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1.
Pain ; 91(1-2): 79-89, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11240080

RESUMO

Spiritual healing is a popular complementary and alternative therapy; in the UK almost 13000 members are registered in nine separate healing organisations. The present randomized clinical trial was designed to investigate the efficacy of healing in the treatment of chronic pain. One hundred and twenty patients suffering from chronic pain, predominantly of neuropathic and nociceptive origin resistant to conventional treatments, were recruited from a Pain Management Clinic. The trial had two parts: face-to-face healing or simulated face-to-face healing for 30 min per week for 8 weeks (part I); and distant healing or no healing for 30 min per week for 8 weeks (part II). The McGill Pain Questionnaire was pre-defined as the primary outcome measure, and sample size was calculated to detect a difference of 8 units on the total pain rating index of this instrument after 8 weeks of healing. VASs for pain, SF36, HAD scale, MYMOP and patient subjective experiences at week 8 were employed as secondary outcome measures. Data from all patients who reached the pre-defined mid-point of 4 weeks (50 subjects in part I and 55 subjects in part II) were included in the analysis. Two baseline measurements of outcome measures were made, 3 weeks apart, and no significant differences were observed between them. After eight sessions there were significant decreases from baseline in McGill Pain Questionnaire total pain rating index score for both groups in part I and for the control group in part II. However, there were no statistically significant differences between healing and control groups in either part. In part I the primary outcome measure decreased from 32.8 (95% CI 28.5-37.0) to 23.3 (16.8-29.7) in the healing group and from 33.1 (27.2-38.9) to 26.1 (19.3-32.9) in the simulated healing group. In part II it changed from 29.6 (24.8-34.4) to 24.0 (18.7-29.4) in the distant healing group and from 31.0 (25.8-36.2) to 21.0 (15.7-26.2) in the no healing group. Subjects in healing groups in both parts I and II reported significantly more 'unusual experiences' during the sessions, but the clinical relevance of this is unclear. It was concluded that a specific effect of face-to-face or distant healing on chronic pain could not be demonstrated over eight treatment sessions in these patients.


Assuntos
Cura Mental , Manejo da Dor , Cuidados Paliativos/métodos , Idoso , Doença Crônica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Falha de Tratamento
4.
Br J Anaesth ; 64(2): 235-7, 1990 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-2317425

RESUMO

Forty-two patients undergoing inhalation induction with isoflurane in nitrous oxide and oxygen, were allocated randomly to receive either humidified or non-humidified gas. Humidification resulted in a significantly lower incidence of problems during induction (P less than 0.05).


Assuntos
Anestesia por Inalação , Umidade , Isoflurano , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Anestesia por Inalação/efeitos adversos , Criança , Pré-Escolar , Feminino , Humanos , Isoflurano/efeitos adversos , Masculino , Pessoa de Meia-Idade , Distribuição Aleatória
5.
Br J Anaesth ; 56(2): 175-7, 1984 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-6691879

RESUMO

Three techniques of intermittent venous occlusion (an oscillotonometer cuff, pneumatic leggings and an automatic arterial pressure monitoring cuff (Sentinel] were applied to one upper limb of seven healthy male volunteers. Fibrinolytic activity was assessed by the measurement of the euglobulin clot lysis time during a control period followed by 1 h of intermittent venous occlusion. Although no statistically significant differences were found with any of the methods, between the control and experimental periods, there was a trend towards fibrinolytic enhancement with intermittent pneumatic compression.


Assuntos
Braço/irrigação sanguínea , Fibrinólise , Adulto , Testes de Coagulação Sanguínea , Determinação da Pressão Arterial , Vestuário , Constrição , Humanos , Masculino , Fatores de Tempo
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