- Nov 2024
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www.youtube.com www.youtube.com
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if you built buildings you'll know that what's worse a dysfunctional seven stage or dysfunctional first stage it's all the footings it's all the foundations
for - developmental journey - building metaphor - most important problem to fix is foundational - first level problems - John Churchill
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- Oct 2024
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www.youtube.com www.youtube.com
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Ultrahuman has some interesting other gadgets for optimizing one's health and life. Worth looking into later when I live on my own and have enough income.
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darkhorsepressnow.com darkhorsepressnow.com
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Gugliano said, so she found Gregg competent to stand trial
WTF? So "can remember facts" and "no concerning memory lapses", to you, equals capacity for doing rational thought? What fucking half-ass clinical protocol are you following? You're a murderer
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blackouts, she said she thought that was what had happened during the incident
Exactly what would be expected in PD. When anxiety or anxiety triggers occur, this is when decoupling is happening. Reality processing > alogia and dissociation > full personality dissociative splitting
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www.sciencealert.com www.sciencealert.com
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patient can keep producing insulin naturally in the coming years, s
DUDE...Fucking B cell depletion CAR T therapy to cure the autoimmune disease. Autologous stem cells to regenerate the organ.
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Two and a half months later, the woman's lifelong dependence on injected insulin came to an end – completely reversing her long-term, hard-to-control diabetes.
HOLY SHIT
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www.technologynetworks.com www.technologynetworks.com
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reversal of inflammation and fibrosis
Reversal of fibrosis. .... REVERSAL
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achieved complete B-cell depletion, including B cells implicated in the pathophysiology of their autoimmune disorders.
WOW..... That's a cure to AA disease.
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scitechdaily.com scitechdaily.com
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the formation of specialized vesicles
BOOM.... THESE ARE COVID MICRO VESSICLES.. THEY COULD CONTAIN ANY COMPONENT OR COMPLETE VIRIONS OF COVID
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www.merckmanuals.com www.merckmanuals.com
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Rarely, vigorous exercise triggers a widespread, potentially severe allergic (anaphylactic) reaction. In some people, this reaction occurs only if they eat a specific food (especially wheat or shrimp) before exercising. Breathing becomes difficult or blood pressure falls, leading to dizziness and collapse. An anaphylactic reaction can be life threatening.
Interesting. ..... Exactly what happened to me
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www.nature.com www.nature.com
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Iron is a potential therapeutic target for IRI (Fig. 4). Clinical studies have shown that children with following severe ischemic-anoxic insult have significantly increased iron levels in multiple areas of the brain
VERY IMPORTANT
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medicalxpress.com medicalxpress.com
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Probably the long-term health effects we see in people who are supposed to be recovered from an acute infection are actually due to persistence of virus
Does the IFN cell metabolism/protein synthesis shut down switch actually aid in the concealment of virus, ESPECIALLY for viruses that produce a stage 1 expression Exploit to deactivate host intracellular viral sensing and antigen presenting proteins to avoid early phase detection and slip into the nucleus, vesicles, or other niches where they hide, secreting low levels of vital protein which triggers chronic IFN response, but hinders antigen presentation and does not present a strongly overt enough cell takeover, which is sided by supression by the chronic IFN expression, to allow extracellular IGs or WBCs to detect and eradicate it. In fact WBCs are continuously chemotaxis-ly signaled to infiltrate, but they only mill around unable to find the offending signal source and shut it down.
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Once the infected immune cells were eliminated, the signs of damage diminished
VERY IMPORTANT
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en.wikipedia.org en.wikipedia.org
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destroys RNA within the cells to further reduce protein synthesis of both viral and host genes.
SEE ABOVE
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to reduce protein synthesis within the cell
FATIGUE. ORGAN DYSFUNCTION.
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Monocytes and macrophages can also produce large amounts of type I interferons when stimulated by viral molecular patterns
VERY IMPORTANT
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en.wikipedia.org en.wikipedia.org
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fibroblast growth factors and vascular endothelial growth factors stimulate blood vessel
Fibrosis, VEGF... Does VEGF activate endothelial dysfunction?
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- Sep 2024
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en.wikipedia.org en.wikipedia.org
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HSV-1 tends to reside in the trigeminal ganglia,
Excuse me??? What???
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jbiomedsci.biomedcentral.com jbiomedsci.biomedcentral.com
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hypoxia also inhibits chicken ovalbumin upstream
This mean HIF down regulates albumin? This would mean loss of glycocalyx and blood cleanup and protection by albumin
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Treatment with inhibitors of TGF β1 receptor and ANTXR2 significantly attenuates hypoxia-induced cell adhesio
BOOM. TGF B TREATMENT
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Hypoxia is common at the beginning
AT THE BEGINNING.....THE BEGINNING
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initiation of hypoxia is one of the main causes of AKI
...and nobody said anything. Nobody said AKI. Nobody said microvascular risk
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rapid failure of kidney function, usually caused by decreased blood flow
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capacity of Hif-1 to downregulate fatty acid β-oxidation
.....hence Keto's surprising efficacy.
FURTHER, IF THAT'S TRUE, KETO IS A TREATMENT FOR "INDUCED HYPOXIC" CHRONIC INFLAMMATORY DISEASES. And also gives causative explanation to my improvement, albeit arduous, while keto dieting.
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overexpressing Hif-1α in adipocytes have elevated obesity and insulin resistance associated with increased inflammation and fibrosis
DUDE
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Hypoxia alters several key metabolic processes including glucose uptake, glycolysis, oxidative metabolism, lipolysis, and lipogenesis in adipocytes.
BOOM
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leptin, visfatin, apelin, TNF-α, IL-1, IL-6, VEGF, MMP2, MMP9, angiopoietin-like protein-4, macrophage migration inhibitory factor, and PAI-1 expression
DUDE!
And PAI-1
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show that HIF-1α and HIF-2α inhibit insulin signaling
IMPORTANT
Wow.
This may be why keto is so effective, particularly in people who have tried and failed with many prior diets, because keto is the only non drug way to overcome HIF.
FURTHER, this very strongly explains why obese people are do dam SOB...and why (and offering a profound demonstration of causative relationship: inflammation-hypoxia (fitness/fatness)-blood flow-acidosis-(smoking/alcohol)-deatj/cancer/fibrosis/degenerative disease) they die so early
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ccforum.biomedcentral.com ccforum.biomedcentral.com
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inhibition of proteolytic enzymes
Really?
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www.ahajournals.org www.ahajournals.org
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pronounced circadian variation in PAI-1 plasma levels with the highest concentration present in the morning a
Another mechanism explaining sleep inertia
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diapharma.com diapharma.com
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Rapid fluctuations in t-PA concentration can be observed in response to exercise, venous occlusion, alcohol and drugs
Very interesting
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The opposite effect is observed in the presence of anions, in particular with Cl-, which stabilizes the closed form of Glu-plasminogen rendering plasminogen poorly activatable.
So acidosis is preventing plasminogen from activating
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en.wikipedia.org en.wikipedia.org
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point-of-care ultrasound can be used to measure optic nerve sheath diameter for detection of increased intracranial pressure
TEST METHOD
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thejns.org thejns.org
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Unless specific tests are used to detect hypoperfusion (transcranial Doppler, perfusion CT, or direct cerebral blood flow measurement) it will go unnoticed, low PbtO2 will be deemed unreliable, or no causes will be identified
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Awakening was in fact reported as the cause of low PbtO
IMPORTANT
This provides mechanism explanation for SLEEP INERTIA.
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it must be realized that PaO2 required for a few days after brain injury to overcome a diffusion barrier is probably higher than 100 mm Hg. 20,24
IMPORTANT
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Diffusion of oxygen from the capillary to the neuron is actually the rate-limiting step of oxygen delivery 22
IMPORTANT
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en.wikipedia.org en.wikipedia.org
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switch from carbohydrate metabolism to lipid metabolism for cellular energy supply.[30][31][32] This metabolic switch limits anaerobic metabolism and the formation of lactate, a herald of poor prognosis and multi-organ failure (MOF) after I/R injury. In addition, the increase in lipid metabolism generates ketone bodies and activates peroxisome proliferating-activated receptors (PPARs), both of which have been shown to be protective against I/R injury
BOOM. KETO and KETO AS AGING TREATMENT.
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resulting in mitochondrial dysfunction and collapse. Upon collapse, the calcium is then released to overwhelm the next mitochondria in a cascading series of events that cause mitochondrial energy production supporting the cell to be reduced or stopped completely
Wow.. Widespread mitochondrial death. This explains the need for necessary recovery period for mitochondria to be reproduced. Also makes clear an obvious mechanism why aerobic training, which increases mitochondria numbers, substantially increases aerobic endurance & speed, reduction in both ROS and Lactic Acidosis, thus pain, disease, and early death.
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Hypothermia has been shown to help moderate intracranial pressure and therefore to minimize the harmful effect of a patient's inflammatory immune responses
TREATMENT OF INTRACRANIAL PRESSURE
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hypothermia
TREATMENT
A reoccurring theme. The importance of temperature effect and control..
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FMN loss by complex I and I/R injury can be alleviated by the administration of FMN precursor, riboflavin
RIBOFLAVIN TREATMENT for cerebral hypoxia
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brain ischemia/reperfusion injury is mediated via complex I redox-dependent inactivation.[5] It was found that lack of oxygen leads to conditions in which mitochondrial complex I loses its natural cofactor, flavin mononucleotide (FMN) and become inactive.[6] When oxygen is present the enzyme catalyzes a physiological reaction of NADH oxidation by ubiquinone, supplying electrons downstream of the respiratory chain (complexes III and IV). Ischemia leads to dramatic increase of succinate level.[7] In the presence of succinate mitochondria catalyze reverse electron transfer so that fraction of electrons from succinate is directed upstream to FMN of complex I.[8] Reverse electron transfer results in a reduction of complex I FMN, increased generation of ROS, followed by a loss of the reduced cofactor (FMNH2) and impairment of mitochondria energy production.[8]
There's the observed metabolic "mitochondrial" disorder seen in LC
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Repeated bouts of ischemia and reperfusion injury also are thought to be a factor leading to the formation and failure to heal
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major part in the biochemistry of hypoxic brain injury in stroke
BOOM
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White blood cells may also bind to the endothelium of small capillaries, obstructing them and leading to more ischemia.[2]
Boom
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oxygen within cells that damages cellular proteins, DNA, and the plasma membrane.
