Ranvier

@Ranvier@sopuli.xyz

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Ranvier,

The spectrum of human thought is astounding some times.

On the one hand you have people adamant that viruses don’t even exist against all rational thought, reason, the almost daily experience of their existence, and over a hundred years of scientific research around the world learning more about them in detail and cataloguing at least 15,000 distinct species.

While simultaneously you have people who know so much that they can manipulate viruses into becoming our own little machines to deliver working copies of genes straight into particular types of cells in someone’s body and treat their deadly genetic illness with gene therapy.

Ranvier,

We have made H5N1 avian flu vaccines many times before. We have one developed as recently as 2020 that’s been approved by the FDA for use in humans, not sure how great it is against the current incarnation though. Flu is quite good at evading vaccines, hence the need for frequent updates.

en.m.wikipedia.org/wiki/H5N1_vaccine

The US government funds vaccine development for viruses that might become a problem at some point. There’s also work into expanding rna vaccine technology, which can allow for very quick updates as viruses change. We need way more work and funding on pandemic prep and surveillance. We’ve all seen how devestating a global pandemic can be. Even if the vast majority developed never end up needing use, one of them may save millions of lives.

scientificamerican.com/…/vaccine-makers-are-prepa…

Anyways, if an H5N1 pandemic started tomorrow, there’s a vaccine that would probably be helpful already made. Would need to be scaled up massively in production of course though.

Ranvier, (edited )

That’s because abortions and the procedures used for them are a necessary part of obstetrics care that every obstetrician needs to know to be competent in their field. Doctors don’t want to be in states where they can’t give the care that patients need, being forced to watch as they suffer knowing they could have been able to do something about it if not for the laws. And they especially don’t want to train in states where they won’t get exposure and training in all of their field. Many obgyn programs are now having to scramble and try to do things like add out of state rotations so that their trainees can still get some experience. Doctors especially don’t want to worry about being thrown in jail because ill informed prosecutors and members of the general public decided that a pregnant person wasn’t critically ill enough to get their life saving abortion yet or some other nonsense.

There are more women going into medicine now then men. They understand how critically important access to abortion is, and that they may need one, potentially to protect their health or their ability to have more pregnancies in the future, even if it was a planned pregnancy they had every intention of carrying to term. And men of course have female loved ones they care about and want to have access to proper medical care as well. And every specialty has female patients that they want to have the best care in any eventuality.

Unfortunately abortion opponents have pushed many different fantasies about pregnancy and obstetrics, I think usually out of ignorance. But doctors are well educated on these matters. You’ll continue to see an exodus of trained medical professionals from these states, not just in obgyn but across all of medicine. And I think across all of medicine they see the writing on the wall, that republican states are determined to get more and more invasive in getting between patients and their doctors. I doubt it would stop at just banning abortions and transgender care if Republicans have their way, and people are already suffering across the country because of it.

Even if you can’t get pregnant and somehow don’t know or care about anyone that can, you’re going to have worse access to health care and suffer as an indirect result of abortion restrictions too.

npr.org/…/abortion-bans-drive-off-doctors-and-put…

An early indication of that impending medical “brain drain” came in February, when 76% of respondents in a survey of more than 2,000 current and future physicians say they would not even apply to work or train in states with abortion restrictions.

theguardian.com/…/us-abortion-ban-providers-docto…

washingtonpost.com/…/abortion-maternity-health-ob…

theguardian.com/…/abortion-idaho-women-rights-hea…

www.usatoday.com/story/news/…/70980770007/

Ranvier,

Yeah it also says don’t cut for stones (kidney stones), but I don’t see us casting urology out of medicine and letting people die of ureter obstructions. Doctors also don’t generally worship Apollo anymore, to the best of my knowledge.

Turns out standards of care and what is possible or safest have evolved since ancient Greece.

Doctors don’t take the literal original hipppcratic oath. There’s a ton of junk in there no one would want doctors to follow. It’s most common for each medical student class to create their own oath in the spirit of the hipppcratic oath when entering medical school, and then take that, or use a modernized version. And yes, vowing to do no abortions would absolutely conflict with “do no harm” in the modern age, and would lead to the needless suffering and death of pregnant individuals.

‘They’ve destroyed us because of some tweets’: why has Saudi Arabia targeted these three sisters? (www.theguardian.com)

Last week one was sentenced to 11 years, another had to flee the country, a third could be arrested at any moment. And what were Manahel, Maryam and Fawzia al-Otaibi’s ‘crimes’? A few social media posts that outraged Saudi Arabia’s conservatives...

Ranvier,

Here’s an article with her being asked about wearing the outfit:

timesofisrael.com/rebel-saudi-women-shun-obligato…

Also beginning in 2019 tourists are allowed to go without an Abaya, at least officially. And apparently in some cities more than others it’s at least somewhat common to see women without. Jedda especially it sounds like? Still very much the norm though.

businessinsider.com/female-solo-traveler-went-to-…

Clothes were another concern. Though foreign women are no longer required to wear an abaya (robe) by law, I was uncomfortable not wearing one. Outside of Jeddah and diplomatic areas of Riyadh, I did not see any women without abayas. Most women also wore hijabs and niqabs. In villages and towns, despite wearing a hijab, I still stood out because I didn’t fully cover my face.

