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1.
Complement Med Res ; 29(1): 27-34, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34233331

RESUMO

BACKGROUND: Lung cancer is the oncological disease with the highest mortality worldwide. Health-related quality of life is severely compromised in the majority of patients. While the efficacy of early palliative psychosocial therapy has been demonstrated in several recent studies, appropriate therapy modules could so far not be integrated into daily practice of care. Therefore, an additive multimodal treatment concept for oncological centers was drafted: the Additive anthroposophic integrative medicine Cancer Concept of Early supportive or Palliative lung cancer Treatment (ACCEPT®). PATIENTS AND METHODS: The first module consisted of a 3-month health education program, the second module was a concept of psychosocial interventions, and the third module was a supervised home training program. Between 2017 and 2018, 20 lung cancer patients (UICC IIIB/IV) were included and randomly assigned to treatment (n = 10) or a waiting control group (n = 10). The treatment group started ACCEPT® for 3 months immediately after diagnosis and received also standard oncological care (SOC) while the waiting control group received SOC only for 3 months, followed by ACCEPT® after this period. Health-related quality of life, disease management, disease-specific symptoms, and feasibility of the ACCEPT® were monitored at 4 time points. RESULTS: 7 out of 10 patients in the treatment group (3 dropped out) and 6 out of 10 in the waiting control group (4 died during the intervention) completed treatment. DISCUSSION/CONCLUSION: Lung cancer patients with high symptom load may benefit from ACCEPT®. The feasibility of this adjunctive therapy was demonstrated. The combination of SOC and ACCEPT® is feasible and applicable to a heterogeneous patient group and should be further evaluated with respect to efficacy and dosing.


Assuntos
Neoplasias Pulmonares , Cuidados Paliativos , Medicina Antroposófica , Estudos de Viabilidade , Humanos , Neoplasias Pulmonares/terapia , Qualidade de Vida
2.
Complement Ther Med ; 60: 102736, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34058369

RESUMO

BACKGROUND: Acute bronchitis is one of the most common pediatric diseases. In addition to conventional therapies, a frequent use of complementary and alternative medicine (CAM) has been stated. Anthroposophic medicine (AM) is one of the most practiced complementary and integrative medicine (CIM) approaches in Central Europe but hitherto no consensus-based clinical recommendations or guidelines are available. Therefore, a consensus-based recommendation leading to an informed and reasonable use of AM in the treatment of acute bronchitis in pediatrics was developed. METHODS: A total of 61 physicians in Germany with expertise in the field of anthroposophic pediatrics was invited to complete an online multistep Delphi process. Two independent reviewers quantitatively and qualitatively evaluated the results. The survey was completed when >75 % consensus was achieved. RESULTS: The clinical recommendation comprises 15 subitems related to treatment as well as clinical and psychosocial aspects. All items reached strong consensus (>90 %; N = 9) or consensus (75-90 %; N = 6). CONCLUSION: The comprehensive clinical recommendation creates a scientific base for the anthroposophic integrative treatment of acute bronchitis in children in Germany. It will make the anthroposophic approach more applicable, understandable and comparable to a wider public of physicians and other health professionals in Germany.


Assuntos
Medicina Antroposófica , Bronquite , Medicina Integrativa , Doença Aguda , Bronquite/tratamento farmacológico , Criança , Consenso , Alemanha , Humanos
3.
Multimedia | Recursos Multimídia | ID: multimedia-8837

RESUMO

Webinar 26 septiembre 2020: Contribuciones a la salud mental: Medicinas Tradicionales, Complementarias e Integrativas-MTCI en el contexto de la pandemia por COVID-19.


