The results began inand largely rehashed all the previous hits, although with many more insurance and discrimination and other medical disputes. An online acquaintance asked a law student friend for help; he searched Westlaw for modafinil and possession provigil and possession over all federal and state cases. He found much the same results as me: An appeal on Reddit and Imminst.
David Colquhoun on December 31, at I do wonder how these things manage to find their way into otherwise respectable universities. Southampton has George Lewithand York has homoeopathy apologists. My suspicion is that this happens because of quality control procedures, rather than despite them.
By reducing quality to a mindless box-ticking procedure just about anything can get anything through a committee, Dr Aust on December 31, at As long as CAM is viewed as something that should legitimately be researched, there will be those who have grants to do it, and VCs happy to give them a home — money talks.
Lewith is also a prolific publisher, mostly in Alt. Of course, the problem with Lewith is that, in common with virtually everyone else who does research on CAM apart from Edzard Ernst, he is at heart an advocate.
It seems clear to me that this has given tireless advocates like Lewith and the rest of the FIH fellow-travellers leverage. One suspects that most GPs think CAM is largely claptrap, or placebo if one is being polite, but the Colleges dare not say so. One suspects the dead hand of political correctness, though I also suspect they do not want to say anything clear-cut on the grounds that it would alienate CAM-loving patients.
My search of the web and various journals leaves me very clear that neither does the theory make any sense nor does the practice have any effect beyond other therapies, a proper control being tricky. David Colquhoun on January 1, at Keir on February 5, at Treatment is a very different and complex process that involves many subjective steps each carrying multiple variables and sources of potential error or uncertainty.
It starts with a particular patient with a number of primary and secondary symptoms, a detailed medical and genetic history, presenting at a particular time and place, being assessed by a particular medic practitioner who spends a certain amount of time listening to the patient, examining and thinking about the case, differentially diagnosing before deciding on one or more related or separate pathologies, then attempting to select the treatment strategy that may be most efficacious in this case, prescribing from a range of medications.
For example where asprin to reduce the risk of heart attack leads to a stroke How many clinical trials check for even a small percentage of the permutations that correspond to the real life scenarios patients in the health care system may pass through?
Even at this stage treatment has not finished as patient compliance, drug interactions, follow ups, repeat prescriptions, changes to dose or medication all have an effect on outcome. Unless each and every stage in the treatment process has been individually trialled for efficacy how can the efficacy of that one step the drug be given such prominance?
The cumulative effects of small variations in the other treatment steps would surely reduce the statistical significance of the drug study markedly.
Furthermore, it may well be that some of these steps have the potential for improving patient outcome more reliably and to a greater degree than that ascribable to the drug.Most libertarians, when push comes to shove, always side with the fascists.
Ludwig von Mises extolled Mussolni and Hitler. Tom Woods is a neo-confederate racism apologist. Mar 03, · Some ethical dilemmas which I have seen in retail pharmacy (some may not be applicable in all states due to differing legislation): 1) Would you fill a C-II prescription which is outside the allowable time limit?
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Certain ethical dilemmas embedded in health-system pharmacists’ everyday practice include competing interests, limited resources, and an evolving care delivery system in which their role has shifted from dispensing medications to actively participating in .
ABSTRACT. Founded on practical rationality, this qualitative case study aimed to explore the teaching practice at university, focusing on teacher's reflections and competencies.
A robot is a machine—especially one programmable by a computer— capable of carrying out a complex series of actions automatically.
Robots can be guided by an external control device or the control may be embedded within. Robots may be constructed to take on human form but most robots are machines designed to perform a task with no regard to how they look.