BC HEALTH
Saved by @Alex1Powell

Good morning, early birds! The Oklahoma State Department of Health is considering privatizing at least the management of its new public health lab and the state's new pandemic center.

 A letter to agency employees Tuesday from Commissioner of Health Dr. Lance Frye said, "This consideration will include the potential privatization of some functions, programs, services, units and/or divisions of the agency,"
A statement Wednesday by OSDH Deputy Commissioner Travis Kirkpatrick indicated the agency did not intend to privatize the lab as a whole and instead said it was considering a management agreement with Prairie One, a not-for-profit subsidiary of the OSU Research Foundation.
"This agreement, which has not been finalized, would allow OSDH to focus on and strengthen public health priorities to better serve Oklahomans and leverage public resources to maximize our capabilities," Kirkpatrick said.
"'Privatize' is broadly defined under state statute - it means to enter into a contract for the performance of a duty or function that is currently being performed by a state employee," he added.
Frye's letter immediately drew the ire of the Oklahoma Public Employees Association (OPEA), with Spokesman Tom Dunning noting his organization was "100 percent" against privatization of the lab.
"Nobody disputes that a new Public Health Lab needs to be built but to relocate it to Stillwater and privatize it, I don't think that was the intent of the Legislature when they did the bond," OPEA spokesman Tom Dunning said.
Lawmakers provided financing for construction of a new public health lab in 2017 when they authorized a $59.555 million bond issue for the project.
Speaking at Wednesday's State Chamber of Oklahoma's Public Affairs Forum, House Speaker-designate Charles McCall & Senate President Pro Tempore-designate Greg Treat said they are talking with members & staff about the COVID-19 protocols that will be in place when session starts.
McCall stressed that all his chamber's proceedings will be livestreams. Masks will be a requirement, it appears, and Treat said it may be necessary to limit the number of people in some committee rooms.
House Minority Leader Emily Virgin encouraged the leaders to find a way for the public to participate virtually in legislative proceedings, in addition to watching the livestreams.
Oklahoma and 16 other states' attorneys general signed on to a brief Wednesday that supports the Texas attorney general's lawsuit challenging the 2020 election results in Pennsylvania, Georgia, Michigan and Wisconsin.
Texas AG Ken Paxton claims the states are in violation of the Electors Clause and the Fourteenth Amendment of the US Constitution and asks the US Supreme Court to require the states to hold a special election or select a new set of electors for their electoral college votes.
"I regret that the US Supreme Court is the only forum available to resolve the many legitimate concerns regarding state elections," Hunter said in a press release.
"That is why I am joining the amicus brief in support of the Texas case, to encourage the highest court in the land to thoughtfully consider and address the matters presented," he explained.
A group of nearly 50 House members expressed support for Hunter's efforts, claiming there is enough evidence of fraud in the general election in the states mentioned to warrant a legal challenge: https://t.co/0kAl0gQcwE
2020 comes to an end three weeks and just over 18 hours from the time I am writing this. Yeah, I know: It's hard to believe.

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Buku Renal
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“Should I give them more fluid?”

Extremely common question during AKI referrals from junior docs.

⛔️ Fluid management is tricky, often misunderstood, & can cause huge iatrogenic harm ⛔️

We try to convey important principles in THREAD 👇

#tipsfornewdocs #medtwitter #tweetorial

Currently too often patients with high creatinine are given too much IV fluid, driven by an AKI ➡️ fluid reflex

We’ve seen 7 litres be given in one shift.

Medics & surgeons, juniors & seniors, it seems everyone loves to reach for extra IV fluid (especially if urine output poor)

Why does huge volume IV fluid ‘resuscitation’ consistently occur?

