2,649 Matching Annotations
  1. Last 7 days
    1. if you want to age well do something it can be dancing it can be music it can be all sorts swimming 00:56:47 whatever but do something that's the first bit of advice to those who want to make sure that they stay um on top

      for - health advice - aging well - Denis Noble

      health advice - aging well - ll if you want to age well do something! - It can be - dancing - music - swimming - whatever but do something - That's the first bit of advice to those who want to make sure that they stay on top

  2. Apr 2024
    1. More than one-fifth of people experiencing homelessness currently have a serious mental illness like bipolar disorder or schizophrenia, and the US Department of Justice has found that “the prevalence of unmet behavioral health needs” is a key driver in why “people who experience homelessness tend to have frequent (and often repeat) interactions with law enforcement.”
  3. Mar 2024
    1. Résumé de la Vidéo

      La vidéo présente une conférence sur le concept de "One health" dans le domaine de la médecine vétérinaire et humaine. Elle aborde l'importance de l'intégration de la santé animale et humaine, les maladies émergentes, la résistance aux antibiotiques et l'impact des changements environnementaux sur la santé.

      Points Forts: 1. Introduction au concept de One health [00:00:02][^1^][1] * Signification et pertinence dans la médecine * Approche intégrée de la santé de l'animal à l'homme * Importance de la collaboration interdisciplinaire 2. Les maladies émergentes et leur gestion [00:06:18][^2^][2] * Historique des maladies infectieuses et leur impact * L'émergence de nouvelles pathologies et leurs causes * Exemple de la maladie de Lyme et ses facteurs environnementaux 3. La résistance aux antibiotiques [00:22:18][^3^][3] * Un défi majeur pour la santé mondiale * Utilisation des antibiotiques en médecine humaine et animale * Nécessité d'une surveillance et d'une gestion efficaces 4. L'application opérationnelle du concept de One health [00:24:20][^4^][4] * Le programme international Présode * L'importance de la prévention et de l'éducation * Collaboration entre les organisations mondiales de santé Résumé de la Vidéo

      La partie 2 de la vidéo aborde la prévention des maladies zoonotiques et la nécessité d'une collaboration internationale pour gérer les risques sanitaires mondiaux. Elle explique le rôle de l'initiative PREZODE, lancée par le président Macron, qui vise à comprendre, réduire, détecter et surveiller les risques de zoonoses de manière proactive avec l'engagement des pays participants.

      Points Forts: 1. Lancement de PREZODE [00:26:12][^1^][1] * Initiative internationale pour la prévention des zoonoses * Soutien politique mondial et engagement de 12 gouvernements * Collaboration de 50 pays dans la recherche 2. Les quatre piliers de PREZODE [00:28:08][^2^][2] * Comprendre les risques d'émergence de nouvelles pathologies * Réduire les risques par des stratégies de prévention * Détecter les risques et les nouvelles zones précocement * Mettre en place des systèmes de surveillance efficaces 3. L'importance de l'engagement des pays [00:28:53][^3^][3] * Nécessité de politiques de santé publique adaptées localement * Importance de la transparence et de la confiance internationale * Préparation des gouvernements locaux à répondre aux crises 4. Défis et perspectives [00:34:36][^4^][4] * Difficultés liées au cloisonnement des systèmes de gestion de la santé * Nécessité de formation et sensibilisation aux risques zoonotiques * Extension du concept One Health aux maladies neurodégénératives et autres pathologies Résumé de la Vidéo

      La troisième partie de la vidéo aborde la récupération du concept de "one health" (santé unique) dans le contexte des maladies infectieuses et de l'environnement. L'orateur critique l'utilisation actuelle du terme, qui s'éloigne de son intention originale, et suggère que le terme est désormais capté par des besoins qui dépassent l'intention initiale, notamment en infectiologie. Il souligne la nécessité de trouver de nouvelles façons de travailler ensemble pour décloisonner les disciplines sans se limiter à un terme qui pourrait être restrictif ou mal interprété.

      Moments Forts: 1. Débat sur l'intention originale vs l'utilisation actuelle du terme "one health" [00:48:30][^1^][1] * Discussion sur la dérive du concept "one health" * Exemple d'un colloque récent illustrant la divergence * Importance de la définition et de l'orientation des appels d'offres 2. Analyse de la terminologie "one health" dans la recherche et les publications [00:53:08][^2^][2] * Évolution de l'utilisation du terme dans le temps * Prédominance de l'infectiologie dans les articles liés à "one health" * Réflexion sur la pertinence du terme pour l'avenir de la recherche interdisciplinaire 3. Implications pour la recherche et la collaboration interdisciplinaire [01:01:02][^3^][3] * Questionnement sur la valeur du terme "one health" pour la collaboration * Discussion sur la gestion des risques et la prévention dans le contexte de "one health" * Appel à une approche plus holistique et intégrée de la santé globale Résumé de la vidéo

      La partie 4 de la vidéo aborde la nécessité d'une approche interdisciplinaire et transdisciplinaire dans la recherche scientifique, en particulier dans le domaine de la santé. Elle souligne l'importance de sortir des silos disciplinaires pour aborder les problèmes complexes tels que les maladies et les épidémies. La discussion porte sur l'éthique en médecine et en recherche, ainsi que sur l'impact des idéologies et des débats citoyens sur la science.

      Moments forts: 1. Interdisciplinarité en recherche [01:15:11][^1^][1] * Importance de la collaboration entre disciplines * Limitations des approches cloisonnées * Appel à une réflexion plus large et intégrée 2. Financement et orientation de la recherche [01:16:00][^2^][2] * Critique de la distribution actuelle des financements * Nécessité d'explorer au-delà de ce qui est déjà connu * Exemple de l'évolution des modèles en médecine 3. Éthique et idéologie en science [01:27:19][^3^][3] * Distinction entre éthique animale et éthique vétérinaire * Débat sur la place de l'homme par rapport aux animaux * Réflexion sur le sens et la finalité de la recherche 4. Formation et convergence des disciplines [01:38:22][^4^][4] * Proposition de modes de formation convergents pour médecins et vétérinaires * Concept de 'une seule biologie' partagée par tous les êtres vivants * Importance de la pragmatique dans l'évolution des pratiques médicales Résumé de la Vidéo

      La partie 5 de la vidéo aborde l'importance de la médecine vétérinaire dans le développement de traitements pour les humains, comme l'opération de la cataracte, et souligne la nécessité d'une approche interdisciplinaire en médecine. Elle critique également la gestion de la crise COVID-19, en particulier la stratégie de vaccination et la communication scientifique, tout en appelant à une meilleure éducation du public sur les principes biologiques de la santé.

      Points Forts: 1. Développement de la chirurgie de la cataracte [01:41:39][^1^][1] * Origines vétérinaires des techniques opératoires * Importance de la biologie commune entre chiens et humains * Concept d'une seule biologie pour différentes espèces 2. Critique de la gestion de la crise COVID-19 [01:43:58][^2^][2] * Difficultés de vaccination et manque d'efficacité du système * Comparaison avec la vaccinologie vétérinaire * Problèmes administratifs et juridiques entravant la réponse 3. Nécessité d'une approche interdisciplinaire [01:47:03][^3^][3] * Importance de la collaboration entre différents domaines * Défis posés par les barrières organisationnelles et légales * Appel à l'innovation dans les catégories et méthodes 4. Éducation du public et santé publique [01:57:26][^4^][4] * Manque de compréhension biologique chez le grand public * Impact de la crise COVID-19 sur la perception de la santé * Appel à une meilleure éducation en biologie et santé publique

  4. Feb 2024
    1. Very early one chilly morning in October 1895, Fielding Blandfordstepped into a horse-drawn carriage with Edith Lanchester’s father and twobrothers. The four men arrived at Edith’s rented lodgings in Battersea. Theywoke the whole house with heavy banging on the front door, and FieldingBlandford forced his way in to ‘examine’ Edith. He ordered that she be takento an asylum because she was committing ‘social suicide’ by insisting on livingwith her working-class lover without marrying him. He justified this byarguing that under the Lunacy Act 1890 he would have certified her had sheattempted (normal) suicide.

      Fascinating story of a kidnapping and committal of a woman in October 1895 for shacking up with a man she wasn't married to.

      Ultimately gained international attention.

