Thesis (M.Tech.: Homoeopathy)--Durban University of Technology, 2008. xix, 122 leaves / Discussion among homoeopaths in South Africa provides the impression that there is a degree of misunderstanding and ignorance about homoeopathy, and opinions are varied on its application and efficacy amongst the South African public. An over the counter (OTC) medicine, is a medicine which is sold without a prescription directly to the public, which includes homoeopathic medicines. OTC medicines may be sold at any retail outlet, i.e. a pharmacy or general store. There is much evidence pointed towards the growth and rise in over the counter sales in complementary and alternative medicine, a growth of more than 17% in total, homoeopathy is a major part of the complementary and alternative medicine group, having its own growth of more than 16% over a four year period. Self-medication in the form of over the counter medicines forms the main part of this industry (Caldis, 2000). The market was previously examined by the Mintel Group for complementary medicines and its growth in sales, in April 2003. Since then, the market has continued to expand, growing by 45% in real terms from 1999 to 2004. Greater consumer awareness of alternative medicines, an interest in healthy lifestyles, and the willingness to self-medicate certain conditions have all contributed to the increased value of sales (Mintel, 2005). Whenever the economic and public health benefits of self-medication are discussed, it is important to address inequalities in health. This means that not every citizen may feel sufficiently confident to practice responsible self-medication. It is also evident that not everybody has the financial means to do iii so. The whole notion of responsible self-medication both in a traditional sense and in the future is based on the concept of choice. Allowing individuals certain options when they suffer minor, self-limiting or chronic diseases is the fundamental consideration behind responsible self-medication (AESGP, 2004). Methodology A non-experimental descriptive survey was conducted to determine the perceptions of registered South African Homoeopaths regarding the availability of over the counter homoeopathic remedies. A self-administered questionnaire was distributed and 68 anonymous responses were obtained. Raw data was analysed using descriptive statistics and the relationships between variables tested for correlations. Results Respondents perceived homoeopathic OTC medicine sales and their availability in health shops and pharmacies, as contributing to the promotion of the profession as well as increasing its accessibility to the public. Other benefits perceived were the cost effectiveness of homoeopathic OTC medicines and convenience for home usage. The majority of respondents felt that there should be certain restrictions regarding the availability of OTC homoeopathic medicines, such as, the limitations regarding the availability of certain potencies. Participants also expressed concern over the degree of training held by retail outlet staff. Certain respondents felt that homoeopathic medicines should only be iv available with a prescription or used under the guidance of their practitioner. Other negative aspects of over the counter homoeopathic medicines were: incorrect use of medication, overdosing, and potential negative effects the patient may experience if the OTC medicine interacts with other medication, as well as the concern over the risks of self-medicating without the advice from a practitioner. Conclusions and recommendations The majority of respondents were in favour of the availability of homoeopathic OTC medicines to the public, provided that they are suitably regulated to ensure patient safety and quality control. Furthermore the regulation of the relevant retail outlets including education of staff in this regard was recommended. Respondents also were in favour of the awareness of the profession that homoeopathic OTC medicines created.

