RESUMO
Neste artigo apresentamos um conceito de "práticas corporais integrativas", tecendo reflexões sobre as práticas corporais no contexto das Práticas Integrativas e Complementares em Saúde. Discutimos apontamentos teórico-metodológicos para o trabalho com estas práticas no Sistema Único de Saúde, dialogando com as tensões do campo da Educação Física, as quais ensejam diferentes formas de abordagem. A argumentação provém de uma tese de doutorado que analisou experiências de grupos de yoga, lian gong, qi gong e danças circulares presentes na Atenção Básica do município de Florianópolis-SC, por meio da metodologia Grounded Theory. As práticas corporais integrativas foram gestadas e institucionalizadas no contexto de mudança do modelo de saúde no Brasil, sinalizando a necessidade de que a produção de conhecimento, a formação e a intervenção profissional absorvam o debate da Reforma Sanitária e da Saúde Coletiva em perspectiva crítica. (AU)
In this article, we present a concept of 'Integrative mind-body practices', weaving reflections on bodily practices in the context of Traditional, Complementary and Integrative Medicine. We discuss theoretical-methodological topics for working with these practices in Brazil's Unified Health System, relating them to the tensions in the field of Physical Education, which give rise to different approaches. The argument comes from a doctoral thesis that examined experiences of yoga, lian gong, qi gong and circular dance groups in Primary Health Care in the city of Florianópolis, Santa Catarina, based on Grounded Theory. Integrative mind-body practices were conceived and institutionalized in the context of changes in Brazil's healthcare model, pointing to the need for knowledge production, training and professional intervention to incorporate the debate on Health Care Reform and Collective Health from a critical perspective. (AU)
En este artículo presentamos un concepto de "prácticas corporales integrativas", tejiendo reflexiones sobre las prácticas corporales en el contexto de las Medicinas Tradicionales, Complementarias e Integrativas en Salud. Discutimos apuntes teórico-metodológicos para el trabajo con estas prácticas en el Sistema Único de Salud, dialogando con las tensiones en el campo de la Educación Física, que dan lugar a diferentes abordajes. El argumento proviene de una tesis doctoral que analizó experiencias de grupos de yoga, lian gong, qi gong y danzas circulares presentes en Atención Primaria de la ciudad de Florianópolis-SC, a través de la metodología Grounded Theory. Las prácticas corporales integrativas fueron concebidas e institucionalizadas en el contexto del cambio de modelo de salud en Brasil, señalando la necesidad de producción de conocimiento, formación e intervención profesional para absorber el debate sobre Reforma Sanitaria y Salud Colectiva en una perspectiva crítica. (AU)
Assuntos
Humanos , Masculino , FemininoRESUMO
@#Knee osteoarthritis is the commonest cause of knee pain in the elderly. It is characterized by unresolved pain, limitation of motion and reduced quality of life. Total knee arthroplasty (TKA) is a safe and effective method in treating chronic knee osteoarthritis. We report a rare case of a seventy-seven-year-old Chinese female with multiple comorbidities and bilateral degenerative osteoarthritis who had sought services of traditional and complementary medicine (TCM) for pain relief. The patient experienced unresolved pain and superficial skin scars following the unregulated procedure. This paper aims to outline the importance of awareness among surgeons regarding the unregulated practice of TCM that may exacerbate chronic osteoarthritis, joint synovitis, influence the surgical approach for future procedures with the presence of scars and prosthetic joint infection risk.
RESUMO
@#Background: The recent epidemic of dengue fever (DF) in Malaysia was alarming. The treatment of DF remains supportive as there is no anti-viral agent or vaccine available as yet. Traditional and complementary medicine (T&CM) provides an alternative option for the treatment of DF but there is limited evidence with regard to its usage. The aim of this study was to determine the prevalence, types and predictor factors of T&CM usage among DF patients in the northeast region of Peninsular Malaysia. Methodology: This was a cross-sectional study of DF patients in the northeast region of Peninsular Malaysia who had been admitted to a tertiary centre from January 2014 until December 2015. Serologically-confirmed DF patients aged 18 years and above were randomly selected. Phone interviews were conducted to obtain information regarding the use of T&CM during hospitalisation. Notes were made regarding the prevalence and type of T&CM used. Binary logistic regressions were used to identify the predictor factors of T&CM usage. Results: A total of 241 DF patients with a mean age of 36.62 (SD = 14.62) years were included. The estimated prevalence of T&CM usage was 84.6% (95%CI: 80.1%, 89.2%). The most common T&CM used were crab soup (85.3%), papaya leaf extract (64.2%) and isotonic drinks (61.8%). The significant predictors for T&CM usage were age [adjusted odds ratio (AOR) 0.97; 95%CI: 0.94, 0.99], tertiary education (AOR 3.86; 95%CI: 1.21, 12.32) and unemployment (AOR 2.55; 95%CI: 1.02, 6.42). Conclusion: The prevalence of T&CM usage in our population is high. Age, tertiary education and unemployment influence the use of T&CM.
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Although the Ministry of Health Malaysia has been encouraging the practice of Traditional and Complementary Medicine (T&CM)1, 2, 3, 4 but patients/clients has not been able to apply it for their need of medical treatments and sometimes it leads to negative outcomes due to lack of knowledge on T&CM and its safe applications5,6’7,8 Most of the western-trained physicians are ignorant of risk and benefits of T&CM9,10,11. This study was aimed to determine the gap between knowledge regarding T&CM and perception on education in T&CM among the medical staffs in five selected hospitals in Malaysia. A cross-sectional survey was done at five public hospitals among medical staff in Malaysia by using quantitative methods. A total of 477 medical staffs were involved in this study. The study showed that the overall knowledge of T&CM among the medical staffs were poor (61.2%). Having good knowledge regarding T&CM were significantly higher in Hospital Duchess of Kent (52%, p=0.001), among the non-Malays (44%, p=0.047) and pharmacists (47.2%, p=0.030). Positive perception on health education in T&CM among medical staffs were high (85.3%) especially among females (88.1%, p=0.002) and pharmacists (93.7%, p<0.001). The use of T&CM among the general population is relatively high in Malaysia and many patients increasingly seek the information on T&CM therapies from medical staffs. Knowledge regarding T&CM was poor in this study because most of the medical staffs have not been exposed to T&CM education. This interesting scenario between poor knowledge and high positive perception on health education in T&CM shows the demand of urgent intervention in educating the medical staffs. We recommend that medical staffs must have some basic education and knowledge about T&CM before they could offer advice to their patients. Doctors are of the utmost important in this regard because they play a very important role in patient care. Providing T&CM education to medical staff may help to integrate T&CM into the mainstream medicine.