  5. Jan 2024
    1. Seit 2000 sind mindestens 4 Millionen Menschen direkt an Folgen der globalen Erhitzung gestorben. Diese Minimalschätzung in einer neuen Studie begründet, die globale Erhitzung schon jetzt als Gesundheitsnotstand zu behandeln. https://www.repubblica.it/green-and-blue/2024/01/31/news/negli_ultimi_ventanni_la_crisi_del_clima_ha_causato_4_milioni_di_morti-422021774/

      • for: health, David Sinclair, longevity tips, adjacency - lifestyle choices - diet - climate crisis - biodiversity crisis

      • SUMMARY

        • The main tips for staying healthy from a lifetime of longevity research on this video.
      • adjacency between

        • lifestyle choices
      • personal diet
        • climate crisis
        • biodiversity crisis
      • adjacency statement:
        • Promoting this kind of diet and lifestyle can have enormous benefits on climate crisis as well.
        • One could write a paper about the crossover benefits to climate and biodiversity crisis.
  6. Dec 2023
    1. the hormone deficiency has been renamed Genitourinary Syndrome of Menopause (GSM)

      Previously called vaginal atrophy, the deficiency of estrogen during perimenopause is now called Genitourinary Syndrome of Menopause (GSM). It presents primarily as vaginal dryness, but also makes one more susceptible to both genital and urinary symptoms including UTIs, pain with sex, decreased orgasm, and decreased arousal.

  7. Nov 2023
    1. if you have those symptoms like you're always clearing your throat or you're getting that tickle in your 00:11:47 throat or you're getting that post nasal drip it's not science it's not your sinus most of the time if you're having sleep apnea because that acid if you just tuned in with us that acid is making its way up while you're sleeping 00:11:59 most of the time these symptoms happen at night okay and you can get the residual during the day and you're waking up like you're always doing that i can guarantee that the majority of you you're going to have silent reflex that silent reflex is 00:12:13 affecting your breathing
      • for health - sleep apnea - silent acid reflux connection

      • health - sleep apnea - silent reflux connection

        • if you have sleep apnea and you are experiencing post nasal drip, coughing, clearing throat etc, that is the acid coming up from your stomach and obstructing breathing
    2. the ringo pharyngeal reflux
      • for: health - sleep apnea, sleep apnea - acid reflux - laryngopharyngeal reflux, sleep apnea - slient reflux connection

      • comment

        • symptoms
          • sleep apnea, silent reflux, post nasal drip, coughing,
    1. Hitzebedingte Todesfälle bei über 65-Jährigen haben seit den 90ern um 85% zugenommen. Senior:innen sind – wie kleine Kinder – zweimal soviel Hitzewellen-Tagen ausgesetzt wie 1986-2005. Extreme Hitze führte 2022 zu Produktivitätsverlusten von ca. 863 Milliarden USD. Alle Indikatoren für öffentliche Gesundheit haben sich in den letzten 9 Jahren verschlechtert. – Die NYT stellt den 2023 Report des Lancet Countdown ausführlich dar. https://www.nytimes.com/2023/11/14/climate/climate-change-health-effects-lancet.html

      Mehr zum Rreport: https://hypothes.is/search?q=tag%3A%222023%20report%20of%20the%20Lancet%20Countdown%20on%20health%20and%20climate%20change%22

    1. 200 bekannte medizinische Zeitschriften appellieren and die WHO, angesichts der Klimakrise den Gesundheitsnotstand auszurufen. https://taz.de/Ausrufung-des-Gesundheitsnotstands/!5964503/

      Aufruf: Time to treat the climate and nature crisis as one indivisible global health emergency - The Lancet https://www.thelancet.com/journals/lancet/article/PIIS0140-6736\(23\)02289-4/fulltext

  8. Oct 2023
    1. dazu auch<br /> https://norberthaering.de/macht-kontrolle/who-klimanotstand/

      „Time to treat the climate and nature crisis as one indivisible global health emergency.“<br /> (Es ist Zeit, den Klima- und Naturnotstand als eine unteilbare Gesundheitsnotlage zu behandeln.)

      die einzige "krise" die ich sehe ist die globale übervölkerung,<br /> und die ist genau dann vorbei, wenn 95% der menschen von heute tot sind.

      mit welchen lügen die globale militärdiktatur (NWO) aufgebaut wird, ist da eher nebensache.

    1. The results showed that the group asked to reduce their social media use had an average 15% improvement in immune function, including fewer colds, flu, warts, and verrucae, a 50% improvement in sleep quality, and 30% fewer depressive symptoms.
    1. Adolescents who spend more than 3 hours per day on social media may be at heightened risk for mental health problems, particularly internalizing problems.
    1. Metropolitan State University of Denver. “Writing as a Thinking Tool,” June 17, 2021. https://www.msudenver.edu/writing-center/faculty-resources/writing-as-a-thinking-tool/.

    2. Watson, L.R., Fraser, M., & Ballas, P. (2019). Journaling for mental health. Retrieved from https://www.rochester.edu/encyclopedia/content.aspx?ContentID=4552&ContentTypeID=1 Literacy Research and Instruction, 49(2), 194-208. doi:10.1080/19388070902947360

      dead reference? couldn't find; url gone and not archived; DOI was for the Wolsey article and not this

  9. Sep 2023
    1. He says that ultimately, about 50% of participants who were screened to be part of the control group couldn’t be included because of continuing symptoms.

      Honestly, this should be the headline. A full 50% of people who volunteered to be in the control were actually still suffering symptoms! Half! Of a self-selected group!

    1. lifelong toll it takes on the youngest
      • for: forest fire - health impacts
      • comment
        • health impacts include
          • changes in gene expressions vital for immune system functionality
          • women giving birth with blackened, diseased placentas
          • children born
            • smaller
            • pre-term
            • sicker
            • developing croup
            • laryngitis
            • bronchitis
  10. Aug 2023
    1. As for using blue-light-filtering eyeglasses for eye health, for now, Rosenfield says, “there’s nothing to support people buying them.”
    2. The study’s authors found that wearing blue-light filters does not reduce the eyestrain people feel after using computers. The results were inconclusive on whether wearing these specialized lenses before bedtime improves sleep quality.

      eye health

    3. Do Blue-Light Glasses Help with Eyestrain?

      eye health

    1. Health care is an area that will likely see many innovations. There are already multiple research prototypes underway looking at monitoring of one’s physical and mental health. Some of my colleagues (and myself as well) are also looking at social behaviors, and how those behaviors not only impact one’s health but also how innovations spread through one’s social network.
      • for: quote, quote - Jason Hong, quote - health apps, health care app, idea spread through social network, mental health app, physical health app, transform app
      • quote
      • paraphrase
        • Health care is an area that will likely see many innovations. -There are already multiple research prototypes underway looking at monitoring of one’s
          • physical and
          • mental health.
        • Some of my colleagues (and myself as well) are also looking at
          • social behaviors, and how those behaviors
            • not only impact one’s health but also
            • how innovations spread through one’s social network.
    1. How Exercise Can Boost Mental Health?

      Elevate your mood and well-being with the transformative power of exercise. Discover how physical activity enhances mental health. Explore more >> How Exercise Can Boost Mental Health?

  11. Jul 2023
    1. Commentary: Causal Inferencefor Social Exposures

      Commentary: Causal Inference for Social Exposures

    Tags

    Annotators

  12. Jun 2023
    1. (19:30-25:17)

      When interested in longevity, Andrew Huberman suggests to set an treshold of 80% (or more) of eating non-processed to minimally processed foods, which are foods that spoil more quickly usually.

    2. Huberman states that doing these 4 things consistently and regularly, as a habit, might seem to take time, therefore decreasing performance. BUT, in reality they increase performance, as these things improve your health, focus, and awareness significantly.

      Therefore they are so-called Performance Enablers

    3. The 4 (behavioral) keypoints for great physical and mental as well as cognitive health:

      One) (2:00-4:05) View sunlight early in the day. The light needs to reach the eyes--increasing alertness, mood, and focus, through certain receptors. Also increases sleep quality at night, according to Huberman. Ideally five to ten minutes on a clear day, and ten to twenty minutes on an overcast day. No sunglasses, and certainly not through windows and windshields. If no sun is out yet, use artificial bright light. Do this daily.

      Two) (4:05-6:10) Do physical exercise each and every day. Doesn't have to be super intense. Huberman recommends zone two cardiovascular exercise. Walking very fast, running, cycling, rowing, swimming are examples. He says to get at least between 150 and 200 minutes of this exercise per week. Some resistance training as well for longevity and wellbeing, increases metabolism as well. Do this at least every other day, according to Huberman. Huberman alternates each day between cardiovascular exercise and resistance training.

