An open letter to Psychological Medicine, again!
In conclusion, noted Wilshire et al., “the claim that patients can recover as a result of CBT and GET is not justified by the data, and is highly misleading to clinicians and patients considering these treatments.”
In short, the PACE trial had null results for recovery, according to the protocol definition selected by the authors themselves. Besides the inflated recovery results reported in Psychological Medicine, the study suffered from a host of other problems, including the following:
*In a paradox, the revised recovery thresholds for physical function and fatigue–two of the four recovery measures–were so lax ...
Source: virology blog - March 23, 2017 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information adaptive pacing therapy CFS chronic fatigue syndrome clinical trial cognitive behavior therapy Dave Tuller exercise graded exercise therapy mecfs myalgic encephalomyelitis outcome PACE trial recovery Source Type: blogs
An open letter to Psychological Medicine about “ recovery ” and the PACE trial
In conclusion, noted Wilshire et al., “the claim that patients can recover as a result of CBT and GET is not justified by the data, and is highly misleading to clinicians and patients considering these treatments.”
In short, the PACE trial had null results for recovery, according to the protocol definition selected by the authors themselves. Besides the inflated recovery results reported in Psychological Medicine, the study suffered from a host of other problems, including the following:
*In a paradox, the revised recovery thresholds for physical function and fatigue–two of the four recovery measures–were...
Source: virology blog - March 13, 2017 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information adaptive pacing therapy CFS chronic fatigue syndrome clinical trial cognitive behavior therapy Dave Tuller exercise graded exercise therapy mecfs myalgic encephalomyelitis outcome PACE trial recovery Source Type: blogs
To BPT, or not to BPT, that is the junior doctor ’s question …
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
As my graduating peers and I embark on our medical careers, it’s a fitting time to consider which medical careers we actually desire. I’ve always had a strong sense of direction for the specialty path I wish to pursue, but at times, like now, I flirt with the idea of pursuing other avenues. It is an important issue that deserves deliberate consideration as it’s what most of us will dedicate the lion’s share of our lives to.
Is being a “specialist in life” as a GP ...
Source: Life in the Fast Lane - February 21, 2017 Category: Emergency Medicine Authors: Tane Eunson Tags: Administration Medical career basic physician training BPT Source Type: blogs
What Does the Scan Tell Us? An analysis of oncology outpatient visits
Discussions: Insights Into Why Patients Misunderstand Their Prognosis, " which was published online early in the Journal of Oncology Practice. (OPEN ACCESS PDF!)The researchers analyzed recordings of oncologists and patients with stage IIIA, IIIB, or IV non-small cell lung cancer in the outpatient setting. These recordings were from another large study and are over a decade old now. But as the authors pointed out, there is not strong evidence that outpatient communication strategies have changed wholesale in oncology, (although treatment options have changed drastically with the introduction of checkpoint inhibitors, but t...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 30, 2017 Category: Palliative Care Tags: clinic communication journal article oncology outpatient prognosis sinclair Source Type: blogs
Dec 26, George Elton Mayo: Today in the History of Psychology (26th December 1880)
George Elton Mayo was born. A pioneering figure in the field of Industrial Management and Human Relations -an influential research movement concerned with the study of organizational development within work groups - Mayo is best known for his involvement with the famous Harvard business school productivity studies conducted at the Hawthorne Western Electric Company in Cicero, Illinois which gave rise to the discovery of the Hawthorne Effect, a psychological phenomenon where participants in behavioral experiments modify their performance as a result of being observed. (Source: Forensic Psychology Blog)
Source: Forensic Psychology Blog - December 26, 2016 Category: Forensic Medicine Source Type: blogs
Making Accountable Care Organizations Great Again
By ANISH KOKA, MD
Test your Accountable Care Organization knowledge:
Select all of the options that are True
If you belong to an ACO you qualify for the alternative payment model track in MACRA
Most ACO’s are enrolled in to a two sided risk model – (They share profits and losses with Medicare)
In 2015, ACO’s saved Medicare more than a billion dollars
None of the above
I have been mystified by Accountable Care Organizations ever since I first heard of them almost a decade ago. ACO’s have had a hallowed place in the world of health care policy for some time now. Everyone knew they were coming, and everyone...
Source: The Health Care Blog - October 22, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized ACO Source Type: blogs
“@yeongimage took this photo looking down from the rooftop...
"@yeongimage took this photo looking down from the rooftop of the Hawthorne Court, a 14-building apartment complex with an expansive landscaped backyard in Jackson Heights, Queens. After a battle that lasted about a decade, residents here can at last — get this — walk on the grass. The 140-unit co-op was one of the last holdouts among a distinctive group of residences in this historic district of north-central Queens to lift a strict grass-walking ban. For years, many co-ops mandated that the backyard be reserved for quiet contemplation. Reading a book or strolling the grounds was allowed so long as residents kept off ...
Source: Kidney Notes - May 19, 2016 Category: Urology & Nephrology Authors: Joshua Schwimmer Source Type: blogs
The Quest For Zero Infections: A Fool’s Mission?
By ANISH KOKA, MD
Joyce is sick. I am in the intensive care unit, peering at vital parameters that glow on the screen above her bed. My eyes linger on those numbers because it is easier than looking at her. A fever rages, her core temperature reads 103.4 degrees. Her white hair is plastered on her forehead with sweat, and a tube to help her breathe emerges from her mouth and heads to a ventilator that angrily tweets a musical alarm every few minutes. Her breathing is painfully obvious. Her stomach moves paradoxically inward on every breath, and I can see the muscles in her neck tense with the effort of every br...
