Zugl.: Diss. Universität Basel, 1991. / Based on the author's thesis, Universitaet Basel, 1991. Originaltitel: Falsch gehandelt - schwer erkrankt. Includes bibliographical references (p. 313-325) and index.

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-04-17T17:55:53Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ana_caldeira_barros.pdf: 1948428 bytes, checksum: 6db2194dabcfd512dffc0104f589dd5c (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-04-20T16:43:39Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ana_caldeira_barros.pdf: 1948428 bytes, checksum: 6db2194dabcfd512dffc0104f589dd5c (MD5) / Made available in DSpace on 2017-04-20T16:43:39Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ana_caldeira_barros.pdf: 1948428 bytes, checksum: 6db2194dabcfd512dffc0104f589dd5c (MD5) Previous issue date: 2016 / As comunidades rurais sofrem de iniquidades em sa?de e normalmente t?m menor acesso a ela quando comparadas ?s comunidades urbanas. Se localizadas no entorno de unidades de conserva??o, podem apresentar caracter?sticas espec?ficas de conviv?ncia com o ambiente, tal como a preponder?ncia de uso de plantas medicinais nativas em rela??o ao uso de plantas cultivadas. Por outro lado, essas comunidades podem sofrer com inseguran?a e incertezas, devido ?s restri??es de uso da biodiversidade impostas pela legisla??o ambiental vigente. Acredita-se que s?o nas pr?ticas populares de sa?de, como o uso de plantas medicinais, que a popula??o busca apoio para o enfrentamento das situa??es de adoecimentos. O objetivo desse trabalho foi estudar as comunidades rurais de Bra?nas e Lagoa da Pedra quanto aos seguintes aspectos sociodemogr?ficos e de sa?de: composi??o familiar, escolaridade, dados ocupacionais, socioecon?micos; sistemas de produ??o de alimentos e extrativismo, sa?de do trabalhador e ao uso da medicina popular. As comunidades envolvidas no estudo s?o localizadas aproximadamente a 100 km da sede de Diamantina e a 20 km do distrito de Senador Mour?o, na margem direita do rio Jequitinhonha, na zona de amortecimento do Parque Nacional das Sempre Vivas, em Minas Gerais. A ?rea da pesquisa faz parte da mesorregi?o do Alto Jequitinhonha, nordeste do estado, transi??o de Cerrado e Mata Atl?ntica. Entre janeiro e abril de 2016, foram aplicados question?rios estruturados em 36 domic?lios, em que viviam 120 pessoas. As comunidades plantavam principalmente feij?o nas margens do rio, sendo esta atividade e a venda da produ??o a mais importante ocupa??o e fonte de renda local. A maior parte dos entrevistados relatou cultivar hortali?as e legumes (72%) ou outros alimentos em seus quintais (97%) para autoconsumo. A cria??o de animais de produ??o e/ou de estima??o foi relatada por 94% dos entrevistados. A maioria das casas tinha estrutura de adobe, cobertura de telha de barro e piso de cimento, sendo que a principal car?ncia de saneamento ambiental foi a presen?a de fossa rudimentar na maioria das resid?ncias. As comunidades apresentaram rela??es espec?ficas de conviv?ncia com o ambiente local. Nesse ?mbito, foram citadas pelos entrevistados 139 plantas de uso medicinal, seus locais de coleta, modo de fazer e indica??es terap?uticas. Os principais agravos investigados s?o comuns aos processos de adoecimentos de outras comunidades rurais do pa?s, tais como parasitoses intestinais e acidentes com animais pe?onhentos. Al?m desses, hipertens?o arterial, problemas de pele e respirat?rios tamb?m foram recorrentes. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2016. / The rural communities suffer with health disabilities and usually have less access to health systems compared to urban communities. If these communities are located in conservation units? surroundings, they can exhibit specific familiarities with their localenvironment, such as the main use of native medicinal plants instead the use of cultivated herbal plants. In contrast, these communities can suffer uncertainties about the use of local biodiversity given the present environment policy. There is a belief that popular health practices, such as medicinal plants, can help to improve common illness. The main object is to study the rural communities of Bra?nas and Lagoa da Pedra according to the following socialeconomics and health aspects: family composition, educational level, active work force, food production and extrativism, workers? health and popular health practices. These two communities are situated at the northeast of Minas Gerais State and within the Alto Jequitinhonha mesoregion, proximally 100 km from Diamantina, MG . and 20 km from Senador Mour?o District. They are also located in a buffer zone of Sempre Vivas National Park and within the biome transition zone of Cerrado and Atlantic Forest. Between January and April/2016 structured questionnaires were applied on 36 households, in which inhabit 120 dwellers. These communities cultivate manly beans in the rivers margins and this activity is the main source of local income. The interviewers mostly cultivated vegetables (72%) or other kind of crops (97%) and farm animals or pets (94%) in their backyards for selfpreservation. Almost all houses were made of adobe, covered by clay tiles and cement floor and the main lack of environmental sanitation condition found is rudimentary cesspits. The communities have familiarities with local environment and in this case, 139 medicinal plants were described by interviewers, such as their extraction location, how to prepare and their therapeutics indications. The main illness concerns investigated in this study are common to other Brazilians? rural communities, such as intestinal parasites and accidents with venomous animals. Besides these illnesses, hypertension, skin rashes and breathing problems also occur frequently.

