One of my colleagues emails me papers, and he notes that JAMA now does these graphically. Looking around the open access journals this afternoon, there are a couple of highly controversial papers that make the idea of having antidepressants post infarct to prevent cardiac death seem safe and tame. One is a description of adolescents […]Read More → Saturday afternoon 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.
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.
This is a forest plot. It is looking at normalized or standardized mean differences of improvement between computerized CBT and controls. The controls are not specified. And if you look at it, you get a significant improvement if you do computerized CBT. This, to a busy clinician or clinical team, sounds very attractive. Computers are […]Read More → The guild, the cathedral, and the computer.
One of my duties is to teach psychiatrists-in-training. In AUstralia and NZ, this is a five-year process that takes most people seven (or more) years: there are cases to write, experiences to log (which include quite a lot of talking therapy) and the technique and evidence for treating psychiatric disorders has to be formally taught. […]Read More → DSM-5 is not as user friendly as ICD-10.
THis is from PNAS. In short, obesity seems to be modulated in mice fed a high fat diet by a bacterium. Reduce the bacterial count, and the mice thin out. From the abstract Obesity and type 2 diabetes are characterized by altered gut microbiota, inflammation, and gut barrier disruption. Microbial composition and the mechanisms of […]Read More → Mice, obesity and bugs.
I was interviewed a couple of weeks ago and then forgot it. They got my job wrong (I’m a psychiatrist not a psychologist — They got that wrong.) I forgot that they talked to me for 30 minutes until a colleague said I was quoted in the university bulletin. Anyway, from Stuff. Obsessive-compulsive disorder is […]Read More → I made the press.
Cathy Odgers on women being shareholders not over-educated board slaves. Maori and women now have as equal chance as white boys from Kings of getting to University should they study hard and pass exams. Standardised testing means we can be measured against these little elitist mollycoddled arsewipes from a very young age. Once at University […]Read More → Economic quotage (I hate makework)
Hat tip Zero Hedge and Sovereign Man. Online privacy is becoming more important by the day. And nobody is going to give it to you, you have to take steps yourself to secure it. Below are five different tools and services that will get you started: 1. Tor Browser Tor is a great weapon in […]Read More → Tools for this period — not administration.