Rozprawy doktorskie: „Integrative medicine”

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Blackwelder, Reid B. "Integrative Medicine". Digital Commons @ East Tennessee State University, 1999. https://dc.etsu.edu/etsu-works/7008.

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Butte, Atul J. "Exploring genomic medicine using integrative biology". Thesis, Massachusetts Institute of Technology, 2004. http://hdl.handle.net/1721.1/33680.

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Thesis (Ph. D.)--Harvard-MIT Division of Health Sciences and Technology, 2004.
Includes bibliographical references (p. 215-227).
Instead of focusing on the cell, or the genotype, or on any single measurement modality, using integrative biology allows us to think holistically and horizontally. A disease like diabetes can lead to myocardial infarction, nephropathy, and neuropathy; to study diabetes in genomic medicine would require reasoning from a disease to all its various complications to the genome and back. I am studying the process of intersecting nearly-comprehensive data sets in molecular biology, across three representative modalities (microarrays, RNAi and quantitative trait loci) out of the more than 30 available today. This is difficult because the semantics and context of each experiment performed becomes more important, necessitating a detailed knowledge about the biological domain. I addressed this problem by using all public microarray data from NIH, unifying 50 million expression measurements with standard gene identifiers and representing the experimental context of each using the Unified Medical Language System, a vocabulary of over 1 million concepts. I created an automated system to join data sets related by experimental context.
(cont.) I evaluated this system by finding genes significantly involved in multiple experiments directly and indirectly related to diabetes and adipogenesis and found genes known to be involved in these diseases and processes. As a model first step into integrative biology, I then took known quantitative trait loci in the rat involved in glucose metabolism and build an expert system to explain possible biological mechanisms for these genetic data using the modeled genomic data. The system I have created can link diseases from the ICD-9 billing code level down to the genetic, genomic, and molecular level. In a sense, this is the first automated system built to study the new field of genomic medicine.
by Atul Janardhan Butte.
Ph.D.

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Grace, Sandra. "Integrative Medicine in Contemporary Australian Health Care". Thesis, The University of Sydney, 2008. http://hdl.handle.net/2123/4048.

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ABSTRACT Integrative medicine (IM) is a dynamic and increasingly prevalent model of primary health care that combines complementary and alternative medicine with mainstream medicine. This research is about the practice of IM and its value to primary health care in Australia. It locates IM within Australian health care by revealing its processes and outcomes in terms of: practice styles, interactions between practitioners and clients and among practitioners, range of diagnostic and treatment options, and health benefits. In this research I examine the nature of integrative medicine (IM) in co-located primary health care practices and consider the influence that integrating mainstream medicine and CAM can have on the perceived quality of primary health care in Australia. My goal was to contribute the knowledge of the phenomenon of IM through a deeper understanding and interpretation of IM gained by investigating the perceptions of core stakeholders, in this case clients and practitioners of IM. This research was situated in the interpretive paradigm and used two research methodologies: hermeneutics (to interpret the value of IM as reported in the literature) and hermeneutic phenomenology (to understand meanings and significance that clients and practitioners attach to their experiences of IM). Data collection involved the collation of existing literature texts and by cumulative case studies (using semi-structured interviews and observation), focus groups, and key informant interviews. Using a blend of methodologies provided a rich and powerful means of understanding the processes and outcomes of IM through the interpretations of its core stakeholders’ lived experiences. In particular I sought perceptions of clients and practitioners of IM about their health and health care including assessment and treatment options, health outcomes, congruence with beliefs and values, collaborative practices and power sharing. Data analysis was conducted concurrently with and subsequent to data collection so that questioning, observation and textual interpretation were progressively guided by the data. A set of meta-themes emerged from the fusion of findings from all phases of the research. These meta-themes represented answers to key research questions. They are: • Power/authority • Mutual respect • Professionalism • Ontological perspectives • Duty of care. This thesis identifies IM practice styles according to different levels of client agency and degrees of power sharing that exist among CAM and mainstream medical practitioners. A theorised model based on the research findings which depicts quality of health care as a variable consequence of diverse practice styles of IM is produced in two parts: Part 1 acknowledges that IM is a variable phenomenon in practice with different levels of collaboration, power-sharing and quality of health care; Part 2 presents an optimum mode of IM practice. Authentically client-centred health care is at the core of all of these practice styles. This thesis has significant implications for the way IM is practised and for primary health care delivery more broadly. IM that is mutually respectful and genuinely collaborative is flexible, inclusive, and socially relevant and has a substantial and far-reaching contribution to make to the quality of primary health care.

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Grace, Sandra. "Integrative Medicine in Contemporary Australian Health Care". Faculty of Health Sciences, The University of Sydney, 2008. http://hdl.handle.net/2123/4048.

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Doctor of Philosophy
ABSTRACT Integrative medicine (IM) is a dynamic and increasingly prevalent model of primary health care that combines complementary and alternative medicine with mainstream medicine. This research is about the practice of IM and its value to primary health care in Australia. It locates IM within Australian health care by revealing its processes and outcomes in terms of: practice styles, interactions between practitioners and clients and among practitioners, range of diagnostic and treatment options, and health benefits. In this research I examine the nature of integrative medicine (IM) in co-located primary health care practices and consider the influence that integrating mainstream medicine and CAM can have on the perceived quality of primary health care in Australia. My goal was to contribute the knowledge of the phenomenon of IM through a deeper understanding and interpretation of IM gained by investigating the perceptions of core stakeholders, in this case clients and practitioners of IM. This research was situated in the interpretive paradigm and used two research methodologies: hermeneutics (to interpret the value of IM as reported in the literature) and hermeneutic phenomenology (to understand meanings and significance that clients and practitioners attach to their experiences of IM). Data collection involved the collation of existing literature texts and by cumulative case studies (using semi-structured interviews and observation), focus groups, and key informant interviews. Using a blend of methodologies provided a rich and powerful means of understanding the processes and outcomes of IM through the interpretations of its core stakeholders’ lived experiences. In particular I sought perceptions of clients and practitioners of IM about their health and health care including assessment and treatment options, health outcomes, congruence with beliefs and values, collaborative practices and power sharing. Data analysis was conducted concurrently with and subsequent to data collection so that questioning, observation and textual interpretation were progressively guided by the data. A set of meta-themes emerged from the fusion of findings from all phases of the research. These meta-themes represented answers to key research questions. They are: • Power/authority • Mutual respect • Professionalism • Ontological perspectives • Duty of care. This thesis identifies IM practice styles according to different levels of client agency and degrees of power sharing that exist among CAM and mainstream medical practitioners. A theorised model based on the research findings which depicts quality of health care as a variable consequence of diverse practice styles of IM is produced in two parts: Part 1 acknowledges that IM is a variable phenomenon in practice with different levels of collaboration, power-sharing and quality of health care; Part 2 presents an optimum mode of IM practice. Authentically client-centred health care is at the core of all of these practice styles. This thesis has significant implications for the way IM is practised and for primary health care delivery more broadly. IM that is mutually respectful and genuinely collaborative is flexible, inclusive, and socially relevant and has a substantial and far-reaching contribution to make to the quality of primary health care.

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Lockwood, Richard Scott. "Physicians Providing Alternative Medicine Boundary Crossing and the Emergence of Integrative Medicine". PDXScholar, 2008. https://pdxscholar.library.pdx.edu/open_access_etds/2273.

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Integrative medicine (IM) has organized as a new area of specialization in mainstream healthcare. The development of IM is widely attributed to popular demand for the range of therapies known collectively as Complementary and Alternative Medicine (CAM). During the 1990's the rate of acceptance of CAM accelerated among consumers, professions, financing and education. The Medical Expenditure Panel Survey (MEPS) measured CAM utilization and professional service provision during the years 1996 and 1998, but never since. These surveys were unique because they specifically inquired as to whether CAM was provided by a physician, among other types of professionals. This dissertation defines early integrative medicine (MDCAM) as CAM therapies provided by physicians. Because the MDCAM subpopulation is small, MEPS surveys for 1996 and 1998 were combined (N=39,314) to improve statistical power. The theoretical approach employed Abbott's (1988) theory of a system of professions, in which MDCAM represents a professional strategy of client differentiation through the social boundary mechanism of borrowing (Tilly, 2004) specific CAM therapies to satisfy consumer demand. The utility of the theory of a system of professions is discussed for its ability to decouple conceptual-level claims from observable workplace-level behaviors. Nearly one million Americans received CAM therapies from their physicians during the period, and this professional behavior was found in every region of the country. Services provided by physicians included spiritual healing, massage and acupuncture; national population prevalence estimates are provided. This is meaningful because physicians, at the time, were at risk for disciplinary action for providing CAM. The MDCAM subpopulation was similar to those who used both conventional and CAM services from other professional sources (BOTH), however, MDCAM reported much higher prescription medication use. The demographic profile of MDCAM was more similar to those who consume health care services frequently, compared to infrequent consumers. The MDCAM group is distinguished from those who use BOTH by increased utilization of the following services: nutritional advice, biofeedback and meditation. MDCAM is characterized by diagnoses of chronic illness. MDCAM recipients used mainstream medicine, yet employed disease management services offered by the CAM domain.

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Blackwelder, Reid B. "Integrative Approaches to Oncology". Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etsu-works/6986.

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Woolf, Bethany J. "Integrative medicine's rhetorical representation of CAM". Connect to this title online, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1112373523.

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Lim, Eun Jin. "Model of Integrative Medicine: How Complementary and Alternative Medicine Has Been Integrated into Conventional Cancer Care". Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/16874.

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An emerging trend in health care is the increased use of complementary and alternative medicine (CAM) by consumers. This has led to the integration of CAM services into conventional hospital settings, which is often called integrative medicine (IM). This is most commonly seen for the management of cancer-related symptoms and side effects. This study sets out to understand different approaches to IM models of care through a comprehensive assessment of what is known about IM, evaluation of how IM operates in a number of major centres, and a comparison between the main models across three countries. Our scoping review identified five main models of IM that could be categorised into three systems (independent, dependent, and integrative). These differing models and systems depict a range of philosophical, theoretical, and practical considerations in the execution of IM models of care; moving from a focus on providers to a focus on patient centred care. The insights developed in our review were then applied to investigate the structure of IM centres and to explore the experiences of senior stakeholders of IM centres in three Western countries - the USA, Germany, and Australia. Centres in the USA and Germany were identified from their prominence in the literature, while Australian centres were identified as part of a scoping exercise that determined the proportion of cancer hospitals providing supportive care and CAM services. A mixed methods approach that incorporated survey and interview data was used to explore the IM models in operation. All of the IM centres emphasised the need for collaboration and engagement between all stakeholders. The German and USA centres retained a strong emphasis on physician-focused care while Australian centres demonstrated a greater focus on patient-centred care. The patient-centred care model requires recognition of the need to personalise medical care, including CAM, for the individual, and the requirement for more collaboration between disciplines, within teams and between staff and patients. Patient-centred care appears to represent the future direction of health care services. An organisational assessment tool was developed based on the results of this study to determine the level of integration of individual IM centres. The tool was applied to Australian IM centres. The majority of the Australian centres were evaluated as level 3 of collaboration, which indicates that in these centres CAM is integrated into the hospital system, but that the expansion of the CAM program is controlled by the hospital. The organisational assessment tool provides a means of assessing where a service sits on this matrix and could be used to plan service development. IM healthcare is complex and requires an understanding of the contextual and philosophical background of both conventional medicine and CAM in order to identify and address key barriers from both medical paradigms. Collaboration and engagement between all stakeholders is essential to meet the demands of patients seeking IM care, and to provide safe patient-centred care.