      Three) (6:20-9:10) People should have access to a rapid de-stress protocol or tools. This should be able to do quickly and instantly, without friction. You can just do one breath for destress. ( Deep long breath through nose, one quick breath in nose to completely fill the longs, and then breathe out through mouth long.)

      Four) (9:12-14:00) To have a deliberate rewiring nervous system protocol to use. A thing that can be done is NSDR (Non-Sleep Deep Rest protocol), this is specifically to increase energy.

      Ideally the NSDR should be done after each learning session as well to imitate deep sleep (REM) and therefore accelerate neuroplasticity and thus rewire the nervous system; increasing the strength of connections between neurons and therefore increase retention significantly.

      NSDR is also a process of autonomity and control, it allows one to find that they are in control of their body and brain. It makes one realize that external factors don't necessarily have influence. According to Huberman, NSDR even replenishes dopamine when it is depleted, making it also suitable for increasing motivation.

  13. May 2023
    1. There was an additional appeal to the name: Many of the Mandarin-speaking Connies I spoke to pointed out that the Mandarin for “healthy girl” — 康妮 “kang ni” — sounds an awful lot like Connie.
    1. United States biomedical researchers and pharmaceutical companies are conducting and paying African doctors to conduct unethical and illegal testing of human subjects. Nonconsensual research on human subjects is an atrocity that occurred in Tuskegee, Alabama, and in Guatemala for over forty years. Once outlawed in the U.S., medical researchers began experimenting on thousands of human research subjects without their consent in Cameroon, Ghana, Namibia, Nigeria, Uganda, South Africa, Zimbabwe and other African countries.

  14. Apr 2023
    1. He even offeredgrim warnings about children’s bowel movements, stressing the absolute needfor regularity. Regularity should not be achieved, however, at the expense ofdensity or compactness in the, ahem, product, for ‘People that are very loosehave seldom strong thoughts or strong bodies’ (p. 22, original emphasis).

      Locke stressed the need for regular bowel movements in children in his book Some Thoughts Concerning Education and presupposed a link between the looseness of one's stool and the weakness of their bodies. This seemed to be a moralism rather than a question of general health and eating habits which continued into even my own childhood.

    1. Mental Health State of the World report published by Sapien Labs’ Mental Health Million Project suggests that over recent years we appear to be crossing a global tipping point.

      Annotate this report

  15. Mar 2023
  16. Feb 2023
    1. "Used to talk our problems over cigarettes and coffee. Now cigarettes and coffee ARE our problems."

      —Ronald Reagan

    2. "I won't say he should be put in a mental institution, but if he was in one, don't think I'd let him out."

      —Ronald Reagan

      A sad show for the man who gutted mental health support in California and then more broadly in the United States.

    1. “It makes me feel like I need a disclaimer because I feel like it makes you seem unprofessional to have these weirdly spelled words in your captions,” she said, “especially for content that's supposed to be serious and medically inclined.”

      Where's the balance for professionalism with respect to dodging the algorithmic filters for serious health-related conversations online?

      link to: https://hypothes.is/a/uBq9HKqWEe22Jp_rjJ5tjQ

    1. M. G. Marmot, G. Rose, M. Shipley, P. J. Hamilton, Employment grade and coronary heart disease in British civil servants.J. Epidemiol. Community Health32,244–249 (1978).7R. M. Sapolsky, The influence of social hierarchy on primate health.Science308, 648–652 (2005)

      Want to read with respect to https://hypothes.is/a/hFZ1mqTgEe2MHU8Jfedg_A

  17. Jan 2023
    1. I came here looking for the glycemic index for bananas to see if this might explain a friends delayed reaction to consuming high amounts of salicylate. That is, the pain they experienced as a burn in the mouth/tongue only occurred after consuming a banana. A prior search tentatively suggested that spikes in insulin (which occur with foods high in glycemic index and glycemic load) can cause inflammation to the affected region which sends white blood cells as a response and can cause swelling and increased sensitivity to pain.

    1. Especially when compared to a plastic tongue scraper, a stainless steel one is better at balancing Ayurvedic imbalances. Unlike those made with gold, silver, brass, or copper, stainless steel tongue scrapers resist corrosion and are suitable for all mind-body types, or doshas, according to Dr. Deepak Chopra.  

      Stainless steel tongue scrapers seems to be the best

    1. four truths about how our solutions to these problems have problems of their own:We don’t see everything. Some of the information we filter out is actually useful and important.Our search for meaning can conjure illusions. We sometimes imagine details that were filled in by our assumptions, and construct meaning and stories that aren’t really there.Quick decisions can be seriously flawed. Some of the quick reactions and decisions we jump to are unfair, self-serving, and counter-productive.Our memory reinforces errors. Some of the stuff we remember for later just makes all of the above systems more biased, and more damaging to our thought processes.
    2. Cognitive biases are just tools, useful in the right contexts, harmful in others.
    1. Zika virus as a cause of birth defects: Were the teratogenic effects of Zika virus missed for decades?

      Although it is not possible to prove definitively that ZIKV had teratogenic properties before 2013, several pieces of evidence support the hypothesis that its teratogenicity had been missed in the past. These findings emphasize the need for further investments in global surveillance for emerging infections and for birth defects so that infectious teratogens can be identified more expeditiously in the future.

    1. Indeed ‘anti-vaccination rumours’ have been defined as a major threat to achieving vaccine coverage goals. This is demonstrated in this paper through a case study of responses to the Global Polio Eradication Campaign (GPEI) in northern Nigeria where Muslim leaders ordered the boycott of the Oral Polio Vaccine (OPV). A 16-month controversy resulted from their allegations that the vaccines were contaminated with anti-fertility substances and the HIV virus was a plot by Western governments to reduce Muslim populations worldwide.
  18. Dec 2022
    1. In 1988, when polio was endemic in 125 countries, the annual assembly of national health ministers, meeting in Geneva, declared their intent to eradicate polio by 2000. That target was missed, but a $3 billion campaign had it contained in six countries by early 2003.
    1. The five Cs model

      The five Cs model of vaccine acceptance is based on five factors that can affect an individual's vaccination behaviour: confidence, constraints, complacency, calculation, and collective responsibility.

    1. Summary: In people with normal vision (or corrected-to-normal vision), visual performance tends to be better with light mode, whereas some people with cataract and related disorders may perform better with dark mode. On the flip side, long-term reading in light mode may be associated with myopia.

      Dark mode vs light mode

    1. If headaches and eye strain persist, go see an optician. I had the same problem about a year ago; it turns out I am long-sighted and require glasses. Since then, my headaches and eye strain have pretty much stopped.
    2. Many people perceive light mode as the cause of eye strain. But blue light, among other things, is actually the cause of it most of the time.
    1. We analyzed URLs cited in Twitter messages before and after the temporary interruption of the vaccine development on September 9, 2020 to investigate the presence of low credibility and malicious information. We show that the halt of the AstraZeneca clinical trials prompted tweets that cast doubt, fear and vaccine opposition. We discovered a strong presence of URLs from low credibility or malicious websites, as classified by independent fact-checking organizations or identified by web hosting infrastructure features. Moreover, we identified what appears to be coordinated operations to artificially promote some of these URLs hosted on malicious websites.
    1. When public health emergencies break out, social bots are often seen as the disseminator of misleading information and the instigator of public sentiment (Broniatowski et al., 2018; Shi et al., 2020). Given this research status, this study attempts to explore how social bots influence information diffusion and emotional contagion in social networks.
    1. . Furthermore, our results add to the growing body of literature documenting—at least at this historical moment—the link between extreme right-wing ideology and misinformation8,14,24 (although, of course, factors other than ideology are also associated with misinformation sharing, such as polarization25 and inattention17,37).

      Misinformation exposure and extreme right-wing ideology appear associated in this report. Others find that it is partisanship that predicts susceptibility.

    2. And finally, at the individual level, we found that estimated ideological extremity was more strongly associated with following elites who made more false or inaccurate statements among users estimated to be conservatives compared to users estimated to be liberals. These results on political asymmetries are aligned with prior work on news-based misinformation sharing

      This suggests the misinformation sharing elites may influence whether followers become more extreme. There is little incentive not to stoke outrage as it improves engagement.

    1. Exposure to elite misinformation is associated with sharing news from lower-quality outlets and with conservative estimated ideology.

