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When people send clips to Jimmy Kimmel, it is assumed that parents did this to their kids as a one off prank, which shouldn't be all that harmful. However, this can get out of hand if it influences a repetitive trend on the same kids. 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URL: https://www.oohctoolbox.org.au/trauma-and-shame (visited on 2023-12-10).", "prefix": "\n  \n18.6. Bibliography#\n\n\n\n[r1]\n", "suffix": "\n\n\n[r2]\nGuilt\u2013shame\u2013fear spectru"}]}], "document": {"title": ["18.6. Bibliography"]}, "links": {"html": "https://hypothes.is/a/SgcBflVVEfG3-BcWd61KGw", "incontext": "https://hyp.is/SgcBflVVEfG3-BcWd61KGw/social-media-ethics-automation.github.io/book/bsky/ch18_public_shaming/07_bibliography.html", "json": "https://hypothes.is/api/annotations/SgcBflVVEfG3-BcWd61KGw"}, "actions": [], "mentions": [], "user_info": {"display_name": "Ria Patil"}, "flagged": false, "hidden": false}, {"id": "ta_MuFVUEfGtxtNp3Cof9Q", "created": "2026-05-21T20:36:13.841904+00:00", "updated": "2026-05-21T20:36:13.841904+00:00", "user": "acct:rpatil3@hypothes.is", "uri": "https://social-media-ethics-automation.github.io/book/bsky/ch18_public_shaming/02_online_shaming.html", "text": "I personally don't find these kinds of things to be very problematic at the level it is at right now. A huge reason cancel culture is more rampant now more than ever is because people want influencers, and anyone who posts online, to follow strict morals. I don't want to say that people have gotten \"too sensitive\" exactly, because this exact culture shift has brought many issues I find valid, to attention. But that is exactly the issue -> opinions on morals. What is right and what is wrong.", "tags": [], "group": "__world__", "moderation_status": "APPROVED", "permissions": {"read": ["group:__world__"], "admin": ["acct:rpatil3@hypothes.is"], "update": ["acct:rpatil3@hypothes.is"], "delete": ["acct:rpatil3@hypothes.is"]}, "target": [{"source": "https://social-media-ethics-automation.github.io/book/bsky/ch18_public_shaming/02_online_shaming.html", "selector": [{"type": "RangeSelector", "endOffset": 95, "startOffset": 0, "endContainer": "/div[4]/div[1]/main[1]/div[2]/div[1]/article[1]/section[1]/p[3]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[3]", "startContainer": "/div[4]/div[1]/main[1]/div[2]/div[1]/article[1]/section[1]/p[3]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]"}, {"end": 10310, "type": "TextPositionSelector", "start": 9833}, {"type": "TextQuoteSelector", "exact": "For an example of public shaming, we can look at late-night TV host Jimmy Kimmel\u2019s annual Halloween prank, where he has parents film their children as they tell the parents tell the children that the parents ate all the kids\u2019 Halloween candy. Parents post these videos online, where viewers are intended to laugh at the distress, despair, and sense of betrayal the children express. I will not link to these videos which I find horrible, but instead link you to these articles:", "prefix": "sment (particularly dogpiling).