From: Happy Oyster on
On Sat, 27 Mar 2010 13:43:21 -0700 (PDT), pautrey <rpautrey2(a)gmail.com> wrote:

>http://www.guardian.co.uk/science/2010/mar/20/coughs-colds-cures-treatment-antibiotics
>
>
>Antibiotics don't cure colds, so why do patients think they do?Doctors
>who cave in to patient pressure create demand
>
>
>Ben Goldacre guardian.co.uk,
>Saturday 20 March 2010 00.06 GMT
>
>Last month the government proposed allowing pharmacists to substitute
>prescriptions for branded medicines with generic alternatives. A
>letter of protest appeared in the Times, signed by various patient
>groups and experts, with positive coverage in the broadsheets. "Plan
>to switch to cheaper medicines will harm patients, say experts,"
>reported the Times. They even had a case study: "Patient given Seroxat
>substitute felt unwell within two days."
>
>But Margaret McCartney GP, writing in the British Medical Journal, has
>been digging: in fact the letter was coordinated and written by the PR
>company Burson-Marsteller, paid by the drug company Norgine. Norgine's
>chief operating officer, Peter Martin, despite being the major
>influence behind the campaign, did not sign the letter himself. Asked
>why not, he said: "There was no conspiracy. The frank truth, the
>honest truth, is that I thought that having a pharmaceutical company
>in there would sully the message somewhat."
>
>Meanwhile the "stay at home" campaign, covered in the Times,
>Telegraph, Mail and BBC, encourages people not to go to their GP with
>mild self-limiting conditions. This campaign was organised by the
>Proprietary Association of Great Britain, which represents the
>manufacturers of over-the-counter medicines and food supplements in
>the United Kingdom. I think we're unhealthily obsessed with pills of
>all varieties, but the association did at least have the courtesy to
>sign its own letter, and its case is stronger. But its report missed
>one of the most fun trials ever published: a randomised controlled
>trial of the social phenomena of medicalisation.
>
>Doctors commonly prescribe treatments, even when they know they're not
>effective, in the face of assertive patients. But does this really
>reduce their workload?
>
>Most sore throats are caused by viruses. Doctors usually avoid
>antibiotics, which provide only marginal benefits. Explaining the
>evidence, prescribing "watch and wait", and being told the average
>duration is five days can provide reassurance. But measuring the
>benefits of that empowerment requires imagination.
>
>Paul Little and colleagues took 716 patients, who consented to a
>"study looking at how quickly sore throats settle". Patients were
>given antibiotics, advice to watch and wait, or a delayed prescription
>which they could use if things hadn't settled in a few days.
>
>Each group got better at much the same rate. But more of the patients
>given antibiotics came away with the view that antibiotics were
>effective (87% v 55%).
>
>So while prescribing antibiotics had marginal benefits at best, it
>hugely enhanced belief in antibiotics, and intention to go back to the
>GP. Researchers returned to the same patients one year later and found
>that the patients who had been prescribed antibiotics originally were
>39% more likely to go back to the GP when they had a sore throat.
>
>The evidence-based medicine journal Bandolier (available online, and
>highly readable) summed this up by translating the figures from both
>studies into what would happen in a real surgery, after doctors'
>behaviour changed. "If a GP prescribed antibiotics to 100 fewer
>patients with throat infection in a year, 33 fewer would believe
>antibiotics were effective, 25 fewer would intend to consult with the
>problem in the future and 10 fewer would come back within the next
>year." Sometimes the most helpful consultations involve no pill at
>all.
>
>guardian.co.uk � Guardian News and Media Limited 2010
>
>http://www.guardian.co.uk/science/2010/mar/20/coughs-colds-cures-treatment-antibiotics

That is a copyright infringement. Ralph Paul Autrey, jr. is a pirate copier.