Assuntos
Terapias Complementares , Saúde Mental , Medicina Antroposófica , Infecções por Coronavirus/epidemiologia
4.
Proteomics Clin Appl ; 15(4): e2000038, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33830667

RESUMO

PURPOSE: Little is known about the longitudinal development of different plasma protein levels during early childhood and particularly in relation to lifestyle factors. This study aimed to monitor the plasma proteome early in life and the influence of different lifestyles. EXPERIMENTAL DESIGN: A multiplex bead-based immunoassay was used to analyze plasma levels of 97 proteins in 280 blood samples longitudinally collected in children at 6, 12, 24, and 60 months of age living in families with an anthroposophic (n = 15), partly anthroposophic (n = 27), or non-anthroposophic (n = 28) lifestyle. RESULTS: A total of 68 proteins (70%) showed significantly altered plasma levels between 6 months and 5 years of age. In lifestyle stratified analysis, 59 of 97 (61%) proteins were altered over time within one or more of the three lifestyle groups. Nearly half of these proteins (28 out of 59) changed irrespective of lifestyle. The temporal changes represented four longitudinal trends of the plasma proteins during development, also following stratification of lifestyle. CONCLUSIONS AND CLINICAL RELEVANCE: Our findings contribute to understand the development of the plasma proteome under the influence of lifestyle exposures in early childhood.


Assuntos
Medicina Antroposófica , Proteínas Sanguíneas/análise , Estilo de Vida , Proteoma/análise , Pré-Escolar , Feminino , Humanos , Lactente , Estudos Longitudinais , Masculino , Suécia
5.
Multimedia | Recursos Multimídia | ID: multimedia-7993

RESUMO

Webinar Fortalecimiento del sistema inmune: Contribuciones de las MTCI en el contexto de la pandemia por COVID-19. 31 Octubre 2020.


Assuntos
Sistema Imunitário , Medicina Antroposófica , Terapias Espirituais , Meditação , Infecções por Coronavirus/epidemiologia
6.
BMC Complement Med Ther ; 21(1): 46, 2021 Jan 26.
Artigo em Inglês | MEDLINE | ID: mdl-33499846

RESUMO

BACKGROUND: Physicians who include complementary medicine in their practice are thought to have an understanding of health and disease different from that of colleagues practicing conventional medicine. The aim of this study was to identify and compare the thoughts and concepts concerning infectious childhood diseases (measles, mumps, rubella, chickenpox, pertussis and scarlet fever) of physicians practicing homeopathic, anthroposophic and conventional medicine. METHODS: This qualitative study used semistructured interviews. Participating physicians were either general practitioners or pediatricians. Data collection and analysis were guided by a grounded theory approach. RESULTS: Eighteen physicians were interviewed (6 homeopathic, 6 anthroposophic and 6 conventional). All physicians agreed that while many classic infectious childhood diseases such as measles, mumps and rubella are rarely observed today, other diseases, such as chickenpox and scarlet fever, are still commonly diagnosed. All interviewed physicians vaccinated against childhood diseases. A core concern for physicians practicing conventional medicine was the risk of complications of the diseases. Therefore, it was considered essential for them to advise their patients to strictly follow the vaccination schedule. Homeopathic-oriented physicians viewed acute disease as a biological process necessary to strengthen health, fortify the immune system and increase resistance to chronic disease. They tended to treat infectious childhood diseases with homeopathic remedies and administered available vaccines as part of individual decision-making approaches with parents. For anthroposophic-oriented physicians, infectious childhood diseases were considered a crucial factor in the psychosocial growth of children. They tended to treat these diseases with anthroposophic medicine and underlined the importance of the family's resources. Informing parents about the potential benefits and risks of vaccination was considered important. All physicians agreed that parent-delivered loving care of a sick child could benefit the parent-child relationship. Additionally, all recognized that existing working conditions hindered parents from providing such care for longer durations of time. CONCLUSIONS: The interviewed physicians agreed that vaccines are an important aspect of modern pediatrics. They differed in their approach regarding when and what to vaccinate against. The different conceptual understandings of infectious childhood diseases influenced this decision-making. A survey with a larger sample would be needed to verify these observations.


