Free Consultation Research Articles

Model of the Development of Muhammadiyah Legal Assistance Services for the Poor

Persyarikatan Muhammadiyah as the largest Islamic community organization in Indonesia, which has business charities in the fields of education, health, social, economy and culture, develops its program through the Muhammadiyah Legal Aid Service Program under the coordination of the Muhammadiyah Central Leadership and Human Rights Council. LBHMU was established to help the poor who are facing legal problems. LBHMU's role is to provide free legal consultation and case assistance services to members of the community who are economically weak and have access to justice. This type of research is a type of empirical legal research, using primary, secondary and tertiary legal materials. Methods of collecting data through field studies, namely observation, surveys and interviews. The conclusion of this research is the development of Muhammadiyah Legal Aid Services with strategies including: strengthening LBHMU's vision to help the poor, maximizing funding sources from the Ministry of Law and Human Rights, as well as Lazismu, and conducting National Coordination Meetings.

Sosialisasi Strategi Bisnis Menggunakan Business Model Canvas (BMC) Pada Perusahaan Konstruksi

CV. Marga Jaya Properti started its business in marble, natural granite, granite tile, traso, wood interior and developed in the field of construction services such as construction and renovation services for residential houses, hospitals and places of worship. The high business competition makes it difficult for companies to market which results are decreased sales and decreased production. This activity aims to analyze the business in order to overcome these problems by socializing the business model design using the Business Model Canvas (BMC) method. The BMC method is carried out by observation, literature study and Focus Group Discussion (FGD) between the Team and the experts. Companies must increase marketing activities, increase product added value and increase partnerships. Marketing activities should be carried out both online and offline. Online marketing can be added through online buying and selling forums, google ads, tik tok shop, twitter, email or telegram, while offline marketing can be added by participating in property exhibitions, distributing brochures, holding property webinars, and inviting customer to become marketing. The increase in added value can be done by free consultations for construction service, free delivery product for Bekasi area. The increase partnerships is by adding developers such as developers for handling electricity, water and so on in working on large projects, for example the construction of hospitals. The results of this Activity that are felt by owners and employees are their increased knowledge of business models which can increase marketing, increase sales and increase production.

Rational Organisation of Adverse Drug Reaction Monitoring

The main pharmacoepidemiological method for assessing the efficacy and safety of ongoing pharmacotherapy involves the collection of spontaneous reports on adverse drug reactions (ADRs) associated with the use of medicines.The aim of the study was to analyse approaches to organising a system for collecting information on ADRs associated with the use of medicinal products, taking the Omsk region as a case study.Materials and methods: the authors analysed 200 ADR reporting forms received by the Regional Centre for the Study of Side Effects of Drugs (RCSSED) in 2019.Results: the analysis determined the ways of receiving the forms in the RCSSED. According to the analysis, the ADR reports were submitted by medical organisations in Omsk (86%) and the Omsk region (0.5%), as well as directly by patients (13.5%). The leading sources of reports were clinical pharmacologists (80% of the forms). Most of the reports were on ADRs associated with the use of psychotropic (41%) and antitumour (10%) medicinal products; it is explained by the proactive attitude and high commitment of medical personnel from the specialised clinics in Omsk towards their professional duties. Other important sources of reports in the Omsk region, which contributed to the number of spontaneous reports from patients, were the patient hotline and free consultation appointments with the clinical pharmacologist of the RCSSED on side effects of medicinal products. The article emphasises the leading role of the RCSSED clinical pharmacologist in educating medical personnel—in pharmacovigilance, collecting information about the development of ADRs, and the quality of reporting form filling—and coordinating the activities of the medical and pharmacy services, including the stages of laboratory assessment of medicinal product quality and pharmaceutical consultation of general public.Conclusions: using the example of the Omsk region, the authors demonstrated the structural organisation of the collection of information about adverse reactions associated with the use of medicinal products. An important direction for further improvement of the organisation of ADR monitoring is the interaction with employees of pharmacy organisations, including additional training events for them.

