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issue_10-48-58

issue_10-48-58

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Published by Saurav Arora

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Published by: Saurav Arora on Sep 29, 2012
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ISSN: 2278-4500
Research Updates-Homeopathy
A monthly research e-Journal by IPRH
Electronic Version of this e-journal is available online atwww.audesapere.in/ejournal 
48
Please quote this article as Res. Up. Hom. 2012; 1(10):48-58, ISSN 2278-4500
 
Dr. Rupali Dixit Bhalerao
M.D, Senior Research Fellow, Central council for Research in Homoeopathy, 61-
65, Institutional area, Janakpuri, Opp ‘D’ Block,
New Delhi. 110058. Contact: 09871106514, Email: dr_rupalibhalerao@yahoo.co.in
Introduction
It is a necessity of profession and scientific society in any systems of medicine to have research data in a particulardisease condition to establish its efficacy. Moreover, it is an ever increasing demand by policy makers for evidencebased data to have a better decision making in favor of a particular system of treatment. Homoeopathic research isneed of the hour to prove its effectiveness to its critics.Children are frequent visitors at homoeopathic consultation chambers. As physicians we must be updated withcurrent research literature for self-satisfaction and educating parents. This article is a small effort to provideresearch update in last 10 years related to pediatric disorders and role of homoeopathy in them.In the recent past, some studies suggested that parents use Homeopathy more frequently than conventionaltreatment for their children
1
. An ethnographic study of committed adult users in South London found that theyconsulted their General Practitioners for diagnosis but took Homeopathy for treatment because antibiotics andother drugs were seen as weakening the immune system and counteracting the remedy.1 Many of these participantswere mothers who made health decisions for their children using this same set of beliefs. A recent qualitative studyin Norway also found the same
2
.
Homoeopathy for children
 – 
A Global view
Homeopathy is a form of complementary/alternative medicines which is considered as a safe and effective form oftreatment for children and adults. Within UK Homeopathy use is estimated at 1.9% of the adult population andaround 11% for children less than 16 years. The numbers of patients using complementary medicines, includingHomoeopathy are growing worldwide. The use of complementary medicine, however, is not limited to adults but isalso common in children (11
18%) with Homoeopathy being one of the most popular systems.This wide and growing use of complementary medicines implies a perceived deficiency in conventional medicaltreatment, paralleled by increasing patient dissatisfaction with conventional medicine (drug side-effects, perceivedlack of holistic care), and the attraction of longer appointment times with complementary therapists.
Homoeopathy for pediatrics population in general
Title of study Type of study Results ConclusionThompson EA,BishopJL,Northstone K
.The use ofhomeopathic products inchildhood: data generatedover 8.5 years from the AvonLongitudinal Study of Parentsand Children (ALSPAC)
3
.Population basedLongitudinal Study ofParents and Children(ALSPAC).Questionnaire providedto mothers.Eleven and eight-tenths percent(11.8%) of this cohort used a HP atleast once up to 8.5 years of age.Chamomilla for teething andArnica for soft-tissue bruisingwere the most commonly usedproducts.Research could focus ongreater information delivery tothe community and monitoringof potential health and costbenefits, or side-effects of theuse of HP for acute and chronicconditions in children.
Spence DS, Thompson EA,Barron SJ
.
 
Homeopathic
 
Treatment for ChronicOutcomes were basedon scores on a 7-pointLikert-type scale at theIn an observational study of 6544consecutive patients during a 6-year period, and over 23,000Homeopathic interventionoffered positive health changesto a substantial proportion of a
 
