Quality Assurance, Health Care

Publication Title: 
American Journal of Hypertension

BACKGROUND: Prior clinical trials suggest that the Transcendental Meditation technique may decrease blood pressure of normotensive and hypertensive individuals but study-quality issues have been raised. This study was designed to assess effects of Transcendental Meditation on blood pressure using objective quality assessments and meta-analyses. METHODS: PubMed and Cochrane databases through December 2006 and collected publications on Transcendental Meditation were searched.

Author(s): 
Anderson, James W.
Liu, Chunxu
Kryscio, Richard J.
Publication Title: 
Advances in Mind-Body Medicine

Like other complex, multifaceted interventions in medicine, meditation represents a mixture of specific and not-so-specific elements of therapy. However, meditation is somewhat unique in that it is difficult to standardize, quantify, and authenticate for a given sample of research subjects. Thus, it is often challenging to discern its specific effects in order to satisfy the scientific method of causal inferences that underlies evidence-based medicine. Therefore, it is important to consider the key methodological challenges that affect both the design and analysis of meditation research.

Author(s): 
Caspi, Opher
Burleson, Katherine O.
Publication Title: 
Acta Cytologica

ISSUES: Optical digital imaging and its related technologies have applications in cytopathology that encompass training and education, image analysis, diagnosis, report documentation and archiving, and telecommunications. Telecytology involves the use of telecommunications to transmit cytology images for the purposes of diagnosis, consultation or education.

Author(s): 
O'Brien, M. J.
Takahashi, M.
Brugal, G.
Christen, H.
Gahm, T.
Goodell, R. M.
Karakitsos, P.
Knesel, E. A.
Kobler, T.
Kyrkou, K. A.
Labbe, S.
Long, E. L.
Mango, L. J.
McGoogan, E.
Oberholzer, M.
Reith, A.
Winkler, C.
Publication Title: 
Minerva Medica

INTRODUCTION: Cognitive behavioral therapy (CBT) has been shown to be effective in mitigating various psychosocial impacts from breast cancer. Long-term studies have yielded mixed findings on the outcome of CBT in breast cancer settings, especially with respect to quality of life (QOL) and the quantified degree of stress (QDS). EVIDENCE ACQUISITION: Medline, Cochrane, Embase, and Google Scholar databases were searched and randomized controlled trials relevant to the use of CBT and its variants in breast cancer patients were selected, and their pooled results meta-analyzed.

Author(s): 
Zhang, Meiyun
Huang, Lihua
Feng, Zhixian
Shao, Lewen
Chen, Lixia
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

Prompted by the open letter by 13 prominent British scientists to National Health Science (NHS) trusts questioning the use of homeopathy, Vinjar Fønnebø, M.D., Ph.D., and Michael Baum, M.B., Ch.M., F.R.C.S., M.D.(Hon) entered into an e-mail exchange about the issues of research and documentation of practices in "complementary," "alternative," and "integrated" medicine. The paper presents the whole exchange unedited.

Author(s): 
Fønnebø, Vinjar
Baum, Michael
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

In attempts to improve their health and/or combat illness, approximately 4 in 10 Americans will use a complementary and alternative medicine (CAM) therapy this year. CAM therapies vary widely, with acupuncture, chiropractic, herbal medicine, and homeopathy among the more prominent modalities. CAM therapies are used in addition to and/or instead of the more conventional forms of medical care available in U.S. hospitals or licensed physicians' offices.

Author(s): 
Barrett, Bruce
Publication Title: 
Homeopathy: The Journal of the Faculty of Homeopathy

Delphi is a project to make high-quality cases treated with homeopathy available for study. The project encountered a number of major difficulties including small numbers of cases submitted, ethical problems and problems of analysis. The nature of these problems and possible solutions are discussed.

Author(s): 
Baas, C.
Publication Title: 
Wiener Medizinische Wochenschrift (1946)

Despite ongoing controversy, homeopathy has become increasingly accepted as a "medical reality" by patients and doctors alike. This process has been accompanied by an increased quality of manufacturing, education, research, and regulation of homeopathy. This paper argues that European regulation may now have gone too far by indiscriminately prescribing that homeopathic medicines should be used in a potency of D4 and higher. Low potencies and tinctures are an important and integral part of the homeopathic heritage.

Author(s): 
Van Haselen, Robbert
Publication Title: 
Zeitschrift Fur Arztliche Fortbildung

Quality assurance for acupuncture therapy requires a good basic and on-going training in both conventional western medicine as well as in the theory and practice of acupuncture, the ability to synthesize the patient's objective findings and subjective feelings, and honesty with the patient and towards oneself. Thus, based on the continuous critical evaluation of the objective and subjective parameters, the question of acupunture as the optimal form of therapy for this specific case is honestly answered and one has the courage to admit failures.

Author(s): 
Kubiena, G.
Publication Title: 
Zeitschrift Fur Rheumatologie

Seventeen studies were examined with regard to efficacy and scientific quality of acupuncture in rheumatoid arthritis, spondarthropathy, lupus erythematosus, local and progressive systemic scleroderma. Acupuncture cannot be recommended for treatment of these diseases. By far, the most studies examined failed to show sufficient quality.

Author(s): 
Lautenschläger, J.

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