BC HEALTH
Saved by @Alex1Powell

a little thread of stuff that has inspired my thinking this year. 1/

 This paper by Abenavoli was actually pub. in 2019, but I didn’t see it til Jan. My view is that improving outcomes for #devlangdis #DLD requires improved early years provision. However, even for the best programmes, positive effects fade out over time.
https://t.co/w3LClAhU9h
The paper provides a useful summary of why that might be and what we can do to address this – hint: we can’t just focus on early intervention, but need to know what comes next. 3/
This paper was written by some of my favourite people and SCALES collaborators. I like it because it is a rare paper that attempts to understand how differences in school placement might affect outcomes. https://t.co/qq1cWHwDA4 4/
I often get asked about this WRT #DLD, but it is hard to say b/c school places are not randomly allocated – they are influenced by child and family characteristics. Th paper by Simonoff et al. gives me some ideas of how we might approach similar questions in SCALES. 5/
This paper by the FAB @mcgregor_karla is a ‘call to arms’ about how we as professionals can work to raise awareness of DLD. Consistency in terminology and diagnosis is critical as is supporting parents and young people in advocacy. https://t.co/qFozhs3mSz
When I look at what @RADLDcam has achieved I’m immensely proud of how much progress we’ve made in raising awareness. My recent experiences with funders and journals tell me that we still have a long way to go! 7/
I could offer anything by the fab @lervag, but I chose this one b/c we often assume improving lang through intervention will have positive effects on other areas of develop, but few explicitly test this. This paper does so with interesting results 8/ https://t.co/9d6kYpVlde
the good news is that learned skills can transfer to unfamiliar items, but this appears to be fairly limited to similar items within the same domain. And reiterates just how hard it is to affect change in comprehension. Def one to ponder over a minced pie... 9/
Many people see language screening as an unmitigated force for good in tackling #devlangdis. Rarely do we consider or discuss potential neg consequences & it is important to do so, esp given the poor accuracy of currently avail measures. 10/
This paper by @mgtmccartney is not about #DLD, but does raise critical issues re: screening & case finding that are applicable. At the very least, investment in screening should be accompanied by increased investment in clinical & education services 11/
https://t.co/TXkepMesrF
Sometimes a paper doesn’t present new information but packages what we know in such a clear way that it is both a pleasure to read and a useful resource for parents and allied professionals. Few people do this better than @PamelaSnow2 12/
Her paper on the science of language and reading is a joy. The Language House is a smart infographic that I now regularly use in teaching and I’m sure will resonate with many. 13/
https://t.co/ahsq7YWpoW
One challenge for #DLD is the persistent public (& often gen academic) view that lang deficits are caused by ‘environmental influences,’ esp diffs in quantity & quality of parent talk. For sure parent talk assocs w/ child lang, but causal connects btwn them are very complex. 14/
This is eloquently explained by @saraannhart @drElsje & ends w/ a call to take nature more seriously in dev research. I can see import imps for understanding response to treatment & adapting our approach to the needs of parents, as much as the child. 15/
https://t.co/QlJhyVfeWg
A great intervention trial here. The participants are dual language learners, but the prog could be readily adapted for monolinguals with #DLD. 16/
https://t.co/oRadEelHQ2
I really like that it focuses on both language structure, AND broader perspective taking, to enhance social/emotional competence. And uses shared book reading to bridge home and classroom learning. Nicely designed and clearly reported. We need more this. 17/
The next paper has only just come out but many of the thoughts within it have been rattling around my head for some time. I’m hugely interested in whether or not the timing of intervention matters for long term language growth... 18/
...here @rogierK eloquently explains not only why it should, but how one could test this statistically. We are currently looking at our longitudinal data through this theoretical lens and finally submitting this work will be a joyous start to 2021.
https://t.co/YspH80QEbA
apart from @josaul14 becoming DR Jo Saul, the best thing out of the @PALS_SCALES lab this year was this video, co-designed by SCALES participants & featuring insights & words from @julietwri, a young person with lived-experience of #DLD. 20/ https://t.co/qtcXyfYPVA
it is based on papers led by @SarahGriff90 & Dr Shaun Goh & has been viewed 8600 times since Feb. demonstrating importance to young people & families affected by #DLD. It saddens me that funders, editors & policy makers don’t seem to be listening, but we will keep trying! 21/
Finally, I'm not all work & no play - . I love to spend time in the kitchen and I’ve been doing much more of that since lockdown in March. 22/
It was a tough choice, but my fav cookbook of the year is this one. It has it all – bread, cake, mains, salads -all delicious, and the chocolate, banana and date loaf is esp good for fuelling those long cycle rides. 23/ https://t.co/lKGfUTkeCP
So thank you all for feeding my brain & for taking time to cheer me up along the way (I'm looking at you @ReadOxford @Kathy_Rastle @mggaskell & @L_M_Henderson) and huge thanks to my fabulous @PALS_SCALES team - what a year! Enjoy the holidays! END/

