Showing posts with label alternative medicine. Show all posts
Showing posts with label alternative medicine. Show all posts

Wednesday, April 29, 2009

An autism gene! ? ! ?

No, there’s not just one, or even close to it, but the discovery of the first autism genetic link is huge, huge, huge!

First, even though it’s only common to about 15 percent of purported autism cases, it will improve diagnosis. That includes lessening MISdiagnosis.

And that, with today’s autism hysteria, is far and away from a small issue.

As I’ve blogged before, it’s quite possible a change in psychiatry’s bible, the DSM, basically “invented” Asperger’s syndrome, by changing “schizoid disorder of childhood” in DSM-III to Asperger’s in DSM-IV. Then, if Asperger’s has been “updiagnosed” to autism, especially by alt/pseudomedical practitioners seeking to sell a cure, there’s part, at least of your “autism” explosion. Finding this gene, if it holds up, and even more, if others are found, will combat such things.

Second, speaking of autism hysteria, an autism gene shoves conspiracy mongering, anti-medicine inanity, etc., right in the face of the anti-vaccine crowd.

Third, as the mutation affects nerve synapses, it would seem to be the “right,” explanatorily speaking, kind of mutation.

Now, that all said, this genetic mutation is not at all exclusive to people with autism.

And, this may be a blind alley. I’m thinking this could be a primo example of why medical research needs to tighten the incredible looseness of its p-values. No, not to the same as physics. Of course not. But, even a p-value of 3 percent, instead of 5 percent, would exclude semi-bad medical research while being highly unlikely to delay any lifesaving findings.

Friday, March 21, 2008

Texas follows bad California law creates public health risks

Child Protective Services is needed instead of this stupid law

Nine of 12 California children who recently got measles did so because their parents refused to vaccinate them, and had the right to do so under a California law that lets parents opt school-age children out of vaccinations.

And, Texas joins California among 20 states that allow personal exemptions, beyond religious-grounds objections:
“I refuse to sacrifice my children for the greater good,” said Sybil Carlson, whose 6-year-old son goes to school with several of the children hit by the measles outbreak here. The boy is immunized against some diseases but not measles, Ms. Carlson said, while his 3-year-old brother has had just one shot, protecting him against meningitis.

And, she does so willingly:
Carlson said she understood what was at stake. “I cannot deny that my child can put someone else at risk,” she said.

Worst of all, she illustrates the dark side of the Internet — too often, it’s about what could at best be called “knowledge” or “information,” but certainly not wisdom, and “information” that fuels preconceptions:
“When I began to read about vaccines and how they work,” she said, “I saw medical studies, not given to use by the mainstream media, connecting them with neurological disorders, asthma and immunology.”

In other words, “they,” whomever “they” are, are blocking us average citizens from knowing the medical truth.
Sybil Carlson isn’t the most nutbar parent in the deck, though:
Some parents of unvaccinated children go to great lengths to expose their children to childhood diseases to help them build natural immunities.

In the wake of last month’s outbreak, Linda Palmer considered sending her son to a measles party to contract the virus. Several years ago, the boy, now 12, contracted chicken pox when Palmer had him attend a gathering of children with that virus.

“It is a very common thing in the natural-health oriented world,” Ms. Palmer said of the parties.

Where is Child Protective Services, or the California equivalent, when you need them? Seriously. I’m not hyperbolizing.

Wednesday, February 27, 2008

The PLoS antidepressants study, the ‘looseness’ of medical research statistics and ‘faith’ in meta-analysis

Way too loose of p-values for false positives in studies, in medicine (and social sciences) compared to natural sciences, is one reason to not read too much into any individual study that claims antidepressants are ineffective, like the Public Library of Science meta-analysis of individual studies did.

P-values of the same looseness as in medicine/social sciences have been used to claim intercessory prayer actually works on sick people (halfway down the linked page), for example, or here (two-third down the linked page):
Targ's paper is not the only questionable study on the efficacy of prayer that has been published by medical journals. The editors and referees of these journals have done a great disservice to both science and society by allowing such highly flawed papers to be published. I have previously commented about the low statistical significance threshold of these journals (p-value of 0.05) and how it is inappropriate for extraordinary claims (Skeptical Briefs, March 2001). This policy has given a false scientific credibility to the assertion that prayer or other spiritual techniques work miracles, and several best selling books have appeared that exploit that theme. Telling people what they want to hear, these authors have made millions.


Also, per a blogger, I came across a good statement on how many people misunderstand p-values in general:
First, the p value is often misinterpreted to mean the “probability for the result being due to chance”. In reality, the p-value makes no statement that a reported observation is real. “It only makes a statement about the expected frequency that the effect would result from chance when the effect is not real”.

In short, as I’ve tried to explain to people over at Kevin Drum’s blog, p values in medicine are simply too loose.

But, as the study’s authors claim, doesn’t meta-analysis take care of all those p-value problems? No.

Meta-analysis, no matter how much it’s defended, can’t totally cover that up.

I’m not saying that the results of a meta-analysis are no stronger than the weakest study in its umbrella. I am saying that, with p values as loose as they are in health/medicine (and social sciences), is that no massive amount of individual research studies being included under one meta-analysis will make the meta-analysis’ results anything more than a little bit stronger than the best individual study.

In other words, in medicine, and in social sciences, meta-analysis adds a very modest bump, nothing more. The problem is, most people believe it does much more than that when it doesn’t.

Or, to put it another way, meta-analysis is no better than the material it’s analyzing.

So, what’s needed is medical studies to continue with the p of 0.05, because we don’t want to risk screening out potentially life-saving study, but, to re-crunch research studies at the same time. I’m not saying we need to do that with a p of 0.0001, or 1/100 of 1 percent, like the natural sciences, especially physics, normally do. But to re-crunch with a p of 0.01, or 1 percent instead of 5 percent? Absolutely.

Research that made the 5 percent cutoff but not the 1 percent cutoff would be categorized as “worthy of further study but without any immediate conclusions from it being acceptable.”

A sidebar benefit would be that a lot of alt-medicine research would get a less than full imprimatur.

Tuesday, December 04, 2007

Moonbeams for a nutbar

Richard and Monica Chapin have built the first device designed to collect and concentrate moonlight. Why?

They claim moonlight could have yet-unknown medical, agricultural and industrial applications.

Yeah, right. Like, can I get a razor blade held at the center of the focused moonbeam to sharpen itself overnight?