Mini-dissertation submitted in partial compliance with the requirements for the Master’s Degree in Technology: Homoeopathy, Durban University of Technology, 2011. / Introduction This descriptive, quantitative perception survey aimed to determine the opinions and treatment regimes of registered South African homoeopaths, regarding childhood vaccinations. Purpose / Aim The purpose of this survey was to determine if there is a coherent treatment protocol amongst homoeopaths when dealing with childhood vaccinations. Methodology The researcher used a questionnaire (Appendix B), aimed at homoeopaths registered with the Allied Health Professions Council of South Africa (AHPCSA), as primary health care practitioners, to view their patient management techniques regarding vaccinations. This study aimed to document the intervention protocols offered concurrently or as an alternative to orthodox vaccinations. A participant information letter (Appendix A) and a questionnaire (Appendix B) were faxed or e-mailed to all homoeopaths. After a two week time lapse, an independent third party contacted the participants who had not returned the questionnaires to ensure they had received the questionnaire. A further 2 weeks were allowed to lapse for the return of the outstanding questionnaires, after which time the non-complying candidates were excluded from the study. v Anonymity was maintained as the 93 completed questionnaires were returned to the third party. All personal details were removed before the researcher was allowed access to the questionnaires. The data accumulated was evaluated and statistically analyzed using Pearson’s chi-square tests, frequency tables, bar charts, analysis of variance (ANOVA) and Bonferroni post hoc multiple comparison tests. A p-value <0.05 was considered as statistically significant. Results Polio was the only disease that participants felt should be vaccinated against (40%) and only 10.1% of participants rated vaccinations as very important. Half (55.3%) of the participants thought there was not enough scientific proof that vaccinations prevent infectious disease. The participants rated improved sanitization (82.9%); nutrition (72%); access to healthcare (65%); healthcare (64.6%) and education (64.2%) as the most important interventions contributing to the decline of infectious diseases. Conclusions The assumption that most homoeopaths disagree with vaccinations held true as 72% of the participants were not in favor of vaccinations. However, 44.4% felt that the risks of vaccinations did not outweigh the benefits. Results indicate that the majority of participants did not support the use of vaccinations although their treatment protocols and general opinions regarding vaccinations varied tremendously. vi In conclusion, the homoeopathic profession can use this information to decide what steps should be taken to rectify any misconceptions, improve general knowledge and attitudes regarding homoeopaths’ opinions and intervention protocols with regards to childhood vaccinations.

Thesis (M.Tech.: Homoeopathy)--Durban University of Technology, 2008. xix, 122 leaves / Discussion among homoeopaths in South Africa provides the impression that there is a degree of misunderstanding and ignorance about homoeopathy, and opinions are varied on its application and efficacy amongst the South African public. An over the counter (OTC) medicine, is a medicine which is sold without a prescription directly to the public, which includes homoeopathic medicines. OTC medicines may be sold at any retail outlet, i.e. a pharmacy or general store. There is much evidence pointed towards the growth and rise in over the counter sales in complementary and alternative medicine, a growth of more than 17% in total, homoeopathy is a major part of the complementary and alternative medicine group, having its own growth of more than 16% over a four year period. Self-medication in the form of over the counter medicines forms the main part of this industry (Caldis, 2000). The market was previously examined by the Mintel Group for complementary medicines and its growth in sales, in April 2003. Since then, the market has continued to expand, growing by 45% in real terms from 1999 to 2004. Greater consumer awareness of alternative medicines, an interest in healthy lifestyles, and the willingness to self-medicate certain conditions have all contributed to the increased value of sales (Mintel, 2005). Whenever the economic and public health benefits of self-medication are discussed, it is important to address inequalities in health. This means that not every citizen may feel sufficiently confident to practice responsible self-medication. It is also evident that not everybody has the financial means to do iii so. The whole notion of responsible self-medication both in a traditional sense and in the future is based on the concept of choice. Allowing individuals certain options when they suffer minor, self-limiting or chronic diseases is the fundamental consideration behind responsible self-medication (AESGP, 2004). Methodology A non-experimental descriptive survey was conducted to determine the perceptions of registered South African Homoeopaths regarding the availability of over the counter homoeopathic remedies. A self-administered questionnaire was distributed and 68 anonymous responses were obtained. Raw data was analysed using descriptive statistics and the relationships between variables tested for correlations. Results Respondents perceived homoeopathic OTC medicine sales and their availability in health shops and pharmacies, as contributing to the promotion of the profession as well as increasing its accessibility to the public. Other benefits perceived were the cost effectiveness of homoeopathic OTC medicines and convenience for home usage. The majority of respondents felt that there should be certain restrictions regarding the availability of OTC homoeopathic medicines, such as, the limitations regarding the availability of certain potencies. Participants also expressed concern over the degree of training held by retail outlet staff. Certain respondents felt that homoeopathic medicines should only be iv available with a prescription or used under the guidance of their practitioner. Other negative aspects of over the counter homoeopathic medicines were: incorrect use of medication, overdosing, and potential negative effects the patient may experience if the OTC medicine interacts with other medication, as well as the concern over the risks of self-medicating without the advice from a practitioner. Conclusions and recommendations The majority of respondents were in favour of the availability of homoeopathic OTC medicines to the public, provided that they are suitably regulated to ensure patient safety and quality control. Furthermore the regulation of the relevant retail outlets including education of staff in this regard was recommended. Respondents also were in favour of the awareness of the profession that homoeopathic OTC medicines created.

