Complementary and Integrative Medicine in academic health education.

OBJECTIVE: To analyze academic education in Complementary and Integrative Medicine (CIM) according to university students from the health area. METHODS: Cross-sectional study with 1399 students from six public and private Brazilian universities, with online and in-person collection of socioeconomic, demographic, educational and academic data, carried out in 2019. The bivariate analysis was applied for the outcome "presence of CIM in academic health education", using the SPSS Statistic program, version 23.0™. RESULTS: The prevalence of the presence of CIM in academic health education was 52.3%, being 31.1% in the compulsory and 8% in the non-compulsory curricular education, 2.0% in scientific research and 4.7% in university extension activities. There was an association of the outcome with knowledge of the national CIM policy (OR = 5.258; p = 0.000), of which knowledge can be indicated and used in one's professional area (OR = 4.836; p = 0.000), interest and/or use of CIM by the teachers/tutors of the course (OR = 3.955; p = 0.000), stimulus by the university to carry out scientific research (OR = 3.277; p = 0.000) and university extension projects with CIM (OR = 3.686; p = 0.000). CONCLUSION: Academic education using CIM in health area courses is not very prevalent in teaching, research and university extension in Brazil, but when present in the curricular and non-curricular educational processes, it shows a significant association with knowledge, skills and their use by university students. The creation of a National Educational Planning in CIM is a vital imperative.

Auriculoterapia no tratamento da obesidade: uma revisão sistemática / Auriculotherapy on treatment of obesity: a systematic review

A obesidade pode ocasionar a morte prematura dos individuos acometidos por esta disfunção. Na tentativa de amenizar as desordens dessa doença, a auriculoterapia surge como um tratamento que visa promover a perda de peso e melhor qualidade de vida. OBJETIVO: Identificar a eficácia da auriculoterapia no controle do peso de indivíduos obesos. METODOLOGIA: Realizou-se uma revisão sistemática (CRD42020198862) segundo as recomendações PRISMA, nos bancos de dados PubMed, Lilacs, Scielo e PEDro, no periodo de julho a outubro de 2016, com descritores Obesity e auriculotherapy. Foram incluídos Ensaios Clínicos Controlados publicados até 2015, em português, inglês e espanhol, e contendo as palavras chaves no título ou resumo. Na análise foram considerados como desfecho primário: Índice de Massa Corporal e peso corporal, e desfecho secundário: circunferência da cintura e leptina. RESULTADOS: No total foram incluídos cinco estudos. Desses, quatro artigos estudaram o efeito da auriculoterapia na obesidade e apresentaram redução estatisticamente significante nos grupos de intervenção, assim como nos dois estudos que avaliaram o peso corporal. Dois estudos analisaram a circunferência da cintura e apresentaram decréscimo estatisticamente significativo para o grupo de intervenção, já nos três estudos que avaliaram a leptina, em dois houve redução ao final do tratamento, sendo que no terceiro não houve diferença em nenhum dos grupos. CONCLUSÃO: A auriculoterapia associada a dieta pode ser eficaz no controle do peso de paciente obesos, assim como nas medidas antropometricas e nos níveis de leptina.

Obesity can cause premature death of individuals affected by this dysfunction. In an attempt to alleviate the disorders of this disease, auriculotherapy appears as a treatment that aims to promote weight loss and better quality of life. OBJECTIVES: Identify the efficacy of auriculotherapy in weight control of obese individuals. METHODOLOGY: A systematic review (CRD42020198862) was carried out according to PRISMA recommendations in the PubMed, Lilacs, Scielo and PEDro databases, from July to October 2016, with descriptors Obesity and auriculotherapy. Were included Ramdomized Clinical Trials published until 2015, in Portuguese, English and Spanish, and containing the key words in the title or abstract. In the analysis, the following were considered as primary outcome: Body Mass Index and body weight, and secondary outcome: waist circumference and leptin. RESULTS: Four articles studied the effect of auriculotherapy on obesity and showed a statistically significant reduction in the intervention groups, as well as in the two studies that evaluated body weight. Two studies analyzed waist circumference and showed a statistically significant decrease for the intervention group, while in the three studies that evaluated leptin, in two there was a reduction at the end of treatment, and in the third there was no difference in any of the groups. CONCLUSION: Auriculotherapy associated with diet may be effective in controlling the weight of obese patients, as well as anthropometric measurements and leptin levels.