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Hu, Xiaoyang. "Integrative medicine for musculoskeletal disorders : a mixed methods study". Thesis, London South Bank University, 2016. http://researchopen.lsbu.ac.uk/1799/.

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The rising prevalence and burden of musculoskeletal disorders (MSDs) is a major health concern, affecting quality of life and causing an economic burden to the individual as well as society as a whole. Integrative medicine (IM), a complex intervention which includes complementary and alternative medicine (CAM) and conventional medicine, emphasising a holistic approach and patient-practitioner relationship, is a popular option for people with MSDs. The Medical Research Council’s (MRC) framework for evaluating complex interventions was used to explore IM for MSDs and to provide future guidance. The aims of this research study were to develop a theoretical understanding of IM; and to determine the feasibility of carrying out a mixed methods study of IM for MSDs in the UK. For the initial development stage of the MRC framework, a mixed methods review consisting of a mapping review, a systematic review, and a narrative review was performed to develop a theoretical understanding of IM for MSDs. There was promising evidence for integrative treatments provided for low back pain and patients perceived benefits in receiving CAM for their MSDs. However, the components identified in the review as essential in IM were rarely discussed or reported in research. The lack of a standard definition of IM and an absence of guidelines for reporting IM has hindered the process of developing its evidence base. Identification of authentic IM research was challenging, and evidence on IM for MSDs remains inadequate. In particular, no research studies explored IM as a package of care for MSDs in a secondary National Health Service (NHS) setting in the United Kingdom (UK). As part of the second stage of the MRC framework, the feasibility stage, a mixed methods research study was conducted to assess the feasibility of evaluating IM for MSDs at the Royal London Hospital for Integrated Medicine (RLHIM). The results of this mixed methods study of 60 patients followed up over 12 months suggested that the approach was generally feasible. Feasibility was reflected in four aspects: 1). Integrative treatments potentially produced moderate pain relief and improved health related quality of life (HRQoL) at four months which was sustained at 12 months, 2). Patients’ general acceptability of treatment was good, 3). Patients demanded integrative treatment, and 4). Overall research design was feasible with patients reporting positive experiences by participating in the research study. Issues and challenges were identified in the research procedure, including difficulties identifying and recruiting eligible patients, working with busy NHS practitioners, and failure of accessing unit cost data from the hospital. These issues need to be considered in future IM research. In addition, patients suggested particular outcome measures, and a narrative approach was preferred. An IM model was hypothesised from the findings of this research study which represented patients’ perception of good IM care. This research study is the first step in evaluating IM for MSDs. It has provided essential information needed to move the evidence base for IM; and provided original data on the feasibility and practicality of conducting the study. Following the next stage of the MRC framework, future research evaluating IM effectiveness, exploring the potential interaction between the components of the model, and whether these components were associated with the overall effects of IM, using a mixed methods design under a pragmatic approach is warranted.

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Blackwelder, Reid B. "Integrative Approaches to Patients with Cancer". Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etsu-works/6987.

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Blackwelder, Reid B. "Integrative Approaches to Mental Health Issues". Digital Commons @ East Tennessee State University, 1998. https://dc.etsu.edu/etsu-works/7006.

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Habimorad, Pedro Henrique Leonetti. "Práticas integrativas e complementares no SUS : revisão integrativa /". Botucatu, 2015. http://hdl.handle.net/11449/139384.

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Orientador: Regina Stella Spagnuolo
Banca: Karina Pavão Patrício
Banca: Marcelo Marcos Piva Demarzo
Resumo: Embora a biomedicina seja indispensável à vida contemporânea, a crescente procura por Práticas Integrativas e Complementares (PIC) denuncia as fragilidades deste modelo em responder integralmente às diversas demandas de saúde da população. Apoiando-se na necessidade de efetivação do principio da integralidade no SUS e atendendo as diretrizes da OMS para implantação das medicinas tradicionais, alternativas e complementares nos sistemas nacionais de saúde, o governo brasileiro lançou em 2006 a Política Nacional de Práticas Integrativas e Complementares no SUS (PNPIC). O presente trabalho se propõe a caracterizar as produções científicas acerca das PIC no SUS antes e após a implantação da PNPIC, destacando as principais fragilidades, potencialidades e perspectivas apontadas pelas pesquisas em relação a este processo. Utiliza-se o método de revisão integrativa, considerando o período temporal entre 2000 e 2013. No período entre Agosto e Novembro de 2013, foram consultadas as bases de dados da Medline, Lilacs, Scielo e Scopus e incluídos 35 artigos, que atenderam os seguintes critérios: trabalhos completos publicados em periódicos, relevantes ao tema e escritos em português, espanhol e/ou inglês. Os dados foram analisados por meio de abordagem quali-quantitativa, apresentados em tabelas e em categorias temáticas e discutidos à luz da integralidade em saúde. Observou-se que a produção sobre PIC no SUS começa a crescer em 2007, que a maioria dos artigos são brasileiros e se concentram na base de dados da Lilacs. A região sudeste concentra o maior volume de artigos sobre o tema e, dentre as universidades, a Universidade Federal de Santa Catarina (UFSC). A maioria dos autores possui graduação na área da saúde e título de doutor. Em relação à abordagem metodológica, os estudos qualitativos possuem maior representatividade e em relação ao desenho de pesquisa destacam-se os estudos descritivos. Os sujeitos...
Abstract: While biomedicine is indispensable to contemporary life, the growing demand for Integrative and Complementary Practices (ICP) denounces the weaknesses of this model to fully meet the diverse health needs of the population. Relying on the need for realization of the principle of comprehensiveness in SUS and meeting the WHO guidelines for deployment of traditional, complementary and alternative medicines in national health systems, the brazilian government launched in 2006 the National Policy on Integrative and Complementary Practices in the Unified Health System (UHS) (NPICP). This study aims to characterize the scientific production about the ICP in the UHS before and after the implementation of NPICP, highlighting the main weaknesses, potential and prospects indicated by the research regarding this process. We use the integrative review method, considering the time period between 2000 and 2013. Between August and November 2013, Medline databases were consulted, Lilacs, SciELO and Scopus and included 35 articles that met the following criteria: full papers published in journals relevant to the topic and written in Portuguese, Spanish and / or English. Data were analyzed using qualitative and quantitative approach, presented in tables and themes and discussed based on health comprehensiveness. It was observed that the production of ICP in UHS begins to grow in 2007, that most articles are Brazilian and are concentrated in the Lilacs database. The southeast region concentrates the largest number of articles on the subject and, among universities, the Federal University of Santa Catarina (FUSC) holds the biggest percentage of articles. Most authors hold a degree in health and doctor's degrees. Regarding the methodological approach, qualitative studies have greater representation and in relation to research design stand out from the descriptive studies. The most studied subjects were UHS users and professionals. It is observed that most of ...
Mestre

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Wilson, Carla J. "The opinions of practitioners of chinese medicine and acupuncture on the emergence of integrative medicine". Thesis, California Institute of Integral Studies, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3713995.

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This mixed methods study examines the opinions of U.S-based practitioners of Chinese Medicine (CM). This study recruited CM practitioners (n = 96) from U.S professional association networks. The study asked CM practitioners to define the term integrative medicine (IM). They were also asked to reflect on the role of CM within contemporary health care in the United States, the impact this may have on patient care, and the future of CM as a part of IM.

While some CM practitioners in this study voiced optimism and an interest in working in IM settings, others equated the opportunity for integration with loss of CM traditions, compromise to CM, and professional subordination. While CM practitioners are fully trained to practice a complete system of medicine, acupuncture alone is most frequently the modality that is utilized in IM settings.

Practitioners were of the opinion that skills, training, knowledge, and experience that are included in patient care remain underutilized in IM settings. They also had concerns about maintaining the distinct philosophy and practices that constitute Chinese medicine as a whole system of care.

The recommendation from this study is that the current hierarchical structure that exists in many IM settings open up to the possibility that CM can provide a range of treatment options for patients that conventional medicine cannot. The contribution that CM practitioners could bring to the developing field of IM holds great potential. The majority of CM practitioners surveyed agreed that the health care field in the United States is expanding and this offers opportunities for ongoing development of the Chinese medicine profession in the United States.

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Kligler, Benjamin, Mary Koithan, Victoria Maizes, Meg Hayes, Craig Schneider, Patricia Lebensohn i Susan Hadley. "Competency-based evaluation tools for integrative medicine training in family medicine residency: a pilot study". BioMed Central, 2007. http://hdl.handle.net/10150/610034.

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BACKGROUND:As more integrative medicine educational content is integrated into conventional family medicine teaching, the need for effective evaluation strategies grows. Through the Integrative Family Medicine program, a six site pilot program of a four year residency training model combining integrative medicine and family medicine training, we have developed and tested a set of competency-based evaluation tools to assess residents' skills in integrative medicine history-taking and treatment planning. This paper presents the results from the implementation of direct observation and treatment plan evaluation tools, as well as the results of two Objective Structured Clinical Examinations (OSCEs) developed for the program.METHODS:The direct observation (DO) and treatment plan (TP) evaluation tools developed for the IFM program were implemented by faculty at each of the six sites during the PGY-4 year (n = 11 on DO and n = 8 on TP). The OSCE I was implemented first in 2005 (n = 6), revised and then implemented with a second class of IFM participants in 2006 (n = 7). OSCE II was implemented in fall 2005 with only one class of IFM participants (n = 6).Data from the initial implementation of these tools are described using descriptive statistics.RESULTS:Results from the implementation of these tools at the IFM sites suggest that we need more emphasis in our curriculum on incorporating spirituality into history-taking and treatment planning, and more training for IFM residents on effective assessment of readiness for change and strategies for delivering integrative medicine treatment recommendations. Focusing our OSCE assessment more narrowly on integrative medicine history-taking skills was much more effective in delineating strengths and weaknesses in our residents' performance than using the OSCE for both integrative and more basic communication competencies.CONCLUSION:As these tools are refined further they will be of value both in improving our teaching in the IFM program and as competency-based evaluation resources for the expanding number of family medicine residency programs incorporating integrative medicine into their curriculum. The next stages of work on these instruments will involve establishing inter-rater reliability and defining more clearly the specific behaviors which we believe establish competency in the integrative medicine skills defined for the program.

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Olejownik, Jennifer M. "Complementary and alternative medical providers and the experience of integration a case study /". Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1187096162.

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Goldner, Melinda Ann. "Explaining the success of the alternative health care movement : how integrative medicine is expanding western medicine /". The Ohio State University, 1998. http://rave.ohiolink.edu/etdc/view?acc_num=osu148795015359997.

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Bockover, Spencer R. "Cancer Patient Experience Using Integrative Health Techniques". Scholar Commons, 2018. https://scholarcommons.usf.edu/etd/7477.

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Objective: From a patient-centered perspective, this study sought to explore cancer patient experiences using integrative health techniques, while undergoing or after having completed conventional cancer therapy. Methods: Recruitment and data collection both occurred within the Supportive Care Medicine Department of a comprehensive cancer center in the southeastern United States. The primary collection method was semi-structured interviews, of which 13 were conducted. Results: Patients using integrative therapies experienced a variety of physical and mental/emotional benefits from their chosen therapy, such as management of lymphedema and nerve damage, increased mobility, and improved self-confidence. Conclusion: Integrative therapies can provide many benefits to patients in mitigating treatment side effects and other cancer related symptoms. CAM practitioners themselves played an important role in post-treatment cancer support; both by acting as a health educator and by administrating the therapy itself.