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First Doctor
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@firstdoctorr
ECTOPIC PREGNANCY

A woman just lost her life due to ectopic pregnancy!

It's a pregnancy in which the embryo attaches outside the womb. It can be life-threatening.

But we can save lives by helping educate women on our Timelines with this.

THREAD 🧵


In the human body, a fertilized egg hardly survives outside the womb. If allowed to grow, it may damage nearby organs & cause severe blood loss.

The bulk of ectopic pregnancies occur in/along the Fallopian tubes.

Some in the ovaries, cervix or a random location in the abdomen.


The usual symptoms of ectopic pregnancy a woman may experience esp. in early pregnancy are;

* Abdominal pain
* Vaginal bleeding, &
* Amenorrhea (missing your period)

Other pregnancy symptoms like breast fullness & occasional nausea may be there too.

But the common DANGER SIGNS of ectopic pregnancy that may signify rupture are;

🔴 Rigid abdomen

🔴 Severe abdominal pain

🔴 Shoulder tip pain, &

🔴 Signs of shock such as cold hands & feet.

With these signs, immediate medical attention is needed to save the woman's life!

Your chances of having an ectopic pregnancy are higher if you have;

1. Previous ectopic pregnancy

2. STI's like gonorrhea

3. Fertility treatments like IVF*

4. Fallopian tube surgeries

5. Pregnancy while using an Intrauterine Contraceptive Device

6. Smoking history! 🚭
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Robin Monotti
Robin Monotti
@robinmonotti
Can any MP ask the government why early treatment kits to stop viral replication & infection are not made available cheaply & prescription free in pharmacies as they are in India? Is it lives we want to save or is it Big Pharma profits? Because the two are mutually exclusive.


There could even be competing kits, & the decision which to take could be left to doctors & patients, as happens with most medicines. The problem is that there is not one of these kits available cheaply & prescription free anywhere in the West.

Doxycycline, Ivermectin, Azithromycin, Hydroxychloroquine, Zinc, Vitamin D, Vitamin C, omega-3s, all approved as safe drugs decades ago. This is clearly not an issue of safety. It should be left to a doctor's experience & judgement whether they are effective or not, not academia.

A GP could simply state on his website: of all the kits I recommend Kit Z, then Kit Y etc. No need to wait hours for consultations, as soon as the symptoms are clear the self administered treatment begins, and thousands of lives are saved, as well as hospitals remain underwhelmed

There is no need to go to ER or ICU if people can buy early treatment kits from pharmacies. There is no need for any hospital to be overwhelmed. This problem could be resolved in days. There is simply no political will to save lives as it means to go against Big Pharma profits.
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Anosognosiogenesis
Anosognosiogenesis
@pookleblinky
Fun fact: the standard advice for if a dog, cat, or human bites your hand, is to feed the bite. Push your hand further into their mouth, forcing the jaw open.

Nurses, EMTs, veterinarians, etc are taught to respond this

The advice for a human biting you is to jam your hand or arm deeper into their mouth, and rub the spot under their nose back and forth.

If you attempt to remove your hand, or forearm, the teeth do what they're supposed to and gouge out a chunk.

This vicious wolf attack illustrates proper technique.


