#medication reviews

[cans-of-rain]

The Value of Vitamins and Minerals for a Healthy And Balanced Body

Minerals and vitamins are vital nutrients that the body needs to function appropriately. They are accountable for a wide variety of procedures, including structure strong bones, sustaining the body immune system, and also converting food into power. While a healthy and balanced diet plan ought to provide the majority of the essential minerals and vitamins, many individuals do not eat enough of these nutrients. This can cause shortages and health troubles.

To make certain that you are obtaining adequate vitamins as well as minerals, it is very important to eat a variety of foods from all food teams. Fruits, veggies, entire grains, lean healthy proteins, and also milk items are all excellent sources of vitamins as well as minerals. If you are unable to get enough nutrients from your diet alone, supplements may be needed. Nonetheless, it is essential to speak to your doctor before taking any type of supplements, as some can connect with drugs or trigger injury if taken in excess. By making certain you are getting adequate minerals and vitamins, you can assist preserve a healthy body and also avoid shortages that can lead to severe health issues.

Read more here prescription drugs

[dusk-ee]

The Vital Overview to Vitamins and Minerals: Unlocking the Power of Nutrition for Optimum Health And Wellness

Paragraph 1: Nutrients play an essential role in keeping our general wellness as well as well-being. From improving our body immune system to supporting proper brain function, these essential nutrients are the foundation that our bodies need to operate at their finest. In this detailed guide, we will certainly dive deep right into the world of minerals and vitamins, deciphering their advantages, resources, and also the significance of keeping a balanced consumption for optimum health.Paragraph 2: Minerals and vitamins are not just important for our physical features, however they also serve as powerful anti-oxidants, shielding our cells from damage brought on by harmful cost-free radicals. While a healthy diet regimen ought to ideally supply us with all the essential nutrients, specific elements such as inadequate nutritional choices, stress and anxiety, contamination, as well as also drugs can cause shortages. That's where supplementation enters play. We will check out the various sorts of nutrients, their certain features, and exactly how to determine if you require to supplement your diet to ensure you're getting the ideal amount of these vital nutrients. Whether you're seeking to improve your energy degrees, sustain your body immune system, or enhance your skin wellness, comprehending the world of minerals and vitamins is the initial step in the direction of attaining ideal wellness.

Read more here medication errors

[knobs-and-schnapps]

The Essential Guide to Vitamins and also Minerals: Unlocking the Power of Nutrition for Optimum Health And Wellness

Paragraph 1: Minerals and vitamins play an essential role in preserving our overall health and wellness as well as health. From improving our immune system to sustaining proper brain feature, these vital nutrients are the foundation that our bodies require to operate at their finest. In this thorough overview, we will dive deep right into the world of nutrients, untangling their benefits, resources, as well as the significance of preserving a balanced intake for optimal health.Paragraph 2: Nutrients are not only important for our physical functions, however they additionally act as powerful anti-oxidants, securing our cells from damages brought on by hazardous complimentary radicals. While a healthy diet ought to ideally provide us with all the necessary nutrients, specific aspects such as bad dietary options, stress and anxiety, contamination, as well as also medicines can cause deficiencies. That's where supplementation comes into play. We will certainly explore the different types of vitamins and minerals, their specific functions, and exactly how to identify if you need to supplement your diet plan to guarantee you're getting the right quantity of these important nutrients. Whether you're aiming to improve your power levels, support your body immune system, or boost your skin health and wellness, understanding the globe of nutrients is the very first step in the direction of achieving optimum wellness.

Read more here join us

[interlinked-within-cells]

The Vital Overview to Vitamins and also Minerals: Unlocking the Power of Nourishment for Optimal Wellness

Paragraph 1: Nutrients play a vital role in maintaining our total health as well as health. From enhancing our immune system to sustaining correct mind feature, these important nutrients are the foundation that our bodies require to operate at their finest. In this extensive guide, we will certainly dive deep right into the globe of minerals and vitamins, untangling their advantages, resources, as well as the value of preserving a well balanced consumption for optimal health.Paragraph 2: Nutrients are not just vital for our physical functions, however they additionally function as effective antioxidants, shielding our cells from damages triggered by hazardous complimentary radicals. While a well-balanced diet plan ought to ideally offer us with all the essential nutrients, specific factors such as inadequate nutritional options, stress, pollution, and also even drugs can cause shortages. That's where supplementation comes right into play. We will certainly discover the different kinds of nutrients, their certain functions, and also how to recognize if you need to supplement your diet plan to ensure you're obtaining the correct amount of these crucial nutrients. Whether you're looking to enhance your power levels, support your body immune system, or enhance your skin health, understanding the globe of vitamins and also minerals is the initial step towards accomplishing ideal wellness.