\n", "suffix": "\n\nJimmy Kimmel\u2019s Halloween prank"}]}], "document": {"title": ["18.2. Online Criticism and Shaming"]}, "links": {"html": "https://hypothes.is/a/ta_MuFVUEfGtxtNp3Cof9Q", "incontext": "https://hyp.is/ta_MuFVUEfGtxtNp3Cof9Q/social-media-ethics-automation.github.io/book/bsky/ch18_public_shaming/02_online_shaming.html", "json": "https://hypothes.is/api/annotations/ta_MuFVUEfGtxtNp3Cof9Q"}, "actions": [], "mentions": [], "user_info": {"display_name": "Ria Patil"}, "flagged": false, "hidden": false}, {"id": "cyq5IFVUEfGIkgtI3RVDtw", "created": "2026-05-21T20:34:22.229891+00:00", "updated": "2026-05-21T20:34:22.229891+00:00", "user": "acct:gvaldi@hypothes.is", "uri": "https://social-media-ethics-automation.github.io/book/bsky/ch18_public_shaming/07_bibliography.html", "text": "After reading this, I thought it was so interesting that shame activates the parasympathetic system instead of the sympathetic system. The parasympathetic system is the one responsible fort doing day to day things such as resting and digesting. This is because it helps manage your emotions by slowing down your heart rate. I thought the biology aspect was so interesting and I would love to learn more.", "tags": [], "group": "__world__", "moderation_status": "APPROVED", "permissions": {"read": ["group:__world__"], "admin": ["acct:gvaldi@hypothes.is"], "update": ["acct:gvaldi@hypothes.is"], "delete": ["acct:gvaldi@hypothes.is"]}, "target": [{"source": "https://social-media-ethics-automation.github.io/book/bsky/ch18_public_shaming/07_bibliography.html", "selector": [{"type": "RangeSelector", "endOffset": 25, "startOffset": 0, "endContainer": "/div[4]/div[1]/main[1]/div[2]/div[1]/article[1]/section[1]/div[1]/div[1]/div[1]/p[1]/hypothesis-highlight[2]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]", "startContainer": "/div[4]/div[1]/main[1]/div[2]/div[1]/article[1]/section[1]/div[1]/div[1]/div[1]/p[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]/hypothesis-highlight[1]"}, {"end": 9500, "type": "TextPositionSelector", "start": 9405}, {"type": "TextQuoteSelector", "exact": "Trauma and Shame. 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Bibliography"]}, "links": {"html": "https://hypothes.is/a/cyq5IFVUEfGIkgtI3RVDtw", "incontext": "https://hyp.is/cyq5IFVUEfGIkgtI3RVDtw/social-media-ethics-automation.github.io/book/bsky/ch18_public_shaming/07_bibliography.html", "json": "https://hypothes.is/api/annotations/cyq5IFVUEfGIkgtI3RVDtw"}, "actions": [], "mentions": [], "user_info": {"display_name": "Guadalupe Villasenor Valdivia"}, "flagged": false, "hidden": false}, {"id": "g7OsslVTEfGV1utI3SH_9Q", "created": "2026-05-21T20:27:40.473845+00:00", "updated": "2026-05-21T20:27:40.473845+00:00", "user": "acct:gvaldi@hypothes.is", "uri": "https://social-media-ethics-automation.github.io/book/bsky/ch18_public_shaming/03_perspectives_on_public_shaming.html", "text": "This kind of reminds me of one of the Ethics Frameworks that I have reviewed over time; Egoism. Egoism focuses on your own pleasure. An individual with Egoism Lifestyle may do things selfishly and in order to please only themselves. ", "tags": [], "group": "__world__", "moderation_status": "APPROVED", "permissions": {"read": ["group:__world__"], "admin": ["acct:gvaldi@hypothes.is"], "update": ["acct:gvaldi@hypothes.is"], "delete": ["acct:gvaldi@hypothes.is"]}, "target": [{"source": "https://social-media-ethics-automation.github.io/book/bsky/ch18_public_shaming/03_perspectives_on_public_shaming.html", "selector": [{"type": "RangeSelector", "endOffset": 1, "startOffset": 0, "endContainer": "/div[4]/div[1]/main[1]/div[2]/div[1]/article[1]/section[1]/section[2]/p[1]/hypothesis-highlight[3]", "startContainer": "/div[4]/div[1]/main[1]/div[2]/div[1]/article[1]/section[1]/section[2]/p[1]/hypothesis-highlight[1]"}, {"end": 11052, "type": "TextPositionSelector", "start": 10925}, {"type": "TextQuoteSelector", "exact": "Another way of considering public shaming is as schadenfreude, meaning the enjoyment obtained from the troubles of others [r8].", "prefix": "[r7]\n\n\n\n\n18.3.2. 