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  1. Snow Leopard

    The Guardian's Science Weekly podcast - 2 November 2018 - What role should the public play in science?

    I've seen a lot more terrible Daily Mail articles on ME over the last 10 years than I have in the Guardian...
  2. Snow Leopard

    Cognitive factors are associated with disability & pain, but not fatigue among physiotherapy attendees with persistent pain & fatigue, 2019, Antcliff

    Cognitions determine questionnaire answering behaviour, so if 'disability' is measured with a questionnaire, it can be the same underlying factor affecting both scores - it is a meaningless association.
  3. Snow Leopard

    Diagnostic sensitivity of 2-day cardiopulmonary exercise testing in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Nelson et al. 2019

    Yes and no... If this is going to be used to determine specificity of diagnosis for example (when used in scientific studies investigating the illness), comparisons with other fatiguing neurological conditions for example is necessary, otherwise this may be a non-specific association of...
  4. Snow Leopard

    Characteristics of patients with motor functional neurological disorder in a large UK mental health service (2019) O'Connell, Wessely et al

    Exactly. Studies like these cannot generalise anything about the underlying characteristics of patients, rather they reflect the referral and diagnostic biases in practise.
  5. Snow Leopard

    Cochrane ME/CFS GET review temporarily withdrawn

    Not necessarily, she has involved in drug trials and systematic reviews for a wide range of conditions. For her reviews of CBT, the studies have been rated as low/very low quality. For "Psychosocial interventions for the prevention of relapse in bipolar disorder", the conclusion was...
  6. 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?
  7. 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...
  8. 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...
  9. 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.
  10. 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...
  11. 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.
  12. 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.
  13. 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...
  14. 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.
  15. 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?
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