Read more here nutrition supplements

[jumping-amphibian]

The Important Overview to Vitamins and Minerals: Opening the Power of Nutrition for Optimal Wellness

Paragraph 1: Nutrients play an important role in keeping our total health and health. From improving our immune system to supporting appropriate brain function, these vital nutrients are the foundation that our bodies require to work at their ideal. In this extensive overview, we will dive deep right into the world of vitamins and minerals, unraveling their benefits, resources, and also the significance of maintaining a well balanced consumption for optimal health.Paragraph 2: Nutrients are not only necessary for our physical features, but they likewise function as effective antioxidants, securing our cells from damages triggered by hazardous totally free radicals. While a well-balanced diet regimen should preferably offer us with all the essential nutrients, certain factors such as poor dietary options, tension, pollution, and also also medicines can bring about deficiencies. That's where supplements enters into play. We will check out the various kinds of nutrients, their specific features, and also how to recognize if you need to supplement your diet regimen to ensure you're getting the correct amount of these essential nutrients. Whether you're wanting to increase your power degrees, sustain your immune system, or enhance your skin health and wellness, comprehending the globe of nutrients is the initial step in the direction of attaining ideal wellness.

Read more here explore now

[kingcollector]

The Vital Guide to Vitamins and Minerals: Unlocking the Power of Nutrition for Optimum Wellness

Paragraph 1: Vitamins as well as minerals play a crucial function in preserving our total wellness and wellness. From enhancing our body immune system to supporting proper mind function, these essential nutrients are the foundation that our bodies need to function at their best. In this extensive overview, we will certainly dive deep right into the world of vitamins as well as minerals, unwinding their advantages, resources, as well as the value of preserving a balanced intake for ideal health.Paragraph 2: Vitamins and minerals are not only important for our bodily functions, yet they also serve as effective anti-oxidants, shielding our cells from damages triggered by unsafe cost-free radicals. While a well-balanced diet needs to preferably give us with all the needed nutrients, specific variables such as poor dietary choices, tension, contamination, and also also medicines can cause shortages. That's where supplementation comes into play. We will certainly discover the different types of nutrients, their particular functions, as well as how to determine if you require to supplement your diet to guarantee you're obtaining the correct amount of these essential nutrients. Whether you're looking to boost your energy levels, support your body immune system, or enhance your skin health, understanding the globe of vitamins and minerals is the primary step in the direction of achieving optimum health.

Read more here medication history

[mslaughalottt]

The Necessary Guide to Vitamins and Minerals: Opening the Power of Nutrition for Ideal Health And Wellness

Paragraph 1: Nutrients play an important function in maintaining our total wellness and wellness. From increasing our immune system to sustaining appropriate mind function, these crucial nutrients are the building obstructs that our bodies require to function at their best. In this comprehensive guide, we will dive deep right into the world of minerals and vitamins, unwinding their benefits, sources, and also the relevance of maintaining a well balanced consumption for ideal health.Paragraph 2: Minerals and vitamins are not just important for our physical features, but they also act as powerful anti-oxidants, securing our cells from damage triggered by dangerous free radicals. While a healthy diet plan should ideally provide us with all the necessary nutrients, particular factors such as bad nutritional options, stress and anxiety, air pollution, and even drugs can lead to deficiencies. That's where supplementation enters into play. We will check out the different types of nutrients, their details functions, and how to determine if you require to supplement your diet to ensure you're getting the right quantity of these essential nutrients. Whether you're seeking to enhance your energy levels, sustain your immune system, or enhance your skin health, understanding the world of nutrients is the very first step towards attaining optimal health.

Read more here online drugstore

[gracelovepharmacy]

Managing multiple medications has become a reality for many individuals, emphasizing the vital role of Medication Therapy Management (MTM). MTM is a personalized approach offered by pharmacies to ensure the safe and effective use of medications. It goes beyond mere dispensing and empowers patients to take charge of their health through informed decisions.

[ao3-crack]

(x)

[faeriekit]

Health and Hybrids (XXV)👽👻💚

[I can't remember the original prompt posters  for the life of me but here's a mashup between a cryptid!Danny, presumed-alien!Danny, dp x dc, and the prompt made the one body horror meat grinder fic.]