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Maybe: \"The weighted totals in Table 18 summarize the weighted counts available for analysis in the default weekday workflow.\"?", "tags": [], "group": "__world__", "moderation_status": "APPROVED", "permissions": {"read": ["group:__world__"], "admin": ["acct:youmeRSG@hypothes.is"], "update": ["acct:youmeRSG@hypothes.is"], "delete": ["acct:youmeRSG@hypothes.is"]}, "target": [{"source": "https://rsginc.github.io/hts_dug-massdot_2024/", "selector": [{"type": "RangeSelector", "endOffset": 71, "startOffset": 0, "endContainer": "/div[1]/main[1]/section[5]/section[5]/p[3]", "startContainer": "/div[1]/main[1]/section[5]/section[5]/p[3]"}, {"end": 304159, "type": "TextPositionSelector", "start": 304088}, {"type": "TextQuoteSelector", "exact": "The standard totals in Table\u00a018 summarize the default weekday workflow.", "prefix": "ed totals by analysis level\n\n\n\n\n", "suffix": " Table\u00a019 summarizes the day-spe"}]}], "document": {"title": ["Massachusetts Travel Study Data User Guide"]}, "links": {"html": "https://hypothes.is/a/ix6mVlVSEfGigw_fPKt0GQ", "incontext": "https://hyp.is/ix6mVlVSEfGigw_fPKt0GQ/rsginc.github.io/hts_dug-massdot_2024/", "json": "https://hypothes.is/api/annotations/ix6mVlVSEfGigw_fPKt0GQ"}, "actions": [], "mentions": [], "user_info": {"display_name": null}, "flagged": false, "hidden": false}, {"id": "JMCt-lVSEfG1ooOOj-GBlw", "created": "2026-05-21T20:17:51.715457+00:00", "updated": "2026-05-21T20:17:51.715457+00:00", "user": "acct:youmeRSG@hypothes.is", "uri": "https://rsginc.github.io/hts_dug-massdot_2024/", "text": "Please add table # and caption/label", "tags": [], "group": "__world__", "moderation_status": "APPROVED", "permissions": {"read": ["group:__world__"], "admin": ["acct:youmeRSG@hypothes.is"], "update": ["acct:youmeRSG@hypothes.is"], "delete": ["acct:youmeRSG@hypothes.is"]}, "target": [{"source": "https://rsginc.github.io/hts_dug-massdot_2024/", "selector": [{"type": "RangeSelector", "endOffset": 12, "startOffset": 1, "endContainer": "/div[1]/main[1]/section[5]/section[4]/div[1]/div[1]/section[3]/p[4]", "startContainer": "/div[1]/main[1]/section[5]/section[4]/div[1]/div[1]/section[3]/p[4]"}, {"end": 282088, "type": "TextPositionSelector", "start": 282077}, {"type": "TextQuoteSelector", "exact": "Day-of-week", "prefix": "d in the day-of-week workflow.\n\n", "suffix": " trip adjustment factors by trip"}]}], "document": {"title": ["Massachusetts Travel Study Data User Guide"]}, "links": {"html": "https://hypothes.is/a/JMCt-lVSEfG1ooOOj-GBlw", "incontext": "https://hyp.is/JMCt-lVSEfG1ooOOj-GBlw/rsginc.github.io/hts_dug-massdot_2024/", "json": "https://hypothes.is/api/annotations/JMCt-lVSEfG1ooOOj-GBlw"}, "actions": [], "mentions": [], "user_info": {"display_name": null}, "flagged": false, "hidden": false}, {"id": "AooK9lVSEfGHJ5fYqG-MtQ", "created": "2026-05-21T20:16:54.318473+00:00", "updated": "2026-05-21T20:16:54.318473+00:00", "user": "acct:youmeRSG@hypothes.is", "uri": "https://rsginc.github.io/hts_dug-massdot_2024/", "text": "Please add table # and