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A TRANSCULTURAL PERSPECTIVE ON NONPHARMACOLOGICAL TREATMENT OF POSTPARTUM DEPRESSION: A SYSTEMATIC REVIEW
Title
A TRANSCULTURAL PERSPECTIVE ON NONPHARMACOLOGICAL TREATMENT OF POSTPARTUM DEPRESSION: A SYSTEMATIC REVIEW.
Creator
Leyva, Amanda W, Edwards, Joellen, Upvall, Michele, University of Central Florida
Abstract / Description
Despite PPD's global extent, scarce research that addresses culturally competent alternative interventions exists. The purposes of this thesis were to 1) analyze the existing literature on non-pharmacological treatment of PPD in the US and across selected cultures; 2) determine the effectiveness of cross-cultural non-pharmaceutical therapy; and 3) examine and suggest ways health care providers can integrate non-pharmacologic interventions into PPD treatment in the US. The systematic...
Show moreDespite PPD's global extent, scarce research that addresses culturally competent alternative interventions exists. The purposes of this thesis were to 1) analyze the existing literature on non-pharmacological treatment of PPD in the US and across selected cultures; 2) determine the effectiveness of cross-cultural non-pharmaceutical therapy; and 3) examine and suggest ways health care providers can integrate non-pharmacologic interventions into PPD treatment in the US. The systematic electronic search comprised the databases Cumulative Index to Nursing and Allied Health Literature, Medline, PsycINFO and SAGE Research Methods. Searches were limited to English language, peer reviewed, and research articles between 2007 and 2017. A second search was performed through global Healthcare Organizations websites. The World Bank's country classifications by income level were adopted to present the findings. This review found that passing el calor to the newborn, yoga; and cognitive-behavioral, interpersonal, family, and bright light therapies are successful interventions. Further, seclusion periods were identified as adequate interventions only when women voluntarily adopt the practice and have family support, with less social restrictions. While other non-pharmacological treatments' effectiveness was not ascertained, this thesis encourages healthcare professionals to integrate cultural traditions congruent with clients' preferences. Recommended nursing interventions and suggestions for improvement of current practice are also discussed.
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Date Issued
2018
Identifier
CFH2000370, ucf:45916
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000370
THE EFFECTS OF WESTERN MEDICINE ON THE LIVELIHOOD OF ZULU TRADITIONAL HERBAL HEALERS IN SOUTH AFRICA
Title
THE EFFECTS OF WESTERN MEDICINE ON THE LIVELIHOOD OF ZULU TRADITIONAL HERBAL HEALERS IN SOUTH AFRICA.
Creator
Bahamonde, Holly, Reyes-Foster, Beatriz, University of Central Florida
Abstract / Description
The majority of South African citizens experience inadequate healthcare due to underfunding, mismanagement, staff shortages, and infrastructure problems. Before a healthcare system was created, the sick turned to traditional herbal healers for care. South Africa's Zulu healers possess specialized knowledge of local plants and medicine thought to have physical and spiritual healing properties. The country's increasing reliance on Western biomedicine has created a current concern from...
Show moreThe majority of South African citizens experience inadequate healthcare due to underfunding, mismanagement, staff shortages, and infrastructure problems. Before a healthcare system was created, the sick turned to traditional herbal healers for care. South Africa's Zulu healers possess specialized knowledge of local plants and medicine thought to have physical and spiritual healing properties. The country's increasing reliance on Western biomedicine has created a current concern from indigenous medicine conservationists regarding the future of this kind of knowledge. In order to assess the effects of Western medicine on traditional healing practices, I collected data on the various uses of traditional medicine, the frequency in which it is used relative to Western medicine, and how it is maintained in the community. The data identified the various uses and potential problems of Western medicine and Zulu traditional herbal practice in helping the community. The traditional herbal healers revealed close connections between the informational, spiritual, physical, and cultural components of the practice that characterize its livelihood and practice for generations to come. This information allows for a greater understanding of how culture and medicinal knowledge can be entwined together and the positive or negative effects of biomedicine interacting with traditional medicine to help solve sicknesses in not only South Africa, but potentially in our global community.
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Date Issued
2015
Identifier
CFH0004892, ucf:45419
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004892
COMPARATIVE DIFFERENCES BETWEEN TRADITIONAL CHINESE MEDICINE AND WESTERN MEDICINE IN TREATING TYPE II DIABETES MELLITUS
Title
COMPARATIVE DIFFERENCES BETWEEN TRADITIONAL CHINESE MEDICINE AND WESTERN MEDICINE IN TREATING TYPE II DIABETES MELLITUS.
Creator
Morales, Neley, Webster, Danielle, University of Central Florida
Abstract / Description
In the United States alone, there were 25.8 million people suffering from diabetes in 2010. The prevalence of diabetes is expected to markedly increase worldwide over the next 30 years, an estimated 2.8% in 2000 and 4.4% in 2030. For individuals diagnosed with type 2 diabetes mellitus (T2DM), treatment is essential to control adverse effects such as hypertension and diabetic neuropathy. The focus of this study is to examine various approaches to maintain and improve the lifestyle of...
