False equivalency. They. Are. Not. The. Same.
Do both parties have some issues in common? Sure. Does our system need reform? Absolutely. But just because there is some overlap in the Venn diagram that is our political system does not make them the same. At least the democrats are trying to govern.
Dr. John Wust does not come off as a labor agitator. A longtime obstetrician-gynecologist from Louisiana with a penchant for bow ties, Dr. Wust spent the first 15 years of his career as a partner in a small business — that is, running his own practice with colleagues....
Physician here.
Medicine is one of the few professions in which capital is tied to labor (at least of the licensed independent clinicians). Hospitals, clinics, etc., can't run any test, provide any service, perform any surgery, without a physician (or other licenses clinicians) order.
Health systems rely on their physicians to drive clinical practice. Physicians are the experts after all. It's a mutually beneficial relationship, but at its core, it is a partnership. This partnership certainly has it's ups and downs. But this is what happens when the health system forgets that it is a partnership.
House Republicans closed out the week by canceling votes on two party-line funding bills in the span of 48 hours, a setback for new Speaker Mike Johnson and a sign of persisting dysfunction in the chamber ahead of a key funding deadline....
Hear me out: If the GOP could just, I don't know, at least talk to the other 49% of the House, they may be able to get at least some of the things they want.
Want to find the money? Increase the ability of the IRS to perform more audits. The richest folks are already not paying the taxes they should be. $688 billion per year!
House Speaker Kevin McCarthy has been voted out of the job in an extraordinary showdown, a first in U.S. history. The 216-210 vote was forced by a contingent of hard-right conservatives and throws the House and its Republican leadership into chaos.
Here is the correct quote from Winston Churchill: "If you're not a liberal at twenty you have no heart, if you're not a conservative at forty, you have no brain."
Also, conservatism in Churchill's era is absolutely NOT what conservatism is now.
Rates of severe disease may be staying at relatively low levels, but experts agree that there are probably more infections than the current surveillance systems can capture....
Physician here. The best marker we have of covid prevalence is wastewater testing. With the availability of home kits (and no reporting) and people refusing to test when symptomatic, the old markers of positivity rates and number of positive tests aren't as valid. Even hospitalization numbers can fluctuate for multiple reasons. Municipal wastewater testing truly gives a sense of covid in a population.
There were many senior leaders on the flight: Prigozhin, Utkin (early founder, commander), Chekalov (economic & security leader), Makaryan, Propustin, Totmin, Matuseev (all various commanders). While this seems super dumb to have all these folks on the same flight at the same time, apparently they were. With this much senior leadership now suddenly gone, the Wagner group may be struggling to get their own house in order before they can take organizational action.
Lyft and Uber threatened to stop doing business in Minneapolis after the city council adopted a new rule Thursday that would set a minimum wage for rideshare drivers.
This is very troubling, and I’m not even sure where to start. I recently received an email message from my ISP which alerted me to an incoming update. I didn’t worry too much since this is obviously not the first update they’ve ever pushed through....
Arris makes good stuff. But that is just the cable modem. It will NOT provide any router protection for your home network. Your network topology should look like this:
ISP -> your cable modem -> your router -> everything else
Honestly, if you don't have need for many ethernet connections, just get a wifi router with good reviews and the arris cable modem. Make sure the cable modem you pick up has the right DOCSIS version for the speed you are getting or plan to upgrade to. Your ISP will be able to tell you what version they are on.
Here is a video of a presentation by one of the authors along with some demonstrations and explanations.
TLDR: Here is the Abstract:
There is ample evidence that masking and social distancing are effective in reducing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission. However, due to the complexity of airborne disease transmission, it is difficult to quantify their effectiveness, especially in the case of one-to-one exposure. Here, we introduce the concept of an upper bound for one-to-one exposure to infectious human respiratory particles and apply it to SARS-CoV-2. To calculate exposure and infection risk, we use a comprehensive database on respiratory particle size distribution; exhalation flow physics; leakage from face masks of various types and fits measured on human subjects; consideration of ambient particle shrinkage due to evaporation; and rehydration, inhalability, and deposition in the susceptible airways. We find, for a typical SARS-CoV-2 viral load and infectious dose, that social distancing alone, even at 3.0 m between two speaking individuals, leads to an upper bound of 90% for risk of infection after a few minutes. If only the susceptible wears a face mask with infectious speaking at a distance of 1.5 m, the upper bound drops very significantly; that is, with a surgical mask, the upper bound reaches 90% after 30 min, and, with an FFP2 mask, it remains at about 20% even after 1 h. When both wear a surgical mask, while the infectious is speaking, the very conservative upper bound remains below 30% after 1 h, but, when both wear a well-fitting FFP2 mask, it is 0.4%. We conclude that wearing appropriate masks in the community provides excellent protection for others and oneself, and makes social distancing less important.
