The Many LIES of REPEATED Liar, Rich Shewmaker
- From: "JanD" <JanD@xxxxxxxxxxxxx>
- Date: Sat, 31 Dec 2005 04:48:43 GMT
The MANY LIES on Quackwatch that LIAR Rich Shewmaker posts EVERY TIME he
posts, making him a REPEATED LIAR.
Stephen Barrett LIES on his LYING websites:
*Alternative therapy" is a marketing term that should not be permitted.*
*While a few of those so accredited are naive physicians, most are
nonmedical persons who only play
at being doctor and use this certification as an umbrella for a host of
unproven New Age hokum treatments. Unfortunately, a few HMOs, hospitals, and
even medical schools are succumbing to the bait and exposing patients to
such bogus treatments when they need real medical care*
The National Council Against Health Fraud has concluded:
a.. Acupuncture is an unproven modality of treatment
That clearly is a LIE!!!!!
That said, both you and Barrett are liars, there are abstracts proving the
effectiveness of acupuncture, it is now being used in convention medicine,
insurance companies are paying for it
http://rheumatology.oxfordjournals.org/cgi/content/abstract/42/12/1508
Acupuncture for chronic low back pain in older patients: a randomized,
controlled trial
C. F. Meng, D. Wang3, J. Ngeow1, L. Lao4, M. Peterson2 and S. Paget
Departments of Rheumatology, 1Pain Management/Anesthesiology and 2Research,
Hospital for Special Surgery, New York, NY, 3Department of Pain
Management/Anesthesiology, New York Hospital and 4Department of
Complementary Medicine, University of Maryland, MD, USA.
Correspondence to: C. F. Meng, Hospital for Special Surgery, Rheumatology,
535 E. 70th Street, New York, NY 10021, USA. E-mail: mengc@xxxxxxx
Objective. To determine if acupuncture is an effective, safe adjunctive
treatment to standard therapy for chronic low back pain (LBP) in older
patients.
Methods. The inclusion criteria for subjects were: (i) LBP 12 weeks and (ii)
age 60 yr; the exclusion criteria were (i) spinal tumour, infection or
fracture and (ii) associated neurological symptoms. The subjects were
randomized to two groups. The control group of subjects continued their
usual care as directed by their physicians, i.e. NSAIDs, muscle relaxants,
paracetamol and back exercises. Subjects in the acupuncture group in
addition received biweekly acupuncture with electrical stimulation for 5
weeks. Outcome was measured by the modified Roland Disability Questionnaire
(RDQ) at weeks 0, 2, 6 and 9. The primary outcome measure was change in RDQ
score between weeks 0 and 6.
Results. Fifty-five patients were enrolled, with eight drop-outs.
Twenty-four subjects were randomized to the acupuncture group and 23 were
randomized to the control group. Acupuncture subjects had a significant
decrease in RDQ score of 4.1 ± 3.9 at week 6, compared with a mean decrease
of 0.7 ± 2.8 in the control group (P = 0.001). This effect was maintained
for up to 4 weeks after treatment at week 9, with a decrease in RDQ of 3.5 ±
4.4 from baseline, compared with 0.43 ± 2.7 in the control group (P =
0.007). The mean global transition score was higher in the acupuncture
group, 3.7 ± 1.2, indicating greater improvement, compared with the score in
the control group, 2.5 ± 0.9 (P < 0.001). Fewer acupuncture subjects had
medication-related side-effects compared with the control group.
Conclusions. Acupuncture is an effective, safe adjunctive treatment for
chronic LBP in older patients.
KEY WORDS: Acupuncture, Chronic low back pain, Elderly patients, Randomized
controlled trial.
This article has been cited by other articles: (Search Google Scholar for
Other Citing Articles)
http://www.nlm.nih.gov/archive/20040823/pubs/cbm/acupuncture.html
http://tinyurl.com/7ajgz
Migraine and tension headache--a complementary and alternative medicine
approach.
Woolhouse M.
michellewoolho...@xxxxxxxxxxx
BACKGROUND: Migraine and tension headache are common--affecting up to 10%
and 40% of the Australian population respectively--and result in significant
reduction in social activities and work capacity for sufferers. OBJECTIVE:
This article considers the evidence for the use of a range of complementary
therapies and treatment in the prevention and management of both migraine
and tension headache. DISCUSSION: Migraine and tension headache can have
many precipitating factors. Considering dietary and environmental factors
complements a migraine/headache consultation. There is evidence for the role
of mind-body approaches, nutritional supplements such as riboflavin and
magnesium, and acupuncture in the treatment of headache. By using a holistic
approach we may be able to tailor a treatment program that is both effective
and safe.
http://tinyurl.com/ahbvy
1: Health Technol Assess. 2005 Aug;9(32):1-126. Related Articles,
Links
Longer term clinical and economic benefits of offering acupuncture care to
patients with chronic low back pain.