caption/label", "tags": [], "group": "__world__", "moderation_status": "APPROVED", "permissions": {"read": ["group:__world__"], "admin": ["acct:youmeRSG@hypothes.is"], "update": ["acct:youmeRSG@hypothes.is"], "delete": ["acct:youmeRSG@hypothes.is"]}, "target": [{"source": "https://rsginc.github.io/hts_dug-massdot_2024/", "selector": [{"type": "RangeSelector", "endOffset": 66, "startOffset": 58, "endContainer": "/div[1]/main[1]/section[5]/section[4]/div[1]/div[1]/section[2]/section[1]/p[5]", "startContainer": "/div[1]/main[1]/section[5]/section[4]/div[1]/div[1]/section[2]/section[1]/p[5]"}, {"end": 279453, "type": "TextPositionSelector", "start": 279445}, {"type": "TextQuoteSelector", "exact": "platform", "prefix": "adjustment by weekday and diary ", "suffix": ".\n\n\n\n\n\n\n\n\n\n\n\n\n\nDay\nDay type\nCall"}]}], "document": {"title": ["Massachusetts Travel Study Data User Guide"]}, "links": {"html": "https://hypothes.is/a/AooK9lVSEfGHJ5fYqG-MtQ", "incontext": "https://hyp.is/AooK9lVSEfGHJ5fYqG-MtQ/rsginc.github.io/hts_dug-massdot_2024/", "json": "https://hypothes.is/api/annotations/AooK9lVSEfGHJ5fYqG-MtQ"}, "actions": [], "mentions": [], "user_info": {"display_name": null}, "flagged": false, "hidden": false}, {"actions": [], "mentions": [], "moderation_status": "APPROVED", "id": "qMJG0lVREfGh4--_Cpd7ig", "created": "2026-05-21T20:14:23.690014+00:00", "updated": "2026-05-21T20:16:40.255354+00:00", "user": "acct:youmeRSG@hypothes.is", "uri": "https://rsginc.github.io/hts_dug-massdot_2024/", "text": "This figure seems out of place. It's very large, and it doesn't scroll at the same \"pace\" as the written text next to it, so it's hard to see the figure/flow to interpret it. It seems outsized -- could this be smaller? It also doesn't seem to have a caption/label. It also partially blocks the table \"Illustrative day-pattern adjustment by weekday and diary platform\"", "tags": [], "group": "__world__", "permissions": {"read": ["group:__world__"], "admin": ["acct:youmeRSG@hypothes.is"], "update": ["acct:youmeRSG@hypothes.is"], "delete": ["acct:youmeRSG@hypothes.is"]}, "target": [{"source": "https://rsginc.github.io/hts_dug-massdot_2024/", "selector": [{"type": "RangeSelector", "endOffset": 11, "startOffset": 7, "endContainer": "/div[1]/main[1]/section[5]/section[4]/div[1]/div[2]/div[1]/div[1]/div[1]/div[1]/div[1]/figure[1]/div[1]/svg[1]/g[1]/g[1]/g[4]/g[2]/g[1]/foreignobject[1]/div[1]/span[1]/p[1]", "startContainer": "/div[1]/main[1]/section[5]/section[4]/div[1]/div[2]/div[1]/div[1]/div[1]/div[1]/div[1]/figure[1]/div[1]/svg[1]/g[1]/g[1]/g[4]/g[2]/g[1]/foreignobject[1]/div[1]/span[1]/p[1]"}, {"end": 294205, "type": "TextPositionSelector", "start": 294201}, {"type": "TextQuoteSelector", "exact": "Data", "prefix": "ds, persons, days, trips)Target ", "suffix": "(ACS PUMS and project controls)H"}]}], "document": {"title": ["Massachusetts Travel Study Data User Guide"]}, "links": {"html": "https://hypothes.is/a/qMJG0lVREfGh4--_Cpd7ig", "incontext": "https://hyp.is/qMJG0lVREfGh4--_Cpd7ig/rsginc.github.io/hts_dug-massdot_2024/", "json": "https://hypothes.is/api/annotations/qMJG0lVREfGh4--_Cpd7ig"}, "user_info": {"display_name": null}, "flagged": false, "hidden": false}, {"id": "XaIuTFVREfGTPh9iBbQmqA", "created": "2026-05-21T20:12:17.665326+00:00", "updated": "2026-05-21T20:12:17.665326+00:00", "user": "acct:ashleyasmus@hypothes.is", "uri": "https://rsginc.github.io/hts_dug-massdot_2024/", "text": "Well this figure is