Atopic dermatitis: Conventional and Integrative Medicine

2021 ◽  
Vol 17 ◽  
Author(s):  
Kam Lun Hon ◽  
Samantha Chu ◽  
Alexander K. C. Leung ◽  
Alex Wong
Keyword(s):  
Atopic Dermatitis ◽  
Integrative Medicine ◽  
Cultural Practices ◽  
Belief Systems ◽  
Asian Population ◽  
Holistic Approach ◽  
Herbal Remedies ◽  
Racial Background ◽  
The Difference ◽  
Genetic And Environmental Factors

: Although Western medicine and ideas about atopic dermatitis (AD) have become popular in many Asian countries, local beliefs about the disease and its treatment often prevail. The multi-racial background of these countries as well as the influence of the diverse religions (such as Taoism and Ramadan) in these regions often lead to diverse belief systems about the causes of AD (such as the Chi concept, also known as the balance of yin and yang) and the types of treatment (e.g. herbal remedies, topical versus concoctions and decoctions). In addition, many of the cultural practices are preserved among the southeast Asian minorities residing in the United Kingdom and North America. Eastern treatments typically take a holistic approach to AD and emphasize the psychosomatic component of the disorder. This overview summarizes the difference between Conventional, Complementary, Alternative, and Integrative Medicine in epidemiology, etiology, therapy, and prognosis in children with AD. There are several similarities in genetic and environmental factors in epidemiology and etiology; however, differences exist in terms of the concept of management. Complementary and alternative medicine, traditional Chinese medicine, and integrative medicine usage are prevalent among the Asian population but are becoming more popular and accepted in Western societies.

Perspectives of physicians on medical acupuncture in Lebanon: a preliminary study

2020 ◽  
pp. 096452842096883
Author(s):  
Fadila Bassem Naji ◽  
Kamal Wahab ◽  
Ghassan Hamadeh ◽  
Sani Hlais
Keyword(s):  
Integrative Medicine ◽  
Online Survey ◽  
Response Rate ◽  
Mechanisms Of Action ◽  
Medical Curricula ◽  
Chinese Acupuncture ◽  
The Future ◽  
Preliminary Study ◽  
Medical Acupuncture ◽  
The Difference

Objectives: There are no regulations governing the practice of acupuncture in Lebanon as it is not yet registered as a profession. To our knowledge, no studies have ever been conducted in Lebanon regarding the practice of acupuncture. The purpose of this preliminary study was to explore the knowledge of Lebanese physicians about acupuncture, with the intent of conducting larger scale studies and developing strategies aimed at refining this knowledge in the future, and the ultimate goal of setting guidelines for acupuncture practice in Lebanon. Methods: An online survey looking into physicians’ knowledge of acupuncture, its mechanisms of action, effectiveness, indications and safety, and physicians’ understanding of its concepts, was circulated to 4651 physicians registered in the Lebanese orders of physicians. Results: One hundred forty-nine physicians (3.2%) completed the survey. Most study respondents stated that they were unaware of the difference between traditional Chinese acupuncture (TCA) and Western medical acupuncture (WMA). Overall, 30% of respondents had personally used and/or referred patients for acupuncture. Physicians who had personally tried acupuncture were more likely to refer patients for acupuncture (p < 0.001). Those who know the difference between WMA and TCA were more likely to have tried or referred for acupuncture (p = 0.004). 72% believed that acupuncture and other integrative medicine modules should be introduced in medical curricula in Lebanon. Conclusion: Interest in acupuncture among physicians in Lebanon appears to be limited, based on the low response rate. Among respondents, physicians who had tried or referred patients for acupuncture appeared to be more well informed about different acupuncture styles.

scholarly journals Realities and challenges of breastfeeding policy in the context of HIV: a qualitative study on community perspectives on facilitators and barriers related to breastfeeding among HIV positive mothers in Baringo County, Kenya

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Betty Mogesi Samburu ◽  
Judith Kimiywe ◽  
Sera Lewise Young ◽  
Frederick Murunga Wekesah ◽  
Milka Njeri Wanjohi ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Cultural Practices ◽  
Health Workers ◽  
Male Involvement ◽  
Holistic Approach ◽  
Antiretroviral Drugs ◽  
Hiv Positive ◽  
Community Perspectives ◽  
Hiv Positive Mothers ◽  
Facilitators And Barriers