Thomas KJ, Macpherson H, Ratcliffe J, Thorpe L, Brazier J, Campbell M,
Fitter M, Roman M, Walters S, Nicholl JP.
School of Health and Related Research (ScHARR), University of Sheffield, UK.
OBJECTIVES: To test whether patients with persistent non-specific low back
pain, when offered access to traditional acupuncture care alongside
conventional primary care, gained more long-term relief from pain than those
offered conventional care only, for equal or less cost. Safety and
acceptability of acupuncture care to patients, and the heterogeneity of
outcomes were also tested. DESIGN: A pragmatic, two parallel group,
randomised controlled trial. Patients in the experimental arm were offered
the option of referral to the acupuncture service comprising six
acupuncturists. The control group received usual care from their general
practitioner (GP). Eligible patients were randomised in a ratio of 2:1 to
the offer of acupuncture to allow between-acupuncturist effects to be
tested. SETTING: Three non-NHS acupuncture clinics, with referrals from 39
GPs working in 16 practices in York, UK. PARTICIPANTS: Patients aged 18--65
years with non-specific low back pain of 4--52 weeks' duration, assessed as
suitable for primary care management by their general practitioner.
INTERVENTIONS: The trial protocol allowed up to ten individualised
acupuncture treatments per patient. The acupuncturist determined the content
and the number of treatments according to patient need. MAIN OUTCOME
MEASURES: The Short Form 36 (SF-36) Bodily Pain dimension (range 0--100
points), assessed at baseline, and 3, 12 and 24 months. The study was
powered to detect a 10-point difference between groups at 12 months
post-randomisation. Cost--utility analysis was conducted at 24 months using
the EuroQoL 5 Dimensions (EQ-5D) and a preference-based single index measure
derived from the SF-36 (SF-6D). Secondary outcomes included the McGill
Present Pain Index (PPI), Oswestry Pain Disability Index (ODI), all other
SF-36 dimensions, medication use, pain-free months in the past year, worry
about back pain, satisfaction with care received, and safety and
acceptability of acupuncture care. RESULTS: A total of 159 patients were in
the 'acupuncture offer' arm and 80 in the 'usual care' arm. All 159 patients
randomised to the offer of acupuncture care chose to receive acupuncture
treatment, and received an average of eight acupuncture treatments within
the trial. Analysis of covariance, adjusting for baseline score, found an
intervention effect of 5.6 points on the SF-36 Pain dimension [95%
confidence interval (CI) -1.3 to 12.5] in favour of the acupuncture group at
12 months, and 8 points (95% CI 0.7 to 15.3) at 24 months. No evidence of
heterogeneity of effect was found for the different acupuncturists. Patients
receiving acupuncture care did not report any serious or life-threatening
events. No significant treatment effect was found for any of the SF-36
dimensions other than Pain, or for the PPI or the ODI. Patients receiving
acupuncture care reported a significantly greater reduction in worry about
their back pain at 12 and 24 months compared with the usual care group. At
24 months, the acupuncture care group was significantly more likely to
report 12 months pain free and less likely to report the use of medication
for pain relief. The acupuncture service was found to be cost-effective at
24 months; the estimated cost per quality-adjusted (QALY) was pound4241 (95%
CI pound191 to pound28,026) using the SF-6D scoring algorithm based on
responses to the SF-36, and pound3598 (95% CI pound189 to pound22,035) using
the EQ-5D health status instrument. The NHS costs were greater in the
acupuncture care group than in the usual care group. However, the additional
resource use was less than the costs of the acupuncture treatment itself,
suggesting that some usual care resource use was offset. CONCLUSIONS:
Traditional acupuncture care delivered in a primary care setting was safe
and acceptable to patients with non-specific low back pain. Acupuncture care
and usual care were both associated with clinically significant improvement
at 12- and 24-month follow-up. Acupuncture care was significantly more
effective in reducing bodily pain than usual care at 24-month follow-up. No
benefits relating to function or disability were identified. GP referral to
a service providing traditional acupuncture care offers a cost-effective
intervention for reducing low back pain over a 2-year period. Further
research is needed to examine many aspects of this treatment including its
impact compared with other possible short-term packages of care (such as
massage, chiropractic or physiotherapy), various aspects of
cost-effectiveness, value to patients and implementation protocols.
PMID: 16095547 [PubMed - in process]
=================
http://tinyurl.com/7ajgz
Migraine and tension headache--a complementary and alternative medicine
approach.