      Shown is the relationship between users’ misinformation-exposure scores and (a) the quality of the news outlets they shared content from, as rated by professional fact-checkers21, (b) the quality of the news outlets they shared content from, as rated by layperson crowds21, and (c) estimated political ideology, based on the ideology of the accounts they follow10. Small dots in the background show individual observations; large dots show the average value across bins of size 0.1, with size of dots proportional to the number of observations in each bin.

    1. We find that, during the pandemic, no-vax communities became more central in the country-specificdebates and their cross-border connections strengthened, revealing a global Twitter anti-vaccinationnetwork. U.S. users are central in this network, while Russian users also become net exporters ofmisinformation during vaccination roll-out. Interestingly, we find that Twitter’s content moderationefforts, and in particular the suspension of users following the January 6th U.S. Capitol attack, had aworldwide impact in reducing misinformation spread about vaccines. These findings may help publichealth institutions and social media platforms to mitigate the spread of health-related, low-credibleinformation by revealing vulnerable online communities
    1. We applied two scenarios to compare how these regular agents behave in the Twitter network, with and without malicious agents, to study how much influence malicious agents have on the general susceptibility of the regular users. To achieve this, we implemented a belief value system to measure how impressionable an agent is when encountering misinformation and how its behavior gets affected. The results indicated similar outcomes in the two scenarios as the affected belief value changed for these regular agents, exhibiting belief in the misinformation. Although the change in belief value occurred slowly, it had a profound effect when the malicious agents were present, as many more regular agents started believing in misinformation.

    1. Therefore, although the social bot individual is “small”, it has become a “super spreader” with strategic significance. As an intelligent communication subject in the social platform, it conspired with the discourse framework in the mainstream media to form a hybrid strategy of public opinion manipulation.
    2. we found that social bots played a bridge role in diffusion in the apparent directional topic like “Wuhan Lab”. Previous research also found that social bots play some intermediary roles between elites and everyday users regarding information flow [43]. In addition, verified Twitter accounts continue to be very influential and receive more retweets, whereas social bots retweet more tweets from other users. Studies have found that verified media accounts remain more central to disseminating information during controversial political events [75]. However, occasionally, even the verified accounts—including those of well-known public figures and elected officials—sent misleading tweets. This inspired us to investigate the validity of tweets from verified accounts in subsequent research. It is also essential to rely solely on science and evidence-based conclusions and avoid opinion-based narratives in a time of geopolitical conflict marked by hidden agendas, disinformation, and manipulation [76].
    3. There were 120,118 epidemy-related tweets in this study, and 34,935 Twitter accounts were detected as bot accounts by Botometer, accounting for 29%. In all, 82,688 Twitter accounts were human, accounting for 69%; 2495 accounts had no bot score detected.In social network analysis, degree centrality is an index to judge the importance of nodes in the network. The nodes in the social network graph represent users, and the edges between nodes represent the connections between users. Based on the network structure graph, we may determine which members of a group are more influential than others. In 1979, American professor Linton C. Freeman published an article titled “Centrality in social networks conceptual clarification“, on Social Networks, formally proposing the concept of degree centrality [69]. Degree centrality denotes the number of times a central node is retweeted by other nodes (or other indicators, only retweeted are involved in this study). Specifically, the higher the degree centrality is, the more influence a node has in its network. The measure of degree centrality includes in-degree and out-degree. Betweenness centrality is an index that describes the importance of a node by the number of shortest paths through it. Nodes with high betweenness centrality are in the “structural hole” position in the network [69]. This kind of account connects the group network lacking communication and can expand the dialogue space of different people. American sociologist Ronald S. Bert put forward the theory of a “structural hole” and said that if there is no direct connection between the other actors connected by an actor in the network, then the actor occupies the “structural hole” position and can obtain social capital through “intermediary opportunities”, thus having more advantages.
    4. We analyzed and visualized Twitter data during the prevalence of the Wuhan lab leak theory and discovered that 29% of the accounts participating in the discussion were social bots. We found evidence that social bots play an essential mediating role in communication networks. Although human accounts have a more direct influence on the information diffusion network, social bots have a more indirect influence. Unverified social bot accounts retweet more, and through multiple levels of diffusion, humans are vulnerable to messages manipulated by bots, driving the spread of unverified messages across social media. These findings show that limiting the use of social bots might be an effective method to minimize the spread of conspiracy theories and hate speech online.
    1. to lowered economic productivity through reduced earnings. In addition,increased health costs amount to $192 billion, whereas costs associated withincreased crime and incarceration (increased victimization costs of street crime;increased corrections and crime deterrence; increased social costs of incarcer-ation) total $406 billion.

      Childhood poverty results in an annual loss of $294 billion due...

    1. Diagnostic categories based on clinical consensus fail to align with findings emerging from clinical neuroscience and genetics.

      -clinical consensus: science is something you vote for.

  19. Nov 2022
    1. A quick and dirty guide to choosing "slow carbs" (low GLI) and "fast carbs" (high GLI). Purportedly, insulin spikes (from high GLI foods) and prevent amino acids from entering the blood brain barrier. Need to fact-check this

    1. phytoncides, antibacterial and antimicrobial substances that trees and other plants release into the air to help them fight diseases and harmful organisms. When humans breathe in these substances—typically by spending time in nature—their health can improve. Across several studies, phytoncides have been shown to boost immune function, increase anticancer protein production, reduce stress hormones, improve mood, and help people relax. 

      I always feel better during and after a forest walk.

    1. The actual reward state is not one where you're lazing around doing nothing. It's one where you're keeping busy, where you're doing things that stimulate you, and where you're resting only a fraction of the time. The preferred ground state is not one where you have no activity to partake in, it's one where you're managing the streams of activity precisely, and moving through them at the right pace: not too fast, but also not too slow. For that would be boring

      Doing nothing at all is boring. When we "rest" we are actually just doing activities that we find interesting rather than those we find dull or stressful.

    2. the work that needs to be done is not a finite list of tasks, it is a neverending stream. Clothes are always getting worn down, food is always getting eaten, code is always in motion. The goal is not to finish all the work before you; for that is impossible. The goal is simply to move through the work. Instead of struggling to reach the end of the stream, simply focus on moving along it.

      This is true and worth remembering. It is very easy to fall into the mindset of "I'll rest when I'm finished"

