The absence of expertise has an impression on individuals. According to the CDC, a lethal overdose from marijuana is highly not likely — though people today have died from performing a little something harmful although beneath the affect of cannabis. But people have had unfavorable reactions just after making an attempt cannabis to address indications of a ailment they anecdotally listened to it may perhaps assist.
Anne Hassel was at first a believer in the therapeutic qualities of marijuana. She pushed for legalization in her home state of Massachusetts, and even did jail time on cannabis-linked rates. Just after weed was legalized for health care use in 2014, Hassel — now 55 — give up her job as a bodily therapist and went to function in a dispensary.
She used marijuana since she “thought it helped … physically and mentally,” but stopped right after being identified with large metallic poisoning and building suicidal ideation. She blames each on badly tested, higher-efficiency concentrates that turned more out there just after legalization.
“That’s what burns me up that the most susceptible men and women, who could have lung concerns and other difficulties, are employing this compound,” Hassel reported.
Arnsten claims she screens for loved ones or own histories of psychological health and fitness issues or heart condition ahead of recommending cannabis — and recommends patients do not select cigarette smoking or vaping as their strategy of usage. Nevertheless, other doctors just hand out a suggestion devoid of a very long dialogue — and many individuals consider clinical marijuana with no ever consulting a health practitioner like Arnsten.
Some states, metropolitan areas and even hospitals have occur up with resourceful ways to fill in the gaps remaining by the absence of regulation or a official connection to the health care process. A invoice in New York would require that condition coverage businesses address professional medical cannabis fees for clients. Patients and a professional medical cannabis firm in New Mexico, meanwhile, have filed a course-action lawsuit towards some of the state’s greatest health and fitness insurers with the intention of forcing them to protect health-related marijuana.
Universities have popped up with training packages for the health-related cannabis business, like the graduate program in Clinical Cannabis Science and Therapeutics now accessible from the University of Maryland’s pharmacy college. The software intends to make sure individuals functioning in the cannabis marketplace, including dispensary personnel giving tips from at the rear of the counter, know how to read and contextualize scientific investigation and how to tutorial new people in a healthier way. Other states, like Utah and Pennsylvania, demand a pharmacist to be on hand in a dispensary. But most states still do not need any type of credentials or teaching for health-related dispensary staff.
“The states are like a patchwork of regulation, and they are doing a actually crappy position, honestly,” Hassel stated. “You’re possessing cracks and men and women are getting benefit and [others are] staying harmed.”
Individuals who get their medical marijuana card via Montefiore Health and fitness Procedure in the Bronx, meanwhile, never fork out for the visit — which will save them about $200.
“The way that we’re accomplishing it is safer. We have accessibility to the person’s complete professional medical document, we get final results, we communicate to a psychiatrist or other dealing with companies,” Arnsten explained.
Even this option, even so, is only triage. Of the thousands of men and women that Montefiore has licensed for clinical hashish use, only a person-quarter order health care cannabis far more than after.
“Most folks claimed, ‘I couldn’t pay for it,’” Arnsten reported. “We’ve eradicated that [cost] barrier, but we haven’t been capable to modify that barrier of how substantially the items value at dispensaries.”
Most Mondays, Amie Carter frequents a small bar in Flint with a big red chili pepper mounted more than the door. She satisfies mates to sip beers and engage in pool.
“My therapy [is] taking pictures pool and taking pictures darts,” Amie stated, describing her escape from the every day tension of currently being a total-time caregiver. “I get to hear to loud music. I really don’t need to assume about anything at all heading on. And all I need to aim on is earning that shot.”
Between photographs, she chats with friends — a pool stick in one particular hand and a Budweiser in a further. Chilly’s bar is yet another extension of the clinical cannabis environment that Amie has constructed up about herself and other patients in Michigan. The bartender, none other than fellow health care marijuana caregiver mom Ashley Morolla, walks around to see irrespective of whether any person needs a further spherical.
Each individual parent or grandparent Amie is familiar with has a unique abilities — cannabis for pain administration, or lessening seizures, or managing autism. If you are section of this group, you’re likely to uncover somebody who has accomplished hundreds of several hours of study on the makes use of of hashish for a particular ailment, and has intensive tips on how to demo distinct strains, doses and goods until eventually you uncover the right solution.
