3 results
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2. Herbal medicines for diabetes control among Indian and Pakistani migrants with diabetes.
- Author
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Porqueddu, Tania
- Subjects
ASIANS ,DRUG therapy ,DIABETES ,ETHNIC groups ,HERBAL medicine ,IMMIGRANTS ,INTERVIEWING ,RESEARCH methodology ,MEDICAL prescriptions ,HEALTH self-care ,TIME - Abstract
Drawing on data collected during a 16-month ethnographic investigation, this paper explores practices around Indians’ and Pakistanis’ use of herbal medications for diabetes control. The ethnographic study was conducted among Indian and Pakistani migrants in Edinburgh, Scotland and included extended participant observation, six group discussions and 21 semi-structured interviews. Respondents showed great resistance in adhering to medication prescriptions for diabetes control due to their various side effects, especially within the stomach. In order to avoid such side effects, respondents decreased medication dosage and turned to non-allopathic remedies that usually consisted of herbal medications that, according to Indians and Pakistanis, did not cause side effects as medications did and tackled the cause of the disease rather than its symptoms. Such remedies however, were not only combined with allopathic ones but also eventually replaced without the doctor's consultation. [ABSTRACT FROM PUBLISHER]
- Published
- 2017
- Full Text
- View/download PDF
3. A qualitative study exploring factors influencing clinical decision-making for influenza-like illness in Solapur city, Maharashtra, India.
- Author
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Ahankari, A.S., Myles, P.R., Tsang, S., Khan, F., Atre, S., Langley, T., Kudale, A., and Bains, M.
- Subjects
INFLUENZA treatment ,ALTERNATIVE medicine ,ATTITUDE (Psychology) ,INTERVIEWING ,JUDGMENT (Psychology) ,RESEARCH methodology ,MEDICAL care ,MEDICAL personnel ,RISK assessment ,DECISION making in clinical medicine ,QUALITATIVE research ,SOCIOECONOMIC factors ,THEMATIC analysis - Abstract
The co-existence of different types of medical systems (medical pluralism) is a typical feature of India's healthcare system. For conditions such as influenza-like illness (ILI), where non-specific disease signs/symptoms exist, clinical reasoning in the context of medical pluralism becomes crucial. Recognising this need, we undertook a qualitative study, which explored factors underpinning clinical decisions on diagnosis and management of ILI. The study involved semi-structured interviews including clinical vignettes with 20 healthcare practitioners (working within allopathy, homeopathy and Ayurveda) working in the private healthcare sector in Solapur city, India. An inquiry was conducted into criteria influencing the diagnosis, treatment, referral to specialist care and role of treatment guidelines for ILI. Thematic analysis was used to identify aspects relating to ILI diagnosis, treatment and referral. The diagnosis of influenza was based largely on clinical symptoms suggestive of influenza in the absence of other diagnoses. Referral for laboratory tests was only initiated if illness did not resolve, generally after 2–3 consultations. Antibiotics were often prescribed for persistent illness, with antivirals rarely considered. Some differences between practitioners from different medical systems were observed in relation to treatment and referral in case of persistent illness. A combination of analytical and intuitive clinical reasoning was used by the participants and clinical decisions were based on both social and clinical factors. Clinical decision-making was rarely a linear process and respondents felt that broad guidelines on influenza that allowed doctors to account for the sociocultural context within which they practised medicine would be helpful. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
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