Condução de manejo de comportamento associadas a terapias integrativas em pacientes odontopediátricos: Revisão de literatura / Conducting association treatment associated with integrative therapies in pediatric dental patients: Literature review

O objetivo deste artigo foi dispor aos profissionais conhecimento e embasamento sobre o uso de terapias integrativas em controle de comportamento em pacientes odontopediátricos. Trata-se de uma revisão de literatura de cunho narrativo e caráter exploratório que será fundamentado na coleta de artigos científicos nas principais bases de dados: Scielo, Lilacs, PubMed e Google Acadêmico. Buscou-se contribuir cientificamente com o conhecimento a fim de empregar corretamente a condução de manejo com terapias integrativas mais adequadas a cada situação no atendimento clínico odontopediátrico. Conclui-se que o conhecimento técnico e científico do manejo do comportamento infantil e das terapias integrativas no atendimento odontológico infantil é fundamental em busca de desenvolvimento físico e emocional de modo satisfatório. ---The aim of this article was to provide professionals with knowledge and foundation on the use of integrative therapies in behavior control in pediatric dental patients. This is a literature review of a narrative and exploratory nature that will be based on the collection of scientific articles in the main databases: Scielo, Lilacs, PubMed and Academic Google. We sought to contribute scientifically with knowledge in order to correctly employ the management of the most appropriate integrative therapies for each situation in pediatric clinical care. It is concluded that technical and scientific knowledge of the management of child behavior and integrative therapies in child dental care is essential in the search for satisfactory physical and emotional development.

Comparing scientific worldviews between allopathic medical degree and East Asian medicine degree students utilizing the thinking about science survey instrument (TSSI)

Background Integrative medicine has become a new healthcare model due to the growing evidence base for complementary and integrative therapies. However, some question whether complementary and integrative therapies can truly be integrated with biomedicine due to differences in underlying paradigms and theoretical bases. This study aimed to explore differences in scientific worldviews between students studying East Asian medicine and those completing an allopathic medical degree using the validated Thinking about Science Survey Instrument (TSSI). Methods 122 medical students from Albert Einstein College of Medicine (Einstein) and 48 East Asian medicine students from the Pacific College of Health and Science (Pacific College) participated in this study. Participants completed the TSSI, a 60-item Likert-scale instrument that quantitatively measures the sociocultural resistance to, and support for science. Item and category means were compared between each group using an independent sample t-test. Results Distinct differences were seen between the two groups of students with regard to age, gender distribution and prior education. Einstein students were generally supportive of science and Pacific College students were generally supportive of/positively neutral to science. Einstein students more strongly affirmed the relationship of science in relation to the categories of Epistemology, Public Health, Emotion and Aesthetics, the Economy, and Public Policy. Pacific College students more strongly affirmed the relationship between science and the category Race and Gender. There were no differences in the categories of Environment and Resource, Science for All, and Religion and Morality. Conclusion This study suggests that there are differences underlying the scientific worldviews of Einstein and Pacific College students, particularly with regard to Epistemology and Public Health. Such differences may be related to the different theoretical knowledge bases and ways of viewing health within the two disciplines. Despite demographic and educational differences between the two groups their overall scientific worldviews were similar with neither group expressing disparate views. This suggests that both groups may be receptive to the value of other paradigms. Providing courses that focus on different therapeutic approaches and paradigms during medical training may foster interprofessional understanding and collaborative practice between health professionals of different medical disciplines.

Management issues in chronic pain following cancer therapy

Extraordinary innovations have led to the introduction of highly effective cancer treatments. These treatments include surgery, radiotherapy, chemotherapy, hormonal therapy, haematopoietic stem cell transplant, and, more recently, immunotherapy. Unfortunately, these remarkable treatments, and resultant improved rates of survival, can be accompanied by significant complications, including chronic pain. The prevalence of pain in the population of cancer survivors is estimated to be greater than 40%, with significant associated impairment of quality of life. It is important to note that cancer survivors may have received more than one of these therapies, considerably increasing the risk of developing chronic pain. The management of pain in cancer survivors requires thorough assessment of pain, function, and risk factors for misuse of opioids or other substances. Awareness of the types of cancer pain syndromes that may occur, along with treatment options, is crucial. Multimodal interventions should be incorporated into the plan of care, including pharmacological, non-pharmacological, cognitive behavioural, interventional, and integrative therapies. Despite the high exposure to these cancer therapies, and the significant prevalence of chronic pain that can occur, little research has been conducted to elucidate the resultant painful syndromes caused by these treatments clearly, much less develop effective management strategies for these disorders. Recent guidelines advance key treatment principles in this evolving population.

