Getting at the lancet requires you go through the library or pay. As for most Elsvier journals. Which still attract most of the good research. This is being pushed against. I like one of the comments Matt Briggs made last weekpeer review waters papers down. Archiv just published work and the peer review occurs once […]Read More → Saturday Morning Journal Club.
This week I had to document all the public utterances I have made over a five year period for the purposes of auditing research output. The one I am most proud of is this. (And wordpress allows one to embed the video now). Please note I don’t look like this any more. I’m about two […]Read More → Saturday evening journal club.
Let’s start with a low prevalence event that should never occur, unless we end up with multidrug resistant syphilis. Babies are being born stillborn because of it. The current funding system where a lead maternal carer (generally a midwife) is funded for all antenatal care instead of a shared care model removes redundancy and allows […]Read More → Saturday Morning Journal Club.
Let’s start with an warning. Unusual thoughts and experiences are common, and having them is not necessarily a sign of ongoing crippling distress or a reason for intervention. We tend to ignore people who have such thoughts if they are functioning well. We do not want to intervene with everyone who has but one symptom. […]Read More → Weekend Journal Club.
Yesterday I said that this is a theology blog, with a diversion at times into politics, and here I am doing a not journal club and I am starting with an article in the NY Times (of all places). One of the Aussie academics managed to put this up, which is the medical version on […]Read More → Not Journal Club (this is very long).
This week the formal presentations were given by an old age psychiatrist. I’m less interested in what he said than what we can do to live well in old age. The first paper followed people through retirement, and found that it was generally not a bad thing. I have some doubts: more time asleep and […]Read More → Saturday Morning Journal Club
I don’t do this blog at work, but I do recall what has been discussed and shared. This week. let’s think about psychiatric diagnosis. There efforts in psychiatric nosology, or description of disorders, over the last 30 years has been towards reliability. But the validity of what we are doing is being questioned at the […]Read More → Weekend Journal Club.
Matt Briggs, whom I quote, found this graph on reddit. The comments there note, correctly, that the fitted model is stupid. It does not fit reality. Since I spent much of he afternoon looking at a paper based on data mining first childbirth versus first abortion, The idea of models trumping reality was painfully apparent […]Read More → The model should not contradict the findings.
This morning I was doing an ECT list. Yes, I am one of those people the scientologists despise. The anesthesiologist consultant asked me if was wearing Crazy Socks. I did not know about the campaign. So she showed me some tweets and clued me in. She has had three close friends suicide. This is the […]Read More → Crazy socks for docs as Doctors are despairing .
This paper was published in an important journal and the related editorial notes some flaws, particularly around an inability to know what is the correct dose of direct current stimulation. What the editorial notes is something I also saw: that direct current stimulation worked against placebo on response remission, and probably MADRS scores. Outcomes matter. […]Read More → Direct current is inferior to SSRI? A RCT.