Ranvier,

Yes you’re both correct. It was during that three month period (late January to April) after the version with border security got killed by Trump’s meddling, where Republicans were trying to push a stand alone Israel aid bill without Ukraine aid, and Biden issued his veto threat to any standalone Israel aid bill. The article the person you’re replying to linked was in February, after the border security version one with everything together had failed.

Ranvier,

Turns out doctors prefer helping people, providing needed medical care, and being adaquately trained. They don’t like being thrown in jail. And they want access to obstetrics procedures like abortions for themselves or their loved ones when needed.

What Trump promised oil CEOs as he asked them to steer $1 billion to his campaign (www.msn.com)

Trump’s response stunned several of the executives in the room overlooking the ocean: You all are wealthy enough, he said, that you should raise $1 billion to return me to the White House. At the dinner, he vowed to immediately reverse dozens of President Biden’s environmental rules and policies and stop new ones from being...

US paused bomb shipment to Israel to signal concerns over Rafah invasion, official says (apnews.com)

WASHINGTON (AP) — The U.S. paused a shipment of bombs to Israel last week over concerns that Israel was approaching a decision on launching a full-scale assault on the southern Gaza city of Rafah against the wishes of the U.S., a senior administration official said Tuesday....

Ranvier,

Technically those are describing UK rockets and bombs being being used against a US fort in the war of 1812. But yes.

Ranvier, (edited )

I found the study if you’re curious on more details. It was basically done because there was a series of relatively poor evidence case series articles pushing the idea of mifepristone antagonization (the first pill in the two step process) with high dose progesterone to try and stop a medical abortion after the first pill but before the second pill. But case series are just basically cherry picked cases and very limited in what they can show. This practice was becoming more common though because of these, and so researchers wanted to learn more about what risks it would pose to women who did this, and if it was even effective in the first place (though this situation is very rare, less than 0.005% of women who take the first pill choose to try and continue their pregnancies).

pubmed.ncbi.nlm.nih.gov/31809439/

This is how participants were recruited:

We conducted this randomized, double-blind, placebo-controlled trial at the University of California, Davis Medical Center. We approached patients who had completed counseling and consent for a surgical abortion and were 63 days of gestation or less about study participation. Inclusion criteria were 18 years or older, English-speaking, singleton pregnancy, and willingness to delay the abortion by approximately 2 weeks. Exclusion criteria were medical contraindications to medical abortion per the mifepristone U.S. Food and Drug Administration label, an allergy to mifepristone or progesterone, or a peanut allergy (on-label contraindication to oral progesterone). The University of California, Davis, Institutional Review Board approved this study and all participants gave written study consent before beginning any study procedures.

Twelve people were enrolled, though two chose to stop the study early and were given surgical abortions before the planned two weeks. Three had to be transported by ambulance for bleeding, and further enrollment was halted.

What they found was:

Although the study sample size was powered to demonstrate a difference in continuing pregnancy rates between progesterone and placebo treatment after mifepristone ingestion, we could not evaluate this outcome owing to stopping enrollment for safety reasons.

Patients who use mifepristone for a medical abortion should be advised that not using misoprostol could result in severe hemorrhage, even with progesterone treatment. We stopped the study because of these complications and, thus, could not quantify the full extent of this risk. Because of the potential dangers for patients who opt not to use misoprostol after mifepristone ingestion, any mifepristone antagonization treatment must be considered experimental.

So basically, don’t do this, and any “crisis pregnancy center” that advises this is putting pregnant individuals in clear danger. The American college of obstetricians and gynecologists knows what they’re talking about when they say this should not be done.

Ranvier,

Until recently I would have been fine giving that data in the census. However:

www.npr.org/…/2020-census-interference-trump

nbcnews.com/…/several-attorneys-general-made-abus…

I’m not to keen on giving it now. One election gone wrong and some very unsavory people who mean lgbt individuals harm now have all that info.

Ranvier,

Personally if I already had a 5800x I probably wouldn’t upgrade to the 3d, though there would likely be some gains, especially if you’re cpu bound on a game.

Here’s like 40 games where they’re compared on a nividia 3090:

techspot.com/…/2451-ryzen-5800x3d-vs-ryzen-5800x/

I upgraded from a 3700x to a 5800x3d so there was a big boost.

But a 5800x3d isn’t even much cheaper than a 7800x3d, and the socket type switched now. So if I already had a 5800x I’d probably just wait and switch to a 3d chip in the future when I was ready to upgrade my motherboard. If cost is no object and you’re not gonna swap the motherboard for a long time, then yes it’s the best gaming cpu you’re going to be able to use with that board and likely always will be.

Ranvier,

I feel your pain, it’s just such a popular cpu it never seems to come down as much as you’d think. Kind of the end game for anyone who doesn’t want a new motherboard.

Ranvier,

Public companies that have hired BF Borgers will need to find new accounting firms, the SEC alerted companies in a separate statement on Friday.

Trump Media announced plans to do just that.

