de autonomização do cuidado com o corpo. A título de conclusão, é apresentada uma definição que abarca o conjunto das práticas analisadas e a sugestão da organização de uma rede de informações e experiências dessas práticas no SUS / The integrative and complementary practices are part of the healthcare practices adopted by the population; its incorporation to the public healthcare system is part of the National Integrative and Complementary Practices Policy. The most numerous modalities in primary healthcare units, and also the less included in this Policy are corporal and meditative practices. The objectives of this research were to describe these practices: why, for whom, to whom and how this healthcare is produced; and also to identify its contributions to the integrality of the healthcare. The qualitative research method was chosen, the data was gathered in two administrative subdivisions of one regional division of the city of Sao Paulo\'s public healthcare system. From 32 existing primary healthcare units a total of 16 participated in the survey. The data was gathered from October/ 2013 to September/2014, through semi-structured interviews with 29 health professionals and 36 patients; and through participation and observation of 31 out of the 67 corporal and meditation group practices being applied in the region, such as Tai Chi, Lian Gong, Yoga, Capoeira, Dances, Meditation, Relaxation Techniques, Consciousness and Body Perception, limited by one session per activity. The analysis was based on an existentialphenomenological approach denominated as Analítica do Sentido. The practices were investigated in its healthcare dimension, regardless of the applied approach. The corporeality was identified as an underlying topic, a defining trace of the health professionals\' repertory and of the healthcare aspect of all practices. Regarding health promotion, there were identified convergences in relation to: a positive and amplified health concept; to the contribution of a protagonism of the patients and the contribution to their access to cultural and material assets of the territory, through support to agency exercise and through implementation of health practices not only in health centres but also in surrounding public areas. Contributions to development of Integrality were related to the strong bond between health promotion and healthcare in these practices; while the challenges seem to be related to the necessity to inform and improve the dialogue with the other health professionals and for those professionals to produce the healthcare together, in order to contribute more significantly to the elaboration of singular therapeutic projects. There were also pointed out the aspects that distinguish these practices in relation to those developed under market interest logic, regarding sociability forms and the risk of autonomization of body healthcare. As a conclusion, it is presented a definition that embraces the set of analysed practices and a suggestion on how to organize an information and experiences network of these practices in the Public Healthcare System

Our modern health care system requires technology that can deal with multidisciplinary and complex processes, operations, and situations. The EHR, by far, is one of the greatest health information technology innovations that satisfy these requirements because of its efficiency and the effectiveness of its features. This study sought to develop an in-depth understanding of how underserved patients' perspectives about their health and illness, can contribute to greater use of the EHR. It also sought to improve their health outcomes and maintain sustainable change in the lives of the underserved. A quantitative non-experimental design study was conducted over a 6-week period outside of three different internal medicine clinics, one in the Northwestern and the two others in the Southeastern regions of Washington, DC. Surveys were distributed directly to patients coming out of these health clinics, and participants sent their responses via mail. Data collection included 215 surveys out of 560, but, only 155 fit the overall study categories. A strong level of significance in the relationships between clinical outcome measures and the EHR was identified at a 95% confidence interval. There were considerable health determinants that demonstrated the essence of patients' perspectives and the need for its incorporation into health outcomes measures for the underserved populations. The study also identified sets of environmental health predictors which acted as facilitators and contributors to a holistic health management model designed to contribute to the needs of the underserved communities. The holistic health model and the individual care plan model derived from the study are applicable at the level of the underserved population. It can help achieve sustainable health outcomes that will save lives and promote better health.

