1. The document discusses evidence-based medicine and how to evaluate medical treatments. It argues that the most important factors are whether a treatment works (effectiveness) and whether it can cause harm (safety).
2. Randomized controlled trials (RCTs) are described as the gold standard for determining a treatment's effects. However, the document notes that RCTs can be misleading if conducted or analyzed improperly.
3. Homeopathy and alternative medicines are criticized for lacking strong evidence from RCTs and systematic reviews. Specific concerns are raised about the implausible theories underlying homeopathy and lack of proven effects beyond placebo.
Sickness Funds and the Pharmaceutical Industry: a New Relationship?Beapp_Bcpm
On Friday 3rd March, Dr Jan Van Emelen, Innovation Director at Neutral Mutualities presented on “Mutualities and pharmaceutical industry: a new relationship?”. Access to new, often very expensive medications is a hot topic and our speaker discussed the role of the mutualities in this process, using new models for disease management. He shared ideas on our potential interaction with this process as pharmaceutical physicians.
Public profile of homoeopathy– the evidence base for homoeopathic prescribingGyandas Wadhwani
As a specialized system of therapeutics and pharmacology, homoeopathy, has withstood all possible criticism, from quackery to witchcraft and placebo to nocebo. Attempts have been made to curb the rising popularity through all the articles and data analysis proving or disproving homoeopathy, especially published in ‘the lancet’, over last few decades.
One of the learned physicians once said about homoeopathy, ‘It is the medicine of the ten percent’. But is it really so? The trends across the globe highlight an increasing inclination towards homoeopathy.
In spite of numerous publications, reviews and researches condemning all that is known as homoeopathy, the financial sector has been a boom in business worldwide. But is it a bubble about to burst?
How to make a fruitful and perhaps lasting, or at least unforgotten, impact on the world? Research, says the researcher; advertise, says the practitioner with a chain of clinics; laboratory experimentation with reproducibility, says the scientist; treat larger number of patients, says the practitioner. Is it enough?
Lately the homoeopathic research scientists are throwing weight behind the works of Archibald Leman Cochrane, widely regarded as the father of ‘Evidence based medicine’. Will it keep the vultures at bay?
Let us join hands and pledge to stand firmly together and forever, silence one and all, for this system of specialized therapeutics offers multum in parvo. Together we can uplift the profile of homoeopathy for public at large.
Evidence and Science Based Medicine A Primer.pptxKaushik Banerjee
A Starter pack to understand what is Evidence-Based Medicine and how it works, provides a historical perspective (Homeopathy, Allopathy, etc.), discusses levels of evidence, methods to generate evidence etc.
Sickness Funds and the Pharmaceutical Industry: a New Relationship?Beapp_Bcpm
On Friday 3rd March, Dr Jan Van Emelen, Innovation Director at Neutral Mutualities presented on “Mutualities and pharmaceutical industry: a new relationship?”. Access to new, often very expensive medications is a hot topic and our speaker discussed the role of the mutualities in this process, using new models for disease management. He shared ideas on our potential interaction with this process as pharmaceutical physicians.
Public profile of homoeopathy– the evidence base for homoeopathic prescribingGyandas Wadhwani
As a specialized system of therapeutics and pharmacology, homoeopathy, has withstood all possible criticism, from quackery to witchcraft and placebo to nocebo. Attempts have been made to curb the rising popularity through all the articles and data analysis proving or disproving homoeopathy, especially published in ‘the lancet’, over last few decades.
One of the learned physicians once said about homoeopathy, ‘It is the medicine of the ten percent’. But is it really so? The trends across the globe highlight an increasing inclination towards homoeopathy.
In spite of numerous publications, reviews and researches condemning all that is known as homoeopathy, the financial sector has been a boom in business worldwide. But is it a bubble about to burst?
How to make a fruitful and perhaps lasting, or at least unforgotten, impact on the world? Research, says the researcher; advertise, says the practitioner with a chain of clinics; laboratory experimentation with reproducibility, says the scientist; treat larger number of patients, says the practitioner. Is it enough?
Lately the homoeopathic research scientists are throwing weight behind the works of Archibald Leman Cochrane, widely regarded as the father of ‘Evidence based medicine’. Will it keep the vultures at bay?
Let us join hands and pledge to stand firmly together and forever, silence one and all, for this system of specialized therapeutics offers multum in parvo. Together we can uplift the profile of homoeopathy for public at large.
Evidence and Science Based Medicine A Primer.pptxKaushik Banerjee
A Starter pack to understand what is Evidence-Based Medicine and how it works, provides a historical perspective (Homeopathy, Allopathy, etc.), discusses levels of evidence, methods to generate evidence etc.