High ANA
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. White blood cells, carried to the area by the newly returning blood, release a host of inflammatory factors such as interleukins as well as free radicals in response to tissue damage.[2
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often associated with microvascular injury, particularly due to increased permeability of capillaries and arterioles that lead to an increase of diffusion and fluid filtration across the tissues
Boom.
Be thinking also then: * Cerebral edema * Joint swelling * DOMS
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en.wikipedia.org en.wikipedia.org
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but antioxidant drugs, control of blood glucose levels, and hemodilution (thinning of the blood) coupled with drug-induced hypertension are some treatment techniques currently under investigation
Exactly what I'm trying to do. Appears many others understand its logic too
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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promotes calcium influx through N-methyl-D-aspartate (NMDA) receptors. Calcium influx exacerbates neuronal injury by activating lytic enzymes, precipitating free radical formation, and interfering with mitochondrial function.
Why NMDA antagonists are standard of care treatment option for acidosis.
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contributes to intracellular sodium accumulation and cytotoxic edema
Acidosis would both exacerbate this or mimic this.. Accumulation of Na+ causes overly sustained membrane voltage switch (depolarization) and excitotoxic high pulse rate firing off action potential. Acidosis [e.g. Lactic] is accumulation of H+ resulting in the same depolarization effect.
Said another way, cerebral acidosis results in the same pathology as starving the brain of oxygen.
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krisnova.net krisnova.net
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However it has robbed us of the most critical dialogue, our dialogue with ourselves.
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en.wikipedia.org en.wikipedia.org
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such as aminocaproic acid (ε-aminocaproic acid) and tranexamic acid are used as inhibitors of fibrinolysis
Is acidosis in general directly anti fibrinolytic and enzymatically inhibitive?
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en.wikipedia.org en.wikipedia.org
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Angiotensin II increases the synthesis of plasminogen activator inhibitor-
IMPORTANT TREATMENT So just as ACE2 Inhibitors are cute treatment for Acidosis, they are compoundingly critical for PAI reduction.
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PAI-1 can also be a component of the senescence-associated secretory phenotype (SASP).[8]
VERY IMPORTANT. ....See the linked Wikipedia SASP article
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en.wikipedia.org en.wikipedia.org
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inhibiting mTORC1, rapamycin reduces SASP production by senescent cells.[67]
Treatment
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For this reason, senolytic therapy has been proposed as a generalized treatment for these and many other diseases.[2] The flavonoid apigenin has been shown to strongly inhibit SASP production.[5
Senolytic therapy. .... Make it a priority
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In fact, SASP from senescent cells is associated with many aging-associated diseases
Like I said
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Despite the fact that cellular senescence likely evolved as a means of protecting against cancer early in life, SASP promotes the development of late-life
... Late life death acceleration
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SASP cytokines can result in an inflamed stem cell niche, leading to stem cell exhaustion and impaired stem cell function.[36]
JESUS.... So now it also shuts down repair and rescue. Racing to aging
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accumulation of unfolded proteins, resulting in proteotoxic impairment of cell function
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SASP factors from senescent cells reduce nicotinamide adenine dinucleotide (NAD+) in non-senescent cells,[
We'll, bring the hypoxia, there's the explanation for your "metabolic disorder" you think COVID is.
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Transforming growth factor beta family members secreted by senescent cells impede differentiation
Like my station....which is a TGF!
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SASP disrupts normal tissue function by producing chronic inflammation, induction of fibrosis and inhibition of stem cells.[4
FUCKKKKKKKKKKKK
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SASP factors induce insulin resistance.[
JESUS CHRIST
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which is why senescent cells consisting of only 2% or 3% of tissue cells can be a major cause of aging-associated diseases.
Jesus Christ
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cGAS is essential for induction of cellular senescence
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upregulating SASP by induction of interferon type I.[
IFN inactivates cells. Therefore viruses inactivate cells. CD4 T (helper) cells therefore love to inactivate cells. Cytokines therefore inactivate cells. Immune response cells thus inactivate cells. ROS, inflammation, hypoxia, therefore inactivate cells.
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Soluble urokinase plasminogen activator surface receptor is part of SASP, and has been used to identify senescent cells for senolytic therapy.[5] In
Consider.... profound link between senescence and aging
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en.wikipedia.org en.wikipedia.org
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inhibits M-CDKs which are a key component of progression into mitosis.
Is this kind of mechanism the cause behind the high levels of exhausted T cells?
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the process of reconsolidation, in contrast, is DSB-dependent.
...Rhyanna.
Pay attention
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Stimulation of neuronal activity, as previously mentioned in IEG expression, is another mechanism through which DSBs are generated.
So.... Brain nerve stimulation increases learning and memory ability, memory formation and retrieval, and adaptive cognitive plasticity
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can change gene function or regulation of gene expression and possibly contribute to progression to cancer.
Read all of this. Above and below. Monumentally important.
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www.sciencedirect.com www.sciencedirect.com
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The hallmarks of mitochondrial disease are almost always multisystem involvement and unambiguous lactate acidemia or acidosis.
Yup. Um, like Long COVID (CFS, fm, pvs, etc)
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Any inborn error of metabolism that involves the tightly coupled and regulated process of mitochondrial energy metabolism may have profound effects on health and disease, because oxidative phosphorylation is the process by which we convert nutrients into energy
therefore, anyone with a perfusion hypoxia disorder
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by administration of inotropic agents.
This is a benefit of dextroamphetamine sulfate and stimulants. .... And no wonder why body chronically elevates HR/stroke force/BP as the most fundamental response to a hypoxic inducing condition....no shit that patients display so called "POTS" with elevated HR on either exertion or standing (aka exertion).
FURTHER, clinicians should AUTOMATICALLY AS DIAGNOSTICS 101, if HR and BP are elevated, especially if no history of CVD, the body is SCREAMING TO YOU THE PROBLEM....I HAVE A BLOOD OXYGEN DELIVERY PROBLEM.
And treating with long term superficial "symptom management" treatment that shuts down the bodies adaptive compensating mechanisms are deadly and unacceptably foolish, and QOL destroying.
Adding: Additionally, if a sleepiness patient has high glucose, or more importantly, is getting really sleepy every time they eat, you must IMMEDIATELY PRESUME lactic acidosis causing disorder. .... Is this why going keto is initially so hard for me? Because I'm piling on acid, have high gluconeogenesis, and have to wait to adaptability turn on ketone metabolism and turn off gluconeogenesis. And why going keto causes noticable improvement to sleepiness?
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type A lactic acidosis can become self-perpetuating unless vigorous measures are undertaken to reverse the disturbance and treat the underlying cause.
Boom
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prompt diagnosis and correction of the underlying disease state are crucial.
Malpractice
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tissue perfusion
Therefore, if PERFUSION is bad, blood BLOOD tests are muted and inconclusive. Further, and CRITICALLY DANGEROUS, in perfusion disorder, any noticeable changes in blood tests mean the problem in the tissues and organs are MUCH MORE SEVERE.
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www.youtube.com www.youtube.com
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I think it's really important for us to develop a science of that like CR like critically important
for - answer - Micheal Levin - adjacency - hyperobject - cognitive light cone - critically important to develop a science of this
adjacency - between - multi scale competency architecture - cognitive light cone - hyperobject - awakening / enlightenment - adjacency relationship - At every stage of the multi scale competency architecture, - the living entities at a particular stage may maintain - feedback and - feedforward signals - with any - higher or - lower level systems. - Human INTERbeCOMings and other consciousness are no different - We exist at one level but are both - composed of lower level living parts and - compose larger social superorganism - Indeed, the spiritual acts variously described as - awakening - enlightenment - can be interpreted as transcending level cognitive light cone
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Rufus-scheduler (out of the box) is an in-process, in-memory scheduler. It uses threads. It does not persist your schedules. When the process is gone and the scheduler instance with it, the schedules are gone.
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en.wikipedia.org en.wikipedia.org
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When the blood flow decreases so does the destruction of aldosterone by liver enzymes
Micro thrombosis would cause aldosterone buildup....and liver dysfunction, eg ammonia buildup, blood toxins buildup, brain swelling and neurotoxic dysfunction
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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jaundice, pruritus, gastrointestinal bleeding, coagulopathy, increased abdominal girth, renal failure, and changes in mental status
Every....single....one
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www.ribbonfarm.com www.ribbonfarm.com
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Mediocrity is not about what will satisfy performance requirements, but about what you can get away with. This brings us to agency.
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www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
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A conspiracy theory is an explanation of an event or circumstance that accuses powerful actors of working in secret for their own benefit, against the common good, and in a way that undermines bedrock societal norms, rules, or laws
meaning of conspiracy theory
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www.omsmeasure.com www.omsmeasure.com
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“Accuracy” indicates the closeness of a measurement to the true value but it cannot be quantified because it is not possible to know the true value.
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- Aug 2024
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these.nicolassauret.net these.nicolassauret.net
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la « ruine » dans la pensée de Walter Benjamin. La ruine est cet éclat d’idée, susceptible de vérité lorsqu’elle s’entrechoque dans un éclair avec une autre ruine. Cette conception mystique du fragment et de l’association est inspirante pour envisager avec Benjamin un régime de vérité alternatif fonctionnant sur l’allégorie et l’évocation, révélées dès lors que les ruines s’agencent en « constellation »
constellation et ruine : régime de vérité associative
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Jean-Claude Guédon introduit le concept de « cristal de connaissance », une forme éditoriale dynamique et éphémère, résultant de l’agrégation de formes courtes.