Source: The Health Care Blog - December 28, 2015 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Why Doctors should Recommend Quantified Self Technologies for Their Patients
By MOLLY MALOOF, MD
The United States population suffers from staggering numbers of lifestyle related diseases. We know the situation is not improving. Recent research found that over half of the country has prediabetes or diabetes. The facts don’t lie—the vast majority of the US burden of disease are due to lifestyle.
Photo Credit: Dr. DArriush Mozzafarian
People know they should eat less and exercise more, but they don’t. They don’t because without the right knowledge and direction, behavioral change is really hard. Doctors also know they should be advising their patients on lifestyle, but they don’t.
...
Source: The Health Care Blog - December 16, 2015 Category: Consumer Health News Authors: Simon Nath Tags: Small Practice THCB Molly Maloof Source Type: blogs
180 bpm running – my short list
Available on Spotify –
I have spent much time trying to find 180 bpm songs that work for me. My selections are varied starting in the 1960s and rather new. These songs all make me want to run. If you have never heard Stitched Up – I HIGHLY recommend it as a wonderful running song that will make you smile.
Of course, I would love other suggestions – but I am very picky.
1. Corsican Rosé – Mayer Hawthorne – 4:07 Singing about a lost love
2. Please Don’t Stop – Richard Bona (with John Legend singing) – 3:32 A funky love song
3. Mornin’ – Al Jarreau R...
Source: DB's Medical Rants - April 21, 2015 Category: Internal Medicine Authors: rcentor Tags: Fitness & weight Medical Rants Source Type: blogs
Are Million Dollar Plus Business Trained Managers the Right People to Lead Health Care in the Time of Ebola?
You can guess my opinion on the answer.Introduction News and opinions about Ebola virus are swirling around the US, fueled by a tragic epidemic in West Africa, and fears that more infections could appear here. On October 6, 2014, I posted my concerns that despite a tremendous amount of confidence expressed by government officials and health care leaders, our dysfunctional health care system might have trouble containing Ebola virus. Less than two weeks later, my concerns do not seem so extreme. The first patient to be diagnosed with Ebola virus in the US has died. Two nurses who cared for him now ha...
Source: Health Care Renewal - October 15, 2014 Category: Health Management Tags: CEO disease Ebola virus executive compensation free speech Texas Health Presbyterian Hospital Texas Health Resources whistle-blowers Source Type: blogs
Why Don't Public Schools Give Parents What They Want?
David Boaz
The Washington Post reports today that it’s “harder to describe” the mission of one of the magnet schools in Arlington County, Virginia: Arlington Traditional School. Not that hard, if you just read the quotes from the principal and parents:
“Our emphasis is on basic education,” Principal Holly Hawthorne said….
“The word ‘traditional’ implies a cachet to us,” said Craig Montesano, a lobbyist for the shipping industry who visited Arlington Traditional with his wife. To him, the word conjures ancient Rome and Greece and the promise that his daughter will be “grounded in the learning ...
Source: Cato-at-liberty - March 22, 2014 Category: Health Medicine and Bioethics Commentators Authors: David Boaz Source Type: blogs
On Pygmalion and sensory integration research
Occupational therapists have been attempting to improve research on sensory integration by adopting more strict fidelity standards and by using Goal Attainment Scaling as an outcome measure. Three years ago I blogged about an SI effectiveness study and expressed some concerns on the research design - you can read about that at http://abctherapeutics.blogspot.com/2011/01/new-study-on-si-effectiveness-but.html.A new study has been published by Schaaf et al (2013) and can be accessed online in full text at http://link.springer.com/article/10.1007%2Fs10803-013-1983-8/fulltext.html However, one major difference is t...
Source: ABC Therapeutics Occupational Therapy Weblog - December 3, 2013 Category: Occupational Therapists Tags: autism evidence-based practice sensory integration Source Type: blogs
My latest running playlist – bpm 160-180
Some runners listen to music; some don’t. Music enhances my running. I have clear criteria. I should smile when the song comes up randomly. The song should propel me to run better. I always enjoy newer additions, hence Daft Punk, Elvis Costello & the Roots and Mayer Hawthorne on this list.
Wake Me Up 5:54 Elvis Costello & The Roots Wise Up Ghost 86
Stick Out Your Tongue 5:28 Elvis Costello & The Roots Wise Up Ghost 92
First two songs are from a most exciting CD – strange pairing that totally works for me
Her Favorite Song 3:34 Mayer Hawthorne Where Does This Door Go 87
M...
Source: DB's Medical Rants - November 21, 2013 Category: Health Medicine and Bioethics Commentators Authors: rcentor Tags: Fitness & weight Source Type: blogs
What is Cognitively-Based Compassion Training?
The root of compassion lies in realizing the interconnected nature of all beings on Earth. Cognitively-based Compassion Training (CBCT), a secular alternative to the Tibetan Buddhist tradition of lojong, trains practitioners to cultivate compassion through straightforward contemplative practices.
In addition to realizing greater compassion, practitioners also find an improvement in their health and well-being.
Geshe Lobsang Tenzin Negi, senior lecturer in Emory University’s Department of Religion, developed CBCT and has since initiated research studies into the effects of compassion meditation. UB Hawthorn spoke with h...
Source: World of Psychology - September 25, 2013 Category: Psychiatrists and Psychologists Authors: UB Hawthorn Tags: General Interview Mental Health and Wellness Mindfulness Psychology Psychotherapy Aspirations Catalyst Closeness Compassion Contemplative Practices Different Kinds Emory University Endearment Everyday Lives Health Benefits Source Type: blogs
