Sean Harrison, PhD
@sean-h.bsky.social
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Evidence reviews, public health, epidemiology, statistics
https://seanharrison.blog/
pinned post!
I was saving this for an article, but I want something to refer to when I talk about how I think the best way to fix peer-review is to abolish journals. Long-ish thread, and I'm talking from the perspective of epidemiology, where crappy studies can cause harm to individuals and populations. 1/n
4 months ago
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This (the idea of using LLMs as stand-ins for humans) is so very, very dumb. Legitimately surprised there's enough published work using this method that it needed refuting, but good work for doing so!
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11 days ago
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reposted by
Sean Harrison, PhD
Chortle
about 1 month ago
John Finnemore's Souvenir Programme back for 2025
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John Finnemore's Souvenir Programme back for 2025
The best of the week's comedy on TV, radio and streaming
http://dlvr.it/TMfnjX
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p=1, bitches
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about 1 month ago
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Apt. I didn't know Sean Connery was dead!
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about 1 month ago
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It's the same mentality as: "Group has X quality, therefore any member of that group has that quality" (notwithstanding the "group has X quality" is often wrong) At heart, it's laziness, same as every prejudicial -ism. Even if the first statement is correct, the second doesn't follow.
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about 2 months ago
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reposted by
Sean Harrison, PhD
Darren Dahly
about 2 months ago
A letter from myself and
@jdwilko.bsky.social
that expands on this a bit more. Thanks to Fertility and Sterility for the opportunity.
doi.org/10.1016/j.fe...
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To win a bet, I once flipped a random coin I had in my wallet 20 times, and had it land on heads every time. Think I won 50p. With the right flipping technique, one could absolutely dictate the outcome. With hindsight, I probably should be used that skill to make a heap of money... Oh well.
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about 2 months ago
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The person who wrote this list seems to have no idea either what each of these jobs entails or the limits of LLMs. tbf it could be an AI-generated list. That'd be on-brand.
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about 2 months ago
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reposted by
Sean Harrison, PhD
I wrote a thing:
press.asimov.com/articles/asp...
If you're interested in whether willow bark = aspirin, it might be interesting! If not, it still might be interesting!
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The Uncertain Origins of Aspirin
The history of humanityâs pharmacopeia is often muddied by folklore. What can the origins of aspirin teach us about separating fact from fiction?
https://press.asimov.com/articles/aspirin
3 months ago
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There was Guardian opinion piece about remove age limits from voting entirely:
www.theguardian.com/books/2025/j...
I thought about it, and can't come up with objections to removing the voting age that don't equally apply to older groups.
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2 months ago
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Ha, possibly a true dichotomy: 67% of Britons use "Fuck" regularly 33% of Britons "Have a negative view of swearing" Possible for overlap, of course, but the numbers line up so well!
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3 months ago
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I wrote a thing:
press.asimov.com/articles/asp...
If you're interested in whether willow bark = aspirin, it might be interesting! If not, it still might be interesting!
loading . . .
The Uncertain Origins of Aspirin
The history of humanityâs pharmacopeia is often muddied by folklore. What can the origins of aspirin teach us about separating fact from fiction?
https://press.asimov.com/articles/aspirin
3 months ago
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I have a history with wasps. When I was a very young child, one was in my wellie, and stung me repeatedly (presumably after being mildly crushed). When I was slightly older, one stung me repeatedly in bed. No one believed me until they found the wasp in a crumpled heap under the covers.
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3 months ago
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Unless there's an immensely good reason, don't combine studies with a 26x difference in SD. They're almost certainly not measuring the same thing, so the meta-analysis results are meaningless. (on top of interrogate insane results)
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3 months ago
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Ignoring the criticism about how this can possibly help in doing things with Government policy, I did enjoy solving the puzzle. Answer below for anyone interested - I'll put it in the alt text so not immediately obvious. It'd help to draw it, but that would give spoilers...
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3 months ago
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I think my problem is that LLMs don't know anything, it's just word probability. Same as politicians and other people who are absolutely happy to say anything with no thought about the meaning of their words. In both cases, people believe them. But there's no meaning behind any of it. Only words.
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3 months ago
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Unreferenced claim made in the discussion of a 1987 paper used for the next ~40 years because people keep citing the latest paper citing the claim? Yep, spent a fun weekend chasing references to get that one...
seanharrison.blog/2025/02/21/i...
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3 months ago
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I was saving this for an article, but I want something to refer to when I talk about how I think the best way to fix peer-review is to abolish journals. Long-ish thread, and I'm talking from the perspective of epidemiology, where crappy studies can cause harm to individuals and populations. 1/n
4 months ago
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Pretty sure I read something like this last week: "The intervention increased 7-day smoking abstinence (OR: 0.85, 95% CI: 0.79 to 0.90) but not 30-day smoking abstinence (OR: 0.82, 95% CI: 0.60 to 1.01)"
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4 months ago
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Just wanted to say I read this a while ago, and really liked it. That's all.
