Perspectiva holística en salud: la contribución de la Homeopatía / Holistic Perspective in Health: The Contribution of Homeopathy

En el panorama de la salud, el cuerpo humano, en su estado natural, se revela como una intrincada unidad que opera en armonía para mantener el equilibrio dinámico. Sin embargo, esta homeostasis puede verse afectada, dando lugar a la dualidad y a trastornos que comprometen la estabilidad vital. Este artículo propone una reflexión sobre la perspectiva homeopática, destacando su enfoque único en comparación con la medicina convencional. Diferenciándose al tratar al individuo como un todo integrado, la Homeopatía reconoce la transitoriedad de la dualidad representada por las enfermedades y enfatiza la importancia de la armonía entre el cuerpo y la mente en la búsqueda de la homeostasis. Inspirada en las ideas de Hahnemann, la Homeopatía se destaca por su visión holística, rechazando el dualismo estricto y proponiendo intervenciones que van más allá de la supresión de los síntomas. Anclada en la ley de los similares, busca sustancias que reproduzcan los síntomas del paciente en un estado saludable, buscando una cura profunda y la restauración de la unidad dinámica del organismo. A pesar de los desafíos, como la resistencia y la falta de métodos de investigación universalmente aceptados, la Homeopatía persiste a nivel mundial, sugiriendo un valor único. Este artículo promueve una reflexión sobre el enfoque homeopático, enfatizando su contribución a la comprensión de la salud y su papel en el panorama terapéutico.

n the landscape of health, the human body, in its natural state, reveals itself as an intricate unity, operating harmoniously to maintain dynamic balance. However, this homeostasis can be disrupted, leading to duality and disturbances that compromise vital stability. This article reflects on the homeopathic perspective, highlighting its unique approach compared to conventional medicine. Distinguishing itself by treating the individual as an integrated whole, homeopathy recognizes the transience of duality represented by diseases and emphasizes the importance of harmony between body and mind in the pursuit of homeostasis.Inspired by Hahnemann's ideas, homeopathy stands out for its holistic view, rejecting strict dualism and proposing interventions that go beyond symptom suppression. Anchored in the Law of Similars, it seeks substances that would reproduce the patient's symptoms in a healthy state, aiming for a profound cure and the restoration of the dynamic unity of the organism. Despite challenges, such as resistance and a lack of universally accepted research methods, homeopathy persists globally, suggesting unique value. This article encourages reflection on the homeopathic approach, emphasizing

Aspectos da abordagem terapêutica sobre candidíase vulvovaginal / Aspects of the therapeutic approach to vulvovaginal candidiasis / Aspectos del abordaje terapéutico de la candidiasis vulvovaginal

A candidíase vulvovaginal, é uma infecção da vulva e vagina causada por vários tipos de Candida spp. Essa patologia afeta 75% de todas as mulheres pelo menos uma vez durante a vida, ocorrendo com mais frequência durante a idade fértil. A transmissão dessa infeção fúngica ocorre por meio de contato com mucosas e secreções em pele de portadores ou doentes, contato sexual, água contaminada e transmissão vertical. Alguns outros sintomas característicos mais vistos em casos de CVV, são lesões brancas, cremosas e planas, sendo mais intensos no período pré-menstrual, quando a acidez vaginal aumenta. numerosos antifúngicos estão disponíveis no mercado, os quais são encontrados para administração oral na forma de comprimidos ou, para uso tópico, na forma de cremes, loções, comprimidos vaginais, supositórios e tampões revestidos. O objetivo geral do trabalho foi analisar através da revisão de literatura, tratamentos convencionais e alternativos para abordagem terapêutica da Candidíase Vulvovaginal contextuando a mesma, utilizando definições, dados epidemiológicos e sua sintomatologia frente à sociedade. O presente trabalho é uma revisão integrativa, que teve a coleta de dados realizada de março de 2021 a outubro de 2021 nas bases de dados Lilacs, Scielo, Google acadêmico, A busca resultou em 902 artigos, dos quais 14 atenderam ao critério de inclusão. A busca por tratamentos frente a candidíase vulvovaginal tem se mostrado ampla de acordo com os artigos selecionadas. Concluímos que a patologia candidíase vulvovaginal, vem apresentando resistência em algumas abordagens terapêuticas, assim como algumas mulheres não aderem há algum tipo de tratamento, devido à falta de conhecimento sobre a patologia.

