#journals on emergency medicine

[biomedres]

Sustainability of Biologic Therapy is Less in Ulcerative Colitis than Crohn’s Disease Patients, Independent of Prior Biologic Experience

Sustainability of Biologic Therapy is Less in Ulcerative Colitis than Crohn’s Disease Patients, Independent of Prior Biologic Experience in Biomedical Journal of Scientific & Technical Research

https://biomedres.us/fulltexts/BJSTR.MS.ID.006071.php

Background: Treatment of Inflammatory Bowel Disease (IBD) with biologics is effective but loss of response to treatment limits long-term treatment success. Few studies have examined what determines sustainability of biologic treatment. Objective: The aim of our study was to determine factors associated with sustainability of biologic therapy in IBD. Methods: We performed a retrospective study of 4,200 patients in a single healthcare network. Primary outcome was time to biologic treatment discontinuation (due to inadequate treatment response or adverse effects). Results: A total of 948 independent biologic treatment episodes were identified in 712 patients. Mean follow-up was 2.3years (range 0.0028 – 5.00). • Group 1: 701 biologic-naïve treatment episodes were included. 329 patients (47%) were treated with infliximab, 337(48%) with adalimumab and 32(5%) with golimumab. 250 (36%) had UC. Mean time to discontinuation in UC was 2.9 years compared to 3.6 years in CD (p = <0.001). • Group 2: 247 treatment episodes of biologic-experienced patients were included. 83(33%) were treated with infliximab, 57(23%) with adalimumab, 40(16%) with vedolizumab, 26(11%) with golimumab and 41(16.6%) with ustekinumab. 99(40 %) had UC. Mean time to discontinuation in UC was 2.3 years compared to 3.1 years in CD (p = 0.03). Conclusion: Our real-world data indicates sustainability of biologic treatment is less in UC than in CD patients and is not strongly determined by prior biologic exposure. These findings suggest the need for better understanding of the differing mechanisms for loss of biologic response which will assist in sequencing of therapies in the future.

For more articles in Journals on Biomedical Sciences click here bjstr

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[fauvester]

these are my star trek doctor ocs emtala jcaho (pronounced jay-ko) and ama n'jem

[contusmpublications]

[stemlyns]

JC: Serratus Anterior Plane Blocks for rib fractures in the ED. St Emlyn's

One of the many jobs that I juggle is as a Major Trauma Consultant on the major trauma ward in Virchester. This involves overseeing and coordinating the care of major trauma patients who are cohorted in a single ward. We also input into critical care areas and the ED. It’s a really positive experience to see how patients progress through care and I love this, and also the interactions with other…

[patriciafortunato]

The methadone prescribing algorithm is published as part of the Southern New Jersey Medication for Addiction Treatment Center of Excellence (MATCOE) Emergency Department Addiction Pathways (EDAP) and in the Journal of Emergency Medicine (JEM), March 2023. Learn more here.

Recommended citation:

Huo S, Fortunato P, Haroz R. Treating Opioid Use Disorder with Methadone Algorithm. Southern New Jersey Medication for Addiction Treatment Center of Excellence. 2022.

[trans-axolotl]

this is a shortened works cited from my thesis, pulling out the sources about American intersex history and activism from the past 30 years. i have pdfs for most of the sources there, if there's something that isn't linked send me a message and i can try to find it!

just thought i'd try to put a lot of intersex history sources in one place.

Works Cited: 

Amato, Viola. “The Intersex Movement of the 1990s: Speaking Out Against Medical and Narrative Violence.” In Intersex Narratives: Shifts in the Representation of Intersex Lives in North American Literature and Popular Culture, 55–102. Transcript Verlag, 2016. http://www.jstor.org/stable/j.ctv1xxrsz.6.

Bauer, Markus, Daniela Truffer and Daniela Crocetti. “Intersex Human Rights.” The International Journal of Human Rights. 24, no.6. (2020):724-749.https://doi.org/10.1080/13642987.2019.1671354 

Brown, Lydia X.Z., Erickson, Loree, da Silva Gorman, Rachel, Lewis, Talila A., McLeod, Lateef, and Mingus, Mia.  “Radical Disability Politics.” In Routledge Handbook of Radical Politics, edited by A.J. Withers and Liat Ben-Moshe, 178-193. Routledge, 2019. 

Cameron, David. “Hermaphrodites With Attitude.” Newsletter. 1994. https://isna.org/library/hwa/ 

Carpenter, Morgan. “Fixing bodies and shaping narratives: Epistemic injustice and the responses of medicine and bioethics to intersex human rights demands.” Clinical Ethics. 2024;19, no. 1. (2024) :3-17. doi:10.1177/14777509231180412

Chase, Cheryl. “Hermaphrodites with Attitude: Mapping the Emergence of Intersex Political Activism.” Journal of Lesbian and Gay Studies. 4, no.2, (1998): 189-211. 

---, Hermaphrodites Speak! 1997; Rohnert Park: Intersex Society of North America. Video tape. 

Cohen, Julie, dir. Every Body. 2023; United States: Focus Features, DVD.

Denny, Dallas.  "Chrysalis Quarterly, Vol. 2 No. 5 (Fall, 1997 / Winter, 1998)."  Periodical.  1998.  Digital Transgender Archive,  https://www.digitaltransgenderarchive.net/files/7s75dc39s  (accessed April 08, 2024).

