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  1. Hutan

    Mitochondria as target to inhibit proliferation and induce apoptosis of cancer cells: the effects of doxycycline and gemcitabine, 2020, Dijk et al

    https://www.nature.com/articles/s41598-020-61381-9#Fig1 Doxycycline has anti-tumour effects in a range of tumour systems. The aims of this study were to define the role mitochondria play in this process and examine the potential of doxycycline in combination with gemcitabine. We studied the...
  2. Hutan

    Parity of esteem within the biopsychosocial model: is psychiatry still a psychological profession?

    Disordered thinking is a symptom, and can be caused by a range of things, in the same way that fatigue or headache are symptoms that can be caused by many things. It makes sense to have some doctors who are really good at diagnosing conditions from a main symptom, or from a range of symptoms...
  3. Hutan

    Functional Neurological Disorder (FND) - articles, social media and discussion

    It's a great article, thanks for posting it @Gradzy. Well done to Dr Tim Ubhi. The boy and his parents must have gone through hell during those 3 years when his symptoms were being labelled as FND. The thought of more parents and children going through that, it's horrendous. There are...
  4. Hutan

    Parity of esteem within the biopsychosocial model: is psychiatry still a psychological profession?

    I think this is right. If doctors who specialise diseases of the brain/central nervous system are neurologists, then a lot of illnesses with psychiatric symptoms should be managed by them. Perhaps, as there is more knowledge, the subspecialties will be divided up less by the outward symptoms...
  5. Hutan

    BMJ: Chronic fatigue syndrome and Long Covid, moving beyond the controversy, 2021, Newman

    You are right, it is better than some approaches; there is recognition of PEM. However, there's the issue of whether it is sensible for money to be allocated to these "individualised treatments". I don't think there is any good evidence that the rehabilitation approaches, for both people with...
  6. Hutan

    Review Effectiveness of non-pharmacological interventions for fibromyalgia and quality of review methods: an overview of Cochrane Reviews, 2023 Bidonde et al

    Just to argue with myself, I note that the reference #70 above in the quote in my post above is from a 2017 paper, which itself is quoting a 2013 paper: The 2017 paper, by Christopher Ecclestone and Geert Crombez, is a muddle of useful observations like the one quoted above and all of the...
  7. Hutan

    Mike's EU Marathons

    That's a lovely article @Mike Harley. I found it very moving.
  8. Hutan

    Review Effectiveness of non-pharmacological interventions for fibromyalgia and quality of review methods: an overview of Cochrane Reviews, 2023 Bidonde et al

    The authors appear to have partially understood the enormous bias that comes from subjective outcomes in unblinded trials, especially where the treatment aims to reduce the importance participants attribute to the symptoms being measured as outcomes. But when it comes to recommendations for...
  9. Hutan

    Review Effectiveness of non-pharmacological interventions for fibromyalgia and quality of review methods: an overview of Cochrane Reviews, 2023 Bidonde et al

    Lots of interesting points in the discussion- here are some: Cochrane reviews have a special place in the assessment of the clinical efficacy of interventions, because they concentrate on methodological issues designed to reduce the impact of bias. For pain-related topics, most forms of bias...
  10. Hutan

    Review Effectiveness of non-pharmacological interventions for fibromyalgia and quality of review methods: an overview of Cochrane Reviews, 2023 Bidonde et al

    BPS approaches are getting a bit of a blitzing lately, with that spinal pain paper finding many flawed studies, that affected the findings of reviews and guidelines that based recommendations on them. Cochrane seems to be part of this improvement. Systematic review quality assessment...
  11. Hutan

    Parity of esteem within the biopsychosocial model: is psychiatry still a psychological profession?

    I have seen some reports on the forum of psychiatrists being helpful, and we do have some psychiatrists as members. I think though, that while there may have been a valid role for psychiatrists, that role is rapidly shrinking. Biological: As knowledge of the diseases that cause problems with...
  12. Hutan

    The Mechanism of Placebo Analgesia 1978, Levine et al (Claims Proof of Placebo)

    So, a painful dental operation - Patients were told that they might receive either morphine ('a powerful analgesic'), placebo, or naloxone (which might increase their pain). There was blinded administration of naloxone and a placebo. It says that patients given morphine were excluded from the...
  13. Hutan

    Review Prevalence of ictal injuries in functional (psychogenic non-epileptic) seizures: A systematic review and meta-analysis 2023 Moreira et al

    Ictal injuries seem to be injuries caused by seizures e.g. tongue biting, bruising. I haven't read the study, but from the abstract, it looks to be simply concluding that the fact that someone is injured by their seizure doesn't mean it's not psychosomatic.
  14. Hutan

    Tauroursodeoxycholic acid (TUDCA)

    Tauroursodeoxycholic acid: a potential therapeutic tool in neurodegenerative diseases, 2022 ( a review) Looks as though there are a number of human trials of TUDCA in neurodegenerative diseases underway.
  15. Hutan

    UK Government ME/CFS Delivery Plan consultation

    A large part of that is a product of BPS attitudes. People who could help fund raise and be ambassadors are ashamed to be associated with ME/CFS. And many families and friends turn away from people with ME/CFS, also feeling the shame and not wanting to facilitate false illness beliefs. People...
  16. Hutan

    Review Pathophysiology, diagnosis, and management of neuroinflammation in covid-19, 2023, Brown et al.

    Thanks for highlighting that bit SNT. I think that's useful wording to suggest in the 'Language' section of the UK Consultation on the ME/CFS Delivery Plan. Link here: 5. UK: 2023 Interim Delivery Plan on ME/CFS consultation: Language use
  17. Hutan

    Hypothesis The viral origin of myalgic encephalomyelitis/chronic fatigue syndrome, 2023, Maureen R. Hanson

    I guess the issue is, are the viruses latent in cells, in a form where DNA/RNA is not being shed into easily accessible samples? I was reading something about the measles virus that can sit in brain cells for years and then cause encephalitis. It seemed to spread by causing cells to fuse...
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