This is an exploratory study intended to determine whether certain physicians in primary practice utilize the services of social workers and social agencies. An attempt is made to find out how much primary care physicians know about the role and functions of medical social workers, and whether and for what services they refer patients to medical social workers. The information obtained may be useful in promoting better working relationships between the two professions.

Dissertation submitted inpartial compliance with the requirements for the Masters Degree in Technology: Homoeopathy, Technikon Natal, 1998. / The aim of this investigation was to determine the perception of medical practitioners with regard to complementary medicine in health care in South Africa. This involved establishing medical practitioners attitude, as well as their experience and knowledge of complementary medicine: homeopathy, chiropractic, acupuncture, ayurvedic medicine, herbalism, reflexology, aromatherapy and osteopathy / M

The public controversy over possible health hazards from radioactive fallout from atomic bomb testing began in 1954, shortly after a thermonuclear test by the United States spread fallout world wide. In the dissertation, I address two of the fundamental questions of the fallout controversy: Was there a threshold of radiation exposure below which there would be no significant injury? What was the role of a responsible scientist in a public scientific debate? Genetics and medicine were the scientific fields most directly involved in the debate over the biological effects of radiation. Geneticists' prewar experiences with radiation led them to believe that there was no safe level of radiation exposure and that any amount of radiation would cause a proportional amount of genetic injury. In contrast to geneticists, physicians and medical researchers generally believed that there was a threshold for somatic injury from radiation. One theme of the dissertation is an examination of how different scientific conceptual and methodological approaches affected how geneticists and medical researchers evaluated the possible health effects of fallout. Geneticists and physicians differed not only in their evaluations of radiation hazards, but also in their views of how the debate over fallout should be conducted. A central question of the fallout debate was how a responsible scientist should act in a public policy controversy involving scientific issues upon which the scientific community had not yet reached a consensus. Based on their assumption that any increase in radiation exposure was harmful, most geneticists believed that they had a responsibility to speak out publicly about the deleterious effects of radiation. Physicians, who believed in the likelihood of a threshold for significant radiation-induced injury, generally adopted the opposite view. They believed that public discussion of possible, but improbable, radiation hazards was irresponsible because it risked creating irrational public fear of radiation exposure. In my dissertation, I examine how the different positions of geneticists and physicians over what constituted responsible public scientific debate affected the rhetoric of the controversy, as well as the implications of the debate in matters of politics and policy. / Graduation date: 2004

The incidence of autism has increased tremendously over the past 20 years; however, the tools used for diagnosis and educational identification have largely remained the same. Diagnostic and educational decisions are based on observations and interactions to identify hallmark skill deficits associated with autism. Research demonstrates behaviors are affected by the environment, and real-time data collection is more accurate than reflective methods. The problem is current autism diagnostic and educational identification tools lack essential features. The Autism Diagnostic Observation Schedule (ADOS), considered the gold standard, relies on contrived settings, and lacks an observational comparison to same aged peers. Autism behavior rating scales, rely on reflective data collection, and are not context specific. The purpose of this study was to gain feedback from stakeholders (clinicians, educators, parents) about the perceived efficacy and feasibility of a context-specific autism behavior rating tool with real time data collection methods for diagnosis and educational planning. Results showed stakeholders confirmed the perceived efficacy of the context-specific tool for improved accuracy for diagnosis, more specific information for educational planning, and increased understanding for parents to support their child's learning needs. Even though the tool was useful, stakeholder feedback also indicated the tool lacked feasibility for teacher use and may be better suited for administration by school psychologists or other trained professionals. The increased specificity and accuracy provided by a context-specific autism behavior rating tool has the potential to affect the future of autism evaluations and educational planning; thereby influencing the future life function of individuals with autism.