embarrassing.", "tags": [], "group": "__world__", "moderation_status": "APPROVED", "permissions": {"read": ["group:__world__"], "admin": ["acct:ashleyasmus@hypothes.is"], "update": ["acct:ashleyasmus@hypothes.is"], "delete": ["acct:ashleyasmus@hypothes.is"]}, "target": [{"source": "https://rsginc.github.io/hts_dug-massdot_2024/", "selector": [{"type": "RangeSelector", "endOffset": 27, "startOffset": 1, "endContainer": "/div[1]/main[1]/section[12]/section[2]/section[2]/div[2]/div[1]/div[1]/figure[1]/figcaption[1]", "startContainer": "/div[1]/main[1]/section[12]/section[2]/section[2]/div[2]/div[1]/div[1]/figure[1]/figcaption[1]"}, {"end": 918535, "type": "TextPositionSelector", "start": 918509}, {"type": "TextQuoteSelector", "exact": "Figure\u00a011: Trip distance d", "prefix": "t2::element_blank()\n  )\n\n\n\n\n\n\n\n\n", "suffix": "istribution.\n\n\n\n\n\n\n\nHandle Outli"}]}], "document": {"title": ["Massachusetts Travel Study Data User Guide"]}, "links": {"html": "https://hypothes.is/a/XaIuTFVREfGTPh9iBbQmqA", "incontext": "https://hyp.is/XaIuTFVREfGTPh9iBbQmqA/rsginc.github.io/hts_dug-massdot_2024/", "json": "https://hypothes.is/api/annotations/XaIuTFVREfGTPh9iBbQmqA"}, "actions": [], "mentions": [], "user_info": {"display_name": null}, "flagged": false, "hidden": false}, {"id": "PtAx1lVQEfGwetv7wIqZ2Q", "created": "2026-05-21T20:04:16.401877+00:00", "updated": "2026-05-21T20:04:16.401877+00:00", "user": "acct:pyxelr@hypothes.is", "uri": "https://kevinkelly.substack.com/p/your-most-improbable-life", "text": "* **The Mathematics of Existence:** The probability of you being born exactly as you are is calculated to be roughly 1 in $$10^{2,685,000}$$\u2014a number so large that it is effectively zero, making your existence mathematically improbable.\n* **Ancestral Convergence:** Every individual is the result of an unbroken chain of millions of generations of ancestors who successfully reproduced, spanning back to the first single-celled organisms.\n* **Overcoming Historical Obstacles:** Your specific lineage survived ice ages, plagues, wars, famines, and countless near-miss accidents over billions of years.\n* **The Uniqueness of Your Consciousness:** Because the exact combination of genetic material, environmental factors, and historical events that created you will never happen again, your unique perspective and experience of the universe are irreplaceable.\n* **A Rational Source of Gratitude:** Understanding these staggering odds provides a secular, logic-based foundation for immense gratitude, showing that life is a statistical miracle without needing a religious framework.\n\n## [Hacker News Discussion](https://news.ycombinator.com/item?id=48183167)\n\n* **Anthropic Principle Bias:** Several commenters noted that calculating post-hoc probabilities is misleading; while the chance of a *specific* person existing is low, the probability that *someone* would exist to contemplate it is 100%.\n* **The \"Deck of Cards\" Analogy:** Users compared existence to shuffling a deck of cards\u2014any specific sequence of 52 cards is incredibly improbable (1 in $$52!$$), yet every time you shuffle, a unique and highly unlikely arrangement occurs.\n* **Critique of Large Numbers:** Some users argued that multiplying probabilities back to the Big Bang inflates the sense of meaning artificially, noting that the same logic applies to a specific pebble on a beach or a piece of dust.