haldujai

11 ms·

121.
by haldujai 3y ago
> Is it possible there was more widespread testing Yes, they mention two variations of this possibility in the discussion. > If they are simultaneously reporting no notable changes in average BMI, Why would you expect average BMI of
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by haldujai 3y ago
> Among youth with type 2 diabetes ... Sociodemographics and, additionally, mean body mass index, fasting and random glucose, and HbA1c levels were not different from 2016 to 2021. They're talking about these values in the diabetic
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by haldujai 3y ago
Nothing in this paper is anywhere close to establishing causality, it's an interesting observation that merits further study. We should also note that the authors offer alternative possibilities in the discussion such as increased&#x2F
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by haldujai 3y ago
Did they say that? Are you referring to this section or did I miss something, I mostly skimmed the JAMA article: > In our study, baseline clinical characteristics of patients with incident type 1 diabetes and type 2 diabetes were not dif
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by haldujai 3y ago
Yeah basically surveillance bias, it's mentioned as a possibility in the discussion. T2D feels like it could be a combination of both, there was certainly an increase in metabolic risk factors as well. The authors also mention acute st
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by haldujai 3y ago
Lifestyle related research, especially diet, is often low quality but as you asked: Physical Activity: https://www.mdpi.com/1660-4601/18/5/2235 https://bmjopensem.bmj.com/content/bmjosem&
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by haldujai 3y ago
What are the downsides? You're speaking nebulously about negative effects on 98% of the population without mentioning them. Several screening programs like breast have been rigorously evaluated from costs, benefits and harms. I know ve
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by haldujai 3y ago
> By all means, if you have studies showing that broad screening programs are beneficial in terms of overall (not cancer-case only) QALY then please share them. I'm guessing you don't. I gave you one. > Stop trying to put th
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by haldujai 3y ago
Okay... what does Scotland have to do with anything? The discussion, and the part of my comment you quoted, is specifically about Canada and the US. So I'm not sure what you're even arguing or why.
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by haldujai 3y ago
It's not a gibe. I used scare quotes around free because it's obvious that a socialized system is funded by taxes, what's not obvious a bill is always generated during healthcare delivery in the Canadian system. You yoursel
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by haldujai 3y ago
> No, what I want to do is assess whether broad screening programs actually make people live longer. Overall survival is the correct metric. Evidence in favor of the claim is lacking. Correct according to whom? If you want to choose only
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by haldujai 3y ago
I think you may be “annoying the fuck” out of yourself here. Your reply is full of strawman arguments. The comment I replied to asserts that the government incentive to reduce healthcare expenditures improves workplace safety, and consequen
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by haldujai 3y ago
> it is an admission by the poster that their argument is based on weak evidence. Which is exactly why I limited my reply to a discussion about the California study and healthcare systems rather than reiterating the claims in the 2022 ar
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by haldujai 3y ago
You’re looking at the wrong metric and misinterpreting the stats, not only is overall survival not a good metric for cancer screening none of the studies are sufficiently powered for OS. What you want to do is look at stage at presentation,
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by haldujai 3y ago
Perhaps you are unfamiliar with medical research but stating that available data is poor quality is an objective assessment. I provided a brief explanation in parentheses which you excluded for some reason. I also provided a reference that
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by haldujai 3y ago
> Cancer is now usually not a sudden death sentence - treatment is good enough now that most cancers caught early can be treated and patients often go through multiple remissions before it or a complication from treatment finally gets th
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by haldujai 3y ago
Canadian data is relatively poor quality (mostly from the 90s) outside of Alberta (I expect QC and BC probably have the highest rates) but historically and estimates are that we have slightly higher incidence than the US. https:/&#x2F
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by haldujai 3y ago
Basically my question is how we’re measuring anxiety to determine correlation. The OP mentions “unconscious anxiety” which is confusing me, wondering if they are using a questionnaire or something else neat. If “unconscious anxiety” is bein
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by haldujai 3y ago
How does Welltory measure anxiety? Their website just talks about HRV.
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by haldujai 3y ago
They probably are but I’m confused as to how you’ve measured your anxiety level to determine correlation with HRV. Depending on your answer this leads to the follow-up of why not use that measure?
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by haldujai 3y ago
Which means nothing, you have a pre-clerkship anatomy course director using archaic and obscure terminology that is extremely rarely used (and arguably incorrect, but we don't have to debate etymology). You will never see this used cli
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by haldujai 3y ago
Potentially, but no patient or physician is going to be using "caval hiatus". If this was the intention, the author should disclose that he's intentionally using very obscure antiquated wording not "basic human anatomy&q
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by haldujai 3y ago
No you're right. He's using an incredibly obscure term (caval hiatus rather than caval opening/foramen/aperture) for a mild-moderately obscure question. Nevertheless I would wager most clinicians (except for surgeons, ra
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by haldujai 3y ago
Really? It's not even the most common way to refer to the caval foramen. This is obscure archaic terminology. It's caval foramen , esophageal hiatus and aortic hiatus. Clinically, everyone says opening, foramen or aperture.
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by haldujai 3y ago
Out of curiosity what stage are you in your medical training? You will never hear "caval hiatus" after pre-clerkship.
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by haldujai 3y ago
As a radiologist who looks at thoracoabdominal anatomy for a living I completely agree. That was also my initial reaction, I don't think I've ever read "caval hiatus" used in clinical text other than maybe during medical
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by haldujai 3y ago
> Drug abuse, alcohol abuse, no knowledge of anything real world other than your job, are not qualities of "regular educated people". Actually they are, your statement applies to any one of the examples I gave you of what socie
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by haldujai 3y ago
> There is very convincing research that Epstein Barr Virus causes Multiple Sclerosis Eh, the strongest evidence is one large study from last year of 10 million military personal followed for 20 years that identified ~800 total cases wit
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by haldujai 3y ago
> immune system to have it's own specialists in research and treatment Huh, immunology is a 2-3 year accredited fellowship and board certified medical subspecialty. Pretty much every academic center has basic and clinical research p
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by haldujai 3y ago
> Everytime I bring up the reality of what most doctors are like Is your insight that doctors are regular educated humans suffering from the same flaws and vices as other regular educated humans? > She loved cocaine and moly. Currentl

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