Amie has pamphlets she leaves at the doctors’ workplace, presenting consulting products and services to assistance patients get the proper cannabis goods. She’s taught other parents how to make hashish oil capsules at property, and how to administer cannabis in liquid sort for youngsters who cannot swallow tablets.
Amie and her group have created their individual option to the country’s Swiss cheese medical cannabis legal guidelines, and fear that a major federal revamping of the point out medical applications could put that in jeopardy.
“Leave the affected individual caregiver program by yourself. We can get our golf equipment, and we can really aid the folks that truly need to have it,” she argued.
The network Amie has produced, however, has one particular huge capture: it is wholly different from the classic health-related system, which the vast majority of Us residents continue to engage with — and no selection of pamphlets, Fb teams, or neighborhood functions will find each individual potential affected individual or guardian and make sure they all get accurate medical details and steering.
“I do not blame anybody for not wanting to get into this arena who’s in regular drugs, because there’s so considerably that feels uncertain,” Arnsten explained. “On the other hand, I do come to feel that our sufferers — significantly serious soreness patients — are making use of these products, or they want to contemplate using these products. … And we require to be capable to solution all those inquiries for them.”
It is prevalent information that when it arrives to heart overall health, way of life is important and there are two recognized prongs that leap out — nutritious diet regime loaded with veggies, fruits, and whole grains, and lower in sugar and saturated extra fat and common work out.
With each other, these two prongs enable the overall body control blood force, serum cholesterol, blood glucose and body fatness, all significant risk factors that promote coronary heart sickness, Variety 2 diabetic issues, stroke, etc. As professional medical science frequently discovers new info in the battle to prevent main long-term illnesses, a potent situation can be created to increase a third prong to one’s coronary heart healthful way of life — a very good night’s rest.
However, most people today do not give their rest designs significantly thought, and a full one-3rd of Americans are snooze deprived, acquiring significantly less than the suggested several hours of slumber for every night. When 7 to nine hours of snooze each and every night time is the target, rest demands can fluctuate and seven hours can be ample for some and too minor for many others. A essential cutoff stage, however, is six hours of sleep or considerably less, which increases overall health pitfalls significantly.
This is what to know about your slumber practices, how they are impacting your enable and what you can do to get a superior night’s rest:
How can you explain to if you are not getting ample rest?
There are heaps of explain to-tale signals that you may well not be obtaining sufficient rest, but the most apparent is feeling awful when you awaken in the early morning. Other typical symptoms involve red and puffy eyes with darkish circles and bags underneath, and if you have to have tons of caffeine to get by way of the day. Individuals who are slumber deprived also may have inadequate control of the hormones that govern hunger, primary to cravings for junk meals that end result in pounds get.
And absence of sleep can affect temper, memory, and the potential to concentrate appropriately.
What can trigger very poor slumber?
Why are we rest deprived? Assuming you are not struggling from long-term discomfort, taking medications that keep you awake, or are preoccupied with a lifetime altering unexpected emergency, etc., for the most portion, we are to blame due to the fact we enable it to happen. Like most items in life, if you don’t benefit them or see them as a requirement, they tend to be neglected.
Which is too usually the scenario when it will come to a excellent night’s rest, and as a result we never law enforcement our sleep patterns adequately.
How can you slumber better?
For starters, have a predictable nightly routine and test to adhere to a steady snooze schedule, educating your overall body to anticipate slumber time. Keep your bed room dark and amazing, really do not operate in mattress, and steer clear of gentle emitting screens (Tv, cell phone, and so forth.) when you retire for the night.
A further tips is to make guaranteed your bed is comfortable, and do not cut corners when buying a mattress. Don free fitting outfits to bed, and if your pets are very likely to disturb you through the night time, continue to keep them out of the bed room.
And, of training course, avoid caffeine and alcohol prior to bedtime. Alcohol could support you fall asleep extra speedily, but it usually leads to disruptions in your sleep later on.
What are the four phases of the rest cycle?
Right after you slide asleep, you go as a result of four phases. The 1st a few phases are categorized as “non-quick eye movement” (non-REM) rest, considered to be most crucial for excellent relaxation and restoration. All four stages collectively are regarded as one particular snooze cycle. Ordinarily we go by way of 4 to six snooze cycles for every evening, with each cycle lasting about 90 to 120 minutes.
