Thankfully in the past 10 years I’ve seen a decline in practitioners prescribing seroquel for sleep disorders but that’s entirely anecdotal and based only on my small geographic area unfortunately, not sure of any literature to support that this is actually declining. And unfortunately in the USA i believe it’s still somewhat regularly used as a chemical restraint in long term nursing care for geriatric populations despite indications for other medications being potentially better choices but I can’t speak much to that as it’s not my practice area or population

Are you talking about haloperidol? It doesn’t really get used a sedative in emergency psychiatric situations but often gets paired with benzodiazepines. Sometimes one or the other. Sedative would more typically be Ativan. To be clear haldol does have some sedative effects but it is not typically used as a first line sedative in inpatient psychiatric settings; it’s a poor choice for this purpose because it has a fairly slow onset for sedative effects to be seen (~15-20m for many individuals)

Haloperidol is used for acute psychosis and agitation. Ativan is used for sedation. Care has to be taken because benzos/ativan can worsen delirium, eg in an elderly patient, thus the use of haldol if they are agitated. Or you might use diazepam if you are intending a chemical restraint as this lasts longer than ativan. But this metabolizes via liver so you again have to be careful about pt, late stage alcoholic would get ativan bc metabolic pathway is renal. Additionally ativan alone be best fit for someone detoxing from alcohol who is agitated as the underlying cause of their agitation better targeted by benzos than haldol. Knowledge of pt is key. Of course that info is not always available unfortunately

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3298219/

Project path explains rationale behind psychopharmacology for emergency treatment of agitation better than I can

If Russia is forcing this for all people with autism they are foolish but that is extremely unlikely and a reactionary response

What is far more likely is that this is a treatment for extreme behavior in a small subset of people with autism. It is important to remember that autism is a spectrum and not everyone with autism is a secret stem genius who is just socially awkward. It’s actually kind of fucked up to keep projecting that stereotype. There are people with autism who are bad at math and science. There are people with autism who cannot speak. And there are people with autism whose cognitive and expressive deficits cause them to get so frustrated and irritable that they frequently become violent.

That said it is crucially important to note that treating with haloperidol as a first line of defense is also very fucked up. That is a strategy that is basically saying “shut these kids up”. It is a strategy of sedation and a lack of concern over side effects. Haloperidol is admittedly safe and usually well tolerated but not always and is heavily sedating. Drugs like risperdal do not have nearly as much of a sedative effect, an arguably more tolerable side effect profile (weight gain and breast tissue accumulation/gynecomastia are the big ones), and allow the individual to maintain a better quality of life. And with either additional focus has to be on simultaneous clinical treatment to address skill deficits in stress management, executive functioning, etc as well as government policy to increase access to early intervention to decrease likelihood of future cases

The United States would more typically utilize risperdal as a first line pharmacological intervention for individuals with autism who experience violent behavior during irritability. It obviously can vary by practitioner a bit but there would need to be some valid justification as this is the only fda approved medication for treating irritability in autism.

Lots of people speaking out of their lane in these replies though! Nothing like conjecture!

Flac 44.1 16bit level 3. Host with something that meets your needs. I have my files in jellyfin and navidrome and can then access the library remotely either through jellyfin web client, navidrome web client, substreamer, Finamp, kodi, etc. but this way if another amazing format comes up down the line I will always have my library in a good state to transcode from. Tag and sort everything with beets.io (or musicbrainz picard is great, I just like that beets is cli). This results in a library I can access on my phone, laptop, tv, carplay, etc

Technically you could go for 24bit but imo the extra file size isn’t justified. though one could make that argument for flac vs 320cbr mp3, transcoding 320 mp3 is more likely to create artifacts, thus the reason for keeping around flac

Alac may be easier for you if you use mac

The characters being ancillary and easily edited out/cut is by design so they can still use the movies in foreign markets that are hostile to lgbt rights

If the gay character is only identified as gay in one scene where they say “I’m gay” or kiss for 10 seconds you can just cut that part out and still screen it in Saudi Arabia. Disney doesn’t actually give a shit about lgbt issues, they give a shit about what will sell

Thus a prominent main character who is gay or a movie about a character coming to terms with queer identity is far less likely because that basically means they instantly lose out on much of the lucrative international market

I used my old ones a ton. I had the original nook and had been using it for 13 years. I finally upgraded to a newer one with a color e ink screen and I like it a lot. It’s a boox ultra tab c. It was pricey so I wouldn’t get it unless you really read a lot and like e ink

