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Volume 64
Number 2
February 2018
ISSN 0104-4230
ISSN 1806-9282 (On-line)
www.ramb.org.br
SECTIONS
Editorial
Special Dossier: “Scientic Evidence for
Homeopathy” 93
Gui dE l in E s i n focus
Asthma and occupation: Diagnosis using
serial peak ow measurements 95
Poi nt o f vi E w
The ORBITA trial: A point of view 100
lEt t E r t o t h E E d i t o r
Heat-not-burn and electronic cigarettes:
Truths and untruths about harm reduction 104
uPd at E a r t i c l E
Yellow fever 106
ARTICLES
ori G i n a l a r t i c l E s
Use of illicit drugs by adolescents and young
adults of an urban settlement in Brazil 114
Individualized threshold for tumor
segmentation in 18F-FDG PET/CT imaging:
The key for response evaluation of
neoadjuvant chemoradiation therapy in
patients with rectal cancer? 119
Combination of topical agents and oxybutynin
as a therapeutic modality for patients with
both osmidrosis and hyperhidrosis 127
Associations among body composition,
inammatory prole and disease extent in
ulcerative colitis patients 133
Impact of written information on control and
adherence in type 2 diabetes 140
Assessing cardiovascular risk in ATM
heterozygotes 148
Assessment of the prevalence of vertical
hepatitis B transmission in two consecutive
generations 154
Subcutaneous emphysema, a different
way to diagnose 159
Maternal attachment and breastfeeding
behaviors according to type of delivery
in the immediate postpartum period 164
Comparative study of computed tomography
(CT) and pathological diagnosis toward
mediastinal lymph node metastasis in
esophageal carcinoma 170
Postoperative local incision analgesia for
acute pain treatment in patients with
hepatocellular carcinoma 175
Assessment of the prescription of red blood
cell concentrates in the pediatric age group 181
rEv i E w a r t i c l E s
Nonalcoholic steatohepatitis in
posttransplantation liver: Review article 187
Pseudomyxoma peritonei in a pediatric
patient: A case report and literature review 195
Special doSSier: “Scientific evidenceS for homeopathy”
reV assoc MeD Bra 2018; 64(2):93-94 93
EDITORIAL
Special Dossier: “Scientific Evidence for Homeopathy”
dossiê especial: “evidências científicas eM hoMeopatia”
Marcus Zulian Teixeira
1*
1MD, PhD, Coordinator and Researcher of the Elective Discipline of Fundamentals of Homeopathy (MCM0773), Faculdade de Medicina da Universidade de São Paulo. Member of the Technical Chamber
for Homeopathy, Regional Medical Council of the State of São Paulo (Cremesp). Guest Editor, Revista de Homeopatia, São Paulo Homeopathic Medical Association, São Paulo, SP, Brazil
Article received: 10/23/2017
Accepted for publication: 10/24/2017
*Correspondence:
Serviço de Clínica Médica Geral, HC-FMUSP
Address: Av. Dr. Enéas de Carvalho Aguiar, 255, 4º andar, bloco 6
São Paulo, SP – Brasil
Postal code: 05403-000
marcus@homeozulian.med.br
mzulian@usp.br
http://dx.doi.org/10.1590/1806-9282.64.02.93
In July 2017, to demystify the fallacy – or post-truth – as-
serting “there are no scientific evidence for homeopathy”,
the Technical Chamber for Homeopathy, Regional Med-
ical Council of the State of São Paulo (Cremesp, Brazil)
published the Dossiê Especial: “Evidências Científicas em
Homeopatia”,
1
available online and in printed editions
of the scientific journal of the São Paulo Homeopathic
Medical Association (APH), Revista de Homeopatia.2,3
After this publication, in view of the request of homeo-
pathic physicians and institutions from other countries,
the Technical Chamber for Homeopathy (TC-Homeopathy,
Cremesp) produced an English edition of the dossier (Spe-
cial Dossier: “Scientific Evidence for Homeopathy”), which
is also available online at the Revista de Homeopatia webpage.
4
Encompassing nine reviews on several lines of ho-
meopathic research (and two randomized clinical trials
developed by members of the TC-Homeopathy), contain-
ing hundreds of scientific articles published in various
journals, this dossier highlights, to the scientific and
medical class, as well as to the general public, the state of
the art of homeopathic research.
content of the portuguese edition
http://aph.org.br/revista/index.php/aph/issue/view/41/
showToc
•
“Editorial: Aos que clamam pelas evidências científi-
cas em homeopatia” (http://aph.org.br/revista/index.
php/aph/article/view/402).
•
“Homeopatia: um breve panorama desta especialida-
de médica” (http://aph.org.br/revista/index.php/aph/
article/view/393).
•
“Panorama mundial da educação médica em terapêu-
ticas não convencionais” (http://aph.org.br/revista/
index.php/aph/article/view/392).
•
“Fundamentação científica do princípio de cura ho-
meopático na farmacologia moderna” (http://aph.
org.br/revista/index.php/aph/article/view/391).
•
“A solidez da pesquisa básica em homeopatia” (http://
aph.org.br/revista/index.php/aph/article/view/394).
•
“Efeito de ultradiluições homeopáticas em modelos
in vitro: revisão da literatura” (http://aph.org.br/
revista/index.php/aph/article/view/396).
•
“Efeito de ultradiluições homeopáticas em plantas:
revisão da literatura” (http://aph.org.br/revista/index.
php/aph/article/view/386).
•
“Pesquisa clínica em homeopatia: revisões sistemáticas
e ensaios clínicos randomizados controlados” (http://
aph.org.br/revista/index.php/aph/article/view/397).
