segunda-feira, 21 de abril de 2014

Três interessantes evidências sobre a Terapia Neural.


Development and implementation of a 'curriculum complementary and alternative
medicine' at the Heidelberg Medical School]
. [German] Joos S. Eicher C.
Musselmann B. Kadmon M. Forschende Komplementarmedizin (2006). 15(5):251-60,
2008 Oct.

BACKGROUND: The 9th revision of the Medical Training Regulations for Physicians
(AAppO) in October 2003 included the new compulsory interdisciplinary subject
'Rehabilitation, Physical Medicine and Complementary and Alternative Medicine (CAM)'
(QB 12). The present article describes the development of a 'CAM curriculum' for
undergraduate education, its implementation in the QB 12 at the Heidelberg Medical
School and its evaluation. METHODS: According to the 6-step approach by Kern, the
following aspects are presented: requirements, experiences/interests of students,
learning targets, development of practical training courses and lectures, implementation,
and evaluation. Experiences/interests of students were assessed by a self-developed
questionnaire. Practical training courses and lectures were evaluated by school marks
(1 through 6) and by a modified version of the HILVE-I. RESULTS: A selection of CAM
methods to be included in the curriculum was made by the participating lecturers based
on the criteria 'evidence' and 'prevalence in health care'. Learning targets were defined
in terms of knowledge, skills and attitudes. On this basis, practical training
courses/lectures comprising classical naturopathy, acupuncture/ traditional Chinese
medicine and neural therapy were developed and integrated in the QB 12. Regular
evaluations of the practical training courses/lectures constantly reveal good results. 69%
of the 219 students questioned indicated to be interested in CAM, 27% already had
gained experience with CAM themselves. DISCUSSION: The well-evaluated CAM
courses/lectures indicate a successful development and implementation of the 'CAM
curriculum' in the QB 12 at the Heidelberg Medical School. Thus, the requirements of
the AAppO are met. Moreover, implementation of CAM in undergraduate education
allows for the importance CAM has in every-day care of patients in Germany. 2008 S.
Karger AG, Basel

Clinical efficacy of neural therapy for the treatment of atopic dermatitis in dogs.
Bravo-Monsalvo A. Vazquez-Chagoyan JC. Gutierrez L. Sumano H. Acta Veterinaria
Hungarica. 56(4):459-69, 2008 Dec.

The aim of this trial was to assess the clinical efficacy of neural therapy (NT) when
treating canine atopic dermatitis. Eighteen dogs (no control group), with at least a 12-
month history of having nonseasonal atopic dermatitis, were included. No medication
with either glucocorticoids or cyclosporin was allowed during the trial. One set of NT was
given by injecting an intravenous dose of 0.1 mg/kg of a 0.7% procaine solution,
followed by 10 to 25 intradermal injections of the same solution in a volume of 0.1-0.3
mL per site. Dogs were given 6-13 sets of NT during the therapy. The dermatological
condition of each patient was evaluated before and after the treatment using two scales:
the pruritus visual analogue scale (PVAS) and the canine atopic dermatitis extent and
severity index (CADESI). The reduction of pruritus was statistically significant using a
Wilcoxon matched-pairs signed-ranks test (P < 0.001). No adverse side effects were
observed. NT seems to be an effective alternative to control signs related to canine
atopic dermatitis.

Patient satisfaction of primary care for musculoskeletal diseases: a comparison
between Neural Therapy and conventional medicine.
Mermod J. Fischer L. Staub L.
Busato A. BMC Complementary & Alternative Medicine. 8:33, 2008.

BACKGROUND: The main objective of this study was to assess and compare patient
satisfaction with Neural Therapy (NT) and conventional medicine (COM) in primary care
for musculoskeletal diseases. METHODS: A cross-sectional study in primary care for
musculoskeletal disorders covering 77 conventional primary care providers and 18
physicians certified in NT with 241 and 164 patients respectively. Patients and
physicians documented consultations and patients completed questionnaires at a one-
month follow-up. Physicians documented duration and severity of symptoms, diagnosis,
and procedures. The main outcomes in the evaluation of patients were: fulfillment of
expectations, perceived treatment effects, and patient satisfaction. RESULTS: The most
frequent diagnoses belonged to the group of dorsopathies (39% in COM, 46% in NT).
We found significant differences between NT and COM with regard to patient
evaluations. NT patients documented better fulfilment of treatment expectations and
higher overall treatment satisfaction. More patients in NT reported positive side effects
and less frequent negative effects than patients in COM. Also, significant differences
between NT and COM patients were seen in the quality of the patient-physician
interaction (relation and communication, medical care, information and support,
continuity and cooperation, facilities availability, and accessibility), where NT patients
showed higher satisfaction. Differences were also found with regard to the physicians'
management of disease, with fewer work incapacity attestations issued and longer
consultation times in NT. CONCLUSION: Our findings show a significantly higher
treatment and care-related patient satisfaction with primary care for musculoskeletal
diseases provided by physicians practising Neural Therapy.


 From:

Nenhum comentário:

Postar um comentário

Observação: somente um membro deste blog pode postar um comentário.