RICARDO GHELMAN
Índice h a partir de 2011
4
Projetos de Pesquisa
Unidades Organizacionais
LIM/26 - Laboratório de Pesquisa em Cirurgia Experimental, Hospital das Clínicas, Faculdade de Medicina
5 resultados
Resultados de Busca
Agora exibindo 1 - 5 de 5
- The Sao Paulo agreement on integrative pediatrics: A consensus-based document fostering integrative health of children and adolescents globally(2021) GHELMAN, Ricardo; SIBINGA, Erica Maria Smit; SCHOEN-ANGERER, Tido von; VAGEDES, Jan; SEIFERT, Georg
- Beyond the Standard of Care: An Exploratory Qualitative Study of an Implemented Integrative Therapeutic Care Program in a Brazilian Pediatric Oncology Unit(2021) TROENDLE, Marc; STRITTER, Wiebke; ODONE, Vicente; PERON, Karina; GHELMAN, Ricardo; SEIFERT, GeorgIntroduction: This article examines the feedback of health care providers within the implementation of an integrative care project in a clinic for pediatric oncology in Sao Paulo, Brazil. Since 2017, the project has implemented external anthroposophic therapies in the activities of daily nursing. The objective is to evaluate how the project evolved and what impact it had on the daily operation of the hospital. A special focus emphasizes the perspective of study nurses. Materials and Methods: Twelve qualitative semistructured interviews were conducted. Audio files were transcribed, translated to German, and underwent a MAXQDA software-assisted analysis. Using a thematic approach, coherent cross-case topics were defined. Results: Three main topics emerged from analysis of the data. (1) The implementation and its effects on daily patient care demonstrated positive outcomes in patients and were well accepted with minimal changes in daily activities. (2) The perspective of study nurses showed a large motivation due to beneficial and stress-relieving effects of the application and a growing patient-health care provider relationship. (3) Problems and aspirations for improvement were the lack of time and the urge to make the project grow in the future. Conclusion: Not only patients but also health care providers seem to benefit from integrative methods. They have the potential to improve the working atmosphere and to strengthen relations between patients, caregivers, and family members. General feedback was positive and acceptance in the team arose over time when beneficial effects became visible.
- MUSIC INTERVENTIONS IN PEDIATRIC ONCOLOGY: Systematic review and meta-analysis(2021) SANTA, Ivone Nunes da Silva; SCHVEITZER, Mariana Cabral; SANTOS, Maria Lucia Barbosa Maia dos; GHELMAN, Ricardo; ODONE FILHO, VicenteBackground: Pain is a disagreeable and distressing feeling that affects human beings in multi-dimensional ways. A number of non-pharmacological interventions have had varying degrees of success in treating cancer-related pain, such as breathing and relaxation techniques, and music therapy, which have been identified as beneficial therapies for alleviating pain and anxiety. Objective: Identify the therapeutic effects of music interventions in psychological and physiological terms and on the quality of life of children undergoing cancer treatment. Method: Systematic review of effectiveness based on the methodology of the Joanna Briggs Institute. Results: Eleven articles were included with a total of 429 children, whose ages ranged from 0 to 18 years. The mean duration of the music intervention was 30.6 (+/- SD 9.8) min. In a combined estimate of five studies for pain and anxiety outcomes, there were benefits to using music when compared with the control group (SMD 1.05; CI 95 % 1.70 - 0.40 N = 453 I-2 = 90 %). A combined analysis of five studies to assess quality of life showed that the use of music was favorable when compared with the control (SMD -0.80; CI 95 % 1.17-0.43 N = 457 = I-2 = 71 %). Conclusion: After completing this review, it was determined that there is evidence to support the use of music to reduce pain and anxiety and improve the quality of life of children undergoing cancer treatment.
- Broadening the horizon for children's health - A qualitative study on the Centro Latino-Americano de Medicina Integrativa Pediatrica(2021) TROENDLE, Marc; STRITTER, Wiebke; GHELMAN, Ricardo; ODONE, Vicente; SEIFERT, GeorgObjectives: The aim of this article is to analyze the recently established structure of the unit for pediatric integrative medicine (Portuguese: Unidade de Pediatria Integrativa, UPI), its aims and activities at the Children and Adolescent's Institute and the Institute for the Treatment of Childhood Cancer of the Medical Faculty of the University of Sao Paulo. To give a complete overview, opinions and views of stakeholders were reflected in the analysis. Design: An ethnographic approach was chosen to provide an overview of the work of UPI through semi-structured qualitative interviews and participant observation. Observational notes, informal conversations and informational material complemented the collected data. The analysis of the transcribed interviews focused on specific questions regarding the unique role of pediatric integrative medicine in a conventional hospital setting and a perspective for the future. Results: The UPI is making use of Complementary and Integrative Medicine based on three major pillars treatment, research and teaching. The unit is a pioneer for the field of Integrative Medicine in Latin America. Its goal is to improve the health and treatment of children using the methods of Integrative Medicine by generating positive outcomes in patient care and evidence-based research. Further expansion of the activities is planned for the future to promote the exchange and further dissemination of pediatric integrative medicine based on stringent research. Conclusions: UPI is a novelty on the Latin-American continent and has the potential to contribute significantly to the acceptance and expansion of integrative models by introducing complementary methods in conventional medicine.
- A comprehensive definition for pediatric integrative oncology through an international consensus(2021) TORTORA, Suzi; RAGHUNATHAN, Nirupa J.; SEIFERT, Georg; SIBINGA, Erica Maria Smit; GHELMAN, Ricardo