Davis, Georgiann. “Introduction: Normalizing Intersex: The Transformative Power of Stories.”  in Voices: Personal Stories from the Pages of Narrative Inquiry in Bioethics: Normalizing Intersex, edited by James DuBois and Ana Iltis. 1-4. John Hopkins University Press, 2016. 

Dreger, Alice. “Rejecting the Tranquilizing Drug of Gradualism in Intersex Care.” Alice Dreger (blog). November 2015. Accessed April 9, 2024. https://alicedreger.com/dsd_human_rights/ 

Dreger, Alice and April Herndon. “Progress and Politics in the Intersex Rights Movement: Feminist Theory in Action.” Journal of Lesbian and Gay Studies. 15, no. 2. (2009): 199-224.

Fausto-Sterling, Ane. Sexing the Body: Gender Politics and the Construction of Sexuality. New York: Basic Books. 2000. 

“A Framework for Intersex Justice.” Intersex Justice Project. 2021. Accessed April 8, 2024. https://www.intersexjusticeproject.org/intersex-justice-framework.html 

"FTM Newsletter #37."  Periodical.  1997.  Digital Transgender Archive,  https://www.digitaltransgenderarchive.net/files/kd17cs89j  (accessed April 08, 2024).

Hegarty, Peter, Marta Prandelli, Trove Lundberg, Lih-Mei Liao, Sarah Creighton, and Katrina Roen.”Drawing the Line Between Essential and Nonessential Interventions on Intersex Characteristics With European Health Care Professionals.” Review of General Psychology. 25, no 1. (2020): 101-114. 

Hermaphrodites With Attitude.  "Hey AAP! Get Your Scalpels Off Our Bodies! Flyer."  Ephemera.  1990.  Digital Transgender Archive,  https://www.digitaltransgenderarchive.net/files/qj72p712h  (accessed April 08, 2024). 

“Hermaphrodites With Attitude,” Intersex Society of North America. 2006. Accessed April 8, 2024. https://isna.org/library/hwa/ 

“How To: Organize an #EndIntersexSurgery Protest in your hometown--a toolkit created by Intersex Justice Project (IJP.” Intersex Justice Project. 2019. Accessed April 8, 2024. https://webarchive.loc.gov/all/20191111232744/https://docs.google.com/document/d/1EgYy2jfSO04HF_FGv-8RXYEgWW422L-RB7oxMOaIiBc/edit 

Hughes, Ieuan, Christopher Houk, Syed Faisal Ahmed, Peter Lee, and LWPES1/ESPE2 Consensus Group. “Consensus Statement on Management of intersex disorders.” Disease in Childhood. 91, no.7. (2006): 554-563. doi: 10.1136/adc.2006.098319

“I Want to Be Like Nature Made Me: Medically Unnecessary Surgeries on Intersex Children in the US.” Human Rights Watch. InterACT. July 2017, accessed April 8, 2024. https://www.hrw.org/sites/default/files/report_pdf/lgbtintersex0717_web_0.pdf 

“InterACT Statement on Intersex Terminology.” InterACT: Advocates for Intersex Youth. 2015. Accessed April 8, 2024. https://interactadvocates.org/interact-statement-on-intersex-terminology/#:~:text=interACT's%20use%20of%20terminology%20and,of%20the%20term%20%E2%80%9Cintersex%E2%80%9D. 

Lindhal, Hans. “Is PCOS an Intersex Condition? Here’s 5 Reasons Why Some Say Yes.” HansLindhal.Com (Blog). February 2023, Accessed April 7, 2024. https://hanslindahl.com/blog/is-pcos-an-intersex-condition 

---., “9 Young People on How They Found Out They Are Intersex.” Teen Vogue. October 2019. Accessed April 10, 2024. https://www.teenvogue.com/gallery/young-people-on-how-they-found-out-they-are-intersex 

“M.C v. Aaronson.” Southern Poverty Law Center. 2017. Accessed April 8, 2024. https://www.splcenter.org/seeking-justice/case-docket/mc-v-aaronson

Merrick, Ten. “From ‘Intersex’ to ‘DSD’: A Case of Epistemic Injustice.” Synthese 196, no. 11 (2019): 4429–47. http://www.jstor.org/stable/45220035.

Orr, Celeste. Cripping Intersex. University of British Columbia Press, 2022. 

Pagonis, Pidgeon. “#EndIntersexSurgery Protest At Lurie Children’s Hospital Recap + 5 Ways To Get Involved.” Intersex Justice Project. 2018. Accessed April 8, 2024. https://www.intersexjusticeproject.org/blog/endintersexsurgery-protest-at-lurie-childrens-hospital-recap 

Pagonis, Pidgeon and Sean Saifa Wall. “Open Letter to AIS-DSD Support Group.” EndIntersexSurgery. Intersex Justice Project. February 2018. Accessed April 8, 2024.  http://www.endintersexsurgery.org/ 

Redick, Alison. “What Happened at Hopkins: The Creation of the Intersex Management Protocols.  Cardozo Journal of  Law & Gender. 12 (2005): 289-296 

Reid, Graeme, and Minky Worden. “Caster Semenya Won Her Case, But Not the Right to Compete.” Human Rights Watch. July 2023. Accessed April 10, 2024. https://www.hrw.org/news/2023/07/18/caster-semenya-won-her-case-not-right-compete  

Reis, Elizabeth. Bodies in Doubt: An American History of Intersex. John Hopkins Press, 2021.