The apparent reversal of trend from modern drugs to herbal medicine is partly due to the fact that synthetic drugs have always shown adverse reactions and other undesirable side effects. Hence, the use of medicinal plants for the treatment of diseases such as diabetes is very common especially in the rural areas. Majority of these plants are used based on the experience and indigenous knowledge without identification of the therapeutic agents. There is enormous wealth of medicinal plants in the world yet many of them have not been discovered or studied scientifically to substantiate their ethno-medicinal usages. Ethnobotanical study has been the method often used to search for locally important plant species for the discovery of crude drugs with low side effects. An ethnobotanical survey was conducted on the medicinal plants commonly used for the management of diabetes mellitus in Nkonkobe Municipality, Eastern Cape of South Africa. Information was obtained through structured questionnaire administered to traditional healers and herbalists in the region. The study revealed 15 species of plants belonging to 13 families. Strychnos henningsii and Leonotis leonorus among others were repeatedly mentioned by the traditional healers as the two mostly used plants for the management of diabetes mellitus. The infusion and decoction of the roots, leaves and barks of these plants are the methods of preparation. The antioxidant potential of aqueous bark extract of S. henningsii was investigated both in vivo and in vitro using spectroscopic method. The antioxidant activity of the extract against hydrogen peroxide (H2O2), 2,2′-azinobis[3-ethylbenzothiazoline6-sulfonic acid] diammonium salt (ABTS), as well as reducing power was concentration dependent. The extract exhibited lower and average scavenging activities against 1,1diphenyl2picrylhydrazyl (DPPH) and nitric oxide (NO) radicals with IC50 value of 0.739 and 0.49 mg/ml respectively. The administration of the plant extract at 250, 500 and 1000 mg/kg significantly increased the activities of the antioxidant enzymes in the hepatotoxic rats induced with carbon tetrachloride. On the other hand, the stem bark extract had lower effect on lipid peroxidation level except at the dose of 250 mg/kg. The effect of oral administration of S. henningsii extract was evaluated in normal Wistar rats for 28 days. The observed result indicated non- toxic effect of sub-acute administration of plant extract to the animals except at certain doses. This is because, there was no apparent damage to some haematological and biochemical parameters used in assessing organ specific toxicity. However, the alterations observed on platelet, white blood cells and its differentials imply parameter and dose selective toxicity when repeatedly consumed on daily basis at the doses investigated. This study also investigated the antidiabetic activities of the extract at the doses of 125, 250 and 500 mg/kg body weight in diabetic rats induced with streptozotocin -nicotinamide for 15 days. The extract appreciably (P <0.05) reduced the blood glucose level, feed and water intake while the best result was obtained at 250 mg/kg. Similarly, the level of triacylglycerol at the three doses investigated was significantly decreased. In addition, the glucose tolerance was reduced to near normal level after 90 min at certain doses. The clinical significance of the extract on some biochemical and haematological parameters lessen both hepatic and renal damages. Anaemic condition in diabetic animals was also improved after plant extract administration. However, no significant effect was observed in white blood cells and some of its differentials. The extract demonstrated strong glucose utilization in 3T3-L1 cells with a response of 278.63 percent of the control at 12.5μg/ml while that of Chang liver cells was 103.54 percent. The cytotoxicity result revealed non toxic effects of the extract to both cell lines. Treatment of 3T3 L1 cells with the extract did not reduce lipid accumulation. The extract inhibited the activity of α- glucosidase and α- amylase in a concentration dependent manner with IC50 values of 38 μg/ml and 60.9 μg/ml respectively. The percentage protein antiglycation of S. henningsii was 18.4, 38.2 and 61.2 perceent for 0.25, 0.5 and 1 mg/ml respectively while aminoguanidine a known inhibitor of protein glycation was 87.2 percent at 1 mg/ml. The FRAP assay values of the extract was 357.05 μmol Fe (II)/g. The findings from this study support the folkloric usage of this plant for the management of diabetes mellitus in the region.