Creation of a Pilot Surgical Program for the Comprehensive Management of Patients with Congenital Urological Malformations

Abstract Objectives Congenital malformations constitute the first cause of morbidity and mortality in childhood in Latin America. That is why, since 2001, a surveillance system for congenital malformations has been implemented in Bogota - Colombia. However, despite the increase in detection, an impact on treatment has not been achieved. The present study describes our experience with a novel social program focused on congenital urologic disorders. Methods The present manuscript is a retrospective observational study. We reviewed two national databases containing patients with congenital malformations. Patients were actively contacted to verify the status of the malformations. Children in whom the malformation was confirmed were offered a free consultation with a multidisciplinary group. After screening for surgical indications, patients were scheduled for surgery. Results Between November 2018 and December 2019, 60 patients were identified. In total 44, attended the consultation; the remaining did not attend due to financial or travel limitations. The most common condition assessed was hypospadias. In total, 29 patients underwent surgery. The total cost of care was of US$ 5,800. Conclusions Active search improves attention times and reduces the burden of disease. The limitations to be resolved include optimizing the transportation of patients and their families, which is a frequent limitation to access health care.

Establishment of a Rapid Phone Consultation Service for COVID-19 Public Health Support in Nepal.

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic strained the already weak health system of Nepal, especially during the surge of the delta variant. A telephonic consultation service was rapidly established to provide free consultations to assist those in home isolation due to severe acute respiratory syndrome coronavirus 2 infection. In this study, we describe the process of establishing the hotline and share preliminary findings. During the peak of the delta wave in Nepal, the hotline was started by a local non-profit organization.MethodologyWe established the hotline with help of a private telecommunication company. The hotline was advertised on social media, radio, and newspapers. Healthcare workers were recruited and trained and the service was provided for free. Patient data were recorded and de-identified for analysis, monitoring, and evaluation.ResultsThe majority of the callers were from Kathmandu valley, which includes three districts, Kathmandu, Lalitpur, and Bhaktapur. Overall, 44% of the callers inquired about the clinical manifestations of COVID-19. On average, there were 75 calls each day between May 2021 and February 2022. The average call duration was three minutes and 42 seconds. Trained healthcare workers answered the calls for 15.5 hours a day.ConclusionsOur work established the feasibility of a rapid hotline service in response to the pandemic causing high strain on the health system. Lessons learned from this experience can be useful for future disasters in Nepal and other places with similar health system strains.

Perfil epidemiológico e avaliação de pacientes de Telemedicina durante a pandemia de COVId-19

Based on the care impact caused by the COVID-19 pandemic, the present study aimed to describe the profile of patients seen by teleconsultation during the pandemic. This is a cross-sectional study carried out in Bahia, Brazil. The study population consisted of 99 patients and data collection was carried out using forms applied by trained professionals. The majority of the population was composed of women aged 40 to 59 years, brown in color, married or in a stable relationship and of Catholic religion. The main reasons for seeking the service according to the chapters of CIAP2 were: skeletal, psychological, endocrine, metabolic, nutritional and dermatological muscle. Among all patients, 43.48% were obese or morbidly obese. About 48.05% were aware of the free medical consultation by telemedicine over the Internet. There was a greater demand for the service by women, as well as a higher percentage of patients with musculoskeletal symptoms and people living with chronic diseases. The mental health complaints were also quite expressive, precisely in a period of the pandemic in which there was a partial interruption of the services that offered such care. The ease of access to teleconsultation can help to expand the distribution of health care to places with contrasting supply-demand.

A public-private partnership based model for regulating out-of-pocket expenditures to strengthen primary care system.

In developing countries like India, the cost of health care is largely borne by patient out-of-pocket payments. Recent studies have reported that patients skip public-funded clinics providing free consultation for distant private care providers. Some of the reasons identified for such behaviour include longer waiting times, perception regarding quality of care, etc. Therefore, optimal allocation of existing and new capacity is critical for a greater public interest. This article presents a decision-making framework towards this intent for strengthening the existing government primary healthcare network. In this article, a mixed-integer linear programing (MILP) model is developed for optimal reconfiguration of the existing government primary healthcare network to minimise patient out-of-pocket expenditures (OOPE). The model involves three types of facilities: Primary Health Centre (PHC), Community Health Centre (CHC), and Private OPD (outpatient department). Implementation of the proposed model can help in reducing out-of-pocket expenditures. The optimization model proposed in the article is unique as it incorporates for the first time, patient out-of-pocket expenditure, capacity reconfiguration, and public-private partnership decisions in the primary healthcare system. A solution algorithm is also proposed for the optimization model. The model would be useful for theory development and also in policy-making.