Uso de TICs: experiência a partir da extensão universitária / The use of ICTs: an experience from extension project

A relação estabelecida entre o profissional de saúde e o paciente influencia diretamente na adesão terapêutica, no que se refere ao grau de concordância entre o comportamento do paciente e as prescrições da equipe de saúde. As Tecnologias de Informação e Comunicação (TIC) constituem um conjunto de ferramentas integradas entre si, que favorecem o aumento da interatividade, proporcionando através das mídias e redes sociais uma otimização da interação entre profissionais, pacientes, e redes de serviços em saúde. O estudo descreve a experiência do projeto de extensão Grupo de Atenção Integral e Pesquisa em Acupuntura e Medicina Tradicional Chinesa (GAIPA) do Curso de Fisioterapia da Universidade Federal do Ceará com a implantação e uso das TIC complementando sua estratégia de abordagem a comunidade. O estudo possui abordagem qualitativa e características descritivas, os dados foram coletados em junho de 2017. A implementação e uso das TIC como complemento das práticas em saúde apresentou efetiva melhora no processo de integração-interação entre comunidade e equipe de saúde.(AU)

The relation established between health professionals and patients directly influences in therapeutic compliance, regarding the level of agreement between the patient's behavior and the prescriptions from the healthcare staff. The Information and Communication Technologies (ICTs) form a set of integrated tools, which support interactivity increase and provides an optimization of interaction among professionals, patients and healthcare services networks through media and social sites. This study describes an experience of the Integrated Care and Research in Acupuncture and Traditional Chinese Medicine Group, an extension project from the Physical Therapy academic course, at Federal University of Ceara, Brazil, with implantation and use of ICTs in order to complement the community approach strategies. This work has qualitative and descriptive characteristics, and the data was collected in June 2017. The implementation and use of ICTs, complementary to healthcare practices resulted in effective improvement in the integration-interaction process between community and healthcare staff.(AU)

Qualidade de vida de indivíduos praticantes de Qigong na comunidade / Quality of life of Qigong's practitioners at community

A qualidade de vida (QV) reflete a satisfação dos indivíduos e sua avaliação é importante para o estabelecimento de atividades de saúde. Os exercícios de Qigong constituem uma prática da Medicina Tradicional Chinesa (MTC) que visa promover saúde e QV. Este estudo tem por objetivo caracterizar a qualidade de vida e o perfil de queixas de um grupo de Práticas Corpo-Mente desenvolvido pelo projeto Grupo de Atenção Integral e Pesquisa em Acupuntura e Medicina Tradicional Chinesa (GAIPA) na atenção básica de Fortaleza. Estudo descritivo transversal, realizado com 10 indivíduos assíduos nas atividades realizadas no período de novembro a dezembro de 2015, com dados coletados nas fichas de avaliação e instrumento WHOQOL-abreviado. A maioria dos indivíduos era mulheres com idade média de 59 anos, apresentavam QV caracterizada de regular a boa, sendo o domínio físico o de pior pontuação, possivelmente devido alta prevalência de queixas como lombalgia e ansiedade. Com base nos dados, se faz necessário o desenvolvimento de ações que integrem saúde física e mental na atenção básica.(AU)

The Quality of Life (QL) reflects individual's satisfaction. The proper assessment is important to the establishment of Healthy activities. The Qigong exercises are consisted by practices from the Traditional Chinese Medicine, which may promote Health and QL. The aim of this study was to characterize QL and most complains from a body-mind exercises' Qigong's group developed by GAIPA project at Fortaleza's Primary Attention. It was an Transversal Descriptive Study, composed with a sample of assiduous 10 participants at activities at 09/2015-12/2015 period. Data were collected from evaluation records papers and WHOQOL-bref. The majority were composed by Women at fifty nine years old. The QL from those subjects was evaluated as regular/good, with Physic Domain being the worst score, probably because of high prevalence of complains such as Low back pain and anxiety. Acoording data, it makes necessary the development of strategies that integrate body and mental health in Primary Attention.(AU)

[The use, care and policy of complementary and integrative practices in primary health care]. / Uso, cuidado e política das práticas integrativas e complementares na Atenção Primária à Saúde.

The use of Complementary and Integrative Practices (CIP) is on the increase and its institutionalization in Primary Health Care (PHC) is a challenge. This article discusses the use, care, and policies of CIP at international and national levels found in the indexed literature. A review of the literature in PubMed/Medline and the Virtual Health Library was conducted using the key search words "Homeopathy", "Acupuncture", "Herbal Medicine", "Body Practices", "Primary Health Care" and other related terms in English, Spanish and Portuguese between 2002 and 2011. The use in the literature of CIP for the treatment of specific diseases from a biomedical perspective was observed, as well as evaluations of its use for the treatment of specific diseases focused on the reaction of the users and professionals and the analysis of the political, economic and social viability of CIP in health services. The conclusion drawn is that what is predominant in the literature is the quest for the scientific validation of CIP and a biomedical methodological bias in the designs of the studies, which does not contribute to clarifying the potential care of CIP in PHC.