I use it for reading almost exclusively. I read 1-2 books a week and a few volumes of graphic novels/manga per week as well. I have poor vision and the e ink is much easier on my eyes than lcd/oled screens. I can read on this for hours but reading on a traditional phone/tablet/laptop gives me eye strain/headache after a few hours. It’s nice to have a screen you can read with no back or front light. I do use the front light at times but I usually have it off

It’s handy for taking notes and annotations. I’ve read it’s good for drawing as well but I am terrible at drawing so I don’t know. The stylus seems comparable to my friends Apple Pencil except you can use the back as an eraser like an actual pencil

battery life is much better to a traditional tablet - a charge lasts 2-3 days usually, can last longer if I keep the front light off and all the wireless radio stuff off. I’ve gotten it to last a week. It’s a bit heavy bc of the battery though

Wrt color it’s a mixed bag. It’s a very handy feature for manga and graphic novels. But the color panels are new tech so they come with issues; primarily ghosting/image retention. After some time I’ve found an ideal mix of settings to minimize the issue and make the color look as good as possible. The boox os also has a little nav ball that can quickly force a full refresh the screen at any point to remove any retained image. But the color is still not comparable to an lcd/oled by any means

Mine is based on a kaleido3 panel. There’s a newer gallery3 panel that has more vibrant color but with a trade off of noticeably slower refresh rates. It’s not actually an eink panel but something called acep; it was more meant for advertisements/billboards so quick refresh rates weren’t a priority. There’s also no real options for a device with it at the moment aside from one that has real mixed reviews and one that has an open preorder with no eta on delivery as far as I know.

It’s also a somewhat capable android tablet but I don’t really get this part. Like you can run YouTube and games and stuff. But i don’t know why you would bother? It’s workable but not nearly as good. The exception to this is web browsing depending on the site. Heavy text based sites work well in Firefox.

The weather will probably be a lot worse

And maybe PlayStation 6

Deleting the accounts doesn’t remove the posts fyi, Reddit relies on the content you created for them

Middle management has gotten absolutely out of control in America

Imo (and this is largely conjecture) it’s an end result of stagnant wages. It used to be that you might stay in the same position but get actual pay increases 50 years ago. Now you don’t get the pay increases really, maybe a 3% annual bump if you’re lucky. They need something to retain talent so a lot of places end up creating bullshit management positions out of thin air to retain staff that come with a slightly more modest pay bump.

So instead of the 3% bump you get a 5% bump and now you’re “director of clinical programming” or “associate manager of marketing and sales for eastern iowa division” and have 10 employees “report” to you but in reality you’re neutered and have no actual power to do anything to them but tattle to the actual boss. But then the company doesn’t have to give you a 7-10% bump that outpaces inflation and feels like an actual raise. They save the real promotions for nepotism.

But this happens constantly and now industries are jam packed with employees that just bother other employees all day and/or create systems that slow down employees en masse to “increase accountability” that are constantly updated and replaced without removing old ones.

Whenever someone goes on about fixing healthcare this comes to mind. I’ve worked in healthcare for years and it is absolutely full of this. Pharma, insurance, hospital admin, all of them are loaded up with tons of these kinds of staff. I can’t tell you how many useless staff I’ve seen get promoted to positions that were literally created for them to supervise a handful of people. I can’t tell you how many times I’ve had to fill out 7 sets of paperwork that takes 2 hours and is all redundant copies of each other because 9 middle managers from the hospital, insurance, and state administration are all constantly convinced I’m a fraudulent liar despite being a licensed professional with a decade and a half of clinical experience and absolutely no investigations or citations on my record whatsoever.

Single payer healthcare is definitely a great idea that should be pursued but this is a huge problem that also needs to be addressed regardless of who’s paying the bill if you want to see changes with actual costs, wait times, clinician burn out, etc.

I’d imagine it’s similar for other industries too. How much wasted resources are in middle management at tech companies, at food production, at basically anything? How much of rising costs are basically going to pay the glut of middle managers that being nothing to the table but resource drain? Who do nothing in terms of bringing in money, who do nothing in terms of providing value? How much cheaper could my cellphone, bread, wood, etc be without these parasites sucking up resources

But then the societal impact comes up. If you addressed this problem tonight that would mean millions of people go from comfortably middle class to jobless overnight. America isn’t known for great social supports as is, what happens when you throw a 7-8 figure number into the mix (with the reduced tax income from the loss of their job income).

