The Invisibility of Integrative and Complementary Practices in Primary Healthcare.

Invisibility is an issue that requires more attention among healthcare professionals, as some activities in Primary Care go unnoticed. One example is the offer of complementary therapies, whose implementation has been frail and, consequently, can be overlooked in the Unified Health System. This study aims to understand the factors contributing to the public invisibility of Integrative and Complementary Practices in Primary Care.

Allopurinol-Induced Toxic Epidermal Necrolysis.

Toxic epidermal necrolysis (TEN) is a rare and life-threatening cutaneous disease, frequently triggered by drugs. Allopurinol is one of the most frequent drugs associated with TEN, which implies detachment of a significant amount of the body surface area (BSA) and has a high morbidity and mortality associated with it. We present the case of a 68-year-old female with a recent diagnosis of hyperuricemia who started treatment with allopurinol.

SchoolAIR: A Citizen Science IoT Framework Using Low-Cost Sensing for Indoor Air Quality Management.

Indoor air quality (IAQ) problems in school environments are very common and have significant impacts on students' performance, development and health. Indoor air conditions depend on the adopted ventilation practices, which in Mediterranean countries are essentially based on natural ventilation controlled through manual window opening. Citizen science projects directed to school communities are effective strategies to promote awareness and knowledge acquirement on IAQ and adequate ventilation management.

COVID-19 and Lockdown: The Potential Impact of Residential Indoor Air Quality on the Health of Teleworkers.

In addition to outdoor atmospheric contamination, indoor exposure to pollutants is a prime contributor to the overall human exposure, and may condition the expressiveness and severity of respiratory, cardiovascular, and allergic diseases. This situation has worsened due to COVID-19, as people have spent more time indoors to comply with social isolation and mandatory telework. The primary purpose of this study was to assess and compare indoor air quality (IAQ) in a significant sample of dwellings of workers from a Higher Education Institution (HEI) in Portugal who were teleworking and their usual workplace.

Lifestyle, inadequate environments in childhood and their effects on adult cardiovascular health.

Objectives: To discuss the associations between habits and environment in childhood and cardiovascular effects on adults.

Source Of Data: Search in PubMed, Scielo and Science databases, cohort or case-control studies, and systematic or scope-based reviewson the causal relationship among exposures in the pediatric age group and cardiovascular effects in adults.

Synthesis Of Data: The authors identified 41 eligible articles, which demonstrated an impact on cardiovascular health (characterized as surrogate events - structural or functional vascular alterations or left ventricular dysfunction - or clinical events - myocardial infarction, stroke or cardiovascular death) with environmental aspects (intrauterine or economically poor environment, violence, reduced life expectancy and serious infections) and habits (nutrition, physical activity and tobacco exposure).

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.

Professional Training in Integrative and Complementary Practices: the meanings attributed by Primary Health Care workers.

Objective: To understand the meanings attributed by Primary Health Care workers to the professional training process in Integrative and Complementary Practices.

Method: Descriptive, exploratory study with a qualitative approach, carried out with 20 professionals from 14 health units in three municipalities in the Metropolitan Region of Goiânia, state of Goiás, Brazil. Data were collected through semi-structured interviews, transcribed and analyzed using the thematic content analysis.

[Performance autoethnography and qualitative research in Collective Health: methodological (mis)encounters].

Performance autoethnography is qualitative research methodology that aims to problematize resistances between the "self" (auto-) and the collective (ethno-) in the act of writing (-graphy). The article thus aims to discuss the theoretical and practical construction of performance autoethnography and its applicability as a qualitative research and analytical method in the field of Collective Health through a performance autoethnography writing. By problematizing the epistemic and ontological basis of performance autoethnography, pointing to possibilities for its development and inclusion in studies in the field of Collective Health, the article presents performance autoethnography as a strategy to expand the possibilities for social justice, democratization, and pluralisms in and from research practices.

Effects of an intervention program with health education and hatha yoga on the health of professionals with musculoskeletal symptoms.

Introduction: Musculoskeletal and mental disorders are relevant in the workers' disease process, and ergonomic interventions that include guidance and physical exercise consist of strategies of health promotion. Integrative and complementary practices are presented as a possibility of promoting comprehensive care and yoga consists of a therapeutic alternative.

Objective: To evaluate the effects of an intervention including educational measures and hatha yoga in musculoskeletal pain, disability, and stress in professionals of a university hospital.

Exposure to BTEX in buses: The influence of vehicle fuel type.

Diesel-fueled buses have been replaced by Compressed Natural Gas (CNG) to minimize the high level of emissions in urban areas. However, differences in indoor exposure levels to Benzene, Toluene, Ethylbenzene and Xylene (BTEX) in those vehicles have not been investigated so far. The primary aim of this study was to determine if passengers are exposed to different BTEX levels when using buses powered by CNG or by diesel, and further explore if indoor levels are influenced by external air quality.

Environmental and biological monitoring of benzene, toluene, ethylbenzene and xylene (BTEX) exposure in residents living near gas stations.