No description available.

In South Africa, just like in any other country within the African continent, traditional healing remains an integral part of many communities and this is not just restricted to the rural communities only, as is sometimes assumed. The main aim of this research was to explore the approaches of traditional healers in the treatment of HIV/AIDS in the Chris Hani District Municipality, Eastern Cape. The following research objectives were followed regarding the approaches of traditional healers in the treatment of HIV/AIDS: (i) to assess how traditional healers and people living with HIV/AIDS in Tsengiwe village understand HIV/AIDS, (ii) to investigate the reasons people living with HIV/AIDS consult traditional healers in Tsengiwe village, (iii) to assess Tsengiwe village traditional healers’ treatment strategies for HIV/AIDS, (iv) to establish how traditional healers view their role in the treatment of HIV/AIDS in Tsengiwe village. A qualitative research design was utilized, using in-depth interviews with traditional healers and focus group discussions with caregivers and people living with HIV/AIDS respectively. A type of non-probability sampling known as purposive sampling was used. A total of sixteen (16) participants were interviewed. The findings in this research revealed the following themes: (i) HIV/AIDS is incurable and it is understood by symptoms, (ii) belief system entrenched in traditional healing, (iii) cleansing rituals and traditional medicinal remedies and, (iv) strengthening relations between stakeholders. While traditional healers expressed a willingness to work with biomedical professionals in the management of HIV/AIDS, caregivers and people living with HIV/AIDS preferred going to clinics and hospitals for treatment. Furthermore, people living with HIV/AIDS in this research never admitted to consulting traditional healers for their ailments, only saying that they choose to self-medicate.

Submitted by Fabio Sobreira Campos da Costa (fabio.sobreira@ufpe.br) on 2017-02-13T14:21:32Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) UTILIZAÇÃO DE PLANTAS MEDICINAIS E FITOTERAPIA NA ESTRATÉGIA SAÚDE DA FAMÍLIA NO MUNICÍPIO DE RECIFE.pdf: 1609946 bytes, checksum: 5083d382d8e4ac9b325e58665fa9dd16 (MD5) / Made available in DSpace on 2017-02-13T14:21:32Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) UTILIZAÇÃO DE PLANTAS MEDICINAIS E FITOTERAPIA NA ESTRATÉGIA SAÚDE DA FAMÍLIA NO MUNICÍPIO DE RECIFE.pdf: 1609946 bytes, checksum: 5083d382d8e4ac9b325e58665fa9dd16 (MD5) Previous issue date: 2014-05-30 / CAPES / A inserção das plantas medicinais nos sistemas de saúde tem sido recomendação da OMS em função da sua ampla utilização pela população, mesmo com acesso aos serviços de saúde. No Brasil, a criação da Política Nacional de Práticas Integrativas e Complementares e da Política Nacional de Plantas Medicinais e Fitoterápicos veio a legitimar o uso de plantas medicinais no SUS, especialmente na atenção básica. No Recife, embora implantada antes das políticas nacionais, a fitoterapia teve nos últimos anos a implementação de novos serviços e a criação, em 2012, de uma política municipal respaldando a prática. Considerando o acima exposto, o objetivo do estudo foi avaliar o impacto na prescrição e recomendação da fitoterapia e plantas medicinais pela Estratégia Saúde da Família após a inserção de medicamentos fitoterápicos na rede SUS-Recife e a criação da Política Municipal de Práticas Integrativas e Complementares. Foi realizado um estudo descritivo de corte seccional e atributos de painel repetido entre Novembro e Dezembro de 2013 com médicos, enfermeiros e dentistas das Unidades de Saúde da Família do Distrito Sanitário IV do Recife. Os dados obtidos constituíram o painel atual, que foram comparados aos dados de uma pesquisa realizada em 2011 (primeiro painel), previamente a disponibilização dos fitoterápicos na rede e a criação da Política Municipal, a qual abordou diversas práticas integrativas e complementares, incluindo a fitoterapia e plantas medicinais. Para análise estatística foi utilizado o teste