Discover and read the best of Twitter Threads about #care

Most recents (24)

Enforcing compulsory institutional isolation at this stage of spread in Delhi is #contrary to principles of patient care and judicious use of resources.
Such a process will cause dynamics and disincentives which will fuel further spread of #covid in #Delhi. THREAD
The 'order' is based on the premise that home isolation is causing spread. Where is the evidence? Spread is by multiple factors.
If this is the premise then proposing only 5 days of institutional isolation makes no sense, +ve patients will continue to be infectious beyond 5 days
This will unnecessarily saturate healthcare capacity for cases that do not need facility monitoring. Leaving those who actually need facility care in the lurch. Possibly worsening fatality rates. Also exposing more health workers to patients who would otherwise have been at home.
Read 13 tweets
Tabulated the topline results released by the #recoverytrial team on #hydroxychloroquine & #dexamethasone, and went over their protocol (recoverytrial.net/results) to better digest them.

Basic stuff:
- hospitalized patients @ 175 NHS centres
- open label, 5 initial arms
- thread—
Important point from #RECOVERYTrial protocol

- if a patient had a #contraindication to one of the intervention arms, according to the clinical care team at the site, that particular arm was not available to that patient at the time of #randomization
So if a patient enrolled in #recoverytrial had a contraindication to #dexamethasone, that patient was not allowed to be randomized to that arm. So the results need to be interpreted in the context of no contraindication to steroids: already on steroids, #immunosuppression, etc.
Read 11 tweets
Ops, we did it again! Image denoising just leveled up!!! arxiv.org/abs/2006.06072
Our new method can do so much more than just predicting a denoised image!
Let us take you on a short tour… (1/6) #CARE #denoising #uncertainty #diversity @Mangal_Prakash_ @sagzehn @jug_lab
What always bugged us with any CARE method is that a single restored output is created, giving the false impression that the input can unambiguously be restored. But some information gets lost in the noise, so this can obviously not strictly be true! (2/6) arxiv.org/abs/2006.06072
A #DivNoising network is trained to know how structures in the data look like and can be used to predict diverse denoised outputs. In areas of the image where the input is ambiguous, #DivNoising will sample the space of reasonable interpretations.(3/6) arxiv.org/abs/2006.06072
Read 8 tweets
Thread.
1/ Das Bild ist 5 Jahre alt.
Das war damals auf einer Demo zur Aufwertung von Erzieher*innen- Berufen.
Kitas waren in Bremen 4 Wochen zu. Mit 2 kleinen Kindern und wir beide erwerbstätig war das nicht einfach. Aber die Sache war so ...
2/ wichtig! Es war so ernüchternd, dass nach 4 Wochen die Nerven bei vielen blank lagen und der Unmut unter Eltern und Erzier*innen riesig. Streikbefürwortende vs. Streikablehnende.
Es wurde auf der Individualebene ausge-
3/ tragen. Spaltung statt Zusammenstehen. Divide et impera. 😔
Obwohl wir doch alle das gleiche wollen: Die Kinder und uns selbst gut versorgt sehen!
Sodass der Druck nach 4 Wochen so groß war dass wieder geöffnet wurde, ohne dass gewerk-
Read 11 tweets
1/12 Des allègement indéniable, notamment sur les transports, les lits superposés et les masques.
Ces 3 points devraient permettre à des organisateurs de faire quand même des #colos.
Il reste des questions.
2/12
- Le activités sportive à 2 m.
- Les repas en distanciation d'1m et en part individuel
- Le lien affectif, les soins, le cauchemar, l'histoire dans la chambre, etc...
- les groupes fermés de 15
Autant de points qui permettent économiquement de tenir (un peu plus), mais...
3/12...mais qui décrivent une pédagogie et une seule. La sécurité physique avant l'attention et affection. Comment rassurer un enfant, en prendre soin sans pouvoir avoir de contact avec lui? A cette question personne n'est capable de répondre. Le #care n'est pas l'absence de...
Read 12 tweets
#Doctors and #Medicine need an #AI update.
Bold and convincing book.

@EricTopol
#ArtificialIntelligence has the ability to bring the fourth industrial revolution. Healthcare is deemed to be an industry which can get transformed the most.

