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  1. Snow Leopard

    Melbourne (Australia) CFS Discovery Clinic Closing

    From the front page of the website: And The real question is there going to be some sort of transition plan for current patients?
  2. Snow Leopard

    Parliament of Australia - petitions and questions

    Yes, it is clear they are ignorant about the reality for most patients. CFS is not merely post-viral-fatigue...
  3. Snow Leopard

    Frontiers review - Chronotropic incompetence an overlooked determinant of symptoms and activity limitation in ME/CFS (prov. 2019) Davenport et al

    Edwards' statement is not consistent with current understanding of effort perception and is inconsistent with the relationship between effort perception and performance at the ventilatory thresholds in more recent 2 day CPET studies... The equivocal association of deconditioning and performance...
  4. Snow Leopard

    B-Lymphocyte Depletion in Patients With ME/cfs: A Randomized, Double-Blind, Placebo-Controlled Trial (2019) Fluge et al

    Mostly unrelated to the study. This is one of the key reasons why control groups are used... Politely, I'd say the difference in reported adverse effects is certainly in part due to methodological differences.
  5. Snow Leopard

    Minister targets anti-vaccination websites - BBC March 2019

    Most data actually shows fewer autoimmune adverse events for young childhood vaccines versus adults, so it may actually be beneficial to give at younger age vs older age. The same goes for combination vaccines - less actual injections lower the risk. People who suggest that the combination...
  6. Snow Leopard

    USA: National Institutes of Health (NIH) intramural ME/CFS study

    I think that is the most likely scenario - selection bias... Chronic fatigue is a common long term consequence of certain autoimmune diseases, even once the primary symptoms are attenuated/improve.
  7. Snow Leopard

    Cases of Acute Flaccid Myelitis in Minnesota and other states

    A bit of Google Scholar sleuthing suggests it was the CDC who started using the term AFM in 2014.
  8. Snow Leopard

    Frontiers review - Chronotropic incompetence an overlooked determinant of symptoms and activity limitation in ME/CFS (prov. 2019) Davenport et al

    POTS is about blood flow based on body orientation. When climbing stairs, the body is not really changing in orientation besides maybe a bit of lean. It is the legs that are doing all the work moving the body against gravity, hence the major difference is simply the metabolic demands of the...
  9. Snow Leopard

    Frontiers review - Chronotropic incompetence an overlooked determinant of symptoms and activity limitation in ME/CFS (prov. 2019) Davenport et al

    The main issue with inclines is simply that it takes substantially more power to climb than walking on a flat plane. Otherwise there is nothing particularly special. A graded CPET on a treadmill can simulate specific gradients by requiring a specific amount of power.
  10. Snow Leopard

    Frontiers review - Chronotropic incompetence an overlooked determinant of symptoms and activity limitation in ME/CFS (prov. 2019) Davenport et al

    I haven't looked into it in any depth, he believes exercise intolerance in POTS patients is due to pre-load failure. But I don't see why the central veins would fail to constrict with the peripheral veins also failing to dilate at the same time?
  11. Snow Leopard

    Frontiers review - Chronotropic incompetence an overlooked determinant of symptoms and activity limitation in ME/CFS (prov. 2019) Davenport et al

    Is this the problem though? Dilation of arteries leads to reduced blood pressure and heart rate due to increased blood flow. Note that the post exercise hypotension noted in healthy people is likely associated with prolonged dilation of arteries (1-2 days) and proportionally more blood being...
  12. Snow Leopard

    800 scientists say it’s time to abandon “statistical significance”

    The problem isn't frequentist hypothesis testing, the problem is people inappropriately assuming that because a finding reached a pre-defined alpha, that it is automatically true.
  13. Snow Leopard

    Frontiers review - Chronotropic incompetence an overlooked determinant of symptoms and activity limitation in ME/CFS (prov. 2019) Davenport et al

    If they truly have chonotropic incompetence, there is no "forcing", the patients will simply need to stop early. What is interesting is that in young healthy people, deconditioning can actually result in slightly higher than normal heart rates at VO2Max than trained participants. The idea is...
  14. Snow Leopard

    "Plunging Grant Application Rates Test NIH’s Commitment to Chronic Fatigue Syndrome (ME/CFS)"

    Yes. They have dropped the ball for a long time. ME is a special case and it is in their scope to focus on building research capacity, which means funding more specialist centres (which will lead to more pilot studies and in turn more NIH applications). Most scientists don't want to build a...
  15. Snow Leopard

    Undiagnosed Diseases Network, USA, recruiting 16,000 patients to improve diagnosis and care

    The purpose of this study is to discover/further characterise rare genetic diseases...
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