Vulvovaginal candidiasis is an infection of the vulva and vagina caused by various types of Candida spp. This condition affects 75% of all women at least once in their lifetime, occurring more frequently during their childbearing years. The transmission of this fungal infection occurs through contact with mucous membranes and secretions on the skin of patients or patients, sexual contact, contaminated water and vertical transmission. Some other characteristic symptoms more seen in cases of VVC are white, creamy and flat lesions, being more intense in the premenstrual period, when the vaginal acidity increases. numerous antifungals are available on the market which are available for oral administration in tablet form or, for topical use, in the form of creams, lotions, vaginal tablets, suppositories and coated tampons. The general objective of the work was to analyze, through a literature review, conventional and alternative treatments for the therapeutic approach of Vulvovaginal Candidiasis in its context, using definitions, epidemiological data and its symptoms in society. The present work is an integrative review, which had data collection carried out from March 2021 to October 2021 in the Lilacs, Scielo, Google academic databases. The search resulted in 902 articles, of which 14 met the inclusion criteria. The search for treatments against vulvovaginal candidiasis has been shown to be wide according to the selected articles. We conclude that the vulvovaginal candidiasis pathology has been showing resistance in some therapeutic approaches, as well as some women do not adhere to any type of treatment, due to lack of knowledge about the pathology.

La candidiasis vulvovaginal es una infección de la vulva y la vagina cau- sada por diversos tipos de Candida spp. Esta afección afecta al 75% de las mujeres al menos una vez en la vida, siendo más frecuente durante la edad fértil. La transmisión de esta infección fúngica se produce por contacto con mucosas y secreciones de la piel de pacientes o enfermos, contacto sexual, agua contaminada y transmisión vertical. Otros síntomas característicos más observados en los casos de CVV son las lesiones blancas, cremosas y planas, siendo más intensas en el período premenstrual, cuando aumenta la acidez vaginal. Existen en el mercado numerosos antifúngicos disponibles para adminis- tración oral en forma de comprimidos o, para uso tópico, en forma de cremas, lociones, comprimidos vaginales, supositorios y tampones recubiertos. El objetivo general del tra- bajo fue analizar, a través de una revisión bibliográfica, los tratamientos convencionales y alternativos para el abordaje terapéutico de la Candidiasis Vulvovaginal en su contexto, utilizando definiciones, datos epidemiológicos y su sintomatología en la sociedad. El pre- sente trabajo es una revisión integradora, que tuvo recolección de datos realizada de marzo de 2021 a octubre de 2021 en las bases de datos académicas Lilacs, Scielo, Google. La búsqueda resultó en 902 artículos, de los cuales 14 cumplieron los criterios de inclu- sión. La búsqueda de tratamientos contra la candidiasis vulvovaginal se ha mostrado am- plia según los artículos seleccionados. Concluimos que la patología de la candidiasis vul- vovaginal viene mostrando resistencia en algunos abordajes terapéuticos, así como algu- nas mujeres no se adhieren a ningún tipo de tratamiento, debido al desconocimiento de la patología.

Estrategia de intervención de enfermería orientada al cuidado continuo en pacientes con cáncer de próstata

Fundamento: el cáncer de próstata está considerado un problema de salud a nivel mundial que afecta a los hombres de edad avanzada y de raza negra con mayor frecuencia. Objetivo: elaborar una estrategia de intervención de enfermería para mejorar la atención de salud de pacientes con el diagnóstico de neoplasias prostáticas y pene en el Centro de Salud Morete-Puyo de Ecuador. Métodos: se realizó un estudio descriptivo, transversal, prospectivo en el período mayo-octubre del 2021. Se estudiaron a 12 pacientes con cáncer de próstata con el diagnóstico de neoplasias prostáticas y pene en el Centro de Salud Morete-Puyo. Las variables analizadas fueron: distribución de pacientes con neoplasia prostática y de pene por edades; según causa de la enfermedad; relación entre el número de visitas domiciliarias y estadio de la enfermedad neoplásica. Se emplearon medidas de resumen para frecuencias absolutas y relativas. Los datos se presentaron en tablas de contingencia. Resultados: el grupo de mayor ocurrencia fue el de 63-73 años con 7 pacientes (58,33 %); la edad avanzada asociada al tabaquismo fue la principal causa presente en 9 pacientes (75 %), de los 12 pacientes 5 se encontraban en estadio IV del cáncer por lo que fue necesario realizarle 24 visitas domiciliarias, la atención domiciliaria fue la acción estratégica prioritaria para brindar un cuidado continuo. Conclusiones: la mayor ocurrencia de casos con cáncer de próstata se presentó en adultos mayores, fue la edad avanzada asociada con el tabaquismo la principal causa de la enfermedad, el estadio avanzado tuvo una relación directamente proporcional al número de visitas domiciliarias y se propusieron acciones estratégicas orientadas a un cuidado continuo para mejorar la atención de enfermería al paciente con padecimientos oncológicos.

