Background: Cancer is the second leading cause of death in economically developed countries. The use and availability of oral treatment for cancer has increased dramatically in the past 10 years. Few studies have described the use of oral chemotherapy in non-traditional ambulatory settings by health care professionals across different specialties. Objective: The purpose of this study is to describe the usage of oral chemotherapeutic medications in ambulatory settings. Methods: Cross sectional study of 2007 NAMCS Survey analysis involving 21,761 subjects aged 18 years and above with cancer who participated in the 2007 National Ambulatory Medical Survey (NAMCS). Main Outcome Measure: Physician-reported use of oral chemotherapeutic medications (includes all major drug classes) as indicated on questionnaire for 2007 NAMCS survey. Results: Health care providers in non-traditional settings are less likely to prescribe oral chemotherapy than in traditional ambulatory settings (Adjusted odds ratio (AOR)=0.65{95% confidence interval: 0.61-0.69}). The study results suggest that oncologists are prescribing oral anti-cancer drugs the most as compared to other physician specialties. Conclusion: Health care providers in non-traditional settings are less likely to prescribe oral chemotherapy than in traditional ambulatory settings. Primary care physicians may have limited experience in monitoring and prescribing these potentially toxic medications. Clear guidelines are required for the use of oral chemotherapy medications, considering the potential for their use in non-traditional ambulatory settings and by non-oncologists.

TITLE Use of non-traditional aids in physical education classes at elementary school AUTHOR Eliška Pospíšilová DEPARTMENT Department of Physical Education SUPERVISOR PaedDr. Ivan Přibyl ABSTRACT The diploma thesis deals with the use of non-traditional aids in physical education classes at primary school, both from the point of view of physical education teachers and primary school pupils. The theoretical part is focused on the definition of basic concepts on the given issue, the Framework Education Program for basic education and movement games using non-traditional aids. The practical part is based on a questionnaire survey with physical education teachers and interviews with pupils. The task of the research is to find out whether physical education teachers at the first level of primary schools in Prague 4 use non-traditional aids in their classes and if not, what are the reasons for doing so. The aim of the diploma thesis is to evaluate the results of the research and to summarize the contribution and the negatives of using non-traditional aids in the classes of physical education for pupils. Part of the diploma thesis is "list of games with the use of non-traditional aids" which are verified in practice and supplemented by a final reflection. KEYWORDS: Non-traditional aids, traditional aids, physical...

O patrimônio biocultural imaterial (PBI) é composto por três grandes grupos de recursos bioculturais imateriais (RBIs), a saber, recursos da diversidade biológica (biodiversidade), conhecimentos tradicionais (CTs) e expressões culturais tradicionais (ECTs). Há muito, o PBI dos países em desenvolvimento e de suas comunidades tradicionais vem sendo apropriado sistematicamente pelas instituições dos países industrializados, por meio da reivindicação de direitos de propriedade intelectual sobre produções intelectuais deles derivadas. Desde a década de 60, sem sucesso, os países em desenvolvimento vêm se empenhando em alcançar a adoção de regimes internacionais, apropriados à proteção dos RBIs. Com a entrada em vigor do Acordo sobre Aspectos dos Direitos de Propriedade Intelectual relacionados ao Comércio da Organização Mundial do Comércio (Acordo TRIPS), em 1995, os países em desenvolvimento se viram na situação de terem de conceder proteção legal a produções intelectuais derivadas de RBIs, ainda que estes tenham sido obtidos ilicitamente. Em contra-resposta, tais países se articulam em negociar regimes internacionais de proteção das diversas categorias de RBIs, no âmbito da Conferência das Partes da Convenção sobre Diversidade Biológica (CCDB), da Organização Mundial do Comércio (OMC) e da Organização Mundial da Propriedade Intelectual (OMPI). As propostas negociadas nesses foros se assentam sobre o obsoleto regime de propriedade intelectual e são julgadas adequadas a proteger os RBIs, porquanto se mostram hábeis a reprimir sua apropriação indébita por terceiros não-autorizados. Contudo, os negociadores dos países em desenvolvimento ainda não atentaram que os RBIs não se confundem com as produções intelectuais geradas no seio da sociedade ocidental, pois contam com três dimensões peculiares, a saber, as dimensões humana, ambiental e cultural, além da dimensão imaterial. Partindo do imperativo de salvaguardar, simultaneamente, as múltiplas dimensões do PBI, o presente trabalho propõe um quadro conceitual de desenvolvimento sustentável, competente a desempenhar o papel de um tipo ideal, composto pelos elementos fundamentais que qualquer regime de proteção dos RBIs deve encerrar. A aplicação do quadro conceitual viabiliza a identificação das fraquezas e fortalezas das principais propostas de regimes internacionais em negociação/construção; permitiu ainda identificar as virtudes e fraquezas de mecanismos de proteção calcados em direitos de propriedade, direitos de quase-propriedade, regimes de responsabilidade e regras de pliability. Por fim, a aplicação do quadro conceitual de desenvolvimento sustentável ensejou a identificação de um arranjo legal e institucional apto a tutelar o PBI, de modo a promover, simultaneamente, a repressão de sua apropriação indébita (i), o uso amplo e facilitado de grande parte dos RBIs para fins produtivos (ii); a geração de recursos materiais em favor da conservação/restauração da biodiversidade e da melhoria da qualidade de vida das comunidades tradicionais (iii), e a proteção de alguns valores culturais centrais, conservados pelas comunidades tradicionais (iv). / Intangible biocultural heritage (IBH) is made up of three groups of intangible biocultural resources (IBRs), namely, biological resources (BR), traditional knowledge (TK) and traditional cultural expressions (TCEs). Historically, institutions based in industrialized countries have systematically misappropriated the IBH belonging to communities in developing countries by means of claiming Intellectual Property Rights over products derived. Since the 1960s, developing countries have unsuccessfully endeavored to reach international agreements suitable for protecting IBRs. After the Agreement on Trade- Related Aspects of Intellectual Property Rights (TRIPS Agreement) came into effect in 1995, those countries have been obliged to grant legal protection to intellectual products derived from IBRs, even if those products resulted from acts of misappropriation. In response to this challenge, developing countries came together to negotiate international regimes to protect the different categories of IBRs at the Conference to the Parties to the Convention on Biological Diversity (COP-CBD), before the World Intellectual Property Organization (WIPO) as well as at the World Trade Organization (WTO). Their proposals, however, are rooted in the anachronistic intellectual property paradigm, ill-suited with respect to providing adequate tools to protect those resources. The negotiators representing the interests of developing countries have not realized yet that they should not treat IBRs in the same fashion as typical intellectual products originating from Western countries, provided IBRs are categorically distinct, featuring three particular dimensionshuman, environmental and culturalnot present in intellectual property as traditionally understood, in addition to the traditional intangible intellectual element. With the end of safeguarding the multiple dimension of IBH, the present work proposes na ideal sustainable development framework based upon the essential elements that any international regime devoted to protect IBH should embrace. The application of the sustainable development framework reveals the strengths and weaknesses of the most relevant proposals of international regimes currently under construction on the international level. Furthermore, it identifies the advantages and disadvantages of legal mechanisms based on property rights, quasi property rights, liability rules, and pliability rules. Finally, the application of this sustainable development framework outlines a concrete legal and institutional arrangement, capable of simultaneously (i) protecting IBRs against acts of misappropriation, (ii) fostering the wider and facilitated use of IBRs for productive purposes, (iii) generating economic resources in favor of the conservation/restoration of natural ecosystems and the improvement of the quality of life of local communities, (iv) as well as safeguarding certain core cultural values of traditional communities.

