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Background: Homeopathy, as an alternative treatment system for the treatment of various diseases, is widely used in various regions of the world. However the clinical benefits of homeopathy remains controversial. Aim of the Study: This review highlights the most up-to-date and current clinical trials and research carried out in the field of homeopathy and to compare its effectiveness in combating various diseases. Methodology: A retrospective literature search was performed from 2012 to 2017. All the articles, containing clinical trials in human subjects, were searched in different databases such as google scholar, science direct, web of science, Scopus, Springer Link and Sci Finder etc. using the keywords i.e. clinical trials in homeopathy, current clinical status of homeopathy, homeopathy and treatment of diseases, clinical cases in homeopathy and clinical studies in homeopathy. Results: Twenty one articles met the inclusion criteria and were included in this review. The results of these clinical studies showed an effective outcome for homeopathy treatment in various diseases such as atopic dermatitis, eczema, respiratory tract infections, asthma, hay fever and pulmonary tuberculosis etc. However, for some of the diseases such as depression, mental fatigue, cancer, HIV, anxiety, dementia, induction of labor, osteoarthritis, migraine and insomnia etc. no proper clinical evidence for a safe and effective use of homeopathy exists. Furthermore, the research quality of most the homeopathy clinical trials are objectionable and negatively analyzed by various authors in terms of sample size, reproducibility and replication of data as well as lack of proper guidelines for performing homeopathy research. Conclusion: To build credibility in health care system and attract more patients as well as professional practitioners towards this system of alternative treatment, more focus in terms of quality research and practically applicable clinical trials i.e. efficacy trials (near to optimal laboratory conditions) is needed.
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To investigate and analyze the epidemiology of serious corneal ulcer. ● METHODS: A total of 133 serious corneal ulcercases from June 2010 to December 2013 in Xiangya Hospital Affiliated to Central South University were retrospectively reviewed for risk factors, demographic characteristics and diagnosis. ●RESULTS: There were 91 male patients (68. 4%) in the 133 patients. A peak incidence age was from 41 to 60 years old (82 cases, 44. 4%). Most of patients were peasant (77 cases, 57. 9%) and the percentage of the low schooling patients was 85. 0% (113 cases). The number of patients who had been sick was 73 before hospitalization (54. 9%) in all cases. The peak incidence season was January (34. 6%). Average length of stay was 9. 84d. The number of emergency cases was 44 (33. 1%). Most of patient were not only corneal ulcer cases but the hypopyon (92 cases, 69. 2%). The figure of inpatients who received operations was 102 cases ( 76. 7%). And the most of operations was amniotic membrane transplantation (31 cases, 39. 2%). Additionally, this data was classified regard to gender differences. ● CONCLUSlON: The peasant of the middle age and elderly represents a distinct clinical group in the serious corneal ulcer in hospital. Severity, ocular trauma in agriculture and health awareness are the major predisposing factors.
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In this paper, we review and discuss ten common methodological mistakes found in retrospective chart reviews. The retrospective chart review is a widely applicable research methodology that can be used by healthcare disciplines as a means to direct subsequent prospective investigations. In many cases in this review, we have also provided suggestions or accessible resources that researchers can apply as a "best practices" guide when planning, conducting, or reviewing this investigative method.
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Atenção à Saúde , Prontuários Médicos , Guias de Prática Clínica como Assunto , Projetos de Pesquisa , Estudos RetrospectivosRESUMO
@#ObjectiveTo explore the death causes and its related factors among psychotic inpatients.MethodsThe medical records of dead psychotic inpatients over recent ten years were investigated with self-designed scheme.ResultsAmong all the investigated cases, the percentage of schizophrenia was more than 50%, the death diagnosis due to somatopathy was over 80%, and more than 50% inpatients suffered from 2～3 kinds of somatopathy. Marital status, diagnosis, smoking and drinking had influenced to the live time of psychotic inpatients.ConclusionThe death of psychotic inpatients might be influenced by multiple causes, including social factors and clinical features which should be paid much attention to extend their live time.
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A retrospective review of 54 patients with multiple intracranial aneurysms seen over a 5 year period was performed. Among the 252 patients with aneurysms, the incidence of multiple aneurysms was 21.4%. Multiple aneurysms were slightly more common in women with a female to male ratio of 1.35:1. But there was no different ratio for patients with three or more aneurysms. Common clinical features were headache(96%), meningeal sign(83%), and change of consciousness level(52%). The most common Fisher's grade was III(63%), according to brain CT finding. Common locations of multiple aneurysms were the PcomA(35.7%), MCA(24.8%), AcomA(17.8%), and ICA bifurcation(7.7%). However, the aneurismal locations with the highest incidence of rupture were the MCA(53.1%). AcomA(52.1%), basilar bifurcation(50%). The PcomA(34.7%) was the least likely site for rupture. On the distribution of multiple aneurysms according to location, unilateral and midline located multiple aneurysms were 49%. Size was more important than irregularity of the shape in identifying the site of rupture. Most ruptured aneurysms were 5mm or larger in size. Postoperative mortality was 4.4% and the most common cause of postoperative mortality was cerebral vasoapasm.