rowinxavier

joined 2 years ago
[–] rowinxavier@lemmy.world 2 points 14 hours ago (1 children)

Yeah, I agree with your thoughts on the 95% thing. Its like with pain management. I am completely non responsive to morphine. Most people respond well, it just feels cold in my arm and that's it. When I flayed my wrist they gave me tonnes of morphine, the maximum dose I could have, and I had almost no effect at all. I got more from the paracetamol they gave me after that which was good because they had to remove my temporary dressing from a very large open wound and any relief was helpful. Now I just ask for aspirin and paracetamol, though after a wonderfully fun heart infection I can't use aspirin for pain relief without considerable bleed risk. Oh well, paracetamol it is.

But yes, if I go in for emergency care and tell them "no morphine, paracetamol only" they will probably not take it seriously without a doctor supporting it. Good thing I have a fairly high pain threshold.

[–] rowinxavier@lemmy.world 5 points 22 hours ago (4 children)

I come back time and again to the difference between reasonable and recommended. A recommendation in medicine is something you would be unwise to ignore as a doctor. Reasonable is something that you as a patient should do. A doctor is going to tell you all the recommended things because the way medicine works is all around what is shown to a reasonable statistical level to be a good idea, or at least seems that way. They will still recommend some things that are nonsense and they will still make mistakes, but they won't be sued.

If you try something and that works for you then you have a sample of one. It may have done nothing and the problem resolved itself, it may have solved the problem, it may even have slowed your recovery, but if you have the same problem again it is fairly reasonable to do the same thing that seemed to work last time. It isn't proof, but it is reasonable to try again.

Does having a kebab on the way home from a night of drinking actually prevent hangovers? Well, maybe, it does have salt and that is depleted during drinking, but is a doctor ever going to recommend that? No, never.

[–] rowinxavier@lemmy.world 3 points 2 days ago

I got a lot of fiddling with things when I was a kid so all my fidget toys that I found for myself got taken away in the places I needed them most like school etc. My solution was to use my own hands. I curl my fingers a little and then touch the crease between the first and second metacarpal on the index finger, then go down to middle and ring in the same spot, then diagonal up to the flat of the second metacarpal then the crease of the second and third metacarpal, then I reverse course. I can do the same with the straight from the second to third metacarpal crease on index, middle, then ring, then diagonal up to the first to second crease on the index. It is a nice pattern and except for times where I have broken or flayed my hands respectively it is always available. I can go slow or fast, do variations of the patterns, and I can do it subtly so people don't notice. Very... Handy. Ha.

[–] rowinxavier@lemmy.world 4 points 1 week ago

I hated the above Avatar movie but I loved TLoK. She is such an awesome character and has tonnes of growth and development, along with the fantastic lgbt end of the series. It was definitely a little difficult in the first few episodes but a big part of that was the transition from a rural setting to a city setting decades later, so it went from the backwater technology level to the cutting edge near a century later.

[–] rowinxavier@lemmy.world 2 points 1 week ago

Space Techno Music | ADHD Intense Focus / Lucid Dreaming Concentration Therapy Study | Workout/Dance

It is a simple loop but it is so chill and works really well for doing study of chores. I have the m4a saved and regularly listen while reading.

[–] rowinxavier@lemmy.world 6 points 1 week ago

Something to consider is differences in absorption and context. One angle is coabsorbtion, where two molecules can be absorbed better together than apart. Another is binding, such as with lectins which can bind to some micro nutrients and prevent absorption. So if you add lots of something which is not bound like it naturally would be with foods that contain it then absorption may be disregulated and you may have wildly different levels absorbed than the nutritional label would suggest.

Adding lots of vitamin C to foods because of a cosmetic or preservative function may not be the best idea given how active it is in the body. Maybe it has a similar effect in the gut to what it does in the food in the packet, killing a bunch of microbes, and therefore could impact our gut microbiome. We don't have the data yet on the mechanisms, so we should withhold judgement for now.

[–] rowinxavier@lemmy.world 8 points 1 week ago

I've been relistening to the Jumper series by Steven Gould, it is fun and interesting to see how something written not all that long ago is from a totally different world. The way technology worked in the 90s is so different to how it works now and many of the problems in a science fiction book with teleportation can be solved by a mobile phone.

Also, I just finished the Murderbot series given the release of the newest book, the Bobiverse series, and the Children of Time series with the latest installment Children of Strife.

I also have a massive fanfic called The Winter Of Widows which is based in Westeros from A Game Of Thrones. It is really fun and interesting and the writing is honestly fantastic. Definitely publishable level of writing skill. It is based on the idea of a modern person with some knowledge of things like four field crop rotation and coplanting going into that medieval world and making things work as much as possible. Very cool, very fun.

[–] rowinxavier@lemmy.world 15 points 1 week ago (1 children)

It isn't one place. Neurotypical eye movement is fairly constant, with a lot of time spent looking at or around other people. People who are autistic or have ADHD have a different pattern and often get commentary that they are staring at something like they want to burn it down or that they are off with the fairies.

To help with masking one strategy is to have a frequent face check, looking near the faces of people who are in the room, especially those who have just entered or moved. If someone is speaking they should be looked at but not 100% of the time, more like 70-90%. Other time should be spent looking around the room, looking at whatever is behind or around them, or at whatever they are presenting if applicable.