Phase 1 is light-weight and brief (up to 7 minutes), a time when the human body begins to unwind, respiration and heart fee gradual and muscle mass loosen up. Stage 2 is further, but continue to gentle, and overall body temperature begins to drop as fat burning capacity slows and muscle tissue take it easy even a lot more. Stage 3 is deeper with the slowest brain (“delta”) waves and is thought to be the most critical stage for emotion refreshed on awakening. It’s also the phase that encourages the creating and mend of bone, muscle mass, and other cells of the overall body, like immune cells.
Phase 4 is REM snooze. Respiratory, coronary heart charge and blood tension enhance and brain waves change to much more of a daytime (more rapidly) sample. REM sleep is when most dreaming takes place, but dreaming can take place in non-REM snooze as properly.
REM rest is believed to be important for mind improvement and retaining recollections.
A popular issue in not receiving a excellent night’s slumber is sleep interruption. Interrupted sleep is not unheard of and waking up after or 2 times briefly at evening is really ordinary. Waking up four or more situations and being awake for extended periods is not typical and significantly interferes with satisfactory rest and restoration.
The worst disruptor is rest apnea, when respiration stops. Generally, a narrowed or blocked airway restricts air from having to the lungs, creating loud snoring or the gasping for air. This can occur a couple times at evening, or in severe conditions, fairly frequently, in some cases every single two minutes. Regretably, much more than 80{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of sleep apnea situations are not identified, and it is a really serious dilemma due to the fact it goes way over and above experience awful upon awakening or staying tired during the working day.
Snooze apnea can negatively affect the heart, because when breathing stops, the amount of oxygen in the blood drops. In reaction, the heart has to flow into blood much a lot quicker. To do this, blood vessels constrict, and heart price and blood stress leap better. This significantly boosts strain on the coronary heart, and may induce irregular coronary heart rhythms, probably top to heart failure.
Seriously disrupted snooze also can impair the immune procedure, a critically critical element when it will come to important diseases, like heart illness. The motive is lack of slumber can lessen manufacturing of a style of cytokine (a protein) that aids combat swelling. And as we have discovered in new decades, points like atherosclerosis (clogging of the arteries) are impacted drastically by inflammation that drives the approach to perilous amounts.
When should an individual undertake a slumber study?
A very good night’s sleep is critically crucial to your overall health. If you suspect that you are chronically snooze deprived, and especially if rest apnea is a probability, it might be time for polysomnography, or a “sleep review.” Talk to your doctor about possibilities and signs you may possibly be suffering from.
Access Bryant Stamford, a professor of kinesiology and integrative physiology at Hanover Faculty, at [email protected].
In the past decade, rural hospitals that shuttered tended to be in rural counties with lower incomes, higher levels of unemployment, and higher proportions of Black and Latino residents. That finding comes from a recent study conducted by researchers at the Cecil G. Sheps Center for Health Services Research at UNC Chapel Hill. The 141 rural hospitals that closed nationwide between 2010 and 2020 were also often located in counties adjacent to metropolitan areas.
Federal hospital finance data show that the rural hospitals in North Carolina that had the weakest financial outlook in 2019 — the most recent year for which data are available — are in counties that share many of the characteristics of the communities that suffered closures in the last decade, according to an analysis by NC Health News.
The numbers come from before the pandemic, which turned health care on its head. But even as COVID-19 strained rural hospitals, the federal government pushed out millions of dollars to help keep them afloat to care for affected patients.
Under these abnormal circumstances, the financial status of these hospitals could be even more uncertain.
“It won’t show what happened in 2021 for most hospitals until early 2023,” said Harold Miller, the president and CEO of the CHQPR, which created the database. The organization is a national policy center that advocates for improvements to the delivery and payment models used in health care.
“The data come from the hospitals themselves — they fill out the cost reports — so they can’t be totally unfamiliar with it, but they may not have made the same calculations using the data that we have,” Miller said.
What do these numbers mean?
The hospitals that might be in the riskiest financial position are those with negative net assets and negative margins, Miller explained. This means, essentially, their bills and their debt are higher than the amount they bring in. To think of it in terms of personal finance, Miller said, imagine net assets to be your savings minus your debt.