Assuntos
Doenças Transmissíveis/terapia , Terapias Complementares/psicologia , Homeopatia/psicologia , Médicos/psicologia , Adulto , Medicina Antroposófica , Controle de Doenças Transmissíveis , Doenças Transmissíveis/psicologia , Cultura , Tomada de Decisões , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Padrões de Prática Médica , Pesquisa Qualitativa , Vacinação
7.
Complement Med Res ; 28(2): 131-138, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33040053

RESUMO

PURPOSE: The aim of this article is to describe what needs to be considered in implementing care practices, in this case an integrative care program consisting of anthroposophic treatments, in an intensive care unit (ICU) of a teaching hospital. METHODS: We used a pediatric oncology department to implement an integrative care program. We conducted a qualitative study including participant observation and semi-structured interviews with parents, nurses, doctors, and therapists. Data analysis was based on a grounded theory approach and focused on the status quo of care in the ICU. RESULTS: The following factors needed to be considered: the structure of the ICU, communication and information dissemination, and time constraints. This led to the following components of the integrative care program: (1) a training plan in anthroposophic treatments for all nurses that was conducted by 2 trained anthroposophic nurses, and (2) the introduction of an integrative shift that was on top of regular care at the ICU and focused on delivery of integrative care to patients. CONCLUSION: To add new care components to an ICU, the existing context has to be considered. Time constraints and high workload are factors that need to be recognized. In this particular context, a highly flexible program was the solution.


Assuntos
Oncologia Integrativa , Neoplasias , Pediatria , Medicina Antroposófica , Criança , Implementação de Plano de Saúde , Hospitais de Ensino , Humanos , Unidades de Terapia Intensiva , Pesquisa Qualitativa
9.
Physis (Rio J.) ; 31(3): e310321, 2021.
Artigo em Inglês | LILACS | ID: biblio-1346723

RESUMO

Abstract Death and dying constantly provoke debates regarding boundaries, rules and disputes for the legitimacy of different meanings regarding processes of finalizing life. This article places special emphasis on conflicts between the therapeutic system of anthroposophy and biomedicine in Brazil. The reflections contained in the text are based on ethnographic research, carried out in multiple locations between 2012 and 2015, investigating concepts of cure in anthroposophy in three different communities: two in Brazil, and one in Switzerland. Over the course of this journey, our experience as ethnographers led us to reflect on death and dying among the Widows of Demétria, one of the anthroposophical communities in which we conducted our research. Demétria is a rural neighborhood located in the city of Botucatu, in the interior of São Paulo state. The community was first organized during the 1970s, and it consists mostly of women - both Europeans and Brazilians - who live together, sharing a lifestyle that reimagines the ethos of death as a part of the aesthetic project of Bildung, which differs significantly from the conception of the death process in biomedicine.


Resumo A morte e o morrer suscitam continuamente o debate sobre as fronteiras, as regras e a disputa pela legitimidade dos distintos significados que envolvem os processos de finalização da vida. Este artigo busca abordar, especialmente, os conflitos que ocorrem entre o sistema terapêutico antroposófico e a biomedicina no Brasil. As reflexões se dão com base na etnografia multissituada realizada entre os anos 2012 e 2016 que se debruçou sobre a concepção de cura na antroposofia em três comunidades, duas no Brasil e uma na Suíça. Nesse percurso, fomos levados pela experiência etnográfica às elaborações sobre a morte e o morrer das viúvas da Demétria, uma das comunidades antroposóficas investigadas. Demétria é um bairro rural no interior do estado de São Paulo, na cidade de Botucatu, composto na sua maioria por mulheres, europeias e brasileiras, que convivem e partilham de um estilo de vida que reelabora o ethos da morte como um projeto estético de Bildung que difere da concepção do processo de morte na biomedicina.