Professional orchestral string musicians represent a population at risk for performance-related musculoskeletal disorders (PRMD). Research literature suggests the influence of stress in the incidence of work-related and performance-related musculoskeletal disorders. The purpose of this study was to qualitatively investigate the role of holistic health (physical, mental, emotional, spiritual, and social) and stress management in the prevention of PRMDs in professional orchestral string musicians. Five musicians representing different instruments, genders, and PRMD histories were recruited and sorted from a single professional orchestra in Canada. This study combined quantitative data - in the form of basic demographic information and a Health and Well-being Assessment - with qualitative interview data. This combined data provided a focused, in-depth view of typical instances in the professional orchestral string population. The musicians reported a variety of occupational and non-occupational risk factors, as well as a range of intrinsic risk factors. They also reported a variety of PRMD prevention strategies and lifestyle behaviours. The musicians in this study provide evidence that stress may play a mediating role in PRMDs and that the management of biomechanical and psychosocial stressors through holistic health practices may positively influence the incidence, severity, and treatment of PRMDs in orchestral string musicians. This dissertation recommends that increased awareness and education in holistic health practices be encouraged for the purpose of improved PRMD prevention in professional orchestral string musicians.

Professional orchestral string musicians represent a population at risk for performance-related musculoskeletal disorders (PRMD). Research literature suggests the influence of stress in the incidence of work-related and performance-related musculoskeletal disorders. The purpose of this study was to qualitatively investigate the role of holistic health (physical, mental, emotional, spiritual, and social) and stress management in the prevention of PRMDs in professional orchestral string musicians. Five musicians representing different instruments, genders, and PRMD histories were recruited and sorted from a single professional orchestra in Canada. This study combined quantitative data - in the form of basic demographic information and a Health and Well-being Assessment - with qualitative interview data. This combined data provided a focused, in-depth view of typical instances in the professional orchestral string population. The musicians reported a variety of occupational and non-occupational risk factors, as well as a range of intrinsic risk factors. They also reported a variety of PRMD prevention strategies and lifestyle behaviours. The musicians in this study provide evidence that stress may play a mediating role in PRMDs and that the management of biomechanical and psychosocial stressors through holistic health practices may positively influence the incidence, severity, and treatment of PRMDs in orchestral string musicians. This dissertation recommends that increased awareness and education in holistic health practices be encouraged for the purpose of improved PRMD prevention in professional orchestral string musicians.

Submitted in fulfilment of the requirements for the Master’s Degree in Technology: Somatology, Durban University of Technology, 2014 / The beginning of the 20th century presented the Somatology profession with unprecedented challenges of acquiring a scientific base and achieving professionalisation. It is in this milieu that a few research studies were previously undertaken with regard to Somatology education however, none particularly focused in relation to areas that are preparing graduates for industry. The current study was a national study that explored the existing National Diploma offering through the lens of students, educators and members of the Durban University of Technology’s Advisory Board. In particular, it focused on developing broad guidelines to guide academics on what further content was required to be integrated into the current Somatology education. A triangulated approach using both quantitative and qualitative methods was used to guide the operationalisation of the research process. Five Universities of Technology participated in the study, viz. Cape Peninsula University of Technology, Central University of Technology, Durban University of Technology, Tshwane University of Technology and the University of Johannesburg. Third year and B.Tech students were surveyed with regard to the current Somatology Programme and what further aspects needed to be integrated into it to better prepare graduates for industry. In addition, in-depth interviews were also held with ten academics, two from each University of Technology, to examine what they thought needed to be included in education to strengthen the current programme. The same was done through a focus group discussion with members of the Durban University of Technology Advisory Board. A programme analysis of current content being taught at the five Universities was also undertaken. The results reflected that although most of the samples were satisfied with the current educational programme, they still believed that gaps existed and that graduates were still not adequately prepared for industry. It was found that both students and educators saw the need for more therapies to be included in the training. Both educators and the Advisory Board sample also saw the need for a stronger emphasis to be placed on practical skill development. The Advisory Board sample also strongly articulated for training to occur in an industry context as opposed to the University based experiential setting. Using data from these multiple samples, a set of guidelines was developed and presented. These guidelines were based on what further therapies needed to be integrated into education. The Duke Integrative Medicines Wheel of Health was adopted as the theoretical framework of the study. It was also utilised to identify specific areas that needed to be interwoven into education to further strengthen graduates’ preparedness for industry.

