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Datensatz 2 von 306 - Evidence Based Medicine 1996-2000/09 TI: Analgesic effects of acupuncuture on pain after mandibular wisdom tooth extraction AU: Kitade-T; Ohyabu-H AU: Kitade-T; Ohyabu-H AD: Meiji Univ. of Oriental Medicine, Hiyoshi-cho, Funai-gun, Kyoto 629-0392, Japan SO: ACUPUNCT-ELECTRO-THER-RESAcupuncture-and-Electro-Therapeutics-Research. 2000; 25/2 (109-115) CO: AERED IS: 0360-1293 PY: 2000 CP: United States LA: ENGLISH LS: ENGLISH AB: We evaluated the analgesic effects of acupuncture on postoperative pain by comparing patients who underwent routine tooth extraction alone (control group) and those who underwent tooth extraction in combination with acupuncture (experimental group) by the random allocation method. As teeth easy to extract, requiring no gingival incision (grade A) or those difficult to extract, requiring gingival incision or bone cutting (grade B). As local anesthesia, 1.8 ml or 3.6 ml of 2% xylocaine was used. The LI.4, Hegu on both sides and ST.7, Xiaguan and ST.6, Jiache on the affected side were selected. Low frequency electrical acupuncture was performed. When acupuncture was used in combination with tooth extraction, 3 of 22 patients did not develop postoperative pain. In patients with wisdom teeth difficult to extract (grade B), acupuncture used in combination with local anesthesia decreased postoperative pain. DEM: tooth-extraction; analgesia-; acupuncture- DER: molar-tooth; postoperative-pain; intermethod-comparison; treatment-outcome; treatment-indication; patient-satisfaction; human-; male-; female-; clinical-article; clinical-trial; randomized-controlled-trial; controlled-study; adult-; article- EC: Otorhinolaryngology- (11); Public-health,-social-medicine-and-epidemiology (17); Anesthesiology- (24) DT: Article AN: 2000303896 UD: 20000918

Datensatz 5 von 306 - Evidence Based Medicine 1996-2000/09 TI: Do medical devices have enhanced placebo effects? AU: Kaptchuk-TJ; Goldman-P; Stone-DA; Stason-WB AD: Centre Alternative Med. Research, Beth Israel Deaconess Med. Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, United States SO: J-CLIN-EPIDEMIOL. Journal-of-Clinical-Epidemiology. 2000; 53/8 (786-792) *LHM: ZBMED Zeitschriftenbestand:http://www.univie.ac.at/ZBMED/zeitschriften/zeit.htmZBMed-100laufender Bestand, siehe Katalog FTXT: SwetsNet (European Mirror) SwetsNet (US Mirror) ScienceDirect (tm) CO: JCEPE IS: 0895-4356 PY: 2000 CP: United States LA: ENGLISH LS: ENGLISH AB: Although the placebo in a clinical trial is often considered simply a baseline against which to evaluate the efficacy of a clinical intervention, there is evidence that the magnitude of placebo effect may be a critical factor in determining the results of a trial. This article examines the question of whether devices have enhanced placebo effects and, if so, what the implications may be. While the evidence of an enhanced placebo effect remains rudimentary, it is provocative and therefore worthy of further study. Suggestions are made, therefore, for how such an effect can be investigated without violating the principles of informed consent. Copyright (C) 2000 Elsevier Science Inc. DEM: -clinical-trial DER: acupuncture-; randomized-controlled-trial; therapy-; human-; review-; priority-journal DRM: placebo- EC: Public-health,-social-medicine-and-epidemiology (17); Drug EMCLAS (37) DT: Review AN: 2000275874 UD: 20000918