“You can have more debt than you have savings, but at some point, the debt has to be paid off,” he said. “If you don’t have enough money to do that, you’ll be bankrupt.”
In order to analyze a hospital’s net assets, CHQPR adds up all of a hospital’s sources of income — bank accounts, investments, accounts receivable — but excludes the value of the hospital’s actual building, equipment and land.
“Many hospitals will show positive net assets because of the asset value assigned to the hospital building itself,” Miller explained. “The only way the hospital could use that asset to pay staff or loans would be to sell the hospital building, which would mean it would no longer be a hospital.”
A hospital’s margins refer to their profit — or lack thereof. If a hospital makes more money than it spends, it has a positive margin. If it spends more than it makes, it has a negative margin.
For a lay person, he says, it’s the equivalent of expenses being higher than earnings.
“If you’re not earning enough to pay your bills, you’re in trouble. If you have savings, you can withdraw some of that money to cover the extra expenses, but if you have to keep doing that, at some point, the savings will run out, and then you won’t be able to pay the bills.”
Though CHQPR analyzes the hospital finance data, the organization itself does not label specific hospitals as “safe” or “at-risk.” Miller explained that the hospital could have a recovery plan in place, which the database wouldn’t reflect. On the other hand, a hospital could be at-risk but the data released by CMS could be too old to show it.
Which hospitals might be in trouble?
According to the calculations made by CHQPR, six rural North Carolina hospitals had both negative net assets and negative margins — meaning, essentially, that they’re spending more money than they’re bringing in — in late 2019, or early 2020.
Those hospitals were Washington Regional Medical Center, Swain County Hospital, Person Memorial Hospital, Granville Medical Center, Bladen County Hospital, and Charles Cannon Memorial Hospital in Avery County.
The data collected and analyzed by the CHQPR shows these six rural hospitals had negative net assets and negative margins according to fiscal data from either late 2019, or early 2020.
Frank Avignone, the CEO of Affinity Health Partners which owns Washington County Hospital, said the data are “very old” and do not reflect the hospital’s current financial status. Avignone said he would speak to NC Health News about the hospital’s status only with his attorney present, and didn’t respond to follow-up requests for an interview.
Swain County Hospital and Person Memorial are both owned by Duke LifePoint.
“Both hospitals play critical roles in supporting an important regional network of local care through relationships with peer facilities,” said Michelle Augusty, the senior VP of communications at Duke LifePoint. “These hospitals are also part of a strong national healthcare system in LifePoint Health that is committed to their longevity and understands the critical role both Person and Swain play in our communities.”
Granville Medical Center is owned by that county. Alfred Leach, a spokesperson for Granville Health Systems, said that the hospital is “in solid financial operation.” Notably, in the most recent state budget, the hospital was awarded $10 million to improve its infrastructure.
The vice president of marketing and communications at Bladen County Hospital, Chaka Jordan, said the hospital has reported a profit for the last two fiscal years and is not in danger of closing. She said the hospital reported a loss in 2019/20 after experiencing “catastrophic damage from Hurricane Florence,” which could explain why the data show the hospital operating at a loss.
“Also, the Bladen County Hospital is part of the larger Cape Fear Valley Health System, which includes eight hospitals in the region. Discussing any individual hospitals’ financial statistics in this context gives an incomplete picture of the health system as a whole,” she said.
Cannon Memorial is owned and operated by Appalachian Regional Healthcare System. Officials at the hospital did not respond to requests for comment.
What are the demographic characteristics of the communities these hospitals are in?
Using data from the U.S. Census, the North Carolina Rural Center, and the Health Policy Institute at Georgetown University, NC Health News found that the counties with the most financially troubled hospitals all share some of the same characteristics — proximity to a metro area, higher population of residents of color compared to the median for rural areas, low incomes, etc. — that researchers at the Sheps Center found among rural communities that suffered a hospital closure in the last decade.
A fact sheet put together by the NC Rural Center reported that the 2019 racial and ethnic makeup of rural North Carolina was 67 percent white, 19 percent Black, 8 percent Latino, and 2 percent Indigenous, while the median household income was about $50,000.