So: every EMT and nurse who gets bitten by a human, is trained to jam their hand or forearm deeper into the mouth, feeding the bite so the jaw widens enough to remove the limb

Also, every redneck learns this along with the advice of "never run from an angry dog"
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lazy perfectionist
lazy perfectionist
@kazADHD
is ADHD a mental illness ?

a thread

ADHD is a neurodevelopmental disorder - people with it are born with it and it cannot be altered because it's part of their brain structure and is seen on brain scans. ADHD is also linked to premature births and hypothyroidism during pregnancy, among other things

from the WHO website: "neurodevelopmental disorders are disabilities in the functioning of the brain that can affect behaviour, memory and/or ability to learn."

neurodevelopmental disorders are not caused by external/environmental factors. you cannot *develop* these conditions

mental illness is a general term for a health problem that significantly affects how someone feels/thinks/behaves. mental illnesses cause suffering to those who experience them, as well as often their loved ones. ADHD does not directly cause suffering.

neurodevelopmental disorders are not mental illnesses. ADHD however, does make it more likely for a person to experience mental illness. ADHD can cause dysfunction and stress, but more often than not this comes from lack of accommodation rather than the symptoms themselves.
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Gilles Demaneuf
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@gdemaneuf
This is the $1mln question still without an answer: why were these workers cleaning bat guano from that abandoned mine?

Surprisingly we simply don't know.

China would have all interest in clarifying that point if for instance they were prospecting or selling guano. It did not.


What we know is that EcoHealth + WIV were sampling bat sites in the vicinity at the exact time of the workers being in that mine.

#DRASTIC wrote about this and about other oddities in the official story:

Maybe it's just one of these coincidences.

Then it gets interesting: about a year after the miners death, Olival & Epstein from EcoHealth Alliance co-authored a paper about the coronavirus risk infection from bat guano collection.

No mention of the

That paper oddly used some old bat samples collected by DARPA in 2006/7 at the famous Thai bat cave.

It never mentioned that the Thai monks have been doing this every Sunday for many many years without infection.

But most interestingly it never mentioned the Mojiang mine accident, even if the perfect timing and recycling of old DARPA bat samples seem to point to a likely knowledge of it.

Anyway, the idea was to ask for more money, as you correctly
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WHEN GH0RI TOOK TO HIS HEELS WHILST FIGHTING A HINDU QUEEN

THE BATTLE OF KASAHRADA (Kayadara)
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Strategy! Bravado! Glory!

(Thread)


The narrative set by left historians about one of their favorite poster boys "Gh0ri" is that he went unchallenged upon entering the Indian subcontinent with one king falling after another.(1)

They conveniently deleted this event. Why? An agenda aimed at making us feel weak and inferior against the invaders in an attempt to glorify them. Simple strategy: To destroy a civilization tamper their history.(2)

Gh0ri defeated Prithviraj Chauhan at the 2nd Battle of Tarain in 1192 and laid the foundation of Delhi Sultanate. What is not well known is the fact that 14 years before he won this battle, he was defeated by the queen of Gujarat "Naiki Devi"!(3)

In 1173 Md Gh0ri had conquered the Ghaznavids in Afghanistan. A ruthless, persistent and deceptive Gh0ri was successful in conducting massive raids deep inside Indian territory.(4)
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@_ShaunRussell
"I really want to break into Product Management"

make products.

"If only someone would tell me how I can get a startup to notice me."

Make Products.

"I guess it's impossible and I'll never break into the industry."

MAKE PRODUCTS.

Courtesy of @edbrisson's wonderful thread on breaking into comics – https://t.co/TgNblNSCBj – here is why the same applies to Product Management, too.


There is no better way of learning the craft of product, or proving your potential to employers, than just doing it.

You do not need anybody's permission. We don't have diplomas, nor doctorates. We can barely agree on a single standard of what a Product Manager is supposed to do.

But – there is at least one blindingly obvious industry consensus – a Product Manager makes Products.

And they don't need to be kept at the exact right temperature, given endless resource, or carefully protected in order to do this.

They find their own way.
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Rani Chennamma of Kittur was one of the first women rulers of India who fought against the might of the British Empire in 1824. Rani Chennamma was born in 1778 in a small village of Kakati in Belgaon distt of the State of Karnataka.


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