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www.youtube.com www.youtube.com
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the words know thyself were carved above the entrance of the temple temple of apollo in delphi and stand as such at the dawn of western civilization and i would suggest that at this hour of our civilization this recognition of the essential nature of our self and therefore the recognition of the essential nature of all people all animals and all things has perhaps never been more important than it is now
for - quote - know thyself - recognizing our true nature - has never been more important than at this hour of our civilization - Rupert Spira - Deep Humanity - know thyself - rekindling wonder - awakening to our true nature - Rupert Spira
quote - know thyself - recognizing our true nature - has never been more important than at this hour of our civilization - Rupert Spira - (see below) - The words "know thyself" were carved above the entrance of the temple temple of apollo in delphi and stand as such at the dawn of western civilization and - I would suggest that at this hour of our civilization, - this recognition of the essential nature of our self and therefore - the recognition of the essential nature of - all people - all animals and - all things - has perhaps never been more important than it is now
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www.youtube.com www.youtube.com
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Avram Lincoln said I don't like this man I have to get to know him better because getting other people into your perspective
for - neuroscience - perspectival knowing - why it's important to know other perspectives - perspectival knowing - Abraham Lincoln quote - I don't know that man - I better get to know his perspective
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researchportal.hkr.se researchportal.hkr.se
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Later on, he engages with a girl, Marzia, himself butthroughout the novel she is more of a means to engage in talk about it with Oliver, distracthimself from him, and fantasize about him through her. To some degree, it is one of manyattempts to imitate the behavior of the older more confident graduate student. Only later doesOliver tell Elio that he is in fact not interested in Chiara. Elio is confused
Elio with Marzia is just a mirror of Oliver with Chiara -- because he wants to be him when he says he would like to have him.
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- Jul 2024
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cfsremission.com cfsremission.com
- Jun 2024
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Local file Local file
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that Catholic doctrine has been ingrained within him:
One kernel of truth/ answer to the RQ (characterization) pulled out. However, there is another main point!
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However, whilst Cixous explores Stephen’s wishto engage freely and creatively with reality as a reason for his rejection of priesthood,” this essayidentifies a shift in Stephen’s preoccupation, from fearing damnation to prioritising the processof living.
This is how this essay DIFFERS from Cixous's and is not a copy. they are elucidating the purpose of the essay whilst arguing for originality
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Local file Local fileAnnexe 52
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Attention : la commission d’appel doit vérifier qu’une proposition d’orientation autre que celle faisant l’objet durecours a été émise par le chef d’établissement. La décision finale doit être en cohérence avec le décret et nepeut se traduire par une décision de maintien dans la classe d’origine.
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successivement
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- May 2024
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www.liberation.fr www.liberation.fr
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Erschienen: 2024-05-17 Genre:: Studienbericht Selbst in einem optimistischen Szenario (44 cm Meeresspiegel-Anstieg) werden bis 2100 mehr als ein Drittel der Feuchtgebiete in der Nähe der Mittelmeerküsten überschwemmt sein. In der Camargue ist das Wasser bereits um 15 cm gestiegen. Möglich sind in diesem Jahrhundert bis zu 1,61 Meter Anstieg. Eine neue Studie erfasst systematisch die Folgen der globalen Erhitzung für diese besonders bedrohten und besonders schwer zu schützenden Lebensräume. https://www.liberation.fr/environnement/biodiversite/en-camargue-la-montee-des-eaux-menace-le-paradis-des-flamants-roses-20240517_L6LRO3TY2ZD4FESAHWAWGA32YY/
Tags
- Camargue
- Biodiversitätsverlust
- by: Stéphanie Harounyan
- Mittelmeer
- by: Julie Renson Miquel
- process: sea level rise
- Fabien Verniest
- Centre d’écologie et des sciences de la conservation
- Jean Jalbert
- Exposure of wetlands important for nonbreeding waterbirds to sea-level rise in the Mediterranean
- Institut de recherche pour la conservation des zones humides méditerranéennes
- Elie Gaget
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suu.instructure.com suu.instructure.com
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Failure to assemble an appropriate IEP team:
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- Apr 2024
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Understanding how you feel in the face of other voices, without second guessing yourself, is probably the single most important thing to practice as an artist.
for - quote - most important thing to practice as an artist - Rick Ruben
quote - single most important thing to practice as a musician - Rick Ruben - (see below)
- Understanding how you feel in the face of other voices,
- without second guessing yourself,
- is probably the single most important thing to practice as an artist.
- Understanding how you feel in the face of other voices,
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community.verizon.com community.verizon.com
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I got no actual help from my long Verizon Support chat session and I kept asking if there is a block list they use that they could check (or a whitelist I could be added to...but fat chance) my IP for, since that is clearly what the error is calling out, but they never acknowledged that particular part of my questions, just ignored it.
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- Mar 2024
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worrydream.com worrydream.com
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Is that so bad, to dump the tactile for the visual? Try this: close your eyes and tie your shoelaces. No problem at all, right? Now, how well do you think you could tie your shoes if your arm was asleep? Or even if your fingers were numb? When working with our hands, touch does the driving, and vision helps out from the back seat.
Important
References
Victor, B. (2011). A brief rant on the future of interaction design. Tomado de https://worrydream.com/ABriefRantOnTheFutureOfInteractionDesign/
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bio.libretexts.org bio.libretexts.org
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at three main cell cycle checkpoints at which the cell cycle can be stopped until conditions are favorable. These checkpoints occur near the end of G1, at the G2–M transition, and during metaphase (see figure below).
important: These cell checkpoints are super important for the cell to regulate and ensure that it can undergo cellular division. Without these checkpoints, the cell could have mutations, and it would not be able to fix them before moving to the next stage.
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bio.libretexts.org bio.libretexts.org
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no longer binds to the ribosome and inhibits protein synthesis.
important This example of antibiotic resistance is a great representation of how mutations can occur and multiply when there is diversity and change in the ratio of mutants and wild-type cells.
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- Feb 2024
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promomats1.ethansong-pvm-1.vaultpvm.com promomats1.ethansong-pvm-1.vaultpvm.com
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Adrift (v1.0)
this is an annotation in hypothesis
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docdrop.org docdrop.org
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If the child is removed, request a copy of the family’s prevention plan to review what the agency offered and whether reasonable efforts have been made to prevent removal (if necessary, request through the discovery process). If reasonable efforts were not made, request a “no reasonable efforts” finding at the first hearing, and an order returning the child to the family with appro-priate services
BOOOOOOMMMM....END OF STORY
- complete failure by Haylie (and DHS, and magistrate)
- concerned about costs? failure to not do your jobs and not stop these issues and fix problems at the door is why your costs and calendars and caseloads are out of control
"request "no reasonable efforts" finding and order returning the child to family with appropriate services"
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- Jan 2024
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en.wikipedia.org en.wikipedia.org
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Leukotrienes also have a powerful effect in bronchoconstriction and increase vascular permeability.[18]
Thinking this is treatment for anti Alzheimer's, anti neurodegenerative disease, anti fibrosis,anti CVD/AS/LUNG FIBROSIS
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www.youtube.com www.youtube.com
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trauma reenactment narrative is by getting the child manipulating the child convincing the child to adopt the victimized child role within that trauma reenactment there and so all we have to do is get the child to believe that the
This ominous realization did not occur and come together for me until just now:
Kate's influence did not start with Kate directly. It would have started with her son Liam. I've not recognized until now the likely significant role he plays in this. He is her son. He would have already been fully traumatized by Kate or by the situation with his dad, depending on if it existed, but if it did or didn't, the fear/abandonment/insecure attachment disorder would be entrenched in both Kate and Liam and they would be reinforcing it in each other. Rhyanna working with Liam at Subway would have been the first contact in which casual conversation would begin the subtle campaign by Liam via trauma reenactment (and also fueled by being a teenage boy meets girl savior/peacocking mentality) that at first innocuously and then overtly was showing (manipulating into false belief) that she is victimized. Liam then notifies Mom of "the recruit", probably a genuine felt statement like "Mom, there's this girl at work and it sounds like she's going through what we went through and we could help her". Then Mom [Kate], which we know this happened, took the initiative to contact her (or told Liam to bring her over to the house to hangout so she could then introduce herself and have 'a talk' with her). Phone numbers were shared, instructions to not let Dad know where they lived were given, taking out to dinners were done, sharing of "stories about my husband we don't tell other people so please don't share this" were given about "my dangerous psychotic husband that Liam and I had to flee from and go on the run because the system couldn't save us so we had to act outside it". This matches the dynamic and origination story of every cult/radical "church"/scientology/NXIVM story I know and it is the same dynamic whether it's the pathogenic parent or pathogenic adult influence which in this way has an extra component of evolution. Ie, the pathogenic adult has created/obtained a pathogenic "victimized" subordinate follower. The follower then acts as a relatable/ice-breaking recruiter that has the effect on the target of " they're my peer, they're like me, I can therefore trust the accuracy of what they're saying more and am more willing to listen". Then when the follower eventually introduces the pathogenic adult, the critical judgement defence of the target is suppressed/ignored because the target has made the naive judgment error that since I believe and feel trusting in this peer, I can put that trust into someone he is introducing me too. And because that person is "the adult in the room" this person instantly gets, erroneously, the elevated security clearance in the target's mind that this person is a "trusted"+"adult"+"who understands me"+"has my best interest"+"and knows what I need". Additionally, when speaking with this adult, should the target's defense mechanisms of critical judgement start turning on, the target then looks to a reference point to "reality test", and the follower, Liam, is immediately on hand and present almost daily to act as that reference point nodding reassuringly when the target glances over [literally or metaphorically]. ..... Combine this with a parent who is getting sicker and sicker, who's observably by the child who knows her father well can tell his fear, anxiety (particularly regarding his ability to provide for them both), and sadness because of his non-improving sickness from a mysterious unknown deadly pandemic disease, a parent who is the SOLE parent and there is no second parent to reality test against and get reassuring grounded perspective (ie you are not victimized, dad isn't going to kill himself, yes this is a tough situation but we and you are not a victim and this is not a Hallmark/teen drama, and tough situations like this have long been and are a prolific part of human life and we can more than handle this situation and frankly will serve to accelerate your empowered growth and deeper understanding, meaning, passion, joy of life and further shedding of vulnerability to irrational and mismanagement of uncontrollable fear as a general skill set in your personal quiver. This all is the loss of the second, of which there may only be 2, fundamental defense mechanisms to safeguard a child's sound critical analytical/judgement skills. It is easy to empathize with a child's daily living experience, especially an adolescent, how these are the 2 mechanisms which are functioning by which they are consuming and assembling all new knowledge and understanding. #1 They first use their incumbent developed analytical/judgement skills to self analyze a concept or problem or question. #2 They verify that determination with their trusted source of truth and protection, ie their parents (a reality test). Perhaps this at the root of the common report "teenagers think they know everything". It's probably the first time the first mechanism is developed strongly enough to feel like it can safely be used in its own. And in being the first time, many errors will be made and in many of those errors the use of verification of mechanism 2 will not be used. An ill unimproving parent will exacerbate the error to not use mechanism 2. Fear and anxiety will exacerbate errors in mechanism number 1. Severity of those insults would proportionally affect the rate of error. Malfunctions in both mechanisms would have a multiplicative effect on damaging erroneous conclusions the child arrives at and the damage further choices on those erroneous conclusions causes. Then when the "virus" of the narcissistic/BLP cross generational shared persecutory delusion boundary violation gains entry into this now much increased "analytically vulnerable" child, it has the critically added effect of disabling mechanism 2 since the patent now becomes "all bad [splitting]". ..... Then ..... add to this child a history that she is a survivor, albeit exceptionally so, of incurring the pain and largely successful battle for separation from a very narcissistic mother and the family that produced that narcissism in her mother. The entire repercussions of that I am not sure, but relevant here is I think that means my child's developmental reality has a biased understanding and emotional sensitivity to the fear that a parent "I thought was normal, changed into a monster" and second "I fully believed a truth about the 1 of 2 people I trusted and depend on the most, and I was wrong. How can I trust my own conclusions now if I can't trust my own analytical and emotional judgement abilities?". No doubt also a fear and anxiety upregulating mechanism in and if itself, as well as providing a data point which can add confusion to a child frantically looking for understanding and/or can be leveraged to falsely rationalize the false narrative is correct especially when the pain of the truth is building and she is looking for any tool to suppress confronting that pain.