Just one of the six hospitals — Washington County Hospital — isn’t in a county that’s adjacent to a metro area. But, nearly 50 percent of Washington County residents are Black and nearly 50 percent of households live on less than $35,000 a year.
Avery County, where Cannon Memorial Hospital sits, is whiter than the average rural N.C. county, but nearly 45 percent of households make less than $35,000, the kind of reality that can result in trouble for a rural hospital. Bladen County is 32 percent Black with nearly 50 percent of households making less than $35,000. In Granville County, about 30 percent of residents are Black, 10 percent are Latino, and around 30 percent of the population reports a household income under $35,000.
Similar income levels are seen in Person County, where about 36 percent of households make less than $35,000 in yearly income and about a quarter of residents are Black. There are fewer Black and Latino people in Swain County than in the average rural North Carolina county, but as the center of the Cherokee Nation in North Carolina, nearly 30 percent of county residents are Indigenous. About 44 percent of households report making less than $35,000.
While it wasn’t included as an analytical point in the Sheps Center study, two-thirds of these hospitals sit in counties where the uninsured rate — particularly the uninsured rate among non-elderly workers — is much higher than the average rate among rural North Carolina counties. The Rural Center reported that about 460,000 non-elderly rural North Carolinians are uninsured, about 11 percent of the state’s 4 million rural residents.
In Avery County, the uninsured rate for non-elderly workers is 27 percent — the highest of any county in the state. In Bladen County, it’s 18 percent. In Swain County, it’s almost 23 percent. And in Washington County, it’s nearly 20 percent.
The Sheps study did find that many of the most recent rural hospital closures happened in southern states, particularly in those that did not expand Medicaid, such as North Carolina.
Advocates and researchers have long argued that non-expansion can contribute to rural hospital closures because it leads to higher rates of uninsured people in the community, compared to expansion states. When people don’t have insurance, a hospital will still care for them, but they are unlikely to get reimbursed for that care, which can hurt their margins.
What meaning should be made out of these shared characteristics?
“I would not call [these findings] a coincidence,” said Arrianna Planey, a co-author of the Sheps Center study and assistant professor at the UNC Gillings School of Public Health.
The patterns the authors found fit well within existing research about what access to health care looks like for low-income people and people of color in other areas across the country, she said.
Washington Regional Medical Center in 2005. Photo source: Washington County tax records.
“It’s fair to suggest that rural providers — rural hospitals — have been facing generations of payment disparities,” said Brock Slabach, the COO at the National Rural Health Association. “These inequities between rural and urban providers have been systemic over time, and they have created the forces that are putting tremendous pressures on rural hospitals to be able to satisfy their requirements in serving their communities.”
Some of the racial patterns in the data, though, are seen in both urban and rural environments.
“In urban service areas, we can observe hospitals pulling away from neighborhoods with high shares of Black and Latinx residents,” Planey said. “Or, if they are in those neighborhoods, they engage in what is called medical gentrification.”
She defined medical gentrification as the process by which hospital expansion — both for medical and retail services — pushes long-term residents out of the area, especially residents of color.
“The research on the health impacts of rural hospital closures has largely focused on mortality,” Planey said. Most of that research has not found that rural hospital closures lead to higher rates of mortality, she said, but has instead found evidence that hospital closures disrupt access to care for some patients more than others, namely those who are pregnant, Latino, and people on Medicaid and Medicare.
Granville Medical Center in Oxford. Photo credit: Taylor Sisk
One theory the researchers have for why rural hospitals near metro centers are closing more than rural hospitals that are farther out is that they must compete with the facilities in the nearby metro areas — facilities that are often better-resourced.
“Rural hospitals generally have fewer days cash on hand, less capital, and more uncompensated care,” Planey said. Uncompensated care refers to services the hospital provides to uninsured people who can’t pay and to care provided to people who have Medicare and Medicaid, which generally reimburse hospitals at lower rates than private insurance.
“They are less likely to have dedicated personnel for grant-writing — and this is in contrast with larger academic medical centers who register each facility as a separate hospital and were thus able to secure grants for each facility within their system,” she said.
Cannon Memorial Hospital in Linville. Courtesy of Appalachian Regional Healthcare
As a first step, Planey said, the U.S. needs to think about how to allocate resources to rural hospitals in a way that is “less burdensome.”