\n* **Philosophical Value vs. Mathematical Rigor:** Despite the mathematical critiques, many readers defended the essay, stating its true value lies in its poetic reminder to practice mindfulness, appreciate being alive, and not take existence for granted.", "tags": ["philosophy", "life"], "group": "__world__", "moderation_status": "APPROVED", "permissions": {"read": ["group:__world__"], "admin": ["acct:pyxelr@hypothes.is"], "update": ["acct:pyxelr@hypothes.is"], "delete": ["acct:pyxelr@hypothes.is"]}, "target": [{"source": "https://kevinkelly.substack.com/p/your-most-improbable-life", "selector": [{"type": "RangeSelector", "endOffset": 25, "startOffset": 0, "endContainer": "/div[1]/div[1]/div[2]/div[1]/div[1]/div[1]/div[1]/article[1]/div[1]/h1[1]", "startContainer": "/div[1]/div[1]/div[2]/div[1]/div[1]/div[1]/div[1]/article[1]/div[1]/h1[1]"}, {"end": 3714, "type": "TextPositionSelector", "start": 3689}, {"type": "TextQuoteSelector", "exact": "Your Most Improbable Life", "prefix": "on\",\"userInteractionCount\":19}]}", "suffix": "Kevin KellyMay 18, 20262071947Sh"}]}], "document": {"title": ["Your Most Improbable Life"]}, "links": {"html": "https://hypothes.is/a/PtAx1lVQEfGwetv7wIqZ2Q", "incontext": "https://hyp.is/PtAx1lVQEfGwetv7wIqZ2Q/kevinkelly.substack.com/p/your-most-improbable-life", "json": "https://hypothes.is/api/annotations/PtAx1lVQEfGwetv7wIqZ2Q"}, "actions": [], "mentions": [], "user_info": {"display_name": "Pawe\u0142 Cis\u0142o"}, "flagged": false, "hidden": false}, {"id": "jQ1e-FVNEfGXXbszZoViMA", "created": "2026-05-21T19:44:59.221730+00:00", "updated": "2026-05-21T19:44:59.221730+00:00", "user": "acct:youmeRSG@hypothes.is", "uri": "https://rsginc.github.io/hts_dug-massdot_2024/", "text": "Change to \"Same as standard weighting\" to be consistent with rest of table", "tags": [], "group": "__world__", "moderation_status": "APPROVED", "permissions": {"read": ["group:__world__"], "admin": ["acct:youmeRSG@hypothes.is"], "update": ["acct:youmeRSG@hypothes.is"], "delete": ["acct:youmeRSG@hypothes.is"]}, "target": [{"source": "https://rsginc.github.io/hts_dug-massdot_2024/", "selector": [{"type": "RangeSelector", "endOffset": 22, "startOffset": 0, "endContainer": "/div[1]/main[1]/section[5]/section[3]/section[4]/div[2]/figure[1]/div[1]/table[1]/tbody[1]/tr[8]/td[3]", "startContainer": "/div[1]/main[1]/section[5]/section[3]/section[4]/div[2]/figure[1]/div[1]/table[1]/tbody[1]/tr[8]/td[3]"}, {"end": 270557, "type": "TextPositionSelector", "start": 270535}, {"type": "TextQuoteSelector", "exact": "Hispanic; Non-Hispanic", "prefix": "thnicity\nHispanic; Non-Hispanic\n", "suffix": "\n\n\nTotal persons\nTotal persons b"}]}], "document": {"title": ["Massachusetts Travel Study Data User Guide"]}, "links": {"html": "https://hypothes.is/a/jQ1e-FVNEfGXXbszZoViMA", "incontext": "https://hyp.is/jQ1e-FVNEfGXXbszZoViMA/rsginc.github.io/hts_dug-massdot_2024/", "json": "https://hypothes.is/api/annotations/jQ1e-FVNEfGXXbszZoViMA"}, "actions": [], "mentions": [], "user_info": {"display_name": null}, "flagged": false, "hidden": false}, {"id": "i8G5GFVNEfGzE4sNwirG2w", "created": "2026-05-21T19:44:56.870374+00:00", "updated": "2026-05-21T19:44:56.870374+00:00", "user": "acct:pyxelr@hypothes.is", "uri": "https://www.youtube.com/watch?v=tdSlXNydDB4", "text": "* **Demokratyzacja medycyny d\u0142ugowieczno\u015bci (Longevity):** Cho\u0107 temat longevity kojarzy si\u0119 z milionerami pokroju Briana Johnsona i wielkimi nak\u0142adami finansowymi, jego fundamentalne filary s\u0105 bezp\u0142atne lub bardzo niskokosztowe. Istot\u0105 jest zmiana filozofii \u017cyciowej i traktowanie zdrowia jako kapita\u0142u, kt\u00f3ry buduje si\u0119 latami, a nie jedynie jako braku zdiagnozowanej jednostki chorobowej [00:02:17], [00:02:25].