Assuntos
Biologia , Morte , Estilo de Vida , Medicina , Medicina Antroposófica , Tabu
12.
BMC Health Serv Res ; 20(1): 939, 2020 Oct 12.
Artigo em Inglês | MEDLINE | ID: mdl-33046108

RESUMO

BACKGROUND: Integrative Medicine (IM) combines conventional and complementary therapies. It aims to address biological, psychological, social, spiritual and environmental aspects of patients' health. During the past 20 years, the use and request of IM in children and adults has grown. Anthroposophic Medicine (AM) is an IM approach frequently used in children in Germany. From both public health and health economic perspectives, it is relevant to investigate whether there are differences in the resource utilization between integrative pediatric departments (IPD) and the entirety of all pediatric departments. METHODS: Standard ward documentation data from all German integrative anthroposophic pediatric departments (2005-2016; N = 29,956) is investigated and systematically compared to data of the entirety of all pediatric departments in Germany derived from the Institute for the Hospital Reimbursement System (2005-2016, N = 8,645,173). The analyses focus on: length of stay, Diagnosis Related Groups (DRG), Major Diagnosis Categories (MDC), and effective Case Mix Index (CMI). RESULTS: The length of stay in the IPD (M = 5.38 ± 7.31) was significantly shorter than the DRG defined length of stay (M = 5.8 ± 4.71; p < .001; d = - 0.07) and did not exceed or undercut the DRG covered length of stay. Compared to the entirety of all pediatric departments (M = 4.74 ± 6.23) the length of stay was significantly longer in the in the IPD (p <. 001; d = 0.12). The effective CMI in IPD and all pediatric departments were identical (M = 0.76). The frequencies of DRG and MDC differed between IPD and all pediatric departments, with higher frequencies of DRGs and MDCs associated with chronic and severe illnesses in the IPD. CONCLUSIONS: Treatment within integrative anthroposophic pediatric departments fits well in terms of the DRG defined conditions concerning length of stay, even though integrative pediatric patients has an increased length of stay of averagely 1 day, which is most likely associated to time consuming, complex integrative treatment approaches and to a certain extend to higher amount of chronic and severe diseases.


Assuntos
Medicina Antroposófica , Recursos em Saúde/estatística & dados numéricos , Departamentos Hospitalares/estatística & dados numéricos , Medicina Integrativa , Pediatria , Criança , Alemanha , Humanos
13.
Sensors (Basel) ; 20(18)2020 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-32906760

RESUMO

As an emerging artificial intelligence system, social robot could socially communicate and interact with human beings. Although this area is attracting more and more attention, limited research has tried to systematically summarize potential features that could improve facial anthropomorphic trustworthiness for social robot. Based on the literature from human facial perception, product, and robot face evaluation, this paper systematically reviews, evaluates, and summarizes static facial features, dynamic features, their combinations, and related emotional expressions, shedding light on further exploration of facial anthropomorphic trustworthiness for social robot design.


Assuntos
Medicina Antroposófica , Inteligência Artificial , Face , Robótica , Criança , Expressão Facial , Feminino , Humanos , Masculino , Percepção Social , Confiança
14.
Recent Pat Drug Deliv Formul ; 14(2): 98-107, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32942982

RESUMO

Onychomycosis is a fungal infection of the nail plate or nail bed that leads to the gradual destruction of the nail. The main difficulties in the treatment of onychomycosis refer to the duration of treatments and their side effects. Thus, it becomes relevant to look for new therapeutic alternatives in the treatment of such common diseases that are efficient without causing the undesirable side effects on the patient's body. In this way, the objective of this study was to develop an anthroposophical formula for the treatment of onychomycosis, based on Phosphorus and Formica rufa, from an extensive bibliographic survey on the functions of these components, evaluating within the principles of Anthroposophy. Considering the set of knowledge and practices on the use of these components, it was possible to arrive at a proposal therapy that can be effective for the treatment of onychomycosis. After an extensive review of several existing patents, it was observed that formulations containing Phosphorus and Formica rufa together have not been described in other studies. Subsequently, our research group published a patent of the anthroposophical formula using these two components, with the number BR1020180750755, which will be efficient to help the recovery of nails, and facilitate normal growth.


