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Bioethics Clinical trials Complementary and alternative medicine Medicine Politics Quackery Science

The Guatemala syphilis experiment, human subjects research abuses, and CAM

If there’s one thing that burns me about so-called “complementary and alternative medicine” (CAM) clinical trials, it’s how unethical many of them are. This is particularly true for trials that test modalities that, on the basic science grounds alone, can be dismissed as so highly implausible and with such a low prior probability of success […]

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Biology Medicine Quackery Religion Science

Your Friday Dose of Woo: In which I am given a woo-ducation in neuroscience

Every so often, real life intrudes on blogging, preventing the creation of fresh Insolence, at least Insolence of the quality that you’ve come to expect. This is one of those times, thanks to R01 deadlines. So enjoy this bit of Classic Insolence from back in September 2007 that, shockingly, as far as I can tell […]

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Entertainment/culture Medicine Music Science

Russian Roulette: The patented Orac NIH R01 distraction open thread

It just occurred to me that it’s been a long, long time since I’ve done this, but how about an open thread to while away the time until the NIH R01 grant application is submitted, and that gloriously irritating and outrageously beautiful not-so-Respectful Insolence that you all crave can come roaring back with a vengeance? […]

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Humor Science Skepticism/critical thinking

Could it be I was wrong all along?

Could it be that correlation does equal causation? I wonder…

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Bioethics Cancer Clinical trials Medicine Science

Balancing scientific rigor versus patient good in clinical trials

A critical aspect of both evidence-based medicine (EBM) and science-based medicine (SBM) is the randomized clinical trial. Ideally, particularly for conditions with a large subjective component in symptomatology, the trial should be randomized, double-blind, and placebo-controlled. As Kimball Atwood pointed out just last week (me too), in EBM, scientific prior probability tends to be discounted […]