    1. Goal SettingGoal setting was used by physiotherapists to activate and motivate patients, to determine what meaningful therapy would be for the patient and to set discharge limits (Leach, Cornwell, Fleming, and Haines, 2010Leach E, Cornwell P, Fleming J, Haines T 2010 Patient centered goal-setting in a subacute rehabilitation setting Disability and Rehabilitation 32: 159–172. [Taylor & Francis Online], [Web of Science ®], [Google Scholar]; Pashley et al, 2010Pashley E, Powers A, McNamee N, Buivids R, Piccinin J, Gibson BE 2010 Discharge from outpatient orthopaedic physiotherapy: A qualitative descriptive study of physiotherapists’ practices Physiotherapy Canada 62: 224–234. [Crossref], [PubMed], [Web of Science ®], [Google Scholar]; Rindflesch, 2009Rindflesch AB 2009 A grounded-theory investigation of patient education in physical therapy practice Physiotherapy Theory and Practice 25: 193–202. [Taylor & Francis Online], [Google Scholar]; Thomson, 2008Thomson D 2008 An ethnographic study of physiotherapists’ perceptions of their interactions with patients on a chronic pain unit Physiotherapy Theory and Practice 24: 408–422. [Taylor & Francis Online], [Google Scholar]). Goal setting seemed particular of physiotherapists’ interest, as patients did not spontaneously mention goal setting as important for patient-centered physiotherapy. Patient-centered physiotherapists, however, tried to allow the patients to define their own goals in collaboration (Larsson, Liljedahl, and Gard, 2010Larsson I, Liljedahl K, Gard G 2010 Physiotherapists’ experience of client participation in physiotherapy interventions: A phenomenographic study Advances in Physiotherapy 12: 217–223. [Taylor & Francis Online], [Google Scholar]; Pashley et al, 2010Pashley E, Powers A, McNamee N, Buivids R, Piccinin J, Gibson BE 2010 Discharge from outpatient orthopaedic physiotherapy: A qualitative descriptive study of physiotherapists’ practices Physiotherapy Canada 62: 224–234. [Crossref], [PubMed], [Web of Science ®], [Google Scholar]; Thomson, 2008Thomson D 2008 An ethnographic study of physiotherapists’ perceptions of their interactions with patients on a chronic pain unit Physiotherapy Theory and Practice 24: 408–422. [Taylor & Francis Online], [Google Scholar]; Trede, 2000Trede FV 2000 Physiotherapists’ approaches to low back pain education Physiotherapy 86: 427–433. [Crossref], [Google Scholar]). This was done by facilitating them and guiding them, using education and dialogue to determine the patients’ goals (Larsson, Liljedahl, and Gard, 2010Larsson I, Liljedahl K, Gard G 2010 Physiotherapists’ experience of client participation in physiotherapy interventions: A phenomenographic study Advances in Physiotherapy 12: 217–223. [Taylor & Francis Online], [Google Scholar]; Leach, Cornwell, Fleming, and Haines, 2010Leach E, Cornwell P, Fleming J, Haines T 2010 Patient centered goal-setting in a subacute rehabilitation setting Disability and Rehabilitation 32: 159–172. [Taylor & Francis Online], [Web of Science ®], [Google Scholar]; Rindflesch, 2009Rindflesch AB 2009 A grounded-theory investigation of patient education in physical therapy practice Physiotherapy Theory and Practice 25: 193–202. [Taylor & Francis Online], [Google Scholar]; Thomson, 2008Thomson D 2008 An ethnographic study of physiotherapists’ perceptions of their interactions with patients on a chronic pain unit Physiotherapy Theory and Practice 24: 408–422. [Taylor & Francis Online], [Google Scholar]; Trede, 2000Trede FV 2000 Physiotherapists’ approaches to low back pain education Physiotherapy 86: 427–433. [Crossref], [Google Scholar]). Goals were mostly created in collaboration between the physiotherapist and the patient (Leach, Cornwell, Fleming, and Haines, 2010Leach E, Cornwell P, Fleming J, Haines T 2010 Patient centered goal-setting in a subacute rehabilitation setting Disability and Rehabilitation 32: 159–172. [Taylor & Francis Online], [Web of Science ®], [Google Scholar]; Trede, 2000Trede FV 2000 Physiotherapists’ approaches to low back pain education Physiotherapy 86: 427–433. [Crossref], [Google Scholar]). However, some physiotherapists made no or little mention of patient-centered goals (Pashley et al, 2010Pashley E, Powers A, McNamee N, Buivids R, Piccinin J, Gibson BE 2010 Discharge from outpatient orthopaedic physiotherapy: A qualitative descriptive study of physiotherapists’ practices Physiotherapy Canada 62: 224–234. [Crossref], [PubMed], [Web of Science ®], [Google Scholar]).

      Interesting point that patients do not spontaneously mention goal setting. How does this impact on your understanding of what patients value? If you reframe or guide the conversation to explore goals, will the patient feel heard? or managed?

    2. Communicative abilities of a patient-centered physiotherapist meant being receptive to what the patient has to say, correctly interpreted, and giving explanations in a way patients understand (Fleiss and Cohen, 1973Fleiss JL, Cohen J 1973 The equivalence of weighted kappa and the intraclass correlation coefficient as measures of reliability Educational and Psychological Measurement 33: 613–619. [Crossref], [Web of Science ®], [Google Scholar]; Trede, 2000Trede FV 2000 Physiotherapists’ approaches to low back pain education Physiotherapy 86: 427–433. [Crossref], [Google Scholar]). Purposefully changing communication styles depending on the patient (Hiller, Guillemin, and Delany, 2015Hiller A, Guillemin M, Delany C 2015 Exploring healthcare communication models in private physiotherapy practice Patient Education and Counseling 98: 1222–1228. [Crossref], [PubMed], [Web of Science ®], [Google Scholar]). Having the ability to explain in lay terms, directly speaking to the patient, listening, and asking appropriate questions were of importance (Cooper, Smith, and Hancock, 2008Cooper K, Smith BH, Hancock E 2008 Patient-centredness in physiotherapy from the perspective of the chronic low back pain patient Physiotherapy 94: 244–252. [Crossref], [Web of Science ®], [Google Scholar]; Kidd, Bond, and Bell, 2011Kidd MO, Bond CH, Bell ML 2011 Patients’ perspectives of patient-centredness as important in musculoskeletal physiotherapy interactions: A qualitative study Physiotherapy 97: 154–162. [Crossref], [PubMed], [Web of Science ®], [Google Scholar]; Pashley et al, 2010Pashley E, Powers A, McNamee N, Buivids R, Piccinin J, Gibson BE 2010 Discharge from outpatient orthopaedic physiotherapy: A qualitative descriptive study of physiotherapists’ practices Physiotherapy Canada 62: 224–234. [Crossref], [PubMed], [Web of Science ®], [Google Scholar]; Potter, Gordon, and Hamer, 2003Potter M, Gordon S, Hamer P 2003 The physiotherapy experience in private practice: The patients’ perspective Australian Journal of Physiotherapy 49: 195–202. [Crossref], [PubMed], [Web of Science ®], [Google Scholar]).
    3. Personal communication and communication skills were far more important than the provision of scientific facts (Trede, 2000Trede FV 2000 Physiotherapists’ approaches to low back pain education Physiotherapy 86: 427–433. [Crossref], [Google Scholar]). By personal communication, a bond was established and the therapy shifted from therapist to patient centered (Hiller, Guillemin, and Delany, 2015Hiller A, Guillemin M, Delany C 2015 Exploring healthcare communication models in private physiotherapy practice Patient Education and Counseling 98: 1222–1228. [Crossref], [PubMed], [Web of Science ®], [Google Scholar]).

      communication far more important that provision of scientific facts

    4. Figure 2. Proposed framework for patient-centeredness in physiotherapy.

      proposed framework for patient centredness in physiotherapy

    1. McAllister et al. highlighted the importance of the clinical consultation as a conversation, paced and directed by both participants [5McAllister M, Matarasso B, Dixon B, et al. Conversation starters: re-examining and reconstructing first encounters within the therapeutic relationship. J Psychiatr Ment Health Nurs. 2004;11:575–582. doi: 10.1111/j.1365-2850.2004.00763.x [Crossref], [PubMed], [Google Scholar]]. Sacks et al. maintain that people take turns to talk by following a set of conventional rules that assign speaker time and direction, and any deviation could indicate a person's attempt to display power, status or influence [6Sacks H, Schegloff EA, Jefferson G. A simplest systematics for the organization of turn-taking for conversation. Language. 1974;50(4):696–735. doi: 10.1353/lan.1974.0010 [Crossref], [Web of Science ®], [Google Scholar]]. Interruptions may not simply be a reflection of status or dominance however, they may reflect a speaker's enthusiasm, interest or spontaneity [22Irish JT, Hall JA. Interruptive patterns in medical visits: the effects of role, status and gender. Soc Sci Med. 1995;41(6):873–881. doi: 10.1016/0277-9536(94)00399-E [Crossref], [PubMed], [Web of Science ®], [Google Scholar]]. Furthermore, it is important they are not interpreted as signs of power, control or dominance, rather they are indicative of interpersonal relationships, such as neutrality, power or rapport [39Goldberg JA. Interrupting the discourse on interruptions. J Pragmat. 1990;14:883–903. doi: 10.1016/0378-2166(90)90045-F [Crossref], [Google Scholar]], which is particularly pertinent to healthcare where power differentials prevail. This was seen in the current study, both in theme 3, and when the patient interjects with humour in the penultimate quote. Practical guides to clinical communication skills concur with Sacks’ model and the two most important skills have been identified as: the ability to allow the patient to speak without interruption; and the ability to truly hear what the patient is trying to say [40Jackson C. Shut up and listen. A brief guide to clinical communication skills. Dundee: Dundee University Press; 2006; p. 1. [Google Scholar]].

      power in the clinical conversation.

      Practical guides to clinical communication skills concur with Sacks’ model and the two most important skills have been identified as: the ability to allow the patient to speak without interruption; and the ability to truly hear what the patient is trying to say [40Jackson C. Shut up and listen. A brief guide to clinical communication skills. Dundee: Dundee University Press; 2006; p. 1. [Google Scholar] ].