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Mudaliar, Manikhandan A. V. "An integrative polyomics investigation of bovine mastitis". Thesis, University of Glasgow, 2018. http://theses.gla.ac.uk/9083/.

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Bovine mastitis, inflammation of the mammary gland, is one of the most costly and prevalent diseases in the dairy industry. It is commonly caused by bacteria, and Streptococcus uberis is one of the most prevalent causative agents. With advancements in omics technologies, the analysis of system-wide changes in the expression of proteins and metabolites in milk has become possible, and such analyses have broadened the knowledge of molecular changes in bovine mastitis. The work presented in this thesis aims to understand the dynamics of molecular changes in bovine mastitis caused by Streptococcus uberis through system-wide profiling and integrated analysis of milk proteins and metabolites. To this end, archived milk samples collected at specific intervals during the course of an experimentally induced model of Streptococcus uberis mastitis were used. Label-free quantitative proteomics and untargeted metabolomics data were generated from the archived milk samples obtained from six cows at six time-points (0, 36, 42, 57, 81 & 312 hours post-challenge). A total of 570 bovine proteins and 690 putative metabolites were quantified. Hierarchical cluster analysis and principal component analysis showed clustering of samples by the stage of infection, with similarities between pre-infection and resolution stages (0 and 312 hours post-challenge), early infection stages (36 and 42 hours post-challenge) and late infection stages (57 and 81 hours post-challenge). The proteomics and metabolomics data were analysed at both individual omics-layer level and combined inter-layer-level. At individual omics layer-level, the temporal changes identified include changes in the expression of proteins in acute-phase response signalling, FXR/RXR activation, complement system, IL-6 and IL-10 pathways, and changes in the expression of metabolites related to amino acid, carbohydrate, lipid and nucleotide metabolisms. The combined inter-layer-level analyses revealed functional relevance of proteins and metabolites enriched in the co-expression modules. For example, possible immunomodulatory role of bile acids via the FXR/RXR activation pathways could be inferred. Similarly, the actin-binding proteins could be linked to endocytic trafficking of signalling receptors. Overall, the work presented in this thesis provides deeper understanding of molecular changes in mastitis. On a secondary note, it also serves as a case study in the use of integrative polyomics analysis methods in the investigation of host-pathogen interactions.

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Burns, Allison M. "A Study of the Information Seeking Behaviors of Integrative Medicine Professionals". Thesis, School of Information and Library Science, 2007. http://hdl.handle.net/1901/418.

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As the practice of integrative medicine becomes more common, it is important for library science professionals to understand the research needs of integrative medicine professionals in order to best provide resources and services to this population. This paper surveys integrative medicine professionals affiliated with the four North Carolina academic programs and centers for integrative medicine. The results of this study indicate that this population may need more targeted library services due to the difficulty in finding information in this field.

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Crocker, Robert L., Amy J. Grizzle, Jason T. Hurwitz, Rick A. Rehfeld, Ivo Abraham, Randy Horwitz, Andrew Weil i Victoria Maizes. "Integrative medicine primary care: assessing the practice model through patients’ experiences". BIOMED CENTRAL LTD, 2017. http://hdl.handle.net/10150/626183.

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Background: The University of Arizona Integrative Health Center (UAIHC) was an innovative integrative medicine (IM) adult primary care clinic in Phoenix, Arizona. UAIHC used a hybrid payment model to deliver comprehensive healthcare that includes conventional and complementary medical treatments. Methods: Fidelity measures were collected to evaluate how well the IM care delivery process matched ideals for IM. Patient experiences are presented here. Patients visiting UAIHC on 1 of 10 randomly selected days between September 2013 and February 2015 were surveyed. Patients were asked about their experience with: holistic care; promotion of health, self-care, and well-being; relationship and communication with practitioners; and overall satisfaction. Results: Eighty-three patients completed surveys. Based on patient-reported experiences, UAIHC delivered IM care as defined by the practice model. Conclusions: Patients received holistic care, established positive caring relationships with providers who promoted their self-care and well-being, and reported high overall satisfaction with UAIHC.

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Kim, Taiyun. "Development of statistical methods for integrative omics analysis in precision medicine". Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/28838.

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Precision medicine is an integrative approach to the prevention and treatment of complex diseases such as cardiovascular disease that considers an individual’s lifestyle, clinical information, and omics profile. In the last decade, the advances in omics technologies have allowed researchers to gain insight into biological systems and progress to precision medicine. Many omics technology now enables us to rapidly generate, store and analyse data at a large scale. Many efforts have attempted to integrate large-scale multi-batch and multi-omics data. While many strategies have been developed, challenges remain in developing a robust method cap- able of pre-processing large-scale datasets, handling mislabelled information, and performing integrative analysis. Pre-processing any omics data is essential to remove technical factors whilst preserving biological variance. However, many methods still struggle to mitigate the batch effect, particularly for protracted acquisitions. Furthermore, robust visualisation tools for processing, quality control diagnostics, and integrative analysis of omics data are still lacking in effective data visualisation and integration. Lastly, cell type annotation remains a key challenge in single-cell transcriptomic data analysis due to the incompleteness of our current knowledge and the human subjectivity involved in manual curation. Together, these may result in cell type mislabelling and potentially lead to false discoveries in downstream analysis. This thesis first introduces each of the above challenges in detail (Chapter 1). We then introduce novel strategies and robust methods for the removal of unwanted variation in large-scale metabolomics data (Chapter 2), visualisation tools for omics data diagnostics and integrative analysis (Chapter 3), and cell-type identification methods in single cell transcriptomics data (Chapter 4). Chapter 5 summarises the contributions of each chapter to precision medicine and concludes the thesis.

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Blackwelder, Reid B. "Integrative Approaches to Treating Patients with Breast Cancer". Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/6985.

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Hirayama, Fabio Ossamu. "Modelo de negócios de uma organização de medicina integrativa". Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/12/12142/tde-19012017-120831/.

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Atendendo à premissa de expor a vivência do pesquisador em inovação e empreendedorismo, esse trabalho trata-se de um estudo de caso adaptado que teve como objetivo, propor um quadro de modelo de negócios para uma organização de Medicina Integrativa. A proposta do modelo de negócios atendeu um processo proposto por Kolb, onde através da experiência concreta, observação reflexiva e experimentação ativa, conseguiu-se realizar a conceptualização abstrata para um modelo de negócios inovador. Engajando-se na racionalidade médica contemporânea, que busca encontrar um mecanismo de cuidado com o indivíduo por práticas e protocolos que possam ser eficientes e de menor custo, e impulsionado pela experiência profissional e interesse de um investidor, realizou-se uma sequência de ações que pudessem formar um modelo de negócios estruturado e que atendesse um negócio inovador. Foi possível observar que: A) O modelo de negócios mostra-se bastante eficaz para compreender um negócio inovador; B) A Medicina Integrativa é um conjunto de práticas que envolve o cuidado global do indivíduo; C) APor meio do modelo de negócios, é possível proporcionar subsídios para alcançar investidores e, por fim, D) Por meio do modelo de negócios foi possível que o principal stakeholder, o médico proprietário, pôde obter, após a aplicação da ferramenta, novas ideias e insights a respeito de ações imediatas e futuras. Para os outros, a compreensão estabeleceu clareza e direcionamento maior dos objetivos, assim como, possibilitou a definição das responsabilidades e prioridades de cada um.
Given the premise of exposing the experience of research in innovation and entrepreneurship, this work is an appropriate case study that aimed to propose a business model framework for an organization of Integrative Medicine. The proposed business model attended a process proposed by Kolb, which through concrete experience, reflective observation and active experimentation, was managed to achieve the abstract conceptualization to an innovative business model. Engaging in contemporary medical rationality, which seeks to find a care facility with the individual for practices and protocols that may be efficient and lower-cost, driven by experience and interest of an investor, was held a sequence of actions that could form a structured business model and that meets an innovative business. It was observed that: A) The business model is the most effective way to understand an innovative business; B) The Integrative Medicine is undoubtedly the most effective and involves less cost in the overall individual care; C) Through the business model, it is possible to provide subsidies to reach investors and, finally, D) Through the business model it was possible that the main stakeholder, the physician owner could get, after application of the tool, new ideas and insights regarding immediate and future actions. For others, understanding clearly established and greater targeting of objectives, as well as made possible the definition of responsibilities and priorities of each.

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van, Vliet Marja. "Integrative Medicine in the Dutch healthcare system : prerequisites and tools for implementation". Doctoral thesis, Mittuniversitetet, Avdelningen för hälsovetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-30607.