🖤Chapter navigation can be found here🖤 Click to browse previous updates.

💚 Ao3 Is here for all parts 💚 (now featuring mediocre mouseover translations, only available on a computer)

Where we last left off... Tim pulls a fast one on Batman for their mutual benefit. Everybody giggles. Danny goggles.

Trigger warnings for this story:  body horror | gore | post-dissection fic | dehumanization (probably) |  my nonexistent attempts at following DC canon. On with the show.

💚👻👽👻💚

(Additional TW: I think this counts as a panic attack ngl)

On the one hand. The room Danny’s in has a killer view of the earth from the moon.

The wall is basically just one big window. Danny is also apparently permitted to mash his face into the glass and ogle the Earth from Space for as long as he wants until the stinky dad, whoever he is, finally emerges from the depths of the building.

Diana’s the only one beside him today. She looks nice—nicer than usual, in her armor and bright clothing rather than soft scrubs and hair net. She can push his chair without getting tired—she could probably fly and carry him too, if she had to, so. Danny’s maybe counting on her liking him if this stinky dad tries to be mean.

So. Diana (nice lady) and Danny (half-dead ghost boy) are quietly seated in a dim, peaceful board room, absorbing the early morning (?) space radiation when the door hisses open across the room.

In the doorway is a long, dark, shadow of a man.

…And the green guy!!

Okay, if the stinky dad man brought a friend to this meeting the same way Diana’s meant to supervise him, Danny feels like he’s been lawyered up for the sake of some kind of court trial. This is not fair. Danny wasn’t able to review his case with his legal representation before this.

Well. Danny fumes. Whatever. His lawyer is Diana, the most powerful living being he’s seen ever in his life, and she can totally kick the green guy’s ass. Hell, Danny could probably kick the green guy’s ass.

...You know. If he wasn’t. Sick.

The stinky dad guy looks a lot like the blob his kid drew him as. That’s kind of neat—his suit is all black with little to no variation, which sort of just washes out the colors Danny might have been able to see if his eyes were still good. He’s very quiet, which is nice, and he’s very not-trying-to-read-Danny’s-mind, which is even better.

The two sit. Danny’s already in a wheelchair, so he just lets Diana wheel him to the table. The lady sits beside him in the spinny office chair.

Hello, the green guy opens with, already toying with the edges of Danny’s aura.

Danny sends back an abundance of ass-kicking emotions.

…Alright then, the green man capitulates, the barest hint of bemusement quickly stifled.

Good. Danny is mean. He’s awake enough to be mad about other people touching his aura from any end of his personal bubble.

But then the green guy…says stuff to the dad guy? And it’s very? Quiet?

Explanations, the green guy says. The image of a sign language translator at a baseball game floats over to him, and—

…Oh. He’s translating. For Danny.

That’s…nice? Nicer than Danny expected, honestly? Most of the time, people are perfectly happy to misinterpret him. It was kind of the way of the world at this point. Getting blamed for stuff, getting accused of stuff…

Man. If they turn out to be indoctrinating him for secret war purposes, at least they’re going all in. Danny might actually. You know. Like it here. A little.

He squirms in his chair, and tries not to look at anyone in particular. Diana—the lady who’s been nice to him—makes as if to straighten his hair for him, and remembers at the last second that he doesn’t like to be touched.

And sure. Danny doesn’t want to be touched. By bad guys.

…But Diana’s been really nice to him, so. Maybe. He scratches at the back of his neck, and ducks his head down—and remembers to use his words. “Yes,” he consents verbally. He can’t make eye contact. But he can…let her. Brush his hair back. A little.

Diana asks something long and complicated—and the green guy presses an image of Wonder Woman asking permission, being kind, being gentle­—up against the edges of Danny’s awareness.

Danny nods at the floor instead of at the lady. It’s fine. She’s fine. It’s fine.

And her fingers carefully brush through the front end of his fringe, and Danny. Danny is so normal about it. He doesn’t even cry or anything. Not even in front of his friend’s stinky dad.

And she doesn’t do it like Mom did it. And she doesn’t ruffle his hair like Dad did.

But it’s. Nice. And she doesn’t pull.

…And she doesn’t hit.