Background: prostate cancer is considered a worldwide health problem that affects elderly and black men more frequently. Objective: to develop a nursing intervention strategy to improve the health care of patients diagnosed with prostatic and penile neoplasms at the Morete-Puyo Health Center in Ecuador. Methods: a descriptive, cross-sectional, prospective study was carried out in the period May-October 2021. 12 patients with prostate cancer with a diagnosis of prostatic and penile neoplasms were studied at the Morete-Puyo Health Center. The variables analyzed were: age distribution of patients with prostatic and penile neoplasia; according to the cause of the disease; relationship between the number of home visits and the stage of the neoplastic disease. Summary measures for absolute and relative frequencies were used. Data were presented in contingency tables. Results: the group with the highest occurrence was that of 63-73 years with 7 patients (58.33 %); advanced age associated with smoking was the main cause present in 9 patients (75 %). Of the 12 patients, 5 were in stage IV cancer, so it was necessary to make 24 home visits. Home care was the priority strategic action to provide ongoing care. Conclusions: the highest occurrence of cases with prostate cancer occurred in older adults, advanced age associated with smoking was the main cause of the disease, the advanced stage was directly proportional to the number of home visits and strategic actions were proposed. aimed at continuous care to improve nursing care for patients with oncological conditions.

Molecular Pathophysiology of Ossification of the Posterior Longitudinal Ligament (OPLL)

Ossification of the posterior longitudinal ligament (OPLL) can be defined as an ectopic ossification in the tissues of spinal ligament showing a hyperostotic condition. OPLL is developed mostly in the cervical spine and clinical presentations of OPLL are majorly myelopathy and/or radiculopathy, with serious neurological pathology resulting in paralysis of extremities and disturbances of motility lowering the quality of life. OPLL is known to be an idiopathic and multifactorial disease, which genetic factors and non-genetic factors including diet, obesity, physical strain on the posterior longitudinal ligament, age, and diabetes mellitus, are involved into the pathogenesis. Up to now, surgical management by decompressing the spinal cord is regarded as standard treatment for OPLL, although there might be the risk of development of reprogression of ossification. The molecular pathogenesis and efficient therapeutic strategy, especially pharmacotherapy and/or preventive intervention, of OPLL has not been clearly elucidated and suggested. Therefore, in this review, we tried to give an overview to the present research results on OPLL, in order to shed light on the potential pharmacotherapy based on molecular pathophysiologic aspect of OPLL, especially on the genetic/genomic factors involved into the etiology of OPLL.

Role of micro RNA in glaucoma / 中华实验眼科杂志

Nowadays,the pathogenesis of primary glaucoma is unclear yet,and the treatment is tricky.MicroRNA (miRNA) is a small molecule non-coding RNA,which could inhibit the target mRNA,specifically.miRNA can regulate post-transcriptional expression,and it plays an important role in the process of cell proliferation,apoptosis,differentiation,orgnic development and metabolism.Researches in recent years found that miRNA plays an important regulatory role in the process of glaucoma,such as aqueous secretion,intraocular pressure fluctuation,trabecular meshwork remodeling,anti-glaucoma surgery filtration scarring and nerve regeneration.In this review,we summarized the mechanism of miRNA in glaucomatous lesions,and looked ahead to the future of drug targeting research in glaucoma.

Terapia Ocupacional e pessoas com sobrepeso e obesidade: Conhecimentos e partilhas / Occupational Therapy and overweight and obese people: Knowledge and sharing