Bibliography: leaves 494-519. / ix, 519 leaves ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Examines the influence of the medical profession on health policy in Australia. Case studies of policy struggles under Federal Labor governments since 1983 illustrate both the nature and scope of that influence. / Thesis (Ph.D.)--University of Adelaide, Dept. of Politics and Dept. of Community Medicine, 1994

Thesis (MMed) -- Stellenbosch University, 2010. / Bibliography / Background: Evidence-based medicine (EBM) involves the care of patients using the best available evidence from the results of good quality clinical research to guide clinical decision making 1 – 3. By incorporating the principles of Evidence-based Medicine (EBM), the family practitioner would be able to treat a patient according to the best clinical research available. This principle is implemented widely in the USA, Canada, the United Kingdom and Europe. In South Africa, however, EBM is not yet as widely incorporated into family practice. This is so despite the plethora of websites available to practitioners and the relative ease with which applicable research evidence can be found. Very few published studies are available regarding EBM or Evidence–based Practice (EBP) in the South African context. The findings of this study would thus highlight reasons and/ or barriers preventing family practitioners from implementing EBM in their respective practices. This could also lead to further research into possible methods of implementation of EBM into South African family practices. Aim: The aim of the study was to describe the perceptions, knowledge and attitudes of private practitioners regarding evidence based practice and to identify the barriers encountered in evidence based practice. Methods A questionnaire survey of general practitioners in Gauteng, South Africa, was conducted. Questionnaires were distributed to a random sample of practitioners in the Gauteng region. Two hundred and twenty one (221) practitioners participated in the survey and responded to questionnaires mailed to them. The questionnaire was mailed, faxed or e-mailed to the practitioners, which they then completed and returned for statistical analysis. Study design The study design is that of quantitative, statistical analysis (descriptive cross-sectional survey). Setting General practitioners were randomly selected from a list of practitioners in the Gauteng Province. Doing a nationwide survey would have been a mammoth undertaking. It was therefore decided to limit the research to one province and therefore it was only concentrated on practitioners practicing in the Gauteng area. Results It is interesting to note that of the two hundred and twenty one participants in this study; only 10% of the practitioners were against using EBM in their practices. This, however, stands in stark contrast to the 56% of practitioners who do not implement EBM in their practices or make use of the EBM principle at all. The major barriers preventing practitioners from implementing EBM is depicted in the following graph: Lack of time and the training in aspects of Evidence-based medicine were the main barriers preventing the full scale implementation of EBM in family practices in Gauteng. Conclusion Participating Gauteng doctors were in principle, very positive towards the implementation of EBM in their respective practices. Most of the participants agreed that EBM would benefit their patients’ care and treatment. Very few of the participants, however, make use of EBM in practice. A lack of training and time constraints were the main barriers with regards to the implementation of EBM. Proper training of medical students at undergraduate level at faculties of health sciences, would go a long way assisting prospective doctors in mastering the concept of EBM and increasing their overall awareness of EBM. Further definitive research would assist in establishing whether such awareness would be associated with improved implementation of evidence in the form of evidence based guidelines in practice.

Indiana University-Purdue University Indianapolis (IUPUI) / Physicians were interviewed and asked about their perspectives on communicating with patients, media, and the ways in which the biomedical and biopsychosocial models function in the practice of medicine. Fisher’s Narrative Paradigm was the primary critical method applied to themes that emerged from the interviews. Those emergent themes included the importance of a team approach to patient care; perspectives on physicians as bad communicators; and successful communication strategies when talking to patients. Physicians rely on nurses and other support staff, but the most important partnership is that between the physician and patient. Narrative fidelity and probability are satisfied by strategies physicians use in communicating with patients: using understandable language when talking to patients; engaging in nonverbal tactics of sitting down with patients, making eye contact with patients, and making appropriate physical contact with them in the form of a handshake or a light touch on the arm. Physicians are frustrated by media’s reporting of preliminary study results that omit details as well as media’s fostering of expectations for quick diagnostic processes and magical cures within the public. Furthermore, physicians see the biomedical and biopsychosocial models becoming increasingly interdependent in the practice of medicine, which carries the story of contemporary medicine further into the realm of partnership, revealing its humanity as well as its fading paternalism.