176 resultados para TCM


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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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This study will focus on one part of Traditional Chinese Medicine (TCM), acupuncture - utilized as therapy method for pathologies treatment in humans and animals - , as well as its main techniques. Acupuncture is one branch of TCM, originated from theoretical and empirical knowledge accumulated by popular medicine. Currently, researches performed in humans and animals have shown the effectiveness of this method as an assistance or alternative in illnesses treatment. Besides that, professionals are not merely looking for orthodox medicine knowledge, but also specializations and improvement over the complementary therapies area. There are diverse studies and researches which were and are being done in veterinary, relating the effectiveness of acupuncture in small and large animals. In comparison, in the wild animals’ area the numbers of studies is smaller. However, it is expected that this number increases over the fact that some of these animals’ species are entering the pet market and also because of the possibility of using these methods for treatment and prevention of diseases on zoo animals or other animals kept in captivity

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Contents Fibroblast growth factor (FGF10) acts at the cumulus oocyte complex, increasing the expression of cumulus cell expansion-related genes and oocyte competency genes. We tested the hypothesis that addition of FGF10 to the maturation medium improves oocyte maturation, decreases the percentage of apoptotic oocytes and increases development to the blastocyst stage while increasing the relative abundance of developmentally important genes (COX2, CDX2 and PLAC8). In all experiments, oocytes were matured for 22h in TCM-199 supplemented with 0, 2.5, 10 or 50ng/ml FGF10. In Experiment 1, after maturation, oocytes were stained with Hoechst to evaluate meiosis progression (metaphase I, intermediary phases and extrusion of the first polar body) and submitted to the TUNEL assay to evaluate apoptosis. In Experiment 2, oocytes were fertilized and cultured to the blastocyst stage. Blastocysts were frozen for analysis of COX2, CDX2 and PLAC8 relative abundance. In Experiment 1, 2.5ng/ml FGF10 increased (p<0.05) the percentage of oocytes with extrusion of the first polar body (35%) compared to 0, 10 and 50ng/ml FGF10 (21, 14 and 12%, respectively) and FGF10 decreased the percentage of oocytes that were TUNEL positive in all doses studied. In Experiment 2, there was no difference in the percentage of oocytes becoming blastocysts between treatments and control. Real-time RT-PCR showed a tendency of 50ng/ml FGF10 to increase the relative abundance of COX2 and PLAC8 and of 10ng/ml FGF10 to increase CDX2. In conclusion, the addition of FGF10 to the oocyte maturation medium improves oocyte maturation in vitro, decreases the percentage of apoptotic oocytes and tends to increase the relative abundance of developmentally important genes.

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Primary hyperhidrosis is an excessive sweating disorder that occurs in axillae, palms, soles, and craniofacial region. According to Traditional Chinese Medicine (TCM) it is a water metabolism disorder. This study presents a case report treated with TCM, showing more satisfactory results than those by conventional treatments.

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Fundação de Apoio à Pesquisa do Estado de São Paulo (FAPESP)

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This thesis is aimed at providing a translation from Italian into English of some chapters taken from Osteopatia come Medicina di Terreno (Osteopathy as Ground Medicine), written by Dr. Mauro Fornari D.O.M.R.O.I., Dr. Alberto Garoli MD Ac, MD Ay, MD Tcm, Dr. Lara Gozzi D.O.M.R.O.I., Professor Stefano Guizzardi MD Ph.D., Dr. Andrea Martini D.O.M.R.O.I., and Dr. Stefano Matassoni D.O.M.R.O.I., published in 2014 by Piccin Nuova Libraria publishing house. The main reason behind this choice is a personal interest in technical-scientific translation, especially in medical translation. Furthermore, this translation has been personally requested by one of the authors of the book, Dr. Mauro Fornari, in order to export the new and functional osteopathic method to assess the patient, that is discussed in this book. The dissertation consists of four chapters. Chapter one illustrates an analysis of specialized languages from a stylistic, textual, lexical and morphosyntactic point of view. Chapter two contains an analysis of the main features of medical language, both in Italian and English. Chapter three is focused on corpus linguistics and the use of corpora in specialized translation, it includes a brief introduction to the Osteopathic practice, and contains the translation of chapters 4-5-6-7 of Osteopatia come Medicina di Terreno. And finally, chapter four contains an analysis of the problems found during the translation process, and a proposal for their resolution.

