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==Overview==
==Overview==
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[[Category: Allergy]]
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Latest revision as of 23:57, 8 August 2012

WikiDoc Resources for Clinical ecology

Articles

Most recent articles on Clinical ecology

Most cited articles on Clinical ecology

Review articles on Clinical ecology

Articles on Clinical ecology in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Clinical ecology

Images of Clinical ecology

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Podcasts & MP3s on Clinical ecology

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Evidence Based Medicine

Cochrane Collaboration on Clinical ecology

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TRIP on Clinical ecology

Clinical Trials

Ongoing Trials on Clinical ecology at Clinical Trials.gov

Trial results on Clinical ecology

Clinical Trials on Clinical ecology at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Clinical ecology

NICE Guidance on Clinical ecology

NHS PRODIGY Guidance

FDA on Clinical ecology

CDC on Clinical ecology

Books

Books on Clinical ecology

News

Clinical ecology in the news

Be alerted to news on Clinical ecology

News trends on Clinical ecology

Commentary

Blogs on Clinical ecology

Definitions

Definitions of Clinical ecology

Patient Resources / Community

Patient resources on Clinical ecology

Discussion groups on Clinical ecology

Patient Handouts on Clinical ecology

Directions to Hospitals Treating Clinical ecology

Risk calculators and risk factors for Clinical ecology

Healthcare Provider Resources

Symptoms of Clinical ecology

Causes & Risk Factors for Clinical ecology

Diagnostic studies for Clinical ecology

Treatment of Clinical ecology

Continuing Medical Education (CME)

CME Programs on Clinical ecology

International

Clinical ecology en Espanol

Clinical ecology en Francais

Business

Clinical ecology in the Marketplace

Patents on Clinical ecology

Experimental / Informatics

List of terms related to Clinical ecology


Overview

Clinical ecology refers to physicians who believe that exposure to certain chemical agents can result in physical damage, causing multiple chemical sensitivity and a variety of other disorders. Clinical ecologists often have a background in the field of allergy, not toxicology, and their theoretical approach is derived in part from classic concepts of allergic responses, first articulated by Theron Randolph, leading them to find cause-and-effect relationships or low-dose effects that are not generally accepted by toxicologists.[1] There has been much resistance in the medical community to accepting their claims.[1]

Clinical ecologists are certified by the American Academy of Environmental Medicine, which Theron Randolph founded in 1965 as the Society for Clinical Ecology.[1] Theron G. Randolph published a number of books on Clinical Ecology and Environmental Medicine. [2] [3] [4]


Criticism

Clinical ecology is not a recognized medical specialty.[5] Critics of clinical ecology charge that multiple chemical sensitivity has never been clearly defined, no scientifically plausible mechanism has been proposed for it, no diagnostic tests have been substantiated, and not a single case has been scientifically validated. The theories and practices of clinical ecology have been severely criticized by the American Medical Association[6], the American College of Physicians,[7] the Canadian Psychiatric Association, the International Society of Regulatory Toxicology and Pharmacology,[8] the American Academy of Allergy, Asthma and Immunology,[9] and the American College of Occupational and Environmental Medicine.[10]

References

  1. 1.0 1.1 1.2 Federal Judicial Center, Reference Manual on Scientific Evidence, second edition, 416-17 (2000).
  2. Moss, Ralph W.; Randolph, Theron G. (1980). An alternative approach to allergies: the new field of clinical ecology unravels the environmental causes of mental and physical ills. New York: Lippincott & Crowell. ISBN 069001998x Check |isbn= value: invalid character (help).
  3. Randolph, Theron G. (1987). Environmental medicine: beginnings and bibliographies of clinical ecology. Fort Collins, CO: Clinical Ecology Publications. ISBN 0-943771-00-5.
  4. Randolph, Theron G. (1962). Human ecology and susceptibility to the chemical environment. Springfield, Ill: Thomas. ISBN 0-398-01548-1.
  5. http://www.ncbi.nlm.nih.gov/sites/entrez ACOEM position statement. Multiple chemical sensitivities: idiopathic environmental intolerance. College of Occupational and Environmental Medicine
  6. AMA Council on Scientific Affairs. Clinical ecology. JAMA 268:3465-3467, 1992.
  7. Terr AI. Clinical ecology in the workplace. Journal of Occupational Medicine 31:257-261, 1989.
  8. Board of the International Society of Regulatory Toxicology and Pharmacology. Report of the ISRTP Board. Regulatory Toxicology and Pharmacology 18:79, 1993.
  9. Anderson JA and others. Position statement on clinical ecology. Journal of Allergy and Clinical Immunology 78:269-270, 1986
  10. Position Statement on Multiple Chemical Sensitivities: Idiopathic Environmental Intolerance. American College of Occupational and Environmental Medicine, April 26, 1999

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