#DeepMedicine
@EricTopol is a #cardiologist, historian of the present and a #MedicalFuturist.
He believes that the way we practice medicine now ( #ShallowMedicine ) relies too heavily on human inputs and is thus plagued by human biases and imperfections.

#DeepMedicine
Read 23 tweets
Michael Moore Presents Planet of the Humans (2020) via @YouTube
@PlanetHumansDoc
#Allah Ta’aala created this world and the entire system in which this tiny planet exists – the entire universe.
Read 25 tweets
1/
There are over 15k #carehomes housing approx half a million people. The vast majority of whom are, very elderly, and have underlying health issues.
So far, just over 12.5k people, have died, in a care home, and #Covid19UK was mentioned on the death certificate.
2>
2/
In an average April, just over 8.5k people, would be expected to die, in care homes (all causes), this April, the total was just over 26.5k (all causes), with 8k attributed to #Covid19UK in some way.
3>
3/
These figures are terrible, but, it’s still an average of less than 1 death, per home.
Some homes, will have had no deaths, some, many more.
What this tells you, is that, this isn’t a national failure, it’s a failure of individual homes, or groups of homes.
4>
Read 7 tweets
„GDP growth in crisis“ „We need to save the economy and restart growth.“

This crisis shows, how much we take growth for granted: its natural, necessary & good. However, this view is rather new. How did it emerge?

5 years ago, I published a book on this @CambridgeUP. Thread 1/
Yes, modern economies are structurally dependent on economic growth and accumulation. But growth is also an ideology: it unleashes promises, frames thinking, disciplines societies. This ideology only emerged in the 1940s, as did the term in public and academic discourse 👇 2/
What can we learn from this history? A lot🙃
First: „The economy“ is an invention that masks markets and profits as inevitable and natural. GDP statistics were highly controversial among those economists who first invented them. And this has large repercussions, to this day. 3/
Read 12 tweets
#medtwitter and everyone. Pls read this thread. I want ppl to know what those in #nursinghomes and #PALTC med are doing, without the recognition. For every person u save from #COVID inpatient, please know, we're working non-stop to help you, and it's taking its toll. 1/
As early as 3/1 we've shut down visitors, tried to mitigate spread. But we're not the hospital and have less resources. And hospitals rely on us to d/c patients who can't go home. We're taking your pts, knowing full well they may bee carriers of #COVID but testing was not done.2/
Simultaneously we've been forcing the hard conversations, trying to get patients/surrogates to understand the futility in #fullcode status + even hospitalization right now. Meanwhile families have not been allowed to visit in 4 wks +. Despite r efforts, #COVID is in our own 3/
Read 9 tweets
1/7 #COVID19 key concerns in 🇨🇦: ongoing community spread, cases/outbreaks linked to high-risk settings and deep concern and sadness at increasing numbers of deaths reported.
#StayHomeSaveLives
#ProtecttheVulnerable
2/7 The majority of #COVID19 deaths in Canada have been among those aged 80 years or older. Keeping seniors safe is a critical part of what 🇨🇦 needs to do. #ProtecttheVulnerable
#care
#olderadults
3/7 Each day we are adding to our knowledge of #COVID19, keeping pace with the rapid growth of new scientific evidence as it emerges. This has been and continues to be critical to our decision-making. #Innovation
#PlanktheCurve
Read 7 tweets
Let's talk about what we can learn from family #caregivers during the #COVID19 pandemic. Can the friends and families who care for someone else teach us something about #resilience and #wellbeing? 1/11
@NA4Caregiving #health #aging
#Caregiving can have a positive impact on our lives - helping us to feel valued as part of a care team, closer to those in our care. When we #care, we can have an improved sense of #purpose & even extend our life expectancy 2/11
@NA4Caregiving #COVID19 #health #aging #advocacy
While we're buying ALL the toilet paper, have we noticed that the #hiddenheroes in our midst -- the #caregivers might have something to offer having been through these same worries before? 3/11
#COVID19 #health #pandemic #caregiving #aging #advocacy @NA4Caregiving
Read 12 tweets
February 29th is the #RareDiseaseDay! A special day for 13 million Brazilians with rare diseases like #idiopathic #pulmonaryfibrosis #ipf #cpfe, #systemicsclerosis #SSc #SScILD #ymphangioleiomyomatosis #lam
  and so many others!
A day to remember that the disease can be #rare, but NOT the #diagnosis ! After all, the #rare just wants #support, #care & be #welcome like all of us!
But they need all of us to be listened and respected in other to continue moving forward with #hope & making the world a better place for all ! " :) #rarediseaseday2020
Read 3 tweets
Let me tell you about my dad's #care workers, who
- picked up countless plates of food he threw around the room
- wiped up his vomit when he drank too quickly
- answered his question "How old am I?" patiently a million times a day
- repaired the fridge door he unhinged at night
2/
- made sure he wore his glasses & took them off when he fell asleep, so they wouldn't hurt
- coaxed, flirted, convinced him into washing himself as much as possible
- told him his wife/car/staff/dog were fine whenever he worried
- put on the radio w/ 70s music & sang with him
3/
- celebrated Xmas Eve at the care home (ALL of them)
- had to hand in all their tips to the care home's social activities fund (so I bought vouchers instead)
- were with him, holding his hand, when he died.

