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Is the Placebo Effect Beneficial or Detrimental to Us?

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Chances are, you are familiar with the placebo effect. The concept is that a treatment lacking active components or established medical benefits can nonetheless alleviate symptoms if the patient has faith in its effectiveness. Placebos are commonly used in clinical trials as a standard for comparison with novel drugs. However, it is worth noting that physicians occasionally give inert medications or unneeded treatments. Is this truly beneficial?

Which placebo therapies do doctors employ?
The formal utilization of placebos in medicine originated in the 18th century, despite the concept being far older.

In 2013, a study discovered that an astonishing 97 percent of UK doctors had administered a placebo medication at least once throughout their professional lives. It is crucial to analyze the various implications of a placebo in diverse situations, beyond just being an inert substance.

The poll results, as published in PLOS ONE, indicated that most respondents had utilized an “impure placebo.” These are interventions or examinations that are recognized to provide advantages, albeit not specifically for the targeted medical condition.

At the less severe end of the range, this could involve recommending a vitamin supplement without evidence of its effectiveness for the patient’s symptoms or conducting a physical examination for reassurance even when it is not clinically necessary. Prescribing an antibiotic for a suspected viral infection is not beneficial and can contribute to antibiotic resistance.

Recent research in Australia revealed that 77% of surveyed general practitioners had utilized a contaminated placebo, with the majority being antibiotics.

A “pure placebo” refers to a pill or injection that contains only inactive, non-pharmacological substances such as sugar or saline.

Both treatments attempt to provide the patient with a remedy, with the expectation that the act of taking medication or receiving an examination will improve their well-being. Occasionally, it appears to be effective.

What are the advantages of placebos?
Cardiologist Dr. Christopher Labos, in an article for the Montreal Gazette, demonstrated how individuals often utilize the placebo effect on themselves using over-the-counter cold drugs as an example.

“We all frequently fall into this pattern.” Labos contends that numerous over-the-counter cold drugs lack clinical efficacy, although people frequently use them when they are ill. When we are ill, taking action is preferable to inaction, as being inactive is usually unbearable. This is especially challenging for parents caring for an ill child.

Scientists are continuously discovering the impact of treating illnesses such as anxiety on total wellbeing, recognizing the interconnectedness of mental and physical health. Indulging in an unneeded medical procedure or consuming a placebo can potentially alleviate a patient’s worry, leading to potential improvements in their physical health.

Various research across several medical fields has identified a beneficial impact of the placebo effect on various ailments, such as utilizing colored overlays to enhance reading and treating Parkinson’s disease.

Can you agree to get a placebo?
In Western medicine, a fundamental principle is the concept of informed consent. Patients should have access to comprehensive information regarding a medical intervention, including its risks and benefits, prior to deciding whether to undergo the therapy.

At first glance, it is difficult to understand how administering a treatment that the doctor is aware is not effective aligns with this ethical paradigm. Nevertheless, an intriguing aspect of the placebo effect is that it remains effective even when patients are aware that they are receiving a placebo. Deception is unnecessary, and the patient is still capable of providing informed consent.

In 2017, a tiny study showed that participants who received a sham topical anesthetic before a heating plate was put on their skin exhibited a similar effect. Participants were divided into three groups: one group was informed that the cream was an anesthetic, although it was not; another group was told it was a placebo, and the placebo effect was explained to them; and the third group received the placebo without any explanation.

The participants who believed they were receiving an anesthetic saw a reduction in discomfort, as anticipated. Similarly, this was likewise the case for the group that fully comprehended they were receiving a placebo. The lead author of the study stated that openly giving a placebo presents new opportunities for utilizing the placebo effect in a morally acceptable manner.

An American Medical Association (AMA) Code of Medical Ethics Opinion emphasizes the importance of patients being informed about and giving consent to the use of placebos in medical practice. The document also specifies that placebos should not be used only to appease a challenging patient.

Physicians may use placebos if they genuinely believe they will benefit the patient, but not for their own convenience or in a way that undermines patient confidence.