---, “Did Bioethics Matter? A HIstory of Autonomy, Consent, and Intersex Genital Surgery. Medical Law review. 27, no.4, (2019):658-674. https://doi.org/10.1093/medlaw/fwz007 

Rios-Espinosa, Carlos, Koomah, Syrus Marcus Ware, and Sean Saifa Wall. “Liberating All Bodies: Disability Justice & Intersex Justice In Conversation.” Webinar at the Crip Camp Impact Team and Human Rights Watch Film Festival, United States, October 2020.  

Rubin, David, Michelle Wolff and Amanda Lock Swarr. “Creating Intersex Justice: Interview with Sean Saifa Wall and Pidgeon Pagonis of the Intersex Justice Project.”  Transgender Studies Quarterly. 9, no. 2. (2022): 187-195. https://doi.org/10.1215/23289252-9612823 

Sharman, Zena. “Intersex Justice and the Care We Deserve: ‘I Want People to Feel at Home in Their Bodies Again.’” Ms. Magazine. 2022. Accessed April 8, 2024. https://msmagazine.com/2022/02/03/intersex-justice-the-care-we-dream-of-queer-trans-healthcare/  

Sharpe, Sam. “No one-size-fits all: Myths and Misconceptions about PCOS.” InterACT: Advocates for Intersex Youth. Advocates for Informed Choice. October 2022. Accessed on April 7, 2024. https://interactadvocates.org/no-one-size-fits-all-myths-and-misconceptions-about-pcos/ 

Spurgas, Alyson. “(Un)Queering Identity: The Biosocial Production of Intersex/DSD.” in Critical Intersex edited by Morgan Holmes. 97-122. Ashgate Publishing, 2009. 

Tamar-Matis, Anne. “ Advocates for Informed Choice, Newsletter Fall 2007.” Newsletter. 2007. AIC Legal .https://aiclegal.wordpress.com/wp-content/uploads/2010/02/fall-07-newsletter-final.pdf

---. “Advocates for Informed Choice: Newsletter Spring 2008.” Newsletter. 2008. AIC Legal.https://aiclegal.wordpress.com/wp-content/uploads/2010/02/spring-08-final.pdf

---. “Advocates for Informed Choice: Newsletter Summer 2009.” Newsletter. 2009. AIC Legal.https://aiclegal.wordpress.com/wp-content/uploads/2010/02/aic-2009-summer-newsletter-pdf.pdf

---. “Advocates for Informed Choice: Spring 2010 Newsletter.” Newsletter. 2010. AIC Legal.https://us1.campaign-archive.com/?u=f8291560ebb2dafc25097480f&id=5803ec8c71

---., “June 2011: Promoting the Civil Rights of Children Born With Variations of Sex Anatomy.” Newsletter. 2011. AIC Legal. https://us1.campaign-archive.com/?u=f8291560ebb2dafc25097480f&id=cec68ddac 

---.. “June 2012: Promoting the Civil Rights of Children Born With Variations of Sex Anatomy.” Newsletter. 2012. AIC Legal. https://us1.campaign-archive.com/?u=f8291560ebb2dafc25097480f&id=b4d4dd90cf

---. “ 2012 Annual Report.” Newsletter. 2012. Advocates for Informed Choice. https://interactadvocates.org/wp-content/uploads/2016/06/AIC-2012-Annual-Report.pdf 

---. “2013 Annual Report. “ Newsletter. 2012. Advocates for Informed Choice. https://interactadvocates.org/wp-content/uploads/2016/06/2013-annual-report-FIN1.pdf  

“US: Anti-Trans Bills Also Harm Intersex Children.” Human Rights Watch. October 22. Accessed April 10, 2024. https://www.hrw.org/news/2022/10/26/us-anti-trans-bills-also-harm-intersex-children 

Vecchietti, Valentino. “A Journey to the Intersex-Inclusive Pride Flag.” Global Inclusive Pride Flag. Intersex Equality Rights. 2021. Accessed April 7, 2024. https://www.globalinclusiveprideflag.com/ 

Wilchins, Riki Anne.  "In Your Face No. 5 (Spring 1998)."  Newsletter.  1998.  Digital Transgender Archive,  https://www.digitaltransgenderarchive.net/files/vq27zn45k  (accessed April 08, 2024).

Withers, AJ. Disability Politics and Theory. Fernwood Publishing, 2012. 

Woo, Elaine. “David Reimer, 38; After Botched Surgery, He was Raised as a Girl in Gender Experiment.: Los Angeles Times. May 2004. Accessed April 8, 2024. https://www.latimes.com/archives/la-xpm-2004-may-13-me-reimer13-story.html 

[storiesfromgaza]

Hi, everyone.

Yesterday, I shared here a series of posts written by a girl named Nada Bedair on Twitter, where she discussed new information, she learned after watching a documentary.

It was revealed in this documentary that Israel has something called the "Bank of Skins," which is the largest skin bank in the world, specializing in treating burns, skin cancer, and more.

In this documentary, it became clear that most of these skins did not belong to Israeli soldiers but were taken from the bodies of deceased Palestinians, their identities deliberately obscured through disfigurement or lack of proper autopsy.

At the same time, numerous reports emerged from Palestinians, stating that after the arrest of individuals from Gaza and the West Bank, their families were surprised by their return as deceased, with their bodies missing certain body organs!

Simultaneously, an article was published by the head of the Forensic Medicine Institute, claiming that Israel kills and harvests organs from deceased Palestinians without their consent or their families' consent!