..
--
"Weiber sind von der Natur zum gemeinschaftlichen Genu� bestimmt."
(Kapokrates, Fr�hchrist und Klostergr�nder)

Mehr �ber den klerikalen Frauenverschlei�: http://www.reimbibel.de
From: Happy Oyster on
On Sat, 27 Mar 2010 20:14:07 -0700 (PDT), Jan Drew <jdrew63929(a)aol.com> wrote:

>
>> On Sat, 27 Mar 2010 13:43:21 -0700 (PDT), pautrey <rpautr...(a)gmail.com> wrote:
>> >http://www.guardian.co.uk/science/2010/mar/20/coughs-colds-cures-trea...
>>
>> >Antibiotics don't cure colds, so why do patients think they do?Doctors
>> >who cave in to patient pressure create demand
>>
>> >Ben Goldacre guardian.co.uk,
>> >Saturday 20 March 2010 00.06 GMT
>>
>> >Last month the government proposed allowing pharmacists to substitute
>> >prescriptions for branded medicines with generic alternatives. A
>> >letter of protest appeared in the Times, signed by various patient
>> >groups and experts, with positive coverage in the broadsheets. "Plan
>> >to switch to cheaper medicines will harm patients, say experts,"
>> >reported the Times. They even had a case study: "Patient given Seroxat
>> >substitute felt unwell within two days."
>>
>> >But Margaret McCartney GP, writing in the British Medical Journal, has
>> >been digging: in fact the letter was coordinated and written by the PR
>> >company Burson-Marsteller, paid by the drug company Norgine. Norgine's
>> >chief operating officer, Peter Martin, despite being the major
>> >influence behind the campaign, did not sign the letter himself. Asked
>> >why not, he said: "There was no conspiracy. The frank truth, the
>> >honest truth, is that I thought that having a pharmaceutical company
>> >in there would sully the message somewhat."
>>
>> >Meanwhile the "stay at home" campaign, covered in the Times,
>> >Telegraph, Mail and BBC, encourages people not to go to their GP with
>> >mild self-limiting conditions. This campaign was organised by the
>> >Proprietary Association of Great Britain, which represents the
>> >manufacturers of over-the-counter medicines and food supplements in
>> >the United Kingdom. I think we're unhealthily obsessed with pills of
>> >all varieties, but the association did at least have the courtesy to
>> >sign its own letter, and its case is stronger. But its report missed
>> >one of the most fun trials ever published: a randomised controlled
>> >trial of the social phenomena of medicalisation.
>>
>> >Doctors commonly prescribe treatments, even when they know they're not
>> >effective, in the face of assertive patients. But does this really
>> >reduce their workload?
>>
>> >Most sore throats are caused by viruses. Doctors usually avoid
>> >antibiotics, which provide only marginal benefits. Explaining the
>> >evidence, prescribing "watch and wait", and being told the average
>> >duration is five days can provide reassurance. But measuring the
>> >benefits of that empowerment requires imagination.
>>
>> >Paul Little and colleagues took 716 patients, who consented to a
>> >"study looking at how quickly sore throats settle". Patients were
>> >given antibiotics, advice to watch and wait, or a delayed prescription
>> >which they could use if things hadn't settled in a few days.
>>
>> >Each group got better at much the same rate. But more of the patients
>> >given antibiotics came away with the view that antibiotics were
>> >effective (87% v 55%).
>>
>> >So while prescribing antibiotics had marginal benefits at best, it
>> >hugely enhanced belief in antibiotics, and intention to go back to the
>> >GP. Researchers returned to the same patients one year later and found
>> >that the patients who had been prescribed antibiotics originally were
>> >39% more likely to go back to the GP when they had a sore throat.
>>
>> >The evidence-based medicine journal Bandolier (available online, and
>> >highly readable) summed this up by translating the figures from both
>> >studies into what would happen in a real surgery, after doctors'
>> >behaviour changed. "If a GP prescribed antibiotics to 100 fewer
>> >patients with throat infection in a year, 33 fewer would believe
>> >antibiotics were effective, 25 fewer would intend to consult with the
>> >problem in the future and 10 fewer would come back within the next
>> >year." Sometimes the most helpful consultations involve no pill at
>> >all.
>>
>> >guardian.co.uk ? Guardian News and Media Limited 2010
>>
>
>http://pediatrics.about.com/cs/weeklyquestion/a/082602_ask.htm
>
>http://www.acponline.org/patients_families/diseases_conditions/antibiotic_resistance
>
>http://familydoctor.org/online/famdocen/home/common/infections/protect/680.html


That is a violation of copyright.

..
--
"Weiber sind von der Natur zum gemeinschaftlichen Genu� bestimmt."
(Kapokrates, Fr�hchrist und Klostergr�nder)

Mehr �ber den klerikalen Frauenverschlei�: http://www.reimbibel.de