“Primum non nocere?”
Placebos, such as sugar pills, are unlikely to have any harmful effects on a patient. However, impure placebos do not have the same effect. When considering a medical intervention, it is important to evaluate the risks in comparison to the potential benefits.

We have already discussed this in relation to antibiotic resistance, but there are several additional instances where similar questions arise. A case report in 2022 detailed a man who was hospitalized for excessive vitamin D intake, highlighting the potential risks even in seemingly harmless vitamin tablets. Additionally, several herbal supplements have been associated with liver damage.

Some doctors may prescribe needless tests to reassure their patients, but procedures like X-rays, although generally deemed safe, should not be done excessively. Even the most basic blood tests have a slight risk of bruising, clotting, and infection.

Labos emphasized that placebos are not inherently harmless, arguing against their use. He further noted that, while they may not cause bodily harm, consuming excessive, needless drugs might put a financial burden on patients.

Some clinicians are reluctant to incorporate placebos into their therapeutic practice.

Some patients may believe that any treatment leading to improvement is beneficial; however, the placebo effect is both uncertain and not lasting. Dr. David Eidelberg, head of the Center for Neurosciences at the Feinstein Institute for Medical Research, stated in an interview with the Michael J. Fox Foundation that it is not a feasible therapeutic technique.

“The notion of utilizing placebos as a universal remedy for various health conditions is highly problematic.” Dr. Chris Maher from the University of Sydney School of Public Health expressed that it is detrimental to science and patients.

Maher authored a perspective in the Medical Journal of Australia criticizing the weak data supporting the widespread clinical use of placebos. “It might be more effective to disregard placebos and focus on treating patients with evidence-based therapies.”

The credibility of the placebo effect’s evidence has been questioned before. Despite facing criticism, it is evident that numerous physicians have utilized placebos in specific situations.

Determining whether medical interventions are intrinsically beneficial or evil is a challenging subject to answer. A medicine that effectively treats one person’s illness may have lethal effects on another individual if taken differently. Physicians must consider each patient’s distinct, distinctive circumstances when suggesting a treatment plan. Many individuals consider a placebo to be a viable choice.

Before publication, fact-checkers ensure that all “explainer” articles are accurate. Content, images, and hyperlinks can be modified, deleted, or included in the future to ensure the material is up-to-date.

This material does not serve as a replacement for professional medical advice, diagnosis, or treatment. Always consult qualified health professionals for any inquiries on medical conditions.

 

As Editor here at GeekReply, I'm a big fan of all things Geeky. Most of my contributions to the site are technology related, but I'm also a big fan of video games. My genres of choice include RPGs, MMOs, Grand Strategy, and Simulation. If I'm not chasing after the latest gear on my MMO of choice, I'm here at GeekReply reporting on the latest in Geek culture.

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UnitedHealth reports that cybercriminals obtained health information for a significant section of the American population

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UnitedHealth Group, a major health insurance company, has verified that a ransomware attack targeted its health tech subsidiary, Change Healthcare, early this year. This cyber attack led to a significant breach of sensitive healthcare data belonging to American individuals.

UnitedHealth announced on Monday that a group of cybercriminals using ransomware gained access to files holding personal data and protected health information. The company stated that the affected data may encompass a significant section of the American population.

The health insurance corporation did not disclose the exact number of affected persons but stated that the process of examining the data is expected to span over several months. Only after this thorough analysis will the firm commence informing the affected individuals about the theft of their information in the hack.

Modify Healthcare manages insurance and billing for a large number of hospitals, pharmacies, and medical practices in the U.S. healthcare industry. It has extensive access to a vast amount of health data on almost 50% of the American population.

UnitedHealth stated that it has not yet observed any indication of doctors’ charts or complete medical histories being illicitly removed from its systems.

The acknowledgment that cybercriminals illicitly acquired personal health information of American citizens is made one week subsequent to the emergence of a new hacking collective, which commenced releasing fragments of the pilfered data with the intention of coercing the targeted organization into paying an additional ransom.