Here is the link to the complete post, including the sources: https://www.tumblr.com/storiesfromgaza/732558400585613312/today-i-learned-about-something-terrible-and-i?source=share

It is crucial that you read this before continuing with this article.

After I shared it yesterday, @chimaeraonwards wrote a comment, attaching a link to a Journal Article | Social Research by anthropologist Nancy Scheper-Hughes titled, "The Body of the Terrorist: Blood Libels, Bio-Piracy, and the Spoils of War at the Israeli Forensic Institute." In this article, the author describes in detail what happened and how it happened in around 38 pages.

you can read it here:

Scheper-Hughes, N. (2011). The Body of the Terrorist: Blood Libels, Bio-Piracy, and the Spoils of War at the Israeli Forensic Institute. Social Research, 78(3), 849–886. http://www.jstor.org/stable/23347019

Your reading of it won't take much of your time, but it will significantly increase your awareness of things you might not have imagined happening!

If reading it is a challenge, it's worth to mention that yesterday, @chimaeraonwards did an amazing thing. She wrote a breakdown of some of the content of the 38-page article. Ensure you read it; it's not very long, but it's highly enlightening. Link: https://www.tumblr.com/chimaeraonwards/732568635164524544/whatever-youre-thinking-about-this-its-actually?source=share Support her by sharing it because she truly deserves it.

[frostyreturns]

We should journal and record what the pandemic hoax was really like...and I mean offline... because I have a feeling this is one the history books and digital world are going to intentionally forget about.

Like remember how they had stores where "for your safety" you were only allowed to buy products they deemed essential. Remember going into a store and sections were roped off and the fucking stores wouldn't let you buy certain things.

I remember going into a dollar store to buy emergency supplies but they were deemed non essential because they were in the camping/outdoor section. I remember that they had employees...regular ass people doing a minimum wage job walking around and harassing customers who were trying to buy anything but food or medicine. Because apparently if you buy food at the store covid wouldn't get you but if you bought a book you were sure to kill yourself and everyone around you. All this during a stage of this "pandemic" where nobody you knew had even heard of anyone who was sick...this was before the jabs came out and people really started "Dying of covid."

You could write a whole chapter about all the times some karen told you to put on a mask and you had to resist the urge to feed them theirs. And remember when they changed the meaning of karen midstream to apply to people who wanted to be left alone and not wear a mask instead of insane entitled people desperate for a sense of power over otherswho make unreasonable demands...like someone who approaches strangers to demand they cover their face so they feel less afraid.

[asexualannoyance]

“[...] Like other movements within political Islam, the movement [Hamas] reflected a complex local reaction to the harsh realities of occupation, and a response to the disorientated paths offered by secular and socialist Palestinian forces in the past. Those with a more engaged analysis of this situation were well prepared for the Hamas triumph in the 2006 elections, unlike the Israeli, American, and European governments. It is ironic that it was the pundits and orientalists, not to mention Israeli politicians and chiefs of intelligence, who were taken by surprise by the election results more than anyone else. What particularly dumbfounded the great experts on Islam in Israel was the democratic nature of the victory. In their collective reading, fanatical Muslims were meant to be neither democratic nor popular. These same experts displayed a similar misunderstanding of the past. Ever since the rise of political Islam in Iran and in the Arab world, the community of experts in Israel had behaved as if the impossible was unfolding in front of their eyes. [...]

In 2009, Avner Cohen, who served in the Gaza Strip around the time Hamas began to gain power in the late 1980s, and was responsible for religious affairs in the occupied territories, told the Wall Street Journal, “the Hamas, to my great regret, is Israel’s creation.” Cohen explains how Israel helped the charity al-Mujama al-Islamiya (the “Islamic Society”), founded by Sheikh Ahmed Yassin in 1979, to become a powerful political movement, out of which the Hamas movement emerged in 1987. Sheikh Yassin, a crippled, semi-blind Islamic cleric, founded Hamas and was its spiritual leader until his assassination in 2004. He was originally approached by Israel with an offer of help and the promise of a license to expand. The Israelis hoped that, through his charity and educational work, this charismatic leader would counterbalance the power of the secular Fatah in the Gaza Strip and beyond. [...]

In 1993, Hamas became the main opposition to the Oslo Accord. While there was still support for Oslo, it saw a drop in its popularity; however, as Israel began to renege on almost all the pledges it had made during the negotiations, support for Hamas once again received a boost. Particularly important was Israel’s settlement policy and its excessive use of force against the civilian population in the territories. [...]

It also captured the hearts and minds of many Muslims (who make up the majority in the occupied territories) due [to] the failure of secular modernity to find solutions to the daily hardships of life under occupation. [...]

The new Israeli methods of oppression introduced during the Second Intifada—particularly the building of the wall, the roadblocks, and the targeted assassinations—further diminished the support for the Palestinian Authority and increased the popularity and prestige of Hamas. It would be fair to conclude, then, that successive Israeli governments did all they could to leave the Palestinians with no option but to trust, and vote for, the one group prepared to resist an occupation described by the renowned American author Michael Chabon as “the most grievous injustice I have seen in my life.” [...]

The obvious failure of the Palestinian groups and individuals who had come to prominence on the promise of negotiations with Israel clearly made it seem as if there were very few alternatives. In this situation the apparent success of the Islamic militant groups in driving the Israelis out of the Gaza Strip offered some hope. However, there is more to it than this. Hamas is now deeply embedded in Palestinian society thanks to its genuine attempts to alleviate the suffering of ordinary people by providing schooling, medicine, and welfare. No less important, Hamas’s position on the 1948 refugees’ right of return, unlike the PA’s stance, was clear and unambiguous. Hamas openly endorsed this right, while the PA sent out ambiguous messages, including a speech by Abu Mazen in which he rescinded his own right to return to his hometown of Safad. [...]”