•
“Estrogênio potencializado no tratamento homeopá-
tico da dor pélvica associada à endometriose: Um es-
tudo de 24 semanas, randomizado, duplo-cego e pla-
cebo-controlado” (http://aph.org.br/revista/index.
php/aph/article/view/390).
•
“Estudo clínico, duplo-cego, randomizado, em crianças
com amigdalites recorrentes submetidas a tratamento
homeopático” (http://aph.org.br/revista/index.php/
aph/article/view/398).
•
“O medicamento homeopático provoca efeitos adver-
sos ou agravações medicamento-dependentes?” (http://
aph.org.br/revista/index.php/aph/article/view/401).
•
“O medicamento homeopático provoca sintomas em
voluntários aparentemente sadios? A contribuição
Teixeira MZ
94
reV assoc MeD Bra s 2018; 64(2):93-94
brasileira ao debate sobre os ensaios patogenéticos
homeopáticos” (http://aph.org.br/revista/index.php/
aph/article/view/404).
content of the english edition
http://aph.org.br/revista/index.php/aph/issue/view/42/
showToc
•
“Editorial: To those who demand scientific evidence
for homeopathy” (https://aph.org.br/revista/index.
php/aph/article/view/405).
•
“Homeopathy: a brief description of this medical
specialty” (http://aph.org.br/revista/index.php/aph/
article/view/406).
•
“Medical education in non-conventional therapeutics
in the world (homeopathy and acupuncture)” (http://
aph.org.br/revista/index.php/aph/article/view/407).
•
“Scientific basis of the homeopathic healing principle
in modern pharmacology” (http://aph.org.br/revista/
index.php/aph/article/view/408).
•
“The soundness of homeopathic fundamental
research” (http://aph.org.br/revista/index.php/aph/
article/view/409).
•
“Effects of homeopathic high dilutions on in vitro
models: literature review” (http://aph.org.br/revista/
index.php/aph/article/view/410).
•
“Effects of homeopathic high dilutions on plants:
literature review” (http://aph.org.br/revista/index.
php/aph/article/view/411).
•
“Clinical research in homeopathy: systematic reviews
and randomized clinical trials” (http://aph.org.br/
revista/index.php/aph/article/view/412).
•
“Potentized estrogen in homeopathic treatment of en-
dometriosis-associated pelvic pain: A 24-week, rando-
mized, double-blind, placebo-controlled study” (http://
aph.org.br/revista/index.php/aph/article/view/414).
•
“Randomized, double-blind trial on the efficacy of
homeopathic treatment in children with recurrent
tonsillitis” (http://aph.org.br/revista/index.php/aph/
article/view/413).
•
“Do homeopathic medicines cause drug-dependent
adverse effects or aggravations?” (http://aph.org.br/
revista/index.php/aph/article/view/416).
•
“Do homeopathic medicines induce symptoms in
apparently healthy volunteers? The Brazilian
contribution to the debate on homeopathic
pathogenetic trials” (http://aph.org.br/revista/index.
php/aph/article/view/417).
Despite the ongoing difficulties and limitations op-
posing the development of research in homeopathy – part-
ly due to methodological aspects, and partly to lack of
institutional and financial support –, the experimental
and clinical studies described in this dossier, which ground
the homeopathic assumptions and confirm the efficacy
and safety of this approach to therapeutics, provide un-
questionable proof for the availability of scientific evidence
for homeopathy, against the false and prejudiced opinion
that is widely divulgated.
With the publishing of the present dossier, prepared
with the support of Technical Chamber for Homeopathy,
Cremesp, we hope to dispel doubts and sensitize our
colleagues as to the validity and relevance of homeopathy
as adjuvant treatment complementary to all other med-
ical specialties according to ethical and safe principles.
Our overall goals are to broaden the understanding of
human disease, increase the therapeutic resources, con-
tribute to the definition and effectiveness of medicine in
chronic diseases, minimize the adverse effects of modern
drugs and strengthen the patient-doctor relationship,
among other aspects. In this way, we will be able to work
together, since “The physician’s high and only mission
is to restore the sick to health, to cure, as it is termed”
(Samuel Hahnemann, Organon of medicine, § 1).
references
1.
Conselho Regional de Medicina do Estado de São Paulo. Homeopatia:
Câmara Técnica de Homeopatia do CREMESP lança dossiê “Evidências
Científicas em Homeopatia”. Notícias. 13/09/2017. Available from: https://
www.cremesp.org.br/?siteAcao=NoticiasC&id=4644.
2.
Câmara Técnica de Homeopatia do Conselho Regional de Medicina do Estado
de São Paulo (CREMESP, Brasil). Dossiê Especial: Evidências Científicas em
Homeopatia. Rev Homeopatia (São Paulo. Online). 2017; 80(1/2). Available
from: http://aph.org.br/revista/index.php/aph/issue/view/41.
3.
Câmara Técnica de Homeopatia do Conselho Regional de Medicina do
Estado de São Paulo (CREMESP, Brasil). Dossiê Especial: Evidências
Científicas em Homeopatia. Rev Homeopatia (São Paulo. Printed). 2017;
80(Supl 1/2). Available from: http://www.bvshomeopatia.org.br/revista/
RevistaHomeopatiaAPHano2017VOL80Supl1-2.pdf
4.
Câmara Técnica de Homeopatia do Conselho Regional de Medicina do
Estado de São Paulo (CREMESP, Brasil). Special Dossier: Scientific Evidence
for Homeopathy. Rev Homeopatia (São Paulo. Online). 2017; 80(3/4).
Available from: http://aph.org.br/revista/index.php/aph/issue/view/42.