Crisis Pregnancy Centers: An Inherently Unjust Limitation to Reproductive Rights.

Abortion, though afforded certain legal protections, can be challenging to access in many areas of the United States, a problem exacerbated by the presence of Crisis Pregnancy Centers (CPCs). CPCs present themselves as clinics that provide a full spectrum of free pregnancy consultation services, but in fact are pro-life, anti-abortion organizations.1 From the outside, CPCs appear to be neutral health and welfare establishments, leading women *to believe they will receive unbiased guidance based on their best interests. In reality, CPCs recruit unsuspecting women into their facilities to deter them from accessing abortions, promoting only two options: parenthood or adoption.2 Women are lured into CPCs with the promise of free services which range from medical care to clothing and other items. At its most basic level, these deceptive practices violate the autonomy of women seeking reproductive care, perpetuating unjust limitation of access to quality medical care.

교사 직업진로에 관한 명리학적 연구

Recently a variety of aptitude tests are being used such as MBTI or a Holland test. Seeking a practical purpose beyond a literature level, therefore, this study aims to identify the possibility of Myeongli science as useful resources for a career-and- vocational choice and education. The participants were adopted from teachers because this job has been in the first place from 2007 to 2018 at the career preference inventory of Korean high-school students. Instead, Saju was collected from the 999 unspecified teachers who wanted free Saju consultation with this researcher, Thus, the Saju sample was finally selected from 313 teachers. Concerning the research analysis, Then this was charted and analyzed in terms of teaching subjects or factors, utilizing the main central theory from the new-law Myeongli science called Zipíng Mingli. Additionally, the following case analysis was carried out. The findings of sample analysis are as follows. Taking all of these into consideration, characteristics regarding the teacher Saju(四柱) present that Ilgan(日干) is passed across, Deuglyeong(得令) at Wolji(月支), meaning that win-win relationship is harmoniously achieved. Also, in the Saju analysis of teacher participants, Gwaninsangsaeng(官印相生) is dominant, and Jeongin(正 印) as well as Siksin(食神) is commonly predominant in Gyeokguk(格局) and Yongshin(用神). It is revealed that numerical superiority cannot give sufficiently meaningful grounds for identifying professional traits; that is, inspecting Gyeokguk(格局) and Yongsin(用神) is solely connected to the consideration of job choice. This result means that Gyeokguk(格局) and Yongsin(用神) can be correctly analyzed only when the aspects can be synthetically and tridimensionally investigated as follows. This study aims to serve as a cornerstone for the job analysis based on Myeongli science(命理學) to be a rational available alternative towards career guidance in school, in the hope of the follow-up studies.

Abundant Opportunities to Improve Infection Control Training and Assessment in Dentistry

BackgroundInfection control (IC) training and practice in dental facilities is not well studied. The Nebraska Infection Control Assessment and Promotion program (ICAP) offers free consultations to Nebraska healthcare facilities, in which infection preventionists visit the site, interview stakeholders, and provide a complete assessment of the facility's IC program using an adaptation of the Centers for Disease Control's “Basic Expectations of Safe Care” infection prevention checklist. Here, we report the ICAP team's findings during voluntary assessments of dental IC programs.MethodsICAP solicited invitations into eighteen dental facilities (nine private practice clinics, seven public health clinics, and two other facilities) across Nebraska from 2018-2021. Fourteen assessments were conducted in 2018-2019 and four from April to June 2021; assessments were suspended in the interim due to the COVID-19 pandemic.ResultsWe found 24% of facilities provided no IC training to employees upon hire and 35% did not provide annual refresher trainings. When facilities did offer training, key subjects were frequently omitted, including safe injection practices (omitted in 60%), protective personal equipment (PPE) selection and use (50%), hand hygiene (44%), and sterilization and disinfection procedures (38%). Few facilities required employees to demonstrate competency in PPE selection (19%), safe infection practices (7%), or hand hygiene or sterilization and disinfection (0% each). Additionally, few facilities performed audits with feedback regarding adherence to proper procedures for sterilization and disinfection (19%), hand hygiene (6%), PPE selection and safe infection practices (0% each). New hire and annual IC training rates were higher in post-pandemic assessments, but other measures had not improved.ConclusionsMost dental facilities offered employees IC trainings, but these were often neither routine nor comprehensive. Important gaps in dental IC programs included failures to assess employee competency regarding IC procedures and failures to engage in audit and feedback processes to ensure adherence to IC measures.