The volatile organic compounds benzene, toluene, ethylbenzene, and xylene (BTEX) are emitted into the atmosphere at gas stations (GS) leading to chronic exposure of nearby residents, which raises public health concerns. This study aimes at determining the contribution of GS emissions to BTEX exposure in nearby residents. Three and areas to BTEX emissions from GS were defined in a medium-sized European city (Porto, Portugal).

[Chinese medicine/acupuncture: historical notes on the colonization of a body of knowledge].

Western colonialism influenced the encounter between traditional and modern knowledge from the nineteenth century onwards, resulting in the overlapping of Western medicine as a privileged form of knowledge. In 1958 the hybridization between Chinese and Western medicines became official under the name of traditional Chinese medicine and, through the development of biomedical research on acupuncture, it distanced itself from traditional knowledge. This essay presents historical changes experienced by Chinese medicine/acupuncture and discusses the effects of its absorption by modern medical reasoning from a postcolonial standpoint.

A proposed methodology for impact assessment of air quality traffic-related measures: The case of PM in Beijing.

Air quality traffic-related measures have been implemented worldwide to control the pollution levels of urban areas. Although some of those measures are claiming environmental improvements, few studies have checked their real impact. In fact, quantitative estimates are often focused on reducing emissions, rather than on evaluating the actual measures' effect on air quality.

Biographical ruptures and flows in the family experience and trajectory of children with cystic fibrosis.

Biographical disruption (BD) became a core concept of sociological studies on the chronic illness experience by showing how this event can be strongly affected by ruptures in the ways of living and organizing the biographical trajectory through narratives. Critical reviews have pointed out that the widespread use of this concept was not sufficiently attentive to its analytical limits, e.g.

[Contributions and challenges associated with bodily practices and meditation for health promotion in the public primary care system in the city of São Paulo, Brazil].

The article presents an analysis of contributions and challenges associated with bodily practices and meditation for health promotion in the public primary care system. The qualitative study was developed in 16 healthcare units in the city of São Paulo, Brazil, using interviews with 29 health professionals and 36 practitioners of bodily practices and meditation, including participant observation of 31 practices such as Tai Chi, Lian Gong, Qigong, Yoga, Capoeira, Dance, Meditation, Relaxation, Mindfulness, and Body Awareness. There was an improvement in joint pain, mobility, balance, memory, depression, and anxiety, besides greater ease in coping with chronic conditions.

Trends of PM concentrations in China: A long term approach.

The fast economic growth of China along the last two decades has created a strong impact on the environment. The occurrence of heavy haze pollution days is the most visible effect. Although many researchers have studied such problem, a high number of spatio-temporal limitations in the recent studies were identified.

Acupuncture in Brazil's Unified Health System - an analysis based on different health management tools.

The integration of Integrative and Complementary Practices into public health systems has been the subject of national and international debate. In Brazil, the National Policy on Integrative and Complementary Practices guides the integration of acupuncture into the Unified Health System (UHS). This article explored the availability and/or accessibility of acupuncture in the UHS in 26 municipalities in the XIII Health Region of the State of São Paulo between 2001 and 2011, based on the analysis of Municipal Health Plans, Annual Management Reports and complementary data obtained from Information Systems.

The Practice of Hatha Yoga for the Treatment of Pain Associated with Endometriosis.

Objectives: The aim of this study was to compare chronic pelvic pain, menstrual patterns, and quality of life (QoL) in two groups of women with endometriosis: those who did and those who did not participate in a specific 8-week yoga intervention.

Method: This was a randomized controlled trial. It was conducted at the University of Campinas Medical School, Campinas, SP, Brazil.

The Mais Médicos (More Doctors) Program in Mato Grosso State, Brazil: implementation analysis.

Although the 224 health professionals engaged by the More Doctors for Brazil Project (Projeto Mais Médicos para o Brazil, PMMB) to strengthen the National Primary Health Care Policy (Política Nacional de Atenção Básica, PNab) in 104 municipalities of Mato Grosso (MT) State have encountered significant problems in the work process, important advances have resulted in the health of populations served by the More Doctors Programme (Programa Mais Médicos, PMM). This article analyses the implementation and development of the PMM in MT, from 2013 to 2015, on the basis of primary data from focus groups and interviews of social stakeholders at the institutions involved and secondary data from reports by supervisors, tutors, managers and institutions on the MT State Coordinating Committee (CCE) of the PMM. Despite political difficulties in managing implementation, the results show that the endeavour was beneficial in that it surmounted previous obstacles, afforded users greater access, prompted discussion of the problem and proposed and experimented with ways to strengthen primary health care.

Control of dengue: Consensus views of Endemic Disease Control Agents and Community Health Agents on their integrated action.

Dengue is one of Brazil's most important public health challenges. Activities for its prevention and control have been based on the strategy of integrated management proposed in health policies, in which the central actors are the Endemic Disease Control Agent(ACE) and the Community Health Agent (ACS). This study analyzes consensus opinions produced by ACSs and ACEs on theactions for incorporating ACEs into the teams of the Family Health Strategy (ESF).