Bayesian Tragedy and Categorical Medical Error in Prostate Cancer

Lamothe, Nery; Lamothe, Mara; Lamothe, Daniel; Alonso-Altamirano, Alejandro; Lamothe, Pedro A.

doi:10.36811/gju.2019.110004

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…Findings that TTM responds to lowdose antipsychotics and not to SSRIs are redolent of findings on the pharmacotherapy of tic disorders (Eddy 2011). Neuroimaging and treatment studies have strengthened the relationship between TTM and tic disorders (Lamothe 2019). The phenomenology and treatment of TTM may be closer to those of tic disorders than OCD; therefore, it may be helpful to consider TTM as a tic disorder in clinical practice (Lamothe 2019).…”

Section: Description Of the Conditionmentioning

confidence: 99%

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Pharmacotherapy for trichotillomania

Hoffman

Williams

Rothbart

et al. 2021

Cochrane Database of Systematic Reviews

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Section: Description Of the Conditionmentioning

confidence: 99%

“…Neuroimaging and treatment studies have strengthened the relationship between TTM and tic disorders (Lamothe 2019). The phenomenology and treatment of TTM may be closer to those of tic disorders than OCD; therefore, it may be helpful to consider TTM as a tic disorder in clinical practice (Lamothe 2019).…”

Section: Description Of the Conditionmentioning

confidence: 99%

Pharmacotherapy for trichotillomania

Hoffman

Williams

Rothbart

et al. 2021

Cochrane Database of Systematic Reviews

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“…Fallacy over decreased venous return. Diminished preload volume would be a violation of the mathematical theory of queues [26] and of the first law of thermodynamics too.…”

Section: Disquisitions Over the First Law Of Thermodynamics Einsteinian Conservation Of Total Energymentioning

confidence: 99%

Biophysical Conceptual Doxastic Errors in Arterial Hypertension in Surgical and Medical Management, in the Frame of Navier Stokes Equations

Lamothe¹,

Lamothe²,

Lamothe³

et al. 2021

J Clin Case Stu

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Multiple tragic biophysical errors in relation to hypertension in surgery and medicine, constitute conceptual atrocities: 1) Many physicians believe that perfusion decays with the fourth power of the radius, which is the result of a doxastic misunderstanding of the Poiseuille equation. These phenomena are even more transcendent in the case of surgical situations when the homeostatic metastability is more critical and with less margin to be compensated. 2) Furthermore, when seen the occlusion of an artery, frequently, instead of measuring the radius, they measure the apparent cross-sectional area. 3) By reducing the driving pressure with antihypertensive drugs, we are decreasing axial pressure in the flow and consequently the perfusion. 4) The sphygmomanometer measures transmural pressure and not driving pressure which is what produces perfusion. 5) The main hemodynamic cause of damage is not transmural hypertension but Laplacian tension. 6) The damage to the arteries does not depend on transmural pressure but on the energy density per time, in units of Joules per cubic meter per second, or Watts per cubic meter. 7) Hypertension, ceteris parivus, increases perfusion. 8) The baroreceptors do not respond to transmural pressure but to Laplacian arterial tension. 9) The brain and the heart have self-regulation of their perfusion, but vasodilators increase perfusion in other tissues, reducing cerebral and coronary perfusion due to the stolen effect. 10). Strictly, all gradients constitute potential energy, as happens in the instances of the concentration gradients, temperature gradients, pressure gradients, and electrical gradients. 11) The derivative of pressure with respect to time, that is the change in pressure due to change in time, is the derivative of the work per volume per time (change in work density due to time), that is, power density. 12) What determines the perfusion is the axial gradient, not of pressure but energy. 13) Hyperbolically if we consider taking the pressure of a pachyderm, we would obtain readings significantly higher. 14) Pressure is, in reality, energy density, which means, energy per infinitesimal unit of volume. 15) The venous return consists of the blood flow returning to the right heart. Because the input of the right side must equal its output, then in the steady-state situation, the cardiac outputs of the right and left sides are essentially equal. Consequently, the systemic venous return matches the systemic cardiac output. The venous return should be equal to or less than the cardiac output. The heart, as a pump, cannot expel a volume that has not been received; notwithstanding, in the case of valve regurgitation, the heart can expel a fraction of the venous return twice. The clinical physician should ask himself or herself: Is the preload volume in the EDV or the pressure at the time of the EDV which has been diminished before starting the isovolumic contraction?

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Bayesian Tragedy and Categorical Medical Error in Prostate Cancer

Cited by 2 publications

References 4 publications

Pharmacotherapy for trichotillomania

Pharmacotherapy for trichotillomania

Biophysical Conceptual Doxastic Errors in Arterial Hypertension in Surgical and Medical Management, in the Frame of Navier Stokes Equations

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