Physician and Chief Medical Officer here. I started my practice on the tail end of paper records and I have been through, and led, several different renditions of electronic medical records. Like any other software, the technology has evolved and matured over the last 20 years. Electronic Health Records are just about patient information anymore either. They incorporate patient info, clinician orders, billing, and also provide numerous cross checks and safety systems to improve patient care.
The article discusses the issue with digitizing handwritten notes. This is always problematic as they are not searchable, indexed, etc. and can be very difficult to work through. The system where I work has been on the same medical record system for over 10 years. This provides an efficiency that I didn't have when I was working in a paper system. The entire chart is searchable. Medical history sections are filled out and robust.
From a safety perspective, these systems give us so much more than we had. One prime example is bedside scanning. When a nurse administers a medication in a hospital environment the medical record plays a pivotal role. As a physician I enter and order for a medication. If there is an allergy, medication interaction, or a host of other things, the system will alert me to it before the order is signed. Once signed, the order then goes to a pharmacist to review and approve. The patient's nurse will then be notified of the order and be able to pull the medication from an integrated medication storage unit with multiple drawers and compartments to ensure the right medication is taken. Finally, the nurse must use the EHR to scan the patient's armband and the medication barcode. If there is any discrepancy, the medication is not given until the issue is resolved.
From a user perspective, I can now create notes and write orders faster than I could in a paper world, even with dictation. Most docs use a combined template/voice recognition approach which works well. There has been a great deal of work in the Epic world (one of the largest EHR systems) to increase efficiency and improve the user experience.
Are these systems perfect? Far from it. But things are better now, at least where I work, than this article makes it seem.
I have mixed feelings on this. On one hand, she didn't delay it until after the election which is wonderful. However, I am not confident that the trial will be over by the election. Trumps team will keep trying to delay the clock with jury selection, continuances, etc. which may push it past the election.
edit: typo
Quasars are the supermassive black holes at the centres of early galaxies. Scientists have unlocked their secrets to use them as ‘clocks’ to measure time near the beginning of the universe.
I'm new to Kbin. Since the platform is under development, I am curious if there has been any discussion around feed duplicates? Most of us subscribe to multiple things, some of which have some overlap. Just this morning I found an item that fit both in worldnews and news, so I posted in both. But it got me thinking about my...
Taxpayers spent over $1 Trillion on the PPP program, of which, $200 billion is thought to be fraudulent. Another case of only corporations get socialism in the US.
Physician here. There are too many possible issues with pregnancy, social situations, etc. to ever effectively be able to navigate that decision tree via legislation. It is barbaric to force women through a non-viable pregnancy. It is barbaric to withhold medical care from a woman whose life is threatened by her pregnancy. It is barbaric to force women into a devastating social situation.
Society will never agree on where the line should be placed or what is morally correct. The decision needs to be in the hands of the mother and their medical team.
Finally, for those who believe in "natural consequences". No birth control is 100% effective. Not all sex is consensual. Non-viable pregnancies happen regardless of how careful you are. Bad outcomes aren't always the result of bad choices.
Physician here. The psychological impacts of gender identity issues are very real and would occur even if society was 100% accepting of trans people. Sadly, society is not which makes it worse. These folks need and deserve healthcare. That care involves not only helping them work through their journey, but also supporting it with psychiatric care, hormonal options, and in some cases, surgical treatment. Transphobes make it sound like society is allowing minors to be injured by these practices. This couldn't be further from the truth.
Puberty blocking medications are a reversible option for adolescents. If they determine that they would like to proceed with their biological identity later, the meds are stopped and their puberty ensues. Very few minors receive any type of gender reassignment surgery. Most of the time, patients will start with hormonal treatment and pursue surgical options when they are done growing and usually when they are over 18. But there are exceptions.
Putting extra negative attention on people going through this and limiting their treatment options is draconian and must stop.
Republicans Are No Longer a Political Party (www.theatlantic.com)
It’s become yet another subsidiary of Trump Inc....