A obesidade é um fenômeno mundial que afeta ricos e pobres e resulta da ação de fatores ambientais, hábitos alimentares, atividade física e condições psicológicas sobre pessoas geneticamente predispostas a apresentarem excesso de tecido adiposo. O impacto da obesidade pode ser avaliado pela influência na qualidade de vida e a Terapia Ocupacional tem desenvolvido papel importante dentro da terapia interdisciplinar da obesidade. O objetivo deste trabalho é descrever a experiência da atuação do terapeuta ocupacional em um grupo interdisciplinar para adultos e idosos com sobrepeso e obesidade em um projeto de extensão de uma universidade privada da cidade de Natal, Rio Grande do Norte. A Terapia Ocupacional realizava atendimentos interdisciplinares semanais e, também semanalmente, avaliação e planejamento, organização do setting terapêutico e a intervenção terapêutica ocupacional. A equipe era composta pela professora terapeuta ocupacional, um bolsista e cinco voluntários estudantes de graduação. O grupo de atendimento era aberto a novos componentes e aos cuidadores, familiares e membros da comunidade. Durante as sessões foram utilizadas atividades terapêutico-ocupacionais lúdica, cognitiva, corporal, física e produtiva. Para a população atendida, favoreceu resultados positivos nas dimensões psíquica, emocional e social. Dessa forma, o projeto possibilitou a visibilidade da Terapia Ocupacional na universidade, como também o crescimento dos acadêmicos e a expansão e conhecimento da intervenção terapêutica ocupacional na obesidade.

Obesity is a worldwide phenomenon that affects both the rich and poor populations. It results from the action of environmental factors, dietary habits, physical activity and psychological conditions on individuals genetically predisposed to present excess adipose tissue. The impact of obesity can be measured by its influence on the quality of life. Occupational therapy has developed a significant role within the interdisciplinary treatment of obesity. The objective of this paper is to describe the experience of the work of occupational therapists in an interdisciplinary group for adult and elderly people presenting overweight and obesity in an extension project of a private university in Natal, Rio Grande do Norte state. The Occupational Therapy team performed weekly interdisciplinary care, assessment, planning, organization of the therapeutic setting and occupational therapy intervention. The team was composed by an occupational therapy teacher, a scholar and five volunteer undergraduate students. The service group was open to new components, caregivers, and family and community members. Playful, cognitive, bodily, physical and productive occupational therapy activities were used in the sessions. These activities favored positive outcomes in mental, emotional and social dimensions. Thus, the project enabled the visibility of Occupational Therapy at the university, as well as the growth and expansion of academic and occupational knowledge on therapeutic intervention in obesity.

Clinical implications of geriatric syndromes

A decline in organ function, accompanying risk factors, and diseases altogether make disease presentation-diagnosis-management obscure. Geriatric clinical situations are rarely simple. Geriatric syndromes are clinical conditions that are highly prevalent in aged persons, have multifactorial pathophysiology, and associated with considerable morbidity and poor quality of life. Geriatric syndromes are associated with increased risk of activities of daily livings) loss and death rate. There are 3 approaches to Geriatric syndrome management, such as traditional approach by diagnosis and treatment, geriatric approach by risk factor assessment and reduction, and 'mom' approach through 3 domains. In older patients, complicated associations of multiple contributors generally cause a single symptom, which is accompanied and accumulated by multiple impairments. The management of geriatric syndromes includes the treatment of multiple contributors, the treatment of one geriatric symptom or sign, the management of multiple outcomes, and prevention. I'd like to name this approach as 'mom' approach after the acronym of multiple contributors, one phenotype, and multiple outcomes. The understanding of geriatric syndromes will be an important stepping stone in clinical practice of geriatrics.

Current research of microRNAs in ocular neovascularization / 中华实验眼科杂志

MicroRNAs(miRNAs) are a type of highly conserved,small non-coding RNAs,which powerfully regulate gene expression at the posttranscriptional level.In humans,it modulates about 30％ of protein coding genes.Ocular neovascularization is one of the most important clinical problems in ophthalmology and a common cause of blindness.Recent studieshavedemonstrated that miRNAs play a crucial rolein the development of ocular neovascularization.The use of miRNAs provides novel therapeutic approaches for ocular neovascularization.Here,we describe our understanding of the functions and expressions of miRNAs in eyes,the relationship among miRNAs,ocular neovascularization and angiogenic factors,and the current research of miRNAs in diabetic retinopathy.