Features of emergency remote dermatological care in wartime

On February 24, 2022, the sudden aggression of the Russian Federation against Ukraine began. The usual way of life has changed. Due to the real risks to life, the traditional majority of medical services and outpatient consultations have become impossible. The question arose as to how to provide dermatological care to patients in this situation. At this time, especially useful was the use of the Internet, namely Facebook and Telegram.
 Materials and methods. We created several posts on Facebook where announced free online medical consultation during the war. Moreover, a Telegram channel was created. Any doctor could register there at will, and with the help of a bot they received requests from patients in their specialty. 
 Results and discussion. For the first 10 days of war, we received around 200 requests from patients with dermatological problems. Most (95 %) of these patients had allergic reaction or herpes, others had an exacerbation of psoriasis or pityriasis rosea.A comparative analysis of patients’ appeals showed a sharp increase in allergic skin diseases caused by the herpes virus. Moreover, such allergic reactions have been observed in people who have not previously had similar skin problems. In two cases of herpes simplex, the rash spread to the entire skin of the face, which could have been caused by sudden and significant stress due to information about bombings and rocket attacks. Only one patient who has approached us since the beginning of the war had hemorrhagic vasculitis due to severe comorbidity and not directly due to stress. Unfortunately, in the future we will probably only see a worsening of this situation. The consequences of prolonged stress due to forced stay in the war zone will have a negative impact on the health of our patients for a long time to come.
 Conclusions. The transition to remote medical counseling for dermatological patients, forced by wartime circumstances, proved to be quite successful in terms of its clinical results, although it significantly reduced the number of such appeals. At the same time, it allowed more extensive use of free remote assistance from foreign clinicians. Both in the initial unmotivated appearance of various skin rashes and in the exacerbation of chronic dermatoses, the objective stressful situation of the sudden Russian military aggression was dominant.

Literature Reviews: Key Considerations and Tips From Knowledge Synthesis Librarians.

Literature Reviews: Key Considerations and Tips From Knowledge Synthesis Librarians.

Effect of Food Allergy among Patients Affected by Delta and Omicron Variants-A Case Study

Background: The variants of SARS-CoV-2 have been affecting people globally since 2020. The Delta variant, mainly in India and the omicron variant in multiple countries since Nov 2021, has infected millions of people; many died out of them. Amongst all factors, food allergy is one factor that also accelerates many infected people’s comorbidities and overall health status during the pandemic. Aims: The study aimed to assess the role of some common food allergies in Delta and Omicron infected people in the Indian population. Methods: The study was designed with 50 covid positive home-isolated patients (out of 62) infected by both the mentioned variants from April 2021 until 15th January 2022. However, they were not severely ill but had comorbidities such as diabetes, obesity, hepatomegaly, etc. After the negative test result, each participant was requested to attend a telephonic interview for 15 minutes. Further, they were offered free online diet consultation considering the fatigue and some allergic symptoms. ATLAS-Ti-9 software was used for the fundamental analysis. Results: Based on their self-referred serological allergy test (SAT), we found that 23 samples of milk (46%), 14 (28%) samples of citrus fruits, 12 (24%) patients were allergic due to mustard oil and other detections too based on the positive interpretation (+ to +++) of specific IgE (IU/ml). The patients were facing type-1 hypersensitivity but no other severe allergic issues. Conclusions: Food allergy accelerated respiratory syndromes and comorbidities, mainly among the infected (Delta and Omicron) patients who could also have a high chance of hypersensitivity due to some common ingesting allergens.

