Traditional medicine use in Timor-Leste

Grace, Robert F; Vaz, Jacinto; Costa, Julianti Da

doi:10.1186/s12906-020-02912-9

Cited by 11 publications

(10 citation statements)

References 18 publications

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“…In addition, the population in rural areas of Timor-Leste is reluctant to utilize the health-care system because of various reasons, such as lack of patient transport, out-of-pocket expenses for hospital visits, cultural belief, and geographical barriers [ 16 , 33 ] and prefers instead to use traditional healers. [ 15 ] Often patients present very late after the burn injuries and already have complications. Other studies have reported that less than half of burn patients utilize hospital care and only about 5% of those need further care and require admission to an acute care facility.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The government provides free public healthcare, however mountainous terrain combined with cultural-, and socio-economical barriers make it challenging for the population to access medical services within an appropriate time frame. [15][16][17] Hospital Nacional Guido Valadares (HNGV) is located in the capital Dili and is the national referral hospital and Timor-Leste's largest hospital. It is the only tertiary hospital of the country and provides secondary health services for the residents in 5 of 13 districts.…”

Section: Introductionmentioning

confidence: 99%

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Acute burn care and outcomes at the Hospital Nacional Guido Valadares (HNGV), Timor-Leste: A 7-year retrospective study

Salendo

Ximenes²,

Soares³

et al. 2022

Medicine

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The purpose of this study was to describe the epidemiology of patients presenting with acute burns and undergoing admission at Hospital Nacional Guido Valadares (HNGV) in Dili, Timor-Leste in the period 2013 to 2019. HNGV is the only tertiary referral hospital in Timor-Leste. This was a retrospective study involving all acute burn patients admitted to the surgical wards of HNGV from 2013 to 2019. The data was collected from patient charts and hospital medical archives. Data were reviewed and analyzed statistically in terms of age, gender, residence, cause, total body surface area (TBSA), burns depth, length of stay (LOS), and mortality. The outcomes were analyzed using logistic regression. Over the 7-year period, there were 288 acute burn patients admitted to the surgical wards of HNGV. Most patients were children (55%), male (65%) and from the capital city of Dili or surrounding areas (59%). The most common cause of burns in children was scalds and the most common cause among adults was flames. Of the admitted patients 59% had burns affecting >10% of the TBSA and 41% had full thickness burns. The median LOS was 17 days (1–143) and the average mortality for admitted burn patients in HNGV was 5.6% (annual mortality 0–17%). The odds ratio for extended LOS was 1.9 (95% confidence interval 1.1–3.2) in female compared with male patients. The odds ratio for mortality was 14.6 (95% confidence interval 2.7–80.6) in the older adults when compared with younger adults. Higher TBSA, full thickness burns, and flame burns were also significantly associated with longer LOS and higher mortality. Children and male patients were disproportionately overrepresented among patients admitted to HNGV, while female patients had longer LOS and older adults had more severe injury and a higher risk of mortality. Establishment of a national program for the prevention of burns is essential.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Acute burn care and outcomes at the Hospital Nacional Guido Valadares (HNGV), Timor-Leste: A 7-year retrospective study

Salendo

Ximenes²,

Soares³

et al. 2022

Medicine

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“…The widespread use of traditional medicine is reported globally in both Western and Asian countries with varying local prevalence which ranges from 11% up to 60% of the studied population. [18][19][20][21] There is not much conclusive data available regarding the use of natural products in nicotine use disorders, but they may play an equally important role as a potential pharmacological agent for cessation of smoking. In fact, a considerably great amount of research has been conducted on the effects of natural products in nicotine use disorder.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2022

TJNPR

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Nicotine use disorders, which are typically acquired through tobacco smoking, are a global problem and a leading cause of preventable deaths. Unfortunately, the available therapies intended for tobacco smoking cessation have varying efficacy among smokers in addition to some adverse effects observed. These factors, alongside the cost of such therapies deemed as a financial burden by some, contribute to the failure to meet patients" needs. This necessitates the many studies being conducted on the possible use of natural products in the treatment of nicotine use disorders to address such issues. Therefore, this review aims to discuss published data documenting the effects of plant extracts and bioactive compounds on nicotine-induced reactions and nicotine use disorders by looking into the different effects, possible mechanisms, and the putative targets of these selected natural products. A total of 21 natural products and bioactive compounds were obtained from searches across PubMed, Ovid Medline and Scopus databases which comprised of studies performed in vitro and in vivo as well as human trials. These data suggest that these natural products may have the potential to be utilized to treat nicotine use disorders. Undoubtedly, more detailed studies are still required to resolve conflicting or inconclusive outcomes from these investigations before clinical use is warranted.

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“…The factors affecting the use of TCM are various. Sociodemographic factors, income level, type and severity of the disease, dissatisfaction with modern medicine, limited health care access, cultural beliefs, long-term use of TCM methods, perceived usefulness and safety of these methods, accessibility of TCM methods and being affected by social networks are considered among the reasons why TCM methods are preferred 4,6,7,8,12 . In the literature, the main reasons that keep individuals from using these methods are reported as lack of scientific evidence for TCM methods, disbelief in their effectiveness and safety, and not performing the applications under hygienic conditions 7 .…”

Section: Introductionmentioning

confidence: 99%

Determination of Knowledge, Attitudes and Behaviors towards Traditional and Complementary Medicine in Patients Applying to Pamukkale University Medical Faculty Hospital Polyclinics

Acar

Kiliç

Acımış

2021

International Journal of Traditional and Complementary Medicine Research

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The aim of research was to investigate the attitudes and behaviors towards traditional and complementary medicine methods, the use of which has increased in recent years, in individuals admitted to the hospital. Material-Method: The descriptive study was performed by applying a questionnaire to 276 people. The questionnaire included questions about the sociodemographic characteristics of the participants, their knowledge, attitudes and behaviors about traditional complementary medicine methods, and the Complementary, Alternative, and Conventional Medicine Attitude Scale. Data were analyzed with the Statistical Package for the Social Sciences version 15. Chi-square test, Mann-Whitney U and Kruskall-Wallis H tests were used in the comparison of traditional and complementary medicine attitudes and behaviors with sociodemographic characteristics. p<0.05 was considered significant. Results: 33% of respondents had applied at least one traditional complementary medicine method. The most commonly used methods were cupping (n=40), phytotherapy (n=34) and acupuncture (n=17). The mean score of scale was found to be 109.05±15.44. The mean score of the individuals aged 45 and over is higher than the other ages and is 102.7±17.2 (p<0.048). A statistically significant difference was found between the use of at least one traditional and complementary method and the variables of age, marital status, place of residence for the longest time, and perceived health (p<0.05). Conclusion: TCM methods are known to the majority of people who visit polyclinics. Their attitudes towards traditional and complementary medicine are quite close to positive. Physicians should question whether their patients use traditional methods.

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Traditional medicine use in Timor-Leste

Cited by 11 publications

References 18 publications

Acute burn care and outcomes at the Hospital Nacional Guido Valadares (HNGV), Timor-Leste: A 7-year retrospective study

Acute burn care and outcomes at the Hospital Nacional Guido Valadares (HNGV), Timor-Leste: A 7-year retrospective study

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Determination of Knowledge, Attitudes and Behaviors towards Traditional and Complementary Medicine in Patients Applying to Pamukkale University Medical Faculty Hospital Polyclinics

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