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Integrative Medicine (IM) is a care approach that focuses on the overall well-being and healing process of patients rather than solely on their disease. IM educates and empowers people to be active players in their own care, emphasizes the therapeutic relationship, and makes use of all appropriate evidence-based approaches. The health-oriented foundations of IM are in line with the recently posed concept that describes health as ”the ability to adapt and to self-manage”. Due to the shared underpinnings of both IM and the new concept of health, incorporation of this new concept of health may serve as a facilitator for the development and implementation of IM. From a practical viewpoint, working from an integrative care approach requires specific competences from healthcare providers, such as socio-communicative and self-reflective skills, and reflexivity towards a holistic perspective on health. Previous studies have shown that a Mind-Body Medicine (MBM) course can potentially foster these competences among future healthcare providers. This thesis intended to gain increased insight into the prerequisites and tools for implementation of IM. Therefore, in the first part it aimed to explore the attitudes and practice of IM among Dutch nurses and the support for the new dynamic concept of health as ”the ability to adapt and to self-manage” among main stakeholders within the Dutch healthcare community. Furthermore, in the second part it aimed to evaluate the possibilities of an MBM course among medical and nursing students as a tool to foster an integrative care approach. Methods Both quantitative and qualitative research designs were used. Attitudes and practice of IM were assessed in a semi-structured survey study among 355 Dutch nurses (study I). Support for the new concept of health was explored in a mixed method study, where in the first step data from interviews and focus-groups among 140 stakeholders were investigated by use of manifest content analysis, and in the second step a cross-sectional survey was performed among 1938 stakeholders to verify the findings of the first step (study II). The MBM course was evaluated by a controlled, quasi-experimental intervention study (74 participants / 61 controls among medical students and 47 participants / 64 controls among nursing students) in which validated questionnaires were used (study III). Furthermore, in-depth interviews with 11 medical and 15 nursing students were employed and analysed by a Phenomenological Hermeneutical method to obtain an in-depth understanding of the meaning of the MBM course for the participants (study IV). Findings Study I showed an overall positive attitude towards IM among nurses. Patient-centeredness and a focus on individuals’ own resources and responsibility to promote health met the most support among both nurses and other stakeholders. These elements were considered to be the main positive aspects of the new dynamic concept of health among stakeholders as well (study II). Use of evidence-based and safe complementary therapies and a healing environment received some support from the nurses, but lack of knowledge and lack of evidence seems to hinder further incorporation in the current healthcare practice (study I). Additionally, study II revealed that health was perceived to comprise six dimensions: bodily functions, mental functions & perception, spiritual / existential dimension, quality of life, social and societal participation and daily functioning. In line with patients, nurses had a more broad conception of health in comparison to other healthcare professionals. Study III showed long-term beneficial effects of the MBM course on two dimensions of empathy (personal distress and empathic concern) among medical students, and on perceived stress and empathy (personal distress) among nursing students. Study IV brought forth that the MBM course can be understood as a pathway to inner awareness and a support to connecting with others as well as the outside world. The following themes were identified: “ability to be more present”, “an increased perception and awareness of self”, and “connecting on a deeper level with others”. Conclusion It can be concluded from the results in the first explorative part of this thesis that the observed positive attitudes and perceptions among healthcare professionals toward IM and the newly proposed health concept can serve as important facilitators for further implementation of IM within the Dutch healthcare system. Furthermore, the increased ability to deal with stress, improved empathic abilities and more openness toward different perspectives on health and new treatment options among medical and nursing students following a MBM course, as reported in the second part of this thesis, suggest that this course might be a suitable tool to foster an integrative care approach among future healthcare professionals.
IM (Integrativ Vård mer adekvat term på svenska) är ett vårdkoncept/vårdansats som mer fokuserar på patienters välmående och läkeprocesser än enbart deras sjukdom. IM överlämnar makten och utbildar individen till att själv bli aktiva i sin vård, den framhäver vikten av en god vårdande relation och använder alla tillämpliga evidensbaserade metoder. Den hälsofrämjande grunden i IM är i linje med ett nyligen utvecklat hälsobegrepp, som beskriver hälsa som ”en persons förmåga till att anpassa sig och hantera utmaningar”. Utifrån den liknande grunden och förutsättningarna hos IM och det nya hälsobegreppet så kan en integration av dem vara en understödjande faktor för utveckling och implementering av IM. Utifrån en praktisk synvinkel så innebär en integrativ vårdansats att den som vårdar måste inneha specifika kompetenser och förmågor relaterade till bland annat socio-kommunikativ och självreflektiv förmåga, såväl som en reflektiv öppenhet till ett holistiskt perspektiv på hälsa. Tidigare forskning har visat att en Mind-Body Medicine (MBM) kurs potentiellt kan understödja utveckling av dessa kompetenser bland framtida vårdare. Denna avhandling avsåg i första hand att uppnå ökad insikt i förutsättningar och verktyg för implementering av Integrativ Vård. Mer specifikt syftade den till att beskriva attityder till, och utövande av IM bland Nederländska sjuksköterskor, samt undersöka stödet för det nya dynamiska hälsobegreppet (”en persons förmåga till att anpassa sig och hantera utmaningar”) bland intressenter inom Nederländsk Hälso- och Sjukvård. Vidare i andra hand, avsåg avhandlingen också att utvärdera förutsättningarna för att använda en MBM kurs som ett verktyg till att understödja och fostra ett mer integrativt förhållningssätt bland läkar- och sjuksköterskestudenter. Metod Både kvantitativ såväl som kvalitativ forskningsdesign tillämpades. Attityder till, och utövande av IM undersöktes i en semistrukturerad enkätstudie bland 355 Nederländska sjuksköterskor (studie I). Stödet för det nya hälsobegreppet undersöktes i en studie som genomfördes med mixad design, där i det första steget data från individuella- och fokusgruppintervjuer bland 140 intressenter genomgick en manifest innehållsanalys, och i det andra steget genomfördes en tvärsnittsstudie bland 1938 intressenter för att validera fynden från det första steget (Studie II). MBM kursen utvärderades i en kontrollerad, kvasi-experimentell interventionsstudie (71 deltagare/61 kontroller bland läkarstudenter, och 47 deltagare/64 kontroller bland sjuksköterskestudenter) med validerade frågeformulär (Studie III). Vidare även i en Fenomenologisk-Hermeneutisk ansats via individuella intervjuer med 11 läkar- och 15 sjuksköterskestudenter för att uppnå en djupare förståelse över MBM kursens betydelse för deltagarna (Studie IV). Fynd I studie I framkom att sjuksköterskorna övergripande hade en positiv attityd till IM. Patientcentrering och fokus på individens resurser, samt deras egna ansvar för att arbeta hälsofrämjande var områden som hade mest stöd bland både sjuksköterskor och andra intressenter. Dessa element ansågs också av intressenterna vara den mest positiva aspekten av det nya dynamiska hälsobegreppet (Studie II). Användandet av evidensbaserade komplementärmedicinska metoder och hälsofrämjande miljöer stöddes till viss del av sjuksköterskorna men brist på kunskap och brist på evidens förefaller vara hinder för integration i nuvarande vårdpraxis (Study I). I studie II framkom att begreppet hälsa uppfattades som att bestå i sex olika dimensioner; ”kroppslig funktion”, ”mental funktion och perception”, ”spirituell/existentiell dimension”, ”livskvalitet”, ”social-samhällelig inklusion” samt ”daglig funktion”. I samklang med patienter, så hade sjuksköterskor en bredare syn på hälsa än andra hälsoprofessioner. I studie III framkom långsiktiga positiva effekter av att delta i MBM kursen avseende i två dimensioner av empatisk förmåga (Personal distress och Empatic concern) bland läkarstudenterna, samt avseende upplevd stressnivå (perceived stress) och empati (personal distress) bland sjuksköterskestudenterna. I studie IV framkom att MBM kursen kan ses som ”en väg till inre medvetenhet och stöd till att knyta an till andra och den omgivande världen” vidare identifierades temana: ”en förmåga till en mer medveten närvaro”, ”en ökad uppfattningsförmåga och inre medvetenhet” samt ”att knyta an till andra människor på en djupare nivå”. Slutsats Utifrån resultaten i avhandlingens explorativa (I, II) del är slutsatsen att de observerade positiva attityderna, och uppfattningarna bland vårdgivare avseende IM och det nyutvecklade hälsobegreppet kan ses som viktiga facilitatorer för ytterligare implementering av IM i det Nederländska hälso- och sjukvårdssystemet. Vidare, den ökade förmågan att hantera stress, utveckla empatisk förmåga och mer öppenhet för nya perspektiv på hälsa och behandlingsalternativ hos läkar- och sjuksköterskestudenter efter deltagande i en MBM kurs (implementeringsdelen i denna avhandling, III, IV), stöttar antagandet att kursen kan ses som ett användbart verktyg för att understödja en mer integrativ vårdansats bland framtida vårdpersonal.

Vid tidpunkten för disputationen var följande delarbeten opublicerade: delarbete 3 i tryck, delarbete 4 inskickat.

At the time of the doctoral defence the following papers were unpublished: paper 3 in press, paper 4 submitted.

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Tenenbaum, Jessica Dale. "Expression-based ligand signature analysis (ELSA) : a foray into integrative systems medicine /". May be available electronically:, 2007. http://proquest.umi.com/login?COPT=REJTPTU1MTUmSU5UPTAmVkVSPTI=&clientId=12498.

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MACHERET, LEONID. "A NEW PARADIGM FOR DYNAMIC WELLNESS: INTEGRATIVE APPROACHES TO THE HEALING ARTS". University of Cincinnati / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1117548646.

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Michaelsen, Katherine. "Integrative Medicine: Cooperation or Polarization? : Integrating complementary and alternative medical practice in a biomedical environment: theory and practice". Thesis, Linköping University, Tema Health and Society, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-9603.

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Alongside the complementary and alternative medicine movements, a new concept is emerging: integrative medicine. Though more and more authors have begun to use this term, they use it to refer to widely varying concepts of health care. This study begins with a theoretical look at integration and continues with an examination of current integrative efforts. These general discussions are followed by the presentation of the situation in Sweden, and at the Vidarklinik in particular. Finally the study turns to an empirical study investigating the communication between the Vidarklinik and the outside biomedical system. The research suggests a much more comprehensive picture of integrative medicine than those put forward by most authors and finds that to create and maintain an integrative system, all the levels of health care must be actively engaged in the system and the entire spectrum of care must be coordinated for the patient. Attempts at integration are found in diverse local efforts, which are all limited by lack of cooperation between different levels of health care. The study of communication at the Vidarklinik in Sweden illustrates that communication is crucial between all levels of health care in order for even relatively localised efforts in integration, and further that various factors limit whom various individuals and groups can communicate with, while in-person dialogue mitigates some of these factors.

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Habimorad, Pedro Henrique Leonetti [UNESP]. "Práticas integrativas e complementares no SUS: revisão integrativa". Universidade Estadual Paulista (UNESP), 2015. http://hdl.handle.net/11449/139384.

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Embora a biomedicina seja indispensável à vida contemporânea, a crescente procura por Práticas Integrativas e Complementares (PIC) denuncia as fragilidades deste modelo em responder integralmente às diversas demandas de saúde da população. Apoiando-se na necessidade de efetivação do principio da integralidade no SUS e atendendo as diretrizes da OMS para implantação das medicinas tradicionais, alternativas e complementares nos sistemas nacionais de saúde, o governo brasileiro lançou em 2006 a Política Nacional de Práticas Integrativas e Complementares no SUS (PNPIC). O presente trabalho se propõe a caracterizar as produções científicas acerca das PIC no SUS antes e após a implantação da PNPIC, destacando as principais fragilidades, potencialidades e perspectivas apontadas pelas pesquisas em relação a este processo. Utiliza-se o método de revisão integrativa, considerando o período temporal entre 2000 e 2013. No período entre Agosto e Novembro de 2013, foram consultadas as bases de dados da Medline, Lilacs, Scielo e Scopus e incluídos 35 artigos, que atenderam os seguintes critérios: trabalhos completos publicados em periódicos, relevantes ao tema e escritos em português, espanhol e/ou inglês. Os dados foram analisados por meio de abordagem quali-quantitativa, apresentados em tabelas e em categorias temáticas e discutidos à luz da integralidade em saúde. Observou-se que a produção sobre PIC no SUS começa a crescer em 2007, que a maioria dos artigos são brasileiros e se concentram na base de dados da Lilacs. A região sudeste concentra o maior volume de artigos sobre o tema e, dentre as universidades, a Universidade Federal de Santa Catarina (UFSC). A maioria dos autores possui graduação na área da saúde e título de doutor. Em relação à abordagem metodológica, os estudos qualitativos possuem maior representatividade e em relação ao desenho de pesquisa destacam-se os estudos descritivos. Os sujeitos...
While biomedicine is indispensable to contemporary life, the growing demand for Integrative and Complementary Practices (ICP) denounces the weaknesses of this model to fully meet the diverse health needs of the population. Relying on the need for realization of the principle of comprehensiveness in SUS and meeting the WHO guidelines for deployment of traditional, complementary and alternative medicines in national health systems, the brazilian government launched in 2006 the National Policy on Integrative and Complementary Practices in the Unified Health System (UHS) (NPICP). This study aims to characterize the scientific production about the ICP in the UHS before and after the implementation of NPICP, highlighting the main weaknesses, potential and prospects indicated by the research regarding this process. We use the integrative review method, considering the time period between 2000 and 2013. Between August and November 2013, Medline databases were consulted, Lilacs, SciELO and Scopus and included 35 articles that met the following criteria: full papers published in journals relevant to the topic and written in Portuguese, Spanish and / or English. Data were analyzed using qualitative and quantitative approach, presented in tables and themes and discussed based on health comprehensiveness. It was observed that the production of ICP in UHS begins to grow in 2007, that most articles are Brazilian and are concentrated in the Lilacs database. The southeast region concentrates the largest number of articles on the subject and, among universities, the Federal University of Santa Catarina (FUSC) holds the biggest percentage of articles. Most authors hold a degree in health and doctor's degrees. Regarding the methodological approach, qualitative studies have greater representation and in relation to research design stand out from the descriptive studies. The most studied subjects were UHS users and professionals. It is observed that most of ...