de Qui-quadrado através do programa SPSS versão 13.0. Foram verificados entre os dois painéis, aumentos significativos relacionados ao uso pessoal da fitoterapia pelos profissionais, bem como o uso da fitoterapia e de preparações de plantas medicinais para suas famílias. Entretanto, a prescrição e a recomendação das práticas não elevaram-se significativamente. Avaliando o painel atual foi verificado que 70,0% dos profissionais não tem formação na área, embora 92,4% a deseje. Ainda verificou-se associação estatística entre a formação dos profissionais e a recomendação das práticas avaliadas, o que não foi observado para a variável prescrição. A implementação da fitoterapia e plantas medicinais no SUS-Recife mostrou-se conhecida por 66,7% dos sujeitos, com apenas 2,6% referindo não desejá-las. O conhecimento de legislação municipal foi relatado apenas por 12,3% dos profissionais e a disponibilidade de fitoterápicos na rede municipal por 45,2% dos participantes. Com os dados obtidos, foi possível concluir que apesar da evolução na implementação da fitoterapia e plantas medicinais no Recife, são necessárias ações para sua consolidação no sistema municipal de saúde, especialmente no que se refere à comunicação e divulgação dos serviços aos profissionais bem como a realização de capacitação e educação permanente na área, de forma a garantir o acesso do usuário a tais práticas. / The insertion of medicinal plants in healthcare system have been recommended by WHO due to its wide use by the population, even with access to health services. In Brazil, the creation of the National Policy on Integrative and Complementary Practices and National Policy on Medicinal Plants and Phytotherapy came to legitimize the use of medicinal plants in the National Health System, especially in primary care. In Recife, while implanted ahead of national policies, phytotherapy had in recent years being implemented with new services and with the creation, in 2012, of a municipal policy endorsing the practice. Considering the above, the objective of the study was evaluate the impact on prescription and recommendation of herbal and medicinal plants by the family health strategy after insertion of herbal medicines in SUS-Recife network and the creation of Municipal Policy on Integrative and Complementary Practices. A descriptive cross sectional study and repeated panel study attributes were performed between November and December 2013 with doctors, nurses and dentists from IV District Units Family Health Recife. The data obtained constituted the current panel, which were compared to data from a survey conducted in 2011 (first panel) that addressed several complementary and integrative practices, including herbal and medicinal plants. Statistical analysis included the chi-square using SPSS version 13.0 was used. Between the two panels were observed significant increases related to personal use of phytoterapy by professionals as well as the use of phytoterapy and herbal preparations for their families. However, the prescription and recommendation practices did not increase significantly. Assessing the current panel was found that 70.0% of professionals do not have training in the area although 92.4% want to. Also there was a statistical association between the training of professionals and the recommendation of the practices evaluated, which was not observed for the prescription. The implementation of herbal and medicinal plants in the SUS-Recife proved known of 66.7% of the subjects, with only 2.6% stating not desiring them. Knowledge of municipal legislation was reported by only 12.3% of professionals and availability of herbal medicines in public schools by 45.2% of participants. With the data obtained, was possible to conclude that despite the progress in the implementation of herbal and medicinal plants in Recife, actions are required to be consolidated in the municipal health system, especially with regard to communication and dissemination services for professionals and the conducting of qualification and ongoing education in the area, to ensure user access to such practices.