Danny eventually leans back into his wheelchair. It’s a little bit embarrassing to be halfway in and halfway out, but. Whatever. The scary-looking-dad with the earsies on his helmet has his own teenager. He should understand what it feels like to get emotionally weird with your teen in a public place. If he doesn’t, well...he wouldn’t be a great dad, then, and his opinion would suck anyway.

Based on what Danny knows about the masked kid, Danny isn’t sure the guy would tolerate a bad dad. The teen seems kinda unhinged.

The man says something, and the green guy presses a number of translated feelings against Danny’s awareness: Greetings. Questions about Danny’s wellbeing. Curiosity, but not demanding.

“…Hello,” Danny says back, and. Waves.

The man waves back. He’s got little claws on his gloves.

…Like a cat? Is it to go with his ears? Danny wonders about the possibilities of the guy being cat themed. It’s possible, presumably.

So…they want to know how Danny’s doing? Danny shrugs, and he glances at Diana, since, you know, she could probably fill them in? She does speak their language. And she’s been here the whole time.

The lady leans in close to him, black hair falling out from behind her ear. “What do you want to say?” she whispers into her ear, hand covering her mouth from their watchers.

Uh. It’s up to…Danny?? Somehow??

Danny winces. “…Good?” he tries, unsure if the word he uses means okay or fine or well. “…Not…hungry?”

“Very good,” Diana agrees, a little louder. She looks proud. Being not hungry must mean a lot to her, then. It means a lot to Danny too—he can remember the sensation of his stomach rubbing against itself, friction pulling raw at his insides as acid ate at him.

It was. Bad.

It was bad.

Danny’s glad he’s not there anymore. Anyway, there’s a guy in the room who reads minds, and Danny doesn’t really want to share that memory with anyone ever; especially someone who could turn it back on him.

The stinky dad says something else, but he uses words too thick and long for Danny to understand. The green guy translates, pure conceptual recall brushing against Danny’s outer aura—Needs? Wants?

…Danny frowns.

Danny looks at Diana, who looks back at him. Wants, needs…? What?

“Do you need aniþing?” Diana whispers to him, which. You know. Mostly makes sense.

Does Danny…need anything? He has medical care, he has food, he has water, he has toys and brain teasers, even…he has people to hang out with, he has people who stretch his legs with him so that he can go back to normal…heck, he doesn’t even have to clean his own waste bag. There’s people who do that for him.

Like. What more could Danny ask for?

Danny shrugs. He just wants to heal up and run away. Maybe…maybe, if Diana is real and not just pretending to like him to keep an eye on him, she’d let him visit her later or something. Danny would do what Dani doe—did. What Dani…did. And he’d just go a bunch of places and come back when he wants to.

But. No. There’s nothing he really needs right now.

The pointy-eared guy and the green guy share a look and a couple quiet words. Danny flares his annoyance into the silence, but all he gets is a silent Apology/Apology, which isn’t answers.

Ugh. Danny leans over the arm of his wheelchair. This is kind of super boring; it’s more boring than it is frustrating, even.

The stinky dad guy says something else, and Danny feels the push and pull of something double ended tugging on the outer edge of his aura. Additional/information, giving/take?

Danny really wishes he’d brought a fidget toy or something. His nerves are ramping up but all he can do is contort his fingers together, feeling the strain in and the joints click as he pushes them together and twists them apart. They want…to ask him questions? No, they’re already asking him questions. They want Danny to…give them questions??

…Danny doesn’t really want to. Still, he probably…should.

“The…space station,” he says, using the wrong word for their big space building but not knowing the better one; “Is this…where…why is it?”

The black-caped dad grumbles something vaguely approving. A tablet pops out of the table—spooky—and the guy starts drawing on it, explaining all the way. The green guy simplifies more of the verbally complicated concepts for Danny as they go.

Anyway. So they’re in space because it’s their…job? Danny thinks? They do…fighting stuff. Which Danny knew. Because he’d seen them on the news.

But it looks like they do a lot of things—they clean up after storms, and chase regular bad guys and super-bad-guys instead of just big ones. And they stop bad aliens from hurting people on Earth.

The green guy shifts from a green-looking, pointy-headed, red-eyed form to a warm, brown, human skin tone. And even. Like. Human clothing.

Danny stares.

…And the guy immediately takes back his natural form, his body physically shifting and morphing, which, fair, but holy crap. He’s living, on Earth. He passes as normal, on Earth. No one snitches on him. No one’s selling him to the government for parts. No one’s trapping him in a cage and not feeding him.