Este trabalho teve por objetivo aprofundar a reflexão e a compreensão sobre a lógica da relação sociedade-natureza nas culturas tradicionais, bem como sobre as contradições existentes nas políticas públicas territoriais de conservação da natureza, no que se refere à valorização do modo de vida tradicional. A pesquisa foi realizada a partir da análise dessas políticas e do estudo de um bairro rural tradicional caipira, o bairro dos Paulo, localizado no município de Ibiúna - São Paulo, na área de abrangência do Parque Estadual do Jurupará. O estudo de caso apresentou os elementos empíricos necessários para aprofundar a compreensão da problemática tratada pela pesquisa, ou seja, a maneira pela qual se processaram os conflitos sociais, em um contexto histórico, entre dois tipos de racionalidade e de modo de vida: um rural tradicional e, outro, contemporâneo, urbano-industrial. O desenvolvimento da pesquisa em campo se deu segundo o método da pesquisa participante, adotando-se a entrevista semiestruturada como instrumento de coleta de dados. A análise dos documentos legais e das entrevistas foi realizada com base no método de análise textual discursiva. Foi efetuado ainda o estudo comparativo do uso do solo, das glebas pertencentes à família dos Paulo, em diferentes momentos históricos: 1962, 1978 e 2009, a partir de dados secundários e de fotografias aéreas. Trata-se de um estudo geográfico de abordagem cultural crítica, em que foram definidas três categorias centrais de análise foram definidas: o território, o modo de vida tradicional e as políticas públicas territoriais de conservação da natureza. Categorias estas que, articuladas, possibilitaram identificar as formas de adaptação e a alta capacidade de resistência da cultura caipira frente aos impactos a que foi submetida, particularmente, com as transformações advindas do progresso brasileiro e, posteriormente, com a investida do Estado em criar uma Reserva Florestal, posteriormente transformada em um Parque Estadual em território caipira. A pesquisa demonstrou que os territórios tradicionais se configuram a partir de uma conduta ética diferenciada na relação sociedade-natureza. O modo de vida tradicional reflete saberes e valores que configuram um tipo específico de território, onde sua permanência no tempo, ao longo de sucessivas gerações, bem como a conservação da natureza são condições para a reprodução material e social das chamadas populações tradicionais. Na sua construção histórica, enquanto patrimônio territorial, delineia-se um tipo de gestão e de planejamento específicos, onde princípios, normas, critérios, formas de comando e hierarquias existem calcados em uma forte condição de autonomia, características estas incompatíveis com as diretrizes legais estabelecidas nos territórios de conservação da natureza. Território e modo de vida foram categorias a partir das quais se pôde, ainda, neste estudo, delinear dez premissas para a atuação do Estado junto aos territórios tradicionais caipiras, segundo seus próprios padrões de desenvolvimento, sem o que se entende que não há como falar em reconhecimento e respeito ao modo de vida tradicional. A coerência destas premissas foi discutida tendo-se por referência modelos teóricos de desenvolvimento econômico, considerados compatíveis com as características do território tradicional. / The present paper has the objective of deepening the reflection and comprehension on the logic of the relationship nature-society in traditional cultures, together with the understanding the contradictions of the territorial public policies related to environmental conservation, and to its esteem of the traditional way of life. The research was performed analysing policies and the traditional rural neighbourhood inhabitants, Paulos neighbourhood, located in the city of Ibiúna- São Paulo, in the area within the State Park of Jurupará. The case study managed to present the empirical elements required to expand the debate comprehension proposed by the research, meaning, the way social conflicts are treated in historical context, amid two types of rationality: the rural traditional and the contemporary, urban industrial. The field research was developed in the basis of participant observation method, adopting semi-structured interviews as instrument for data collection. The analysis of legal documents and interviews was performed in the textual and discourse analysis method. Following up a comparative study of soil usage was made in the land owned by Paulos family, in different historical periods: 1962, 1978, 2009 through secondary data and photographed areas. Overall, it is a geographic study with critical cultural approach, where three central categories of analyses are defined: the territory, the traditional way of life and the territorial public policies related to environmental conservation. This categories hinged upon each other, make possible the identification of adaptation formats and high persistence cultural capacity of the inhabitants, even when faced with the impacts they were submitted, specially by the transformations set up by the brazilian progress and, afterwards by the State intention to create a Reserve, later converted into State Park. The research demonstrated that traditional territories are based on a different code of ethical conduct on the relationship between society-nature. The traditional way of life reflects knowledge and value which translate to a specific type of territory. A territory where its time persistence, through successive generations, as well as through environmental conservation are conditions for the material and social reproduction of the, so called, traditional populations. In its historical construction, as territorial heritage, there is a specific type of outline for planning and management, where principles, norms, criteria, forms of command and hierarch are built upon a strong sense of autonomy, features incompatible with the legal regulations established for the environmental conservation territories. Territory and way of life are categories from which, in this study, ten premises for State action were proposed together with the territory inhabitants and according to their own pattern of development. Premises understood as essential elements for recognition and respect of the traditional way of life. The coherence of this premises were debated as reference to economic development theoretical models compatible with the traditional territory characteristics.