ОСОБЛИВОСТІ ФОРМУВАННЯ КОНКУРЕНТНИХ ПЕРЕВАГ ЗЕМЛЕКОРИСТУВАННЯ В КРАЇНАХ ЄВРОПЕЙСЬКОГО СОЮЗУ ТА УКРАЇНІ

The article studies the peculiarities of formation of competitive advantages of land use in such countries of the European Union as France, Germany, the Netherlands, Denmark, Austria, Hungary, Lithuania, Italy, Belgium, etc. It has been found that in European countries private ownership of land dominates, A soil conservation and conservation programme is in place, free consultations on rationalization of land use, prevailing leasing relationships, successful development of the land market, functioning of land use is based on the activities of highly specialized farms, operating financial support for enterprises maintaining competitive positions in the market, operates a specialized land protection legislation, there is a concept of the economy. It has been found that special factors on which the competitive advantages of land use depend are the acquisition of new competencies in the implementation of production; the use of new competitive technologies; Implementation of innovations to increase production efficiency; application of progressive competitive advantages; effective use of existing production resources. It has been determined that the competitive advantages of land use in Ukraine in the current conditions should include ensuring a balanced distribution of land between economic entities and sectors of the national economy; strengthening the integration of science, Education and production; restoration of production capacity and knowledge-intensive production in the economic space; rehabilitation of transport infrastructure and logistics; Updating existing production capacities; supporting international business cooperation; harnessing new knowledge and experience and developing business technologies for land operators. The marked competitive advantages in their implementation can ensure a high standard of living of the population, as well as will stimulate the achievements of economic entities in competitiveness in the world space.

The Influence of Crisis Management, Risk-Taking, and Innovation in Sustainability Practices: Empirical Evidence From Iraq

Aim/Purpose: This study examines the impact of decision-making, crisis management, and decision-making on sustainability through the mediation of open innovation in the energy sector. Background: Public companies study high-performance practices, requiring overcoming basic obstacles such as financial crises that prevent the adoption and development of sustainability programs. Methodology: Due to the COVID-19 pandemic, which has led to the closure of businesses in Iraq, a survey was distributed. To facilitate responses, free consultations were offered to help complete the questionnaire quickly. Of the 435 questionnaires answered, 397 were used for further analysis. Contribution: The impact of crises that impede the energy sector from adopting sustainable environmental regulations is investigated in this study. Its identification of specific constraints to open innovation leads to the effectiveness of adopting environmentally friendly policies and reaching high levels of sustainable performance. Findings: The impacts of risk-taking, crisis management, and decision-making on sustainability have been explored. Results show that open innovation fully mediates the relationship between the factors of risk-taking, crisis management, decision-making, and sustainability. Recommendations for Practitioners: The proposed model can be used by practitioners to develop and improve sustainable innovation practices and achieve superior performance. Recommendation for Researchers: Researchers are recommended to conduct in-depth studies of the phenomenon based on theoretical and empirical foundations, especially in light of the relationship between crisis management, decision-making, and risk-taking and their impact on sustainability based on linear and non-compensatory relationships. Impact on Society: This study provides a reference for organizations with similar cultural backgrounds in adopting sustainable practices to minimize pollution in the Iraqi context. Future Research: A more in-depth study can be performed using a larger sample, which not only includes the energy industry but also other industries.

The impact of the COVID-19 lockdown on diabetes mellitus, hypertension, and dyslipidemia control in patients in KSUMC, Riyadh

Background: Previous studies on the COVID-19 lockdown reported contradictory evidence on controlling diabetes, hypertension (HT), and dyslipidemia (DLD). Thus, this study aimed to determine pre- and post-lockdown diabetes, HT, and DLD control with patient characteristics and predict positive or negative lockdown changes. Methods: Three hundred and fifty-five randomly selected patients from King Saud University Medical City (KSUMC) in Riyadh were studied between January 2019 and February 2020 using electronic medical records and phone calls to collect the data. Demographic, biomedical, medication, admission, blood glucose measurement, emergency room visits, and lifestyle data were collected. Results: The mean body mass index was increased in all demographic variables, particularly in people below the age of 60, and also in males and females (0.054 and 0.172, respectively) after the lockdown. All demographic variables showed a decrease in mean hemoglobin A1c difference. The mean systolic blood pressure difference between patients below the age of 60 and above the age of 60 was 2.00 (0.5491) and 4.54 (1.0812), respectively. 86.5% of the patients accounted for compliance with medications. In addition, 21.40% of the patients exercised regularly, and 36.60% did not follow a diet. Conclusion: Minor lab changes indicated stable conditions during the lockdown. KSUMC's telemedicine and virtual clinics contributed to this stability. The Ministry of Health's free online consultations were also helpful. A blended clinic (physical and virtual) seemed effective, especially during the pandemic.