As práticas integrativas e complementares fazem parte dos cuidados em saúde adotados pela população; e sua incorporação ao Sistema Único de Saúde (SUS) é objeto da Política Nacional de Práticas Integrativas e Complementares. Suas modalidades mais numerosas nos serviços de saúde e, também, menos incluídas nessa política são as práticas corporais e meditativas. Os objetivos da pesquisa foram descrever essas práticas: por que, de quem, com quem e como é produzido esse cuidado; e identificar suas contribuições à integralidade do cuidado. O método de pesquisa foi qualitativo e a produção dos dados foi realizada em duas regiões administrativas de uma Coordenadoria Regional de Saúde do município de São Paulo. Dos 32 serviços que funcionavam como porta de entrada para o SUS na região, participaram da pesquisa 16 serviços, sendo 12 Unidades Básicas de Saúde (UBS) e quatro outras unidades de saúde. A produção dos dados foi realizada de outubro/2013 a setembro/2014, através de entrevistas semiestruturadas com 29 profissionais e 36 usuários praticantes; e de observação participante de 31 práticas corporais e meditativas em grupo, entre as 67 existentes na região. Os critérios de escolha foram a diversidade das práticas, pressuposta pela diversidade dos nomes; e a observação de mais de uma prática entre as mais frequentes. Foram observadas práticas de Tai Chi, Lian Gong, Qi Gong, Yoga, Capoeira, Danças, Meditação, Relaxamento, Consciência e Percepção Corporal, limitadas a uma sessão por prática A análise foi inspirada no referencial fenomenológico existencial, na abordagem denominada Analítica do Sentido. As práticas foram investigadas em sua dimensão de trabalho em saúde, independentemente das abordagens empregadas. A corporeidade foi identificada como tema subjacente, traço definidor dos recursos dos profissionais e dos modos de cuidado em todas as práticas. Em relação à promoção da saúde, foram identificadas convergências em relação ao conceito positivo e ampliado de saúde, bem como contribuições ao protagonismo dos praticantes e ao seu acesso a bens e recursos culturais do território, através do apoio ao exercício da agência e da produção das práticas não somente nos serviços de saúde, mas também em espaços públicos do entorno. As contribuições à construção da Integralidade foram relativas à união entre promoção e cuidado terapêutico nessas práticas; enquanto os desafios se mostraram ligados à necessidade de informar e aprofundar o diálogo com os demais profissionais de saúde e de produzir conjuntamente o cuidado, de modo a contribuir mais significativamente na elaboração dos projetos terapêuticos singulares. Foram também apontados os diferenciais dessas práticas em relação àquelas desenvolvidas sob a lógica do mercado, quanto às formas de sociabilidade e ao risco de autonomização do cuidado com o corpo. A título de conclusão, é apresentada uma definição que abarca o conjunto das práticas analisadas e a sugestão da organização de uma rede de informações e experiências dessas práticas no SUS / The integrative and complementary practices are part of the healthcare practices adopted by the population; its incorporation to the public healthcare system is part of the National Integrative and Complementary Practices Policy. The most numerous modalities in primary healthcare units, and also the less included in this Policy are corporal and meditative practices. The objectives of this research were to describe these practices: why, for whom, to whom and how this healthcare is produced; and also to identify its contributions to the integrality of the healthcare. The qualitative research method was chosen, the data was gathered in two administrative subdivisions of one regional division of the city of Sao Paulo\'s public healthcare system. From 32 existing primary healthcare units a total of 16 participated in the survey. The data was gathered from October/ 2013 to September/2014, through semi-structured interviews with 29 health professionals and 36 patients; and through participation and observation of 31 out of the 67 corporal and meditation group practices being applied in the region, such as Tai Chi, Lian Gong, Yoga, Capoeira, Dances, Meditation, Relaxation Techniques, Consciousness and Body Perception, limited by one session per activity. The analysis was based on an existentialphenomenological approach denominated as Analítica do Sentido. The practices were investigated in its healthcare dimension, regardless of the applied approach. The corporeality was identified as an underlying topic, a defining trace of the health professionals\' repertory