“Trump Media looks forward to working with new auditing partners in accordance with today’s SEC order,” Trump Media spokesperson Shannon Devine told CNN in a statement.

And audit of their firm from a legitimate company is going to be interesting. Surely they didn’t pick hire these sham auditors to help them hide stuff…

Ranvier,

I gotta imagine that thing will dump before Trump’s shares get out of lock up. If not, we’ll see Trump himself will do the dumping I think as soon as he can sell.

Ranvier, (edited )

These are just the latest grants in $50 billion already allocated so far, with more to come from both the infrastructure law and the inflation reduction act (which had the bulk of the climate change related funding). The $837 million is just the funding for these 80 newest projects that got funding on Thursday. The money from these giant laws don’t all go out at once. It’s made available, and then projects are submitted by state and local governments for funding. Everyone in this comment thread acting like $837 million is the only climate change funding is very mistaken and should probably start by reading the article, it’s purpose is just to inform on these newest batch of projects that applied for and are now going to receive funding. I’m not saying don’t allocate even more, but waaaay more than $837 million has been allocated so far and there’s a lot more funding already passed waiting for projects still. It’s not like specifically last Thursday was the only day ever that climate projects are being funded, just the latest batch.

Ranvier,

It’s not really a safe bet, one of the reasons options are expensive is because they price in the very high volatility of the stock. You can be correct about the future direction of a stock and still lose money on an option based on how much the volatility changes or how long it takes to make that move. And with enough shorting there could even be the risk of a squeeze. Best to just stay far away from that stock.

Ranvier, (edited )

I’m sorry you went through all of that, it sounds terrible.

For anyone reading from the US, the system is a little different there. Treatment decisions would default to a health care proxy if a person is not competent (and like this poster said, that means unable to understand, ask questions, and articulate choices, not making bad choices). A health care proxy is different from power of attorney (in the US), check your state for forms to pick one. It’s always a good idea to have one declared and paperwork with your doctor, however if you don’t have one selected on paper, then default health care proxy is closest relative (spouse, then adult kids, then parents, then siblings, usually). If no health care proxy can be found, only then would the court system get involved and appoint a guardian.

In regards to the original posters question, involuntary commitment for a mental health issue may involve a competency determination, but is much more involved and needs to involve courts very quickly. In general only a 72 hour hold can be placed by a doctor without a court getting involved. It’s less common too, most people in inpatient mental health situations are in voluntary stays.

In addition to the ED which is always available if needed as a last resort, check your local area for mental health crisis lines and support. These are often a local group such as through a county and may be affiliated with mental health providers, can often even make home visits and quickly connect people with resources and advice on how to go forward.

Ranvier,

There are definitely pros and cons with both systems. It can be brutal for someone who was listed as a health care proxy but the patient never expressed their wishes to them. Can’t agree more about having those conversations with loved ones even if you’re healthy, you never really know, and it’ll make the decisions so much easier on your loved ones when they know they’re doing what you would have wanted.

Technically doctors are not required to offer futile care in the US even if the health care proxy wants it, but courts have sometimes inserted themselves into that which makes it complicated. Luckily those cases are rare, usually through education and meeting with all family members most come to agreements about what their relative would want and move forward.

Ranvier,

That would be very surprising if it were true, considering the incomprehensively vast numbers of stars and planets out there. I wonder what the equivalent of crying in the shower would be for some alien though? Maybe that is our unique trait.

Ranvier, (edited )

We’re working with an n of 1 basically. If you’re talking about the drake equation, many of those terms are wild estimates that we simply don’t know the answer to, it’s more of a thought experiment. In the course of astronomy history when we’ve assumed uniqueness about earth or our cosmic situation we’ve generally been wrong. Unfortunately the vast distances between stars make an estimation of life in the universe difficult with current technology, as there is so much we can’t observe.

But there’s billions of stars in the galaxy, billions more planets, and septillions of star systems in the universe with billions of years for life to happen. Intelligent life has happened at least once because we’re here. Even in the tiny slice of planets we’ve been able to observe in some way in our narrow little corner of the galaxy we’ve found numerous ones in the “goldilocks” zone. It would be utterly shocking if we were the only intelligent life out there, even more shocking if our planet had the only life. And all of this assumes we know what kinds of life are possible! We’ve only ever seen our own type of chemistry.

Don’t mistake this for me saying we’ve been visited by aliens in UFOs or something though, not saying that at all.

Ranvier,

There’s no one that can make the estimate accurately right now. Any calculation like that is going to rest on lots on many wild estimates and unknowns. Happy to look at it if you have a source though.

Ranvier,

It’s legal in most of the world, including most of Europe. I don’t think legality is necessarily the greatest guide for how often it actually happens or social attitudes towards it.

en.m.wikipedia.org/wiki/Cousin_marriage

There’s a map in there too of prevalence though and United States isn’t anywhere close to the most prevelant, it’s extremely rare. What’s going on down in Italy, Spain, Portugal, and Belgium though?

Ranvier,

That chart technically includes second degree cousins and any closer relations. So if you don’t count second degree cousins it might be less. But yeah there’s a tradition of parellel cousin marriage especially in parts of the middle east, north Africa, and south Asia.

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