One piece of federal legislation sitting in the U.S. Senate could start that process, according to Slabach: the Save Rural Hospitals Act of 2021. Two provisions in the bill could dramatically improve the finances of rural hospitals. Both deal with Medicare.
One portion would increase the amount hospitals receive to care for people on Medicare, and another would enable hospitals to collect 100 percent of a debt that wasn’t paid by a patient on Medicare. Right now, they can only get reimbursed for 65 percent of the cost of the bill.
“Rural populations are subjected to other disparities — they’re older, poorer and sicker generally. And these contribute to the issues that the UNC study pointed out,” Slabach said. “This all combines to make a pretty toxic mix, in terms of the ability for rural hospitals to be able to serve their communities.”
More than anything, Planey said, “We need to prioritize equity as an outcome.”
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by Clarissa Donnelly-DeRoven, North Carolina Health News March 30, 2022
Inadequate investigation apply indicates that the correct impression of homeopathy could be substantially overestimated, finds an assessment of the existing physique of evidence on the effectiveness of this sort of complementary medicine, posted on the net in BMJ Proof Primarily based Drugs.
Several clinical trials haven’t been registered, with the main outcome modified in a quarter of individuals that have been. And quite a few stay unpublished. All this indicates “a about lack of scientific and ethical expectations in the field of homeopathy and a higher risk for reporting bias,” say the scientists.
Homeopathy was created almost 200 several years in the past, primarily based on the theory of similarity (‘like cures like’). It remains a well known substitute to standard drugs in lots of designed international locations, inspite of its performance currently being the matter of intense debate.
The examine authors required to uncover out if the released clinical trials may not depict all the scientific research on homeopathy, but a pick out couple of reporting only optimistic results–a phenomenon acknowledged as ‘reporting bias’.
General public clinical trial registries ended up established up to attempt and reduce this danger, and considering that 2008, registration and publication of clinical trial benefits have been regarded as an ethical, even though not required, obligation for scientists.
The examine authors as a result established out to: discover out how several registered trials evaluating homeopathy stay unpublished no matter whether the main results of registered trials mirror people basically printed as very well as the amount of homeopathy trials that experienced been both registered and posted.
They also wanted to assess the impression of any reporting bias on the pooled info analysis of homeopathy demo outcomes, a research system developed to reinforce the evidence base.
They searched major worldwide registries for clinical trials registered up to April 2019, and investigate databases to observe publication of these trials up to April 2021.
They uncovered that considering the fact that 2002, virtually 38{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of registered homeopathy trials keep on being unpublished, even though about fifty percent (53{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}) of revealed randomized controlled trials have not been registered. In all, approximately a third (30{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}) of randomized controlled trials released for the duration of the previous 5 decades haven’t been registered.
They also observed that homeopathy trials had been extra probable to be registered right after they had started (retrospectively) than just before they had started out (future registration). What is actually much more, a quarter (25{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}) of revealed main outcomes were not the exact as those originally registered.
The analyze authors then assessed the opportunity effect on scientific follow by independently pooling the data from unregistered and registered homeopathy trials. This uncovered that unregistered trials tended to report larger cure consequences.
The examine authors accept that their lookups coated 17 trial registries, so it can be highly probably that they skipped information not lined by these registries. And they pooled the info from homeopathic treatment options that were not tailored to personal requirements, so the findings may not be applicable to customized cure.
Nonetheless, the findings “recommend a relating to deficiency of scientific and moral expectations in the field of homeopathy and a substantial threat for reporting bias,” they create.
And they “also reveal that journals publishing homeopathy trials do not adhere to policies by the [International Committee of Medical Journal Editors], which demand that only registered [randomized controlled trials] really should be published,” they incorporate.
The inadequate research exercise they identified “probable has an effect on the validity of the body of evidence of homeopathic literature and may possibly significantly overestimate the accurate procedure effect of homeopathic therapies,” they conclude.
Extra info:
Gerald Gartlehner et al, Evaluating the magnitude of reporting bias in trials of homeopathy: a cross-sectional review and meta-examination, BMJ Evidence-Based mostly Medication (2022). DOI: 10.1136/bmjebm-2021-111846
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Bad study observe indicates legitimate effect of homeopathy may well be ‘substantially’ overestimated (2022, March 16)
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