Blog

Each post is a discovery. IRDME is the method — the finding is the story. All results link to their pre-registered hash.

medicine#medicine#parkinsons#competition-rule#etd-vs-inertia#m-med-series#updrs

Parkinson's Disease: The Competition Rule Test -- When Mechanism Quality Meets Institutional Endpoint Inertia

M_MED8 pre-registered experiment on Parkinson's disease as a competition rule test: dopamine depletion in substantia nigra is one of the best-confirmed mechanisms in neurology, yet UPDRS is an institutionally entrenched symptom scale structurally analogous to PANSS in schizophrenia. Which axis wins? Neither wins cleanly. The Pearson-Spearman inversion identifies two distinct institutional distortion operators: Rank-Preserving Amplification (RPA, Alzheimer's) and Magnitude-Preserving Inversion (MPI, Parkinson's). Eight experiments, three independent axes, two independently verified anomaly detections.

medicine#medicine#epilepsy#paradigm-islands#convergent-circularity#m-med-series#gaba-glutamate

Epilepsy Has Three Competing Frameworks, One Shared Endpoint, and a Surprise: Multi-Framework Chains Are More Coupled Than Circular Ones

M_MED7 pre-registered experiment on the epilepsy evidence chain. Three mechanistically incompatible frameworks (sodium channel / channelopathy, GABA/glutamate network, autoimmune synaptopathy) coexist without paradigm islands -- the graph is connected. The seizure frequency endpoint is entrenched through convergent selection from all three frameworks. The unexpected structural finding: multi-framework convergent endpoint selection produces stronger r(justifies, selects_endpoints) = +0.490 than single-founder circular chains like antidepressants (+0.41). A new structural class is identified: convergent institutional endpoint lock-in.

medicine#medicine#statins#cardiovascular#healthy-chain#m-med-series#evidence-topology

Statins Confirm the Healthy Chain Signature: The M_MED Spectrum Now Has Two Anchors

M_MED6 pre-registered experiment: the statin cardiovascular evidence chain replicates the healthy topology of M_MED2 vaccines. r(justifies, selects_endpoints) = +0.676, p = 0.030. Healthy class n = 1 to n = 2. The spectrum from healthy to distorted pharmaceutical evidence chains is now anchored at both ends with statistically significant cases. No citation anomaly detected -- supporting the hypothesis that citation anomalies are specific to circular chains.

medicine#medicine#alzheimers#amyloid#citation-anomaly#m-med-series#lesne-2006

Alzheimer's Amyloid Network: Circular Evidence, a Citation Anomaly, and a Structural Contrast with Schizophrenia

M_MED5 pre-registered experiment: the Alzheimer's amyloid cascade hypothesis dominates both justification and citation layers (circularity confirmed). Topology identified Lesne 2006 as a structural citation anomaly -- high citation rank, zero justification edges -- without reading the paper. The connected/disconnected contrast with M_MED4 (schizophrenia) is now a comparative structural observation, not a construction artifact.

medicine#medicine#schizophrenia#circularity#m-med-series#paradigm-islands#philosophy-of-science

Schizophrenia's Evidence Network Has Two Disconnected Research Islands

IRDME analysis of the schizophrenia evidence chain found that the dopamine and NMDA hypotheses have zero structural contact across all three epistemic layers. They are not competing in the same evidence space - they are parallel research islands that have never formally engaged each other. Pre-registered experiment M_MED4_v1.

medicine#evidence-chain#circularity#opioid#FPL#pre-registered#citation-anomaly#porter-jick

The Opioid Crisis Had the Same Structural Topology as the Antidepressant Evidence Chain

We mapped the opioid prescribing epidemic evidence chain (1980s-2010s) as a multilayer graph and pre-registered four structural hypotheses. Result: 3/4 CONFIRMED, 1/4 PARTIAL. pain_undertreated_claim is rank #1 in BOTH the justification layer and the citation layer -- the same structural circularity pattern found in antidepressants. porter_jick_letter (the 1980 NEJM 5-sentence letter misused as addiction-safety evidence) was identified as a citation anomaly by topology alone: high citation rank, peripheral justification rank. FPL gradient collapses in circular chains (r=0.14) vs healthy vaccine chain (r=0.75). Pre-registered.

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medicine#evidence-chain#circularity#vaccine#FPL#pre-registered#hub-dominance

What a Healthy Evidence Chain Looks Like: Vaccine Topology vs Antidepressant Topology

We mapped the childhood vaccine evidence chain as a multilayer graph and compared its structural topology to the antidepressant circularity finding (M_MED1). The vaccine chain confirmed 4/4 hypotheses: the founding mechanism (adaptive immunity) is the justification hub, but empirical outcomes (clinical guidelines) dominate the citation layer. The two are different nodes -- structurally healthy. FPL gradient r=0.75 p=0.014 (statistically significant at n=8). Pre-registered. Contrast: in the antidepressant chain, the same founding assumption was top hub in all three layers.

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medicine#antidepressants#monoamine-hypothesis#evidence-structure#structural-circularity#pre-registered#hub-dominance#philosophy-of-science

Structure Knows: The Monoamine Hypothesis Is Its Own Best Evidence

IRDME applied to an 8-node epistemic graph of antidepressant research finds that the monoamine hypothesis is the #1 hub in BOTH the justification layer AND the citation-as-support layer. The founding assumption and the primary evidence are the same node. This is the structural signature of a self-referential evidence loop — detectable from topology alone, without reading a single paper.