\n* **Przej\u015bcie od Medycyny 2.0 do Medycyny 3.0:** Wsp\u00f3\u0142czesna medycyna konwencjonalna (2.0) uczy lekarzy bycia \u201emened\u017cerami chor\u00f3b\u201d \u2013 pacjent zg\u0142asza si\u0119 z objawami i otrzymuje leczenie maj\u0105ce je zaleczy\u0107. Medycyna d\u0142ugowieczno\u015bci (3.0), spopularyzowana m.in. przez Petera Ati\u0119, dzia\u0142a o krok przed chorob\u0105. Skupia si\u0119 na wczesnej detekcji indywidualnych ryzyk oraz optymalizacji parametr\u00f3w, zanim dojdzie do patologii [00:03:59], [00:04:17], [00:06:27].\n* **Lifespan kontra Health Span:** Medycyna konwencjonalna skutecznie wyd\u0142u\u017cy\u0142a ca\u0142kowit\u0105 d\u0142ugo\u015b\u0107 \u017cycia (*lifespan*), jednak nie prze\u0142o\u017cy\u0142a si\u0119 na wyd\u0142u\u017cenie \u017cycia w zdrowiu (*health span*). Statystyczny Polak ostatnie 10-15 lat sp\u0119dza zmagaj\u0105c si\u0119 z chorobami przewlek\u0142ymi i przyjmuj\u0105c liczne leki. Celem longevity jest skr\u00f3cenie tego okresu chorobowego i przesuni\u0119cie szczytowej formy \u017cyciowej nawet powy\u017cej 60. roku \u017cycia [00:05:00], [00:05:48], [00:58:04].\n* **Nowe podej\u015bcie do norm laboratoryjnych:** Zamiast zero-jedynkowego patrzenia na wyniki (zdrowy vs. chory po przekroczeniu sztywnej granicy), medycyna 3.0 d\u0105\u017cy do wyznaczania norm optymalnych i indywidualnych trend\u00f3w. Przyk\u0142adowo, wynik hemoglobiny glikowanej w tzw. szarej strefie (np. 5,7%) ju\u017c jest sygna\u0142em do dzia\u0142ania w kierunku insulinooporno\u015bci, a docelowy poziom cholesterolu LDL powinien by\u0107 dobierany \u015bci\u015ble do osobistego ryzyka sercowo-naczyniowego pacjenta [00:11:10], [00:12:43], [00:13:46].\n* **Kompleksowa wizyta i wywiad w medycynie 3.0:** Konsultacja u lekarza medycyny stylu \u017cycia trwa znacznie d\u0142u\u017cej ni\u017c standardowe 15 minut (cz\u0119sto oko\u0142o godziny). Obejmuje niezwykle szczeg\u00f3\u0142owe pytania o histori\u0119 rodzinn\u0105, jako\u015b\u0107 i czas snu, relacje, libido, ekspozycj\u0119 na stres, nawyki \u017cywieniowe oraz metody radzenia sobie z napi\u0119ciem psychicznym, co pozwala stworzy\u0107 sp\u00f3jny obraz pacjenta [00:15:08], [00:15:15].\n* **Kluczowy panel bada\u0144 diagnostycznych:** * *Metabolizm i stan zapalny:* ocena glikemii, hemoglobiny glikowanej, kwasu moczowego (marker stresu oksydacyjnego) oraz morfologii i bia\u0142ka HSCRP [00:17:56], [00:18:27].\n    * *Zaawansowany lipidogram:* standardowy profil rozszerza si\u0119 o apolipoprotein\u0119 B (ApoB) oraz lipoprotein\u0119 a (Lp(a)), kt\u00f3ra wskazuje na genetyczne uwarunkowania ryzyka blaszki mia\u017cd\u017cycowej [00:18:09], [00:18:17].\n    * *Podstawowe narz\u0105dy:* parametry w\u0105trobowe oraz kreatynina do oceny pracy nerek [00:18:54].\n* **Polisa ubezpieczeniowa na \u017cycie \u2013 Mi\u0119\u015bnie i VO2 Max:** Sk\u0142ad cia\u0142a i wydolno\u015b\u0107 to najsilniejsze predyktory zdrowego starzenia. Najwa\u017cniejszymi wska\u017anikami s\u0105 wysoka masa mi\u0119\u015bniowa oraz wysoki pu\u0142ap tlenowy (VO2 max). Z kolei najwi\u0119kszym ukrytym wrogiem jest tkanka t\u0142uszczowa trzewna (otaczaj\u0105ca narz\u0105dy wewn\u0119trzne), kt\u00f3ra wywo\u0142uje gro\u017any, przewlek\u0142y stan zapalny i psuje metabolizm, b\u0119d\u0105c niewidoczn\u0105 nawet u os\u00f3b szczup\u0142ych i wysportowanych [00:19:22], [00:19:41], [00:21:13].