The Home Doctor - Practical Medicine for Every Household - is a 304 page doctor written and approved guide on how to manage most health situations when help is not on the way.
If you want to see what happens when things go south, all you have to do is look at Venezuela: no electricity, no running water, no law, no antibiotics, no painkillers, no anesthetics, no insulin or other important things.
But if you want to find out how you can still manage in a situation like this, you must also look to Venezuela and learn the ingenious ways they developed to cope.
The Home Doctor - Practical Medicine for Every Household - is a 304 page doctor
written and approved guide on how to manage most health situations when help is not
on the way.
If you want to see what happens when things go south, all you have to do is look at
Venezuela: no electricity, no running water, no law, no antibiotics, no painkillers, no
anesthetics, no insulin or other important things.
But if you want to find out how you can still manage in a situation like this, you must
also look to Venezuela and learn the ingenious ways they developed to cope
The Home Doctor - Practical Medicine for Every Household - is a 304 page doctor written and approved guide on how to manage most health situations when help is not on the way.
If you want to see what happens when things go south, all you have to do is look at Venezuela: no electricity, no running water, no law, no antibiotics, no painkillers, no anesthetics, no insulin or other important things.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
2. Quality in Medicine has many aspects
but 2 make all others IRRELEVANT
1. Does it Work ?
Effectiveness (NNT):
What is the use of a product that is cheap,
available, has no side effects …...but does not work?
2. Can it Harm ?
Safety (NNH):
It works, is cheap, well tolerated..but kills 1 in 1000
3. How do we Know if it Works?
:
EBM: Strenght of Evidence
Testimonies
Test tube (in vitro)
Animal experiments
Case reports, Case series
*******************************************
One good RCT
More independent good RCTs
Systematic Review of RCTs
EBM (Evidence Based Medicine)
SBM Science Based Medicine
The RCT, the randomised clinical trial with control group
4. Stupid, Misleading and Bad
• Compare nonsense with nonsense in RCT
• Compare with bad/insufficient treatment
• Cherry pick studies (50 % !)
• Publication bias – author bias
• Misleading or intermediary end-points
• Fishing or data-dredging, many end-points
• Invent or select results (Benveniste bad blood)
• No or bad blinding
• Disregard plausibility
• Unsubstantiated conclusions
• Change the conclusions
5. Testimonies are NOT ≡ Proof
The satisfied customers may be sincere, but
without RCT we can not recommend a treatment:
• We do not know how many tried
• We do not know how many failed
• We do not know how many improved without
treatment
Thus we do not know if the treatment was better or
worse than doing nothing.
EBM needs Figures, DATA:
% yes, % no, % in control group
calculate NNT, NNH
6. Alternative or Complementary Medicine
Selling or recommending unproven treatments
is QUACKERY
The term Alternative is just a commercial slogan
for selling unproven treatments.
Paradigma-Shift (Kuhn) not without proof
Integrative or Complementary Medicine:
if you mix apple pie with cow pie, the result is
not a better pie.
7. HOMEOPATHY
Samuel Hahnemann 1755-1843
Discovered that Quinine causes the
symptoms of Malaria in a healthy
Person ???
Diluted and Shaken quinine takes
away those symptoms ???
He was a pioneer of scientific
inquiry!!
8. Homeopathic Proving
Healthy volunteers take a product and describe what
they feel, during several weeks.
Their reports determine the IMAGE of that product.
All images are recorded in a book: MATERIA MEDICA
“Law” of Similia: If the complaints of the patient match
a description in the MM then the name of that
product is the Diagnosis and Treatment.
“Law” of Dynamisation: The more diluted and
succussed, (shaken and knocked) the stronger the
remedy.
9. IMAGE of Kina = Quinine
Shivering ?
Fever ?
Fear ?
red skin rash ?
feeling weak ?
Was he Allergic ?
10. Homeopathic Medication is not ≡ Herbal
• Blatta Orientalis = cockroach
• Pediculus Capitis = lice
• Cimex Lectularis = bed bugs
• Cantharis = Spanish Fly
• Coccinella Septempunctata = lady Bug
• Lac Felinum = cat’s milk
• Lac Dolphinum
• Excrementum Caninum = dog sh***
• Natrum Muriaticum = plain salt
• Plutonium
• Earth Rays
• Luna, Sol
• Berlin Wall
• ……
11. HOMEO-IMAGES = NONSENS
• Many products give hundreds of symptoms.