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In patients with coronary artery disease, the size of myocardial infarction mainly determines the subsequent clinical outcome. Accordingly, it is the primary strategy to decrease cardiovascular mortality by minimizing infarct size. Promotion of collateral artery growth (arteriogenesis) is an appealing option of reducing infarct size. It has been demonstrated in experimental models that tangential fluid shear stress is the major trigger of arterial remodeling and, thus, of collateral growth. Lower-leg, high-pressure external counterpulsation triggered to occur during diastole induces a flow velocity signal and thus tangential endothelial shear stress in addition to the flow signal caused by cardiac stroke volume. We here present two cases of cardiac transplant recipients as human "models" of physical coronary arteriogenesis, providing an example of progressing and regressing clinical arteriogenesis, and review available evidence from clinical studies on other feasible forms of physical arteriogenesis.

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Question: Recent research has indicated a considerable contribution of placebo effects to the outcome of acupuncture treatments: especially patients’ expectations seem to have an influence [1] and [2]. In this context it is important to better understand the patient–practitioner relationship. The aim of this study was to investigate why patients in Switzerland choose acupuncture or qigong, and what they expect from the treatment and the practitioners [3]. Methods: A qualitative survey with open questions was performed among 38 patients newly enrolled for treatment in 7 different practices for Traditional Chinese Medicine ((TCM); 6 practices for acupuncture, 1 for qigong). Questions aimed to identify reasons for choosing TCM, knowledge about its range of indications, and patients’ expectations towards method and therapist. Answers were categorised and analysed by frequency. Results: The most common reasons for choosing TCM were recommendation by acquaintances, the idea of trying a new treatment and the perception of TCM as being a gentle method. The majority of respondents had poor knowledge about the range of conditions to be treated with TCM: pain of the musculoskeletal system, headaches and chronic problems were considered as main indications. Surprisingly, gynaecological or gastro-intestinal diseases were not mentioned by the respondents. Practitioners were expected to have professional competence, provide information, empathy and understanding. Conclusions: The most striking result of this survey was the fact that patients knew very little about TCM and its indications. Thus, more precise information about TCM and other complementary methods should be offered to the general public, which would help patients to decide whether to consider TCM for the treatment of their disease. And, on the other hand, for the therapists it is important to better understand and respond to patients’ expectations in order to achieve better treatment results. The results of this qualitative survey were briefly discussed with the participating practitioners, who found them remarkable and support further quantitative studies. We plan to further investigate this topic. References 1. J. Pariente, P. White, R.S.J. Frackowiak, G. Lewith. Neuroimage, 25 (2005), pp. 1161–1167 2. M. Karst, D. Schneidewind, D. Scheinichen. Forsch Komplementmed, 17 (2010), pp. 21–27 3. S.D. Klein. Dt Ztschr f Akup, 52 (2009), pp. 18–23