PROSPECTS FOR THE DEVELOPMENT OF THE SIMPLIFIED TAXATION SYSTEM IN UNCERTAINTY CONDITIONS

The article investigates the peculiarities of the simplified taxation system in Ukraine and the main changes that were caused by the beginning of the war. It was determined that such a system has several shortcomings that affect the single tax's fiscal, regulatory and incentive efficiency. Nevertheless, the simplified taxation system plays a crucial role in the development of the direct entrepreneurial activity, which directly impacts the level of technological, investment and economic development of the country, as entrepreneurs are the driving force behind the development of IT, trade and services. Based on the analysis of tax changes in the direction of the simplified taxation system and experts' opinions on their appropriateness and vice versa, we believe that such a system is necessary for the functioning of the current small and medium-sized businesses. In the case of increasing tax rates or changing tax objects, it can contribute to the shadowing of business. Especially the issue of abandonment of the simplified taxation system cannot be raised in the current military conditions when one of the important items of budget formation is the voluntary payment of the single tax by entrepreneurs. That is, the practical analysis of the application of permitted tax mechanisms to minimize tax payments during the war made it possible to summarize the simplified taxation system's shortcomings and propose appropriate recommendations that will increase the fiscal and stimulating effect of the single tax. The identified recommendations will ensure the filling of the budget by introducing a progressive single tax rate, providing for a separate taxation group for IT specialists, controlling the legality of the use of benefits provided for the period of war, etc. At the same time, the stimulating function of the single tax is possible due to free consultations (the need for which was proved by the Google Trends tool), the launch of social media, and the increase of additional opportunities for expanding activities for all areas of economic activity. We believe that the implementation of the proposed recommendations will stimulate the further development of small and medium-sized businesses.

Factors Affecting Awareness of Oral Cancer: A Cross-Sectional Study from a One-Day Free Consultation Camp in Karachi

Background: Oral cancer is currently one of the major public health problems globally. Awareness of the risk factors of oral cancers may result in patients seeking medical advice earlier, which in turn can lead to early detection and a better prognosis of such lesions. Literature also reports lack of awareness to be the most common barrier to care-seeking by oral cancer patients. Objective: To determine oral cancer awareness and its associated factors among dental outpatients in a tertiary care hospital in Karachi. Methods: A cross-sectional study was conducted in a tertiary care dental hospital in district Malir, Karachi, from January 2019 to June 2019. After checking eligibility and taking verbal informed consent, the participants were interviewed using a questionnaire to assess their oral cancer awareness. Data were analyzed on SPSS version 20. Crude and adjusted odds ratio with 95% confidence interval were computed using binary logistic regression to determine the association of demographic characteristics with awareness. Results: The median age of study participants was 37 (IQR=45-29) years whereas 105 (65.2%) of them were female. The mean awareness score of the participants was 8.94±2.71. Moreover, only 34 (21.1%) participants had adequate awareness whereas 127 (78.9%) had inadequate awareness regarding oral cancer. In a multivariable model, education of the patients was found to be associated with adequate awareness regarding oral cancer. Conclusion: It was concluded that certain gaps exist in the awareness of dental outpatients regarding oral cancer, and apart from the education, none of their demographic characteristics significantly influenced it.

