Incidence of Bias in Major Medical Journal Adverts
The use of Randomised Clinical Trials are generally heralded by medics as being the gold standard for clinical assessment of validity of use for medicines and are frequently held out by skeptics as the intellectual anvil on which to pound complementary and alternative medicine.
There has over the last few years been a dedicated strategy by individuals and groups opposed to natural medicine to raise questions concerning the validity of research conducted to identify efficacy of natural therapies and in part this has been undertaken by applying the same rules of engagement for those required or favoured by pharmaceutical objectives.
- Published in Reviews
Food Choice Affects Lab Outcomes
Most basic research relies on the use of mice as the sacrificial animal. Many of these mouse are carefully engineered to have special gene abnormalities, or to be a consistent animal in order that different laboratories can limit variability by using the same strain/species. Without doubt millions of mice have been sacrificed in the name of science, and whilst there will be considerable polarisation on the validity of their use, they have contributed an enormous amount of information to human health.
But man is not a mouse, and indeed a mouse may be adversely affected by the choice of mouse chow given to it. A remarkably elegant study by Courtney Kozyul PhD demonstrated how by changing the diet of lab mice, significantly divergent results could be collected. A few years prior, there was an understanding from labs that the local environment would impact on outcomes, now the mice chow is the next item on their radar.
- Published in News
H1N1 – Questions About Profit Incentive
Swine flu has killed 12 799 people worldwide since it first emerged in Mexico in March 2009, the World Health Organisation said on the 8th January 2010.
The latest data posted by the United Nations health agency marked an increase of 579 deaths from the previous update published nine days ago.
The Americas continues to report the biggest number of casualties with at least 6,880 deaths while in Europe, at least 2,554 people have died from the A(H1N1) virus
Is it a False Pandemic Though?
- Published in News
Accuracy of Conflict-of-Interest Disclosures Reported by Physicians
The question of independence of decision making from financial benefits in medicine and other areas of healthcare remains an ongoing problem. It exists, it is being more exposed, it is insidious and it affects important decision making processes. No discipline is free of the pernicious influence of commercial pressure – how this translates into risk Vs benefit is a more complex question.
- Published in Abstracts
In the Journal Of The American Medical Association (JAMA) last month (sept9th 2009) a rather dull article was published that continues to raise significant questions about the availability of quality data required for optimal clarity in making clinical decisions.
For some time now it has been understood that trials can go missing, that is they are started but not reported on, mainly due to unwanted outcomes, rather than collapse of the trial. The result can be a level of selective publishing practice that highlights benefits rather than failure by excluding unsuccessful studies or may deliver a retrospectively applied outcome score to an allied interventional benefit when the proposed (wished for) outcome does not materialise.
- Published in Abstracts
Dr Miller an American Surgeon reviews the current state of iodine related health problems from a predominately American perspective. He does summarises in his review, published in issue 75 of the UK journal Caduceus a substantive set of opinions and research that brings the importance of iodine and supplementation back into the clinic.
Used extensively until the mid 1900’s iodine has largely fallen out of medical favour and remains a controversial nutrient. Dr Miller elegantly describes the transition from ubiquitous therapy to supplement pariah and the extensive data collected from over 12,000 patients that indicate its therapeutic value.
- Published in Reviews
Food Choice Has Greater Impact on Obesity Than Genes!
We are not slaves to our genes. Even if we are born with an inherited predisposition to obesity, life style is important and will determine the outcome of weight related problems says this recent study in the American Journal of Clinical Nutrition.
- Published in Abstracts
Enzyme Therapy & Cancer – Recent Paper Questioned!
Pancreatic Proteolytic Enzyme Therapy Compared With Gemcitabine-Based Chemotherapy for the Treatment of Pancreatic Cancer.
Dr Gonzalez, a recent expert speaker at one of the NL expert education seminars, has had his therapy heavily criticised in this recent article published in the respected Journal of Clinical Oncology.
At first sight it can seem that the paper roundly demolishes the pancreatic enzyme and lifestyle treatment recommended by Dr Gonzalez, and adds considerable value to the mixed chemotherapy treatment provided as the competing arm of the therapy.
In fact this paper has already been lauded in the arenas frequented by the more committed anti-alternative or non RCT evidenced medicine as a gross failure of the enzyme therapy to show any benefit in the care of pancreatic cancer patients.
Surely this must be considered an experts review, especially as the lead author Dr John Chabot was the appointed independent trial Principal Investigator at Columbia? He would know and report accurately what went on – wouldn’t he?
- Published in News
Ghostwriting Is Called Rife in Medical Journals – Still!
Six of the top medical journals published a significant number of articles in 2008 that were written by ghostwriters, according to a study out on Thursday 10th September by editors of The Journal of the American Medical Association. This was then reported on in the New York Times, from where the essential elements of this post were extracted.
- Published in News
Do Flu Vaccines Provide Real Protection?
Each year the respective medical authorities in the western world recommend the influenza vaccine and who should receive it. Since 1999 the age groups have been expanded to include greater numbers of people. Whilst the UK has a more conservative approach to seasonal flu in terms of age, in the USA virtually the only groups not recommended to receive the vaccine are those aged between 19 and 40 without any ongoing health problem.
- Published in Abstracts
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