—Ten Myths About Israel by Ilan Pappé, Chapter 9: “The Gaza Mythologies”, the section titled “Hamas Is a Terrorist Organization”

[presidentofthelipglossclub]

GUESS WHO'S BIRTHDAY IT IS!!

in honor of my birthday here are some more rescue bots headcanons!!

they (as in constructed rescue bots) have extra color receptors which allows them to see more types of light than other bots, as well as advanced hearing (they’re also the only bots with noses so they have an extra sense)

all of them have outliers (its a requirement to be a rescue bot)

blurr changed his paint job (post s4, before he showed up in rid15) because heatwave and blades basically bullied him into it

the academy where they studied was on a moon of cybertron’s, and they actually spent very little time on cybertron itself. it was sorta like a field trip spot, and they went very infrequently

quickshadow was the academy's champion shot, and she won a bunch of competitions

the rescue bots all had specialties outside of what they actually did (heatwave was a history nerd, boulder studied xenobiology, blades took journalism, chase did psychology, quickshadow was a data analyst, hightide took astronomy)

hightide was actually friends with both orion pax and megatronus separately before they realized they all knew each other

in that same vein, servo and lazerbeak were longtime friends because they grew up together

optimus is so ridiculously tolerant towards whatever the rescue bots do that they actually have a running bet on how much they can get away with before optimus gets angry (he never once has)

blurr's reputation as most annoying bot ever has been intact since way before the war when he was a racer

blades got his name through an awkward mishap at an armory that heatwave never let him live down

related to that, all the rescue bots' "names" are really more of nicknames. their names are listed on documents but their primary identification is through serial numbers because they're cold constructs

boulder had a practically bullet proof reputation at the academy as the perfect student so whenever the others wanted to get away with something they always involved him

when salvage heard about DIY's he got super into them and started making tons of pointless stuff. he never even followed the good channels, only stuff like troom troom

chase succumbs to peer pressure ridiculously easy

heatwave gives really good advice but only on accident

quickshadow and hightide like to hang out and trash talk optimus whenever he does something they don't like

blades only has field medicine training, he's not cleared for any actual treatment outside of an emergency (he can do first aid and EMT stuff but can't, like, prescribe things or do surgery). this has not stopped him from trying things though.

salvage is actually from one of cybertron's colony worlds, but he grew up on cybertron

ok here's a fun little surprise is honor of my birthday: the humans are also included in headcanons!!

kade was actually very good at gymnastics, he just got bored of it

chief burns needs glasses but he prefers to wear contacts

dani had a very extreme scene core phase, and her hairstyle is a remnant of that

frankie has super high government security clearance as a super genius and daughter of one of the world's best scientists, so she knows all kinds of military secrets

doc greene and chief burns met in childhood, doc's family moved away, and then when he got older he moved back to griffin rock and reunited with the chief

graham is the biggest night owl because of college. sometimes, when he has trouble falling asleep, the bots invite him to movie night and they all watch reruns of old movies or shows

building off that, there are two kinds of movie night: the first is with the whole burns family, rescue team, and sometimes others such as optimus or the greenes. the second is less of a movie night and more of a "we need something to do while the humans are sleeping, let's watch trashy tv all night." this kind of movie night is really just the bots (minus whoever has night shift)

professor baranova actually used to be pretty upbeat, although she was a bit misunderstood because she's neurodivergent (i also headcanon that after the whole living underwater for 28 years thing she developed DID and multiple alters to cope with the loneliness, so she's now a system)

woodrow and optimus are in a qpr. optimus refers to him as his amica, and also privately thinks of him as his human partner

doc greene at some point developed a working synthetic energon formula completely independently. when ratchet first met him (post war, probably right before he was hired to work at the rescue academy) and learned about this he lost his shit

bumblebee and dani race together all the time when he visits

this is where i'm gonna stop this post, because it's pretty late for me lol. it was my birthday today, so happy birthday to me!!

also y'all PLEASE talk to me abt any of these headcanons i will be thrilled to elaborate!

[biomedres]

Assessment of Body Composition of Adult Females among Weight Managing and not Managing Groups

Assessment of Body Composition of Adult Females among Weight Managing and not Managing Groups in Biomedical Journal of Scientific & Technical Research

