Berkeley CSUA MOTD:Entry 43034
Berkeley CSUA MOTD
2018/11/18 [General] UID:1000 Activity:popular

2006/5/12-17 [Health] UID:43034 Activity:nil
        \_ "Parachute use to prevent death and major trauma related to
            gravitational challenge: systematic review of randomised
            controlled trials"
2018/11/18 [General] UID:1000 Activity:popular

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2012/3/8-26 [Health] UID:54335 Activity:nil
3/8     Can any shrink (PhD) prescribe medication? Or do they have to
        have MD to do that?
        \_ In general, a psychiatrist can prescribe medication, but a
           psycologist cannot, because a psychiatrist's training includes an
           MD, while a psycologist's does not.  Some states have started to
           allow psycologists to prescribe medication, which blurs the
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We imposed no language restriction and included^ any studies that entailed jumping from a height greater than^ 100 metres. The accepted intervention was a fabric device, secured^ by strings to a harness worn by the participant and released^ (either automatically or manually) during free fall with the^ purpose of limiting the rate of descent. We chose the Mantel-Haenszel^ test to assess heterogeneity, and sensitivity and subgroup analyses^ and fixed effects weighted regression techniques to explore^ causes of heterogeneity. We selected a funnel plot to assess^ publication bias visually and Egger's and Begg's tests to test^ it quantitatively. Parachutes reduce the risk of injury^ after gravitational challenge, but their effectiveness has not^ been proved with randomised controlled trials Credit: HULTON/GETTY ^ Discussion Evidence based pride and observational prejudice It is a truth universally acknowledged that a medical intervention^ justified by observational data must be in want of verification^ through a randomised controlled trial. Individuals^ who use parachutes are likely to have less psychiatric morbidity^ and may also differ in key demographic factors, such as income^ and cigarette use. It follows, therefore, that the apparent^ protective effect of parachutes may be merely an example of^ the "healthy cohort" effect. Observational studies typically^ use multivariate analytical approaches, using maximum likelihood^ based modelling methods to try to adjust estimates of relative^ risk for these biases. It might be argued that the pressure exerted^ on individuals to use parachutes is yet another example of a^ natural, life enhancing experience being turned into a situation^ of fear and dependency. The parachute industry has earned billions^ of dollars for vast multinational corporations whose profits^ depend on belief in the efficacy of their product. One would^ hardly expect these vast commercial concerns to have the bravery^ to test their product in the setting of a randomised controlled^ trial. The dependency^ we have created in our population may make recruitment of the^ unenlightened masses to such a trial difficult. GCSS drafted the manuscript but JPP deleted all the^ best jokes. Incidence, epidemiology, and occupational outcomes of thoracolumbar fractures among US Army aviators. Circulation Home page A C Marshall and J E Lock Leaving Neverland: A Randomized Trial for Coarctation Shows Pediatric Interventional Cardiology Is Growing Up Circulation, June 28, 2005; Psychosom Med Home page N J S Christenfeld, R P Sloan, D Carroll, and S Greenland Risk Factors, Confounding, and the Illusion of Statistical Control Psychosom Med, November 1, 2004; Journal Watch Emergency Medicine Home page Common Sense vs. Evidence-Based Medicine: Lessons from the Parachute Journal Watch Emergency Medicine, February 17, 2004;