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Hintergrund: Komplementärmedizinische Methoden sind in der Schweiz seit langem sehr beliebt. Gemäss den Schweizerischen Gesundheitsbefragungen 2002/2007 lassen sich mehr als 30% der Bevölkerung über 15 Jahren innerhalb eines Jahres komplementärmedizinisch behandeln. Auf Lebensfrist steigt diese Zahl auf 63.4%. Eine aktuelle Untersuchung der KIKOM zeigt, dass ca. 30% der befragten Grundversorgern in der ganzen Schweiz mehr als einmal pro Woche von Patienten nach Komplementärmedizin gefragt werden. Dieselbe Studie zeigt, dass ein Grossteil der befragten Grundversorger selber Komplementärmedizin anbieten oder Patienten für komplementärmedizinische Behandlungen überweisen. Zur Einstellung von Ärzten gegenüber Komplementärmedizin existieren viele Studien. Kaum untersucht ist bisher, ob und wie sich die Haltung von Spitalärzten und zuweisenden Ärzten nach Einrichtung eines Ambulatoriums/Konsiliartätigkeit mit Komplementärmedizin ändert. Fragestellung Wie ist die Haltung gegenüber Komplementärmedizin bei den Ärzten in der Region Burgdorf (Spital Burgdorf, zuweisende Ärzte) vor der Einrichtung einer Sprechstunden-/Konsiliartätigkeit von drei komplementärmedizinischen Methoden (Akupunktur/TCM, Anthroposophische Medizin, Klassische Homöopathie) am Spital Burgdorf und wie ist die Haltung nach einem Jahr und nach zwei Jahren? Methode: Mittels eines Fragebogens werden Meinung und Entschiedenheit dieser Aussage gegenüber Komplementärmedizin und ganzheitlichem Heilungsverständnis erfasst. Der Fragebogen steht Online zur Verfügung und wird zusätzlich allen Ärzten per Post zugeschickt. Die erste Befragung Ende 2010/Anfangs 2011 dient der Erhebung der Ausgangsdaten vor der Aufnahme der Sprechstundentätigkeit. In jährlichen Abständen wird die Umfrage wiederholt. Ergebnis: Von 170 verschickten Fragebogen wurden 6 nicht zugestellt. Lediglich 5 Teilnehmer haben den Fragebogen online ausgefüllt. 43 Fragebogen kamen spontan zurück. Nach telefonischem und schriftlichem Reminder konnten nochmals 26 Fragebogen eingeholt werden. Die Rücklaufquote beträgt damit 45% (74 von 164). Die weiteren Resultate sind in der Auswertung und werden im August zur Verfügung stehen.

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Purpose: Acupuncture is one of the complementary medicine therapies with the greatest demand in Switzerland and many other countries in the West and in Asia. Over the past decades, the pool of scientific literature in acupuncture has markedly increased. The diagnostic methods upon which acupuncture treatment is based, have only been addressed sporadically in scientific journals. The goal of this study is to assess the use of different diagnostic methods in the acupuncture practices and to investigate similarities and differences in using these diagnostic methods between physician and non-physician acupuncturists. Methods: 44 physician acupuncturists with certificates of competence in acupuncture – traditional chinese medicine (TCM) from ASA (Assoziation Schweizer Ärztegesellschaften für Akupunktur und Chinesische Medizin: the Association of Swiss Medical Societies for Acupuncture and Chinese Medicine) and 33 non-physician acupuncturists listed in the EMR (Erfahrungsmedizinisches Register: a national register, which assigns a quality label for CAM therapists in complementary and alternative medicine) in the cantons Basel-Stadt and Basel-Land were asked to fill out a questionnaire on diagnostic methods. The responder rate was 46.8% (69.7% non-physician acupuncturists and 29, 5% physician acupuncturists). Results: The results show that both physician and non-physician acupuncturists take patients’ medical history (94%), use pulse diagnosis (89%), tongue diagnosis (83%) and palpation of body and ear acupuncture points (81%) as diagnostic methods to guide their acupuncture treatments. Between the two groups, there were significant differences in the diagnostic tools being used. Physician acupuncturists do examine their patients significantly more often with western medical methods (p<.05) than this is the case for nonphysician acupuncturists. Non-physician acupuncturists use pulse diagnosis more often than physicians (p<.05). A highly significant difference was observed in the length of time spent with collecting patients’ medical history, where nonphysician acupuncturists clearly spent more time (p<.001). Conclusion: Depending on the educational background of the acupuncturist, different diagnostic methods are used for making the diagnosis. Especially the more time consuming methods like a comprehensive anamnesis and pulse diagnosis are more frequently employed by non-physician practitioners. Further studies will clarify if these results are valid for Switzerland in general, and to what extent the differing use of diagnostic methods has an impact on the diagnosis itself and on the resulting treatment methods, as well as on the treatment success and the patients’ satisfaction.