https://biomedres.us/fulltexts/BJSTR.MS.ID.006070.php

One exquisite component that marks the personality of an individual is his or her body weight. Accordingly there is a body image perception in the mind of an individual. According to the body image perception, about oneself one frames in his or her mind, the individual follows specific exercise and dietary modifications for weight management. Weight management may involve loosing weight, maintaining weight, or a desire to gain weight. Targets for managing weight may involve loosing weight, maintaining weight, or gaining weight. An individual’s target for weight management may be further assessed and justified by body composition analysis. Moreover body composition analysis helps to assess the nutritional status of an individual. The present research study was a cross sectional study conducted to assess the body composition of females 18-30 years, 147 in number with reference to Body mass Index (BMI), fat mass per cent, fat free mass per cent and total body water per cent. Also a comparison of the above parameters was done among different groups of subjects namely conscious for weight but not managing weight (CNM), making attempts to loose weight (group I), making attempts to maintain weight (group II) and making attempts to gain weight (group III). An ANNOVA test was conducted to assess the difference in these parameters both within and between groups. The results of the study revealed that the difference in BMI, fat mass per cent, fat free mass per cent was highly significant both within and between subjects of various groups, while the difference in body water per cent was found to be significant both within and between subjects of various groups. Besides this the fat mass per cent values were found to be highest in subjects of group I (loose weight), while the values were found to be lowest in subjects of group III (gain weight). The fat free mass per cent values were highest in subjects of group III (gain weight) while the values were found to be lowest among subjects of group I (loose weight). Body water is a part of fat free mass. This was confirmed since subjects in group III (gain weight) had highest quantity of total body water per cent. With reference to BMI, majority of the subjects in group I (Loose weight) fell in the Overweight or Obese category, while majority of the subjects (66.66%) in group III (gain weight) fell into the category of being Underweight. Majority of the subjects in the conscious not managing category (48.48%) and 73.08% subjects in group II (maintain weight) were classified as Normal. The assessment results for body composition parameters justify the weight management targets by subjects and confirm the appropriate body image perception in the individuals also.

For more articles in Journals on Biomedical Sciences click here bjstr

Follow on Twitter : https://twitter.com/Biomedres01 Follow on Blogger :https://biomedres01.blogspot.com/ Like Our Pins On : https://www.pinterest.com/biomedres/

[contusmpublications]

https://contusmpublications.com/world-journal-of-health-and-medicine.php

World Journal of Health and Medicine (ISSN: 2584-0223) Journal is an international open access and double blinded peer-reviewed journal. At the World Journal of Health and Medicine, we are dedicated to advancing the fields of health and medicine through the dissemination of high-quality research and comprehensive reviews.

[stemlyns]

Feb/March Podcast 2024. St Emlyn's

Our regular round up of the best of the blog with @docib and @emmanchester . Decompensated liver disease, mechanical CPR, frailty, global health and more. #FOAMed @stemlyns

Our regular round up of the best of the blog with @docib and @emmanchester . Decompensated liver disease, mechanical CPR, frailty, global health and…

[esggs]

College Major Headcanons:

[Extra content for Capital - noritoshi kamo x reader, cute college au]

Yuuji Itadori - Media Studies, on a full sports scholarship even though he's not too interested in sports. He doesn't show up to practice that much but carries the team in tournaments. Not really very academically inclined but everyone he meets loves him so much that he's gotten a shit ton of internships and work experience just cuz he's nice to work with. Stays on campus dorms.

Nobara Kugisaki - Fashion Merchandising (yay legally blonde). Another one who's not very academically inclined but does great at the practical aspects of the job. Gets 40% off on tuition, but has some funds from her grandma. also gets money from her fashion blog, part-time jobs at fashion mags, and manages clothing for photoshoots on a freelance basis (if she commits she commits). Saves on residence by renting with Inumaki and Panda.

Megumi Fushiguro - Computer Science with a minor in Math. Full scholarship and bursary grant by the college due to his shitty financial conditions (orphaned and destitute at a young age). Prof Gojo is his legal guardian. grew up in and stays on campus dorms.

Maki Zenin - Star Athlete, literally training for the Olympics. Her degree is in Mass Communications but she doesn't actually have to attend classes cuz the Uni wants her to focus on sports. Disowned by her family. Full sports scholarship and occasionally gets sponsored by sportswear companies. Trying to go pro.

Yuuta Okkotsu - Sociology and Anthropolgy. He enjoys talking to and meeting people and works as a part-time Journalist for local news channels to bring attention to issues like poverty. Gets a bursary grant from the uni, gets paid for and is decently recognized for his journalism work. Both Geto and Gojo want to mentor him. He talks to himself when he's alone but that's a secret.

Toge Inumaki - Architectural Design, chose this degree just for the hell of it, is a solid B+ student. Has a YouTube gaming and ASMR channel with 200k followers but is struggling to monetize it profitably. Got in on legacy admissions but gets a sports scholarship of 30% (he's pretty good at athletics)

Panda - ???

Noritoshi Kamo - Economics and Finance, specializing in Private Equity and Investment Banking. he's the heir of the Kamo Conglomerate. Full legacy admission even though he graduated valedictorian of high school and is the captain of the Archery team.

Todo Aoi - Quantum Physics. he's literally the top student of every class he takes. he keeps taking random other classes from different majors based on his whims. his genius was recognised and personally mentored by Yuki Tsukumo, but is now undergoing formal college education for the certificate even though he already knows all this and more. he spends half the day in the gym and the other half streaming Takada-chan variety clips.

Mai Zenin - Economics and Finance, her family made her take it. good at academics even though she's not super into it. legacy admission.

Momo Nishimiya - Literature and Creative Writing. She posts regularly for a gender and sexuality magazine. loves nobara's blog.

Miwa Kasumi - Computer Science with a minor in Software Engineering. She just wanted a degree that would lead to a well-paying job. Cabinet Member of the Student Council. She vouched a lot for Mechamaru/Kokichi to get disability-friendly accommodation. she struggles a bit with academics but pulls through with A- all around. Kokichi/Mechamaru helps her if she finds something particularly difficult to understand. has her own campus residence but has practically moved in with Kokichi.

Arata Nitta - Health and Medicine, focusing on Emergency Care Medicine. he TAs for Prof Shoko's classes. his sister works in college admin office. has campus residence but mostly stays in the college affilitated hospital, bit of an over-worker.