Show moreIn the United States alone, there were 25.8 million people suffering from diabetes in 2010. The prevalence of diabetes is expected to markedly increase worldwide over the next 30 years, an estimated 2.8% in 2000 and 4.4% in 2030. For individuals diagnosed with type 2 diabetes mellitus (T2DM), treatment is essential to control adverse effects such as hypertension and diabetic neuropathy. The focus of this study is to examine various approaches to maintain and improve the lifestyle of individuals suffering from T2DM. A comparative approach has been used to evaluate the differences in the treatment of T2DM with the use of traditional Chinese medicine (TCM) and Western medicine. In Western society, pharmaceuticals are commonly used as a treatment method to manage hyperglycemia, along with life-style modifications. Furthermore, TCM views the human body and its functioning in a holistic way, stating that no single body part or symptom can be understood apart from its relation to a whole. Herbal medications and other treatments in TCM are targeted to treat underlying medical complaints that resulted in symptoms, instead of treating one specific manifestation. Data collection has been gathered through Qualitative over the phone interviews with patients suffering from T2DM, as well as TCM physicians. Interviews were conducted on patients that were diagnosed with T2DM (fasting plasma glucose levels of 126 or greater and HbAlc levels >8%), and had continued treatment longer than three months prior to interviews. Collection of chart notes containing glucose levels, levels of pain, lifestyle changes, and vital signs were also used. A total of 21 patients from a family practice were interviewed, answering 21 constructed questions based on treatment of choice (TCM or Western) and their personal input on treatment satisfaction. Patients varied in age, ethnicities, and gender, ranging from 39-70 years of age. Two traditional Chinese medicine physicians were also interviewed. Interviews with TCM physicians elaborated on course of treatment and steps taken to diagnose T2DM. Furthermore, prescription medications were also charted and documented to further analyze with secondary data. Upon completing the interviews, the data stated 21 patients (total population questioned) had not experienced alternative medicine and were exposed only to western medicine as treatment. A major concern for most patients were the pharmaceutical side effects, and 85.1% of patients stated they would be interested in an alternative treatment. Due to insufficient sources and knowledge on TCM treatment, 14.2% of patients stated they were satisfied with their western medicine treatment of choice and would not change treatment. The research's objective was to evaluate the differences in treatment of T2DM. Data collected supported the objective and showed the lack of sources to alternative treatments aside from western medicine. The researcher informed and educated interviewees about literature review on traditional Chinese medicine about alternative treatments available to treat T2DM.
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Date Issued
2014
Identifier
CFH0004570, ucf:45170
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004570
POLITICAL ECOLOGY OF MEDICINAL PLANT USE IN RURAL NEPAL: GLOBALIZATION, ENVIRONMENTAL DEGRADATION, AND CULTURAL TRANSFORMATION
Title
POLITICAL ECOLOGY OF MEDICINAL PLANT USE IN RURAL NEPAL: GLOBALIZATION, ENVIRONMENTAL DEGRADATION, AND CULTURAL TRANSFORMATION.
Creator
Dovydaitis, Emily, Vajravelu, Rani, University of Central Florida
Abstract / Description
Prior to the advent of biomedicine, rural communities in Nepal relied on phytochemically active compounds in medicinal plants as their primary source of medicine; however, ethnobotanical practices have shifted over time due to economic, environmental, and sociocultural stimuli. Findings from 2016 fieldwork conducted in Dumrikharka, Nepal and Tutung, Nepal are compared to existing literature to describe the political ecology of medicinal plants in rural Nepal. Anthropogenic climate change...
Show morePrior to the advent of biomedicine, rural communities in Nepal relied on phytochemically active compounds in medicinal plants as their primary source of medicine; however, ethnobotanical practices have shifted over time due to economic, environmental, and sociocultural stimuli. Findings from 2016 fieldwork conducted in Dumrikharka, Nepal and Tutung, Nepal are compared to existing literature to describe the political ecology of medicinal plants in rural Nepal. Anthropogenic climate change threatens individual plant species and ecosystem biodiversity. Globalized markets unabated by weak conservation programs place increasing demands on medicinal plants. As indigenous plants become overharvested and more difficult to access, Nepalis incorporate non-indigenous plants into the local pharmacopeia. Novel use of non-indigenous plants illustrates both the dynamic, resilient nature of traditional medicine systems and a loss of biodiversity. Social changes, including outmigration to other countries, notions of modernity, and preference for pharmaceutical drugs, reduce potential candidates to learn and preserve ethnobotanical knowledge. Waterborne pathogens caused by inadequate sanitation infrastructure continue to endanger Nepali populations. The dearth of clinical facilities throughout rural areas, when coupled with the decline ethnobotanical knowledge and traditional healers, poses a gap in healthcare jeopardizing vulnerable, marginalized populations. These factors reinforce the unequal distribution of resources in one of the world's poorest countries, buttressing power inequalities and economic inequities.
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Date Issued
2017
Identifier
CFH2000240, ucf:46008
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000240