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Lima, Cinthia Celene Benck de. "A fitoterapia na saúde pública: estudo de caso da fabricadora municipal de medicamentos- FABRIMED (Telêmaco Borba, 1993-2008)". Universidade Estadual de Ponta Grossa, 2017. http://tede2.uepg.br/jspui/handle/prefix/2320.

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Os temas saúde, doença e formas de cura se constituem em objetos de interesse na historiografia atual, muito mais que apenas observações sobre como uma determinada população ou comunidade local. A abertura para tópicos que abordam temas ligados à saúde possibilitou o entendimento do poder e a força dos conhecimentos tradicionais e da cultura de uma comunidade no trato das mais diversas formas de doença. A OMS (Organização Mundial de Saúde) desde 1980 preconiza em todo o mundo a iimplementação de formas de medicina integrativa (acupuntura, homeopatia e fitoterapia) como forma de humanização no tratamento público, através do respeito das raízes culturais das distintas sociedades. Esta pesquisa teve como objeto geral a avaliação e o impacto de um projeto de medicina integrativa em que a fitoterapia foi disponibilizada na saúde pública através dos SUS (Sistema Único de Saúde) à população do município de Telêmaco Borba- PR no período de 1993 a 2008 através da Fabrimed (Fabricadora Municipal de Medicamentos), já extinta há quase uma década. A pesquisa concentra-se na análise histórica do funcionamento do projeto, a importância das agrovilas na estruturação e no funcionamento, desde a implantação, assim como se descreve a importância para a comunidade e a constituição de sua identidade. Faz-se uma análise qualitativa e quantitativa dos prontuários médicos do período de funcionamento do projeto e se observam as vivências percepções e significados que muitas vezes no contexto geral ficam silenciados, mas que acabam demonstrando a capacidade da medicina integrativa em intervir no sistema de saúde pública.
The themes health, disease and forms of healing are objects of interest in the current historiography, much more than just observations on how a particular population or community react in the search for the most diverse forms of healing intimately linked to the identity of a society. The opening to the topics that address health issues has made it possible to understand the power and strength of traditional knowledge and the culture of a community in dealing with the most diverse forms of disease. The World Health Organization (WHO) since 1980 advocates worldwide implementation of forms of integrative medicine (acupuncture, homeopathy and phytotherapy) as a way of humanizing public treatment by respecting the cultural roots of different societies. This research had as general object the evaluation and the impact of an integrative medicine project in which the phytotherapy was made available in the public health through the Unified Health System (SUS in Portuguese) to the population of the city of Telêmaco Borba-PR during the period of 1993 to 2008 through Fabrimed (Municipal Drug Manufacturers), already extinct almost a decade ago. The research focuses on the historical analysis of the operation of the project, the importance of rural villages in the structuring and operation, since the implantation, as well as the importance for the community and the constitution of its identity. It carries out a qualitative and quantitative analysis of the medical records of the project's period of operation and remarks perceptions and meanings that are often silenced in the general context, but which show the capacity of integrative medicine to intervene in the public health system.

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Rong, David. "Development of an Integrative Medicine Continuing Education Program for Pharmacists: A Needs Assessment". The University of Arizona, 2007. http://hdl.handle.net/10150/624418.

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Class of 2007 Abstract
Objectives: The objective of this study was to determine the need for an integrative medicine continuing education (CE) program for pharmacists and what pharmacists are looking for in such a CE program. Methods: A focus group was conducted with four pharmacists. They were led on a discussion about their experiences with alternative/herbal medicines and desire to learn more, opinions on CE for pharmacists, and compensation for CE credits. The members of the focus group were also given a demographics questionnaire about their gender, age, years in practice, and practice setting. Results: The focus group thought that most pharmacists would want to learn more about integrative medicine, including alternative and herbal products. They would like to have a CE program that is structured around disease states and presents evidence based medicine. It was agreed that inclusion of law CE credits would make the program more desirable. The length of the program could be between 2 hours (if presented on-line) to an entire day (if conducted with presentations). The major limitation in this study was the generalizability of the results due to the small size of the focus group and its members being form the same practice site. Conclusions: It was determined that there is a need for an integrative medicine CE program for pharmacists. If remuneration is sought for the program, then pharmacists will expect certification upon completion. More studies should be conducted to determine the ideal content in herbal/alternative medicine CE programs.

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Simões, Ana Catarina Gonçalves. "Medicina Integrativa em clínica de animais de companhia". Bachelor's thesis, Escola Superior Agrária de Elvas - Instituto Politécnico de Portalegre, 2021. http://hdl.handle.net/10400.26/39912.

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O presente relatório foi elaborado no âmbito da unidade curricular de estágio para conclusão da licenciatura no curso de enfermagem veterinária. O estágio foi realizado nas clínicas veterinárias Solvet, no período de entre 15 de março e 11 de junho de 2021. A aluna desempenhou funções nas variadas áreas da clínica, como acompanhamento de 359 consultas, auxílio em 8 cirurgias, e monitorização anestésica de 64, hospitalização de 58 animais internados, 264 métodos complementares de diagnóstico e 69 procedimentos de medicina integrativa. Todos os objetivos propostos foram cumpridos nos seus respetivos prazos. A medicina integrativa, é uma área em desenvolvimento por conjugar a medicina convencional, os seus tratamentos e métodos de diagnóstico com a medicina holística com áreas como medicina tradicional chinesa, ozonoterapia, laserterapia, homeopatia, apresentando pouca invasibilidade e bons resultados. O conhecimento do funcionamento e dos protocolos das terapias a utilizar, é uma maisvalia para o enfermeiro veterinário de modo a poder auxiliar o médico veterinário na sua realização ou realizá-las autonomamente, bem como ter capacidade a identificar possíveis efeitos adversos no caso destes ocorrerem.
This internship report was prepared for the curricular unit of internship to obtain the course degree in veterinary nursing. The internship was performed at Solvet veterinary clinics between March 15 and June 11, 2021. The student performed in various areas of the clinic, such as assistance in 359 consultations, assistance in 8 surgeries, and anesthetic monitoring of 64, hospitalization of 58 hospitalized animals, 264 complementary methods of diagnosis and 69 integrative medicine procedures. All proposed objectives have been met within their respective deadlines. Integrative medicine is a developing area that combines conventional medicine, its treatments, and diagnostic methods with holistic medicine, with areas such as traditional chinese medicine, ozone therapy, laser therapy and homeopathy, presenting little invasibility and good results. Therefore, the knowledge of fundamentals and protocols of these therapies, is essential for veterinary nurses in order to be able to assist the veterinary doctor in it, or for performing it themselves, as well as recognizing possible adverse reactions in the event of these occur.
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Pinheiro, Leonardo de Souza e. Silva. "Validação de campo do integrative medicine attitude questionnaire (IMAQ) para uso no Brasil". Pontifícia Universidade Católica do Rio Grande do Sul, 2015. http://hdl.handle.net/10923/7598.

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Objectives: To translate, adapt and validate a questionnaire that assesses the attitude of health area students toward Complementary and Alternative Medicine (CAM).Methods: Cross-sectional, observational and prospective study. The Integrative Medicine Attitude Questionnaire is a 29-item, 7-point Likert scale rated instrument, which was translated into Brazilian Portuguese, back-translated into English, semantically corrected and culturally adapted in order to reach its final version. Cronbach's alpha, Spearman Correlation and Ceiling/ Floor Effect were used for data analysis. Results: Among 300 eligible students, 265 were present during study invitation, 172 agreed to participate, 59. 3% were female, there were no losses related to incomplete questionnaires. The analysis of the responses of the instruments resulted in Cronbach's alpha of 0. 717; Spearman correlation between total and individual responses means were not significant to items 5 and 27; Ceiling Effect was detected in six items and Floor Effect in other six. Conclusion: The Brazilian Portuguese version of the instrument is valid; some items can be removed without result interference of the research. It seems that the performance of the answers to some statements was related to a certain lack of knowledge regarding Eastern therapies. Factor analysis may be the choice strategy for precisely pointing out the items to be suppressed.
Objetivos: Traduzir, adaptar e validar um questionário que possa avaliar a atitude de alunos da área da saúde frente às Práticas Integrativas e Complementares.Métodos: Estudo de delineamento transversal, observacional, realizado com graduandos da Faculdade de Medicina da PUCRS, em 2014. O instrumento Integrative Medicine AttitudeQuestionnaire, previamente validado com 29 itens respondidos em escala Likert com 7 opções, foi traduzido, retraduzido, realizadas as devidas correções semânticas e adaptações culturais. O estudo foi aprovado pelas Comissão Científica e Comitê de Ética da Pontifícia Universidade Católica do Rio Grande do Sul. Para análise dos dados foi utilizado o αde Cronbach e Efeito Teto Chão e correlação de Spearmann. P< a 0,05 foi considerado estatisticamente significativo. Resultados: Dentre os 300 convidados a participar do estudo, 172 aceitaram participar, não havendo perda quanto a questionários incompletos. Cento e duas participantes eram do sexo feminino. O α de Cronbach total do instrumento foi de 0,717. Para correlação de Spearman, apenas os itens 5 e 27 não apresentaram valor de p significativo. Na análise do Efeito Teto e Efeito Chão, apenas 6 itens obtiveram Efeito Teto, e 6 o Efeito Chão. Conclusão: Os autores optaram por não retirar nenhum item, mesmo encontrando valores de Efeito Teto e Efeito Chão para 12 itens, porém acredita-se que isto se deva àopinião da população estudada, tornando-se necessário aumentar o tamanho amostral a fim de definir a exclusão ou não de questões aparentemente menos sensíveis à captação da opinião sobre Práticas Integrativas e Complementares.

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Richard, Nathalie. "Chronically ill patients' view of health, illness and the healing relationships in integrative medicine". Thesis, University of Ottawa (Canada), 2010. http://hdl.handle.net/10393/28651.

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The increasing popularity of integrative medicine requires that we understand the meaning that patients attribute to their treatment experience. This project was a phenomenological study that sought to understand how nine chronically ill patients perceived their experience of living with illnesses and the treatment process at the integrative clinic. My findings reveal that their illnesses disrupted their life and were a threat to their self. An impetus combined with the influence of the social sphere led patients to join the clinic. The relationship with caregivers at the clinic was an important component of the treatment process and provided participants with the knowledge necessary to manage their illnesses. The positive interaction with caregivers enhanced patient empowerment and improved patient participation. Following treatments at the clinic, the majority of participants felt that their health had improved and that they had returned to their old self. Many had set future goals.