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4 months ago
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I did my PhD in prostate cancer, looking at PSA. During that, when I was 22/23, I did a 5km or 10km run for prostate cancer. I was asked if I wanted a PSA test when I was registering.
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4 months ago
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reposted by
Sean Harrison, PhD
Beki Langford
4 months ago
I think I've just found a blind spot in school anti-bullying policies. Read my blog here:
arc-w.nihr.ac.uk/news/i-think...
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I think Iâve just found a blind spot in school anti-bullying policies - ARC West
Dr Beki Langford is a Lecturer in Public Mental Health at the University of Bristol. She has been looking at school bullying policies to see if they address weight-related bullying as part of a projec...
https://arc-w.nihr.ac.uk/news/i-think-ive-just-found-a-blind-spot-in-school-anti-bullying-policies/
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Read the methods and results, and it looks... Fine? Headline aside, I didn't see anything immediately obviously wrong with the trial, which is really surprising given the results. I initially thought, "they probably just did per protocol", but nope, ITT.
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4 months ago
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Ok, so 3 initial thoughts: 1. How does one-off screening for cancer reduce cancer incidence over time? I can see how it would reduce diagnoses (e.g. scared to get a repeat screening), but not incidence (unless maybe scared into dietary changes? But by that much?)
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4 months ago
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That's not what meta-analysis is for, that's not what "consensus" is, you don't decide the analysis method randomly after doing the experiment, and each analysis, if correct, probably has different assumptions and interpretations that can't be meaningfully combined. Otherwise, great...
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4 months ago
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I agree with
@steamtraen.eu
on this: I think people who have difficulty with the solution instinctively think that Monty opens a door at random, rather than necessarily a door with a goat behind it. So, I'd go with the "extreme example": 98 goat-doors reinforces it's not random door opening.
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4 months ago
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reposted by
Sean Harrison, PhD
Marita Hennessy
4 months ago
Peer Support and Community Interventions Targeting Breastfeeding in the UK: Systematic Review of Qualitative Evidence to Identify Inequities in Participants' Experiences Rhiannon Evans, Caitlyn Donaldson,
@ruthgarside.bsky.social
et al
onlinelibrary.wiley.com/doi/full/10....
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Peer Support and Community Interventions Targeting Breastfeeding in the UK: Systematic Review of Qualitative Evidence to Identify Inequities in Participants' Experiences
Systematic review of qualitative evidence from the UK exploring how peer support and community breastfeeding interventions might lead to inequities. There are differential experiences between populat...
https://onlinelibrary.wiley.com/doi/full/10.1111/mcn.70041?campaign=wolearlyview
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#epithoughtfortheday
#Ihatehastags
When I learned about per protocol analyses in RCTs, I thought "ok, so they're the intervention effect estimate conditional on the person continuing treatment". Maybe, but it's a subgroup analysis of an RCT, so... Maybe/probably not. Thought experiment:
4 months ago
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reposted by
Sean Harrison, PhD
I had laser eye surgery about 15 years ago. Want to hear about it? Don't read on if squeamish...
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5 months ago
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I had laser eye surgery about 15 years ago. Want to hear about it? Don't read on if squeamish...
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5 months ago
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"A series of errors" is a *very* generous interpretation!
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5 months ago
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reposted by
Sean Harrison, PhD
Lily Canter
5 months ago
My book Ultra Women written with
@emmajourno.bsky.social
is out today. We were originally told that men wouldn't buy this book so there was no market for it (as apparently women don't buy sports books!!!) - we desperately want to prove that marketing person wrong!
www.amazon.co.uk/Ultra-Women-...
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reposted by
Sean Harrison, PhD
Got pissed off. Wrote a blog post on the "Drink Champage to stop your heart stopping" thing. Obviously it's shit, but they used methods I've used in a population I've used, and even presented a very similar summary figure to my one, so...
seanharrison.blog/2025/04/30/d...
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âDrinking champagne could reduce risk of sudden cardiac arrest, study suggestsâ â Does it?
In a word: no. In six words: no, it couldnât, and it doesnât. Yesterday, The Guardian reported on a study conducted by Luo and others, and suggested that the they âfound compellinâŠ
https://seanharrison.blog/2025/04/30/drinking-champagne-could-reduce-risk-of-sudden-cardiac-arrest-study-suggests-does-it/
5 months ago
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This wasn't a study, it's the opinion of some French medics. Who equate watching TV with crossing the road unassisted, alcohol, and smoking. And just give a handful of references at the end, as if that's good enough.
www.theguardian.com/society/2025...
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Children under six should avoid screen time, French medical experts say
TV, tablets and smartphones âhinder and alter brain developmentâ, open letter says
https://www.theguardian.com/society/2025/may/01/children-under-six-should-avoid-screen-time-french-medical-experts-say
5 months ago
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ABCDE x A = EEEEEE Fun 2 minutes there. From
www.theguardian.com/sport/2025/m...