The group, known as RansomHub, released numerous files on its hidden internet leak platform, including the personal data of patients and internal documents associated with Change Healthcare. RansomHub threatened to auction the pilfered data unless Change Healthcare complied with their demand for a ransom.

UnitedHealth spokesperson Tyler Mason acknowledged that the corporation made payments to the cybercriminals, as stated in a communication. The corporation made a payment as a demonstration of its dedication to safeguarding patient data from being revealed. The company declined to disclose the sum it paid.

RansomHub is the second criminal organization to request a payment from Change Healthcare in exchange for releasing a hostage. According to reports, the prominent health technology company paid a sum of $22 million to a criminal organization known as ALPHV, based in Russia, in March. However, the criminal gang vanished after receiving the payment, leaving the affiliate responsible for the data theft without their share of the ransom.

RansomHub stated in their article, along with the released stolen data, that they possess the data and not ALPHV.

UnitedHealth, in its statement on Monday, recognized the publication of certain files but refrained from asserting ownership of the documents. UnitedHealth clarified that the information sent is not an official breach notification.

According to a story by The Wall Street Journal on Monday, the criminal hacking group associated with ALPHV gained unauthorized access to Change Healthcare’s network by utilizing stolen login information for a system that enables remote network access. The hackers infiltrated Change Healthcare’s network for a duration exceeding one week prior to implementing ransomware, thereby enabling them to pilfer substantial quantities of data from the company’s systems.

The cyberattack on Change Healthcare commenced on February 21, leading to persistent and extensive disruptions in the operations of pharmacies and hospitals throughout the United States. Physicians, pharmacists, and hospitals faced difficulties for several weeks in confirming patient benefits for drug delivery, managing inpatient care, and obtaining prior authorizations required for procedures.

A significant portion of the healthcare system in the United States came to a standstill, causing financial strain for healthcare providers due to increasing backlogs and persistent outages.

Last Monday, UnitedHealth disclosed that the ransomware attack had resulted in losses exceeding $870 million. The company’s sales for the first quarter of the year amounted to $99.8 billion, surpassing the expectations of Wall Street experts.

Andrew Witty, the CEO of UnitedHealth, is scheduled to testify before House members on May 1. Witty received over $21 million in total remuneration for the entire year of 2022.

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Scientist Investigating SARS-CoV-2 Virus Suggests Possible Indications of Simulation Existence

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A physicist specializing in the study of mutations in the SARS-CoV-2 virus has put forward intriguing evidence supporting a potential new law of physics known as the “second law of infodynamics.”. This discovery raises fascinating questions about the nature of our reality and the possibility of living in a simulated universe. In addition, he suggests that the study seems to suggest that the theory of evolution is incorrect, as it challenges the notion that mutations are completely random.

There is a great deal of complexity to delve into in this situation. It is important to note that making extraordinary claims necessitates providing extraordinary evidence. However, as Dr. Melvin Vopson elucidates in his research, we currently lack such evidence. Actually, we are far from reaching that point. Nevertheless, the concepts and findings presented are captivating and thought-provoking, even if additional research or examination may later disprove them.

In his most recent study, Vopson examined mutations in the SARS-CoV-2 virus from a unique perspective, focusing on information entropy rather than the traditional concept of entropy.

“The physical entropy of a given system is a measure of all its possible physical microstates compatible with the macrostate,” Vopson explained in the paper. “This is a property of the microstates in the system that do not carry any information.” Given the same system and the ability to generate N information states within it (such as by encoding digital bits), creating N information states results in the formation of N extra information microstates that overlap with the existing physical microstates. These extra microstates contain valuable information, and the increase in entropy they bring is known as information entropy.”