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Cruz, Marina Zuanazzi [UNESP]. "Psicossomática na saúde coletiva: um enfoque biopsicossocial". Universidade Estadual Paulista (UNESP), 2011. http://hdl.handle.net/11449/98410.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Este estudo é uma revisão teórica e uma reflexão crítica que tem como objetivo investigar o campo da psicossomática, incluindo fundamentos teóricos, bases fisiológicas e as implicações na Saúde Coletiva. Ao longo da história, as concepções sobre saúde e doença, assim como o pensamento médico, incluem suposições filosóficas a respeito do problema mente-corpo, que se configuram em perspectivas monistas ou dualistas. O desenvolvimento das neurociências e da psiconeuroimunologia têm sugerido complexas interações bidirecionais entre os sistemas nervoso, imune e endócrino, assim como um papel central dos aspectos emocionais e cognitivos no processo saúde-doença, que questionam a perspectiva dualista. As crescentes pesquisas em psiconeuroimunologia trazem consigo a necessidade de se discutir uma abordagem mais ampla em saúde, para que se possa maximizar os benefícios das intervenções e proporcionar uma maior qualidade de vida. O modelo biopsicossocial proposto por George Engel, que contempla uma abordagem centrada na integralidade do ser humano, demanda estratégias de intervenção que promovam o bem estar físico e psíquico, melhorem as relações sociais e as condições de vida e trabalho, atuando no âmbito da macroestrutura econômica, social e cultural. Estudos no campo da psicossomática mostram-se importantes para fortalecer as bases científicas que contribuirão para a construção e a implementação do paradigma biopsicossocial na Saúde Coletiva, tendo em vista a efetivação do princípio da integralidade
This study is a theoretical review and a critical reflection that aims to investigate the major studies in the psychosomatic field, including theoretical foundations, physiological basis and implications in public health. Throughout history, the concepts of health and illness, as well as the medical thinking, have been influenced by the philosophical discussion of the mind-body problem, which leads to a monistic or dualistic perspective. Development of the neurosciences and psychoneuroimmunology has shown complex bidirectional interactions among the nervous, immune and endocrine systems, as well as the role of emotional and cognitive aspects for the healthdisease process, thus questioning the dualistic concept. Research in psychoneuroimmunology implies the need to discuss a broader approach to health, in order to maximize the benefits of interventions and provide a higher quality of life. The biopsychosocial model proposed by George Engel, an approach that considers the whole of the human being, demands interventional strategies that promote physical and mental well being, improve social relations, living and work conditions and also act within the economic, social and cultural macrostructure. Studies in the psychosomatic field are important to strengthen the scientific basis that will contribute to the building and implementation of the biopsychosocial paradigm in public health, moving towards the realization of the principle of integrality

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Cruz, Marina Zuanazzi. "Psicossomática na saúde coletiva : um enfoque biopsicossocial /". Botucatu : [s.n.], 2011. http://hdl.handle.net/11449/98410.

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Orientador: Alfredo Pereira Junior
Banca: Maria de Lourdes Spazziani
Banca: Sissy Veloso Fontes
Resumo: Este estudo é uma revisão teórica e uma reflexão crítica que tem como objetivo investigar o campo da psicossomática, incluindo fundamentos teóricos, bases fisiológicas e as implicações na Saúde Coletiva. Ao longo da história, as concepções sobre saúde e doença, assim como o pensamento médico, incluem suposições filosóficas a respeito do problema mente-corpo, que se configuram em perspectivas monistas ou dualistas. O desenvolvimento das neurociências e da psiconeuroimunologia têm sugerido complexas interações bidirecionais entre os sistemas nervoso, imune e endócrino, assim como um papel central dos aspectos emocionais e cognitivos no processo saúde-doença, que questionam a perspectiva dualista. As crescentes pesquisas em psiconeuroimunologia trazem consigo a necessidade de se discutir uma abordagem mais ampla em saúde, para que se possa maximizar os benefícios das intervenções e proporcionar uma maior qualidade de vida. O modelo biopsicossocial proposto por George Engel, que contempla uma abordagem centrada na integralidade do ser humano, demanda estratégias de intervenção que promovam o bem estar físico e psíquico, melhorem as relações sociais e as condições de vida e trabalho, atuando no âmbito da macroestrutura econômica, social e cultural. Estudos no campo da psicossomática mostram-se importantes para fortalecer as bases científicas que contribuirão para a construção e a implementação do paradigma biopsicossocial na Saúde Coletiva, tendo em vista a efetivação do princípio da integralidade
Abstract: This study is a theoretical review and a critical reflection that aims to investigate the major studies in the psychosomatic field, including theoretical foundations, physiological basis and implications in public health. Throughout history, the concepts of health and illness, as well as the medical thinking, have been influenced by the philosophical discussion of the mind-body problem, which leads to a monistic or dualistic perspective. Development of the neurosciences and psychoneuroimmunology has shown complex bidirectional interactions among the nervous, immune and endocrine systems, as well as the role of emotional and cognitive aspects for the healthdisease process, thus questioning the dualistic concept. Research in psychoneuroimmunology implies the need to discuss a broader approach to health, in order to maximize the benefits of interventions and provide a higher quality of life. The biopsychosocial model proposed by George Engel, an approach that considers the whole of the human being, demands interventional strategies that promote physical and mental well being, improve social relations, living and work conditions and also act within the economic, social and cultural macrostructure. Studies in the psychosomatic field are important to strengthen the scientific basis that will contribute to the building and implementation of the biopsychosocial paradigm in public health, moving towards the realization of the principle of integrality
Mestre

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36

Svarogic, Addi. "Behandla människan, inte symptomen! : En studie av komplementärmedicin". Thesis, Linköping University, Department of Social Anthropology, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-9841.

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Den här studien fokuserar på komplementärmedicin ur fyra informanters perspektiv och med kopplingar till aktuella vetenskapliga diskussioner och strömningar. Bakgrunden till studien är en ökande användning av komplementärmedicin i samhället och livliga debatter kring dess vetenskapliga status. Syftet är att genom kvalitativa metoder belysa viktiga aspekter av informanternas användning av komplementärmedicin. Mycket uppmärksamhet ägnas åt informanternas syn på de olika metodernas effektivitet, hur denna definieras och vilka konkreta resultat informanterna strävar efter eller upplever.

This study focuses on complementary medicine from the perspectives of four informants, and with reference to topical scientific discussions and currents. The background of this study is to be found in the growing use of complementary medicine in the society. The main goal is to shed light on important aspects of the informants’ use of complementary medicine. Much attention is focused on their views regarding the efficacy of the various methods, how it is defined and what concrete results they are striving for, or experiencing.

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37

Pinheiro, Leonardo de Souza e. Silva. "Valida??o de campo do integrative medicine attitude questionnaire (IMAQ) para uso no Brasil". Pontif?cia Universidade Cat?lica do Rio Grande do Sul, 2015. http://tede2.pucrs.br/tede2/handle/tede/6325.

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Objectives: To translate, adapt and validate a questionnaire that assesses the attitude of health area students toward Complementary and Alternative Medicine (CAM). Methods: Cross-sectional, observational and prospective study. The Integrative Medicine Attitude Questionnaire is a 29-item, 7-point Likert scale rated instrument, which was translated into Brazilian Portuguese, back-translated into English, semantically corrected and culturally adapted in order to reach its final version. Cronbach's alpha, Spearman Correlation and Ceiling/ Floor Effect were used for data analysis. Results: Among 300 eligible students, 265 were present during study invitation, 172 agreed to participate, 59.3% were female, there were no losses related to incomplete questionnaires. The analysis of the responses of the instruments resulted in Cronbach's alpha of 0.717; Spearman correlation between total and individual responses means were not significant to items 5 and 27; Ceiling Effect was detected in six items and Floor Effect in other six. Conclusion: The Brazilian Portuguese version of the instrument is valid; some items can be removed without result interference of the research. It seems that the performance of the answers to some statements was related to a certain lack of knowledge regarding Eastern therapies. Factor analysis may be the choice strategy for precisely pointing out the items to be suppressed.
Objetivos: Traduzir, adaptar e validar um question?rio que possa avaliar a atitude de alunos da ?rea da sa?de frente ?s Pr?ticas Integrativas e Complementares. M?todos: Estudo de delineamento transversal, observacional, realizado com graduandos da Faculdade de Medicina da PUCRS, em 2014. O instrumento Integrative Medicine AttitudeQuestionnaire, previamente validado com 29 itens respondidos em escala Likert com 7 op??es, foi traduzido, retraduzido, realizadas as devidas corre??es sem?nticas e adapta??es culturais. O estudo foi aprovado pelas Comiss?o Cient?fica e Comit? de ?tica da Pontif?cia Universidade Cat?lica do Rio Grande do Sul. Para an?lise dos dados foi utilizado o ?de Cronbach e Efeito Teto Ch?o e correla??o de Spearmann. P< a 0,05 foi considerado estatisticamente significativo. Resultados: Dentre os 300 convidados a participar do estudo, 172 aceitaram participar, n?o havendo perda quanto a question?rios incompletos. Cento e duas participantes eram do sexo feminino. O ? de Cronbach total do instrumento foi de 0,717. Para correla??o de Spearman, apenas ositens5 e 27 n?o apresentaram valor de p significativo. Na an?lise do Efeito Teto e Efeito Ch?o, apenas 6 itens obtiveram Efeito Teto, e 6 o Efeito Ch?o. Conclus?o: Os autores optaram por n?o retirar nenhum item, mesmo encontrando valores de Efeito Teto e Efeito Ch?o para 12 itens, por?m acredita-se que isto se deva ?opini?o da popula??o estudada, tornando-se necess?rio aumentar o tamanho amostral a fim de definir a exclus?o ou n?o de quest?es aparentemente menos sens?veis ? capta??o da opini?o sobre Pr?ticas Integrativas e Complementares.

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38

Sundberg, Tobias. "Exploring integrative medicine for back and neck pain on the integration of manual and complementary therapies in Swedish primary care /". Stockholm, 2010. http://diss.kib.ki.se/2010/978-91-7409-535-7/.

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39

Siegel, Pamela. "Yoga e saúde = o desafio da introdução de uma prática não-convencional no SUS". [s.n.], 2010. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311415.

