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  1. shak8

    Advice on mask-wearing to protect against Covid-19

    When cases (per wastewater locally) are low, then I will linger in indoor spaces but with a mask. At the moment cases where I live (per wastewater calculation) are deemed moderate. I won't stay inside for more than a few minutes when there are people about. Of course, I have on an N95. If a...
  2. shak8

    Trial Report Effect of multivitamin-mineral supplementation versus placebo on cognitive function: results from …RCT Vyas 2024

    Wow, the only problems with the study are a huge number of confounding variables, genetics, and inadequate subject population.
  3. shak8

    If I'm immunocompromised, how often can I get the Covid shot in the USA?

    From: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/immuno.html "People Who May Get an Additional Updated COVID-19 Vaccine People aged 6 months and older who are moderately or severely immunocompromised may get additional updated COVID-19 vaccine doses 2 or more months...
  4. shak8

    News from the USA, United States of America

    https://www.nytimes.com/2024/01/10/upshot/covid-pandemic-wave.html?unlocked_article_code=1.M00.EASq.lK3EiU2VLQkn&smid=url-share Detail about why Eric Topol is dismayed by the lack of testing. The key is case counts, You can't infer from wastewater sampling the case counts and therefore you...
  5. shak8

    News from the USA, United States of America

    I am not a huge fan of Topol's writings, but I admire his expertise. My son just contracted covid, for the first time. Very few people mask in indoor public spaces, despite news reporting of a surge of covid cases, influenza here in the US. I think Topol is indirectly addressing the dearth of...
  6. shak8

    Experience with LDN? low dose naltrexone

    @josepdelafuente From the Patient-Led Research Collaborative website referenced above, about Jarred Younger's project funding: "September 23, 2023 Note: originally the Patient-Led Research Fund had awarded funds to Dr. Jarred Younger at University of Alabama at Birmingham to conduct a clinical...
  7. shak8

    Effectiveness of an Online Multicomponent Program FATIGUEWALK for Chronic Fatigue Syndrome: A Randomized Controlled Trial, 2023, Serrat et al.

    This FATIGUEWALK study is an offshoot (some of same authors) of the FIBROWALK study published 2022: https://www.sciencedirect.com/science/article/pii/S0005796722001590?via=ihub
  8. shak8

    Feasibility, Acceptability, and Preliminary Efficacy of a Positive Affect Skills Intervention for Adults With Fibromyalgia, 2023, Ong et al.

    by Ong, et al in Innov Aging. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10714916/pdf/igad070.pdf Five weeks of positive affect training vs a control group of reporting emotions. 43 in each group, mostly female, older than 50, 80% white. Internet training modules: identifying personal...
  9. shak8

    Ed Yong Articles on Long Covid & ME/CFS

    Ed Yong, New York Times Opinion piece 12/11/2023 "Reporting on Long Covid Taught Me to Be a Better Journalist" (temporary free-access) https://www.nytimes.com/2023/12/11/opinion/long-covid-reporting-lessons.html?unlocked_article_code=1.FE0.Oheh.Ofc6stWGiHko&smid=url-share
  10. shak8

    NHS talking therapy recommended for menopause symptoms

    In order to cut costs, will the NHS consider chest pain to first be treated by emergency CBT or should I post this in the dumb question category.
  11. shak8

    Science: The New England Journal of Medicine kicks off a historical series looking at its troubled past

    https://www.kidney.org/atoz/content/race-and-egfr-what-controversy Blacks in the US make up 35% of dialysis patients (13% of general US population) but trail far behind in kidney transplantation rates (referral problem due to racial prejudice in large part, in my experience as a dialysis RN...
  12. shak8

    2023 Burnet Oration: Dr Ziyad Al-Aly

    In the US, there is no patient database because our health care system is fragmented, no single payer, except for the Veteran's Affairs database, and perhaps the large health insurer Kaiser Permanente, or Medicare (people age 65 and older). So that is a major problem for doing large population...
  13. shak8

    Myalgia! Where Does it Come From (Acta Neuro, Taiwan. Dec. 2023)

    Lee, Chen (2023) Myalgia! Where does it come from? Acta Neurol Taiwan (IF: -1) 32(4) 230-239 Abstract Myalgia (also called muscle pain or muscle ache) is a symptom associated with many diseases, including fibromyalgia, neurodegenerative diseases, degenerative spine diseases, etc. Myalgia is a...
  14. shak8

    News from the USA, United States of America

    Not exactly an "Aha!" medical minute.
  15. shak8

    The impact of rumination on fibromyalgia pain after physical activity: an experimental study 2023 Fonseca das Neves et al

    Should have titled the research, Depressed FM patients' rumination vs distraction in recovery after physical exercise.
  16. shak8

    The impact of rumination on fibromyalgia pain after physical activity: an experimental study 2023 Fonseca das Neves et al

    In scanning the full article, note that the recruitment of these patients were done by a rheumatogist AND a psychiatrist, so that depression and anxiety and/or other mental illnesses were present at a clinically significant level. This does not represent FM patients as a whole. Rumination is a...
  17. shak8

    The impact of rumination on fibromyalgia pain after physical activity: an experimental study 2023 Fonseca das Neves et al

    Nonsense. I have days when any movement around the house involves pain sensations all day. The pain sensing nerves are so abnormally sensitized that doing one ankle circle or one other range of motion joint exercise can feel in the next day (and persist for 2 days) like a injury to soft tissue...
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