O tratamento da afecção de disco intervertebral tóraco-lombar com eletroacupuntura tem o objetivo de analgesia e reabilitação motora e sensorial. As melhoras funcionais observadas após lesão medular decorrem de fenômenos de plasticidade sináptica, correspondendo a um mecanismo compensatório e não de reparo estrutural. S100&beta; é considerado um fator neurotrófico glial que pode estar relacionado a estas alterações. Durante o período de fevereiro de 2007 a junho de 2008 foi realizado um estudo clínico prospectivo em cães com extrusão de disco intervertebral (n=10) submetidos à eletroacupuntura (grupo EA) sem o uso de corticosteróides. Foram coletadas amostras de líquido cefalorraquidiano (LCR) destes animais em dois momentos: durante o exame de mielografia e/ou tomografia computadorizada (M1) e após 35.5±21.33 dias de tratamento (M2). Níveis de S100&beta foram investigados no LCR de cães do grupo EA através da técnica de Western blot. LCR de cães sem sinais neurológicos (grupo normal, n=7) foram utilizados para comparação. Para a análise estatística, com nível de significância de 5%, foram utilizadas ANOVA para medidas repetidas e medidas independentes e comparação múltipla de Bonferroni, teste t-Student para a comparação entre duas médias e correlação linear de Pearson para as variáveis quantitativas. Todos os animais do grupo EA, graus de lesão 3 a 5, obtiveram melhora neurológica crescente e significativa (P-valor <0.001) através da Escala Funcional Numérica (EFN) nos M1 e M2 e M3 (momento da última avaliação). O grupo EA foi dividido em grupo A - cães com retorno à locomoção em até 30 dias (6.7±7.89; n=7) e grupo B - após 30 dias (76±17.06; n=3) do tratamento. Níveis de S100&beta; (Média±DP) em cães do grupo A foram superiores no M1 (P-valor=0.0107) em relação ao M2 e grupo normal, mas entre M2 e grupo normal não houve diferença significativa (P-valor=0.423). No entanto, níveis de S100&beta; em cães do grupo B foram superiores no M2 (P-valor=0.039) em relação ao M1 e normal, e não houve diferença significativa entre M1 e grupo normal (P-valor=0.756). Níveis de S100&beta; no M1 não diferiram (P-valor=0.069) entre os grupos A e B. Entretanto, níveis de S100&beta; no M2 em cães do grupo B foram superiores (P-valor=0.032) ao M2 em cães do grupo A. Não houve correlação dos níveis de S100&beta; no M1 com idade (r2=0.2042, P-valor=0.189); peso (r2=0.02634, P-valor=0.654), evolução clínica (r2=0.0062; P-valor=0.828), tempo de retorno à locomoção (r2=0.2522; P-valor=0.139) e extensão da extrusão (r2=0.0345; P-valor=0.607). Níveis de S100&beta; no M1 não apresentaram diferenças significativas entre os graus de lesão 3, 4 e 5 (P- valor=0.931); entre o grupo com escores de compressão extradural 1 e 2 comparado com grupo com escore de compressão 3 (P-valor=0.771); entre grupo de cães com EFN10 (P-valor=0.520) e entre grupo de cães com escores de nº de lesões 1, 2, 3 e 4 (P- valor=0.526). Níveis de S100&beta; no M2 não apresentaram diferenças significativas com a evolução clínica (r2=0.0304; Pvalor=0.629), extensão da extrusão (r2=0.0158; Pvalor=0.729), entretanto houve uma tendência a correlação com o tempo de retorno à locomoção (r2=0.3852; P-valor=0.055). A eletroacupuntura promoveu uma modulação dos níveis de S100&beta; detectados no LCR de cães com extrusão de disco intervertebral tóraco-lombar. A eletroacupuntura induziu aumento de S100&beta; no LCR de cães com recuperação motora tardia sugerindo sua contribuição na plasticidade neural após injúria da medula espinhal devido à extrusão de disco intervertebral. / Electroacupuncture treatment in dogs with thoracolumbar disk disease has the purpose of analgesia, motor and sensorial rehabilitation. The functional improvements observed after spinal cord lesion are resulting of synaptic plasticity. This fact is a result of compensatory mechanisms and not structural repair. S100&beta; is considered a glial neurotrophic factor. It can be involved with these improvements. A prospective clinical study during February 2007 to June 2008 evaluated electroacupuncture (EA) treatment (group EA) in dogs with thoracolumbar disk extrusion (n=10) without corticosteroids. Cerebrospinal fluids (CSF) were collected from these animals in two time points: during the mielography and/or computed tomography (M1) and after 35.5±21.33 (Mean±SD) days after EA treatment (M2). S100&beta; levels in CSF were investigated in dogs of group EA by Western blot. CSF of dogs without neurological signs (group normal; n=7) were used for comparisons. For the statistical analysis, significant level of 5%, ANOVA for repeated and not repeated