Then, as Rhyanna further looks for, or rather it is imposed onto her, the naive drama thirsty peer group, whom many know Liam and Kate, and whom with very good intention but naivety of teenagers who in Boulder Colorado are conditioned to both be very helpful and that money and wealth (like them) combined with middle aged Caucasian combined with a "Boulderite" personality with an air of non-confrontational superiority and cancel-culture tendencies is the equivalent of "insightful, wise, holder of truth, and generally the definition of what is good, righteous, and hold the authority to declare whom is bad and further that it is expected that they will declare whom is good and bad and that action further validates that they are and have such authorities" in these teenagers minds reenforces this false truth as accurate.. Then the school, then CIRT team "mental health professionals", then the mental health hospital centennial peaks, then Boulder county child welfare via multiple staff, then the court and the judge personally all buy in and propagate this false truth and reinforce it overtly or indirectly overtly, and some propagate it by simply ignoring and not speaking out against or in questioning validity, all reinforcing this false truth. ..... And given all this, given all these goddamn ignorant spineless children of men in their lack of knowledge or past traumas, and under the weight of their ignorance and cowardice and laziness, and then under the unreal weight and fear and confusion of her and her dad, her one parent who's been her warrior defender of knowledge, self discovery, safety, character, food, and shelter, and whom no other family support exists is now very possibly dying and cannot speak for himself or to her (because her confusion and outside influence is not allowing it) to tell her the truth and reassurance of the situation ....... her heart and mind refuse to yield. The pain from her heart refusing to give way to the lie, they are trying to make her believe had caused her to want to kill herself. My daughter s unyielding heart and character brought tears to a police officer who'd not had the fortune of experiencing someone like my daughter. And still, after a year and a half, my daughter, MY daughter, still holds fast and is unwilling to tell the COURT that her resistance is because of me and is instead because of her. Yeah, that's who my daughter is. That is the caliber here. She is her father's daughter.
I see you kid. You hold fast. I'm comin' for you.
PS - Attention needs to be given to Liam. With consideration towards his possible and to what degree of trauma, and the validity of the story regarding his father.. It is now a real question, is his father above and well, normative, searching for his son and or fallen into decline, suicidality, doom? Is Liam about to lose a father and be irreversibly severely damaged because of the complete irreversible devastation, which will also include the self blame he incurs and will not be able to reconcile.
PSS - likely it is both important and the is the time to revisit with focus Rhyannas feelings and understanding of her mom. She possibly stands to gain 1, a self confidence and esteem and complete obliteration of any feeling/false rationalization that she is somehow "less", that she is at fault, or that she is somehow "less capable" of a person now and going forward, 2) stamp out reactions of hate, tolerance, splitting, and walls she might form that would prevent problem solving, truth finding, and understanding so crucial to both abilities and finding of joy, particularly in relationships of love and family, 3) she stands to gain a mother and an entire side of a family and which is attained by a fulfilling relationship of her own architecture and which she is fully empowered to control and manage and nurture at her pleasure.
Tags
Annotators
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blog.zenhub.com blog.zenhub.com
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When relying on just a list of GitHub issues and comment references to other Issues, there’s a strong possibility that visibility into how these changes impact other tasks get lost or forgotten.
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Tracking dependent relationships between Issues and whether something is blocking another piece of work is important with any project process because it creates a central hub where everyone can communicate what’s needed without relying solely on meetings or comments to uncover important connections.
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gitlab.com gitlab.com
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I feel we need a agreeable definition of work-items. It is getting confusing already. If the goal is to avoid confusion then exceptions must be avoided.
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Additionally, it reiterates the need to define "What isn't a Work Item?"
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- Dec 2023
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www.sciencedirect.com www.sciencedirect.com
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“an integral and important part in the success of sustainability transitions”
for: transition - important role of emotions
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- agreed! (thumbs up emoticon)
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developers.secure.facebook.com developers.secure.facebook.com
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It's incredibly important to test your Facebook Login flow under a variety of conditions, and we've built a robust testing plan for you to follow.
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- Nov 2023
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guides.rubyonrails.org guides.rubyonrails.org
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It is important that these are not reloadable, because edits would not be reflected in those cached stale objects.
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may define Foo, instead of reopen it
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Since require has global side-effects, and there is no static way to verify that you have issued the require calls for code that your file depends on, in practice it is very easy to forget some. That introduces bugs that depend on the load order.
class of bugs
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casetext.com casetext.com
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Rule 38 - Right to Trial by Jury(a) Exercise of Right. Upon the filing of a demand and the simultaneous payment of the requisite jury fee by any party in actions wherein a trial by jury is provided by constitution or by statute, including actions for the recovery of specific real or personal property, with or without damages, or for money claimed as due on contract, or as damages for breach of contract, or for injuries to person or property, all issues of fact shall be tried by a jury. The jury fee is not refundable; however, a demanding party may waive that party's demand for trial by jury pursuant to section (e) of this rule.
Fuck you haley...gonna have your fucking license
"Upon filing of a demand by any party wherein a trial by jury is provided by statute, all issues of fact shall be tried by a jury"
AND THIS STATEMENT FROM THE COLORADO JUDICIAL BRANCH (And mag. McLean heard from my mouth I wanted a trial): What is the court process in dependency and neglect cases? A dependency and neglect case begins with the filing of a petition by the county attorney or, in Denver, the city attorney. Parents who are listed in the D&N petition are referred to as “respondents.” You are required to appear in court and at that time, you may deny the allegations against you and demand that the case then be heard at trial by a jury of six people, by a judge, or by a juvenile magistrate. https://www.courts.state.co.us/userfiles/File/Media/Brochures/d&nweb.pdf
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- Oct 2023
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www.thoughtco.com www.thoughtco.com
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What interests us far more is that these apprentice writers have interesting ideas to convey, and manage to support their arguments well.
only partial match: the most important thing is the information (more than presentation/formatting)
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stackoverflow.com stackoverflow.com
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Browsers can of course choose to ignore this. Again, CORS protects your client - not you.
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ell.stackexchange.com ell.stackexchange.com
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And as others have pointed out, there is potential for ambiguity: if A is dependent on B, then a dependence or dependency (relationship) exists; but referring to either A or B as the dependency demands context.
"demands context" :)
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- Sep 2023
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casetext.com casetext.com
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respondent, the guardian ad litem for the child, or a child who is twelve years of age or older may demand a trial by jury of six persons at the adjudicatory hearing pursuant to section 19-3-505 , or the court, on its own motion, may order such a jury to try any case at the adjudicatory hearing pursuant to section 19-3-505 .
TRIAL BY JURY MANDATED....HALEY....YOU FUCKING SHAMEFUL INEXCUSABLE IMPOSTER OF AN ATTORNEY. Shaun, do you know about this? Does an appeal attorney for ORPC know the D&N law of which he'll be making appeals?
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stackoverflow.com stackoverflow.com
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the OP's problem can not be solved simply by changing $IFS, because $IFS doesn't apply to quoted strings.
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co4kids.org co4kids.org
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The information in this section was developed by the Colorado Department of Human Services and the Colorado Human Services Directors Association for Colorado's Family First Implementation Guide for County Directors.
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www.childrensdefense.org www.childrensdefense.org
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using the best availablescience, to maximize physical and psychological safety, facilitate the recovery of thechild and family, and support their ability to thrive.”
trauma-informed treatment model
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www.aapacn.org www.aapacn.org
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F742*, §483.40(b)(1), treatment/service for mental/psychosocial concerns (1) A resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder, receives appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being;
services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being;
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coloradocwts.com coloradocwts.com
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Trauma-informedServices are provided under a trauma-informedorganizational structure and treatment framework
Find more on trauma informed care, because requires inclusion of whole family, necessary expertise, constantly argues it's necessary for misdiagnosis/treatment resulting in damage, danger, no-reunification (destruction of family), and inclusion of whole family
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www.traumainformedcare.chcs.org www.traumainformedcare.chcs.org
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A trauma-informed approach to care acknowledges that health care organizations and care teams need to have a complete picture of a patient’s life situation — past and present — in order to provide effective health care services with a healing orientation.
Trauma-informed care seeks to: * Realize the widespread impact of trauma and understand paths for recovery; * Recognize the signs and symptoms of trauma in patients, families, and staff; * Integrate knowledge about trauma into policies, procedures, and practices; and *** Actively avoid re-traumatization.**
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pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov
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food intake and vasoconstriction
Is this why eating is causing instant sleepiness? Non-digestive vessels vasoconstrict and shut off too much cerebral blood flow, then nerves instantly have reduced firing/waste and CO2 build up/diminished mitochondria output/oxidative buildup/ &or then resultant inflammatory triggering cytokine increase?