Angus Chun-tim Lo. / Thesis (M. Phil.)--Chinese University of Hong Kong, 1992. / Includes bibliographical references (leaves 138-147). / ACKNOWLEDGEMENTS --- p.i / LIST OF PUBLICATIONS --- p.ii / ABSTRACT --- p.iii / ABBREVIATIONS --- p.viii / Chapter CHAPTER 1 --- General Introduction --- p.1 / Chapter CHAPTER 2 --- The Effects of Danshen (Salvia miltiorrhiza) on Pharmacokinetics and Pharmacodynamics of Warfarin / Chapter 2.1 --- Introduction --- p.35 / Chapter 2.2 --- Materials and Methods --- p.42 / Chapter 2.3 --- Results --- p.54 / Chapter 2.4 --- Discussion --- p.64 / Chapter CHAPTER 3 --- The Effects of Danshen (Salvia miltiorrhiza) on Pharmacological Properties of the Stereoisomers of Warfarin / Chapter 3.1 --- Introduction --- p.68 / Chapter 3.2 --- Materials and Methods --- p.72 / Chapter 3.3 --- Results --- p.84 / Chapter 3.4 --- Discussion --- p.99 / Chapter CHAPTER 4 --- The Effects of Danggui (Angelica sinensis) on Pharmacokinetics and Pharmacodynamics of Warfarin / Chapter 4.1 --- Introduction --- p.104 / Chapter 4.2 --- Materials and Methods --- p.114 / Chapter 4.3 --- Results --- p.120 / Chapter 4.4 --- Discussion --- p.127 / Chapter CHAPTER 5 --- General Conclusion --- p.131 / REFERENCES --- p.138

Made available in DSpace on 2016-04-29T13:30:53Z (GMT). No. of bitstreams: 1 Lais Biasoli Moler.pdf: 8662821 bytes, checksum: c851a5577bc51737e1544e7dfb2a017c (MD5) Previous issue date: 2011-10-21 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The present study seeks to investigate and analyze, from the Social-Historical Psychology viewpoint, the psychosocial effects brought about by the prevalent social and economic system to human groups through a study case contemplating a group of traditional fishermen in the city of São Luís, in Maranhão, whose fishing activities in the beach area called Praia do Boqueirão seem to be menaced by construction works being developed around the Complexo Portuário Ponta da Madeira by the transnational company Vale. The methodology is based on the participant-observation and action-research strategies, which seek to contextualize the subjects according to social, economic, historical and cultural factors in order to properly recognize and appreciate their values and cultural aspects as well as to promote the debate and free expression. The data analysis indicates that social and environmental interventions resulting from economic system pressures transcend the realm of climate changes disseminating throughout social relations and altering objectivities and subjectivities, establishing a new logic given by the dialectics of inclusion-exclusion which, ultimately, ends up by changing a group s social subjectivity / A presente pesquisa tem como objetivo a investigação e a análise, sob o prisma da Psicologia Sócio-Histórica, dos impactos psicossociais advindos das pressões do sistema socioeconômico vigente por meio de um estudo de caso de um grupo de pescadores maranhenses, autodenominados Filhos do Boqueirão , que praticam a atividade de pesca artesanal na Praia do Boqueirão, na cidade de São Luís, capital do estado do Maranhão, local onde é realizada a obra de ampliação do Complexo Portuário Ponta da Madeira, pela empresa transnacional Vale. A metodologia eleita partiu dos procedimentos da observação-participante e da pesquisa-ação, que visa à contextualização da realidade social, econômica, histórica e cultural dos entrevistados e dos grupos, de forma a valorizar seus conhecimentos e experiências na construção do debate, bem como trazer elementos para uma análise dos discursos visando à apreensão dos aspectos subjetivos através da livre expressão dos participantes da pesquisa. O referencial teórico é sustentado pela vertente da Psicologia Sócio-Histórica, que concebe o homem como fruto de seu contexto histórico e social. A análise dos dados indica que as transformações socioambientais decorrentes das pressões do sistema econômico capitalista transcendem a problemática das alterações ambientais, alastrando-se pelas relações sociais e reconfigurando objetividades e subjetividades a partir de uma nova lógica marcada pela dialética da inclusão-exclusão