Why Doctors and Pharmacists Are in Revolt (www.nytimes.com)
Dr. John Wust does not come off as a labor agitator. A longtime obstetrician-gynecologist from Louisiana with a penchant for bow ties, Dr. Wust spent the first 15 years of his career as a partner in a small business — that is, running his own practice with colleagues....
'We're ungovernable': House Republicans nix votes on two funding bills as shutdown deadline nears (www.nbcnews.com)
House Republicans closed out the week by canceling votes on two party-line funding bills in the span of 48 hours, a setback for new Speaker Mike Johnson and a sign of persisting dysfunction in the chamber ahead of a key funding deadline....
House Republicans: No Aid for Israel Unless Rich Tax Cheats Get a Break (nymag.com)
McCarthy ousted as House speaker in dramatic vote as Democrats join with GOP critics to topple him (apnews.com)
House Speaker Kevin McCarthy has been voted out of the job in an extraordinary showdown, a first in U.S. history. The 216-210 vote was forced by a contingent of hard-right conservatives and throws the House and its Republican leadership into chaos.
Dallas mayor switches parties to join GOP (www.cnn.com)
Dallas Mayor Eric Johnson announced Friday that he is switching parties and will serve as a Republican-affiliated mayor of the blue-leaning city....
History (lemmy.world)
It seems like everyone has Covid-19. Here’s why this wave is probably worse than official data suggests (www.cnn.com)
Rates of severe disease may be staying at relatively low levels, but experts agree that there are probably more infections than the current surveillance systems can capture....
Ukraine's supporters waiting for Wagner PMC troops to do literally anything in response to their leaders being publicly murdered. (feddit.nl)
Lyft and Uber say they will leave Minneapolis if the mayor signs a minimum wage bill for drivers (www.cnn.com)
Lyft and Uber threatened to stop doing business in Minneapolis after the city council adopted a new rule Thursday that would set a minimum wage for rideshare drivers.
My ISP has taken total control of my network
This is very troubling, and I’m not even sure where to start. I recently received an email message from my ISP which alerted me to an incoming update. I didn’t worry too much since this is obviously not the first update they’ve ever pushed through....
New Covid wave has begun and masks should be worn again, scientists warn (www.independent.co.uk)
Bad software destroyed my doctor’s memory (www.theregister.com)
Trump classified documents trial in Florida to begin May 20, 2024 (www.npr.org)
Rep. Marjorie Taylor Greene Booted From Right-Wing House Freedom Caucus (www.thedailybeast.com)
But the Georgia congresswoman got backup from an unlikely ally: Rep. Lauren Boebert (R-CO).
Quasar ‘clocks’ show Universe was five times slower soon after the Big Bang (www.eurekalert.org)
Quasars are the supermassive black holes at the centres of early galaxies. Scientists have unlocked their secrets to use them as ‘clocks’ to measure time near the beginning of the universe.
Israel stages a deadly large-scale raid on Palestinian Jenin camp in the West Bank (www.npr.org)
Israeli media said the military also conducted airstrikes, reviving a tactic it had largely halted during the past two decades.
How to deal with feed duplicates?
I'm new to Kbin. Since the platform is under development, I am curious if there has been any discussion around feed duplicates? Most of us subscribe to multiple things, some of which have some overlap. Just this morning I found an item that fit both in worldnews and news, so I posted in both. But it got me thinking about my...
Recipe Box - African Mahogany with Maple Accents
The Supreme Court strikes down Biden's student-loan forgiveness plan, blocking debt relief for millions of borrowers (www.businessinsider.com)
The Supreme Court ruled Biden's student-loan forgiveness is illegal, meaning borrowers will resume payments without debt cancellation this year.
First Compelling Evidence for the Gravitational Wave Background - AAS Nova (aasnova.org)
For the first time, researchers using a pulsar timing array have found evidence for the long-sought-after gravitational wave background.
Poll: 61% of voters disapprove of Supreme Court decision overturning Roe (www.nbcnews.com)
On the anniversary of the Dobbs decision, 53% say abortion access nationwide has become too difficult, a new NBC News poll finds.
New research underscores benefits of gender-affirming hormones, rebutting anti-trans claims (www.statnews.com)
Actual evidence from actual scientists....
Rep. George Santos' mystery bail backers to be revealed at noon (www.cnbc.com)