Assuntos
Medicina Antroposófica , Antifúngicos/química , Formigas/química , Onicomicose/tratamento farmacológico , Fósforo/química , Animais , Composição de Medicamentos , Humanos , Unhas/microbiologia , Patentes como Assunto
15.
BMC Health Serv Res ; 20(1): 651, 2020 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-32660646

RESUMO

BACKGROUND: An important contribution to well-being of human beings can be observed by the use of self-medication products that is reflected in the constantly growing volume of over-the-counter (OTC) drugs. The aim of the current study was to extend the measurement concept for OTCs by exploring the relevance of the peripheral assortment provided by the widely accepted framework of the Anatomical Therapeutical and Chemical (ATC) classification of the WHO. METHODS: The focus was on the prescriptions and drug-related receipts submitted by privately insured persons to 18 private health insurers (PHIs) in Germany from the year 2016. The age- and gender-specific average claims amount per risks of outpatient drug expenditure were used as weights to scale up the relative distributions of the item amounts. The ATC-classification defines the commodity groups and discriminates between the main and the peripheral assortment. A descriptive analysis assessed the OTC frequencies and sum scores of the product groups within the main and peripheral assortment whereby the study group explored and assessed the relevance of each category independently according to the OTCs and integrative medicines. RESULTS: The analysis included 22.1 Mio. packages from the main assortment and examined 10.1 Mio. packages from the peripheral assortment. The latter was examined thoroughly and the commodity groups "Pharmaceutical food products", "Medicinal products for special therapy options" and particular "Hygiene and body care products" meet the defined requirements for OTCs relevant for integrative medicines. A high proportion of OTC products from the peripheral assortment was associated with the categories "medicinal products for special therapy options". Homeopathy and anthroposophy present two special therapy options, which are relevant for the extended OTC measurement. CONCLUSIONS: The analysis of OTC drugs is feasible when the main and the peripheral assortment is available and enable to integrate about 18% of all OTCs, which are neglected by the common ATC-based approach. The presented extended approach may help to identify potential users of OTCs or people in need of OTC use. In case of the highly disputed homeopathy and anthroposophy products, more research among interactions with prescriptions drugs (Rx), nutrition's and other potentially harmful exposures is recommended.


Assuntos
Terapias Complementares , Seguro Saúde , Medicamentos sem Prescrição/uso terapêutico , Setor Privado , Medicina Antroposófica , Terapias Complementares/estatística & dados numéricos , Análise de Dados , Prescrições de Medicamentos , Farmacoeconomia , Feminino , Alemanha , Humanos , Revisão da Utilização de Seguros , Masculino , Medicamentos sob Prescrição , Automedicação
16.
Patient Educ Couns ; 103(2): 276-285, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31542185

RESUMO

OBJECTIVE: To investigate how, and to what extent, patient-reported quality of care is measured in Anthroposophic and Integrative Medicine (AM/IM). METHODS: Scoping review of evaluation studies of patient-reported quality of care and development studies of PREMs and/or PROMs in AM/IM, using five stages of Arksey's methodological framework. SEARCH STRATEGY: Literature search in twelve relevant databases. DATA EXTRACTION: Basic information, added categories: Focus; PREMs/PROMs; Evaluation measures; Patient involvement; Use of results. RESULTS: Sixty-four included studies: 30 quantitative, 20 qualitative and 14 mixed-methods studies. Quantitative studies showed a wide variety of instruments and qualitative studies showed a meaningful list of evaluation themes. Most prevalent themes: Agency & Empowerment; Patient-provider relationship; Perceived effectiveness; Coping & Psychological functioning; Inner awareness; Meaning; and General wellbeing. Seven studies report concrete, coherent, patient-derived evaluation measures with emphasis on PROMs and/or PREMs. CONCLUSION: Patient-reported quality of care was not measured in a standardised way. Knowledge gap: in general, quantitative studies lack patient-derived measures and qualitative studies lack development of concrete evaluation measures. Many AM/IM evaluation aspects connect with patient-centred care. PRACTICE IMPLICATION: The international field of AM/IM would benefit from the development of a core set of validated PROMs and PREMs to further enhance its scientific underpinning.


