en:misc:talk-saine-novella-question01
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en:misc:talk-saine-novella-question01 [2013/06/05 14:39] legatum |
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| ====== Novella-Saine Post-Debate Q & A ====== | ====== Novella-Saine Post-Debate Q & A ====== | ||
| + | Answered question from the [[en:misc:talk-saine-novella|Debate on Homeopathy]]. | ||
| **1- What do you consider to be the best clinical evidence supporting the efficacy of homeopathy for any indication? (March 28, 2013)** | **1- What do you consider to be the best clinical evidence supporting the efficacy of homeopathy for any indication? (March 28, 2013)** | ||
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| As this self-satisfactory level of evidence may not be satisfactory to everyone, I will now move closer to the central idea of your question. | As this self-satisfactory level of evidence may not be satisfactory to everyone, I will now move closer to the central idea of your question. | ||
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| + | {{anchor:homeopathy_clinical_evidence}} | ||
| ===== What is the Best Clinical Evidence for Homeopathy? ===== | ===== What is the Best Clinical Evidence for Homeopathy? ===== | ||
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| Incidentally, it is a strange fact how detractors of homeopathy rely so much on expert opinion when they recognize it to be the least valuable level of evidence. From earlier time until now, professed experts on homeopathy, whom skeptics have relied on, have been found to be shams and/or the evidence they advanced against homeopathy have been shown to be flawed, like we have seen above with the French Academy of Medicine, Holmes, Shang et al., the //Lancet// editors, Edzard Ernst, etc. | Incidentally, it is a strange fact how detractors of homeopathy rely so much on expert opinion when they recognize it to be the least valuable level of evidence. From earlier time until now, professed experts on homeopathy, whom skeptics have relied on, have been found to be shams and/or the evidence they advanced against homeopathy have been shown to be flawed, like we have seen above with the French Academy of Medicine, Holmes, Shang et al., the //Lancet// editors, Edzard Ernst, etc. | ||
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| + | {{anchor:homeopathy_statistics}} | ||
| ===== Statistical Analysis of the Epidemiological Evidence ===== | ===== Statistical Analysis of the Epidemiological Evidence ===== | ||
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| First, we find that among 146,237 patients under PAA there were 35,698 reported deaths for an average mortality rate of 24.4%.[(Willis A. Dewey. Editorials. Pneumonia and its treatment. //Medical Century// 1912; 19: 250-253.)] [(Henri de Bonneval. //Considérations sur l’homoeopathie.// (Bordeaux: Imprimerie Adrien Bousin, 1881), 19-22.)] [(Krüger-Hansen. Ueber das Heilverfahren bei Pneumonien. //Medicinischer Argos// 1842; 4: 341-361.)] [(J. Greenwood, R. H. Candy. The fatality of fractures of the lower extremity and of lobar pneumonia of hospital mortality rates, 1751-1901. //Journal of the Royal Statistical Society// 1911; 74: 363-405.)] [(William Osler. The mortality of pneumonia. //University Medical Magazine// 1888; 1: 77-82.)] [(Samuel Henry Dickson. //Essay on Pneumonia.// In //Studies in Pathology and Therapeutics//. New York: William Hood & Co., 1867.)] [(O. Sturges, S. Coupland. //The Natural History and Relations of Pneumonia//. 2<sup>nd</sup> edition. London: Smith, Elder & Co., 1890.)] [(William Osler. //The Principles and Practice of Medicine.// 8th ed. New York and London: D. Appleton and Company, 1912.)] [(Russell L Cecil, Horace S. Baldwin, Nils P. Larsen. Lobar pneumonia: A clinical and bacteriological study of two thousands typed cases. //Archives of Internal Medicine// 1927; 40: 253-280.)] | First, we find that among 146,237 patients under PAA there were 35,698 reported deaths for an average mortality rate of 24.4%.[(Willis A. Dewey. Editorials. Pneumonia and its treatment. //Medical Century// 1912; 19: 250-253.)] [(Henri de Bonneval. //Considérations sur l’homoeopathie.// (Bordeaux: Imprimerie Adrien Bousin, 1881), 19-22.)] [(Krüger-Hansen. Ueber das Heilverfahren bei Pneumonien. //Medicinischer Argos// 1842; 4: 341-361.)] [(J. Greenwood, R. H. Candy. The fatality of fractures of the lower extremity and of lobar pneumonia of hospital mortality rates, 1751-1901. //Journal of the Royal Statistical Society// 1911; 74: 363-405.)] [(William Osler. The mortality of pneumonia. //University Medical Magazine// 1888; 1: 77-82.)] [(Samuel Henry Dickson. //Essay on Pneumonia.// In //Studies in Pathology and Therapeutics//. New York: William Hood & Co., 1867.)] [(O. Sturges, S. Coupland. //The Natural History and Relations of Pneumonia//. 2<sup>nd</sup> edition. London: Smith, Elder & Co., 1890.)] [(William Osler. //The Principles and Practice of Medicine.// 8th ed. New York and London: D. Appleton and Company, 1912.)] [(Russell L Cecil, Horace S. Baldwin, Nils P. Larsen. Lobar pneumonia: A clinical and bacteriological study of two thousands typed cases. //Archives of Internal Medicine// 1927; 40: 253-280.)] | ||
| - | | **Allopathic Treatment** | Cases | **Deaths** | **Mortality (percent)** | | + | | **Allopathic Treatment** | **Cases** | **Deaths** | **Mortality (percent)** | |
| | Dr. Brouillard, Paris[(#72)] | 152 | 18 | 11.8 | | | Dr. Brouillard, Paris[(#72)] | 152 | 18 | 11.8 | | ||
| | Dr. Louis, Paris[(#72)] | 107 | 32 | 29.9 | | | Dr. Louis, Paris[(#72)] | 107 | 32 | 29.9 | | ||
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| | **Treatment** | **Number of patients** | **Number of recoveries** | **Survival Rate** | **Number of deaths** | **Mortality Rate** | | | **Treatment** | **Number of patients** | **Number of recoveries** | **Survival Rate** | **Number of deaths** | **Mortality Rate** | | ||
| - | | **Homeopathy** | **25,216** | **24,360** | **96.6** | **866** | **3.4** | | + | | Homeopathy | 25,216 | 24,360 | 96.6 | 866 | 3.4 | |
| - | | **PAA** | **146,237** | **110,539** | **75.8** | **35,698** | **24.4** | | + | | PAA | 146,237 | 110,539 | 75.8 | 35,698 | 24.4 | |
| - | | **CC** **C (limited to CAP)** | **33,148** | **28,607** | **86.3** | **4,541** | **13.7** | | + | | CCC (limited to CAP) | 33,148 | 28,607 | 86.3 | 4,541 | 13.7 | |
| Statistics from these outcomes show that: | Statistics from these outcomes show that: | ||
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| ===== Pneumonia during the 1918-1920 Influenza Pandemic ===== | ===== Pneumonia during the 1918-1920 Influenza Pandemic ===== | ||
| - | The second part of the answer to Dr. Steven Novella’s first question will follow in June. | + | The second part of the answer to Dr. Steven Novella’s first question [[talk-saine-novella-question01-part02|will follow in June]]. |
en/misc/talk-saine-novella-question01.1370443188.txt.gz · Last modified: 2013/06/05 14:39 by legatum
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