This guy works here, and everyone lets him.

Danny shifts in his chair. He…he wants that. He wants that. He wants to pass as human and not have to worry about…about anyone getting rid of him. He wants to go back to school. He wants to hide, and never ever not ever be found by anyone or anything when he does.

“I want that,” Danny says. There’s no inflection. He feels dead. He is dead, but usually he doesn’t feel it. “What do I do for…that.”

Help/Searching/Finding? the green—alien—questions, but there’s nothing for Danny to find. He knows exactly where everyone he loves is—and unless they’re already fully formed in the ghost zone…

…Well. Danny has forever to wait and see if he’ll see his friends and sister again. Maybe he’ll find them again one day, in a world purely green and glowing.

He shakes his head.

The next question comes…softer. Gentler. The mental push feels more like a breeze than a gale. Friends…Home/family?

The question comes tinged with all sorts of sensations that Danny’s suppressed—warmth, security, happiness, oxytocin, fondness, pride and being the source thereof, warmth and love, love, love—

Danny’s sweating. He can’t stop. His hands are shaking faster than usual—he kicks the brakes off his chair with the heels of his palms, and jerks the wheels back, pulling away from the desk—

He’s halfway across the room before he hears the noise. It’s just. Noise. It’s Diana, carefully shushing the loud heartbeat churning in his ears, hands on his hand, trying not to cage him but trying to keep skin on skin contact. Her hand is on the back of his hand, and on his shoulder.

“It’s okay,” Diana whispers. Danny’s shaking. His whole body is shaking. “Shhh, sh sh sh. It’s alright, it’s okay.”

It’s not it’s not it’snoit’snotit’sNOT. His sister is dead. His friends are dead. His parents sold his captors the equipment to catch him and they didn’t care if he got hurt doing it and now they’re DEAD. They tore open his hometown down the middle just to catch him, they stole him—they took his dead parent’s things as tools to hurt him—they HURT HIM and there isn’t—he can’t—he can’t—

Something is holding him down, and Danny thrashes. He has arms, but they’re injured—he has legs but he needs a tail and he—and—

He cries into Diana’s arms, sobbing and wailing. It’s a miracle that the building stays together. She holds him tighter, and he cries even harder into her soft under-layers.

He wants to run away. He needs to run away. Someone is holding him, and he can’t even flicker through her the way he wants to; his core is already too strained just from talking.

Danny’s sick. He’s dying. He’s—

“Take a breath,” Diana whispers, calm and sure. She models it for him. Danny gasps in air. “Good. Lete it out slow. As bobbels in a straw.”

He tries to copy her he does and she’ll be so angry if he can’t do it right on the first try but she lets him try, over and over again, until Danny’s able to stop hiccupping and leaking tears and ectoplasm all over her and realize that she’s holding him like a baby. Like. Actually cradling him against his body armor.

…You know what. He’s too tired to even be embarrassed. Screw that. Danny leans all the way over her and goes completely limp. Someone else can deal with his him for a little bit.

She does. Diana just…holds him.

It’s nice. Mom and Dad used to do that for him, when Danny was still…more human, he supposed. More than he is right now.

Something else touches his hand. Danny looks blearily downwards.

The teenager’s dad gets to his knees and takes Danny’s hand—and he doesn’t need the translation to understand.

“I’m sorry,” the man says, over and over again. “I’m sorry. I’m sorry. I’m sorry.”

Danny blinks sleepily. What does his friend’s stinky dad have to be sorry for? He didn’t even do anything to Danny in the first place.

Danny won’t remember, afterwards, being wheeled back to his room for a nap. They must have wheeled him back, though, because the alternative is that Diana tucked him into bed like a baby, and that’s just kind of embarrassing to even think about for too long.

[mostlysignssomeportents]

Palantir’s NHS-stealing Big Lie

I'm on tour with my new, nationally bestselling novel The Bezzle! Catch me in TUCSON (Mar 9-10), then SAN FRANCISCO (Mar 13), Anaheim, and more!

Capitalism's Big Lie in four words: "There is no alternative." Looters use this lie for cover, insisting that they're hard-nosed grownups living in the reality of human nature, incentives, and facts (which don't care about your feelings).

The point of "there is no alternative" is to extinguish the innovative imagination. "There is no alternative" is really "stop trying to think of alternatives, dammit." But there are always alternatives, and the only reason to demand that they be excluded from consideration is that these alternatives are manifestly superior to the looter's supposed inevitability.