According to Vopson, there is a tendency for entropy to increase over time, but interestingly, information entropy tends to decrease. Consider the heat death of the universe, where the entire cosmos eventually reaches a state of thermal equilibrium. At this stage, the maximum value of entropy has been attained, although not in terms of information entropy. During heat death (or just before), the temperature range and potential states in any part of the universe become extremely limited. As a result, the number of possible events decreases and the amount of superimposed information decreases, leading to a decrease in information entropy.

Although it may offer an intriguing perspective on the universe, can it provide us with any novel insights, or is it merely a secondary and insignificant approach to describing entropy? According to Vopson, the concept has the potential to be a fundamental law that could impact a wide range of fields, including genetics and the evolution of the universe.

“Based on my research, it seems that the second law of infodynamics is an essential principle in cosmology.” According to Vopson’s article in The Conversation, this has broad applicability and significant scientific implications. “It is understood that the universe undergoes expansion while maintaining a constant total entropy, without any heat loss or gain.” However, it is important to note that entropy always increases according to the principles of thermodynamics. This indicates the presence of an additional form of entropy, namely information entropy, that serves to counterbalance the increase.

With the expertise of a seasoned scientist, Vopson observed the ever-changing SARS-CoV-2 virus throughout the course of the COVID-19 pandemic. Regular sequencing of the virus has been conducted to closely monitor its changes, primarily with the aim of developing new vaccines. Examining the RNA instead of DNA, he discovered a gradual decrease in information entropy.

One fascinating example of a rapidly mutating organism is a virus. According to Vopson, the pandemic has provided an exceptional opportunity for research, with the numerous variants of SARS-CoV-2 serving as an unprecedented test sample. The amount of data available is truly remarkable, as stated in a press release.

The COVID data provides strong evidence for the second law of infodynamics, and this research has the potential to unlock countless possibilities. Imagine examining a specific genome and determining the potential benefits of a mutation before it occurs. This technology has the potential to revolutionize various fields, such as genetic therapies, the pharmaceutical industry, evolutionary biology, and pandemic research.

According to Vopson’s perspective, this implies that mutations are not haphazard but rather subject to a governing principle that dictates that information entropy should either remain constant or decrease over time. If this discovery is verified, it would be truly remarkable, as it challenges our current understanding of evolution. Vopson draws attention to a previous experiment conducted in 1972, where a virus unexpectedly experienced a decrease in its genome over 74 generations under optimal conditions. He argues that this observation aligns with his second law of infodynamics.

“Mutations occur randomly and are then subject to natural selection, which determines their impact on an organism,” he explained. What if there’s an underlying process that fuels these mutations? Whenever we encounter something beyond our comprehension, we tend to label it as ‘random’, ‘chaotic’, or ‘paranormal’, when in reality, it is simply our own limitation in explaining it.

By adopting a deterministic perspective, we have the potential to harness the laws of physics to anticipate and forecast genetic mutations, or even their likelihood, prior to their occurrence.

Vopson suggests that the law could potentially provide an explanation for the prevalence of symmetry in the universe.

“A high level of symmetry is associated with a state of low information entropy, which aligns with the requirements of the second law of infodynamics,” stated Vopson in his paper. “Therefore, this fascinating observation seems to provide an explanation for the prevalence of symmetry in the universe; it can be attributed to the influence of the second law of information dynamics.”

The audacious assertions (with their need for additional evidence) don’t end there.

“According to Vopson in The Conversation, the second law of infodynamics is a cosmological necessity and seems to have a universal application. This suggests that the entire universe might be a simulated construct or a massive computer.”

“In order to efficiently run a simulation of our incredibly complex universe, it would be necessary to incorporate data optimization and compression techniques. This would help reduce the computational power and data storage requirements needed for the simulation.” This is precisely what we see happening everywhere, from digital data and biological systems to mathematical symmetries and the vast expanse of the universe.”

Confirmation of the “second law of infodynamics” wouldn’t necessarily imply that we are living in a simulation. It’s important to consider that the theory could still hold true even if that scenario isn’t the case. There are additional quantum mechanical effects that seem to indicate that we are not.