    2. McAllister et al. highlighted the importance of the clinical consultation as a conversation, paced and directed by both participants [5McAllister M, Matarasso B, Dixon B, et al. Conversation starters: re-examining and reconstructing first encounters within the therapeutic relationship. J Psychiatr Ment Health Nurs. 2004;11:575–582. doi: 10.1111/j.1365-2850.2004.00763.x [Crossref], [PubMed], [Google Scholar]]. Sacks et al. maintain that people take turns to talk by following a set of conventional rules that assign speaker time and direction, and any deviation could indicate a person's attempt to display power, status or influence [6Sacks H, Schegloff EA, Jefferson G. A simplest systematics for the organization of turn-taking for conversation. Language. 1974;50(4):696–735. doi: 10.1353/lan.1974.0010 [Crossref], [Web of Science ®], [Google Scholar]]. Interruptions may not simply be a reflection of status or dominance however, they may reflect a speaker's enthusiasm, interest or spontaneity [22Irish JT, Hall JA. Interruptive patterns in medical visits: the effects of role, status and gender. Soc Sci Med. 1995;41(6):873–881. doi: 10.1016/0277-9536(94)00399-E [Crossref], [PubMed], [Web of Science ®], [Google Scholar]]. Furthermore, it is important they are not interpreted as signs of power, control or dominance, rather they are indicative of interpersonal relationships, such as neutrality, power or rapport [39Goldberg JA. Interrupting the discourse on interruptions. J Pragmat. 1990;14:883–903. doi: 10.1016/0378-2166(90)90045-F [Crossref], [Google Scholar]], which is particularly pertinent to healthcare where power differentials prevail. This was seen in the current study, both in theme 3, and when the patient interjects with humour in the penultimate quote. Practical guides to clinical communication skills concur with Sacks’ model and the two most important skills have been identified as: the ability to allow the patient to speak without interruption; and the ability to truly hear what the patient is trying to say [40Jackson C. Shut up and listen. A brief guide to clinical communication skills. Dundee: Dundee University Press; 2006; p. 1. [Google Scholar]].

      Practical guides to clinical communication skills concur with Sacks’ model and the two most important skills have been identified as: the ability to allow the patient to speak without interruption; and the ability to truly hear what the patient is trying to say [40Jackson C. Shut up and listen. A brief guide to clinical communication skills. Dundee: Dundee University Press; 2006; p. 1. [Google Scholar] ].

    3. Clinical implicationsTo the best of our knowledge, this is the first time the prevalence and nature of overlaps and interruptions have been reported in patients presenting with low back pain. This work has highlighted the complexity of evaluating the impact of communication during clinical encounters. Clinicians need to ensure that the pendulum of current clinical practice does not swing towards pathoanatomy and physiology, biomechanics and technological advances at the expense of treating the patient as a person and providing truly patient-centred care. Therefore, clinicians at the forefront of practice, whatever their profession, need to invest time evaluating and developing their own communication skills (for example by audio-recording consultations or engaging in peer observation, with patients’ consent) to optimize non-specific treatment effects and ultimately enhance patients’ experience and outcomes.

      noting the importance of taking time to evaluate and develop your clinical communication skills.

    1. Whilst this study intended to explore participants’ perceptions of the impact of empathy on a clinical encounter, participants focused their discussion on how the attributes of both the clinician and patient, as well as external factors, could affect the delivery of empathy during a clinical encounter. Participants identified building rapport, active listening, verbal and non-verbal communication to be factors that could influence the patient-clinician relationship, which is supported in the literature, alongside empathy which has been shown to affect the patient-clinician relationship, improving clinical outcomes, diagnoses and adherence to therapy [3Hojat M, Mangione S, Kane G, et al. Relationships between scores of the Jefferson Scale of Physician Empathy (JSPE) and the Interpersonal Reactivity Index (IRI). Med Teach. 2005;27(7):625–628. doi: 10.1080/01421590500069744 [Taylor & Francis Online], [Web of Science ®], [Google Scholar],8–12Beck R, Daughtbridge R, Sloane P. Physician-patient communication in the primary care office: a systematic review. J Am Board Fam Med. 2002;15(1):25–38. [Google Scholar]Hojat M, Gonnella J, Nasca T, et al. Physician empathy: definition, components, measurement, and relationship to gender and specialty. Am J Psychiat. 2002;159(9):1563–1569. doi: 10.1176/appi.ajp.159.9.1563 [Crossref], [PubMed], [Web of Science ®], [Google Scholar]Shapiro J, Morrison E, Boker J. Teaching empathy to first year medical students: evaluation of an elective literature and medicine course. Educ Health: Change in Learn Practice. 2004;17(1):73–84. doi: 10.1080/13576280310001656196 [Crossref], [PubMed], [Google Scholar]Stepien K, Baernstein A. Educating for empathy. J Gen Intern Med. 2006;21(5):524–530. doi: 10.1111/j.1525-1497.2006.00443.x [Crossref], [PubMed], [Web of Science ®], [Google Scholar]Rakel D, Barrett B, Zhang Z, et al. Perception of empathy in the therapeutic encounter: effects on the common cold. Patient Educ Couns. 2011;85(3):390–397. doi: 10.1016/j.pec.2011.01.009 [Crossref], [PubMed], [Web of Science ®], [Google Scholar]].

      This paragraph mentions one of the key skills from the health coaching conversation module. - note relevance to practice

    2. The key finding from this study indicates that teaching empathy per se, may be best done when working in a clinical setting, as clinicians are able to draw on their clinical experience and immediately take new ideas into their clinical encounters to further enhance their skills. Whilst methods of developing empathy in students have been shown to be successful [16Brunero S, Lamont S, Coates M. A review of empathy education in nursing. Nurs Inq. 2010;17(1):65–74. doi: 10.1111/j.1440-1800.2009.00482.x [Crossref], [PubMed], [Web of Science ®], [Google Scholar],20Bombeke K, Van Roosbroeck S, De Winter B, et al. Medical students trained in communication skills show a decline in patient-centred attitudes: an observational study comparing two cohorts during clinical clerkships. Patient Educ Couns. 2011;84(3):310–318. doi: 10.1016/j.pec.2011.03.007 [Crossref], [PubMed], [Web of Science ®], [Google Scholar],21Batt-Rawden S, Chisolm M, Anton B, et al. Teaching empathy to medical students. Acad Med. 2013;88(8):1171–1177. doi: 10.1097/ACM.0b013e318299f3e3 [Crossref], [PubMed], [Web of Science ®], [Google Scholar],27Fernández-Olano C, Montoya-Fernández J, Salinas-Sánchez A. Impact of clinical interview training on the empathy level of medical students and medical residents. Med Teach. 2008;30(3):322–324. doi: 10.1080/01421590701802299 [Taylor & Francis Online], [Web of Science ®], [Google Scholar],31Lim B, Moriarty H, Huthwaite M. “Being-in-role”: a teaching innovation to enhance empathic communication skills in medical students. Med Teach. 2011;33(12):e663–e669. doi: 10.3109/0142159X.2011.611193 [Taylor & Francis Online], [Web of Science ®], [Google Scholar],33–36Bayne H. Training medical students in empathic communication. J Spec Group Work. 2011;36:316–329. doi: 10.1080/01933922.2011.613899 [Taylor & Francis Online], [Google Scholar]Norfolk T, Birdi K, Walsh D. The role of empathy in establishing rapport in the consultation: a new model. Med Educ. 2007;41:690–697. doi: 10.1111/j.1365-2923.2007.02789.x [Crossref], [PubMed], [Web of Science ®], [Google Scholar]Das Gupta S, Charon R. Personal illness narratives: using reflective writing to teach empathy. Acad Med. 2004;79:351–356. doi: 10.1097/00001888-200404000-00013 [Crossref], [PubMed], [Web of Science ®], [Google Scholar]Tiuraniemi J, Läärä R, Kyrö T, et al. Medical and psychology students’ self-assessed communication skills: a pilot study. Patient Educ Couns. 2011;83:152–157. doi: 10.1016/j.pec.2010.05.013 [Crossref], [PubMed], [Web of Science ®], [Google Scholar]], the increase in empathy levels has not been shown to have a carry over longer than 7 days following the intervention,[16Brunero S, Lamont S, Coates M. A review of empathy education in nursing. Nurs Inq. 2010;17(1):65–74. doi: 10.1111/j.1440-1800.2009.00482.x [Crossref], [PubMed], [Web of Science ®], [Google Scholar],35Das Gupta S, Charon R. Personal illness narratives: using reflective writing to teach empathy. Acad Med. 2004;79:351–356. doi: 10.1097/00001888-200404000-00013 [Crossref], [PubMed], [Web of Science ®], [Google Scholar]]. Multiple studies, however, have identified a decrease in empathy levels in medical and healthcare students over the duration of their education [6Nunes P, Williams S, Sa B, et al. A study of empathy decline in students from five health disciplines during their first year of training. Int J Med Educ. 2011;2:12–17. doi: 10.5116/ijme.4d47.ddb0 [Crossref], [Google Scholar],16Brunero S, Lamont S, Coates M. A review of empathy education in nursing. Nurs Inq. 2010;17(1):65–74. doi: 10.1111/j.1440-1800.2009.00482.x [Crossref], [PubMed], [Web of Science ®], [Google Scholar],19Hojat M, Vergare M, Maxwell K, et al. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med. 2009;84(9):1182–1191. doi: 10.1097/ACM.0b013e3181b17e55 [Crossref], [PubMed], [Web of Science ®], [Google Scholar],20Bombeke K, Van Roosbroeck S, De Winter B, et al. Medical students trained in communication skills show a decline in patient-centred attitudes: an observational study comparing two cohorts during clinical clerkships. Patient Educ Couns. 2011;84(3):310–318. doi: 10.1016/j.pec.2011.03.007 [Crossref], [PubMed], [Web of Science ®], [Google Scholar],23Sherman J, Cramer A. Measurement of changes in empathy during dental school. J Dent Educ. 2005;69(3):338–345. [Crossref], [PubMed], [Google Scholar]], and in a review of these studies [24Neumann M, Edelhäuser F, Tauschel D, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011;86(8):996–1009. doi: 10.1097/ACM.0b013e318221e615 [Crossref], [PubMed], [Web of Science ®], [Google Scholar]], the authors identified four possible reasons for this: negative experiences with clinical supervisors; a feeling of vulnerability as a student, resulting in reduced self-confidence; a lack of social support and increased workload combined with long clinical placement hours [24Neumann M, Edelhäuser F, Tauschel D, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011;86(8):996–1009. doi: 10.1097/ACM.0b013e318221e615 [Crossref], [PubMed], [Web of Science ®], [Google Scholar]]. The student physiotherapists in this study stated that there were multiple factors to focus on whilst on clinical placement, and that their focus was more on their personal development and academic grades rather than their focus being on empathising and communicating with patients. Students did however acknowledge the importance of empathic communication during clinical encounters, but deemed other aspects of their education to be a priority. Neumann et al. [24Neumann M, Edelhäuser F, Tauschel D, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011;86(8):996–1009. doi: 10.1097/ACM.0b013e318221e615 [Crossref], [PubMed], [Web of Science ®], [Google Scholar]] report similar findings, with medical students’ empathy levels showing a significant decline at the point that they enter clinical practice during their educational programme, due to their focus on academic work, improving clinical skills and lack of time to relax and de-stress.