Mechamaru/ Kokichi Muta - double major in Computer Science and Mechanical Engineering. Another top student of his classes. Found it a bit difficult to adjust to campus life at first (not enough disability accommodation) but with Miwa's help he got around. campus dorm with Miwa.

Professors!

Gojo Satoru - graduated from top Ivy colleges, has 5 PhDs, and wrote 1000 papers and books, and is the one of the most respected physicist in the world but insists on teaching Intro-level Physics and Math. drives a Bugatti to college. highly competitive relative grading. prescribes his own books for his class. expect a problem set every day after class. gives a lot of individual attention to students tho, n is very nice in general. he'll accept a late submission if u bring him sweets. his lockscreen is prof geto?

Geto Suguru - teaches one class named Ethics, Philosophy and Law every semester. doesn't answer questions over email, only during Office Hours. great at explaining difficult concepts, his course is the one students fight to get into and say "opened their eyes". has a devoted cult of worshipping students, voted student favorite every year. his adopted daughters took a gap year to travel abroad and he talks about them in class. he always has sweets in his pockets?

Utahime Iori - teaches modules on Economics, Politics and Philosophy courses. great teacher, very clear explanations, bumps up the grading slightly (absolute grading) and is very accommodating as a prof. hates getting emails at night tho.

Shoko Ieiri - Shitty ass prof tbh but everyone takes her class cuz she gives everyone an A. teaches Surgical Anatomy. focuses on practical experience rather than theory. she has a no attendance policy and takes few very exams or assignments.

Yuki Tsukomo - Visiting Faculty, takes one super high level class Quantum Physical Theory one semester and comes back after 4 years. Independent researcher funded by the uni.

[astroismypassion]

✨PART OF FORTUNE IN SIGNS AND HOUSES SERIES: 6TH HOUSE✨

Credit goes to astrology blog @astroismypassion

ARIES PART OF FORTUNE IN THE 6TH HOUSE

You feel the most abundant when you have Aries and Virgo Sun people in your life. You could make money via fitness training, personal training, firefighting, law enforcement, emergency healthcare services, competitive sports, trading, stockbroking, automotive repair, mechanics, tech startups. You feel abundant when you come up with new, fresh ideas.

TAURUS PART OF FORTUNE IN THE 6TH HOUSE

You feel the most abundant when you have Taurus and Virgo Sun people in your life. You could make money via offering a service connected with pet sitting, tutoring or helping people to organise their kitchen, fridge, storage. You may also clean offices or make work environment more beautiful (for example putting on pictures, cleaning the computer). You feel the most abundant when you are stable on a daily basis and know what to expect from your daily schedule and when your work ethic, work relations are stable and grounded.

GEMINI PART OF FORTUNE IN THE 6TH HOUSE

You feel the most abundant when you have Gemini and Virgo Sun people in your life. You could make money via freelance journalism, you can write for newspapers, magazines, online publications. You can have abundance via starting a podcast or YouTube channel. You may offer translation, interpretation or language teaching services if you are multilingual. You feel abundant when you organise a networking event or a conference even. You could also blog about your profession or teach people about what is it that your job entails.

CANCER PART OF FORTUNE IN THE 6TH HOUSE

You feel the most abundant when you have Cancer and Virgo Sun people in your life. You could make money via blogging about topics related to home, family and well-being. You may start a blog or write for publications that focus on these areas. You would be an excellent planner! Planning and organising family-oriented events, such as weddings, birthday parties or even community gatherings in your local town. You could also offer pet sitting, dog walking or even start a pet grooming service.

LEO PART OF FORTUNE IN THE 6TH HOUSE

You feel the most abundant when you have Leo and Virgo Sun people in your life. You could make money via voice acting or doing voice-over work for commercials, animations or audiobooks. You will find fulfilment, joy, success and wealth in activities that promote mental and physical wellness. You might make organic make up or creams. You feel the most abundant when you incorporate hobbies, interests and passion into your daily life. You could also be a health advocate.

VIRGO PART OF FORTUNE IN THE 6TH HOUSE

You feel the most abundant when you have Virgo Sun people in your life. You could make money via starting your own online store selling products related to your interests connected to books, tech gadgets or dietetics/nutrition. You can set up a shop on Shopify or Etsy. You experience wealth by providing consulting services in your area of expertise. You may be a travel blogger or write travel articles, but more so on a local level, maybe also connected with short-distance travel.

LIBRA PART OF FORTUNE IN THE 6TH HOUSE

You feel the most abundant when you have Libra and Virgo Sun people in your life. You could make money via providing recipes for lunches for working people, like easy DIY ideas. You may also create meal plans for school children. You can create wealth by selling prints, stock photos or offering photography services.

SCORPIO PART OF FORTUNE IN THE 6TH HOUSE

You feel the most abundant when you have Scorpio and Virgo Sun people in your life. You could make money via working in alternative medicine or wellness, becoming a financial advisor or running your own cleaning business or provide services for neighbours or in your local town. You can offer cleaning or yard work services to neighbours or in your local community.

SAGITTARIUS PART OF FORTUNE IN THE 6TH HOUSE

You feel the most abundant when you have Sagittarius and Virgo Sun people in your life. You could make money via working in non-profits, via wellness coaching, physical therapy, working in educational institutions, hospitality industry, tour guiding, working for airlines, travel blogging, working in media, especially related to educational content, travel, running a small business that involves sharing knowledge or providing specialized services.