Sofrimento e desinstitucionalização: construindo redes de apoio em saúde mental / Suffering and deinstitutionalization: building support networks in mental health

O conceito de síndrome de institucionalização em Franco Basaglia é revisto e reformulado para a prática dos serviços substitutivos em saúde mental no contexto da reforma psiquiátrica brasileira. Essa síndrome é entendida como um tipo de adoecimento de origem psicossocial decorrente da evolução do processo de sofrimento psíquico construído ou reforçado no percurso de adaptação à institucionalização do sujeito/usuário vivenciando relações de subordinação e constrangimento moral e/ou psicológico, durante a intervenção e/ou internação em ambiente hospitalar, ambulatorial ou outra instituição total. A terapêutica deste quadro clínico está implicada no processo de desinstitucionalização e transformação da cultura excludente manicomial que vem introduzindo normatividade na relação contratual de cuidados, dando condições de possibilidade para ações clínicas interdisciplinares, sobretudo, em trabalho articulando o serviço de saúde mental e a atenção básica (saúde da família). Nesse contexto, a relação terapêutica dialógica e em rede social supõe um processo empático dual e ampliado a outros membros da equipe do serviço e a(s) pessoa(s) da(s) relação(ões) significativa(s) do sujeito/usuário, como também reflexões sobre as transferências multifocais...

The concept of institutionalization syndrome in Franco Basaglia is reviewed and reformed to the practice of alternative services in mental health in the context of Brazilian psychiatric reform. This syndrome is understood as a kind of a psychosocial illness consequence of the evolution of the patient psychological suffering, built or reinforced, in the course of adaptation during the process of institutionalization experiencing relations of subordination and moral/or psychological constraint into intervention and/or hospitalization or another total institution. Therapy in this clinical condition is implicated in the process of deinstitutionalization and the social transformation of the hospice culture of exclusion that has been introducing normativity in the contractual relationship of mental health care giving conditions of possibility for interdisciplinary clinical actions, particularly in articulating the work of mental health services and primary care ( family health).In this context, therapeutic dialogical relation and social network approach suppose a dual empathic process that could be extended to other members of staff service and the person (s) of the relationship (s) significantly (s) of the patient and reflections about multifocal transfers...

El concepto de sindrome de institucionalización planteado por Franco Basaglia es revisto y reformulado para la práctica de los servicios comunitários en salud mental dentro del contexto de la reforma psiquiátrica brasileña. Este síndrome es entendido como un tipo de dolecencia de origen psicosocial que transcurre en el proceso de adaptación a la institucionalización en el cual el paciente vivencia como sufrimiento las relaciones de subordinación y de opresion moral y /o psicológica en el ambiente del hospital o en forma ambulatória o en outra institución total. La terapéutica de este quadro clinico esta implicada en la desinstitucionalización y la transformación de la cultura excludente manicomial que produce normatividad en las relaciones de cuidado propocionando las condiciones para las acciones clinicas interdisciplinares,sobretodo, quando articula la intervención entre el servicio de salud mental y la atencción primaria de medicina de família. En este contexto, la relación terapéutica dialógica y en red social supone un processo empático entre terapeuta y paciente pero ampliado en relación a los otros miembros del equipo del servicio y a la(s) persona (s) de la(s) relación (nes) significativa(s) del sujeto/paciente. Asimismo, las reflexiones sobre las transferências multifocales que se passan en estas relaciones. El diagnostico interdisciplinar previsto es co-construido, en el cotidiano, en la(s) reunión (nes) del equipo de profissionales, y que integrada a el proyeto terapêutico del sujeto/paciente...

Le concept de syndrôme de l'institutionalisation suivant Franco Basaglia est revu et reformulé pour la pratique des services sectcorisés de santé mentale dans le contexte de la reforme psychiatrique bresilienne Ce syndrôme est compris comme une specificité d'etre malade dont l'origine est psychosociale conséquence d'une evolution du processus d'une souffrance psychique construite ou reforcée dans le parcours d'adaptation à l'institutionnalisation du sujet/patient où il éprouve experience des relations de subordination et de contrainte morale et/ou psychologique pendant l'intervention et/ou l'enfermement dans l'ambience hopitalière, ambulatoire ou une autre institution totale. Le traÎtement thérapeutique de ce cadre clinique est impliqué dans le processus de desinstitutionnalisation et de transformation de la culture excludante asilaire qui a introduit de la normativité dans la relation contractuelle de soin engendrant ainsi des conditions de possibilités d'actions cliniques interdisciplinaires plutôt orientée dans le travaille thérapeutique qui articule l'intervention entre le service sectorisé de santé mentale et celui de la medicine de famille Dans ce contexte, la relation thérapeutique dialogique et en reseau social suppose un processus d'empathie entre le thérapeute et le patient, entre le therapeute et les membres du groupe soigant et les personnes de(s) la (les) relation(s) significative(s) du sujet/patient. Les reflexions sur les transferts multifocaux doivent être aussi envisagés dans la compreénsion de ces relations...