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  1. Snow Leopard

    Watt from MRC defends PACE in letter to Times

    If specific researchers insist on methods that are considered strongly flawed in other fields, then they should be discouraged from doing research. On the topic of respect, there researchers have not shown respect for patients - the deviation from the protocol is a deliberate attempt to...
  2. Snow Leopard

    Investigating the origins of GET (graded exercise therapy)

    Sure, but the key is that deconditioning does not explain the symptoms of most patients.
  3. Snow Leopard

    The expression signature of very long non-coding RNA in myalgic encephalomyelitis/chronic fatigue syndrome, 2018, Chin-An Yang et al

    Most RNA should be found in the nucleus of the cells, not the serum. If it is found in any kind of pathogenic amounts in serum, something has gone very wrong.
  4. Snow Leopard

    Investigating the origins of GET (graded exercise therapy)

    The problem is that if you limit the exertion to 50-60% of max heart rate, you aren't going to build any fitness. This type of therapy is purely psychological. The same goes with the fad of high step counts - it is intensity, not step counts that builds fitness or strength. Higher activity...
  5. Snow Leopard

    Has anyone compared POTS vs ME on a 2-day CPET?

    I agree this would be an interesting question, along with measuring OI specific symptoms post exertion. Personally, I only experience OI after substantial exertion (for me), but it occurs sooner than the rest of the post exertional exacerbation.
  6. Snow Leopard

    Cardiopulmonary Exercise Test Methodology for Assessing Exertion Intolerance in ME/CFS, 2018, Stevens et al

    Not yet published. Curious to see how many studies were included - given there are several other studies with similar results that are not yet published as far as I know.
  7. Snow Leopard

    CNN: Escape from the Mayo Clinic: Parents break teen out of world-famous hospital

    The dispute was over opioid pain killers - the young woman was in a lot of pain, but the Mayo clinic, with all the controversy about the "opioid epidemic" took her off those pain killers and that is when the dispute started. Mayo is unwiling to be transparent about their actions - so clearly...
  8. Snow Leopard

    The association of adverse events with bivalent human papilloma virus vaccination: A nationwide register-based cohort study in Finland (CFS looked at)

    The HR of 5.31 shows a trend towards a risk for Guillain-Barré syndrome. Note that this is a relatively rare consequence (around 1/100,000 person-doses reported in other studies of vaccines) and this study simply does not have the statistical power to detect events of that frequency with...
  9. Snow Leopard

    Netflix "Afflicted" - ME included

    It looks like Jake is going to speak out in support of the participants, which is certainly an interesting twist.
  10. Snow Leopard

    CNN: Escape from the Mayo Clinic: Parents break teen out of world-famous hospital

    Wow, that's awful! There is something really messed up in our culture when medical practitioners use such dirty tactics in retaliation.
  11. Snow Leopard

    BMJ: HPV vaccine safety: Cochrane launches urgent investigation into review after criticisms

    The difference (in this case) is that prominent people involved with the Cochrane collaboration were the ones making the criticism.
  12. Snow Leopard

    Who was it that said being in support groups leads to poor outcome?

    Quite right. A lack of specificity of an association means it is likely not to be causitive. I mean you can't blame total resting, continuing to do the same amount, and everything in between as a specific prognostic factor.
  13. Snow Leopard

    Dimensional Personality Assessment among a CFS sample with Personality Inventory for DSM-5 (PID-5), 2018, Calvo et al.

    Actual article is here (in Spanish): https://www.actaspsiquiatria.es/repositorio/20/114/ESP/20-114-ESP-125-32-297763.pdf The descriptive statistics are shown in table 3. They used the 1994 CDC criteria. The highest (mean) score for those with "personality disorders" was 1.69 which lies...
  14. Snow Leopard

    Two new studies on physical inactivity and its effect on metabolic function

    The alterations observed in the study are trivial and easily reversed as the person resumes their regular routine. I'd love to be able to exercise regularly (cycling, orienteering etc), but despite trying my own modest exercise program over several years, I haven't been able to increase my...
  15. Snow Leopard

    Who was it that said being in support groups leads to poor outcome?

    Reminds me of Andrew Lloyd frequently claiming CBT works when speaking to the media. (conveniently forgetting that his study found no effect compared to a medical placebo).
  16. Snow Leopard

    Association between cytokines and psychiatric symptoms in chronic fatigue syndrome and healthy controls (2018), Groven et al

    The only meaningful cytokine association regularly reported in the literature is TGF-Beta, and well, they didn't test for that in this study. White even did a systematic review highlighting TGF-Beta so its absence is notable.
  17. Snow Leopard

    GETSET letters in The Lancet

    Claiming there could be a ceiling effect and not providing a histogram/visualisation or statistical test of the effect, leads to the claim lacking credibility. You'd lose marks doing this on an undergraduate project, it's simply not acceptable from professionals.
  18. Snow Leopard

    UK: Locations that offer CPET/VO2max testing

    Thanks for sharing your experiences. The blood tests will hopefully be interesting. There is no stopping and starting, I'm not sure where you got that idea. The only difference between tests (in different venues) is the power level of warmup, the length of the warmup and the rate at which the...
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