CAPRICORN PART OF FORTUNE IN THE 6TH HOUSE

You feel the most abundant when you have Capricorn and Virgo Sun people in your life. You could make money via farming, gardening, manual labor and agriculture, management, administration, working with your hands, project management, quality control and research. You definitely need to ask for a promotion.

AQUARIUS PART OF FORTUNE IN THE 6TH HOUSE

You feel the most abundant when you have Aquarius and Virgo Sun people in your life. You could make money via information technology, software development, working with cutting-edge technologies, via astronomy or astrology, via social enterprise, digital marketing, advocacy work, activism and community organizing, via renewable energy, sustainable development or green technologies.

PISCES PART OF FORTUNE IN THE 6TH HOUSE

You feel the most abundant when you have Pisces and Virgo Sun people in your life. You make money via tarot, healing, holistic medicine, work with elderly people or at a hotel. You could find success in making jewellery, specializing in anklets. You feel acquire wealth through counselling, psychotherapy, psychology, nursing, holistic therapies (like reiki or acupuncture), teaching meditation, drama/music therapy or dance/movement therapy, caregiving, hospice work, starting a creative arts studio, a holistic wellness center or socially conscious business.

Credit goes to astrology blog @astroismypassion

[australianwomensnews]

Medical research has a major problem: an alarmingly high number of trials are based on fake, fraudulent or misinterpreted data.

Research misconduct sleuths call them “zombie” studies. They look like real research papers but they’re rotten to the core. And when these studies go on to influence clinical guidelines, that is, how patients are treated in hospitals and doctors’ rooms, they can be dangerous.

Professor Ben Mol, head of the Evidence-based Women’s Health Care Research Group at Monash University, is a professional zombie hunter. For years, he has warned that between 20 and 30 per cent of medical trials that inform clinical guidelines aren’t trustworthy.

“I’m surprised by the limited response from people in my field on this issue,” he says. “It’s a topic people don’t want to talk about.”

The peer review process is designed to ensure the validity and quality of findings, but it’s built on the assumption that data is legitimate.

Science relies on an honour system whereby researchers trust that colleagues have actually carried out the trials they describe in papers, and that the resulting data was collected with rigorous attention to detail.

But too often, once findings are queried, researchers can’t defend their conclusions. Figures such as former BMJ editor Richard Smith and Anaesthesia editor John Carlise argue it’s time to assume all papers are flawed or fraudulent until proven otherwise. The trust has run out.

“I think we have been naive for many years on this,” Mol says. “We are the Olympic Games without any doping checks.”

How bad science gets into the clinic

Untrustworthy papers may be the result of scientists misinterpreting their data or deliberately faking or plagiarising their numbers. Many of these “zombie” papers emerge from Egypt, Iran, India and China and usually crop up in lower-quality journals.

The problem gets bad when these poor-quality papers are laundered by systematic reviews or meta-analyses in prestigious journals. These studies aggregate hundreds of papers to produce gold-standard scientific evidence for whether a particular treatment works.

Often papers with dodgy data are excluded from systematic reviews. But many slip through and go on to inform clinical guidelines.

My colleague Liam Mannix has written about an example of this with the hormone progesterone. Official guidelines held that the hormone could reduce the risk of pre-term birth in women with a shortened cervix.

But those guidelines were based on a meta-analysis largely informed by a paper from Egypt that was eventually retracted due to concerns about the underlying data. When this paper was struck from the meta-analysis, the results reversed to suggest progesterone had no preventative effect.

There’s a litany of other examples where discounting dodgy data can fundamentally alter the evidence that shapes clinical guidelines. That’s why, in The Lancet’s clinical journal eClinical Medicine, Mol and his colleagues have reported a new way to weed out bad science before it makes it to the clinic.

Holding back the horde

The new tool is called the Research Integrity in Guidelines and evIDence synthesis (RIGID) framework. It mightn’t sound sexy, but it’s like a barbed-wire fence that can hold back the zombie horde.

The world-first framework lays out a series of steps researchers can take when conducting a meta analysis or writing medical guidelines to exclude dodgy data and untrustworthy findings. It involves two researchers screening articles for red flags.

“You can look at biologically implausible findings like very high success rates of treatments, very big differences between treatments, unfeasible birth weights. You can look at statistical errors,” says Mol.

“You can look at strange features in the data, only using rounded numbers, only using even numbers. There are studies where out of dozens of pairs of numbers, everything is even. That doesn’t happen by chance.”

A panel decides if a paper has a medium to high risk of being untrustworthy. If that’s the case, the RIGID reviewers put their concerns to the paper’s authors. They’re often met with stony silence. If authors cannot address the concerns or provide their raw data, the paper is scrapped from informing guidelines.

The RIGID framework has already been put to use, and the results are shocking.

In 2023, researchers applied RIGID to the International Evidence-based Guidelines for Polycystic Ovary Syndrome (PCOS), a long misunderstood and misdiagnosed syndrome that affects more than 1 in 10 women. As a much maligned condition, it was critical the guidelines were based on the best possible evidence.

In that case, RIGID discounted 45 per cent of papers used to inform the health guidelines.

That’s a shockingly high number. Those potentially untrustworthy papers might have completely skewed the guidelines.

Imagine, Mol says, if it emerged that almost half of the maintenance reports of a major airline were faked? No one would be sitting around waiting for a plane to crash. There would be swift action and the leadership of the airline sacked.