Fwiw I genuinely think that point is a huge factor in why our government resists proper single payer healthcare; a true program would displace millions of workers overnight as it would make companies like Aetna, Cigna, etc largely redundant and reliant on their much less lucrative life/home/auto/renters insurance divisions. They would slash workers left and right. If we ever get one it will be a two lane system where the private insurers stay alongside it as a “boutique” option for the rich to receive better service, guaranteed. Plus you know, those companies literally own politicians lol and that’s the other much larger problem

Comparison of excellent quality vanilla vs excellent quality chocolate should leave you with the takeaway that both are excellent. you may have a preference for one over the other but that’s hardly objective

My personal preference shifts based on mood and (more so) based on quality. Excellent chocolate bar vs budget ice cream that uses vanillin instead of actual vanilla beans? Probably the chocolate unless I’m searching for that nostalgic artificial vanilla flavor. A shitty chocolate snack cake with like 2% actual chocolate and 98% palm oil vs a well made panna cotta? Going vanilla.

You mean you don’t want communities infested with bots promoting thinly veiled advertisements and reposting crusty old content to farm upvotes to make their accounts look more legitimate?

This also has the benefit of (eventually) changing your comments in the number of archives of Reddit that exist

https://docs.google.com/forms/d/1JSYY0HbudmYYjnZaAMgf2y_GDFgHzZTolK6Yqaz6_kQ and this is the form to remove your data from pushshifts archive

Are you sure? I thought they were restoring my comments but it was a combo of several things:

The user profile page only shows about 1000 posts so sometimes when you clears out your account a few older ones pop up. If you sort by hot/new/month/year/etc you will find more

If a subreddit was private for the protest (some still are even now) and came back up (some are coming back up even now for some reason) the posts will suddenly repopulate your feed

Those are the main ones. That said, I wouldn’t be shocked if Reddit was doing this as the library of content is a huge part of their valuation

Get your data from their gdpr request tool and use it to erase your account with shreddit or redact.dev. Don’t delete your Reddit account just yet; once it’s deleted you can no longer delete or edit posts. Consider just editing the posts instead of deleting so that Reddit archives are permanently updated with nonsense. File a request with pushshift to have your data removed as well (which is significantly easier, just a google form). Note that it’s something you’ll have to keep checking in on as Reddit is actively working to break these tools - afaik redact.dev doesn’t work to delete Reddit posts at the moment; it will let you view your Reddit posts but if you attempt to delete them it will immediately deauth your account but the devs are actively working on this and are pretty responsive and confident they’ll have a fix. Shreddit seems to still work, at least the rust build, but that’s not as user friendly

Almost any cash only retail business in 2023 is highly suspect outside of some outlier situations like rural markets

As well as utility cost to run the stove, lighting, pos systems, etc. plus rent/mortgage/taxes on the building, upkeep of fixtures like tables, menus, and cutlery, insurance costs, inspection costs, non sales staff (think like general managers, janitorial staff, plus HR and IT if they have it), any planned building upgrades down the line (whether to the actual building eg renovating dining areas or upgrading kitchen appliances), theft/shrinkage, damage from customers and staff being assholes, from equipment breaking down, from natural disasters, etc

Probably a lot more too. There’s a whole bunch to factor in

Palliative just means relieving symptoms without dealing with the cause of the condition. In this example they might administer medication to lower a spiking heart rate without dealing with the obvious causal factor of the unfinished surgery bc they are not qualified to do so. This would be palliative in nature.

That said “palliative care” is a sub speciality in its own right as you describe

I would imagine there is a contingency plan for if the surgeon becomes incapacitated, eg has an aneurysm/heart attack, so they’d probably do whatever that is

Probably something like palliative care until an on call surgeon can come in and finish out whatever was going on

The doctor has no idea what anything costs

Edit: unless it’s a one of the admin slash doctors or a private practice

There were a few professional psychology related subreddits that had moderation that verified licensure to allow posting only by actually professionals and that was pretty nice

There was also askatherapist which was interesting to get unfiltered client perspectives and offer clinician feedback

Morbidquestions was an interesting sub sometimes. 80% of the time it was stupid edgelord bullshit but sometimes someone would ask a really interesting dark question

Creepywikipedia was a good one and is explained by the name