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二次感染妨碍康复 抗生素减少二次感染 使用抗生素能更快康复
1.实验结论不可靠:variable
医生不一样 治疗方法不一样 alternative therapy
2.实验不能支持假设
3.草率推广和anti hoc:抗生素的副作用(长期效应)
TOPIC: ARGUMENT51 - The following appeared in a medical newsletter.
"Doctors have long suspected that secondary infections may keep some patients from healing quickly after severe muscle strain. This hypothesis has now been proved by preliminary results of a study of two groups of patients. The first group of patients, all being treated for muscle injuries by Dr. Newland, a doctor who specializes in sports medicine, took antibiotics regularly throughout their treatment. Their recuperation time was, on average, 40 percent quicker than typically expected. Patients in the second group, all being treated by Dr. Alton, a general physician, were given sugar pills, although the patients believed they were taking antibiotics. Their average recuperation time was not significantly reduced. Therefore, all patients who are diagnosed with muscle strain would be well advised to take antibiotics as part of their treatment."
WORDS: 386 TIME: 00:38:07 DATE: 2007-8-1 21:16:01
The scientific method used by the author to support the suggestion is worthy of extolling, but the flaws in the evident and reasoning process make the conclusion ridiculous.
The threshold problem is due to the study of two groups of patients, in which the author used the result to prove the hypothesis that secondary infections give a opposite effect on patients' recover from muscle strain. The deduction is under the assumption that antibiotic using can reduce the happening of secondary infections. In fact, if the experiment can real prove the hypothesis, another premise is needed that certain ratio of infection and normal is kept stable in the two groups. Otherwise, the number of infections during the study must be given to clarify the relationship between infections and antibiotic using. Thus, the indirect relevance may be showed to prove the hypothesis.
Moreover the study itself exist crucial defects. As we know, the variables in a experiment are required to be simple and easy measured. Since the using of antibiotic the not the only variable in the two groups, other factors that differ between the experiment group and the control one should be taken in consideration. For example, the doctors in the two group belong to totally different style, one is specializes in sports medicine and the other is just a general physician. Therefore the method they cure the patients must be different. Dr. Newland, the specialist, may know some alternative therapies like massage which is proved to be effective to muscle strain. As a result, the function massage exerted on the shortening of recuperation time is greater than antibiotic did. Consequently, if others want to recover from the disease they need not only take antibiotic drugs but also have Dr. Newland to be their doctor.
Last but not the least, the author is lack of caution to advice all the patients suffer from muscle strain to use antibiotics. As we known, antibiotics can kill the bacterium and at the same time lead to a weakening of immune system in human body. If the patient is already lack of the ability to practice self protection, a long term using of antibiotic may destroy his immune system thoroughly. In fact, any suggestion on drug using has some risks. Thus, the conclusion of this newsletter is hasty and even ridiculous. |
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