Datensatz 6 von 306 - Evidence Based Medicine 1996-2000/09 TI: Korean hand acupressure reduces postoperative vomiting in children after strabismus surgery AU: Schlager-A; Boehler-M; Puhringer-F AD: Dept. of Anaest./Intensive Care Med., Division of Anaesthesia, Leopold-Franzens-Univ. of Innsbruck, Anichstraße 35, A-6020 Innsbruck, Austria SO: BR-J-ANAESTH. British-Journal-of-Anaesthesia. 2000; 85/2 (267-270) *LHM: ZBMED Zeitschriftenbestand:http://www.univie.ac.at/ZBMED/zeitschriften/zeit.htmZBMed-100laufender Bestand, siehe Katalog CO: BJANA IS: 0007-0912 PY: 2000 CP: United Kingdom LA: ENGLISH LS: ENGLISH AB: A double-blind, randomized, placebo-controlled study was conducted to investigate the effectiveness of Korean hand acupuncture in preventing postoperative vomiting in children scheduled for strabismus surgery. In one group, acupressure was performed 30 min before induction of anaesthesia by applying an acupressure disc onto the Korean hand acupuncture point K-K9; the disc remained in situ for at least 24 h. The second group functioned as placebo group. The treatment groups did not differ with regard to patient characteristics, surgical procedure and anaesthetic administered. In the acupressure group, the incidence of vomiting was significantly lower (20%) than in the placebo group (68%). We conclude that Korean hand acupressure of the acupuncture point K-K9 is an effective method for reducing postoperative vomiting in children after strabismus repair. DEM: acupressure-; vomiting-complication; vomiting-therapy; strabismus-surgery DER: postoperative-complication-complication; postoperative-complication-therapy; Korea-; hand-; anesthesia-induction; surgical-technique; strabismus-surgery; human-; male-; female-; clinical-article; clinical-trial; randomized-controlled-trial; double-blind-procedure; controlled-study; child-; article-; priority-journal DRR: placebo-; midazolam-oral-drug-administration; atropine-oral-drug-administration EC: Pediatric-Surgery (7); Ophthalmology- (12); Anesthesiology- (24); Drug EMCLAS (37) RN: 59467-70-8; 51-55-8; 55-48-1 DT: Article AN: 2000272790 UD: 20000918

Datensatz 8 von 306 - Evidence Based Medicine 1996-2000/09 TI: Changes in microcirculation above tender points in patients with fibromyalgia mediated by acupuncture TO: ÄNDERUNG DER DURCHBLUTUNG ÜBER DEN TENDER POINTS BEI FIBROMYALGIE- PATIENTEN NACH EINER AKUPUNKTURTHERAPIE (GEMESSEN MIT DER LASER-DOPPLER- FLOWMETRIE AU: Sprott-H; Jeschonneck-M; Grohmann-G; Hein-G AD: Rheumaklinik/Institut Phys. Medizin, Universitätsspital Zürich, Gloriastraße 25, CH-8091 Zürich, Switzerland SO: WIEN-KLIN-WOCHENSCHR. Wiener-Klinische-Wochenschrift. 2000 JUL 07; 112/13 (580-586) *LHM: ZBMED Zeitschriftenbestand:http://www.univie.ac.at/ZBMED/zeitschriften/zeit.htmZBMed-100laufender Bestand, siehe Katalog CO: WKWOA IS: 0043-5325 PY: 2000 CP: Austria LA: GERMAN LS: ENGLISH; GERMAN AB: Apart from widespread pain which is the main symptom of fibromyalgia, a great variety of functional and vegetative changes occur in the presence of this disease. Such changes include alterations in microcirculation, which may cause pain. A preliminary study demonstrated a reduction in regional blood flow above ‘tender points’ in fibromyalgia patients compared with healthy controls. A consensus statement of the National Institutes of Health (NIH) states that acupuncture is a sufficient adjuvant method to treat patients with fibromyalgia. The aim of the present study was to determine parameters to measure the effectiveness of a specific treatment modality (such as acupuncture) in addition to the patient's subjective assessment of acupuncture treatment. Twenty patients with fibromyalgia according to the ACR and the Müller/Lautenschläger criteria were included in the study. Acupuncture was performed and adapted to individual needs in accordance with a specific protocol. Five representative ‘tender points’ were examined before