Hin-Chung Chu. / Thesis submitted in: July 2002. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2003. / Includes bibliographical references (leaves 281-306). / Abstracts in English and Chinese. / Cover (English & Chinese version) --- p.I / 中文封面 --- p.II / Abstract (English version) --- p.III-IV / 中藥不良反應論文摘要 --- p.V / Acknowledgements --- p.VI / Abbreviations --- p.VII-VIII / Publication in press --- p.IX / Content --- p.X-XV / Lists of Table --- p.XVI / Chapter Chapter 1 --- Introduction --- p.1-3 / Chapter Chapter 2 --- Chinese herbal medicines used in Hong Kong. --- p.4-15 / Chapter 2.1 --- Overview --- p.4-5 / Chapter 2.2 --- The Policy In Hong Kong -- Past And Present --- p.5-1 / Chapter 2.3 --- The Preparatory Committee on Chinese Medicine (PCCM) --- p.7-8 / Chapter 2.4 --- The Chinese Medicine Council of Hong Kong --- p.8-10 / Chapter 2.5 --- Development of Standards --- p.10 / Chapter 2.6 --- Development of Centres of Good Clinical Practice --- p.10-11 / Chapter 2.7 --- Establishment of a Good System of Education and Training --- p.11 / Chapter 2.8 --- Investigation of Suspected Herbal Toxicity Cases --- p.12-13 / Chapter 2.8.1 --- Herbal Safety Surveillance --- p.13-14 / Chapter 2.9 --- Conclusion --- p.14-15 / Chapter Chapter 3 --- Herbal medicines used in other countries --- p.16-45 / Chapter 3.1 --- Overview --- p.16 / Chapter 3.2 --- China --- p.16-19 / Chapter 3.3 --- Macau --- p.22-23 / Chapter 3.4 --- Taiwan --- p.23-26 / Chapter 3.5 --- Japan --- p.27-30 / Chapter 3.6 --- Singapore --- p.30-31 / Chapter 3.7 --- Australia --- p.31-34 / Chapter 3.8 --- Others Asian countries --- p.35 / Chapter 3.9 --- USA --- p.35-39 / Chapter 3.10 --- United Kingdom --- p.39-41 / Chapter 3.11 --- Europe --- p.41-43 / Chapter 3.12 --- Germany --- p.43-45 / Chapter Chapter 4 --- Adverse reaction -- General Aspect --- p.46-63 / Chapter 4.1 --- Overview --- p.46 / Chapter 4.2 --- Traditional Chinese medicine --- p.47-49 / Chapter 4.2.1 --- Compound Prescriptions to Reduce Toxicity --- p.50 / Chapter 4.2.2 --- Processing Of Chinese Herbs --- p.50-51 / Chapter 4.2.2.1 --- The Aims of Herbal Drug Processing --- p.51-52 / Chapter 4.2.2.2 --- The Methods of Herbal Drug Processing --- p.52 / Chapter 4.2.2.3 --- External processing (simple treatment by trimming) --- p.52-53 / Chapter 4.2.2.4 --- Water processing --- p.53-54 / Chapter 4.2.2.5 --- Fire processing --- p.54 / Chapter 4.2.2.6 --- Water-fire processing --- p.54-55 / Chapter 4.2.2.7 --- Other methods --- p.55 / Chapter 4.3 --- Practical Problem in Traditional Chinese Medicine --- p.55-57 / Chapter 4.4 --- Evaluation of herbal adverse reactions --- p.57 / Chapter 4.4.1 --- Type A reactions --- p.57 / Chapter 4.4.2 --- Type B reactions --- p.58 / Chapter 4.4.3 --- Type C reactions --- p.58 / Chapter 4.4.4 --- Type D reactions --- p.58 / Chapter 4.5 --- Chinese Proprietary medicine --- p.58-59 / Chapter 4.6 --- Potential Risks for Herbal Adverse Reaction --- p.59 / Chapter 4.6.1 --- Misidentification --- p.59-60 / Chapter 4.6.2 --- Lack of standardisation --- p.60 / Chapter 4.6.3 --- Contamination --- p.60 / Chapter 4.6.4 --- Incorrect preparation / dosage --- p.60 / Chapter 4.6.5 --- Excessive dosage --- p.60-61 / Chapter 4.6.6 --- Individual errors --- p.61 / Chapter 4.6.7 --- Individual response --- p.61 / Chapter 4.6.8 --- Unqualified Herbal Practitioner with Wrong Prescription --- p.61-62 / Chapter 4.6.9 --- Interaction with Western medicine --- p.62 / Chapter 4.6.10 --- Prolonged Usage --- p.62 / Chapter 4.6.11. --- Coexisting disease --- p.62-63 / Chapter 4.7 --- Conclusion --- p.63 / Chapter Chapter 5 --- "Substitution, Adulteration or Misusing with Toxic Herbs" --- p.64-84 / Chapter 5.1 --- Overview --- p.64-65 / Chapter 5.2 --- Adulteration by Guijiu --- p.65-68 / Chapter 5.3 --- Anticholinergic reactions Caused by <Yangjinhua> --- p.69-74 / Chapter 5.4 --- Overdosage --- p.74 / Chapter 5.4.1 --- Overdose of Aconitine --- p.74-78 / Chapter 5.4.2 --- Overdose of Liquorice ('Gancao') --- p.78-80 / Chapter 5.4.3 --- Overdose of <Chansu> --- p.80 / Chapter 5.5 --- Misusing - Personal abuse --- p.80 / Chapter 5.5.1 --- <Banmao> --- p.80-81 / Chapter 5.6 --- Discussion --- p.81-84 / Chapter 5.7 --- Conclusion --- p.84 / Chapter Chapter 6 --- Chinese Patent Medicine - General Aspect --- p.85-112 / Chapter 6.1 --- Chinese Patent Medicine --- p.85 / Chapter 6.1.1 --- Introduction --- p.85-87 / Chapter 6.1.2 --- Herbal Injection and Infusion --- p.87-88 / Chapter 6.1.2.1 --- Variety & Processing --- p.88 / Chapter 6.1.2.2 --- Stabilization --- p.88-89 / Chapter 6.1.2.3 --- The Molecular Size --- p.89-90 / Chapter 6.1.3 --- Adverse Reactions Caused by Chinese Proprietary Medicines --- p.90 / Chapter 6.1.3.1 --- Aconitine poisoning --- p.90 / Chapter 6.1.3.2 --- Nan Lien Chui Fong Toukuwan' --- p.90-91 / Chapter 6.1.3.3 --- Jin Bu Huan' --- p.91 / Chapter 6.1.3.4 --- Baoyingdan' --- p.91 / Chapter 6.1.4 --- Heavy metals in CPM --- p.91 / Chapter 6.1.5 --- The Necessarity to Develop Randomise Herbal Clinical Trial. --- p.91-92 / Chapter 6.1.6 --- Recommendation --- p.92-93 / Chapter 6.1.7 --- Conclusion --- p.93-94 / Chapter 6.2 --- Adulteration by synthetic therapeutic substances --- p.95-104 / Chapter 6.2.1 --- The Experiences in China --- p.91-99 / Chapter 6.2.2 --- The Experiences in Hong Kong --- p.99-101 / Chapter 6.2.3 --- The Experience in Taiwan --- p.101-102 / Chapter 6.2.4 --- Discussion --- p.102-104 / Chapter 6.3 --- Oil of Wintergreen (Methyl salicylate) --- p.104-112 / Chapter 6.3.1 --- Overview --- p.104-111 / Chapter 6.3.2 --- Prevention --- p.111-112 / Chapter Chapter 7 --- Adverse effects of Ginseng. --- p.113-123 / Chapter 7.1 --- Overview --- p.113 / Chapter 7.2 --- Botany --- p.113-114 / Chapter 7.3 --- Pharmacological Effects --- p.114-115 / Chapter 7.4 --- Adverse reaction of Ginseng --- p.115 / Chapter 7.4.1 --- Overdosage --- p.115-116 / Chapter 7.4.2 --- Substitution with cheaper and more toxic herbs --- p.116-121 / Chapter 7.5 --- Drug - herb Interaction --- p.121-122 / Chapter 7.6 --- Conclusion --- p.123 / Chapter Chapter 8 --- Herbal Medicines With Cardiovascular Adverse Reactions --- p.124-123 / Chapter 8.1 --- Overview --- p.124 / Chapter 8.2 --- Hypertension --- p.124 / Chapter 8.3 --- Atherosclerosis --- p.124-125 / Chapter 8.4 --- Arrhythmias --- p.125-126 / Chapter 8.5 --- Cardic Failure --- p.126 / Chapter 8.6 --- Angia Pectoris --- p.126 / Chapter 8.7 --- Thromboembolic Disorders --- p.126-127 / Chapter 8.8 --- Discussion --- p.127-128 / Chapter 8.8.1 --- Herbal Medicine Used in Cardiovascular System --- p.131 / Chapter 8.8.1.1 --- Ginseng --- p.131-133 / Chapter 8.8.1.2 --- Ma huang (Ephedra sinica) --- p.133-136 / Chapter 8.8.1.3 --- Yellow oleander (Thevetia neriifolia) --- p.136-137 / Chapter 8.8.1.4 --- Stephania tetrandra --- p.137-138 / Chapter 8.8.1.5 --- Danshen (Salvia miltiorrhiza) --- p.138 / Chapter 8.8.1.8 --- Ginkgo biloba --- p.138-140 / Chapter 8.8.1.9 --- Dong Quai (Angelicae Sinensis) --- p.140-141 / Chapter 8.8.1.10 --- Licorice (Glycyrrhiza Glabra) --- p.141-143 / Chapter 8.8.1.11 --- Berberine --- p.143 / Chapter 8.8.2 --- Potential Problem Caused by Chinese Proprietary Medicine --- p.143-144 / Chapter 8.9 --- Other Herbal Adverse Effects And Drug Interaction --- p.144-145 / Chapter 8.10 --- Conclusion --- p.145 / Chapter Chapter 9 --- Review of the Adverse Reactions to herbal treatments of Obesity --- p.146-150 / Chapter 9.1 --- Overview --- p.146 / Chapter 9.2 --- Combined With Unknown medication --- p.146-147 / Chapter 9.3 --- Dietary Supplements and Herbal Preparations --- p.147-149 / Chapter 9.4 --- Conclusion --- p.149-150 / Chapter Chapter 10 --- Adverse Effects of CHM used for Diabetes --- p.151-159 / Chapter 10.1 --- Introduction --- p.151 / Chapter 10.2 --- Traditional Chinese medicine used in Diabetes --- p.151 / Chapter 10.3 --- Adverse Reaction of Alternative Diabetic Treatment --- p.152-158 / Chapter 10.4 --- Conclusion --- p.159 / Chapter Chapter 11 --- Review of Herbal Hepatotoxicity --- p.160-194 / Chapter 11.1 --- Introduction --- p.160-161 / Chapter 11.2 --- Drug-induced hepatic injury --- p.161-163 / Chapter 11.3 --- Types of Liver Injury --- p.163 / Chapter 11.3.1 --- Pyrrolizidine alkaloid (PA) --- p.163 / Chapter 11.4 --- Hepatotoxicity Herbs --- p.163 / Chapter 11.4.1 --- Tripterygium wilfordii --- p.163-164 / Chapter 11.4.2 --- Rhizoma Discoreae Bulbiferae --- p.164-165 / Chapter 11.5 --- Consumption of Insect herbs --- p.165 / Chapter 11.6 --- Hepatotoxicity Cause by Chinese Proprietary Medicine --- p.165-166 / Chapter 11.6.1 --- Jin Bu Huan --- p.166-168 / Chapter 11.6.2 --- Chi R Yun (Breynia officinalis) --- p.168 / Chapter 11.6.3 --- Sho-saiko-to --- p.168-169 / Chapter 11.6.4 --- Shou-Wu-Pian --- p.169-171 / Chapter 11.7 --- Importance of Drug-Herb and Herb-Herb Interactions --- p.171-172 / Chapter 11.8 --- Diagnosis of Herbal Hepatotoxicity --- p.172-173 / Chapter 11.9 --- Recomandation --- p.173-174 / Chapter 11.10 --- Conclusion --- p.175 / Table --- p.176-180 / Chapter Chapter 12 --- Review of Herbal Nephropathy --- p.181-194 / Chapter 12.1 --- Introduction --- p.181 / Chapter 12.2 --- Aristolochia acids (AA) --- p.181-183 / Chapter 12.2.1 --- Intoxication of Aristolochia in Worldwide --- p.183-184 / Chapter 12.2.2 --- Morphological findings --- p.184-185 / Chapter 12.2.3 --- Carcinogenic --- p.185-187 / Chapter 12.3 --- MuTong (Aristolochia manshuriensis) --- p.187-188 / Chapter 12.4 --- Ma-dou-ling (Fructus Aristolochiae) --- p.188 / Chapter 12.5 --- Tripterygium wilfordii --- p.188-189 / Chapter 12.6 --- Gastrodia Elata --- p.189 / Chapter 12.7 --- Licorice (Glycyrrhiza glabra) --- p.190-191 / Chapter 12.8 --- Hippocampus (Sea Horse) --- p.191 / Chapter 12.9 --- Milabris Phanalerata --- p.191-192 / Chapter 12.10 --- Chinese Proprietary Medicine --- p.192-193 / Chapter 12.11 --- Conclusion --- p.193-194 / Chapter Chapter 13 --- Adverse Reaction of Herbal Medicine in Dermatology. --- p.195-217 / Chapter 13.1 --- Overview --- p.195-196 / Chapter 13.2 --- Chinese Herbal Medicine Used in Psoriasis --- p.196 / Chapter 13.2.1 --- Tripterygium wilfordii --- p.197 / Chapter 13.2.2 --- Radix Angelicae pubescentis and Radix Angelicae dahuricae --- p.197-198 / Chapter 13.2.3 --- Radix macrotomiae seu Lithospermi Injection --- p.198 / Chapter 13.3 --- Chinese Herbal Decoction For Atopic Dermatitis --- p.198-200 / Chapter 13.3.1 --- Tea Extracts --- p.200-201 / Chapter 13.4 --- Potential Adverse Effect with Herbal Medicine --- p.201 / Chapter 13.4.1 --- Allergic skin reactions --- p.201-202 / Chapter 13.4.2 --- Stevens-Johnson syndrome --- p.202 / Chapter 13.4.3 --- Photosensitization --- p.202-204 / Chapter 13.4.4 --- Pellagra --- p.204 / Chapter 13.4.5 --- Hepatotoxic Effects --- p.204-205 / Chapter 13.4.6 --- Others Adverse Reaction --- p.205 / Chapter 13.4.7 --- Potential Adverse Reaction Caused by Interactions --- p.205 / Chapter 13.5 --- Potential Adverse Reaction Caused by Contamination of Herbal Product --- p.206 / Chapter 13.5.1 --- Herbal creams adulterated with corticosteroids --- p.206-207 / Chapter 13.5.2 --- Arsenic dermatoses --- p.207 / Chapter 13.5.3 --- Mercury poisoning --- p.207-208 / Table --- p.208-211 / Chapter 13.6 --- Dermatological Adverse Reaction Caused by Herbs --- p.211 / Chapter 13.7 --- Contact Dermatitis Caused by CPM --- p.211-212 / Chapter 13.7.1 --- Liushenwan' --- p.211-212 / Chapter 13.7.2 --- Heiguiyou' --- p.212 / Chapter 13.7.3 --- 101 Hair Regrowth Liniment' --- p.212-213 / Chapter 13.7.4 --- Zhenggushui' --- p.213 / Chapter 13.7.5 --- Tiedayaoiing' --- p.213-214 / Table --- p.214-215 / Chapter 13.8 --- Non-dermatological adverse effects of systemic herbal treatments used for dermatological conditions --- p.215-216 / Chapter 13.9 --- Conclusion --- p.216-217 / Chapter Chapter 14 --- "Chinese Herbal Medicine in Pregnancy, Infants & Children," --- p.218-229 / Chapter 14.1 --- Overview --- p.218-219 / Chapter 14.2 --- Asian Cultures for Pregnancy --- p.219-223 / Chapter 14.3 --- Teratogenic Herbs --- p.224-225 / Chapter 14.4 --- Chinese proprietary medicines --- p.225 / Chapter 14.4.1 --- "“Tse Koo Choy""" --- p.225-226 / Chapter 14.4.2 --- "“Lu Shen Wan""" --- p.226 / Chapter 14.4.3 --- "“Po Ying Pills""" --- p.226-227 / Chapter 14.4.4 --- """Jin Bu Huan Toxicity"" in Children" --- p.227 / Chapter 14.6 --- Topical Preparations --- p.227-228 / Chapter 14.7 --- Dietary supplement --- p.228-229 / Chapter 14.8 --- Conclusion --- p.229 / Chapter Chapter 15 --- Heavy metals poisoning in traditional Chinese medicines. --- p.230-251 / Chapter 15.1 --- Introduction --- p.230-232 / Chapter 15.2 --- LEAD --- p.232 / Chapter 15.2.1 --- Overview --- p.232 / Chapter 15.2.2 --- Poisoning Cases of Boa Ning Dan --- p.233-235 / Chapter 15.2.3 --- Lead Poisoning in Worldwide --- p.235-238 / Chapter 15.3 --- MERCURY --- p.238 / Chapter 15.3.1 --- Overview --- p.238-239 / Chapter 15.3.2 --- Cinnabar --- p.239-240 / Chapter 15.3.3 --- Presentation --- p.240-241 / Chapter 15.3.4 --- Poisoning Cases --- p.241-242 / Chapter 15.4 --- ARSENIC --- p.242 / Chapter 15.4.1 --- Overview --- p.242-243 / Chapter 15.4.2 --- Arsenic toxicity --- p.243-244 / Chapter 15.4.3 --- The toxicologic mechanisms of inorganic arsenic --- p.244-246 / Chapter 15.4.4 --- Poisoning Cases --- p.246 / Chapter 15.4.5 --- Discussion --- p.247-248 / Chapter 15.5 --- Conclusion --- p.248 / Table --- p.249-251 / Chapter Chapter 16 --- Herb - Drug Interactions --- p.252-269 / Chapter 16.1 --- Overview --- p.252-254 / Chapter 16.2 --- Effects of Herb-drug interactions --- p.255 / Chapter 16.2.1 --- Gastrointestinal system --- p.255-256 / Chapter 16.2.2 --- Cardiovascular system --- p.256 / Chapter 16.2.3 --- Central nervous system --- p.257 / Chapter 16.2.4 --- Endocrine system --- p.257 / Chapter 16.3 --- Reason regard to herb-drug interactions --- p.257 / Chapter 16.3.1 --- Lack of Knowledge About Herbs --- p.257 / Chapter 16.3.2 --- Mislabelling or Adulteration --- p.258 / Chapter 16.3.3 --- Lack of Patient Communication About Use of Botanicals --- p.258 / Chapter 16.3.4 --- Lack of Practitioner Knowledge About Potential Interactions --- p.258 / Chapter 16.4 --- Metabolism of Herb-Drug Interaction --- p.258-259 / Chapter 16.5 --- Pharmacologic Interactions --- p.259-260 / Chapter 16.5.1 --- Interaction with Antibiotics --- p.260 / Chapter 16.5.2 --- Interaction with Nonsteroidal Anti-inflammatory Drugs --- p.260-261 / Chapter 16.5.3 --- Interaction with Sedatives --- p.261-262 / Chapter 16.5.4 --- Interaction with Anticoagulants --- p.262-263 / Chapter 16.5.5 --- Interaction with Anti-hypertensives and Diuretics --- p.263 / Chapter 16.5.6 --- Interaction with Spironolactone --- p.264 / Chapter 16.5.7 --- Interaction with Corticosteroids and Cyclosporine --- p.264-265 / Chapter 16.5.8 --- Interaction with Estrogen Replacement Therapy --- p.265 / Chapter 16.5.9 --- Interactions Between Natural Product and Drug --- p.265-266 / Chapter 16.6 --- Herb-to-Herb Interactions --- p.266-267 / Chapter 16.7 --- Conclusion --- p.268-269 / Chapter Chapter 17 --- Recommendation --- p.270-264 / Chapter 17.1 --- Overview --- p.270 / Chapter 17.2 --- The need to evaluate the clinical effectiveness of traditional Chinese medicine --- p.270-271 / Chapter 17.3 --- For the Pharmaceutical Industries --- p.211-212 / Chapter 17.4 --- For the physicians & patient --- p.272-274 / Conclusion --- p.274 / Chapter Chapter 18 --- Conclusion --- p.275-280 / Chapter Chapter 19 --- Reference --- p.281-306

CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / A presente tese, a partir de uma anÃlise socioantropolÃgica, problematiza a questÃo da capacitaÃÃo de parteiras tradicionais, discutindo as tensÃes entre incorporaÃÃo de saber mÃdico e resistÃncia cultural na prÃtica de partejar das parteiras no AmapÃ. Para tanto, apoio-me em perspectivas epistemolÃgicas crÃticas que problematizam as hierarquias e dicotomias subjacentes à âmonocultura do saberâ, segundo proposta analÃtica de Santos (2006), a qual confere privilÃgios de conhecimento e de poder aos saberes cientÃficos, em detrimento de outras formas de saberes. Valho-me, em alinhamento a essa perspectiva analÃtica, da crÃtica feminista ao sujeito universal da ciÃncia e de seus privilÃgios de enunciaÃÃo. Privilegio, sobretudo, aquelas teorizaÃÃes que desvelam o processo de silenciamento imposto aos saberes e ao poder de agÃncia engendrado pelas mulheres (HARDING, 1998; HARAWAY, 1995; SANTOS, 2012). O estudo compÃe-se de uma abordagem qualitativa, com etnografia e uso de narrativas de 25 parteiras tradicionais, perifÃricas, remanescentes quilombolas e indÃgenas, que se configuram como interlocutoras de minha pesquisa, alÃm de fontes documentais e entrevistas com 10 profissionais da Ãrea biomÃdica. O recorte da pesquisa vai de 2013 a 2016, produzindo um material que dialoga com experiÃncias de pesquisas anteriores sobre a temÃtica das parteiras tradicionais. Permeia na tese o contexto empÃrico dos cursos de capacitaÃÃo no AmapÃ. âCapacitaÃÃoâ à um termo empregado pelo MinistÃrio da SaÃde e implementado pelo âProjeto de resgate e valorizaÃÃo de parteiras tradicionaisâ, implementado pelo governo do Estado do Amapà para instrumentalizar as profissionais do parto domiciliar. AtravÃs dessa configuraÃÃo tÃcnica e biopolÃtica, a âcapacitaÃÃoâ se constitui num rico cenÃrio em que se dÃo a ver confrontos entre heterogÃneas visÃes de mundo (sobretudo aquelas concernentes à saÃde, ao corpo da mulher, à higiene e à seguranÃa), sistemas de conhecimento tÃcnico e repertÃrios de aÃÃo, condensados na tipologia cientÃfico versus tradicional. AtravÃs da inserÃÃo etnogrÃfica e das narrativas das interlocutoras, tento analisar esses confrontos, o que podem significar enquanto obrigaÃÃo de incorporaÃÃo de saberes e prÃticas. Os resultados apontam para as tensÃes, conquistas e tambÃm reconhecimento. Nessa relaÃÃo, tem-se como conquistas o fato da parteira ser cadastrada em programa estadual; participar dos cursos e treinamentos; receber o diploma, o âkit parteiraâ e ser incluÃda no sistema de pagamento da bolsa â elementos de reafirmaÃÃo identitÃria e de reconhecimento da legitimidade da parteira, alÃm de tecerem redes compartilhadas de troca de experiÃncia entre mulheres que partejam. Por outro lado, as contradiÃÃes se expressam nas tensÃes entre a ampliaÃÃo da funÃÃo social da parteira, que apÃs a capacitaÃÃo à chamada a intervir em diferentes esferas da promoÃÃo da saÃde comunitÃria, porÃm sem reconhecimento profissional como trabalhadora da saÃde, sendo, em alguns casos, explicitamente impedidas de prestarem seu serviÃo. Ao discutir capacitaÃÃo, incorporaÃÃo de saber e resistÃncia cultural, pretendemos contribuir para a compreensÃo desse processo dinÃmico de formaÃÃo e recriaÃÃo identitÃria de parteiras tradicionais que vivenciam suas prÃticas no cotidiano comunitÃrio e sobretudo, para os estudos socioantropolÃgicos e da saÃde da mulher.