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Orientador: Nelson Filice de Barros
Tese (doutorado) - Univversidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: O yoga é uma prática psico-física sistematizada por Patanjali, sábio hindu, que viveu no século II a.C.. Em 1893 o yoga chega às Américas com a vinda do Swami Vivekananda aos Estados Unidos e no Brasil, nos anos de 1940, Caio Miranda começa a ensinar a prática no Rio de Janeiro. Portanto, o yoga é praticado há sessenta anos no país e há, ainda, poucas pesquisas sobre o mesmo no campo da saúde coletiva, razão esta que justificou o nosso interesse. Além do que em 2002 a Organização Mundial de Saúde incluiu o yoga no conjunto das práticas mente-corpo e estimulou seus países membros a pesquisar e adotar esta prática nos seus sistemas de saúde pública. O objetivo desse trabalho é analisar as percepções dos líderes das principais tradições do yoga em São Paulo sobre a possibilidade da inserção dessa prática como política pública no Sistema Único de Saúde (SUS) e seus processos de formação e profissionalização. Foram identificadas 21 tradições principais, das quais 18 líderes foram entrevistados e três não o foram por diferentes razões. Foram realizadas entrevistas em profundidade em janeiro/fevereiro de 2006; em setembro/outubro de 2008 e abril de 2009, com roteiro construído em três secções: a) Identificação pessoal; b) A prática do yoga e c) Yoga e saúde. As entrevistas tiveram duração média de 1,5h e aconteceram em diferentes locais da cidade de São Paulo, de acordo com os apontamentos dos entrevistados. Todas foram gravadas, transcritas e analisadas com base na tradição da análise temática da pesquisa qualitativa. A maioria dos instrutores tem curso superior, formação em yoga adquirida no Brasil e em países estrangeiros, em cursos nos EUA e na Índia, viagens e retiros. Em relação à profissionalização, alguns dos entrevistados tiveram contato muito cedo com o yoga, seja através de leituras, influências familiares, inclinações místicas, estados de saúde delicados ou simples curiosidade. Outros entraram em contato com a prática na idade adulta e decidiram se dedicar à docência do yoga. Os entrevistados atuam em escolas particulares de yoga ou em organizações que promovem diferentes tradições do yoga, dando aulas, palestras, cursos de formação, cursos intensivos e de férias, bem como organizando retiros, viagens, seminários, e alguns escrevem artigos e traduzem livros sobre temas do universo do yoga. Todos os entrevistados aprovam a inclusão do yoga no SUS e elaboraram sugestões sobre: como a prática poderia ser ofertada, o público alvo, as técnicas de yoga a serem ensinadas, a duração das aulas, etc. Algumas áreas em que o yoga poderia fazer importantes contribuições seriam: vegetarianismo; correção postural e integração dos movimentos; cultura de paz; cultivo de valores; abstenção de vícios; consciência espiritual; integração do si; cultivo da atenção, oxigenação cerebral; cultivo de uma disciplina e melhoria da qualidade de vida. Conclui-se que o yoga é visto como um conjunto de práticas físicas, sociais e filosóficas úteis para o campo da saúde, todavia com muitos desafios para a sua integração no SUS, devido à sua identificação com a cultura alternativa e distanciamento das bases epistemológicas da medicina complementar e integrativa.
Abstract: Background: Yoga is a psycho-physical practice systematized by Patanjali, a Hindu sage, who lived in the second century BCE. In 1983, yoga was brought to America by Swami Vivekananda. In Brazil, around 1940, Caio Miranda began teaching the practice in Rio de Janeiro. Thus yoga has been practiced for the last sixty years in the biggest urban centers of the country and there are very few academic studies on the subject in the health field, which is the main reason to justify our interest in the study. Besides, in 2002, the World Health Organization included yoga in the group of the mind-body practices and stimulated its members to study and adopt these practices in the national health systems. Objective: This article explores the São Paulo yoga leaders' perceptions regarding the potential insertion of yoga as a public policy into the Brazilian National Health System, and their process of professionalization. Methods: Twenty one main traditions were identified, of which 18 leaders were interviewed, and the other three didn't participate for different reasons. Indepth interviews were carried out in January/February 2006; September/October 2008 and April 2009, through the application of a questionnaire divided into three sections: (a) personal identification; (b) yoga practice; and (c) yoga and health. The interviews lasted approximately 1.5 hr and took place in various locations in São Paulo city, according to appointments arranged by the interviewees and after they had signed a voluntary consent form. All the interviews were tape-recorded, transcribed, and analyzed according to the qualitative research tradition. Most yoga leaders have college education and acquired their yoga training in Brazil and in foreign countries, like USA and India, and through trips and retreats. Concerning their professionalization, some of the interviewees came in contact with yoga at a young age either through books, family influences, mystical inclinations, delicate states of health or simply curiosity. Others discovered yoga as adults and decided to become yoga teachers. They work in private yoga schools or for organizations which promote different yoga traditions, teaching, giving lectures, courses for teachers, intensive and vacation courses, and they also organize retreats, trips and seminars; some of them write articles and translate books on different themes pertaining to the yoga field. Results: All the interviewees approve the inclusion of yoga in the Brazilian National Health System and suggested how the practice could be applied, the main public, the yoga techniques, the duration of the classes, etc. Areas in which yoga was perceived as being able to make important contributions included: vegetarianism; postural correction and integration of movements; peace culture; the cultivation of virtuous values; abstention from addictive substances; spiritual consciousness; integration of the self; cultivation of awareness; brain oxygenization; cultivation of discipline and improved quality of life. Conclusion: Yoga is seen as a group of useful physical, social, and philosophical practices for the health field. However, challenges to its integration into the BNHS include its maintenance as an alternative culture practice and its distance from the epistemological bases of present complementary and integrative medicine.
Doutorado
Saude Coletiva
Doutor em Saude Coletiva

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Bock, Catharina. "Svenska komplementär- och alternativmedicinska terapeuters praktikmönster och samarbete med legitimerad sjukvårdspersonal". Thesis, Nordic School of Public Health NHV, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3155.

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Historiskt har den medicinska professionen sökt exklusiva rättigheter att praktisera i en miljö där många olika yrkesgrupper fanns. I Sverige har detta lett till att komplementär och alternativ medicin (CAM) hamnade utanför den etablerade sjukvården, vilket inneburit en bristfällig kunskap om hur bl.a. CAM terapeuter arbetar. Användning av alternativ medicin har ökat i Sverige vilket motiverar att studier genomförs för att få bättre kunskap om yrkets utövande. Syftet med uppsatsen är att beskriva CAM terapeuters praktikmönster och inställning till samarbete med traditionell skolmedicin. Utifrån en litteraturstudie utarbetades en enkät som skickades till 102 CAM terapeuter i Sverige för att undersöka deras praktikmönster och sociodemografiska egenskaper. 63 terapeuter (62 %) svarade, varav 59 uppfyllde forskningskriterierna och kunde delta i de fördjupande telefonintervjuer som följde efter enkätstudien och som syftade till att ta reda på deras syn på samarbete med den skolmedicinska sjukvården. Resultaten av undersökningen visade att 55 %, av de 59 intervjuade var kvinnor, 10 % hade legitimation i andra sjukvårdsyrken, 69 % arbetade ensamma med i snitt 24 patienter i veckan. 79 % var positiva till samarbete med skolmedicinen och 37 % hade redan regelbunden kontakt med läkare. Intervjuerna visade att CAM terapeuter generellt ansåg att det var viktigast att patienters behov och önskemål beaktades i utformningen av den vård som erbjöds. Patienternas kostnad för behandling, respekt för CAM terapeuter, legitimation, konkurrens, samarbete med och kunskap om de olika yrken var andra viktiga faktorer som belystes ur olika perspektiv. Studien ger ny kunskap om CAM i Sverige och avslöjar många hinder som gör samarbete mellan skolmedicin och CAM till en utmaning för CAM terapeuter. Resultaten från denna studie kan hjälpa till att utveckla en sjukvård som omfattar olika utövare av läkekonsten
This study aims to describe the practice patterns of complementary and alternative medicine (CAM) practitioners and their collaboration with traditional medical professionals in Sweden. Historically, the medical profession has dominated medical practice in an environment of different healing professions. This domination placed CAM professionals outside the established medical system. Consequently, information about CAM is inadequate. Since today’s patients increasingly seek consultations with CAM practitioners, the need for a better understanding of these professions has grown. To investigate the practice patterns and sociodemographic characteristics of CAM practitioners, we developed a literature-based questionnaire and sent it to 102 CAM practitioners. Among the 63 practitioners (62%) who replied, only 59 matched our research criteria for participating in further telephone interviews that allowed them to state their opinions on collaborating with conventional medical professionals. Fifty-five percent of the telephone interviewees were women, 10% were licensed in other medical professions, and 69% worked in solo practices, seeing 24 patients per week on average. Furthermore, 79% felt collaboration would be positive, and 37% had already established regular contacts with medical doctors. CAM practitioners generally considered patients’ needs and desires to be an essential component of healthcare provision. They also elucidated the importance of treatment costs, respect for CAM professionals, licensing, competition, collaboration, and knowledge of a variety of professions. This study provides new information about the challenges faced by CAM profession in Sweden and reveals many obstacles to collaboration. Our results can assist in the development of a health care system that includes a variety of different professions.

ISBN 978-91-85721-79-5

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Bhikha, Rashid Ahmed Hassen. "African Renaissance in health education : developing an integrative programme of Unani- Tibb training for health care professionals in Southern Africa". Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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The present healthcare system in South Africa suffers from a number of serious deficiencies. Whilst orthodox bio-medicine is well established in most first world countries, its total introduction and implementation into all communities within South Africa faces many obstacles. The cost of diagnostic techniques, investigative procedures and pharmaceutical products, the availability of competent medical staff in the non-urban areas, and the lack of acceptance of the philosophy and practice of orthodox bio-medicine in rural regions are but some of the factors which conspire against the general application of this orthodox medical paradigm.

Another problem confronting healthcare and medical practice in South Africa, particularly at this stage of our historical development, is the absolute focus on orthodox bio-medicine, often to the detriment of other medical paradigms that also have advantages to offer. Can the integration of another medical paradigm, such as Unani-Tibb, enhance the practice of orthodox bio-medicine in this country?

The aim of the thesis was to investigate the possibility of integrating Unani-Tibb with orthodox biomedicine (also termed conventional, Western or allopathic medicine) and assess its potential for improving delivery of an effective, affordable and appropriate healthcare system in South Africa.

The research questions which the thesis seeks to answer is whether this integration is possible and whether the delivery of healthcare to the South African population can be enhanced. Changes in the provision of medical education are necessary, and occupy a pivotal role in allowing for this integration. Unani-Tibb is a traditional medical system practiced extensively on the Indian sub-continent and in other parts of the world. At present, however, it is minimally practiced in South Africa. Its primary principle is the energetic promotion of health maintenance behaviour and the prevention of disease, through effective application of dietotherapy, pharmacotherapy and other interventions, as well as the empowerment of the patient towards adopting behavioural changes and lifestyle adaptations. One positive aspect of Unani-Tibb is that it has many features in common with both orthodox biomedicine and African Traditional medicine. These commonalities should allow for greater acceptance by orthodox healthcare professionals, as well as the general population. The first part of the study involved the research and conceptualisation required for the production of a series of customized training modules which introduced the theory and practice of Unani-Tibb. A twelve month part-time training programme based on these modules was subsequently conducted with a number of healthcare professionals presently in active practice and with a background of orthodox medical or nursing healthcare. This outcomes-based training programme included a number of specifically designed training activities, such as case studies, practical exercises and assignments. Appropriate evaluations and assessments were pursued in order to measure performance outcomes and attitudes. Questionnaires for assessing the motivation and satisfaction of the participants were also completed. The second part of the study was in the form of a pilot participant research project, in which the participants applied the information from the integrative programme to a number of chronically ill patients who had previously been treated with standard orthodox bio-medical procedures. The parameters derived for clinical efficacy, cost-benefit and improvement in Quality of Life from Unani-Tibb treatment were then compared to equivalent results obtained by orthodox bio-medicine. In all parameters inspected, the integrative training programme compared favourably to orthodox bio-medical practice. Not only was there an improved clinical efficacy, but the cost-benefit was shown to be superior in most indices measured. The Quality of Life comparison, which assessed the patient&rsquo
s total health status, subjective behaviour and attitude, generally favoured the integrative training programme. The thesis serves to suggest that the integration of Unani-Tibb into orthodox bio-medical training in South Africa is a distinct possibility, and could ultimately allow for treatment which is clinically acceptable, cost-effective and which provides an improved Quality of Life for the population as a whole. I suggest that this pilot study be repeated more extensively, thereby allowing for a more confident and objective assessment.

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Herman, Patricia, Sally Dodds, Melanie Logue, Ivo Abraham, Rick Rehfeld, Amy Grizzle, Terry Urbine, Randy Horwitz, Robert Crocker i Victoria Maizes. "IMPACT - Integrative Medicine PrimAry Care Trial: protocol for a comparative effectiveness study of the clinical and cost outcomes of an integrative primary care clinic model". BioMed Central, 2014. http://hdl.handle.net/10150/610366.