Abstract Background Although recent policies have sought to increase the rates of exclusive breastfeeding (EBF) and continued breastfeeding for HIV exposed infants, few programs have considered the multiple social and cultural barriers to the practice. Therefore, to generate evidence for exclusive and continued breastfeeding policies in Kenya, we examined community perspectives on the facilitators and barriers in adherence to EBF for the HIV positive mothers. Methods Qualitative research was conducted in Koibatek, a sub-County in Baringo County Kenya, in August 2014 among 205 respondents. A total of 14 focus group discussions (n = 177), 14 In-depth Interviews and 16 key informant interviews were conducted. Transcribed data was analyzed thematically. NVivo version 10.0 computer qualitative software program was used to manage and facilitate the analysis. Results Facilitators to exclusive breastfeeding were perceived to include counselling at the health facility, desire to have a healthy baby, use of antiretroviral drugs and health benefits associated with breastmilk. Barriers to EBF included poor dissemination of policies, knowledge gap, misinterpretation of EBF, inadequate counselling, attitude of mother and health workers due to fear of vertical HIV transmission, stigma related to misconception and misinformation that EBF is only compulsory for HIV positive mothers, stigma related to HIV and disclosure, social pressure, lack of male involvement, cultural practices and traditions, employment, food insecurity. Conclusions There are multiple facilitators and barriers of optimal breastfeeding that needs a holistic approach to interventions aimed at achieving elimination of mother to child transmission. Extension of infant feeding support in the context of HIV to the community while building on existing interventions such as the Baby Friendly Community Initiative is key to providing confidential support services for the additional needs faced by HIV positive mothers.

scholarly journals EFFECT OF DIFFERENT DIMENSIONS OF ORGANIZATIONAL CULTURE ON JOB SATISFACTION OF NURSES WORKING IN RURAL AREAS OF PUNJAB, PAKISTAN

2021 ◽  
Vol 9 (4) ◽  
pp. 84-92
Author(s):  
Iqra Nawaz ◽  
Ashfaq Ahmed Maan ◽  
Izhar Ahmad Khan ◽  
Babar Shahbaz
Keyword(s):  
Job Satisfaction ◽  
Organizational Culture ◽  
Rural Areas ◽  
Belief Systems ◽  
Holistic Approach ◽  
Organizational Studies ◽  
Feedback Systems ◽  
Cross Sectional ◽  
Rural Health Centres ◽  
Different Dimensions

Purpose of the study: The current study has explored the effect of different dimensions of organizational culture on the job satisfaction of nurses working in the rural areas of Punjab, Pakistan. Methodology: Present study used a cross-sectional, face-to-face approach. The researcher collected data from 452 nurses working at tehsil headquarter hospitals and rural health centres across Punjab with the help of an interview schedule. The effect of culture on the job satisfaction level of nurses Investigated with the help of Multiple regression techniques. Main Findings: The analysis showed a 52% variation in job satisfaction because of the culture. Values and belief systems, feedback systems, innovation, growth and development opportunities, relationship patterns, autonomy, work environment were the significant determinants of job satisfaction. Whereas the facilities, communication, and vision were the nonsignificant determinants of job satisfaction in the present study. Application of this study: The current research will be helpful to understand the prevailing culture of health care organizations. That will help the administrators and policymakers to understand the different factors which are responsible for low productivity. Novelty /originality of this study: The study is novel in organizational studies because it adopts a holistic approach to consider all the significant components of culture.

scholarly journals Approach to the Assessment and Management of Pediatric Patients with Atopic Dermatitis: A Consensus Document. Section II: Comorbid Disease in Pediatric Atopic Dermatitis

2019 ◽  
Vol 23 (5_suppl) ◽  
pp. 12S-18S ◽  
Author(s):  
Chih-ho Hong ◽  
Marissa Joseph ◽  
Vy HD Kim ◽  
Perla Lansang ◽  
Irene Lara-Corrales
Keyword(s):  
Atopic Dermatitis ◽  
Health Care Providers ◽  
Pediatric Patients ◽  
Allergic Diseases ◽  
Care Providers ◽  
Barrier Dysfunction ◽  
Consensus Document ◽  
Common Skin ◽  
Genetic And Environmental Factors ◽  
Skin Conditions

Pediatric atopic dermatitis (AD) is one of the most common skin conditions encountered by health-care providers caring for infants, children, and adolescents. Pediatric patients with AD may present with other allergic and nonallergic comorbidities that require appropriate treatment and referral. They may also experience a trajectory of allergic diseases known as the atopic march, which depends on a complex interaction between genetic and environmental factors and likely involves early epidermal barrier dysfunction. Here we provide a review and clinical recommendations on the assessment and referral of comorbidities in pediatric AD.

scholarly journals An Extensive Collection of Evaluation Indicators to Assess Occupants’ Health and Comfort in Indoor Environment

Atmosphere ◽  
2020 ◽  
Vol 11 (1) ◽  
pp. 90 ◽  
Author(s):  
Fabio Fantozzi ◽  
Michele Rocca
Keyword(s):  
Human Health ◽  
Environmental Factor ◽  
Indoor Environment ◽  
Health Indicators ◽  
Holistic Approach ◽  
Indoor Environmental Quality ◽  
Threshold Values ◽  
Relative Threshold ◽  
Extensive Collection ◽  
The Difference