and after therapy by laser flowmetry, and the data were compared with temperature measurement and dolorimetry. Increased blood flow was registered above all ‘tender points’ after acupuncture. Skin temperature had increased in 10/12 tender points by a mean of 0.45 degree C. The number of ‘tender points’ were reduced from 16.1 to 13.8 after therapy. The pain threshold increased in 10/12 ‘tender points’. These data suggest that acupuncture is a useful method to treat patients with fibromyalgia. Besides normalisation of clinical parameters, the improvement in microcirculation above ‘tender points’ may alleviate pain. DEM: fibromyalgia-therapy; acupuncture-; microcirculation- DER: laser-flowmeter; skin-temperature; pain-threshold; blood-flow; human-; clinical-article; controlled-study; aged-; adult-; article- EC: Rehabilitation-and-physical-medicine (19); Arthritis-and-Rheumatism (31) DT: Article AN: 2000269966 UD: 20000918

Datensatz 11 von 306 - Evidence Based Medicine 1996-2000/09 TI: Complementary and alternative therapies for treating multiple sclerosis symptoms: A systematic review AU: Huntley-A; Ernst-E AD: Complementary Medicine, Sch. Postgrad. Med. Health Sciences, University of Exeter, 25 Victoria Park Road, Exeter EX2 4NT, United Kingdom SO: COMPLEMENT-THER-MED. Complementary-Therapies-in-Medicine. 2000; 8/2 (97-105) *LHM: ZBMED Zeitschriftenbestand:http://www.univie.ac.at/ZBMED/zeitschriften/zeit.htmZBMed-100laufender Bestand, siehe Katalog CO: CTHME IS: 0965-2299 PY: 2000 CP: United Kingdom LA: ENGLISH LS: ENGLISH AB: Multiple sclerosis (MS) is a chronic disease of the central nervous system without a known cure. Thus the role of complementary and alternative therapies (CATs) for the management of symptoms lies in palliative care and this is borne out by the popularity of these treatments amongst MS sufferers. This review is aimed at determining whether this use is supported by evidence of effectiveness from rigorous clinical trials. Database literature searches were performed and papers were extracted in a pre-defined manner. Twelve randomized controlled trials were located that investigated a CAT for MS: nutritional therapy (4), massage (1), Feldenkrais bodywork (1), reflexology (1), magnetic field therapy (2), neural therapy (1) and psychological counselling (2). The evidence is not compelling for any of these therapies, with many trials suffering from significant methodological flaws. There is evidence to suggest some benefit of nutritional therapy for the physical symptoms of MS. Magnetic field therapy and neural therapy appear to have a short-term beneficial effect on the physical symptoms of MS. Massage/bodywork and psychological counselling seem to improve depression, anxiety and self-esteem. The effectiveness for other CATs is unproven at this time. In all the CATs examined further investigations are needed in the form of rigorous large-scale trials. (C) 2000 Harcourt Publishers Ltd. DEM: alternative-medicine; multiple-sclerosis-drug-therapy; multiple-sclerosis-etiology; multiple-sclerosis-therapy DER: acupuncture-; anxiety-; data-base; depression-complication; depression-therapy; diet-therapy; drug-capsule; drug-efficacy; magnetic-stimulation; manipulative-medicine; massage-; methodology-; palliative-therapy; patient-counseling; psychotherapy-; self-esteem; symptom-; treatment-outcome; human-; controlled-study; clinical-trial; randomized-controlled-trial; article- DRR: docosahexaenoic-acid-clinical-trial; docosahexaenoic-acid-drug-combination; docosahexaenoic-acid-drug-comparison; docosahexaenoic-acid-drug-therapy; docosahexaenoic-acid-pharmaceutics; fish-oil-clinical-trial; fish-oil-drug-comparison; fish-oil-drug-therapy; gamma-linolenic-acid-clinical-trial; gamma-linolenic-acid-drug-combination; gamma-linolenic-acid-drug-therapy; gamma-linolenic-acid-oral-drug-administration; icosapentaenoic-acid-clinical-trial; icosapentaenoic-acid-drug-combination; icosapentaenoic-acid-drug-comparison; icosapentaenoic-acid-drug-therapy; icosapentaenoic-acid-pharmaceutics; linoleic-acid-clinical-trial; linoleic-acid-drug-combination; linoleic-acid-drug-therapy; linoleic-acid-pharmaceutics; linoleic-acid-pharmacology; linoleic-acid-oral-drug-administration; oleic-acid-clinical-trial; oleic-acid-drug-comparison; oleic-acid-drug-therapy; olive-oil-drug-therapy; olive-oil-pharmaceutics; polyunsaturated-fatty-acid-clinical-trial; polyunsaturated-fatty-acid-drug-therapy; polyunsaturated-fatty-acid-oral-drug-administration; primrose-oil-clinical-trial; primrose-oil-drug-therapy; primrose-oil-oral-drug-administration EC: Neurology-and-Neurosurgery (8); Public-health,-social-medicine-and-epidemiology (17); Rehabilitation-and-physical-medicine (19); Drug EMCLAS (37); Pharmacy- (39) RN: 25167-62-8; 32839-18-2; 8016-13-5; 1686-12-0; 25378-27-2; 32839-30-8; 1509-85-9; 2197-37-7; 60-33-3; 822-17-3; 112-80-1; 115-06-0; 8001-25-0; 65546-85-2 TN: naudicelle DT: Article AN: 2000256599 UD: 20000918

Datensatz 12 von 306 - Evidence Based Medicine 1996-2000/09 TI: Effects of acupuncture on pain amd impairement in patients with osteoarthritis of the hip TO: EINFLUSS DER NADELAKUPUNKTUR AUF SCHMERZWAHRNEHMUNG UND FUNKTIONSEINSCHRÄNKUNG BEI PATIENTEN MIT KOXARTHROSE AU: Fink-MG; Kunsebeck-H-W; Wippermann-B AD: Abteilung Physikalische Medizin, Med. Hochschule Hannover, D-30625 Hannover, Germany SO: Z-RHEUMATOL. Zeitschrift-für-Rheumatologie. 2000; 59/3 (191-199) *LHM: ZBMED Zeitschriftenbestand: http://www.univie.ac.at/ZBMED/zeitschriften/zeit.htmZBMed-100nur Altbestand, siehe Katalog FTXT: EBSCO Online SwetsNet (European Mirror) SwetsNet (US Mirror) Springer-Verlag LINK (European Mirror) Springer-Verlag LINK (US Mirror) InformationQuest CO: ZRHMB IS: 0340-1855 PY: 2000 CP: Germany LA: GERMAN LS: ENGLISH; GERMAN AB: Objectives: The effectiveness of acupuncture treatment in patients with osteoarthritis of the hip was tested. Design: This is a prospective, randomized, controlled patient and examiner blinded clinical trial. Patients and setting: The study was performed at a university department for physical medicine and rehabilitation. Sixty-seven patients were separated into two treatment groups. Interventions: Group 1 (treatment) had traditional needle placement and manipulation, whereas in group 2 (control) needles were placed away from classic positions and not manipulated. In both groups needles were placed within the L2 to L5 dermatomes. Endpoints were pain (VAS), functional impairment (hip score), activity of daily living (ADL) and overall satisfaction before treatment, 2 weeks and 2 months post-intervention. Results: For all endpoints there was a significant improvement in both groups 2 weeks and 2 months following treatment versus baseline, but no significant difference between the two treatment groups. Conclusions: We conclude from these results that needle placement in the area of the affected hip by it, self improves symptoms of osteoarthritis. It appears to be less important to follow the rules of traditional acupuncture techniques. DEM: acupuncture-; coxitis-therapy; pain-therapy DER: patient-satisfaction; treatment-outcome; pain-assessment; daily-life-activity; human-; clinical-article; clinical-trial; randomized-controlled-trial; single-blind-procedure; controlled-study; article- EC: Arthritis-and-Rheumatism (31) DT: Article AN: 2000253278 UD: 20000918