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  1. Snow Leopard

    Cochrane Review: 'Exercise therapy for chronic fatigue syndrome' 2017, Larun et al. - Recent developments, 2018-19

    Going on 2 and a half months, I think it is clear the authors and the editor (who presumably would insist on the changes suggested by her predecessor) do not agree.
  2. Snow Leopard

    The Canadian Chronic Pain Task force report

    Oh, me too! The sad part is, resilience in our society is not really determined by innate traits, but rather social support.
  3. Snow Leopard

    Survey of activity pacing across healthcare professionals informs a new activity pacing framework for chronic pain/fatigue, 2019, Antcliff et al

    It's notable that none of the references to "boom-bust" or "overactivity–underactivity cycling" involve CFS patients. The reference to "Effects of activity pacing in patients with chronic conditions associated with fatigue complaints: A meta‐analysis" only mentions a narative review of Exercise...
  4. Snow Leopard

    "Body Reprogramming: Patient guide for recovery using the Hyland model"

    Explanation by analogy. It is a hypothesis, nothing more.
  5. Snow Leopard

    Central sensitization: a matter of concern

    I agree, there is no tested model of central sensitisation, just an accumulation of (often equivocal) correlations.
  6. Snow Leopard

    More PACE trial data released

    It could be an indirect measure of motivation during exercise testing, I wonder if an increase (eg more effort from baseline) in Borg score at 52 weeks is associated with an increase in 6MWD at 52 weeks?
  7. Snow Leopard

    The Medical Model in Mental Health (2019) Huda

    There is a review in Psychology Today that summarises it. There is also a review here (and extra followup on the blog): https://holeousia.com/2019/05/24/a-review-the-medical-model-in-mental-health/ https://holeousia.com/2019/06/12/alienists/
  8. Snow Leopard

    More PACE trial data released

    The Borg scale is a relative scale which patients rate intensity of effort during an exercise test. It is meaningless to compare scores between patients, or between exercise tests for the same patient if the gap is more than about a day. Participants rating lower peak Borg scores doesn't...
  9. Snow Leopard

    Bias in medicine - Sex and Race John Oliver

    It only worked for me using a US VPN.
  10. Snow Leopard

    More PACE trial data released

    Your personal experience? :p The underlying problem is that they did not provide what they said they would provide in the protocol. Even if they sufficiently justified the change in the manuscript (they didn't), I don't think the manuscript should have passed peer review without at least...
  11. Snow Leopard

    The People’s Trial: your chance to be a scientist in a fun online trial - 6 Aug 2019

    What happens if they decide to do an unblinded trial with self-report outcome measures?
  12. Snow Leopard

    Prevalence of functional somatic syndromes and bodily distress syndrome in the Danish population: the DanFunD study, 2019, Petersen et al

    The logical conclusion is that a score of 4 or more on the Chalder Fatigue Scale is not a specific predictor of CFS. (Note that Chalder reported the cutoff score of 3 or less as indicative of "normal" fatigue using bimodal scoring, not Likert scoring.) Anyone who has actually looked at the...
  13. Snow Leopard

    The association of major life events with chronic fatigue, 2019, Schmaling & Patterson

    I wonder what this means? I don't have access to the article yet...
  14. Snow Leopard

    Functional Neurological Disorder Responds Favorably to Interdisciplinary Rehabilitation Models, 2019, Jimenez et al

    I guess we'll have to assume that IRB had granted ethics approval? I'm not sure how the stair climbing test and six minute walking test are relevant to those groups of patients.
  15. Snow Leopard

    Problematic training courses - please add

    The young man pictured is of course a stock photo. The testimonial doesn't sound quite like anything anyone I know (or on ME forums) would write, it seems edited to sound more favourable at the very least). Mentions this study from 1995 https://www.ncbi.nlm.nih.gov/pubmed/8542261 (Costa et al.)...
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