Vessel endothelial enormous surface area, manipulator of blood flow vasoconstrictor system, and cytokine producer/influencer, and high vulnerability sensitivity to viral infection/corruption...and then it's role or adjacent system and the immediate available Google research on COVID affecting> the vascular elastin system and corrupted elevated production of destructive elastases resulting in reduced vascular compliance then resulting too narrow "pulse pressure" band essentially creating arteriosclerosis.
Also, make sure to be thinking of the entire vascular system not as one system, but subsided by dynamic changing gated sections and inspect signaling creating changing locations and amounts of high/low pressure zones. Also, keep in mind 3 things about BP: 1, when taken with a cuff it is only measuring a reading at the elbow. 2, is a reading from the artery and not giving any direct data from vein part of the system. 3, BP is not the same as blood flow. So I conceive that you could read a good BP, but actual flow could be completely inadequate.
Remember analogy, vascular system is just like car AC system, or any pressurized hydraulic system, or even actually electric circuits. Meaning that there is a high pressure side, the load component(s), and a low pressure side. Also remember veins act as the reservoir tank, and when they constrict it is injecting more blood into the system to, if functioning correctly, allow higher performance and meet increase load demand. It also, therefore has less direct effect on whole system BP vs artery constriction because it's downstream of the load. Arterial constriction conversely has immediate direct effect on systolic BP as it is essentially putting a wall directly downstream of the heart. Therefore, regardless if diastolic pressure is zero or high, when the heart contacts, the pressure shoots straight up.
A working theory component: my pulmonary vein is inappropriately constricting too much. That causes high back up pressure at alveoli. Exercise then induces veinous reservoir injection and increased blood volume into the "working system" further increasing pressure. Possibly arterious had already been fully dilated at rest in order to compensate and then when exercise happens, it can't be dilated further to increase blood flow throughout and BP increases further all behind the pulmonary vein "dam". However it doesn't present as right side heart failure like might initially be guessed (with leg and belly edema) because the right side heart is not failing...yet. So it contains any further backflow and the alveoli are the weakest point and taking the most abuse and pressure is relieved as pulmonary edema. And therefore what may be present is if we look for it, we'll find that actual blood throughput output exiting the heart is too low. And this can exist with a normal ejection fraction because the heart is functioning correctly and pumping the right percentage of what is a low starting volume. And also this can support why right ventricle is showing first signs of enlarging because it's being overpressured and stretching out (enlarging). And this can support why normal BP readings are measured at the arm because it can completely handle the abnormally low blood volume being received in the downstream location it's at. And then therefore this further supports why BP is normal but HR is riding the high limit at rest and then instantly jumps on exertion AND why dizziness happens because the artery system was already maxed out dilation at rest and for any amount of exertion, increasing HR because of the immediate too fast rise in tissue hypoxia due to too low blood supply the brain keeps driving up HR to meet demand. Total result upon exercise: supply continues to more and more not meet demand, HR rises faster and faster to try to inadequately compensate, physically become weaker especially after high output anaerobic every supply deleted in 1-3 minutes and there is no aerobic capacity cavalry with it's O2 rushing in to take over and that's when I fall off the cliff> HR spikes even faster, chest pain immediately jumps, lung edema turns on full tilt as the HR spikes and the resulting pressure is forced to "spray out of the gaskets (alveoli), and brain blood O2 supply immediately becomes super inadequate and the dizziness and need to fall over is the instant result effect. And since dysfuntioning cerebral vasoconstriction is likely the cause or highly involved in migraines, this also supports why the headaches come. ... And perhaps this explaining the rest pain and how it increases with dex and exertion because blood flow o2 becomes inadequate. Then causing lactic acid waste and CO2 buildup... (ie pain). And then it, like all body tissues being deprived necessary blood flow trigger cytokine inflammation response. ... And then, fuck it, maybe this IS chronic fatigue syndrome, and IS long covid explaining PEM, explaining why every symptom imaginable in any combination permutation is being shown, is explaining the observed elevated varing soups of cytokinesis, explaining all variety of tissue damage depending on any person's unique amount of total hit and their particular systems vulnerabilities and ultimately how far down they went on the increasing spiralling cascading systems failure towards total shutdown, and explains why measures at addressing the variety of manifestations are all somewhat helpful, but inadequate and varing efficacy from patient to patient because they are all too downstream of the root cause trunk of the symptom tree where the need to relieve vascular over constriction is the root or next to the root of the symptom tree that is common to all patients. If this were all to be accurate, then the seed would be what caused the break in vasoconstrictor system and repairing/killing it, or perhaps it's a PC bootstrap phenomenon where the simple uncomplex virus was just enough bios code to place innocuous wrenches in any of machines of the systems and then those malfunctioning systems took over control in their new malfunctioning patterns and became the new bosses that are infact the disease, you become your disease, and the initial virus seed has long been killed/departed (they're the ultimate down the road end game that is the totally corrupted bcdhhs that will then exist now as a new monstrous organism slowly lingering and depleting itself and eventually all resources at which point it will have finally killed itself after it destroyed the once thriving self sustaining world it lived in. COVID then is the teenage abusive bf or mean drunk father from their past, that put in motion what would become decades and generations of monsters, years and years after they had been long since gone). And maybe this explains the phasing leaving and returning it symptoms. Because when enough if the symptoms start to be reset/repaired, that starts spiraling the spread of the shutdown of the corruption back to health, but if the spiral up isn't strong enough to overcome the consequential reactive spiral down response, the monster returns and the rebellion is quashed. And so explains why the overall, in every system, stronger less vulnerabilities less armor chinks youth are able to quash with ease the spiral down with their incumbent exceptional spiral up response. .... And aside, this explains why dysautonomia has become a top suspect. And explains why POTS has become almost synonymous with long COVID and CFS.
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www.acf.hhs.gov www.acf.hhs.gov
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2019 CB issued revised and new policies that allow title IV-E agencies to claim federalfinancial participation (FFP) for administrative costs of independent legal representationprovided by attorneys representing children in title IV-E foster care, children who are candidatesfor title IV-E foster care, and their parents for “preparation for and participation in judicialdeterminations” in all stages of foster care legal proceedings.
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In April 2020, CB issued a new policy clarifying that administrative costs for paralegals,investigators, peer partners, or social workers may be claimed as title IV-E foster careadministrative costs to the extent they are necessary to support an attorney providingindependent legal representation to prepare for and participate in all stages of foster care legalproceedings for candidates for title IV-E foster care, youth in foster care and his/her parents andfor allowable office support staff and overhead expenses
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www.judgeleonardedwards.com www.judgeleonardedwards.com
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irst, judges do not receive sufficient information to make aninformed decision regarding reasonable efforts. Usually, the only information comes from the agency
Haylie is not providing any information to the judge, e.g.: - harboring not addressed - intake lied - intake failed to meet promise - intake actually DROVE removal, as in "negative reasonable efforts" - intake did not provide allegations at first contact or ever; and also therefore, 2., did not collect response, and necessary danger data and necessary services/needs data - intake did not provide, therefore, a credible report informing court of true nature - intake offered no FFPSA designated services nor Core Services Program services - intake provided no list of services offered/provided, no list of identified needs, no explanation of how it succeeded or failed - magistrate did not examine, inquire, or document specifically and detailed the reasonable efforts in "The Prevention Plan"...I've seen no Prevention Plan and certainly not filed with the court - Visitation scheduler: 1) not competently trained in youth or resist and refuse; only 1.5 years licensed (probably no clinical practice) and self identified adult addiction, 2)provided no scientific backing for recommendations, omitted context to misrepresent truth, did not identify needs, provided no plan to resolve/address those needs especially science-backed (and found to be an intern), 3)was 3+ weeks late for 1wk due date - caseworker was assigned over a month later and is mandated to be immediate at time of 1st hearing - CASA was not assigned until 4 months later and i've still never heard from them - caseworker was told must provide allegations report and still did not and would not - family needs assessment was never done, certainly not in my presence, nor with my collaboration and agreement, if in the background there is one it is a lie or of completely insufficient quality and was not reported to me when asked for. It was not done even close to 60 day (therefore also does not meet mandate of "timely") deadline (and if it's dated as such it is a complete BS non-assessment only for the purposes of making it show up on a log as done). It does not identify needs/problems (most importantly resist/refuse) that brought forth D&N, it does not identify services that address the particular needs (most importantly a resist/refuse doctor; also actively blocked FUP) (and therefore nothing is science based "trauma informed" as mandated), it does not mandate what must be changed/achieved and the marker for that achievement; I still was not given Service Plan when I pried and pried for clear list of items that brought forth D&N-what was needed to change/achieved to end State's involvement-what services were/could/wanted to be done - DHS has failed to investigate it's actions of abuse to confirm/deny; which in the case that abuse did not happen 2. has failed to meet "timely" mandate of services to medically assess and treat resist/refuse and 3. failed "reasonable efforts to reunify" mandate - DHS has not only 1. failed mandate to offer/make available/refer & monitor and ensure execution of services/ (e.g. Core, FFPSA, "unique to family needs", "public or private/community bases", "evidenced based", "trauma informed...further defined in CCR as "complete situation assessment/treatment, whole family") they 2. made ME responsible for REFERRING THEM and with an expectation it likely WOULD NOT BE PURSUED, 3. was essentially told Core Services wasn't real (was ignored and then simply would not answer when i asked directly in-person about "Core Services" and changed the subject) when I specifically asked, 4. mocked when I gave science backed warning of imminent and severe risk and necessary doctor services needed - court did not set adjudication until 2+ months past federally mandated 90 day MAXIMUM (and is written as "should be much sooner and ASAP", and 2. almost 4 months after 20th District's filed D&N management commitment plan - Independent Assessment: did not meet many many mandates (see email to Haylie on objection to recommendation) - QI did not include family, claims 6 attempts to call but did not as mandated provide evidence of attempts, State did not meet mandate to make sure family was included in the process and ACTIVELY KEPT MOM & DAD & ATTORNEYS as mandated of the mandated Family and Permancy Team Meeting; did not complete in 10/14 day CDHS mandate nor did complete in 30 day federal requirement (which is also contractually owed by ASO); never held a 2nd Team meeting as requested (which resulted in a ruling based on false argument that would have been quashed in the meeting and also the QI realizing and changing her recommendations with the knowledge that the false claim was not only indeed false but that the credibility of information provided by state & CYF was now in question; and ultimately a result of a QI would have full & true understanding of medical need and severity and harm befalling child and family and would have urgently recommended necessary interventions which had so long been failed to be recognized/provided by State) - Court nor State was informed of fundamental FFPSA law as is absolutely expected to be known by a Child Welfare Judge and Child Welfare Attorney and Child Welfare Agency, at QRTP Assessment Review Hearing and made ruling on completely false law justification that child is not legally allowed to remain at the QRTP [b/c of course she is, which is the whole point of the hearing, b/c it's up to judge to determine if she should stay or not regardless of IA summary report recommendations
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One conclusion this book reaches is that reasonable efforts should belitigated early,
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drcachildress-consulting.com drcachildress-consulting.com
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Dr. Childress Second Opinion ConsultationThis handout describes various options for incorporating the second-opinionconsultation of Dr. Childress on an assessment, diagnosis, and treatment plan for court-involved family conflict. I am able to provide second opinion consultation to the involvedmental health professionals if they or the court believe this would be helpful in theresolution of the family conflict through my HIPAA compliant online telehealth office atdoxy.me/drchildress.