Today, the effects of the indoor environment on occupants’ health and comfort represent a very important topic and requires a holistic approach in which the four main environmental factors (thermal comfort, air quality, acoustics, and lighting) should be simultaneously assessed. The present paper shows the results of a literature survey that aimed to collect the indicators for the evaluation of occupants’ health and comfort in indoor environmental quality evaluations. A broad number of papers that propose the indicators of a specific environmental factor is available in the scientific literature, but a review that collects the indicators of all four factors is lacking. In this review paper, the difference between indicators for the evaluation of risk for human health and for comfort evaluation is clarified. For each environmental factor, the risk for human health indicators are proposed with the relative threshold values, and the human comfort indicators are grouped into categories according to the number of parameters included, or the specific field of application for which they are proposed. Furthermore, the differences between human health and comfort indicators are highlighted.

scholarly journals Effect of Cultural Practices on Neopamera bilobata in Relation to Fruit Injury and Marketable Yields in Organic Strawberries

Insects ◽  
2020 ◽  
Vol 11 (12) ◽  
pp. 843
Author(s):  
Hannah R. Talton ◽  
Elena M. Rhodes ◽  
Carlene A. Chase ◽  
Marilyn E. Swisher ◽  
Justin M. Renkema ◽  
...  
Keyword(s):  
Cover Crops ◽  
Cover Crop ◽  
Cultural Practices ◽  
Life Stage ◽  
Management Program ◽  
Limited Information ◽  
Significant Difference ◽  
The Difference ◽  
Management Recommendations ◽  
Type Of Injury

The strawberry seed bug, Neopamera bilobata (Say), is an emerging pest of organic and conventional strawberries in Florida. There is limited information on this Rhyparochromidae species. Thus, the type of injury caused is not clearly documented and management recommendations are lacking. In this study, we evaluated the effect of strawberry cultivars, cover crops, and the presence of runners on N. bilobata populations and yield. We also investigated the effect of select cultivars and the presence of runners on N. bilobata injury levels. In addition, we used fruit bagging experiments to investigate the effects of N. bilobata population and life stage (nymph vs. adult) on strawberry fruits. There was no effect of cover crop or cultivar on N. bilobata populations. In the 2017–2018 season, strawberry plots with runners contained higher N. bilobata populations compared with plots without runners, and adult infestation was significantly higher than nymphal infestation. In the 2018–2019 season, the trend was reversed with higher numbers of N. bilobata collected in plots with runners removed. In the 2019–2020 season, there was no significant difference in N. bilobata populations in plots with and without runners. In both 2018–2019 and 2019–2020, nymphal infestation was higher than adult infestation. Less injury was recorded in “Florida Brilliance” compared with the other cultivars tested. In the 2019–2020 season, less injury was recorded from plots without runners while the difference was not significant in 2017–2018 or 2018–2019. Releasing five and ten adult N. bilobata on ripe (red) fruit produced a similar level of injury while no injury to unripe (green) fruit was observed. Both adults and nymphs cause injury to ripe fruit. These findings can help contribute to the development of an integrated pest management program for strawberry N. bilobata.

scholarly journals The more you value, the less you practice: a study on culture and managerial discretion

2019 ◽  
Vol 27 (1) ◽  
pp. 26-50
Author(s):  
Moustafa Salman Haj Youssef ◽  
Hiba Maher Hussein ◽  
Hoda Awada
Keyword(s):  
Decision Making ◽  
Organizational Performance ◽  
Cultural Values ◽  
Cultural Practices ◽  
National Level ◽  
Holistic Approach ◽  
Managerial Discretion ◽  
Cross Cultural ◽  
Cultural Dimensions ◽  
Content Type

Purpose The purpose of this paper is to examine cross-cultural differences in managerial discretion and the extent to which variations and interaction of cultural practices and values affect the degree of freedom in decision making that is accorded to executives. This paper offers a holistic approach to investigating culture in addition to acknowledging its paradoxical nature. Design/methodology/approach Using a panel of prominent management consultants to rate discretion across 18 countries, the authors further develop the national-level construct of managerial discretion by empirically investigating the influence of cultural practices and values on CEOs’ discretion. Findings The study reveals that cultural values moderate the relationship between cultural practices and managerial discretion for three cultural dimensions: individualism, uncertainty tolerance and power distance (PD). By adopting the logic of marginal utility, the authors also show that the more a society values individualism, uncertainty tolerance and PD, the weaker the effect of their practices on managerial discretion. Originality/value Few research has attempted to assess both cultural values and practices in relation to managerial discretion. By showing the mechanism in which culture affects the level of managerial discretion, the authors offer new theoretical insights and practical implications, overall contributing to the field of cross-cultural and strategic management. Finally, this will offer CEO’s a new perspective of leveraging culture as a tool, enhancing their decision-making capabilities in the aim of improving organizational performance.

