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  1. rvallee

    Review nature reviews cardiology: Cardiovascular autonomic dysfunction in post-COVID-19 syndrome: a major health care burden, Fedorowski et al, 2024

    Gotta love that patient-centered medicine thingy. You can just feel how centered it is.
  2. rvallee

    Employee well-being outcomes from individual-level mental health interventions: Cross-sectional evidence from the United Kingdom, 2024, William J. Fle

    When this is what mental health is reduced to: You should expect that: Because it simply ignores reality. The mental health evidence-based medicine approach is a top-down model that doesn't bother with reality, simply tries to push the same old solutions regardless of the problem. Why they...
  3. rvallee

    Review Impact of aerobic and resistance training on fatigue, quality of life, and physical activity in prostate cancer patients 2024 Nader et al

    Reading the paper, it's very obvious that the authors assumed it would be true, and badly want it to be true. The bias is all over the place, they simply can't believe that this wouldn't work for everyone and it has to be tried over and over again. There are so many cofounders here that any...
  4. rvallee

    A general thread on the PACE trial!

    Heh not really. It would be like a test of nuclear fusion that changes its definition of a successful run from 50% positive net generation to generating 95% of the energy that was put in, resulting in a net loss. The blinding was irrelevant here, they started with a definition of recovery that...
  5. rvallee

    Incongruence in FND: time for retirement 2024 Stone

    To be fair, it's a great position to fall back on. Complete black box and unfalsifiable until the inner workings of the brain are solved. They can have several more years with that scam. Kind of "software", in a way, but it would take a full working model of a human brain to know better, since...
  6. rvallee

    Caroline Struthers' correspondence and blog on the Cochrane Review: 'Exercise therapy for chronic fatigue syndrome, 2017 and 2019, Larun et al.

    Well that sure is one way to handle complaints. First: ignore a complaint. Then when a further complaint is made about the initial complaint having been ignored, say that it's outside of scope because it was already handled. Cochrane sure does have a documented and public summary of their...
  7. rvallee

    A general thread on the PACE trial!

    I think I may just have found the most excessively, comically even, wrong interpretation of the PACE trial. It's really impressive in all the bad ways. It's from the paper "Cardiovascular autonomic dysfunction in post-COVID-19 syndrome: a major health-care burden" (shared PDF version), and it...
  8. rvallee

    Incongruence in FND: time for retirement 2024 Stone

    Good grief the pseudoscience is off the charts. The misuse of "not possible by the laws of physics" should never be acceptable, but they make it clear that they intend to keep on deceiving patients using sciency sounding fake explanations precisely because they sound more credible by misusing...
  9. rvallee

    Petition: S4ME 2023 - Cochrane: Withdraw the harmful 2019 Exercise therapy for CFS review

    Don't forget the kitchen sink! And I mean really this is literally all the issues raised from the start. They haven't addressed or delivered a single thing, they just let them pile up, even the complaints about throwing out the complaints about them just letting it all pile up. Cochrane's...
  10. rvallee

    Incongruence in FND: time for retirement 2024 Stone

    I guess that semetary is brought to us by Stephen King, because the corpses of those ideas are shambling around and although they may suffer from the odd gait disorder, are very much indistinguishable from alive and kicking. This is the stuff that makes what sounds like a bit of a breakthrough...
  11. rvallee

    What can we learn from the Post Office scandal publicity (including TV)?

    There is a closer comparison to Theranos and Elisabeth Holmes here. Despite having no discernible talents, somehow she managed to smooth talk her way into being praised as "The next Steve Jobs" (true story) on magazine covers and raise billions for a fake product. When you look at Wessely's...
  12. rvallee

    NEJM Evidence: A New Look at P Values for Randomised Clinical Trials, Zwet et al, 2023

    Oh but that's Cochrane's entire business model and the bread-and-butter of evidence-based medicine. Who knew that industrializing a GIGO model would lead to a lot of garbage? Everyone? Yeah, literally everyone. Well, except the medical profession, I guess. Everyone else, though? Yeah, duh.
  13. rvallee

    First trans-diagnostic experiences with novel micro-choice based group rehabilitation for low back pain, long COVID, type 2 DM, 2024, Kvale+

    And just continues the old scam model of "does random variation of CBT" "improve X/Y/Z" in "group A/B/C/.../Z" using "useless rating questionnaire". It's a combinational scam, there are just endless permutations that they can go through. In fact this same group is doing exactly this. All of...
  14. rvallee

    First trans-diagnostic experiences with novel micro-choice based group rehabilitation for low back pain, long COVID, type 2 DM, 2024, Kvale+

    Good grief I hope an LLM wrote this title because it's just chock-full of meaningless buzzwords and it would be less embarrassing. I'm just baffled by the two first paragraphs, which have nothing to do with one another, in fact pretty much contradict each other. Again it sounds like an LLM...
  15. rvallee

    Dr. Anthony Fauci on Long Covid and ME/CFS

    Also in the same vein of "former officials who speak out now that they're out of official positions" is former White House COVID response coordinator Deborah Birx. Here she is in an interview with Chris Cuomo, and saying many right things, including that if ME/CFS hadn't been ignored, there...
  16. rvallee

    Trial Report The effectiveness of COVID-19 vaccines to prevent long COVID symptoms: staggered cohort study of data from the UK, Spain, and Estonia, 2024, Català +

    Even if true, too bad the medical profession has been selling the idea that "it's just a cold now" for years and vaccination rates barely cross 15%. Every country went with a "vaccine-only" strategy, then got bored with it quickly in a way that will depress all vaccination rates for years. Good...
  17. rvallee

    Artificial intelligence in medicine and science

    Blog post from Google AI about the above paper: AMIE: A research AI system for diagnostic medical reasoning and conversations https://blog.research.google/2024/01/amie-research-ai-system-for-diagnostic.html Inspired by this challenge, we developed Articulate Medical Intelligence Explorer...
  18. rvallee

    Artificial intelligence in medicine and science

    Towards Conversational Diagnostic AI https://arxiv.org/abs/2401.05654 At the heart of medicine lies the physician-patient dialogue, where skillful history-taking paves the way for accurate diagnosis, effective management, and enduring trust. Artificial Intelligence (AI) systems capable of...
  19. rvallee

    Petition to request updating of the description of ME/CFS in Kumar and Clark’s Clinical Medicine textbook.

    It likely won't matter to us in the near future, but there will be a tipping point and the sheer mass of people telling the medical profession that they are wrong will be critical in making sure it stops happening. If it's to happen anyway. I'm not really sure whether there is more consistent...
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