Workplace Wellness (WPW) programs are rapidly appearing as one tactic to control healthcare costs and decrease chronic conditions. The Patient Protection and Affordable Care Act (PPACA) addresses these concerns by encouraging employers to adopt evidence-based employee WPW programs. One WPW program option focuses on Integrative Health Practices (IHPs) that have the potential to shift wellness responsibility to the individual, which may result in increased WPW effectiveness, individual self-care and overall improved health and wellness. This article presents current supporting evidence on specific IHPs for the eight most common costly and chronic conditions in the workplace. When introduced and examined via the case study method into WPW at one organization, employees reported that as a result of their participation, they were highly likely to take better care of themselves. The review portion of this research serves as the foundation for IHP selection and provides much needed evidence for employers to make more informed and inclusive decisions about WPW program content. The case study results provide a tested model for IHPs that can be integrated into existing WPW offerings. The findings of this observational study support the need for future investigative research on the use of IHPs in WPW programs

Background: Traditional and Complementary Medicine (T&CM) becomes a truly global phenomenon. The primary health care recognizes its importance. Number of patients seeking T&CM treatments increased butmost of the health professionals is ignorant of the risks and benefits of T&CM because of lack of knowledge. Health professionals’ view on T&CM is very important for healthcare. The study was designed to assess the opinion of the health professionals in five selected hospitals in Malaysia on their perception of their practice of T&CM in Malaysia, usage and recommendation of T&CM, knowledge on T&CM, integrating T&CM into Conventional Medicine (CM), and opinion on future medical training in T&CM respectively.

Methods: An in-depth semi-structured face-to-face interview was carried out on ten health professionals from five selected hospitals in this qualitative study.

Results: All the participants used some types of T&CM personally and generally recommended T&CM for treatment in this study. Most of them agreed with the statement that T&CM is popular among the population and thought that people trusted in T&CM and were afraid of CM. All the medical staff believed that T&CM has therapeutic value. Almost all respondents agreed with the statement on an integration of T&CM with CM and most of them agreed for T&CM to be a part of future training for health professionals.

Conclusion: From the interview, it shows that all the participants have experienced in using some types of T&CM in their life for whatever reason they might have. However, a small number of participants have negative idea about T&CM but all the health professionals interviewed believed the therapeutic value of some types of T&CM.

Objective: The purpose of the study is to explore the symptoms expressed by patients who experienced an acute coronary disease, trying to identify typologies and explore the hypothesis that the different stages of family life cycle can modulate groups of patients showing specific patterns of presentation of symptoms and signs. Patients and

Methods: A methodology qualitative, descriptive, of multiple case, and document analysis was used. It was revised and retrospectively analyzed the narrative included in medical history of family medicine, reports of hospital specialists, and the family life cycle according to the genogram, for building a category (“type”), in patients with clinical history in a consultation of Family Medicine in Toledo, Spain, and who were diagnosed with coronary heart disease in the last 20 years.

Results: 32 cases were treated by a clinical cadre of coronary heart disease. Two of them were not included for lack of information. Patients from 35 years to >65 years without children at home (empty nest) experience symptoms in “Peculiar or Ostentatius” type. The women > 65years do it in “Anxious” type. Patients aged 35years to >65 with children at home experience symptoms in “Discreet” type, and >65 years living with adult children tend to relate stressful events: “Stressed” type. Patients >65 years living alone experience symptoms in a “Stoic” type.

Conclusion: When an acute coronary syndrome occurs, the different stages of family life cycle can show differences in the presentation of symptoms. The recognition of these types of patients who express a particular clinic, and they show different shades in certain respects with the classic syndrome of chest pain, it may be useful to family physicians for diagnosis, providing additional information to factors risk, history and exploration, and this is a working hypothesis to be validated with other research methods.

Gestational Diabetes Mellitus (GDM), known as glucose intolerance is diagnosed for the first time in pregnancy; usually between 24 and 28 weeks of gestation.