That said, if that isn't enough clarity I would recommend spending some time actually watching other people. You can do this in a classroom environment but people may find it disconcerting, so using sunglasses and doing it at a café is a fairly good option. Pay attention to where their eyes are going and what they are doing. If they are talking to someone compare their eye behaviour while they are talking to while they are listening, it is quite different. Same with if they are eating, drinking, reading, and so on. Some people spend a surprisingly large portion of the time while reading not looking at the page.

[–] rowinxavier@lemmy.world 10 points 1 week ago

Yep, I have a strong reduction in the ongoing stress which keeps me awake. If I want to have a nap in the day I take my stimulants before it and I can actually sleep, otherwise not a chance.

[–] rowinxavier@lemmy.world 4 points 1 week ago (1 children)

Others have already pointed to resources, so I will point to an approach instead. You should start by figuring out why you want to learn Italian and really codify those reasons for yourself. Keep those reasons in mind for the next step.

What Italian do you want to learn? Academic? Soap opera? Opera style? Casual conversation with Italian relatives? These all define a different set of Italian language to focus on and different resources to use.

For example, if you just love opera and really want to experience it in the original language you will likely need to learn an older form of Italian, more for the time the operas were written. That means modern TV Italian may mislead you and give you "bad habits"of modern speech that will make understanding operas harder.

That said, if you want to speak to relatives in Italy then the modern language from TV is probably good enough and that resource will be very useful for you.

So once you know which language register you are targeting you can then think about what sources of that language in use you can gain access to. Getting language lesson recordings is something some people find useful, but it is very scripted and rarely actually shows you the language in use naturally, it is very scripted and overly structured.

If you decide you want to be able to speak like a native then the best recommendation I can give is to learn like kids learn. Watch kids shows, listen to the kind of speech kids would hear, and produce your own child speech when you are up to it. Be wrong, make mistakes, and get corrected. Use the language to communicate simple ideas first then expand slowly to more complex ideas. Kids don't understand tense and status, they string things together and get the conjugations wrong and people correct them. They also listen, a lot. Like, an insane amount. Match them.

Once you listen a lot and read a lot in Italian the production will get more natural and native like and the rules can help clarify things, but over saturating yourself in grammar and the like can actually hurt your native level acquisition. Remember that in English you don't think about irregular conjugations of the verb run, you just say run and ran. When you were a kid you probably said "He runned" and people corrected you, so now it feels natural. That is what you want.

As for specific resources, I would recommend looking for Italian sources of ongoing media, for example if you want current culture language look for TV shows and movies that are Italian native, coming from inside their culture. You want the language and the culture together because that is how they exist. Saying you understand Spanish because you know a siesta is a nap is not really correct, and in the same way the fact that lunch is very different in Italy will make a direct translation without cultural context very odd seeming to native speakers.

So broadly, think about what you want, find resources that align with that eventual goal, start as a kid, learn alongside the culture, and make lots and lots of mistakes.

[–] rowinxavier@lemmy.world 19 points 1 week ago

OK, so no shade on your idea, but you actually can tell your dog he is OK.

Using a loud voice is a good indication that there is a threat or play, one of the two. Using a super quiet voice, such as a whisper, can convey the opposite. I have worked with a bunch of dogs and the most effective thing I have found for reducing barking and panic is to whisper their name with a positive tone and get down low enough for cuddles and petting.

They tend to look at me confused, tilt their head, then eventually stop barking and come over. I then give them quiet praise and lots of petting and cuddles as per their preference. Over a fairly short time they tend to shift to a short set of barks to announce the threat followed by coming to me to seemingly verify my attention to the issue, then they settle down.

This is mostly with either family dogs, 5 of those, or client's dogs, another bunch to varying degrees.

Also, I would recommend Training Levels: Steps to Success by Sue Ailsby. I have used that book for a lot of dog and cat training and honestly it also works with how I interact with kids. Clear communication, lots of praise and love, capturing behaviours and associating them with words, and never ever using negative stimuli like hitting or yelling. Or as I see it now, respect. Dogs are intelligent beings and if you try to find your common communication tools you can be much more effective at sharing your needs and getting their buy in. Same with kids, actually listening to their needs and observing their behaviour gives you a massive step up, and then never ever being mean or unsafe and always being safe and protective can take you a long way.

 

This study is talking about two groups, one with a target INR of 2.0-2.5 and the other with a target INR of 2.5-3.5. The higher dose is the current standard dose.

The outcomes were extremely close group to group and it looks like the Confidence Interval was greater than 1.5%, so the study was not adequately powered to have confidence of non inferiority. Is that interpretation correct? Obviously the difference in the groups was not large, but it reads to me that they couldn't be sure it was close enough to not be worse with the lower dose, therefore they can't eliminate the possibility that low dose treatment is more dangerous than current dose? If so, would they do another study or would that basically amount to p-hacking? Further thoughts are appreciated.

 

So we're doing breams now?

 

My partner (36 XX) is two months in to very strict carnivore, eating exclusively beef mince and grass fed butter. Total intake is 1-1.5kg been mince and 200-300g butter per day. The only beverage is water or Powerade (sugar free, acesulfame K, sucralose).

Her ketones on a blood meter are consistently low, maxing out at 0.2 mmol/L today. She feels tired, fatigued, and has burning in muscles suggesting lactic acid being elevated.

Just looking to see if anyone has seen something similar and if so what the solution was? Thanks

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