Right now, there's an attempt underway to loot the NHS, the UK's single most beloved institution. The NHS has been under sustained assault for decades – budget cuts, overt and stealth privatisation, etc. But one of its crown jewels has been stubbournly resistant to being auctioned off: patient data. Not that HMG hasn't repeatedly tried to flog patient data – it's just that the public won't stand for it:

https://www.theguardian.com/society/2023/nov/21/nhs-data-platform-may-be-undermined-by-lack-of-public-trust-warn-campaigners

Patients – quite reasonably – do not trust the private sector to handle their sensitive medical records.

Now, this presents a real conundrum, because NHS patient data, taken as a whole, holds untold medical insights. The UK is a large and diverse country and those records in aggregate can help researchers understand the efficacy of various medicines and other interventions. Leaving that data inert and unanalysed will cost lives: in the UK, and all over the world.

For years, the stock answer to "how do we do science on NHS records without violating patient privacy?" has been "just anonymise the data." The claim is that if you replace patient names with random numbers, you can release the data to research partners without compromising patient privacy, because no one will be able to turn those numbers back into names.

It would be great if this were true, but it isn't. In theory and in practice, it is surprisingly easy to "re-identify" individuals in anonymous data-sets. To take an obvious example: we know which two dates former PM Tony Blair was given a specific treatment for a cardiac emergency, because this happened while he was in office. We also know Blair's date of birth. Check any trove of NHS data that records a person who matches those three facts and you've found Tony Blair – and all the private data contained alongside those public facts is now in the public domain, forever.

Not everyone has Tony Blair's reidentification hooks, but everyone has data in some kind of database, and those databases are continually being breached, leaked or intentionally released. A breach from a taxi service like Addison-Lee or Uber, or from Transport for London, will reveal the journeys that immediately preceded each prescription at each clinic or hospital in an "anonymous" NHS dataset, which can then be cross-referenced to databases of home addresses and workplaces. In an eyeblink, millions of Britons' records of receiving treatment for STIs or cancer can be connected with named individuals – again, forever.

Re-identification attacks are now considered inevitable; security researchers have made a sport out of seeing how little additional information they need to re-identify individuals in anonymised data-sets. A surprising number of people in any large data-set can be re-identified based on a single characteristic in the data-set.

Given all this, anonymous NHS data releases should have been ruled out years ago. Instead, NHS records are to be handed over to the US military surveillance company Palantir, a notorious human-rights abuser and supplier to the world's most disgusting authoritarian regimes. Palantir – founded by the far-right Trump bagman Peter Thiel – takes its name from the evil wizard Sauron's all-seeing orb in Lord of the Rings ("Sauron, are we the baddies?"):

https://pluralistic.net/2022/10/01/the-palantir-will-see-you-now/#public-private-partnership

The argument for turning over Britons' most sensitive personal data to an offshore war-crimes company is "there is no alternative." The UK needs the medical insights in those NHS records, and this is the only way to get at them.

As with every instance of "there is no alternative," this turns out to be a lie. What's more, the alternative is vastly superior to this chumocratic sell-out, was Made in Britain, and is the envy of medical researchers the world 'round. That alternative is "trusted research environments." In a new article for the Good Law Project, I describe these nigh-miraculous tools for privacy-preserving, best-of-breed medical research:

https://goodlawproject.org/cory-doctorow-health-data-it-isnt-just-palantir-or-bust/

At the outset of the covid pandemic Oxford's Ben Goldacre and his colleagues set out to perform realtime analysis of the data flooding into NHS trusts up and down the country, in order to learn more about this new disease. To do so, they created Opensafely, an open-source database that was tied into each NHS trust's own patient record systems:

https://timharford.com/2022/07/how-to-save-more-lives-and-avoid-a-privacy-apocalypse/

Opensafely has its own database query language, built on SQL, but tailored to medical research. Researchers write programs in this language to extract aggregate data from each NHS trust's servers, posing medical questions of the data without ever directly touching it. These programs are published in advance on a git server, and are preflighted on synthetic NHS data on a test server. Once the program is approved, it is sent to the main Opensafely server, which then farms out parts of the query to each NHS trust, packages up the results, and publishes them to a public repository.