Insomnia and Integrative Therapies

Because sleep and health are innately connected, insomnia is among the most common challenges to both the quantity and quality of sleep. In addition to developing an understanding of insomnia, available therapies must be examined. Although of the treatment discussions for sleep disorders have relied on pharmacology, these are often not effective or challenged by untoward side effects. Therefore approaches beyond medications are needed. This chapter explores the definition of insomnia and therapeutic approaches focused on cognitive-behavioral therapy for insomnia (CBT-I), mindfulness-based therapies for insomnia (MBTI), yoga, tai chi, heart rate variability, biofeedback, electrical stimulation, exercise, and nutrition.

Integrative approach to a patient following rumenotomy ˗ case report

ABSTRACT Concern with antimicrobial resistance in animal production systems increases the interest toward integrative therapies. The objective of the present report was to report an integrative approach to a goat undergoing rumenotomy. A goat with ruminal acidosis underwent rumenotomy, corrective rumen suture, moxibustion, and treatment of the surgical wound (TFO) with sugar. In the first twenty days, acupuncture was performed on ST36, indirect moxibustion on Sp6 and CV8, and TFO with antibiotic ointment and sugar. The wound contracted 2cm, there was gradual return of ruminal dynamics, and moderate pain. Acupuncture continued from D21 to D50 on Yin tang, BL13, BL20, BL23, and BL22. Although there was drainage of ruminal fluid, the wound contracted 4cm during this period, pain was absent, and ruminal dynamics normal. During the last thirty days, the acupuncture technique surround the dragon was used and BL13 point needled, with complete closure of the wound. The TFO from D21 was performed solely with sugar. During treatment, there was modulation of the inflammatory response, with formation of granulation tissue and neovascularization. On D84, fibrinogen was 100mg/dL. The authors conclude that the use of sugar, acupuncture, and moxibustion contributed to return of normal ruminal motility, wound contraction, and complete tissue reepithelization.

Interest and Willingness to Pay for Integrative Therapies of Patients With Cancer and Caregivers

PURPOSE: Complementary and integrative medicine (CIM) services are more prevalent in cancer centers but continue to be underutilized by patients. This study examines perspectives from patients and caregivers about these services being offered at a comprehensive cancer center. METHODS: Patients and caregivers were surveyed about their familiarity, interest, and experience with five CIM therapies: acupuncture, massage, meditation, music therapy, and yoga. Respondents were also asked about their interest when recommended by their medical team and when offered in a clinical trial as well as their willingness to pay for these services. Respondents were also asked about perceived barriers to accessing these services. Chi-squared tests were performed to explore associations between past experience, interest levels, and willingness to pay. RESULTS: A total of 576 surveys were obtained (464 patients and 112 caregivers). Most respondents identified as White or Caucasian (65.6%), female (57.2%), had been a patient for < 3 years (74.2%), had some college education (73.8%), and made > $40,000 in US dollars as their annual household income (69.1%). Respondents were most familiar with therapeutic massage (34.2%) and least familiar with acupuncture (20.0%). The average interest in these services increased from 53.3% to 64.1% when recommended by a medical professional. Respondents were most willing to pay $1-60 for therapeutic massage (62.3%) and least willing to pay for meditation (43.7%). The main barriers to accessing CIM services were cost (56.0%) and lack of knowledge (52.1%). CONCLUSION: Overall, a significant proportion of patients and caregivers were unfamiliar with these five integrative therapies. Increasing education, decreasing cost, and a recommendation by medical professionals would improve CIM usage.

Scientific Worldview Differences Between Allopathic Medical Degree and East Asian Medicine Degree Students

Background Integrative medicine has become a new healthcare model due to the growing evidence base for complementary and integrative therapies. However, some question whether complementary and integrative therapies can truly be integrated with biomedicine due to differences in underlying paradigms and theoretical bases. This study aimed to explore differences in scientific worldviews between students studying East Asian medicine and those completing an allopathic medical degree using the validated Thinking about Science Survey Instrument (TSSI).Methods 122 medical students from Albert Einstein College of Medicine (Einstein) and 48 East Asian medicine students from the Pacific College of Health and Science (Pacific College) participated in this study. Participants completed the TSSI, a 60-item Likert-scale instrument that quantitatively measures the sociocultural resistance to, and support for science. Item and category means were compared for each group using the two-sample t-test.Results Einstein students were generally supportive of science and Pacific College students were generally supportive of/positively neutral to science. Einstein students more strongly affirmed the relationship of science in relation to the categories of Epistemology, Public Health, Emotion and Aesthetics, the Economy, and Public Policy. Pacific College students more strongly affirmed the relationship between science and the category Race and Gender. There were no differences in the categories of Environment and Resource, Science for All, and Religion and Morality.Conclusion This study suggests that there are differences underlying the scientific worldviews of Einstein and Pacific College students, particularly with regard to Epistemology and Public Health. Such differences may be related to the different theoretical knowledge bases and ways of viewing health within the two disciplines. Our study also suggests that both groups may be receptive to the value of other paradigms. Providing courses that focus on different therapeutic approaches and paradigms during medical training may foster interprofessional understanding and collaboration between providers of different medical disciplines.