and of the healthcare aspect of all practices. Regarding health promotion, there were identified convergences in relation to: a positive and amplified health concept; to the contribution of a protagonism of the patients and the contribution to their access to cultural and material assets of the territory, through support to agency exercise and through implementation of health practices not only in health centres but also in surrounding public areas. Contributions to development of Integrality were related to the strong bond between health promotion and healthcare in these practices; while the challenges seem to be related to the necessity to inform and improve the dialogue with the other health professionals and for those professionals to produce the healthcare together, in order to contribute more significantly to the elaboration of singular therapeutic projects. There were also pointed out the aspects that distinguish these practices in relation to those developed under market interest logic, regarding sociability forms and the risk of autonomization of body healthcare. As a conclusion, it is presented a definition that embraces the set of analysed practices and a suggestion on how to organize an information and experiences network of these practices in the Public Healthcare System

Memory deficits and executive dysfunction are highly prevalent among HIV-infected adults. These conditions can affect their quality of life, antiretroviral adherence, and HIV risk behaviors. Several factors have been suggested including the role of genetics in relation to HIV disease progression. This dissertation aimed to determine whether genetic differences in HIV-infected individuals were correlated with impaired memory, cognitive flexibility and executive function and whether cognitive decline moderated alcohol use and sexual transmission risk behaviors among HIV-infected alcohol abusers participating in an NIH-funded clinical trial comparing the efficacy of the adapted Holistic Health Recovery Program (HHRP-A) intervention to a Health Promotion Control (HPC) condition in reducing risk behaviors. A total of 267 individuals were genotyped for polymorphisms in the dopamine and serotonin gene systems. Results yielded significant associations for TPH2, GALM, DRD2 and DRD4 genetic variants with impaired executive function, cognitive flexibility and memory. SNPs TPH2 rs4570625 and DRD2 rs6277 showed a risk association with executive function (odds ratio = 2.5, p = .02; 3.6, p = .001). GALM rs6741892 was associated with impaired memory (odds ratio = 1.9, p = .006). At the six-month follow-up, HHRP-A participants were less likely to report trading sex for food, drugs and money (20.0%) and unprotected insertive or receptive oral (11.6%) or vaginal and/or anal sex (3.2%) than HPC participants (49.4%, p

Luk Leung Andrew. / "April 2004." / Thesis (Ph.D.)--Chinese University of Hong Kong, 2004. / Includes bibliographical references (p. 504-551). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Abstracts in English and Chinese; questionnaire in Chinese.

Made available in DSpace on 2011-05-04T12:36:25Z (GMT). No. of bitstreams: 0 Previous issue date: 2010 / Esta dissertação tem como objetivo compreender o processo de recuperação do uso indevido de drogas vivido por fiéis da igreja pentecostal Assembleia de Deus de uma comunidade popular da cidade do Rio de Janeiro. Fez-se uso do método qualitativo, por meio da utilização de entrevistas semi-estruturadas e observação participante, considerando a visão do fenômeno dos indivíduos que estão neste processo. Foram entrevistados em profundidade 10 participantes de igrejas Assembleia de Deus (AD) que buscaram o local por problemas relacionados ao uso indevido de drogas. Observou-se que a busca pelo tratamento religioso decorre do respeito que os sujeitos e a comunidade têm pelos fiéis da AD, do envolvimento dos familiares dos usuários de droga com a igreja a fim de conseguir ajuda para tirá-los desta situação, da busca ativa que a igreja faz dos mesmos para lhes propor um novo estilo de vida e da crise existencial decorrente da perda de controle sobre o uso da droga e de problemas relativos ao tráfico. Foi demonstrado que a igreja faz o trabalho de recuperação do uso indevido de drogas visando à cura das almas e não ao tratamento em si, como meio de transformar a sociedade pela transformação de seus indivíduos, um a um. Durante o processo de recuperação, o sujeito se identifica com outros significativos que lhes oferecem uma estrutura de plausibilidade para que possam aprender um novo modo de interpretar o mundo e