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BACKGROUND:Integrative medicine (IM) is a patient-centered, healing-oriented clinical paradigm that explicitly includes all appropriate therapeutic approaches whether they originate in conventional or complementary medicine (CM). While there is some evidence for the clinical and cost-effectiveness of IM practice models, the existing evidence base for IM depends largely on studies of individual CM therapies. This may in part be due to the methodological challenges inherent in evaluating a complex intervention (i.e., many interacting components applied flexibly and with tailoring) such as IM.METHODS/DESIGN:This study will use a combination of observational quantitative and qualitative methods to rigorously measure the health and healthcare utilization outcomes of the University of Arizona Integrative Health Center (UAIHC), an IM adult primary care clinic in Phoenix, Arizona. There are four groups of study participants. The primary group consists of clinic patients for whom clinical and cost outcomes will be tracked indicating the impact of the UAIHC clinic (n=500). In addition to comparing outcomes pre/post clinic enrollment, where possible, these outcomes will be compared to those of two matched control groups, and for some self-report measures, to regional and national data. The second and third study groups consist of clinic patients (n=180) and clinic personnel (n=15-20) from whom fidelity data (i.e., data indicating the extent to which the IM practice model was implemented as planned) will be collected. These data will be analyzed to determine the exact nature of the intervention as implemented and to provide covariates to the outcomes analyses as the clinic evolves. The fourth group is made up of patients (n=8) whose path through the clinic will be studied in detail using qualitative (periodic semi-structured interviews) methods. These data will be used to develop hypotheses regarding how the clinic works.DISCUSSION:The US health care system needs new models of care that are more patient-centered and empower patients to make positive lifestyle changes. These models have the potential to reduce the burden of chronic disease, lower the cost of healthcare, and offer a sustainable financial paradigm for our nation. This protocol has been designed to test whether the UAIHC can achieve this potential.TRIAL REGISTRATION:Clinical Trials.gov NCT01785485.

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Bell, Iris, Victoria Cunningham, Opher Caspi, Paula Meek i Lynn Ferro. "Development and validation of a new global well-being outcomes rating scale for integrative medicine research". BioMed Central, 2004. http://hdl.handle.net/10150/610356.

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BACKGROUND:Researchers are finding limitations of currently available disease-focused questionnaire tools for outcome studies in complementary and alternative medicine/integrative medicine (CAM/IM).METHODS:Three substudies investigated the new one-item visual analogue Arizona Integrative Outcomes Scale (AIOS), which assesses self-rated global sense of spiritual, social, mental, emotional, and physical well-being over the past 24 hours and the past month. The first study tested the scale's ability to discriminate unhealthy individuals (n = 50) from healthy individuals (n = 50) in a rehabilitation outpatient clinic sample. The second study examined the concurrent validity of the AIOS by comparing ratings of global well-being to degree of psychological distress as measured by the Brief Symptom Inventory (BSI) in undergraduate college students (N = 458). The third study evaluated the relationships between the AIOS and positively- and negatively-valenced tools (Positive and Negative Affect Scale and the Positive States of Mind Scale) in a different sample of undergraduate students (N = 62).RESULTS:Substudy (i) Rehabilitation patients scored significantly lower than the healthy controls on both forms of the AIOS and a current global health rating. The AIOS 24-hours correlated moderately and significantly with global health (patients r = 0.50
controls r = 0.45). AIOS 1-month correlations with global health were stronger within the controls (patients r = 0.36
controls r = 0.50). Controls (r = 0.64) had a higher correlation between the AIOS 24-hour and 1-month forms than did the patients (r = 0.33), which is consistent with the presumptive improvement in the patients' condition over the previous 30 days in rehabilitation. Substudy (ii) In undergraduate students, AIOS scores were inversely related to distress ratings, as measured by the global severity index on the BSI (rAIOS24h = -0.42, rAIOS1month = -0.40). Substudy (iii) AIOS scores were significantly correlated with positive affect (rAIOS24h = 0.56, rAIOS1month = 0.57) and positive states of mind (rAIOS24h = 0.42, rAIOS1month = 0.45), and inversely correlated with negative affect (rAIOS24h = -0.41, rAIOS1month = -0.59).CONCLUSIONS:The AIOS is able to distinguish relatively sicker from relatively healthier individuals
and correlates in expected directions with a measure of distress and indicators of positive and negative affect and positive states of mind. The AIOS offers a tool for CAM/IM research that extends beyond a disease emphasis.

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Sathirapongsasuti, Jarupon Fah. "Post-Genomic Approaches to Personalized Medicine: Applications in Exome Sequencing, Microbiome, and COPD". Thesis, Harvard University, 2013. http://dissertations.umi.com/gsas.harvard:11574.

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Since the completion of the sequencing of the human genome at the turn of the century, genomics has revolutionized the study of biology and medicine by providing high-throughput and quantitative methods for measuring molecular activities. Microarray and next generation sequencing emerged as important inflection points where the rate of data generation skyrocketed. The high dimensionality nature and the rapid growth in the volume of data precipitated a unique computational challenge in massive data analysis and interpretation. Noise and signal structure in the data varies significantly across types of data and technologies; thus, the context of the data generation process itself plays an important role in detecting key and oftentimes subtle signals. In this dissertation, we discuss four areas where contextualizing the data aids discoveries of disease-causing variants, complex relationships in the human microecology, interplay between gene and environment, and genetic regulation of gene expression. These studies, each in its own unique way, have helped made possible discoveries and expanded the horizon of our understanding of the human body, in health and disease.

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Johnston, Patrick James. "Facial emotion processing deficits in schizophrenia : an integrative cognitive neurosciences approach". Thesis, Northumbria University, 2004. http://nrl.northumbria.ac.uk/7327/.

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Schizophrenia is a debilitating disease associated with deficits in a wide variety of cognitive, social and emotional domains. This includes deficits in facial affect recognition, which have been suggested to be linked to problems in judging social intentions and as leading to social withdrawal. A number of behavioural studies report a greater deficit in the recognition of negative emotions (particularly fear). a parallel strand of research has examined the neural substrates of facial emotion recognition using neuroimaging techniques, and has reported reductions in levels of amygdala activation to fearful faces in schizophrenia patients. These finding, have, in combination, been interpreted as indicating a negative emotion specific deficit in schizophrenia underpinned by aberrant functioning of limbic structures including the amygdala. The current thesis attempts to deconstruct this formulation from two perspectives, a psychometric or task conceptualisation perspective, and a neuroimaging perspective.

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Hassanpourgol, Bamdad. "Flower of Life Retreat and Healing Center| An Integrative Medicine Approach to Treat PTSD, Anxiety, and Depression". Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10748110.

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In the advent of the unprecedented occurrence of PTSD among both the young and old population, a group of volunteers and health care professionals have created a treatment and healing program using scientific and holistic approaches for a complete “mind, body, & soul” detoxification allowing the individuals to reset and resolve all mental injuries caused by traumas they received. To enhance the effectiveness of this program, the Flower of Life Retreat & Healing Center, Inc. (FoL, Inc.) has conceptualized a beautiful lakeside facility with a total of 45 acres of green land with serene natural beauty in the suburbs of San Diego, California. The facility’s primary focus is to provide treatment for PTSD in conjunction with other related programs and treatments for anxiety, depression, and addiction.

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Yako, Michelle Ashley. "KNOWLEDGE AND BELIEFS OF FUNCTIONAL MEDICINE AND INTEGRATIVE AND FUNCTIONAL NUTRITION OF ADULTS WITH AND WITHOUT DIABETES". Kent State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=kent1605874021551358.

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Olson, Brooke. "The politics and possibilities of integrative medicine: An anthropological analysis of pluralistic health care movements in America". Diss., The University of Arizona, 2001. http://hdl.handle.net/10150/280174.

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In this dissertation, I explore health care movements as social movements which are complexly embedded in history, culture, and political economy. In order to illuminate issues of power, gender, economics, and modality and practitioner politics, medical pluralism and health movements are examined from nineteenth century eclecticism to the current interest in integrative medicine. From the Thompsonian health movement of the 1830's to the fluorescence of alternative healing in the 1960's and 1990's, the dissertation takes the reader through the multifaceted health and healing landscape. This winding path leads up to the current immense interest in and use of non-biomedical therapies in the United States. Using theoretical orientations from phenomenology to critical medical anthropology, the dissertation examines integrative healing movements in local and national contexts. Locally, ethnographic work was based in Ithaca, NY, through participant observation with Ithaca's Integrative Community Wellness Center, a nonprofit grassroots initiative that aims to provide comprehensive wellness care in community contexts. Nationally, I examine the roles of institutions such as HMO's and hospitals. Alternative, complementary, and integrative healing movements have become a profound part of popular and medical cultures, yet they have heretofore not been a major focus of anthropological or social science research. The dissertation is a contribution to understanding the nature and dynamics of these phenomena and what the future may hold for the use and combination of pluralistic approaches to health and wellness care.

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Hogrell, Victoria. "Arguments for and against acceptance of Qigong in Swedish Healthcare". Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-91063.

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Introduction Traditional Chinese Medicine (TCM) is an ancient medical practice, performed since approximately 2000 B.C. Qigong constitutes one of five main pillars in TCM and is a method of meditation, exercise as well as self-medication. Basic tenets of TCM is the body existing in balance with Qi (life-energy) and its emphasis on holistic dynamic processes over material structure. A lot of research has been done on the positive health effects of Qigong, although it is unclear whether the evidence situation is judged to be sufficient to prove Qigong effective. Objective To investigate the arguments for and against acceptance of Qigong in Swedish Healthcare Methods This is a qualitative study that followed the hermeneutical method, as well as the normative ethical theory, of study-design and data analysis. Searches of grey literature and electronic databases (Pubmed, Cochrane) were performed, serving the purpose to collect different perspectives. The selection of sources was based on relevance to the aim. Data emerged was analysed in order to investigate the most relevant ethical arguments for and against integration of Qigong in the Swedish healthcare. Results Main arguments against acceptance of Qigong were: “Traditional Chinese Medicine’s underlying philosophy stand in opposition to scientific worldview”, “Lack of strong evidence”, “Complementary and Alternative Medicine lead people away from Evidence Based Medicine”, and “Economical incentive and bias in Complementary and Alternative Medicine and Qigong”.Main arguments for acceptance of Qigong were: “Extensive proven experience”, “Further acceptance and integration may increase patient safety and promote research”, and “Qigong is risk-free and highly available at low cost” Conclusion A strong argument against acceptance of Qigong is “lack of strong evidence”. Strong arguments for acceptance of Qigong are “further acceptance and integration may promote research” and “Qigong is risk-free and highly available at low cost”. Thus, strong arguments are found for, as well as against, integration of Qigong in Swedish established healthcare. The balance between these strong arguments, however, will have to be discussed further, as there is no obvious right answer.

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Jordan, Susan Ann. "Exploring Healthcare Transitions and Health Equity: An Integrative Review". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7305.

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Compared to their typically developing peers, adolescents, and emerging adults with special healthcare needs (AEA-SHCN) disproportionately experience healthcare transition (HCT) disparities and poor access to adult care. Theoretical models that describe how access gaps develop and strategies to address unmet HCT needs are not well understood. While HCT researchers describe both system and patient healthcare barriers, a comprehensive approach that discovers how these factors interact and interfere remains misunderstood. An integrative review (IR) was conducted to understand the multiplicity of these factors. An intersectional theory (IT) provided further clarity on how key findings influence patient HCT experiences. Several themes were found to intersect and thus increase the HCT complexity, particularly for patients with social disadvantages. Communication gaps, mismatched goals/expectations, and poorly defined roles were common themes. Poor health equity, disparities in access, and inadequate HCT support intersected with poor patient HCT experiences, while youth with stigma-related diseases were most at-risk for poor provider-relationships. The thematic synthesis provided granularity to these experiences with characterizations as fear, loss, and uncertainty with access change. Social change implications underscore the need to reframe poor patient HCT experiences as potential opportunities for health policy advocates and clinicians to address unmet HCT needs.

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