Post Pandemic Era – Adopting Tele-dentistry

Dentistry, the field of medicine where the communication sets standards for success. A continuous patient and dentist as well multidisciplinary dental communication leads to accuracy in diagnosis, increased efficiency as well as better patient satisfaction and long term positive outcomes. However the COVID-19 has brought a hindrance in the regular dental practice. The dental work demands a close proximity between the dentists with the patient which pitches them at a higher risk of being affected by the virus. Hence, international as well as national policy making associations and organizations have suggested only emergency and minimal aerosols generating treatment procedures. The dentists have almost been in hibernation, along with the waves of the pandemic and the constant lockdowns, carrying out free consultations for regular patients of their practices, through the phone and even chats. Can this be an opportunity to include tele-communication tools in routine dental practice?

Project "Homeopathy for L'aquila" Classical Homeopathy applied in the case of earthquake as a medical assistance plan

Background: The project “Homeopathy for L’Aquila” was developed in order to provide humanitarian and professional assistance to the people of L’Aquila, who were the victims of a devastating earthquake during the night of April 6th, 2009. This project was promoted by the Federazione Italiana Associazioni Medici Omeopati (FIAMO) and supported by the governmental organization for Emergencies (Protezione Civile).
 
 Aim: This paper is the report of that experience in the state of absolute emergency, which lasted 17 months. It aims to be a feasibility study as well as a model for further emergencies.
 
 Methodology: A medical office was located in a container of 60 square meters which was open from Monday to Friday, beginning in August 2009 and lasting until December 2010. This was provided by Protezione Civile with all the basic equipment, including a reception with a secretary. There were 16 homeopathic physicians and 2 acupuncturists, coming from all over Italy. Every month they rotated to offer free consultations of Classical Homeopathy, as well as Acupuncture and Neuraltherapy. Only people coming from the earthquake area were admitted: all of them signed an informed consent. An operational protocol was defined for the data collection. Each consultation was reported in a special register. The follow-up period lasted 17 months. The protocol consisted of the first consultation and at least 3 control visits, when possible at 30, 60 and 120 day intervals. As a primary outcome the main complaint of the patient was considered in its relation to the quality of life. This evaluation followed a slightly modified criterion of a qualitative scale: Outcome in Relation to Impact on Daily Living (ORIDL). A statistical analysis with some non parametric tests was carried out (Kolmogorof, ). Even the most frequently prescribed homeopathic medicines were taken into consideration.
 
 Results: 674 patients were visited from August 2009 to December 2010. In total 1,542 medical visits and treatments were carried out (1,070 as Homeopathy; 280 as Neuraltherapy; 192 as Acupuncture). 366 patients received Classical Homeopathy. The most frequently treated syndromes were of the “psychiatric” type (162 cases=44%), prevalently due to the consequences of the earthquake, such as sleeping disturbances, phobic states, anxious-depressive syndromes, etc. The drop-outs were 235 out of 366 (=64%). 107 patients presented for a minimum 3 follow-ups. Here are the results: cured (52%), major improvement (33%), moderate and slight improvement (12%), no change (3%), deterioration (0%). The statistical analysis (D = 51 > 1,949; = 48,039 > 10,83) showed a significance higher than 1‰. Within this group, 68 patients suffering from psychiatric syndromes, who came for a 3rd follow up, showed a similar trend: cured (50%), major improvement (24%), moderate and slight improvement (19%), no change (7%), deterioration (0%). Also in this case the statistical analysis indicated a significance higher than 1‰ (D = 30 > 1,949). The most frequently prescribed medicines were Pulsatilla, Sepia, Arsenicum Album, Argentum Nitricum and Lycopodium.
 
 Discussion: The numerous inconveniences due to the emergency certainly did not permit the usual control visits. Moreover a strict observance of the protocol was not always possible, which could explain such a high number of drop-outs. Those patients who completed the therapy had an incremental improvement in their health between the 1st and the 3rd follow-up visit. In the final analysis a series of “strengths” and “weaknesses” in the project were noted. This knowledge could be helpful for future emergencies.
 
 Conclusions: The project “Homeopathy for L’Aquila” allowed, for the first time in Italy, an official implementation of Homeopathy in an emergency plan of great impact, on the one hand; and, on the other hand, made a precious human and professional experience possible. Moreover the results obtained have demonstrated that Homeopathy can play an important role socially as well as therapeutically. To the present date there have neither been internationally recognized guidelines nor publications with similar data concerning emergencies. Therefore this project could represent an important reference point for similar events.