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co4kids.org co4kids.org
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Caseworkers must be familiar with evidence-based programs and services available to children, youth,and families that reside in your community. Caseworkers not only need to know what services areavailable, but also the target population and desired outcomes of these services so they can makeappropriate referrals. Family First eligibility should not be a driver of these decisions, but rather theneeds and goals of the child, youth and family
ALL OF THIS BOLD - Caseworkers must be familiar with evidence-based programs - not only need to know what services are available, but also the target population - so they can make appropriate referrals - eligibility should not be a driver of these decisions, but rather the needs and goals of the child, youth and family
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docdrop.org docdrop.org
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RPC who address ancillary civil issues earlier in a case can make a significant impact and reduce thenumber of out-of-home placements. This is because unresolved civil legal issues can drive continualchild welfare involvement in the lives of some indigent families. Indeed
- TANF
- Child support
- DUI and warrant
- Car title
- Disability
- FUP
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Local file Local file
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Root directories are recommended not to be nested; however, Zeitwerk provides support for nested root directories since in frameworks like Rails, both app/models and app/models/concerns belong to the autoload paths. Zeitwerk identifies nested root directories and treats them as independent roots. In the given example, concerns is not considered a namespace within app/models. For instance, consider the following file: app/models/concerns/geolocatable.rb should define Geolocatable, not Concerns::Geolocatable.
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- Aug 2023
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github.com github.com
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Speed is great but if it doesn't conform to the specification, that's not a great case for using it for future development
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- Jul 2023
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THE GREAT CONVERSATION
How specifically does the author define "The Great Conversation"?
Note that it is consistently capitalized throughout the book to give it greater importance.
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guides.rubyonrails.org guides.rubyonrails.org
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There, the module object stored in MyDecoration by the time the initializer runs becomes an ancestor of ActionController::Base, and reloading MyDecoration is pointless, it won't affect that ancestor chain.
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gjoncas.github.io gjoncas.github.io
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As hard as it would be to translate any insights from this into actionable results, I can imagine textual analysis of ad copy into separate categories in order to identify opportunities for parasitism, or comparing lexical choices of various people in one’s twitter feed as a barometer of egregoro-dynamics.
In Westwrold Season 4 the reincarnated Deloris, Christina, summons the dead Teddy from her memories. A tulpa/Egregore she can actually fuck and fall in love with. She falls in love with a tulpa which is in the "REFLECTION OF HER AWARENESS". Interesting
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- Jun 2023
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help.openai.com help.openai.com
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If I continue the conversation after I create a shared link, will the rest of my conversation appear in the shared link?No. Think of a shared link as a snapshot of a conversation up to the point at which you generate the shared link. Once a shared link is created for a specific conversation or message, it will not include any future messages added to the conversation after the link was generated. This means that if you continue the conversation after creating the shared link, those additional messages will not be visible through the shared link.
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- May 2023
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jasonchatfield.medium.com jasonchatfield.medium.com
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Use David Allen’s GTD method and put your MIT (Most Important Task) at the top, and don’t attempt anything below it until that one task is done.
sometimes known as eating the frog first...
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co4kids.org co4kids.org
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The Family FirstPrevention Services Actin ColoradoAN IMPLEMENTATION GUIDEFOR COUNTY DIRECTORS
Susan Caskey as Director of Housing & Human Services Boulder County
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caseworkers in Trails will be promptedto complete an individualized prevention plan for each child or youth identified. That plan is currentlytitled the Treatment/Prevention Plan a
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In Trails, caseworkers must fill out the IV-E CandidacyDetermination Form (Job Aide) to determine whether a child or youth is a “candidate for preventionservices.
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public.tableau.com public.tableau.com
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Family First Prevention Services by Colorado Lab
CDHS surveyed counties to understand where services rated by the Family First Clearinghouse as " promising", "supported", or "well-supported" are currently offered. Counties and providers can submit updates and corrections here: https://udenver.qualtrics.com jfe/form/SV_1X6b6p8f4jh6TJz
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coloradocwts.com coloradocwts.com
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There are two main-levelquestions in the IV-E PreventionCriteria section.10. Click a radio button for thedesired response (only oneradio button can be selected).Note: If the selections made inthe IV-E Candidacy section arechanged, all answers in the IV-EPrevention Criteria panel will bedeleted.
CDHS DEMANDS THIS BE FILLED OUT.....so FUNCTIONAL FAMILY THERAPY, HEALTHY FAMIIES AMERICA, PARENT-CHILD INTERACTION THERAPY.....WASN'T THOUGHT APPROPRIATE????
Referenced from the FFSPA Implementation Guide for Directors (HERE)
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- Apr 2023
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Clearly this type of reasoning has an argumentation scheme. One premisedefines or describes a goal. The other premise describes a means of achieving thegoal. The conclusion directs the agent towards action to carry out the means.6But this type of reasoning is so common and distinctive, having manyvariants and subspecies of argumentation, that it is misleading to call it anargumentation scheme. Better to call it a type of reasoning that can be used inargumentation in different types of dialogue (as in Walton, What Reas., 1990).
- Agential Network
- Case and Inferential Qualifications
- Conclusions and Goal Relations
- Normative Framework
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security.stackexchange.com security.stackexchange.com
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If you implement this system using the user table you risk impatient users requesting a second code and them arriving out of order.
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docdrop.org docdrop.org
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ORPC’s Federal Title IV-E Funding Priorities to Enhance the Quality of LegalRepresentation for Parents and FamiliesIn light of the priorities of the Children’s Bureau,89 the ORPC has developed a plan for use of IV-Ereimbursement funds that include the following new initiatives and expansions of existingprogramming:1. Increasing RPC access to an interdisciplinary team, which may include social workers, parentadvocates, experts, and other professionals
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docdrop.org docdrop.org
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26The Counseling PsychologistTable 1.Criteria and Related Measures for Assessing ExpertiseCriteriaPossible ways of assessing criteria1.PerformanceA.Client-rated working allianceB.Client-rated real relationshipC.Observer-rated responsivenessD.Use of observer-rated theoretically appropriate interventionsE.Observer-rated competenceF.Client-rated multicultural competenceG.Observer-rated responsivenessH.Supervisor-rated competence or responsiveness2.Cognitive functioningA.Observer-rated assessment of cognitive processingB.Observer-rated assessment of case conceptualization ability3.Client outcomesA.Engagement in therapy (percentage of clients who return after intake)/dropout ratesB.Clinically significant change on reports by clients, therapists, significant others, or observers using measures of symptomatology, interpersonal functioning, quality of life/well-being, self-awareness/understanding/acceptance, satisfaction with workC.Behavioral assessments (e.g., fewer missed days of work, fewer doctor visits)4.ExperienceA.Years of experienceB.Number of client hoursC.Variety of clientsD.Amount of trainingE.Amount of supervisionF.Amount of reading5.Personal and relational qualities of the therapistA.Self-rated self-actualization, well-being, quality of life, lack of symptomatology, reflectivity, mindfulness, flexibilityB.Empathy ability (self-rated, nonverbal assessments, observer ratings)C.Nonverbal assessments of empathy6.CredentialsA.Graduation from an accredited training programB.Board certification7.ReputationA.Professional interactionsB.Advancement to positions of honor within organizations based on recognition of clinical expertiseC.Positive feedback and referrals from clientsD.Reports from colleagues/friendsE.Invitations to demonstrate methods in videos, workshops, or booksF.Lack of ethical complaints8.Therapist self-assessmentA.Evaluation of own skillsNote. The criteria are listed in the order of perceived relevance to assessing expertise, from 1 (most relevant) to 8 (least relevan
Thoughts: So far it appears there is no law about who can diagnose. What there is is: - description of a rubric to grade a expert witness - general description that states cannot operate outside area if training and competence (but how to define that area is absent) - core services / FFPSA law mandating evidence based, trauma Informed, Clearinghouse designated, best available science, meet particular needs of family - law (or in draft) defining trauma Informed - licensing and professional associations standards and code of ethics regarding non black and white values and efforts mandates - there are laws that say if you can call yourself a doctor, therapist, etc, but non if them limit what they can or cannot do - therefore, legally, anyone can diagnose anyone with anything, including DSM codes, and you can take money for it...you just can't call yourself any of the protected titles
So, when it comes to who is "legally qualified" or a "legally allowed expert", (which is just the expert, and not ultimately the credibility of the "evaluation/recommendation" it comes down to just who can provide a stronger argument that the expert in question is "more expert" than the other "expert". It's the exact same concept as scientific theory. You can't "prove" a scientific theory. You can only provide increasingly stronger (ultimately just means, whether for good reasons or bad, the emotion that something feels stronger or better) arguments that it is true. As in you can't prove "expertise" or that an eval is correct. However, you can "disprove" expertise or scientific theory.
In psychotherapy there is an enormous gap of a system that gives a credible prediction of what a "provider" is likely to soundly be able to evaluate (and further a system for them to soundly know when and how to refer out). Perhaps some kind of "certifications needed" section for each DSM code.