Submitted by Leticia Schettini (leticia@ufrrj.br) on 2017-04-27T13:51:57Z No. of bitstreams: 1 2016 - Jerusa Cariaga Alves.pdf: 1167706 bytes, checksum: d7904708311a6ecfc0ed1d253d1367d1 (MD5) / Made available in DSpace on 2017-04-27T13:51:57Z (GMT). No. of bitstreams: 1 2016 - Jerusa Cariaga Alves.pdf: 1167706 bytes, checksum: d7904708311a6ecfc0ed1d253d1367d1 (MD5) Previous issue date: 2016-04-26 / The Indian reserves creation in Mato Grosso by Brazilian Stare in the early twentieth century generated enormous changes in the way of being and living in the Guarani and Kaiow??s traditional villages. Delimiting spaces and restricting the indigenous groups? mobility, who recognized its territory by both the natural landscape and mystical and now were unable to pass through the more than 100 kilometers of forest on either side of the border between Brazil and Paraguay, understanding just how limit by the rivers ?pa and Paran?. Currently the Guarani and Kaiow? are over 65,000 people living on 11 reserves or are landless; fit them to readjust the new social space and productive reality. Due to the anthropic pressures of non-indigenous in the formation and management of indigenous reserves and by the Indians themselves when forced to move to new areas led to intense changes in landscapes, culminating in a social, food and territorial vulnerability, beginning a serious conflict over existing land ownership in the MS state. The loss of traditional territory brought a new productive reality and also heavy losses in the fauna and flora biodiversity and the indigenous diet grounded in these three axes the food insecurity impacts directly the family units. In order to characterize the Te'yiku? Reserve Agroforestry Systems (AFS), a mixed research, was conducted from 2014 August to 2015 March with the 19 family units, using the "snowball" method. These in order to generate information on the social and productive aspects, particularly with regard to the AFS management and short cycle crops as a way to support local development alternatives. It was found that the biodiverse AFS are the homegardens type and benefit 85 people directly provide significant change of scenery, especially the established around the houses to restore the microclimates, welfare ensuring families and terer? rounds; enable polyculture following traditional production methods, improving the families diet and food security. / A cria??o de reservas ind?genas no Centro Sul de Mato Grosso pelo Estado Brasileiro, no in?cio do s?culo XX, foi causador de enormes transforma??es no modo de ser e viver das aldeias tradicionais Guarani e Kaiow?. Delimitando os espa?os e cerceando a mobilidade dos grupos ind?genas que reconheciam seu o territ?rio, tanto pela paisagem natural e como pela sobrenatural, foram impedidos de transitar pelos mais de 100 quil?metros de mata em cada lado da fronteira entre o Brasil e o Paraguai, entendendo apenas como limite os rios ?pa e o Paran?. Atualmente os Guarani e Kaiow? s?o mais de 65 mil indiv?duos que residem em 11 reservas ou est?o desaldeados, a eles coube se readequar a nova realidade social espacial e produtiva. Devido as press?es antr?picas dos n?o ind?genas na forma??o e gerenciamento das reservas e dos pr?prios ind?genas quando obrigados a se deslocar a novas ?reas ocorreram intensas modifica??o nas paisagens culminando em uma vulnerabilidade territorial, social e alimentar. Com isso dando in?cio a graves conflitos pela posse das terras existentes no estado do MS. A perda de territ?rio tradicional trouxe uma nova realidade produtiva e tamb?m grandes perdas na biodiversidade da fauna e flora sendo a dieta alimentar ind?gena embasada nesses tr?s eixos, a inseguran?a alimentar impacta diretamente as unidades familiares. No intuito de caracterizar os SAF da Reserva Te?yiku? foi realizada pesquisa mista, no per?odo de agosto de 2014 a mar?o de 2015 junto as 19 Unidades familiares, utilizando o m?todo "bola de neve" (snowball). O objetivo foi gerar informa??es sobre os aspectos sociais e produtivos, principalmente no que se refere aos manejos dos sistemas agroflorestais e das culturas de ciclo curto como forma de subsidiar alternativas de desenvolvimento local. Constatou-se que os sistemas agroflorestais biodiversos s?o do tipo quintais agroflorestais e beneficiam 85 pessoas diretamente, proporcionam expressiva mudan?a de paisagem. Estes foram, estabelecidos principalmente no entorno das casas para melhorar o microclima, garantindo bem-estar ?s fam?lias e as rodas de terer?; possibilitando o policultivo seguindo modos tradicionais de produ??o, incrementando a dieta alimentar das fam?lias e a seguran?a alimentar e nutricional.

Paralelamente aos esforços dos países, sob a liderança norte-americana, para a construção de um sistema multilateral de comércio mais livre e mais integrado, o pós-guerra assistiu a esforços regionalistas sob a forma de Acordos Regionais de Comércio (ARCs). Impulsionados pela experiência européia, países na América Latina e na África engajaram-se na formação de ARCs nas décadas de 1960 e 1970, sem grande sucesso, marcando o primeiro momento regionalista. A ordem internacional após Guerra Fria foi marcada pelo reavivamento do regionalismo com a celebração de novos ARCs e o relançamento de antigos acordos, marcando o segundo momento. A formação de ARCs, especialmente a explosão de acordos desde a inauguração da OMC, tem suscitado discussões entre o multilateralismo e o regionalismo, se seriam complementares ou contraditórios. A percepção da importância que assumiram os ARCs na teoria econômica e nas relações econômicas internacionais desperta o interesse sobre os motivos que levam os países a formarem esses acordos e a despenderem tanto tempo e esforço em sua formação. De acordo com a análise tradicional, os países buscam os ARCs como forma de aumentar as trocas comerciais e os investimentos entre os países membros por meio da redução de barreiras alfandegárias. Embora estejam presentes nos ARCs e sejam importantes nos cálculos dos países na formação desse acordo, os motivos tradicionais não conferem um explicação completa, especialmente quando se considera novo regionalismo, marcado por grandes avanços nas liberalizações multilateral e unilateral. O fato é que os países não buscam a integração apenas por suas razões econômicas intrínsecas, configuradas nos ganhos tradicionais, os ganhos expressos em seus acordos. Além dos ganhos comerciais, muitas vezes, mais importantes que os ganhos econômicos, os países têm outros objetivos quando aderem a arranjos regionais. Em busca de uma teoria mais completa para explicar a formação de ARCs, este trabalho se apoiará em quatro ganhos não-tradicionais: acesso seguro a mercados, segurança, suporte para reformas domésticas e incremento do poder de barganha. / Alongside with the countries efforts, under the leadership of United States, to the construction of a freer and more integrated multilateral trade system, the post-war period witnessed the regionalist efforts in the form of Regional Trade Agreements (RTAs). Stimulated by the European experience, countries in Latin America and Africa engaged themselves into the formation of RTAs in the 1960\'s and 1970\'s, without much success, determining the first regionalist period. The international order after the Cold War was marked by the revival of regionalism with the signing of new RTAs and the relaunch of old ones, determining the second period. The formation of RTAs, especially the explosion of new agreements since the inauguration of the WTO, has created discussions between multilateralism and regionalism, if they are complementary or contradictory. The perception of the importance assumed by the RTAs in economic theory and in the international economic relations arouses the interest about the reasons that lead countries to form such agreements and spend both time and efforts into their formation. According to the traditional analysis, countries seek RTAs as a way to increase trade and investment among member countries by reducing customs barriers. Despite being present in RTAs and despite being important in the countries calculation during agreements formation, the traditional motives don\'t grant a complete explanation, especially when considering the new regionalism, marked by great progress in the multilateral and unilateral liberalization. The fact is that countries do not seek integration only by its intrinsic economic reasons, configured in the traditional gains, gains that are expressed in their agreements. In addition to trade gains, often, more important than the economic gains, countries have other goals when they join regional arrangements. Searching for a more complete theory to explain the formation of RTAs, this work will be supported by four nontraditional gains: safe markets access, security, support for domestic reforms and increased bargain power.