variables (post-test Bonferroni´s), Student-t test for two variables comparisons and Pearsons linear correlation for quantitative variables, were used. All dogs (group EA) with lesion levels of dysfunction 3 to 5, reached neurological improvements with significant higher scores (P-value<0.001) from a functional numerical score (FNS) at each successive time points (M1; M2; M3 last evaluation). Group EA dogs were divided in group A - dogs with return of ambulation before 30 days (6.7±7.89; n=7) and group B - after 30 days (76±17.06; n=3). S100&beta; levels (Mean±SD) in group A dogs were higher in M1 (P-value=0.0107) than M2 and group normal, and there was not significant difference between M2 and group normal (P-value=0.423). Although, S100&beta; levels in group B dogs were higher in M2 (P-value=0.039) than M1 and group normal, and there was not significant difference between groups B M1 and normal (P-value=0.756). S100&beta; levels in M1 were not different (P-value=0.069) between dogs of group A and B. However, S100&beta; levels at M2 in group B dogs were significantly higher (P-value=0.032) than group A. The S100&beta; levels in M1 have no correlation with age (r2=0.2042; P-value=0.189); weight (r2=0.0263; P-value=0.654), duration of clinical signs (r2=0.0062; P-value=0.828), time of ambulation return (r2=0.2522; P-value=0.139) and extrusion length (r2=0.0345; P-value=0.607). There were no associations between S100&beta; levels at M1 and lesion levels of dysfunction 3, 4 e 5 (Pvalue=0.931); between extradural compression scores 1 and 2 compared with score 3 (Pvalue=0.771); between dogs with FNS10 (Pvalue=0.520) and between group of dogs with number of lesions scores 1, 2, 3 and 4 (Pvalue=0.5262). S100&beta; levels at M2 have no correlation with duration of clinical signs (r2=0.0304; Pvalue=0.629), extrusion length (r2=0.0158; P-value=0.729), however there was a tendency of correlation with time of ambulation return (r2=0.3852; Pvalue=0.055). Electroacupuncture can modulate the S100&beta; levels in CSF of dogs with thoracolumbar disk extrusion. Electroacupuncture up-regulated S100&beta; in CSF of dogs with late motor rehabilitation. This fact suggests its contribution in the neural plasticity after spinal cord lesion due to intervertebral disk extrusion.

Submitted by Fabiana Gonçalves Pinto (benf@ndc.uff.br) on 2017-03-29T20:22:30Z No. of bitstreams: 1 Emília Cristina de Aguiar Vargas.pdf: 1241185 bytes, checksum: daa4046fbe218b714ebf5129d4419835 (MD5) / Made available in DSpace on 2017-03-29T20:22:30Z (GMT). No. of bitstreams: 1 Emília Cristina de Aguiar Vargas.pdf: 1241185 bytes, checksum: daa4046fbe218b714ebf5129d4419835 (MD5) Previous issue date: 2017 / Mestrado Profissional em Enfermagem Assistencial / O estudo enfoca o saber e o uso de plantas medicinais em um grupo de usuários de uma unidade de saúde, considerando a autonomia do cuidado na perspectiva da enfermagem assistencial. Objetivo: conhecer os saberes dos clientes quanto ao uso de plantas medicinais para lançar mão de uma tecnologia educacional, para autonomia do cuidado em saúde no uso de práticas populares. Método: realizada pesquisa qualitativa de caráter descritivo e exploratório, em unidade pré-hospitalar do Município de Campos dos Goytacazes/RJ. O instrumento utilizado foi um formulário semiestruturado, aplicado a dez usuários da referida unidade e em paralelo foram realizadas três dinâmicas de grupo com a participação de oito pessoas. Resultados: foram construídas as seguintes categorias: Patrimônio cultural; A importância dada à terapia com plantas medicinais; e o Acesso às terapias com plantas medicinais nos serviços de saúde. A maioria dos entrevistados tem descendência étnica negra, indígena e branca o que reforça a herança genética cultural. Todos os entrevistados conhecem algum tipo de planta medicinal e já fazem uso; a maioria aprendeu sobre as plantas medicinais com familiares, principalmente com a mãe e a avó. As indicações mais frequentes são para alívio de transtornos digestivos, do sistema nervoso e do climatério. As mais citadas foram Erva-cidreira, Tanchagem, Arnica, Amoreira, Saião e Babosa. A maioria dos participantes valoriza esse conhecimento e essa forma de tratamento, considerando importante a inserção dela como uma opção de cuidado nos serviços de saúde pública, já que se trata de uma herança cultural; todos informaram nunca terem tido acesso a esse cuidado de saúde nas unidades públicas municipais. Conclusão: o uso de plantas medicinais é consequente de um conhecimento natural, passado através de gerações no núcleo familiar. O fato dessas