Woolhouse M.
michellewoolho...@xxxxxxxxxxx
BACKGROUND: Migraine and tension headache are common--affecting up to 10%
and 40% of the Australian population respectively--and result in significant
reduction in social activities and work capacity for sufferers. OBJECTIVE:
This article considers the evidence for the use of a range of complementary
therapies and treatment in the prevention and management of both migraine
and tension headache. DISCUSSION: Migraine and tension headache can have
many precipitating factors. Considering dietary and environmental factors
complements a migraine/headache consultation. There is evidence for the role
of mind-body approaches, nutritional supplements such as riboflavin and
magnesium, and acupuncture in the treatment of headache. By using a holistic
approach we may be able to tailor a treatment program that is both effective
and safe.
http://www.napa.ufl.edu/98news/alternat.htm
'ALTERNATIVE' MEDICINE BECOMING MAINSTREAM, UF STUDY FINDS
Nov. 10, 1998
By Victoria White
--------------------------------------------------------------------------------
GAINESVILLE---Traditional medical providers may have a reputation for
shunning alternative therapies, but health-care teachers are getting
massages, learning relaxation techniques and trying other unconventional
treatments at about the same rate as the general population, University of
Florida researchers report.
In a written survey of physicians, nurses, dentists and other health
professionals on UF's faculty, 52 percent of the 764 respondents said they
had tried an alternative treatment. An earlier survey found the same
percentage of Florida residents had done so.
The results, published as a letter in this week's issue of The Journal of
the American Medical Association (11/11/98), add to the growing evidence
that so-called "alternative" medicine is rapidly heading into the
mainstream.
"With this survey, we've learned that health science faculty are pretty much
like anyone else when it comes to their own health," said Dr. Allen Neims, a
professor of pharmacology and former dean of UF's College of Medicine. "This
is significant, because they are the role models and teachers of the next
generation of health-care professionals."
Neims authored the letter with Mary Ann Burg and Shae Kosch in the College
of Medicine's department of community health and family medicine, and
Eleanor Stoller of Case Western Reserve University.
This week's JAMA is devoted to research on nontraditional health practices,
collectively known as alternative, complementary or integrative medicine.
Such therapies are not routinely taught in U.S. medical schools or practiced
in the mainstream American medicine, and have not been established as safe
and effective by rigorous scientific scrutiny.
Neims and Burg see JAMA's interest as a sign of how important physicians are
beginning to view the topic.
"I think physicians now know that their patients are using massage and
dietary supplements and that they're going to chiropractors," Burg said. "So
physicians have to figure out how to deal with a group of techniques they
probably don't have any training in and which to date have little scientific
evidence to demonstrate their effectiveness."
About half of U.S. medical schools, including UF, offer elective courses on
alternative therapies, Neims said. At UF, some required courses include
discussion of the topic. Additionally, a UF family practice clinic offers
acupuncture, massage therapy, hypnosis and relaxation techniques.
"There is a tremendous amount of individuality in how integrative treatments
are presented to students by the faculty," Neims said. "Some include quite a
bit of information and others are quite resistant to it, seeing it as a step
backwards scientifically. While there is room for both views within the
college, I hope this study gives people a little more sense of permission to
teach these things. Teaching about them does not have to be an endorsement."
One hurdle in integrating alternative therapies into mainstream medicine is
that mainstream and alternative practitioners have different ideas about
what causes health problems, Burg said.
"In traditional Chinese medicine, which includes acupuncture and herbal
therapy, they think in terms of 'chi,' which is a kind of life force, a body
energy," Burg said. "There is some research showing that acupuncture does a
good job relieving pain and other problems, but there is no logical
explanation within Western medicine for that."
In a written questionnaire mailed to 1,300 UF health faculty members, 32
percent of those who responded said they had used massage, 24 percent
relaxation techniques, 23 percent dietary supplements and 16 percent
chiropractic. Less than 10 percent of the faculty reported using herbs,
acupuncture, hypnosis, homeopathic remedies or biofeedback. Women faculty
members were significantly more likely than men to have tried alternative
therapies.
Faculty from the colleges of Health Professions and Nursing were the highest
users of alternative medicine -- at 76 and 74 percent, respectively. Of
College of Medicine respondents, 52 percent had used alternative medicine.
"Nurses have been doing a lot more research on alternative medicine for a
much longer time than people in the other health professions," Burg said.
"Nursing traditionally has been a holistic, patient-oriented profession,
which fits in well with the culture of a many alternative therapies."
Neims noted that like the American population in general, health faculty are
turning to nontraditional measures to maximize health, not to replace
traditional, Western medicine. Many people are exploring new forms of
treatment because they fit well with their philosophy of a mind-body
connection. They also are seeking a personal relationship that may be
difficult to forge in the typical physician office.
"If you regularly see a massage therapist or chiropractor, that can turn
into a deep relationship with healing qualities of its own," Neims said.