Assuntos
Medicina Integrativa , Avaliação de Resultados da Assistência ao Paciente , Medidas de Resultados Relatados pelo Paciente , Satisfação do Paciente , Qualidade da Assistência à Saúde , Medicina Antroposófica , Pesquisa sobre Serviços de Saúde , Humanos , Participação do Paciente , Assistência Centrada no Paciente
17.
Complement Med Res ; 27(2): 77-88, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31743927

RESUMO

BACKGROUND: The investigation of the specific connections between different techniques of meditation and their respective effects depends upon a classification of the meditative activity involved. Universal systems of classification need to be developed based both on traditional sources and contemporary science. In this article, a system of classification for anthroposophical meditation is proposed. METHODS: The system was developed from a close textual analysis of meditation instructions given by Rudolf Steiner. The system of classification arising from the investigation was compared to three other classificatory systems that have recently been suggested. RESULTS: The analysis resulted in a system of classification with two main branches: (1) the shared features of anthroposophical meditation and (2) the different aspects of specific anthroposophical meditations. The first branch contains the following sub-categories: understanding, internal conditions, external conditions, sequence, timeframe and dealing with hindrances. The second branch contains: source, aim, activity, sequence and timeframe. Other systems of classification tend to leave out the dimension of the meditative activity. CONCLUSION: The proposed classification system can be used as a starting point for further refinements of the classification of anthroposophic meditation, but it can also be used as a standard for future studies of the connections between different meditations and their effects.


Assuntos
Medicina Antroposófica , Meditação/métodos , Humanos
18.
Rev. Soc. Cardiol. Estado de Säo Paulo ; 30(supl. 3): 402-407, jul., 2020. tab.
Artigo em Português | Sec. Est. Saúde SP, CONASS, SESSP-IDPCPROD, Sec. Est. Saúde SP | ID: biblio-1223761

RESUMO

Fatores psicossociais e aspectos comportamentais dos pacientes com doenças cardiovasculares e/ou orais interferem na maior ou menor motivação à adesão e ao cumprimento das recomendações médicas e odontológicas para cuidados essenciais de saúde, tais como tomar os devidos medicamentos, manter o autocultivo diário dos bons hábitos, cumprir atividades salutogênicas orientadas que reverberem bem-estar e saúde, desde simples ações como tomar um pouco de sol diariamente até ações mais elaboradas como incluir disciplina e, por exemplo, mais dedicação aos ritmos diários, atividades físicas e maior atenção ao autocuidado e ao padrão comportamental. Nessa perspectiva, a saúde do indivíduo inclui sua capacidade de ação e de adaptação resiliente em resposta aos estímulos que recebe do meio em que vive e se relaciona. Consideramos a vida em sociedade, as trocas afetivas, culturais e atividades em grupo importantes pilares para promoção de saúde porque geram movimento e estímulo a mudanças comportamentais. A relação multiprofissional entre cardiologista e equipe interdisciplinar antroposófica é um essencial aporte tanto dentro de distintas áreas da saúde e afins, como dentro da mesma profissão no caso entre a odontologia hospitalar e a odontologia antroposófica. O bom trabalho técnico-profissional com equipe interdis-ciplinar, usando linguagens apropriadas sob visão sistêmica, busca promover um vínculo profissional para considerar a totalidade do ser humano que existe por detrás daquele paciente que vem em busca de cura; a quem, todavia, deve-se perguntar se existe real e sincero propósito de se curar. Os fatores que mantêm as pessoas com maior gestão sobre seu bem-estar geram, em grande escala, reflexo positivo ao coletivo. Não existe saúde social sem saúde individual.