      barriers for students developing and practicing skills in communication and empathy

    1. We’re dedicated to providing the highest standards of safety to protect you and your family during your visit to Founders Family Medicine. We screen all patients for COVID-19 symptoms. We also require masks and social distancing at our clinic.

      We’re dedicated to providing the highest standards of safety to protect you and your family during your visit to Founders Family Medicine. We screen all patients for COVID-19 symptoms. We also require masks and social distancing at our clinic.

  20. Oct 2022
    1. Anxiety Makes Me Feel Like I am Losing My MindAnxiety, Mental Health, Therapy, Treatment<img width="550" height="321" src="https://elevationbehavioralhealth.com/wp-content/uploads/2019/01/anxiety-makes-me-feel-like-i-am-losing-my-mind-550x321.jpg.webp" class="attachment-entry_with_sidebar size-entry_with_sidebar wp-post-image" alt="i feel like i&#039;m losing my mind" /> Table of Contents Help! Anxiety Makes Me Feel Like I am Losing My MindI Feel Like I’m Losing My MindDifferent Types of Anxiety DisordersHow to Manage AnxietyHolistic Therapies That Help Manage StressElevation Behavioral Health Provides Expert Treatment for Anxiety  Help! Anxiety Makes Me Feel Like I am Losing My Mind Anxiety can be so hard to live with. Constant worry and stress keep you in a state of constant fight-or-flight mode at the slightest little trigger. You may try to reason with yourself, that the stress triggers are no big deal. Your brain, though, is locked and loaded to take you through the spectrum of anxiety symptoms. You just can’t seem to break the stress cycle. Many who approach a doctor with their complaints about their symptoms have truly suffered. They are seeking ways to manage the stress so they can live a normal, happy life. This goal is very possible to reach with the right treatment plan. Anxiety treatment can help reduce when you find yourself expressing am I losing my mind and help reduce the daily struggle and greatly improve your life. <img class="alignright wp-image-28337" src="https://elevationbehavioralhealth.com/wp-content/uploads/2019/06/losingmind.jpg.webp" alt="i'm losing my mind" width="300" height="634" srcset="https://elevationbehavioralhealth.com/wp-content/uploads/2019/06/losingmind.jpg.webp 568w,https://elevationbehavioralhealth.com/wp-content/uploads/2019/06/losingmind-142x300.jpg.webp 142w,https://elevationbehavioralhealth.com/wp-content/uploads/2019/06/losingmind-488x1030.jpg.webp 488w,https://elevationbehavioralhealth.com/wp-content/uploads/2019/06/losingmind-334x705.jpg.webp 334w" sizes="(max-width: 300px) 100vw, 300px" />I Feel Like I’m Losing My Mind Anxiety disorder is a broad grouping of mental health disorders, each with excess worry or fear driving it. Anxiety disorders are very common, with 40 million people struggling with one each year. This disorder is different from the common fear you might feel before having to make a public speech. We all have felt afraid from time to time, like when we are pushed out of our comfort zone. Anxiety disorders, though, are very intrusive. Constant stress can be so difficult to manage that it impacts one’s lifestyle, career, health, and friendships. What It Feels Like On one hand, when someone suffers from this problem, something will trigger a cascade of symptoms. There are many types of anxiety and each has its own unique features. The basic anxiety symptoms include: Feelings of dread and fear. Always being on alert for danger. Racing heart. Shaking. Sweating. Fast breathing. Shortness of breath, holding one’s breath. Stomach upset, diarrhea. Feeling jumpy or restless. Insomnia. Headaches. Different Types of Anxiety Disorders There are varied ways that anxiety is expressed. For this reason, there are six types of mental health disorders. The anxiety spectrum includes: Generalized anxiety disorder: GAD features constant worry for much of the day. This can result in headaches, muscle tension, nausea, and trouble thinking. Panic disorder: Sudden and unexplained feelings of intense terror. This can cause a racing heart, shortness of breath, nausea, chest pain, feeling out of my mind, dizzy. May lead to social isolation to avoid having an attack. Social anxiety: Intense fear of being judged or critiqued. Fear of being embarrassed in public. Causes social isolation. Specific phobias: Irrational fear of a certain thing, place, or situation. To manage this fear, the person will go to great measures to avoid triggers. Trauma disorder: PTSD is about never getting over trauma, even months later, It can lead to avoidance of people, places, or situations that trigger thoughts of the event. Flashbacks, nightmares, or repeated thoughts of the trauma stoke the symptoms. Obsessive-compulsive disorder: OCD involves worries about things like germs, causing harm, or a need for order. This drives compulsive behaviors in an attempt to manage the symptoms of anxiety caused by the fear. How to Manage Anxiety Do the symptoms of anxiety make you feel like you’re losing your mind? If so, it is time to meet with a mental health worker. At the first meeting, a therapist will assess what type of anxiety you are dealing with. We Can Help! Call Now! (888) 561-0868 He or she will then design a treatment plan that will help you manage the symptoms. The treatment uses a combined approach with psychotherapy, drugs, and healthy actions that help to reduce stress. Therapy for anxiety is based on the type you have. CBT is very helpful for people that struggle with excess worry and fear. It also helps you to notice how your thoughts are driving the panic-type response to a trigger. CBT then guides you toward changing those fear-based thoughts into more positive ones. Once the thoughts are reframed, the actions that follow will also be positive. Anti-anxiety drugs from the benzo group can be helpful for some people. These drugs work swiftly to help calm nerves and relax you. In some cases, antidepressants are used to treat anxiety as well. <img class="alignright wp-image-28339" src="https://elevationbehavioralhealth.com/wp-content/uploads/2019/06/maninmirror.jpg.webp" alt="feel like i'm losing my mind" width="300" height="634" srcset="https://elevationbehavioralhealth.com/wp-content/uploads/2019/06/maninmirror.jpg.webp 568w,https://elevationbehavioralhealth.com/wp-content/uploads/2019/06/maninmirror-142x300.jpg.webp 142w,https://elevationbehavioralhealth.com/wp-content/uploads/2019/06/maninmirror-488x1030.jpg.webp 488w,https://elevationbehavioralhealth.com/wp-content/uploads/2019/06/maninmirror-334x705.jpg.webp 334w" sizes="(max-width: 300px) 100vw, 300px" /> Holistic Therapies That Help Manage Stress Holistic therapy self-care for stress actions is now often found in the treatment plan for anxiety. This is because these activities can help improve the treatment outcome. They do this by teaching patients ways to achieve a relaxed state of being. For instance, some of these include: Yoga. Mindfulness. Deep breathing Acupuncture. Massage therapy. Equine therapy. Art therapy Elevation Behavioral Health Provides Expert Treatment for Anxiety  Elevation Behavioral Health is an upscale residential mental health treatment center in Los Angeles. If you feel like anxiety makes you feel like you’re losing your mind, our caring team of experts can help. It is time to seek the treatment you deserve to regain your quality of life. When your outpatient treatment is not giving the results you desire, consider a residential program. Treatment is much more focused, and the home-like setting gives you a chance to heal. Take a break from the stressors or triggers in your daily life. Enjoy our upscale private home and gorgeous setting. Our team will help guide you back to health and wellbeing. For questions about our program, reach out to us today at (888) 561-0868. November 22, 2020/by Elevation Behavioral HealthTags: am i losing my mind, feel like im losing my mind, help im losing my mind, i feel like i am losing my mind, i think im losing my mind, losing my mind, losing your mindShare this entryShare on FacebookShare on TwitterShare on PinterestShare on LinkedInShare on TumblrShare on VkShare on RedditShare by Mail https://elevationbehavioralhealth.com/wp-content/uploads/2019/01/anxiety-makes-me-feel-like-i-am-losing-my-mind.jpg 366 550 Elevation Behavioral Health https://elevationbehavioralhealth.com/wp-content/uploads/2018/12/logo_ebh.png Elevation Behavioral Health2020-11-22 01:00:132022-07-08 16:31:14Anxiety Makes Me Feel Like I am Losing My Mind

