{"title":"Using a computer-based clinical management system to improve effectiveness of a homeopathic service in a fundholding general practice","authors":"D Peters , GJ Pinto, G Harris","doi":"10.1054/homp.1999.0373","DOIUrl":"10.1054/homp.1999.0373","url":null,"abstract":"<div><p>Problems which the development attempts to address.</p><p>This study’s overall objectives were to determine whether:</p><p></p><ul><li><span>•</span><span><p>The aims of collaboration between General Practitioner (GPs) and a homeopath can be made explicit and service delivery optimised by using computer-based data collection in a multi-disciplinary primary care team that includes a homeopathic practitioner.</p></span></li><li><span>•</span><span><p>Outcomes of the homeopathic service can be evaluated in a practical way, which allows quality assurance through rapid audit cycles.</p></span></li></ul><p>Method: The primary care team (PCT) explored the problems of developing a rational and quality assured complementary therapy service in a series of meetings in an NHS practice where complementary therapists are members of the PCT. This led to the defining of data-collection structures and processes needed. The researchers designed and supervised their implementation and evaluation through a series of action research cycles.</p><p>A database was designed which allowed the clinicians to track interventions and outcomes using the Measure Your Own Medical Outcome Profile (MYMOP). Critical incidents were brought to fortnightly clinical meetings and methods were continually adapted as problems arose and new options emerged at six-weekly audit meetings.</p><p>Results: GPs tended to refer patients who do not fit easily into biomedical disease categories. Patients referred tend to self-rate themselves as experiencing notably poor wellbeing. MYMOP has to be used skillfully with homeopathic patients, especially where psychological distress is identified as one of their main complaints.</p><p>Conclusions: It is possible to introduce rigour and reflectiveness when providing a homeopathic service in general practice by assessing the needs of patient and practitioners, agreeing intake guidelines, developing referral processes, implementing audit cycles. Clear lines of communication can be established and a patient-centred outcome measure can be introduced into the treatment cycle.</p></div>","PeriodicalId":100201,"journal":{"name":"British Homoeopathic Journal","volume":"89 ","pages":"Pages S14-S19"},"PeriodicalIF":0.0,"publicationDate":"2000-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/homp.1999.0373","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21778694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical application of homeopathic podiatry as used at The Royal London Homoeopathic Hospital (RLHH)","authors":"MT Khan , MT Khan","doi":"10.1054/homp.1999.0392","DOIUrl":"https://doi.org/10.1054/homp.1999.0392","url":null,"abstract":"It is acknowledged that a number of podiatric disorders seen in foot clinics are relieved only in the short term by traditional treatments, necessitating regular attendance every few weeks. Some chronic conditions do not respond to traditional treatments. The chemical and surgical treatments commonly used in podiatric practice are invasive and can cause pain or discomfort, especially from post-operative complications of surgery. Some treatments are contraindicated for patients who are at risk, eg diabetics and the elderly. Whilst homeopathy has numerous medicines indicated for conditions affecting the skin, bones and nails, the prognosis is in ̄uenced in weight-bearing areas by the effects of friction and pressure on the lesion and by biomechanical factors which may predispose or contribute to the problem. Subsequently, there is a need for a non-invasive, painless method of treatment, which would be therapeutic rather than palliative.","PeriodicalId":100201,"journal":{"name":"British Homoeopathic Journal","volume":"89 ","pages":"Page S53"},"PeriodicalIF":0.0,"publicationDate":"2000-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/homp.1999.0392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72217872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arnica 30x after knee surgery","authors":"J Wilkens , R Lüdtke","doi":"10.1054/homp.1999.0427","DOIUrl":"https://doi.org/10.1054/homp.1999.0427","url":null,"abstract":"Objective In three randomised double-blind, placebo-controlled clinical trials the efficacy of homeopathic Arnica after knee surgery was evaluated. The indications were simple knee arthroscopy for diagnostic purposes implantation of artificial knee joints and rupture of cruciate ligaments. The primary outcome parameter was swelling, secondary outcome criteria: pain, drainage fluid.","PeriodicalId":100201,"journal":{"name":"British Homoeopathic Journal","volume":"89 ","pages":"Page S72"},"PeriodicalIF":0.0,"publicationDate":"2000-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/homp.1999.0427","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72218406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of Ecballum elatherium juice and its homeopathic dilutions on oxidative bursts of human polymorph neutrophils","authors":"M Chirila , A Olinescu","doi":"10.1054/homp.1999.0402","DOIUrl":"10.1054/homp.1999.0402","url":null,"abstract":"Objective The aim of this study was evaluation of the effect of juice obtained from Ecballum elatherium on the for-mation and release of the reactive