Assuntos
Cardiologia , Odontologia , Medicina Antroposófica
19.
BMC Public Health ; 19(1): 1623, 2019 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-31795983

RESUMO

BACKGROUND: Integrative medicine (IM) is a patient-centered, evidence-based, therapeutic paradigm which combines conventional and complementary approaches. The use of IM in pediatrics has increased in the past two decades and parents' demand for it is growing. An IM whole systems approach is anthroposophic medicine. Considering the growing demand for integrative approaches in children, it is relevant from a public health perspective to find out which kind of children use IM in Germany and whether they differ from the entirety of pediatric inpatients in Germany. Moreover, it would be interesting to known, whether these patients are willing to travel a longer distance to gain integrative treatment. METHODS: The present study investigates the standard ward documentation datasets of 29,956 patients of all German integrative anthroposophic pediatric inpatient wards from 2005 to 2016 and compares them systematically to collect data of the entirety of all pediatric inpatient wards in Germany. Apart from patients' age and gender, and the ICD-10 admission diagnoses, the geographical catchment area of the hospitals were analyzed. RESULTS: Sociodemographic characteristics of pediatric inpatients in the integrative anthroposophic departments (IAH) did not differ from the entirety of all pediatric inpatients. Regarding clinical characteristics, higher frequencies were found for endocrine, nutritional and metabolic diseases (IAH: 7.24% vs. 2.98%); mental, behavioral, and neurodevelopmental disorders (IAH: 9.83% vs. 3.78%) and nervous diseases (IAH: 8.82% vs. 5.16%) and lower frequencies for general pediatric diseases such as respiratory diseases (IAH: 17.06% vs. 19.83%), digestive diseases (IAH: 3.90% vs. 6.25%), and infectious and parasitic diseases (IAH: 12.88% vs. 14.82%) in comparison to the entirety of all pediatric inpatients in Germany. The IAH showed a broad catchment area, with most patients being from former, Western federal republic of Germany. Large catchment areas (> 100 km) for the IAH are merely covered by severe and chronic diseases. CONCLUSION: Pediatric inpatients of IAH do not differ from the entirety of pediatric inpatients in Germany regarding sociodemographic characteristics but show differences regarding clinical characteristics. Parents are willing to travel further distance to get specialized integrative anthroposophic medical care for children with severe and chronic diseases.


Assuntos
Medicina Antroposófica , Departamentos Hospitalares/estatística & dados numéricos , Pacientes Internados/estatística & dados numéricos , Medicina Integrativa/estatística & dados numéricos , Pediatria/estatística & dados numéricos , Adolescente , Área Programática de Saúde , Criança , Doença Crônica/terapia , Feminino , Alemanha , Acesso aos Serviços de Saúde , Humanos , Medicina Integrativa/métodos , Masculino , Pediatria/métodos
20.
Complement Ther Med ; 45: 289-294, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31331576

RESUMO

OBJECTIVES: Acute gastroenteritis is one of the major causes of hospital admission in childhood. The primary objective of the treatment is rehydration, but conventional drug therapies are limited. Therefore, several pediatricians supplement conventional treatment with complementary and alternative therapies. In the two German departments for pediatric integrative medicine, children suffering from an acute gastroenteritis are treated with supportive therapy based on anthroposophic medicine. However, up to now scientifically validated guidelines for these therapies are lacking. DESIGN: We consulted an expert pool of 50 physicians with expertise in anthroposophic medicine as well as pediatrics and invited them to participate in an online-based Delphi process. Results were analyzed by means of qualitative content analysis with two independent raters using MAXQDA. Using four rounds of questioning, a consensus-based guideline was developed. RESULTS: A strong consensus (>90%) or consensus (>75-90%) was achieved for 14 of 16 subsections. The guideline describes disease characteristics, the most useful diagnostics, drug as well as non-drug treatment recommendations and advises for a good physician-patient interaction. CONCLUSION: The guideline will help clinicians, as well as family doctors, in their daily routine and make anthroposophic medicine more tangible for parents and health insurance companies.


Assuntos
Doença Aguda/terapia , Medicina Antroposófica/psicologia , Terapias Complementares/normas , Gastroenterite/terapia , Medicina Integrativa/normas , Criança , Consenso , Estudos de Avaliação como Assunto , Feminino , Humanos , Masculino , Médicos/normas , Encaminhamento e Consulta/normas
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