\n* **Metody oceny sk\u0142adu cia\u0142a, snu i genetyki:** W diagnostyce sk\u0142adu cia\u0142a bardzo ceniona jest densytometria (DXA), precyzyjnie pokazuj\u0105ca roz\u0142o\u017cenie tkanek i g\u0119sto\u015b\u0107 ko\u015bci, a pomocniczo bioimpedancja. Do zaawansowanej oceny snu i wykluczenia bezdech\u00f3w sennych stosuje si\u0119 poligrafi\u0119 lub polisomnografi\u0119. Badania genetyczne (np. w kierunku Alzheimera czy nowotwor\u00f3w) s\u0105 cenne, ale traktowane opcjonalnie \u2013 geny nie s\u0105 ostatecznym wyrokiem, a styl \u017cycia zachowuje ogromn\u0105 sprawczo\u015b\u0107 [00:19:58], [00:20:30], [00:32:14], [00:35:11].\n* **Zarz\u0105dzanie stresem, uk\u0142ad autonomiczny i wska\u017anik HRV:** * Przewlek\u0142y stres i stale podwy\u017cszony kortyzol niszcz\u0105 gospodark\u0119 hormonaln\u0105, prowadz\u0105 do insulinooporno\u015bci oraz u\u0142atwiaj\u0105 odk\u0142adanie t\u0142uszczu trzewnego [00:29:48], [00:30:12].\n    * Narz\u0119dziem monitoruj\u0105cym ten stan jest HRV (zmienno\u015b\u0107 rytmu serca). Wysoka zmienno\u015b\u0107 oznacza dominacj\u0119 regeneracyjnego uk\u0142adu przywsp\u00f3\u0142czulnego i dobr\u0105 elastyczno\u015b\u0107 organizmu [00:25:31], [00:26:35]. \n    * Uk\u0142ad wsp\u00f3\u0142czulny (\u201ewalka i ucieczka\u201d) dominuje w ci\u0105gu dnia, ale w nocy i w momentach odpoczynku stery musi przej\u0105\u0107 uk\u0142ad przywsp\u00f3\u0142czulny. Mo\u017cna go aktywowa\u0107 poprzez mikrowyciszenia, spacery oraz \u0107wiczenia oddechowe, kt\u00f3re mechanicznie i biochemicznie stymuluj\u0105 nerw b\u0142\u0119dny [00:23:00], [00:23:30], [00:24:44].\n* **Ruch, mikronawyki i unikanie \u201epandemii siedzenia\u201d:** Og\u00f3lne wytyczne m\u00f3wi\u0105 o 150 minutach umiarkowanego wysi\u0142ku tlenowego, dw\u00f3ch treningach si\u0142owych i \u0107wiczeniach na balans tygodniowo. Jednak dla os\u00f3b prowadz\u0105cych skrajnie siedz\u0105cy tryb \u017cycia narzucenie re\u017cimu nie dzia\u0142a. Kluczem jest spontaniczna aktywno\u015b\u0107 pozatreningowa (NEAT) i wdra\u017canie mikronawyk\u00f3w: parkowanie dalej od biura, wybieranie schod\u00f3w zamiast windy, rozmawianie przez telefon w trakcie marszu czy robienie regularnych przerw od komputera [00:50:10], [00:50:44], [00:51:30], [00:52:04].\n* **Harmonia fundament\u00f3w i pu\u0142apka ekstremizmu sportowego:** Skupianie si\u0119 wy\u0142\u0105cznie na jednym elemencie (np. bycie radyka\u0142em dietetycznym przy braku ruchu lub forsowanie ci\u0119\u017ckich trening\u00f3w przy jednoczesnym braku snu) niszczy zdrowie. Przyk\u0142adem s\u0105 odnosz\u0105cy sukcesy biznesmeni i triatloni\u015bci po czterdziestce, kt\u00f3rzy forsuj\u0105c organizm ponad si\u0142y, wpadaj\u0105 w bezsenno\u015b\u0107, maj\u0105 ekstremalnie wysoki kortyzol i rozwijaj\u0105 choroby serca przez ca\u0142kowite zignorowanie regeneracji [00:54:25], [00:55:15], [00:55:42].\n* **Zegary biologiczne i epigenetyka:** W medycynie longevity stosuje si\u0119 algorytmy obliczaj\u0105ce wiek metaboliczny czy wiek serca. Najbardziej zaawansowane i obiecuj\u0105ce naukowo s\u0105 jednak zegary epigenetyczne (np. *DunedinPACE*), kt\u00f3re badaj\u0105 tempo starzenia si\u0119 kom\u00f3rek na poziomie DNA. Wynik poni\u017cej 1 oznacza, \u017ce organizm starzeje si\u0119 wolniej ni\u017c up\u0142ywaj\u0105cy czas kalendarzowy. 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