So, what are the next steps for testing this further? According to the principles of infodynamics, it is believed that information possesses mass, enabling it to interact with all other entities. There are indications that this might be true, as suggested by a study conducted in 2012 that found that irreversible erasure of information seems to release heat. According to Vopson’s findings, it suggests that this energy needs to be converted into mass before it can be erased, essentially treating information as a distinct form of matter that is on par with mass and energy.

Experimentally determining whether information possesses mass may not pose a significant challenge. Performing a basic experiment involves measuring the mass of a hard drive both before and after irreversible information erasure. Regrettably, our current capabilities are insufficient to handle the minute mass change anticipated.

However, if this theory holds true, it is highly probable that elementary particles would contain valuable self-information, as suggested by Vopson. For example, consider the fascinating process of informing an electron (perhaps the sole electron in the entire universe) about its unique characteristics, such as its charge and spin. An interesting experiment involves colliding particles and antiparticles at high velocities.

“The experiment entails eradicating the information stored within elementary particles by allowing them and their antiparticles (mirror images of the particles with opposite charge) to annihilate, resulting in a burst of energy known as ‘photons’ or light particles,” explained Vopson. “I have accurately determined the anticipated range of frequencies for the photons that will be produced using principles from information physics.”

Although the concept may not align with conventional thinking, the experiment comes at a relatively affordable price of $180,000 (which is insignificant for advocates of simulation theory like Elon Musk) and can be tested using existing technology. Indeed, it may provide valuable insights into the validity of the concept. Exploring this idea could prove to be intriguing, as we aim to either dismiss it or determine its significance in terms of mass.

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Vaccine Breakthrough Could Mean Future-Proof Shots Without Boosters

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A novel vaccine platform could eliminate boosters for some diseases since one dose could cover all future viral strains. It’s only been tried in mice, but researchers are optimistic.

“This could be the universal vaccine that we have been looking for,” said UC Riverside virologist Rong Hai.

The vaccination contains live, attenuated virus. Many vaccines, including MMR and chickenpox, use a similar mechanism. Unlike them, the new vaccines won’t require the immune system to respond to the infection. RNA interference (RNAi) will be activated instead.

Though it sounds like COVID-19’s mRNA vaccines, it operates differently.

As an immunological response to viral infection, hosts—people, mice, and others—produce short interfering RNAs. “These RNAi knock down the virus,” said lead author Shouwei Ding, renowned microbiology professor.

By generating proteins that prevent RNAi, viruses can avoid this response, but weakening them first solves the problem. It can replicate, but the host RNAi response wins. This weakened virus can be utilized as a vaccination to improve our RNAi immune system, Ding said.

Mutating won’t help either. “Viruses may mutate in vaccine-untargeted areas. We target their entire genome with thousands of tiny RNAs, Hai said. “They cannot escape this.”

The idea that RNAi can help people fight viral infections has been controversial, but over the last decade, several researchers have begun studying RNAi-based treatments.

The novel vaccine platform has another major benefit. Since it doesn’t require B and T cells, it could be utilized in very young babies or persons with immunological problems who can’t receive live vaccines.

The researchers designed a Nodamura mouse virus vaccination to test this. Mice genetically engineered to eliminate B and T immune cells received one shot. That one shot protected them from the Nodamura virus for at least three months, a considerable period considering mice typically live two to three years.

Since newborn mice can manufacture short RNAs, the vaccine worked in them, making it suitable for babies too young to receive immunizations.

A previous study suggests that flu infection triggers the RNAi system; therefore, that’s their next target. To reduce needle anxiety, they want to create a nasal spray vaccine.

We’ll apply this idea to create a flu vaccination for infants next. If we succeed, they won’t need their moms’ antibodies, added Ding.

It’s still early, but if it works, applying the method to other infections should be easy.

Ding said, “Dengue, SARS, and COVID are well-known human pathogens. They share viral functions. For easy knowledge transfer, this should apply to these viruses.”

The paper appears in PNAS.

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