Vitamin C and the common cold: a retrospective analysis of Chalmers’ review.

In 1975 Thomas Chalmers analyzed the possible effect of vitamin C on the common cold by calculating the average difference in the duration of cold episodes in vitamin C and control groups in seven placebo-controlled studies. He found that episodes were 0.11 +/- 0.24 (SE) days shorter in the vitamin C groups and concluded that there was no valid evidence to indicate that vitamin C is beneficial in the treatment of the common cold. Chalmers' review has been extensively cited in scientific articles and monographs. However, other reviewers have concluded that vitamin C significantly alleviates the symptoms of the common cold. A careful analysis of Chalmers' review reveals serious shortcomings. For example, Chalmers did not consider the amount of vitamin C used in the studies and included in his meta-analysis was a study in which only 0.025-0.05 g/day of vitamin C was administered to the test subjects. For some studies Chalmers used values that are inconsistent with the original published results. Using data from the same studies, we calculated that vitamin C (1-6 g/day) decreased the duration of the cold episodes by 0.93 +/- 0.22 (SE) days; the relative decrease in the episode duration was 21%. The current notion that vitamin C has no effect on the common cold seems to be based in large part on a faulty review written two decades ago

Strengths-based counseling 2.0: Continuing the discussion

This book is written from the perspective of many authors discussing their work as to what they believe to be a strengths-based model. Each has his or her own approach and view of how a strengthsbased model fits their own unique work situation. Although the client populations and clinical settings may be different, two components remain constant: (a) the clinician’s belief that using a strengths-based model is more effective than using the traditional medical model of pathologizing clients and (b) a rejection of the notion that the clinicians have more knowledge about the needs of the client than does the client him-or herself