      When Anxiety is too Much I Feel Like I am Losing My Mind

    1. Can a Narcissist Stop Lying Even With Evidence?Behavior, Mental Health<img width="845" height="321" src="https://elevationbehavioralhealth.com/wp-content/uploads/2022/04/why-do-narcissists-lie-845x321.jpg" class="attachment-entry_with_sidebar size-entry_with_sidebar wp-post-image" alt="why do narcissists lie" /> Table of Contents Why Do Narcissists LieAbout Narcissistic Personality DisorderWhy Someone With NPD LiesLies Often Turn Into GaslightingYou Are the Narcissistic Supply SourceBreaking Free From an NPD LiarElevation Behavioral Health Provides Residential Luxury Mental Health Treatment Why Do Narcissists Lie Are narcissists compulsive liars? Can a narcissist ever stop lying, even when confronted with evidence of their lies? Learn all about narcissistic personality disorder. If you are involved with a narcissist, then you are quite used to being lied to. Their constant lies simply come with the territory. To a normal person, it may be very perplexing to be lied to all the time by someone who purports to care for you. Learn about what the narcissist seems to gain from telling lies all time. About Narcissistic Personality Disorder Narcissistic personality disorder (NPD) is a mental health disorder that stems from an unhealthy and inflated view of self. At least, that’s how it appears on the outside. Inside, though, the NPD really has a very low opinion of him or herself. All of their heinous behaviors are driven by a need to pump themselves up in their own eyes and others’. Individuals with NPD often seek out partners who have certain traits. For instance, they may be a compassionate and sensitive person, but may also be needy and have low self-esteem. Like a leech that latches to a blood source, the NPD latches onto its victim. Over time, the NPD slowly chips away at the victim’s sense of self-worth. Through lies and gaslighting, they put them down and cause them to doubt themselves. Through this emotional abuse, they can control the victim. But because the NPD has no conscience, they never feel regret or remorse for mistreating their partner. Someone with NPD demands constant admiration and praise while keeping their victim from receiving any. A narcissist does not want any competition. Symptoms of NPD include: Lacks empathy or compassion for others. Feels entitled to special treatment. Expects others to fawn over them. Belittles others; talks down to people. Takes advantage of the others’ weaknesses to build themselves up. Self important; arrogant. May hog the conversation. Emotionally detached. Believes that others envy him. Boastful and pretentious. Becomes angry if challenged. Torments the victim with fear. Has a bad temper; sudden angry outbursts. Easily slighted, sensitive to criticism. Doesn’t notice the needs of others. Emotionally stingy. May isolate their victim from friends. Feels insecure inside; self-loathing. Not willing to go to therapy. The NPD will refuse to get help, believing that they are perfect and beyond reproach. Why Someone With NPD Lies Why do narcissists lie… all the time? If you confront them with proof of the lie, they will still attempt to lie their way out of it. What inspires lying? Simply put, the NPD lies in order to inflate his or her own self-esteem. They lie to the other person, to beat them. By inflating truths, they attempt to make their own skills or abilities seem superior to the other person. In other words, they are a boar, the type of person people avoid at a party. We Can Help! Call Now! (888) 561-0868 When the NPD lies, he or she is trying to make themselves appear dominant. They lie for self-gain believing that telling mistruths makes them look smarter than the other person. Having a victim at their side who they can lie to provides them with a constant narcissistic supply, someone that fuels their sickness. When they impress their partner with their lies, they receive a rush or hit to feel better about themselves. Lies Often Turn Into Gaslighting For the NPD, the lies are often a prelude to gaslighting. Gaslighting is a psychological weapon used by some to keep a person emotionally off-balance. When they lie to the person’s face about what may have occurred, they cause the victim to question their own sanity. When the victim confronts the NPD with solid evidence of a misdeed, they will be met with lies. Not only will the NPD lie and deny it ever happened, but they are also likely to attack. This is where the gaslighting begins. They will attempt to twist the event around to become the fault of the victim. You Are the Narcissistic Supply Source There is a reason why the NPD wants to keep their victim around; the victim fulfills a need for them. They fill up their NPD cup daily by sucking the life out of the unsuspecting partner. Thus, the victim is not even aware of the role they play in the illness at first. The NPD will therefore go to great lengths to keep the victim from leaving them. Some tactics they use include: They may cry false tears to elicit sympathy, thus keeping the victim engaged. They may use force or become violent to assert dominance. They may try to manipulate the victim through guilt. They may threaten the victim by taking the money away or causing some type of harm. They make the victim feel bad about themselves so they won’t think they can do any better. They may threaten suicide, although it is an empty threat. Breaking Free From an NPD Liar If you have woken up to realize you are in a relationship with an NPD, you should run, not walk, to the exits. The sad truth is that these people are rarely able to change their ways, mostly because they don’t want to. In their own minds they feel they never do wrong, so why go to therapy? Partner with a therapist who can offer guidance and support as you detach from the NPD. These people can and do become violent when faced with their N-source leaving them. Prepare for the false promises and tears, as they play on your sense of compassion to keep you entrenched in the abuse cycle. So, can a narcissist stop lying, even with evidence of their lies? The answer is very clear: no, they cannot. Elevation Behavioral Health Provides Residential Luxury Mental Health Treatment Elevation Behavioral Health can help someone who is the victim of a narcissist. Our dedicated team is here to guide you toward wellness and discovering new insights. For questions about our program, please call us today at (888) 561-0868. April 27, 2022/by Elevation Behavioral HealthTags: dealing with a narcissist, lying narcissist, narcissist, when narcissist lieShare this entryShare on FacebookShare on TwitterShare on PinterestShare on LinkedInShare on TumblrShare on VkShare on RedditShare by Mail https://elevationbehavioralhealth.com/wp-content/uploads/2022/04/why-do-narcissists-lie.jpg 687 1030 Elevation Behavioral Health https://elevationbehavioralhealth.com/wp-content/uploads/2018/12/logo_ebh.png Elevation Behavioral Health2022-04-27 18:09:152022-04-27 18:09:15Can a Narcissist Stop Lying Even With Evidence?

      Are narcissists compulsive liars? Can a narcissist ever stop lying, even when confronted with evidence of their narcissistic lies? Learn all about narcissistic personality disorder.

    1. Unlike many note taking manuals, Goutor advises that within the small list of rules and standards which he's laid out, one should otherwise default to maximizing the comfort of their note taking system. This may be as small as using one's favorite writing instruments or inks. (p28)

      It's nice to see him centering self-care and small things which contribute to the researchers' mental health within note taking design and user interface.

  21. Sep 2022