práticas complementares já estarem inseridas no cotidiano faz desse conhecimento algo importante para o enfermeiro e demais profissionais de saúde, pois assim podem prestar uma assistência mais adequada às características e necessidades da clientela, gerando o enlace entre o conhecimento popular e o científico. Produto: formação de um grupo de estudos e práticas complementares com plantas medicinais voltados para autonomia do cuidado em saúde / The study focuses on the knowledge and use of medicinal plants in a group of users of a health unit, considering the autonomy of care from the perspective of nursing care. Objective: to know the clients' knowledge about the use of medicinal plants to use an educational technology, for autonomy of health care in the use of popular practices. Method: qualitative research of descriptive and exploratory character, in a pre-hospital unit of the Municipality of Campos dos Goytacazes/RJ. The instrument used was a semi-structured form, applied to ten users of this unit and in parallel three group dynamics were performed with the participation of eight people. Results: the following categories were built: Cultural heritage; The importance given to therapy with medicinal plants; And Access to medicinal plant therapies in health services. Most of the interviewees have black, indigenous and white ethnic backgrounds, which reinforces the cultural genetic heritage. All the interviewees know some kind of medicinal plant and they already use; Most of them learned about medicinal plants with relatives, especially with their mother and grandmother. The most frequent indications are for relief of digestive disorders, the nervous system and the climacteric. The most cited were Erva-cidreira, Tanchagem, Arnica, Amoreira, Saião and Babosa. Most of the participants value this knowledge and this form of treatment, considering it important to insert it as an option of care in the public health services, since it is a cultural heritage; all reported having never had access to such health care in municipal public facilities. Conclusion: the use of medicinal plants is the result of a natural knowledge, passed through generations in the family nucleus. The fact that these complementary practices are already part of daily life makes this knowledge important for nurses and other health professionals, since they can provide a more adequate assistance to the characteristics and needs of the clientele, generating the link between popular and scientific knowledge. Product: formation of a group of studies and complementary practices with medicinal plants focused on health care autonomy

M.Cur.(Medical & Surgical Nursing: Critical Care General) / The majority of Africans use traditional medicine, but do not divulge this information to the nurses and doctors when admitted to critical care units. For this reason, patients develop complications, and these makes it difficult for nurses and medical doctors in critical care units to assess and to provide comprehensive quality care, as they treat only the visible clinical manifestations. The purpose of this study was to explore and describe the factors leading to non- divulgence by patients who used traditional medicines in critical care units of a Westrand mine hospital, in order to describe strategies to facilitate divulgence. The researcher used a qualitative, exploratory, descriptive and contextual research design. The population was composed of the patients who were envisaged to have used traditional medicines in the critical care unit of a Westrand mine hospital. Twelve participants were purposively selected from the critical care unit register because these patients displayed the symptoms of having used traditional medicine. Semi-structured individual interviews were conducted. Ethical principles were adhered to. Trustworthiness was ensured by using namely; credibility, transferability, dependability and confirmability. A qualitative open coding method of data analysis was used according to Tesch’s protocol. The following theme and subthemes emerged from the data analysis: Fear and anxiety as the main theme. Subthemes were 1. Fear to divulge secrets. 2. Fear of negative attitudes from nurses and 3. Fear to lose rights, norms and values. It is recommended that the strategies described be used in clinical practice, nursing education and for further research regarding divulgence of the use of traditional medicine to the nurses and doctors, in order to provide a comprehensive assessment and treatment of the patients in critical care units.

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