de estar nele. O indivíduo afasta-se dos antigos companheiros de droga ou de tráfico e passa a redefinir sua biografia em termos de antes e depois da conversão. As dificuldades de relacionamento dentro da igreja são apontadas como o maior fator de desmotivação para a permanência neste grupo. A conclusão do estudo é de que tanto a categoria pessoa como indivíduo são utilizadas no processo de recuperação. Como pessoa, o sujeito está subordinado à consciência coletiva da igreja que lhe dita as regras do modo correto de pensar, interpretar os textos sagrados e se comportar, além de dizer como a realidade se estrutura. Também passa a pertencer a uma rede de relações que lhe oferece um tratamento diferenciado, expresso especialmente pelo apoio social. Como indivíduo, ele é responsável por suas escolhas, desde o uso de drogas, como pela busca e adesão ao tratamento, a ele e pela recaída. Sua auto-estima é fortalecida pelo desenvolvimento de potencialidades e pelo respeito que adquire perante a comunidade. Sua individualidade se expressa na margem de manobra que tem em relação ao seu novo papel socialmente predefinido. O trabalho aponta a possibilidade de diálogo e colaboração entre a AD e os profissionais de saúde na questão das drogas, pois, embora a exigência de abstinência como único resultado possível do tratamento feita pela igreja divirja do paradigma de Redução de Danos adotado pela Política do Ministério da Saúde para a Atenção Integral a Usuários de Álcool e Outras Drogas, esta instituição tem contribuído na prevenção, recuperação e reinserção dos mesmos à sociedade, que são objetivos desta política. / This thesis aims to understand the recovery process of drug misuse experienced by followers of pentecostal church Assembleia de Deus (Assembly of God) in a popular community of Rio de Janeiro. We used the qualitative method, through the use of semistructured interviews and participant observation, considering the vision of the phenomenon of individuals who are in the process. Ten participating of Assembleia de Deus (AD) were interviewed in depth, they sought this place due to problems related to drug misuse. It was observed that the search for religious treatment stems from the respect the individuals and the community have for the followers of AD, the involvement of family members of drug addicts with the church to get help to get them out of this situation, the active search the church does for them to offer them a new life style and the existential crisis resulting from the loss of control over drug use and problems related to drug dealing. It has been shown that the church does the work of recovery from drug misuse in order to "cure souls" and not the treatment itself, as a means to transform society by transforming its individuals, "one by one." During the recovery process, the individual identifies with "significant others" that provide them with a structure of plausibility in order to learn a new way of interpreting the world and being in it. The individual gets away from old addicted friends or from drug dealing and begins to redefine their biography in terms of "before" and "after" the conversion. The difficulties of relationships within the church are identified as a major factor of lack of motivation for staying in this group. The conclusion of the study is that both the category person and individual are used in the recovery process. As a person, the individual is subordinate to the collective consciousness of the church that rules the right way to think, interpret the sacred texts and behave, besides saying how reality is structured. They also start to belong to a network of relationships that offers them a different treatment, expressed especially by social support. As an individual, they are responsible for their choices, from the use of drugs, to the quest for treatment, adherence to it and relapse. Their self-esteem is strengthened by the development of abilities and the respect they acquire in the community. Their individuality is expressed in the margin of maneuver it has in respect to their new role socially predetermined. The work shows the possibility of dialogue and collaboration between AD and the health professionals of drug issue, because although the requirement of abstinence as the only possible result of treatment made by the church diverges from the paradigm of Harm Reduction adopted by the Health Department Politic About Tottaly Attention With Alcohool and Other Drugs Users, this institution has contributed to the prevention, recovery and reintegration into society of those who are targets of this policy.