This is better than "the best of both worlds." This public scientific process, with peer review and disclosure built in, allows for frequent, complex analysis of NHS data without giving a single third party access to a a single patient record, ever. Opensafely was wildly successful: in just months, Opensafely collaborators published sixty blockbuster papers in Nature – science that shaped the world's response to the pandemic.

Opensafely was so successful that the Secretary of State for Health and Social Care commissioned a review of the programme with an eye to expanding it to serve as the nation's default way of conducting research on medical data:

https://www.gov.uk/government/publications/better-broader-safer-using-health-data-for-research-and-analysis/better-broader-safer-using-health-data-for-research-and-analysis

This approach is cheaper, safer, and more effective than handing hundreds of millions of pounds to Palantir and hoping they will manage the impossible: anonymising data well enough that it is never re-identified. Trusted Research Environments have been endorsed by national associations of doctors and researchers as the superior alternative to giving the NHS's data to Peter Thiel or any other sharp operator seeking a public contract.

As a lifelong privacy campaigner, I find this approach nothing short of inspiring. I would love for there to be a way for publishers and researchers to glean privacy-preserving insights from public library checkouts (such a system would prove an important counter to Amazon's proprietary god's-eye view of reading habits); or BBC podcasts or streaming video viewership.

You see, there is an alternative. We don't have to choose between science and privacy, or the public interest and private gain. There's always an alternative – if there wasn't, the other side wouldn't have to continuously repeat the lie that no alternative is possible.

Name your price for 18 of my DRM-free ebooks and support the Electronic Frontier Foundation with the Humble Cory Doctorow Bundle.

If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2024/03/08/the-fire-of-orodruin/#are-we-the-baddies

Image: Gage Skidmore (modified) https://commons.m.wikimedia.org/wiki/File:Peter_Thiel_(51876933345).jpg

CC BY-SA 2.0 https://creativecommons.org/licenses/by-sa/2.0/deed.en

[religion-is-a-mental-illness]

By: Jesse Singal

Published: Jun 27, 2024

In April Hilary Cass, a British paediatrician, published her review of gender-identity services for children and young people, commissioned by NHS England. It cast doubt on the evidence base for youth gender medicine. This prompted the World Professional Association for Transgender Health (WPATH), the leading professional organisation for the doctors and practitioners who provide services to trans people, to release a blistering rejoinder. WPATH said that its own guidelines were sturdier, in part because they were “based on far more systematic reviews”.

Systematic reviews should evaluate the evidence for a given medical question in a careful, rigorous manner. Such efforts are particularly important at the moment, given the feverish state of the American debate on youth gender medicine, which is soon to culminate in a Supreme Court case challenging a ban in Tennessee. The case turns, in part, on questions of evidence and expert authority.

Court documents recently released as part of the discovery process in a case involving youth gender medicine in Alabama reveal that WPATH's claim was built on shaky foundations. The documents show that the organisation’s leaders interfered with the production of systematic reviews that it had commissioned from the Johns Hopkins University Evidence-Based Practice Centre (EPC) in 2018.

From early on in the contract negotiations, WPATH expressed a desire to control the results of the Hopkins team’s work. In December 2017, for example, Donna Kelly, an executive director at PATH, told Karen Robinson, the EPC's director, that the WPATH board felt the EPC researchers “cannot publish their findings independently”. A couple of weeks later, Ms Kelly emphasised that, “the [WPATH] board wants it to be clear that the data cannot be used without WPATH approval”.

Ms Robinson saw this as an attempt to exert undue influence over what was supposed to be an independent process. John Ioannidis of Stanford University, who co-authored guidelines for systematic reviews, says that if sponsors interfere or are allowed to veto results, this can lead to either biased summaries or suppression of unfavourable evidence. Ms Robinson sought to avoid such an outcome. “In general, my understanding is that the university will not sign off on a contract that allows a sponsor to stop an academic publication,” she wrote to Ms Kelly.

Months later, with the issue still apparently unresolved, Ms Robinson adopted a sterner tone. She noted in an email in March 2018 that, “Hopkins as an academic institution, and I as a faculty member therein, will not sign something that limits academic freedom in this manner,” nor “language that goes against current standards in systematic reviews and in guideline development”.

Not to reason XY

Eventually WPATH relented, and in May 2018 Ms Robinson signed a contract granting WPATH power to review and offer feedback on her team’s work, but not to meddle in any substantive way. After WPATH leaders saw two manuscripts submitted for review in July 2020, however, the parties’ disagreements flared up again. In August the WPATH executive committee wrote to Ms Robinson that WPATH had “many concerns” about these papers, and that it was implementing a new policy in which WPATH would have authority to influence the EPC team’s output—including the power to nip papers in the bud on the basis of their conclusions.

