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  1. Adrian

    Trisha Greenhalgh on ME/CFS and Long Covid

    Didn't Wessley win that for bravely telling dangerous ME patients that CBT will make them better?
  2. Adrian

    Independent advisory group for the full update of the Cochrane review on exercise therapy and ME/CFS (2020), led by Hilda Bastian

    I think PACE is one of the better trials so I assume if any was likely to be rated higher it might be PACE. They had things like recording of adverse events - although I suspect the review committee dismissed any links to GET (I think at least one is was a CBT/GET fan) as they don't see exercise...
  3. Adrian

    Independent advisory group for the full update of the Cochrane review on exercise therapy and ME/CFS (2020), led by Hilda Bastian

    They should really put a much stronger note. If I remember correctly the rated PACE as high quality and NICE using GRADE rated it as low quality so they shouldn't just say that the evidence has not been evaluated using GRADE they should point out that when others used this methodology they got...
  4. Adrian

    Best ME charity to support on Amazon Smile?

    I have been doing the same. But I mostly forget to use smile rather than the normal link so don't end up donating much. But then these days I'm not buying much anyway.
  5. Adrian

    Trisha Greenhalgh on ME/CFS and Long Covid

    Yes I normally prefer that approach but I'm feeling far more militant at the moment (not sure why). I'm not sure twitter really influences anyone - more its a way of seeing what groups agree with you and who disagrees. Its not a medium that supports giving a persuasive argument.
  6. Adrian

    Trisha Greenhalgh on ME/CFS and Long Covid

    I think those in power don't want to be remembered as the ones who made decisions against the evidence so while there are those lobbying for PACE (still) I suspect those who actually make decisions will want to be careful and rational (hence I suspect they can't influence NICE).
  7. Adrian

    Trisha Greenhalgh on ME/CFS and Long Covid

    Hence the importance of pointing out her prejudice in the same way as happens with someone who is a racist (some racists are open and proud of it but others use covert language and pretend they aren't). In the same way challenging can help point to that prejudice and that will be uncomfortable...
  8. Adrian

    Trisha Greenhalgh on ME/CFS and Long Covid

    Threats are not acceptable - although they see complaints as threats where as things like complaints to the BBC are concerned with biased reporting, But lets face it some of the attacks are personal because they are commenting on their professional competance and actions. But things need to be...
  9. Adrian

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    Is that when you text someone to say you are better?
  10. Adrian

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    I think their is a group in the US doing something. Also the Kings group who do the symtom tracker may be doing something (and it comes from the twins project nothing to do with the psych groups at kings) so something interesting may come up here.
  11. Adrian

    Trisha Greenhalgh on ME/CFS and Long Covid

    It is demonising a group, maybe not directly but she knows what she is doing in terms of bringing up complaints that were used to try to crush opposition and criticism from patients. Given the way this group acts where any challenge that comes from groups they don't like becomes nasty threats in...
  12. Adrian

    Trisha Greenhalgh on ME/CFS and Long Covid

    I had remembered it as saying if she got death threats she would report them. Which sounded like a way to bash a patient community and bring up old stories etc. I think many of us have seen a lot of the twitter conversations going on. I've not seen anything in terms of threats. Have any others?
  13. Adrian

    In-Depth Analysis of the Plasma Proteome in ME/CFS Exposes Disrupted Ephrin-Eph and Immune System Signaling, 2021, Hanson et al

    I've found the oposite but I suspect it is very data dependant. I'm not aware of a supervised version of TSNE but if you have labels you can build a classifier - if you want to then have an understanding of what features are important then using tree based classifiers can help as they are...
  14. Adrian

    In-Depth Analysis of the Plasma Proteome in ME/CFS Exposes Disrupted Ephrin-Eph and Immune System Signaling, 2021, Hanson et al

    It depends on what PCA gives. TSNE allows nice 2d plots which are easy to interpret where as with PCA it depends on how much of the varience is captured with the first 2 principle components. I have seen people doing PCA as a dimension reduction and then TSNE (as it is quite costly). The...
  15. Adrian

    In-Depth Analysis of the Plasma Proteome in ME/CFS Exposes Disrupted Ephrin-Eph and Immune System Signaling, 2021, Hanson et al

    If they have only just filed then it won't be published for a while (I can't remember the current rules but it used to be a year in the UK system and I think the US was similar). Initially just the title is published. Granting can take multiple years.
  16. Adrian

    In-Depth Analysis of the Plasma Proteome in ME/CFS Exposes Disrupted Ephrin-Eph and Immune System Signaling, 2021, Hanson et al

    Yes the point is it brings a multivarient view onto the data an allows for combined effects. I've always like the hierarchical cluster analysis technique they use - but these days I tend to use TSNE which does a projection from a high dimentional space to a lower one whilst trying to preserve...
  17. Adrian

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    I wasn't thinking that. It does seem that there are people with post viral chronic illness with ME type symptoms and a proportion get better (partiularly in the first year or two). They will often meet the diagnostic criteria (with the 6 months) etc so perhaps we should just say ME. But I wonder...
  18. Adrian

    Paul Garner on Long Covid and ME/CFS - BMJ articles and other media.

    There is a well thought out blog here on the subject here https://www.healthcarehubris.com/post/health-politics-in-action-professor-garner-s-change-of-heart-on-long-covid-and-me-cfs
  19. Adrian

    In-Depth Analysis of the Plasma Proteome in ME/CFS Exposes Disrupted Ephrin-Eph and Immune System Signaling, 2021, Hanson et al

    I would quite like to see a cluster analysis putting all the interesting proteins for each patient in a vector. It would be interesting if there are clear clusters between the two groups but also if the ME group forms different clusters,
  20. Adrian

    Trisha Greenhalgh on ME/CFS and Long Covid

    Is it? Given my and others experiences with GPs I think it is expected. The doing it in public is the surprising thing.
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