So what you can do is: - used the defined law and prof orgs law and ethics as rubrics (like a grading table), the table in this paper is a good one to incorporate, to make an argument of strongest expert. - you can also get more than one expert or experts from different areas which have all of them agreeing - strategy: also send evaluation off to credible authority to get their endorsement - strategy: do that memorandum thing (ABA guide how to influence judges) to advance submit law and argument to judge - all of this is the exact same issue, concept, and strategy to battle "reasonable efforts"
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docdrop.org docdrop.org
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Consider citing information on:Reasonable efforts to reunify
ABA list of resources to cite to overcome lack of reunification
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When necessary, argue to the court that by not pro-viding a reunified child with appropriate services, the agency is not making mandated reasonable efforts to achieve permanency
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Providing states improved access to federal funds for reunification services aligns with the federal Children’s Bureau’s renewed focus on reasonable efforts to achieve permanency requirements. Families should be provided all needed assistance to ensure the safe reunification of the child. (See reasonable efforts resources in Research to Cite: Reunification Services for the Family.)
Families should be provided all needed assistance to ensure the safe reunification of the child
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Key Federal Laws to Incorporate into Advocacy
ABA FFPSA Guide:
Prevention Services
- 42 U.S.C. $ 671 (a)(15) Requires child welfare agencies to make reasonable efforts to preserve families and pre- vent removal, unless certain exceptions apply. See also
- 45 CFR 1356.21(1). (e) Explains requirement for states to receive 50% federal funding reimbursement.
- 42 U.S.C. $ 672 (a)(2)(A) Foster care placement requires either a voluntary placement agreement entered into by the child's parent or legal guardian or a judicial determination that child's continuation in the home would be "contrary to the welfare of the child" and "reasonable efforts" to prevent removal have been made by the child welfare agency as required by 42 U.S.C. $ 671(a)(15).
- 42 U.S.C. S 675 (13) Defines the term "candidate tor foster care generally as a child identified in a prevention plan.. as being at imminent risk of entering foster care...but who can remain safely in the child's home or in kinship placement as long as services. necessary to prevent the entry of the child into foster care are provided
Reunification Services
- 42 U.S.C. § 629a
- 42 U.S.C. § 671 (a) (7) Defines family reunification services eligible for federal funding under Title IV-B that are no longer time limited while in foster care and may be available to families for up to 15 months after the child returns home. (a)(15) Requires reasonable efforts to make it possible for a child to safely return to the child's ome.
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reunification services that can begin as soon as a child enters foster care
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coloradocwts.com coloradocwts.com
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Coloradowants:• All kids who need services to have access toservices and to be served in their family’s homeor in a relative’s home whenever possible• Families to have what they need to keep theirfamily safe and together, and• Services available without requiring the family tobe involved in the child welfare system
YOU DO???!!!!!! THEN LET'S GET TO IT
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Family Involvement & After Care•Family members will be involved in treatment
FAMILIES WILL BE INVOLVED IN TREATMENT
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level of care assessment is intended to be collaborative with the family, identified family supports and all who may be providing services and supports to the youth/
ALL WHO MAY BE PROVIDING SERVICES AND SUPPORT
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FEDERAL REQUIREMENTS FORPREVENTION SERVICES
Evidence-based in Family First Programs that can show positive outcomes for children, youth and families and meet the established evidence standards by the Title IV-E Clearinghouse
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COLORADO IMPLEMENTATIONCORE VALUES
From the state: COLORADO IMPLEMENTATION
CORE VALUES
The following values were developed to ground Colorado's Family First Implementation * Family and youth voices are the loudest-heard, considered and respected
- Improve policy, practice and quality of services based on scientific evidence
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FEDERAL PREVENTION SERVICESTO KEEP FAMILIES TOGETHER
Mental health services and/or substance abuse prevention and treatment services for a child AND parent or kin caregivers
In-home parenting skill support for parent
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The American Professional Society on theAbuse of Children (APSAC) suggests thatthese children and families deserve anapproach that is collaborative, respectful,and includes interventions that are most likelyto lead to outcomes on family-identifiedand programmatic goals. This individualizedapproach is a focused, assessment-driven, andscience-informed approach that both favorsplans
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interventions should be selected based on the needs of the family and the availability of strategies and interventions wi
interventions should be selected based on the needs of the family and the availability of strategies and interventions with the highest level of evidence
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Principles for Matching Change Strategies and/or Interventions to Key Desired Outcome
*IMPORTANT***
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It is important to note, however, that only a minority of child welfare-involved children develop clinically significant levels of self-reported, post-traumatic stress symptoms, so assessment is essential (Kolko et al., 2010).
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CHILD ABUSE AND NEGLECT USER MANUAL SERIES
Child Protective Services:A Guide for Caseworkers 2018
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emphasized throughout this manual, it is crucial that agencies support families to receive tailored interventions or change strategies based on the families’ unique strengths and needs, best available research, practice exper-tise, and available resources
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docdrop.org docdrop.org
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Alienated adolescents’ stated preferences should domi-nate custody decisions.Practice recommendations.Custody evaluators and educativeexperts should be aware, and be prepared to inform the court, thatadolescents are suggestible, highly vulnerable to external influ-ence, and highly susceptible to immature judgments, and thus weshould not assume that their custodial preferences reflect matureand independent judgment. If an adolescent’s best interests wouldbe served by repairing a damaged relationship with a parent,evaluators’ recommendations and court decisions should reflectthe benefits of holding adolescents accountable for complying withappropriate authority. Although adolescents protest many of soci-ety’s rule and expectations, they will generally respond to reason-able limits when these are consistently and firmly enforced.8. Children who irrationally reject a parent but thrive inother respects need no intervention.Practice recommendations.Evaluators should be careful notto overlook an alienated child’s psychological impairments thatmay be less apparent than the child’s good adjustment in domainssuch as school and extracurricular activities. Evaluators can assistthe court’s proper disposition of a case by identifying the cogni-tive, emotional, and behavior problems that accompany irrationalaversion to a parent, as well as the potential long-term negativeconsequences of remaining alienated from a paren
!!! IMPORTANT!!!
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an evaluation finds that a child is severely and irrationallyalienated from a parent, and that it is in the child’s best interests torepair the damaged relationship, the evaluator should exercisecaution about recommending a course of traditional psychotherapywhile the child remains apart from the rejected parent. Recom-mendations for therapy in such circumstances should include ad-vice to the court about imposing (a) a time frame after which theimpact of treatment will be assessed, (b) explicit criteria forevaluating progress and success of treatment, and (c) contingencyplans in the event that the treatment is ineffective. For instance, ifthe judge informs the parties that a failed course of therapy mayresult in an increase in the child’s time with the rejected parent orin a reversal of custody, this may help increase the child’s moti-vation to participate meaningfully in treatment and the favoredparent’s support for treatment
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need not identify scholastic or social adjust-ment problems outside the family to be concerned about an alien-ated child’s psychological state. Harboring irrational
Psychological problems inherent in irrational rejection of a loving parent. We need not identify scholastic or social adjat ment problems outside the family to be concemed about an alien- ated child's psychological state. Harboring irrational alienation from a parent, as with most significant irrational aversions, is sign of a psychological problem in itself. Unreasonable anxieties or obsessive hatred and fixed negative stereotypes justify interven tion to alleviate suffering and this is no less true when the target of aversion is a parent.
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ome custody evaluators and decision makers oppose interven-tions for alienated children if the parent–child conflict is anexception to a child’s apparent good adjustment in other spheres,such as in school and with peers. These professionals believe thatchildren who are doing well in other aspects of life should beempowered to make decisions regarding contact with a parent.Professionals who advocate this position express concerns thatinterventions for resistant youth, such as court-ordered outpatienttherapy, may disrupt the children’s psychological stability, arelikely to prove unsuccessful, and will leave children feelin
Warshak (in press) presents three reasons to intervene on behalf of alienated children despite their apparent good adjustment in areas unrelated to their relationship with the rejected parent. First, children's apparent good adjustment may be superficial or coexist with significant psychosocial problems. Second, regardless of ad- justment in other spheres, the state of being irrationally alienated from a loving parent is a significant problem in its own right and is accompanied by other indices of psychological impairment. Third, growing up apart from and in severe conflict with an able parent risks compromising children’s future psychological devel-opment and interpersonal relationships
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Children Who Irrationally Reject a Parent ButThrive in Other Respects Need No Interventio
*IMPORTANT*"
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child.Courts cannot enforce orders for parent–child contactagainst an alienated teen’s wishes.A judge who understoodthat a 13-year-old’s decision to sever his relationship with hisfather reflected impaired judgment nevertheless acquiesced to theboy’s demands because, “He is now of an age where, even if hemay be too immature to appreciate what is best for him, he cannotbe physically forced to remain where he does not want to be”(Korwin v. Potworowski, 2006, ¶ 145). This judge is not alone.Other judges, child representatives, parenting coordinators, psy-chotherapists, and parents often report feeling stymied when ado-lescents refuse to cooperate with the court-ordered parenting timeschedule (DeJong & Davies, 2012;Johnston, Walters, & Fried-lander, 2001). These children can be so convincing about theirresolve to have their way with respect to avoiding a parent thatthey convince the court that they are beyond its authority. Theyinduce a sense of helplessness in judges.Adults need not feel helpless in the
IMPORTANT***!!!
Adults need not feel helpless in the face of oppositional behavior from alienated teens. Two studies have reported that most children's protests evaporate when reunited with a rejected parent (Clawar & Rivlin, 2013; Warshak, 2010b) and this is illustrated anecdotally by high profile cases (Warshak, in press). Instead of appeasing children's demands, the court can order an intervention to assist children in adjusting to court orders that place them with their rejected parent (Warshak, 2010b).
Adolescents comply with many rules and expectations that are not of their own choosing. It is an error to assume that they do not benefit from an assertion of authority on the part of the court and their parents. Teens need adult guidance, structure, and limits as much as if not more than do younger children. When a teen has been violent toward a rejected parent, allowing the teen's wishes to determine the outcome of a custody case can be seen as rewarding violent behavior (Warshak, 2010b). Children of any age need to understand that they are not above the law or beyond its reach.