"One of the things I hope results from this interest in integrative medicine
is that we all reaffirm that the relationship between patient and physician
is very, very important."
Schools Opening Up to Alternative Medicine
June 6, 2005
Schools Opening Up to Alternative Medicine
PHILADELPHIA (AP) -- Once largely dismissed as a leftover fad from the
Age of Aquarius, acupuncture, herbal remedies and other forms of
alternative medicine are finding their way into curriculums at
traditional medical schools -- most recently the University of
Pennsylvania.
Doctors at Penn are working with Tai Sophia Institute, an alternative
medicine school in Maryland, on a program to teach medical students
about herbal therapies, meditation and other approaches that are
increasingly popular with the public but largely exist outside the
realm of mainstream medicine. It will start in August.
"We're not going to turn great surgeons into acupuncturists or
herbalists; that's not the idea," said Robert Duggan, co-founder of Tai
Sophia. "The goal is that Penn medical school graduates will be highly
able to speak with patients about how to guide these things into their
overall care."
More than a third of American adults have tried alternative therapies
-- including yoga, meditation, herbs and the Atkins diet -- according
to a 2002 government survey of 31,000 people, the largest study of its
kind in the United States.
Universities nationwide, in response to the burgeoning numbers, are
increasingly focusing on complementary medicine (used along with
conventional treatment) and alternative medicine (used instead of
conventional treatment). Some are creating their own programs and
others are working with alternative medicine practitioners, said Aviad
Haramati, a professor at Georgetown University's medical school.
"More and more there's a willingness by conventional schools to
recognize the CAM (complementary and alternative medicine) schools as
having this expertise," Haramati said. "And there's a recognition by
the CAM disciplines that linking with conventional academic centers to
foster research is a good thing."
Georgetown students work with a massage therapy school, for example,
and Tufts University students work with an acupuncture school, he said.
"It made perfect sense to us," said Dr. Alfred P. Fishman of Penn's
medical school, co-director of the collaboration. "We thought, why
start from scratch? This is a very respected organization with 30 years
of hands-on experience."
More than 95 of the nation's 125 medical schools require some kind of
complementary and alternative medicine coursework, according to the
Association of American Medical Colleges.
The new partnership will offer a master's degree in complementary and
alternative medicine. The degree, offered to the university's medical
and nursing students, will come from the Tai Sophia Institute; the
schools will exchange faculty members and students.
"If you had raised this 10 years ago everyone would have sneered at
it," Fishman said. "Today, we're moving away from being completely
focused on preventing disease and toward looking at what it takes to
(achieve and maintain) wellness. ... I think patient care will improve
enormously."
One critic of the trend is Dr. Steven Barrett of Allentown, a Columbia
University-trained psychologist who runs the Web site Quackwatch.
Alternative medicine programs are finding their way into mainstream
institutions not because there's proof the therapies work, Barrett
said, but because skeptical voices are squelched and "administrators
see it as a way to jump on the bandwagon and get grant money."
Penn and Tai Sophia are also developing postgraduate and continuing
education courses on complementary and alternative medicine. One
program, for example, will teach doctors about herbal medicines so they
can better serve their patients who are already taking them.
In addition, cardiologists at Penn's Presbyterian Medical Center are
working with Tai Sophia to integrate alternative therapies into
traditional care for heart patients. The idea is to teach the
cardiology staff how to develop personalized therapy plans -- including
everything from meditation and massage to reflexology and aromatherapy
-- to decrease patient stress, pain and anxiety.
"We get the benefit of their extraordinary research capabilities and
educational facilities. They get the benefit of an institution that
understands the world of (unconventional medicine)," Duggan said.
Fishman said the research possibilities are exciting as well. For
example, new brain imaging technology will allow researchers to
physically explore how things like herbs, acupuncture, even prayer, can
make people feel better.
"In the days before we could image the brain it was very hard to know
about how these things worked, why placebos work in some people," he
said. "We can image the brain now and see why they feel better. Nothing
is off limits."
http://www.med.upenn.edu/progdev/compmed/
http://www.karinya.com/schools.htm
http://www.mcgill.ca/reporter/36/17/collet/
http://www.intstudy.com/articles/twealtmd.htm
http://www.aiam.edu/
http://focus.hms.harvard.edu/1998/Nov27_1998/forum.html
http://www.omahahealth.com/
http://www.biomedcentral.com/1472-6920/2/2
http://www.mja.com.au/public/issues/181_05_060904/bro10359_fm.html
http://jama.ama-assn.org/cgi/content/abstract/280/9/784
http://www.uchc.edu/ocomm/features/stories/stories03/feature_alternatives.html
http://www.whccamp.hhs.gov/fr4.html
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