• Sulphur gives 1.900 symptoms according to
Hahnemann
• They even do provings with plain water (high
dilutions)
Don’t believe me! Just read the Materia Medica
and Convince Yourself. It’s on the Internet for
Free!
12. Materia Medica (Kent):
the Pulsatilla (Anemone Pratensis) Patient:
• .. a very good medicine for women, for blondes, especially for tearful blondes. ..The
Pulsatilla patient is found in any household where there are plenty of young girls …
• She imagines the company of the opposite sex a dangerous thing to cultivate, ..
• They imagine that milk is not good to drink, …
• Aversion to marriage is a strong symptom. A man takes it into his head that it is an
evil thing to have sexual intercourse with his wife and abstains from it…
• he misuses and misapplies the Scriptures to his own detriment; ..
• This goes no until he becomes insane on other subjects, and then the tendency is
to sit day after day in a taciturn way. …
• .. feels worse in a warm room and, relieved by motion. ..
• He craves highly spiced sausage, yet averse to pork alone.
So it continues for 14 pages
13. Homeopathy: there is Nothing in it
Serial Dilutions D=1/10, CH=1/100
• normal homeo-dilutions are 30-60 CH
• Post-Avogadro after 12 CH or D23 or +/-12K
• 20 CH (40 zero’s) is one drop in the Atlantic
Ocean, 21 CH in 100 Oceans....
• Korsakow: K ( 300- 1000K is usual) = bottle is
rinsed 1000 times
• memory of water are transferred to lactose
granulae ? (sprayed an dried)
14. Homeopathic Cheating with Evidence ?
• Flooding: they give long list of “positive” articles.
• Studies listed as positive were not positive!
• Positive studies exist, but they have not been confirmed, have been
refuted or retracted. They ignore the retractions. e.g. Riley’s allergic
rhinitis was not confirmed in a better study (BMJ 2002)
• High Quality studies with negative results are ignored or omitted
(E. Ernst, R. Almeida)
• They Change the conclusions of the authors. (Swiss study)
• The Leipzig group had to give back their 10.000 € award (F. Schmidt,
Prof. K. Nieber und Prof. W. Süß 2003 )
• The Ennis proof failed in the BBC Horizon test for 1.000.000 $
• No proof yet for the “memory of water” (Benveniste)
• Homeopathy transferred by e-mail (digital information)
• The Montagier article proves nothing about homeopathy
15. The Solution: The Remedy Maker!
An advanced homeopathic and isopathic remedy maker
for both professional and personal use.
Copy homeopathic, isopathic,
and nosode remedies.
Make isopathic or nosode
remedies from source
materials.
Make remedies directly from
bioenergy imbalances and
anti-bioenergy zones.
Price: $355 US
16. Homeopathy in the EU
• 1965 medication Laws: “Any claim on the curing or relieving
symptoms or disease has to be solidly substantiated”.
(EU Directives: EU 65/65/EEC , 75/319/EEC , 89/341/EEC).
• Result: since 1965 thousands of unproven medications were
retracted, but…
• In 1992 the EU parliament voted a STRANGE EXCEPTION
EU Directive 92/73/EEC: homeopathic and antroposophic
medical products can be registered as medication without
having to prove therapeutic efficacy.
Justifications for this “Simplified Registration”:
• “We make no specific therapeutic claims for one product”.
“Individualised treatments”
“Conventional statistics are not applicable to homeopathy”
(sic)
17. EU: LIMITATIONS were stipulated
Since the homeopaths stated that they can not give proof that
one product is effective for a specific disease:
• No commercial or brand names,
• Only the start product and the number of dilutions and
shakings can be mentioned.
• No mention of any disease or symptoms.
• Must be extremely diluted (1/10.000).
• Only for oral or external use.
• On the label: “Homeopathic Product without approved
therapeutic indications”
18. EU: Limitations Disappear
• Multi-ingredient products (complexes) were allowed.
They bear suggestive names ! (cardio, osteo, pulmo)
• Illegal flyers/booklets are openly distributed.
• 1998: The discrimination of HP was lamented in the EP
(Chanterie): “Why are indications not allowed for HP ?”
• 2004: the consumer fraud is legalized. Medical
indications can be mentioned if based on “tradition” or
“homeopathic bibliography”.
• All countries must start registering this fraud.
19. False andMisleading Indications:
• crataegus for the heart
• sabal serrulata for the prostate
• against variola or varicella (smalpox),
• against anthrax,
• against dioxine
• against malaria…
• against meningitis (fake vaccines)
• etc….
• IS THIS FRAUD ? YES, but no authority reacted
20. Results
• Homeo- products (HP) are sold in pharmacies, as
medicines, with medical indications without any
proof.