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Lazarus Lake, the âLeonardo da Vinci of painâ behind the worldâs cruelest race
In an extract from his new book, Jared Beasley introduces the eccentric figure behind the Barkley Marathons, where runners are terrified and tested in equal measure
https://www.theguardian.com/sport/2025/may/01/lazarus-lake-barkley-marathons
5 months ago
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reposted by
Sean Harrison, PhD
Ian Dunt
5 months ago
Everything you need to know about the trans Supreme Court case: What it said, what it didn't, and what happens next
iandunt.substack.com/p/everything...
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Everything you need to know about the trans Supreme Court case
What it said, what it didn't, and what happens next.
https://iandunt.substack.com/p/everything-you-need-to-know-about
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Got pissed off. Wrote a blog post on the "Drink Champage to stop your heart stopping" thing. Obviously it's shit, but they used methods I've used in a population I've used, and even presented a very similar summary figure to my one, so...
seanharrison.blog/2025/04/30/d...
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âDrinking champagne could reduce risk of sudden cardiac arrest, study suggestsâ â Does it?
In a word: no. In six words: no, it couldnât, and it doesnât. Yesterday, The Guardian reported on a study conducted by Luo and others, and suggested that the they âfound compellinâŠ
https://seanharrison.blog/2025/04/30/drinking-champagne-could-reduce-risk-of-sudden-cardiac-arrest-study-suggests-does-it/
5 months ago
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Not necessarily a good insult: theses can be very short and also acceptable, e.g. this one by David Rector (9 pages)
mit.primo.exlibrisgroup.com/discovery/fu...
Honestly, it's harder to write something short and good: I'd be on the fence about taking it as a complement...
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5 months ago
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I agree with the thrust, but not "anyone doing a meta-analysis should try to adjust for the quality of the underlying research": that shit is hard, there's no *universally accepted* method for doing so (to my knowledge), and subgroup analysis (stratification on risk of bias) isn't adjustment.
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5 months ago
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I think the concept of delegating *thought* to a machine is qualitatively different from delegating *work* to a machine. In this context, AI may be "useful" in the short-term, but destructive in the long-term. And that's without considering that LLMs are bullshit generators.
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5 months ago
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I feel like the timing of the survey probably means the results are questionable: people were thinking quite strongly about the pandemic at the time. But there's also a big difference between thinking something is unacceptable and thinking it should be legislated against.
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5 months ago
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Elsevier blocked my IP for (manually) downloading papers too quickly while, gasp, at home. I'm doing a systematic review, and work from home a lot. Their advice, when contacted, was to ask my librarian for help.
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5 months ago
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Leaving aside the obvious (young people can be sick too), this is a stupid idea from a practical point of view: ideally, you want to stop things from progressing to the point they are more serious, and therefore require more intensive (and expensive) treatment.
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5 months ago
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reposted by
Sean Harrison, PhD
Molly Jeffery, PhD MPP
5 months ago
At schools of public health and medicine, most academics are dependent on grants to have a job. They are dependent on luck and pure volume of submissions. No one teaches us how to manage that. If we are successful, our institutions are happy to take credit. If we are not, we must have been deficient
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reposted by
Sean Harrison, PhD
Neal Haddaway
5 months ago
Tens of thousands of migrants from Morocco and West Africa end up stuck in exploitative agriculture in South Spain each year producing out tomatoes and peppers - this is Rachidâs story.
medium.com/the-new-clim...
#migration
#farming
#spain
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Rachidâs Journey: How Our Food System Exploits Illegal Migration
Each year tens of thousands of migrants arrive in southern Spain to work in Almeriaâs plastic greenhouses. This is the story of one of them.
https://medium.com/the-new-climate/rachids-journey-how-our-food-system-exploits-illegal-migration-9c5b18bb51ab?sk=408307e12adfc99e64ef379221f385ce
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reposted by
Sean Harrison, PhD
Ian Dunt
5 months ago
The state of the newspapers this morning: a near-universal attack on trans people, most of it grossly exaggerating the implication of yesterday's ruling. Almost joyous in its spite.
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I live here now: (A movie that takes place where I'm from)
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6 months ago
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reposted by
Sean Harrison, PhD
Dylan Williams
6 months ago
One year later ... a major update to our manuscript showing that most Alzheimer's disease is attributable to the gene APOE. We expanded it to analyses of four studies, now with data on about 460,000 people in total.....
www.medrxiv.org/content/10.1...
#Alzheimers
#Dementia
#Epidemiology
#EpiSky
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The proportion of Alzheimer's disease attributable to apolipoprotein E
Objective To estimate the proportions of Alzheimer's disease (AD) and all-cause dementia burden attributable to the common risk alleles Δ3 and Δ4 in the APOE gene Design Genetic association analyses i...
https://www.medrxiv.org/content/10.1101/2023.11.16.23298475v5
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Ok, so DHL lost the journal somewhere between Germany and here. Very little monetary value, but it was a 1949 journal - not *quite* unique, but damn close. But: the
@britishlibrary.bsky.social
are forking awesome - they had an archived copy, found & scanned it, and emailed it to me. In 6 days.
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6 months ago
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