Lots of reasons, including FALSE beliefs:
🛑 IV fluid always “treats AKI”
🛑 Hypotension = hypovolaemia
🛑 Lactate >2 means fluid deficiency
🛑 Septic patients are very hypovolaemic

The rule with IV fluids and AKI is to remember this 5 word phrase:

💥 💥 Aim for euvolaemia, then stop💥 💥

Fluid status is like Goldilocks - hypovolaemia is bad for the kidneys BUT excess volume is also harmful for renal function and will cause other complications too.

It is easy to say “target euvolaemia” - but we agree it is more difficult to do!

Fluid status assessment is certainly made harder by a belief that we must only rely on a snapshot assessment of examination features which are NOT specific / sensitive / reliable to elicit like.…
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Dr. Adam H. Domby
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Now you know I love to sh-t in Harvard. But I also like accuracy. So I decided to go look at Harvard’s catalog to see its lack of military history that this article describes (they only teach history of pets it claims) and what I found shocked me! Shocked me! A thread: 1/


First off, Harvard students literally have multiple sections of military history that they can take listed. (It appears these ones are taught at MIT, so they might have to walk down the street for these) but... 2/


Say they want to stay on campus...they can only take numerous classes on war and diplomacy...3/


They have an entire class on Yalta. That’s right. An entire class on Yalta. 4/


But wait! There is more! They can take the British Empire, The Fall of the Roman Empire for those wanting traditional topics... 5/
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Noah Sasson
Noah Sasson
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Before we get too far into 2021, I thought I’d write a thread recapping some of the research that came out of my lab in 2020. Most of this work was led by my talented team of graduate students, Kerrianne Morrison, @kmdebrabander, and @DesiRJones.

Back in January, a news story was published about Kerrianne’s study showing improved social interaction outcomes for autistic adults when paired with another autistic partner.

A detailed thread about the study and a link to the paper can be found here (feel free to DM me your email address if you’d like a copy of the full paper for this study or any of our studies):


Another paper published early in 2020 (it appeared a few months earlier online) showed that traditional standalone tasks of social cognition are less predictive of functional and social skills among autistic adults than commonly assumed in autism research.


Next, @kmdebrabander led and published an innovative study about how well autistic and non-autistic adults can predict their own cognitive and social cognitive performance.
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Chris Yiu
Chris Yiu
@clry2
I think that, in the face of an ongoing global health emergency and a pressing need to reopen safely, some form of health pass is a reasonable option to consider. But debate is a good thing, so here are some brief thoughts on various concerns I've heard about them... [thread]

"A health pass discriminates against people who have refused the vaccine." No. A health pass should also support proof of test result for people who haven't been vaccinated, and exemptions for people who cannot be vaccinated (get vaccinated if you can though, for heaven's sake).

"A health pass is an invasion of privacy." No. A health pass should be privacy preserving, allowing you to prove your status to third parties without giving away personal data or letting them track you without your permission.

"A health pass is unfair to people without smartphones." No. A health pass should accommodate people without a smartphone, e.g. with a printable option as a fall-back (though for most of us, carrying a digital pass on our phone will be much more convenient).

"A health pass will become obsolete as the virus mutates." No. A health pass should actually give us more insight and flexibility to adjust our response as our knowledge of the virus, and the ways we test / treat / vaccinate for it, increases.
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The Tycoon Mindset
The Tycoon Mindset
@tycoonmindset05
APL Apollo conducted their earnings con-call today at 2:00 pm

"Vision of capacity of 4 Million Tone till 2025"

@hiddengemsindia @gvkreddi

Here are the key highlights 😀👇

Business Updates:

• Net Working Capital Remains under 10 days which is best in the building material
• Continue expanding rural region.
• Added 15 new distributors.
• Value added products contributed 50-60% of the topline.

Revenue breakup


• EBIDTA Margin Improvement: This was mainly because of cost structarize and better operational

• Working Capital Cycle as per mgmt should remain sustainable

• Blue Ocean: Company owns 100% subsidiary which contributes nothing but own property where corporate office is there

Improvement in Net Selling Realization:
• With expanding capacities at 2.6Million Tones and utlization of 75%, scalability has been affected.
• While the prices of steel has gone by by around 35%, due to shortage of steel.

