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Abstracts - Poster Presentations

27
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Correspondence: Ms Barbara Josephine Braun, Swaziland Correspondence: David Brule, University of Toronto,
Institute for Research into Medicinal Plants e (University of Canada.
Swaziland), Swaziland. )
E-mail: David.brule@utoronto.ca (D. Brule
E-mail: bjb@africaonline.co.sz (B.J. Braun)
Background: ADHD is a common psychiatric disorder
The purpose of this ongoing research is to investigate the affecting 5e10% of children and youth. Conventional
effectiveness of homeopathic treatment delivered to HIV- treatments for ADHD are effective in treating acute
positive patients mainly in resource-limited settings. The symptoms but have shown little long term benefit and
study includes patients on Antiretroviral Therapy (ART) have a troublesome adverse event profile. Homeopathic
and those not yet initiated on ART, in Swaziland. Data treatments for ADHD have shown promise however the
from the Swaziland Homeopathy Project, 2014 clinic data- therapeutic effects are unknown. Homeopathic random-
base was analysed. ized, placebo controlled trial (RPCT) are difficult to
The study is a retrospective observational study of a design. The homeopathic research community has con-
group of 1003 HIV positive individuals comprising 147 ducted many such RPCT’s and valuable lessons have
males and 856 females. Patients attend clinics voluntarily been learned.
and are offered homeopathic treatment as a complement Methods: Our study team has designed a study of the ho-
to any other conventional medical treatment. Statistical meopathic treatment of ADHD which we feel may address
analysis was carried out using the Standard Student t-test. more rigorously the questions around internal, external and
The end points are changes in the Practitioner and Patient model validity in homeopathic trials. We have designed a 3
overall scores (based on Karnofsky) and Symptom Evalu- arm (verum, placebo, waitlist) RPCT after conducting an
ation Scale (VAS) scores. open label pilot study. The pilot study enabled the study
The analysis showed statistically significant positive team to determine feasibility, optimal length of time
changes in all average overall health scores of the patients needed for treatment, and to make a sample size calculation
between initial case-taking prior to remedy prescription on the treatment-waitlist arms. The current study has a
and follow-up consultations. Mean patient scores for pa- treatment phase of 28 weeks (8 consultations) and intends
tients on ART increased by 1.18 points (from 6.11 to to enroll 59 participants per arm. One key element of the
7.29) on the 9-point Karnofsky scale (p value < 0.01). design of the study was to retain the same clinicians for
Mean patient scores for those not on ART increased by both the pilot phase and the RCT phase so that the sample
0.94 points, from 6.30 to 7.24 (p value < 0.01). Practitioner size calculation may more accurately reflect a particular
scores showed similar increases. From all the overall health standard of practice. Furthermore, the practitioners were
scores, an average of 66% of the patients showed improve- chosen based (in part) by their lack of reputation and popu-
ment at the first monthly follow-up. Analysis of the symp- larity in the community. This has the potential to reduce
toms indicated that symptom improvement occurred in certain biases (such as reputational, popularity, and hot
65% of all presenting symptoms at first follow-up. This stuff biases) allowing for the potential of more robust re-
trend was observed for both mental and physical symp- sults. To optimize model validity both the pilot study and
toms. the RPCT had continuous input from the homeopaths
The study indicates that all patients, including those with regards to emulating their standard practice with the
receiving ART and those not yet initiated, were signifi- clinical aspects of the trial. Very few modifications were
cantly improved after receiving homoeopathic treatment. introduced and the homeopaths did not feel that these mod-
Symptom analysis indicates that homeopathic treatment ifications would affect patient outcomes.
can alleviate both long and short-term ART adverse effects Keywords: Homeopathy, ADHD, Attention Deficit Hy-
including peripheral neuropathy and is effective in address- peractivity Disorder
ing emotional issues such as grief and trauma as well as
opportunistic infections.
Keywords: Outreach homeopathic treatment, Observa- Effectiveness of homeopathic
tional study, HIV-positive patients, Antiretroviral Therapy
(ART), Overall scores, Symptom scores, Statistically sig-
remedies in severe laminitic
nificant improvement horses
P Cayado*
Study design of a Randomized,
Placebo Controlled Trial of the Clınica Veterinaria el Parque, Spain
Homeopathic Treatment of *
Correspondence: Mrs Patricia Cayado e DVM, PhD,
Attention Deficit Hyperactivity Clınica Veterinaria el Parque, San Ildefonso, Segovia, Spain.
E-mail: patricia.cayado@gmail.com (P. Cayado)
Disorder (ADHD) Background: Equine laminitis is a severe inflammation
David Brule* of the internal lamellar of the horse foot due to an alteration
of the periferic vascular flood flow. Marked vascular distur-
University of Toronto, Canada bances occur and microtrombi form in the digital

Homeopathy

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