Uso, cuidado e política das práticas integrativas e complementares na Atenção Primária à Saúde / The use, care and policy of complementary and integrative practices in primary health care

ResumoO uso das Práticas Integrativas e Complementares (PIC) é crescente e sua institucionalização na Atenção Primária à Saúde (APS) um desafio. Este artigo discute o uso, o cuidado e as políticas das PIC na esfera internacional e nacional, por meio da literatura indexada. Foi realizada revisão da literatura no PubMed/Medline e na Biblioteca Virtual da Saúde com os unitermos "Homeopatia", "Acupuntura", "Fitoterapia", "Práticas Corporais", "Atenção Primária à Saúde" e correlatos, nas línguas inglesa, espanhola e portuguesa, entre 2002 e 2011. Observou-se na literatura avaliações do uso das PIC para o tratamento de patologias específicas, com perspectiva biomédica; avaliações do seu uso para o tratamento de patologias específicas, porém focadas nos sentidos atribuídos pelos usuários e profissionais; análise da viabilidade política, econômica e social das PIC nos serviços de saúde. Conclui-se que predomina na literatura a busca pela validação científica das PIC e um viés metodológico biomédico no desenho dos estudos, o qual não contribui para esclarecer o potencial de cuidado das PIC na APS.

AbstractThe use of Complementary and Integrative Practices (CIP) is on the increase and its institutionalization in Primary Health Care (PHC) is a challenge. This article discusses the use, care, and policies of CIP at international and national levels found in the indexed literature. A review of the literature in PubMed/Medline and the Virtual Health Library was conducted using the key search words "Homeopathy", "Acupuncture", "Herbal Medicine", "Body Practices", "Primary Health Care" and other related terms in English, Spanish and Portuguese between 2002 and 2011. The use in the literature of CIP for the treatment of specific diseases from a biomedical perspective was observed, as well as evaluations of its use for the treatment of specific diseases focused on the reaction of the users and professionals and the analysis of the political, economic and social viability of CIP in health services. The conclusion drawn is that what is predominant in the literature is the quest for the scientific validation of CIP and a biomedical methodological bias in the designs of the studies, which does not contribute to clarifying the potential care of CIP in PHC.

[The Yin and Yang movement in the cosmology of Chinese medicine]. / O movimento Yin e Yáng na cosmologia da medicina chinesa.

After being developed in the East, based on Taoist cosmology, Chinese medicine has been practiced in the West based on scientific foundations and biomedical paradigms. Some traditional elements of this philosophy were abandoned, such as the theory of Yin and Yang, knowledge that is essential for understanding the health-disease process resulting from the circulation of the body's energy flow. This article studies the movement of the dual elements of Yin and Yang in Chinese medical teaching, seeking to understand how this line of thought developed and how it has contributed towards establishing a system of diagnosis and therapy. The methodology employed was to analyze literature on the subject, based on theoretical references to Taoist thought and traditional Chinese medicine.

O movimento Yin e Yáng na cosmologia da medicina chinesa / The Yin and Yang movement in the cosmology of Chinese medicine

Após ter se desenvolvido no Oriente, embasada pela cosmologia taoista, a medicina chinesa vem sendo praticada no Ocidente baseada na fundamentação científica e no paradigma biomédico, abandonando alguns elementos tradicionais dessa racionalidade, como a teoria Yīn e Yáng, conhecimento essencial para o entendimento do processo saúde-doença decorrente da circulação do sopro vital pelo corpo. Este artigo estuda o movimento da dupla Yīn e Yáng na doutrina médica chinesa, buscando conhecer como se desenvolveu essa linha de pensamento e a sua contribuição na elaboração do sistema diagnóstico e terapêutico. A metodologia utilizada foi a análise da literatura que aborda o objeto a partir do referencial teórico do pensamento taoista e da medicina tradicional chinesa.

After being developed in the East, based on Taoist cosmology, Chinese medicine has been practiced in the West based on scientific foundations and biomedical paradigms. Some traditional elements of this philosophy were abandoned, such as the theory of Yin and Yang, knowledge that is essential for understanding the health-disease process resulting from the circulation of the body’s energy flow. This article studies the movement of the dual elements of Yin and Yang in Chinese medical teaching, seeking to understand how this line of thought developed and how it has contributed towards establishing a system of diagnosis and therapy. The methodology employed was to analyze literature on the subject, based on theoretical references to Taoist thought and traditional Chinese medicine.