• Apl Apollo being the dominant player past connection with steel companies worked well.
• Steel tubes supply from China is shrinking.
• Hence the discounting factor while selling the products has went away.
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Facebook originally a CIA program called "LifeLog".
LifeLog, via DARPA, terminated on Feb 4th, 2004.
Facebook was launched on Feb 4th, 2004.
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Zuckerberg is a figurehead.
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Anu Satheesh
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Krishna and the False Vasudeva
#story

Paundraka Vasudeva was a King mentioned in Bhagavatha Purana. He was friend of Jarasandha, the king of Magadha. He believed that he is Vasudeva Krishna.
Once Paundraka Vasudeva received a letter from Shishupala, stating that he wanted


protection from Krishna, because it was Rukmini's wedding and Shishupala thought Krishna would take away Rukmini.

Paundraka Vasudeva agreed and went to Vidarbha, the Kingdom of Shishupala, but failed to provide protection as Krishna took Rukmini away. Paundraka Vasudeva was


feeling sad. His Minister's cheered him.
They said that Paundraka Vasudeva was the real Vasudeva and Krishna is a cheater. Everyone started to believe this and soon Paundraka Vasudeva soon started to taunt Krishna by saying that Krishna was a cheater.
Paundraka Vasudeva then


challenged Krishna to a war and Krishna said that he would give Paundraka his Chakra and Gadha. Paundraka suspected some foul play and went to King of Kashi for his protection. In battlefield, Krishna came in front of Paundraka, and said that he would throw his Chakra and Gadha


to him. But, Krishna's throw was perfect that the Gadha hurled him to the Ground and the Chakra killed him.
Krishna soon killed king of Kashi with an arrow and his head went flying to Kashi.
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Simon DeDeo
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This is a pretty valiant attempt to defend the "Feminist Glaciology" article, which says conventional wisdom is wrong, and this is a solid piece of scholarship. I'll beg to differ, because I think Jeffery, here, is confusing scholarship with "saying things that seem right".


The article is, at heart, deeply weird, even essentialist. Here, for example, is the claim that proposing climate engineering is a "man" thing. Also a "man" thing: attempting to get distance from a topic, approaching it in a disinterested fashion.


Also a "man" thing—physical courage. (I guess, not quite: physical courage "co-constitutes" masculinist glaciology along with nationalism and colonialism.)


There's criticism of a New York Times article that talks about glaciology adventures, which makes a similar point.


At the heart of this chunk is the claim that glaciology excludes women because of a narrative of scientific objectivity and physical adventure. This is a strong claim! It's not enough to say, hey, sure, sounds good. Is it true?
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My top 10 tweets of the year

A thread 👇

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https://t.co/b81zoW6u1d


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Vibhu Vashisth
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Ahilyabai Holkar was one of India's
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Despite the fact that girls' education was a farther dream in those days, Ahilyabai was homeschooled by her father.
Ahilya didn't belong to any royal family but in a twist of fate she is still remembered as one of the most revered Queen in the history.


While they were living their humdrum lives, one day Malhar Rao Holkar, commander of the Peshwa Bajirao & Lord of the Malwa stopped in Chondi on his way to Pune, where he couldn't help but notice a young 8yrs old Ahilyabai in the temple service feeding the poor & hungry.

He was so impressed by the sheer innocence&beauty with simplicity character of Ahilyabai dat he asked her hand in marriage for his son Khanderao Holkar.Just like that she got married to Khanderao in 1733 at a tender age of 8&became a bride of esteemed Maratha community of Holkars

But destiny had something else in store for her as her husband died in the Battle of Kumbher in 1754 leaving her widow at 29.Distressed Ahilyabai was to commit Sati when her father-in-law Malhar Rao refused to let it happen.
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