I am so pleased to see the love that I hoped for does exist. How cool we share the 13th of a month. Thanks for reading my tribute to my twin sister. Much of the intellectual difficulty facing clinical therapeutics, I argue, is that the theoretical structure of medicine as an autonomous science (as opposed to a collection of knowledge drawn from diverse more basic sciences) is generally opaque to investigators, and there is the apparent possibility of testing propositional claims one at a time, rather than recognising the role they play in a web of theoretical and empirical commitments.EVIDENCE, THEORY, AND EVIDENCE BASED MEDICINEThe theoretical opacity of medicine leads us to the question of what sort of evidence should be sought for testing propositions of clinical therapeutic effectiveness. Consider the following problem: when should we regard a clinical therapeutic proposition as proven? Given the provisional nature of any such statement when framed as a statement of type E3, the answer may well be never. Statements of type E3, however, are always proposed relative to a reference class of treatments.
The next day, Homer tries to act more professional but Frank Grimes doesn’t buy it. He tricks Homer into entering a contest for kids, to design a model of the nuclear power plant. He wins over: Ralph Wiggum and Martin Prince. There is also an association between nocturia (frequent urination at night) and sleep apnea in older adults. The nocturia sometimes leads to bedwetting. I have so many older male patients who had been getting up to urinate five or six time a night and when we treat their sleep apnea and the trips to bathroom drop down to one or two, they are thrilled..
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