• Nobody can discern those products from pure
lactose, water or alcohol. (challenge 10.000 € or
1.000.000 € ) *
• Nobody can discern between two different HP
(idem) *
• Nobody can discern between a “real” and one
made by a Remedy Maker.
* If more diluted than D23 or C12, as most are.
21. EU-Pharmacopea = Alchemy ?
Based on the existing G German and F French (and USA)
data, but …
G and F use vague alchemistic names: is it chloride, chlorite
or chlorate ? (Cl, ClO² or ClO³)
G and F use different part of the plant,
G and F collect in different seasons,
One uses fresh plants, others use dried
Nobody cares!
“Prescibers and clients said: not relevant”
“All traditions should be legalised”.
“The effect of HP is not measurable with current allopathic
methods”
22. EU: Legal Definition of Homeopathic
medicinal product HMP
2004/27/EC :
“Any medicinal product prepared from substances
called homeopathic stocks in accordance with a
homeopathic manufacturing procedure described
by the European Pharmacopoeia or, in the
absence thereof, by the pharmacopoeas
currently used officially in the Member States. “
Translated: it is a HHMP is the homeopaths say so.
Challenge: Nobody can tell if a finished product is
HMP or not (1 million euro)
23. CRITICISM on Homeopathy
• No convincing proof.
• They do not know diseases
• They do not know the real CAUSES and often
deny them. (e.g. anti-vaccination)
• They make no verifiable DIAGNOSIS
• Without diagnosis, PROGNOSIS is not possible
• If every patient is different, how can they
gather experience for future patients?
• In contradiction with the laws of nature
24. EU Consumers Protection
Laws on the safety of food and other products, on consumers'
rights and on the protection of people's health.
National governments must apply those laws.
DG must check that the rules are being applied properly in all
EU countries.
Directive 2005/29/EC: List of commercial practices which are
IN ALL CIRCUMSTANCES CONSIDERED UNFAIR:
Nr 17: Falsely claiming that a product is able to cure illnesses,
dysfunction or malformations.
25. EU Rules for Food
and Supplements
Any claim about curing disease is forbidden, unless for Registered Medications:
“Any claim on the curing or relieving symptoms or disease has to be solidly
substantiated”
(EU Directives: EU 65/65/EEC , 75/319/EEC , 89/341/EEC).
Claims on promoting health or preventing disease by food or food supplements,
Can be allowed, but !!!…each claim must first be approved by the EFSA:
http://www.efsa.europa.eu
EU Directive Nr. 1924/2006 Art. 13(5) & 14(1):
Health claim means any claim that states, suggests or implies that a relationship
exists between a food category, a food or one of its components and health.
26. EU: Food and supplements
Hundreds of claims rejected by EFSA, are forbidden.
http://ec.europa.eu/food/food/labellingnutrition/claims/community_register/rejected_health_claims_en.htm
28. Food Supplements
• Bjelakovic, G., et al.,
• Mortality in Randomized Trials of Antioxidant Supplements
• for Primary and Secondary Prevention
• Systematic Review and Meta-analysis,
• JAMA, 27 februari 2007, 297: 842-857.
• “supplements with bèta-carotene, vit A and vit E
Increase the risk of death with respectively 7, 16 and 4%.
• vit C shows no effect
29. Belgium: Registration of Quacks
(Non-conventional Practices)
Law Colla 1999
Verdict: 5000 € per month for osteopaths !
Acupuncture
Homeopathy
Chiropractice
Osteopathy
30. Harmless ?
• Forgo a treatment that might help
• No information available on possible harm
• Antioxidants and herbs (vit. C en E) can neutralise the effect of
needed therapies
• Dangerous Herbs.
• Antivaccination propaganda
• Anti-malaria homeopathy kills
• Fluor scare,
• Amalgam scare
• Financial hangover
• A Doctor who peddles CAM is……
• a quack with a license to kill"
31. The QUACK DETECTOR
• Testimonies as Proof
• Miraculous cures
• No danger, no side effects
• It’s a breakthrough!
• Secret (ancient) formula discovered
• One cure for many ailments
• Buy my book!
• Persecuted by science
• They call normal medicine ALLOPATHY
• Quantumfysics, vibrations, cosmic energy
• De-toxify
• Attacks on normal medicine
• A conspiracy against them
32. CONCLUSION
• We do not want to forbid water or Lourdes
• Freedom of choice is only real if honest
information is available and false claims
forbidden.
• Complain against dishonest claims
• Once more: Witnesses and satisfied
customers are NOT proof of efficacy