oxygen intermedi-ates (ROI) in vitro by stimulated human Polymorph Neutrophils (PMNs) measured using luninol depen-dent chemiluminiscence.","PeriodicalId":100201,"journal":{"name":"British Homoeopathic Journal","volume":"89 ","pages":"Page S64"},"PeriodicalIF":0.0,"publicationDate":"2000-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/homp.1999.0402","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131562817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"International conference: Patients in the history of homeopathy; Stuttgart, Germany, 30 June–3 July 1999","authors":"EO Ruendal","doi":"10.1054/homp.1999.0408","DOIUrl":"10.1054/homp.1999.0408","url":null,"abstract":"","PeriodicalId":100201,"journal":{"name":"British Homoeopathic Journal","volume":"89 3","pages":"Page 154"},"PeriodicalIF":0.0,"publicationDate":"2000-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/homp.1999.0408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115308822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical outcome audit: Bristol Homoeopathic Hospital","authors":"D Spence","doi":"10.1054/homp.1999.0384","DOIUrl":"https://doi.org/10.1054/homp.1999.0384","url":null,"abstract":"The study was initiated to evaluate the effectiveness of homeopathy in the real world of medical practice and thereby to assess the clinical impact of homeopathic intervention in a large group of patients receiv-ing treatment in the secondary care sector of the state health system in the United Kingdom.","PeriodicalId":100201,"journal":{"name":"British Homoeopathic Journal","volume":"89 ","pages":"Page S44"},"PeriodicalIF":0.0,"publicationDate":"2000-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/homp.1999.0384","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72218534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Magic of signs: a non-local interpretation of homeopathy","authors":"H Walach","doi":"10.1054/homp.1999.0413","DOIUrl":"10.1054/homp.1999.0413","url":null,"abstract":"<div><p>Among homeopaths the common idea about a working hypothesis for homeopathic effects seems to be that, during the potentization process, ‘information’ or ‘energy’ is being preserved or even enhanced in homeopathic remedies. The organism is said to be able to pick up this information, which in turn will stimulate the organism into a self-healing response. According to this view the decisive element of homeopathic therapy is the remedy which locally contains and conveys this information. I question this view for empirical and theoretical reasons. Empirical research has shown a repetitive pattern, in fundamental and clinical research alike: there are many anomalies in high-dilution research and clinical homeopathic trials which will set any observing researcher thinking. But no single paradigm has proved stable enough in order to produce repeatable results independent of the researcher. I conclude that the database is too weak and contradictory to substantiate a local interpretation of homeopathy, in which the remedy is endowed with causal-informational content irrespective of the circumstances. I propose a non-local interpretation to understand the anomalies along the lines of Jung's notion of synchronicity and make some predictions following this analysis.</p></div>","PeriodicalId":100201,"journal":{"name":"British Homoeopathic Journal","volume":"89 3","pages":"Pages 127-140"},"PeriodicalIF":0.0,"publicationDate":"2000-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/homp.1999.0413","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21778686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New homeopathic approach to neoplastic diseases: from cell destruction to carcinogen-induced apoptosis","authors":"H Montfort","doi":"10.1054/homp.1999.0394","DOIUrl":"https://doi.org/10.1054/homp.1999.0394","url":null,"abstract":"Neoplastic diseases are among the most frequent conditions emerging at the end of this century. Orthodox non-surgical approach, chemotherapy and radiotherapy, have variable results but many adverse affects that limit their use. Every day more patients decided against such treatment and choose alternatives, mainly the homeopathic and herbal ± nutrition approach to ®nd a cure or delay the fatal outcome. A sincere opinion or appropriate reference is our obligation to patients.","PeriodicalId":100201,"journal":{"name":"British Homoeopathic Journal","volume":"89 ","pages":"Pages S55-S56"},"PeriodicalIF":0.0,"publicationDate":"2000-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/homp.1999.0394","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72257448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of homeopathic potencies: growth of Saccharomyces cerevisiae in potentised CuSO4 dilutions","authors":"A Fleisbach, V Fejfar, J Spranger","doi":"10.1054/homp.1999.0420","DOIUrl":"10.1054/homp.1999.0420","url":null,"abstract":"Objective Development of a test system for homeopathic reme-dies. This purpose is linked to our main aim to find a biological system where an effect of potentised sub-stances is detectable — up to the ‘critical’ concentration of 6 (cid:2) 10 –23 and even beyond.","PeriodicalId":100201,"journal":{"name":"British Homoeopathic Journal","volume":"89 ","pages":"Page S65"},"PeriodicalIF":0.0,"publicationDate":"2000-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/homp.1999.0420","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134381096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}