Friday Prayer and the juristic theory of government: Sarakhsī, Shīrāzī, Māwardī

1986 ◽  
Vol 49 (1) ◽  
pp. 35-47 ◽  
Author(s):  
Norman Calder
Keyword(s):  
Political Theory ◽  
Large Scale ◽  
Eleventh Century ◽  
Holistic Approach ◽  
Law Schools ◽  
Political Aspect ◽  
The Difference ◽  
The One ◽  
Friday Prayer ◽  
Traditional Pattern

Outstanding amongst the scholastic compendia of jurisprudence produced in the fifth/eleventh century are the Muhadhdhab of the Shāfi 'ī scholar Abū Ishāq al-Shīrāzī (d. 476) and the Mabsūt of the Ḥanafī scholar Shams al-Dīn al-Sarakhsī (d. 483). These works encoded three centuries of juristic speculation while confirming and promoting the distinctive patterns of their respective law schools. Both scholars, Sarakhsī in Qarakhanid Trasoxania, and shīrāzī in Saljūq Baghdad, were involved in the politics of their day, but produced no political theory seeparate from their large-scale works of furū' which followed the traditional pattern of furū' literature, established as early as Mālik. The holistic approach to divine law was the conformity to type of Sarakhsī's and shīrāzī's works helped to ensure them the classical status they acquired in the developing law-schools, and in the curricula of madrasas. The Kitāb al-Aḥkām al-sulṭāniyya of Māwardī (d.450)was in contrast, to a great extent, innovatory in subject matter and in structure, if not in juristic methodology. The difference between writers like Sarakhsī, on the one hand, and Māwardī, on the other, is not however simply formal: it includes a nicely distinguished approach to political power. The nature of this distinction might be demonstrated under a number of discrete headings selected from furū' literature. This essay is concerned with Friday Prayer (FP), a ritual generally recognized as having in some degree a political aspect.

scholarly journals (Re)constructing Conceptualizations of Health and Resilience among Native Hawaiians

Genealogy ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 8
Author(s):  
Mapuana C. K. Antonio ◽  
Samantha Keaulana ◽  
Jane J. Chung-Do ◽  
Ilima Ho-Lastimosa
Keyword(s):  
Cultural Values ◽  
Environmental Changes ◽  
Cultural Practices ◽  
Native Hawaiian ◽  
Historical Trauma ◽  
Holistic Approach ◽  
Indigenous Communities ◽  
Native Hawaiians ◽  
Positive Health ◽  
Positive Health Outcomes

Biomedical definitions of health have conventionally taken problem-based approaches to health, which may disregard indigenous perspectives of health that take a holistic approach and emphasize the importance of maintaining balance between physical, mental, and spiritual health and relationships maintained with others, the land, and the spiritual realm. Resilience-based approaches to health have been shown to foster strengths in indigenous communities, including the Native Hawaiian community, which leads to more positive health outcomes. The research questions of this paper asked, “how do Native Hawaiians conceptualize health and the concept of resilience specific to health?”. Qualitative methods were employed to explore the concept of resilience from the perspective of 12 Native Hawaiian adults. Community leaders and key stakeholders aided in the purposive recruitment process. The themes of this study include: (1) health maintained through balance, (2) being unhealthy vs. being ill, (3) the concept of colonialism and resulting adversities, and (4) protective and resilience factors that foster health. Cultural values and cultural practices may address concerns related to health disparities that stem from cultural and historical trauma, determinants of health, and environmental changes. Health interventions that are culturally-, family-, spiritually-, and land-based may particularly aid in responsiveness to health programs.

Sexuality Issues Among Survivors of Traumatic Brain Injuries

1996 ◽  
Vol 27 (1) ◽  
pp. 45-49
Author(s):  
Angela L. Hibbard Buffington
Keyword(s):  
Brain Injury ◽  
Relationship Satisfaction ◽  
Brain Injuries ◽  
Holistic Approach ◽  
Catastrophic Event ◽  
Rehabilitation Process ◽  
Relationship Therapy ◽  
Rehabilitation Professional ◽  
The Difference ◽  
Many Sources

Many sources state that a catastrophic event such as a brain injury will almost inevitably affect the sexuality of the survivor. Despite its prevalence, the issue of sexuality is seldom addressed in rehabilitation with this population for numerous reasons. It is critical that sexuality be a part of the rehabilitation process with survivors of traumatic brain injury if a holistic approach to therapy is to be offered. Sexuality and relationship therapy by a rehabilitation professional can make the difference between a life of relationship misery and a life of at least some relationship satisfaction.

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