ISSN: 2278-4500
Research Updates-Homeopathy
A monthly research e-Journal by IPRH
Electronic Version of this e-journal is available online atwww.audesapere.in/ejournal 
49
Disease: A 6-Year, University-Hospital OutpatientObservational Study
4
.end of the consultationand were assessed asoverall outcomescompared to the initialbaseline assessments.consultations, results showedthat 70.7 % reported positivehealth changes, with 50.7 %recording their improvement asbetter (+2) or much better (+3).Of the 1270 children that weretreated 80.5 % had someimprovement, and 65.8 % werebetter (+2) or much better (+3).largeCohort of patients with a widerange of chronic diseases.
Witt CM, Luedtke R, Baur R,Willich SN
. HomeopathicMedical Practice: Long-termresults of aCohort Study with 3981Patients
5
 The main outcomemeasures were: Patientand physicianassessments (numericrating scales from 0 to10) and quality of life atbaseline, and after 3, 12,and 24 months.In a prospective, multi-centrecohort study with 103 primarycare practices treating 3981patients, disease severitydecreased significantly (p<0.001)over a 2 year period. Majorimprovements were observed forquality of life for adults and youngchildren. 28 % (1130) of thepatients were children and 97 % ofall diagnoses where chronic withan average duration of 8.8 years.The most frequent diagnoseswere allergic rhinitis in men,headache in women, and atopicdermatitis in children.Disease severity and quality oflife demonstrated marked andsustained improvementsfollowing homeopathictreatment period.
Güthlin C, Lange O andWalach H.
Measuring theeffects of acupuncture andhomoeopathy in generalpractice: An uncontrolledprospective documentationapproach
6
.
A survey of more than 900patients treated homeopathicallyshowed substantial improvementin Quality of life over the first 6months after treatment and thiseffect remained more or lessstable over the following years.
Du Y, Knopf H
. Paediatrichomoeopathy in Germany:results of the German HealthInterview and ExaminationSurvey for Children andAdolescents (KiGGS)
7
.Last-weekhomoeopathy use wasrecorded among 17,450children aged 0-17years who participatedin the 2003-2006German HealthInterview andExaminationSurvey for Children andAdolescents (KiGGS)Nine hundred and fifty-onehomoeopathic preparations wereused by 718 Children (weightedprevalence 4.6%).Paediatric homoeopathy isquite popular in Germany,particularly among childrenfrom families with a highersocioeconomic status. The highlevel of paediatrichomoeopathy use in Germanywarrants a critical review todetermine whether it isevidence based and cost-effective.
Respiratory Disorders In Children
It is commonly seen that most of children are coming for respiratory allergies or infections. Our medication hasdefinite role in treatment of these respiratory disorders like Asthma, Rhinitis, Bronchitis, Allergies and Pharyngitis.Following are positive as well as negative studies on this particular aspect for clinicians.
 
 
ISSN: 2278-4500
Research Updates-Homeopathy
A monthly research e-Journal by IPRH
Electronic Version of this e-journal is available online atwww.audesapere.in/ejournal 
50
Cost effectiveness in respiratory illness as compare to conventional medicine
Title of study Type of study Results ConclusionRossi E, Crudeli L,Endrizzi C, Garibaldi D
.Cost-benefit evaluationof homeopathic versusconventional therapy inrespiratory diseases
8
.A retrospective observational studywas conducted on 105 out of 233patients suffering from chronicrespiratory disease.Homeopathic treatment forrespiratory diseases (asthma,allergic complaints, AcuteRecurrent RespiratoryInfections) was associated witha Significant reduction in theuse and costs of conventionaldrugs.Costs forhomeopathic therapyare significantly lowerthan those forconventionalPharmacologicaltherapy.
et al. studiedthe economic effect ofHomoeopathy andantibiotic strategies intreatment ofrhinopharingitis inchildren
9
 
 
Prospective, pragmaticstudy. Medical effectiveness wasassessed in terms of(i) episodes of acuterhinopharyngitis,(ii) complications,(iii) adverse effects. Quality of lifewas assessed using the Par-Ent-Qolscale. Direct medical costs (medicalconsultations, drug prescriptions,prescriptions for further tests) andindirect medical costs (sick-leave)were evaluated from threeviewpoints (society, patient, SocialSecurity) using public prices andFrench Social Security tariffs.The 'homeopathic strategy'yielded significantly betterresults than the'antibiotic strategy' in terms ofmedical effectivenessHomeopathy may be acost-effective alternativeto antibiotics inthe treatment ofrecurrent infantilerhinopharyngitis.
David Riley
. Homeopathyand ConventionalMedicine: An OutcomesStudy ComparingEffectiveness in a PrimaryCare Setting
10
 An international multicenter,prospective, observational study in areal world medical setting comparingthe effectiveness of homeopathywith conventional medicine.The adverse events for thosetreated with conventionalmedicine was 22.3% versus 7.8%for those treatedwith homeopathy. Seventy-nine percent (79.0%) ofpatients treated withhomeopathy were verysatisfied and 65.1% of patientstreated with conventionalmedicine were very satisfied.Homeopathy appearedto be at least as effectiveas conventional medicalcarein the treatment ofpatients with the threeconditions studied.
Studies with positive outcome in Upper Respiratory illnesses
Title of study Type of study Results ConclusionMax Haidvogl et al.
 Homeopathic andconventional treatmentfor acute respiratory andear complaints: Acomparative study onoutcome in the primarycare setting
11
 
 
International, multi-centre,comparative cohort study of non-randomised design.
 
The majority of patients in bothgroups reported their outcomeafter 14 days of treatment ascomplete recovery or majorimprovement.
 
However, onset ofimprovement within the first 7days after treatment wassignificantly faster uponhomeopathic treatment bothin children (
p
= 0.0488) andadults (
p
= 0.0001).In primary care,homeopathic treatmentfor acute respiratory andear complaints was notinferior to conventionaltreatment.
 

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