Child custody evaluators and educative experts should inform the court about the benefits and drawbacks of various means of giving adolescents a voice in a custody dispute (Dale, 2014: Warshak, 2003b). Courts also need to learn about the suggestibility of adolescents and their susceptibility to immature judgment and external influence.
If the evidence suggests that the child's viewpoints do not reflect mature judgment independent of the other parent's un- healthy influence, or the child's expressed preferences are unlikely to serve the child's best interests, the court should impress on the adolescent, either directly or through agents of the court, the necessity of complying with the residential schedule put in place by the court. The parents and the child should understand that failure to comply with court orders will not be overlooked and will not result in the court capitulating to the overt demands of the adolescent. A firm stance by the court brings the added benefit of relieving the child of needing to maintain a parent's approval by refusing to spend time with the other parent.
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Alienated Adolescents’ Stated Preferences ShouldDominate Custody Decision
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ct.counseling.org ct.counseling.org
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“What’s happening in outpatient reunification therapy is not only not helping [but] it’s making things far worse,” Baker stresses. “One major problem in general is that clinicians often let these cases go on and on with middle-of-the-road treatments without getting to the underlying cause. Many therapists let these cases go for years without saying, ‘Gee, I’m not really doing anything good here.’” “There’s this false belief that it’s impossible to tell what’s really going on,” she continues. But “it’s not impossible to tell if clinicians were trained specifically in this subspecialization.”
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“Parental alienation leads to highly complicated and difficult cases that require far more knowledge and specialization,” notes Amy Baker, a psychologist and parental alienation expert who has written over 65 peer-reviewed articles on the matter. “In other words, even seasoned clinicians with experience in family systems are still, in a way, a novice when dealing with alienation. Humility would be the most important thing for clinicians to have in this regard.”
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docdrop.org docdrop.org
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Expert testimony is opinion testimony about a subject that is outside the judge or jury’s knowledge or experience. The witness needs to show that she is qualified to testify as an expert on a particular subject. Th ese qualifications may be based on experience; education and training; professional accomplishments, recognition, and memberships; prior testimony as an expert; or familiarity with the relevant professional literature.
Important
DHS's requirements must meet the minimum standards the court has for expert counsel as when they are needing expert counsel
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CHILD ABUSE AND NEGLECT USER MANUAL SERIES
Working with the Courts in Child Protection
Honorable William G. Jones
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co4kids.org co4kids.org
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The court must then “determine and approve” the QRTP placement within 60 days and find that the placement provides the most effective, least restrictive level of care, and is consistent with the permanency plan. If any party objects to QRTP placement or the independent assessment does not recommend QRTP level of care, the court hearing must be within 30 days of placement instead of 60. Judges, magistrates and other judicial system partners (Dependency and Neglect and Delinquency) have access to training on Colorado’s QRTP Benchcard and the independent assessment process. County directors also have access to QRTP Benchcard training specific to child welfare practice.
The county, court, and ASO/QI, are all responsible for fucking up this timeframe. However, the concept here is that if there is disagreement on report/assessment/recommendations, that starts a 30 day ticking clock to reconvene.
The first reaction course of action: invoke CDHS and DCW to drive, discipline, support a proper independent assessment; to have them fast track it; to get special as needed funding from them and county if needed to get all proper high quality resources
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The independent assessment process includes a full psychosocial assessment (CANS), direct contact with the child or youth, family or caregivers, interviews with a variety of professionals, and a Family and Permanency meeting. An assessment summary will be created at the end of the assessment and given to the referring party. The summary will include level of care recommendations, clinical recommendations, history of services, time spent in a QRTP to date, if consensus was achieved during the Family and Permanency meeting, findings from the psychological assessment tool, and short- and long-term clinical goals. The Qualified Individual must specify why the needs of the child cannot be met by other levels of care. A lack of lower-level placement options is not a justification for QRTP placement.
**All of this! Where is the all persons included, the CANS report, the permanency meeting, the documentation of failed consensus and why, short and long therapeutic goals, etc
Also, Rhyanna likes Chase House and Beato says "they do a lovely job".
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ASOs will have access to Qualified Individuals in other regions and they are trying to share resources during this initial phase of implementation. If an ASO does not have available Qualified Individuals, they will need to inform OBH and DCW immediately so they can problem solve to ensure that the assessment is done within the timeframes. I
ASO had full access to entire state supply of QIs and support of CDHS and DCW to problem solve getting the right person and assessment done on time
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Contractually, ASOs are required to provide independent assessments in a timely manner.
- ASO is contractually obligated to provide assessment in timely manner
- submitting an inadequate assessment report just to get it in on time but did not adhere to due diligence and standards is not just the same as not submitting at all, it is severe misconduct
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The CDHS Office of Behavioral Health contracts with the Administrative Service Organization (ASO) in your region, who is then responsible for contracting directly with and hiring the Qualified Individual(s) needed and managing quality assurance. Qualified Individuals must be licensed behavioral health professionals, trained in the Child and Adolescent Needs and Strengths (CANS) tool and take advanced Family First and trauma-informed care trainings. As of October 1, 2021, the independent assessment process for all counties is up and running. ASOs continue to be concerned about Qualified Individual capacity, workforce shortages and waitlists.
- does QI have the advanced FFPSA training (doesn't seem like it)
- were QRTP waitlists a motivating factor; which absolutely cannot be a determining factor
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The entire assessment process from the time of referral to the completed assessment summary is completed within 14 days. Ideally the process should be completed before placement, but it must be completed within 10 business days of placement if that’s not possible. Federal funding for a child/youth/juvenile in QRTP placement is initially allowed for up to 30 days and then only allowed past that timeframe if the independent assessment determines that a QRTP is the appropriate level of care.
10 DAYS TO COMPLETE ASSESSMENT FROM DAY OF PLACEMENT
STRATEGY: the county is showing again and again significant negligence, violation of law, ignorance - argue for no confidence, lack of capacity to function "as parent" and meet child and people's needs, creating injurious environment, they are in need of services
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At that meeting, everyone will discuss treatment and care goals and determine if QRTP is the level of treatment required. This recommendation as well as the Independent Assessment will be presented to a judicial officer who will make the final determination
First the assessment is done, 2nd there is an all party permanency meeting to discuss needs and plan, 3rd present all positions to the court
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The Independent Assessment is completed by a licensed behavioral health professional who completes a full psychosocial assessment, reviews all provided documentation, meets with the child or youth, speaks with a wide variety of individuals, and has completed a robust set of training. The CANS tool is used after the psychosocial assessment to help the behavioral health professional identify key needs and strengths with the family and child or youth. The CANS tool is also used to frame the assessment in a measurable way and to work with all parties involved to gain a consensus of the needs and strengths
- meets with wide variety of individuals
- completed a robust set of training, esp in FFPSA
- what is the CANS tool, and how did it frame and document in a measurable way; is this in the summary report?
- and it's supposed to ensure all parties involved are included, documented, and give consensus on needs and strengths
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- Mar 2023
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www.sos.state.co.us www.sos.state.co.us
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“Diagnostic and Treatment Planning Services”: various evaluations of the child and family tofacilitate the development of the Family Services Plan and the move of the child to a permanentplacement.
THIS IS EXACTLY WHAT IS NEEDED AND I HAVE BEEN ASKING FOR
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familyjusticeinitiative.org familyjusticeinitiative.org
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Will jurisdictions have to redirect IV-E funds from current programs or give up somethingto support legal representation for parents and children?o No. Title IV-E funds are an open-ended entitlement. The federal policy changemeans that new/additional IV-E dollars are now available to support high-qualitylegal representation for children and parents.
whole page is IMPORTANT
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Will jurisdictions have to redirect IV-E funds from current programs or give up somethingto support legal representation for parents and children?o No. Title IV-E funds are an open-ended entitlement. The federal policy changemeans that new/additional IV-E dollars are now available to support high-qualitylegal representation for children and parents.
whole page is IMPORTANT
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docdrop.org docdrop.org
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Family First Prevention Services Act:Judicial and Legal Practice ConsiderationsBefore a Petition is Filed: Prevention ServicesSeptember 1, 2021
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www.americanbar.org www.americanbar.org
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Lawyering really matters and providing parents the right kind of legal representation in child welfare cases can mean the difference between preserving a family and seeing it permanently destroyed.
difference between preserving a family and seeing it permanently destroyed
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www.childtrends.org www.childtrends.org
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The law also created a task force to help ensure alignment of state policies with the federal 2018 Family First Prevention Services Act (including how to incentivize certain services/placements), among other duties. I
Who's this task force?? Find them
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docdrop.org docdrop.org
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hildren who resist contact with a parent may be more likely to come to the attention of the court,as the excluded parent may seek orders to enforce the parenting plan, provide counseling, a child custo-dy evaluation, or an order for some of the more specialized milieu programs that address disrupted rela-tionships. Many of these families are also poorly served, as they may initially be referred to therapythat is not adequately structured or specialized for this situation. Outmoded and often demonstrablyineffective treatment approaches, such as counseling that is limited to the rejected parent and child, areoften among the first to be attempted. (This is a common structure when courts order “reunificationtherapy,” but a one-sided approach is rarely successful and may exacerbate the problem.
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- Feb 2023
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www.cbsnews.com www.cbsnews.com
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"It's a great kindness to entrust some one with a secret. They feel so important while telling it."
—Ronald Reagan
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slatestarcodex.com slatestarcodex.com
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A couple people asked me what I meant, and I didn’t have the background then to explain. Well, this post is the background. People are using the contingent stupidity of our current government to replace lots of human interaction with mechanisms that cannot be coordinated even in principle. I totally understand why all these things are good right now when most of what our government does is stupid and unnecessary. But there is going to come a time when – after one too many bioweapon or nanotech or nuclear incidents – we, as a civilization, are going to wish we hadn’t established untraceable and unstoppable ways of selling products.
Islanders, remember this. What am I saying Scott Alexander is one of the guys you keep a keen eye on. A very keen eye on.
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- Jan 2023
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rails.rubystyle.guide rails.rubystyle.guide
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Since Rails creates callbacks for dependent associations, always call before_destroy callbacks that perform validation with prepend: true.
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none of this is likely, but it’s also not impossible
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