Ms Robinson protested that the new policy did not reflect the contract she had signed and violated basic principles of unfettered scientific inquiry she had emphasised repeatedly in her dealings with WPATH. The Hopkins team published only one paper after WPATH implemented its new policy: a 2021 meta-analysis on the effects of hormone therapy on transgender people. Among the recently released court documents is a WPATH checklist confirming that an individual from WPATH was involved “in the design, drafting of the article and final approval of [that] article”. (The article itself explicitly claims the opposite.) Now, more than six years after signing the agreement, the EPC team does not appear to have published anything else, despite having provided WPATH with the material for six systematic reviews, according to the documents.

No one at WPATH or Johns Hopkins has responded to multiple inquiries, so there are still gaps in this timeline. But an email in October 2020 from WPATH figures, including its incoming president at the time, Walter Bouman, to the working group on guidelines, made clear what sort of science WPATH did (and did not) want published. Research must be “thoroughly scrutinised and reviewed to ensure that publication does not negatively affect the provision of transgender health care in the broadest sense,” it stated. Mr Bouman and one other coauthor of that email have been named to a World Health Organisation advisory board tasked with developing best practices for transgender medicine.

Another document recently unsealed shows that Rachel Levine, a transwoman who is assistant secretary for health, succeeded in pressing WPATH to remove minimum ages for the treatment of children from its 2022 standards of care. Dr Levine’s office has not commented. Questions remain unanswered, but none of this helps WPATH’s claim to be an organisation that bases its recommendations on science. 

[ Via: https://archive.today/wJCI7 ]

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==

So, there are 6 completed reviews sitting somewhere, that WPATH knows shows undesirable (to them) results. And they know it. And despite - or perhaps, because of - that, they wrote the insane SOC8 anyway. And then, at the behest of Rachel Levine, went back and took out the age limits, making it even more insane.

This isn't how science works, it's how a cult works.

When John Templeton Foundation commissioned a study on the efficacy of intercessory prayer, a study which unsurprisingly found that it's completely ineffective, it was forced to publish the negative results.

So, even the religious are more ethical than gender ideologues when it comes to science. This is outright scientific corruption.

[hotwaterandmilk]

An IRL friend of mine recently suggested I cut back on posting content because "maybe a dozen or two dozen people" like my posts and they weren't sure why I bothered when there was no money or engagement in it.

I definitely felt a bit like that a few years back, particularly when I'd see people repost my scans on other platforms and get tens of thousands of likes. If I'd shifted platforms and focused on engagement that could well have been me.

However, that's not really what I've ever been about. I share what I share because I like it and want other people who like these works to enjoy what I have in my collection too (or to discover new works they might not have encountered). Nobody has to engage with what I post though, I could get 0 likes/reblogs and I'd still keep plugging away because ultimately this is just a hobby and I'm just a fan.

I don't want to harp on with the cheesy "you should do things for yourself first and foremost" with hobbies, but at the end of the day my affection for certain series and artists won't evaporate just because my posts about them aren't popular on Tumblr.

I've been here for 14 years and have only just hit 10,000 followers. I'm not an important internet person by any stretch of the imagination and I think that's OK. If I'd been angling for something beyond simply being a fan of certain things, I can see how this might be considered failure. For me (personally) though, I don't feel like my hobby needs to have any form of hustle attached to it. This is what I do to express my affection for things.

Not everyone will feel the same way as I do about sharing content online and that's fine, we're all individuals and we engage with things differently. I just wanted to express this while the thoughts were still fresh in my mind.

Enjoy your hobbies in the ways that work for you. You'll find people who appreciate your contributions (big or small) wherever you go online and if you move onto different fandoms or hobbies, you'll find new folks who like what you do there too. Just don't feel locked into numbers as the ultimate way of judging your own love for media.

[goldkirk]

I am SO hyped. Have you guys seen folding cup holders for mobility aids? THEY DON’T STICK OUT WHEN NOT IN USE!

[dkettchen]

SCIENCE IS ON IT! The kids will be ok 🙏

(They're even calling to stop the ban while they're doing this and on the same side as the rest of us in that "[they too believe that] clinicians, patients and families should make decisions about treatment on the best available evidence, not politicians."!)