And now tell me again that they're #LowSkilled.

#immigration #Brexit
Read 3 tweets
Read 10 tweets
*Happiness thread"

Happiness is a range of feelings from positive emotions to great joy.

Happiness changes the way we see ourselves and situations. Our happiness affects how we react in situations and interact with others.

#Happiness is a choice.

#Happiness is infectious

😀
Researchers have found that happiness supports: a stronger immune system, stronger resilience in the face of stress, a stronger heart and less risk of cardiovascular disease, alongside quicker recovery times when overcoming illness or surgery
Happiness maximises our ability to look after ourselves. Happiness supports more exercise, better socializing, healthy eating, good sleep hygiene.

#happiness is a beautiful thing 😀👍🖐️
Read 20 tweets
* Burnout thread *

Burn-out is a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed.

3 dimensions:

- feeling exhausted

- feelings of negativism or cynicism related to one's job

- reduced professional efficacy.
Burn-out is included in the 11th Revision of the International Classification of Diseases (ICD-11) as an occupational phenomenon.
Burnout is more likely to happen if we:
1) don't feel valued
2) don't feel like we are making an impact
3) have no autonomy over a situation
Read 30 tweets
Pay attention #digitalhealth folks, there is a cornucopia from now to 12/31 of opportunities to tell #legislators and #policymakers about the barriers we face. @amalec @RasuShrestha @boltyboy @VentureValkyrie @bobkocher @actonline @startuphealth

Here they are, by due date 1/
@amalec @RasuShrestha @boltyboy @VentureValkyrie @bobkocher @actonline @startuphealth First up. House Cmte on Ways and Means RFI on rural health. #Digitalhealth has great promise to bring #healthcare to where the people are, assuming #broadband keeps up. How do we do that? How do we pay for it? DEADLINE 11/29/19. Here is the RFI: waysandmeans.house.gov/rural-and-unde…. 2/
@amalec @RasuShrestha @boltyboy @VentureValkyrie @bobkocher @actonline @startuphealth Next @RepFredUpton and @RepDianaDeGette RFI on what 21st C. Cures v.2 looks like. It asks about
--reimbursement for #digitalhealth
--technology that includes #caregivers.
You gotta provide input: its as if this one was written for us. upton.house.gov/uploadedfiles/… Due 12/16/19. 3/
Read 12 tweets
I used Matlab for image processing for years. Tried to switch to Python 10 years ago but too many tools were still missing. Tried again 5 years ago and haven't touched Matlab ever since! The combination scikit-image + @ProjectJupyter was a real game-changer! A few more things:
On top of the great classics scientific stack (#numpy, #scipy, #pandas, #matplotlib) there's an entire ecosystem of new tools to handle all sorts of complex problems. E.g. #napari to visualize and annotate multi-dimensional data. @dask_dev to handle very large images.
Complex ML tools for image denoising like content-aware image restoration #CARE (github.com/csbdeep/csbdeep) or point-scanning super-resolution #PSSR (github.com/BPHO-Salk/PSSR) which are documented as Jupyter notebooks that really work "out of the box".
Read 7 tweets
Tomm we start a journey at @ZuckerSoM w/ 3rd yr #MedicalStudents to enhance #Awareness #Education #Skills #Comfort #Hope re: #OpioidCrisis

13.5 hours - "#OpioidEpidemic" themed week (3rd iteration)

Follow/RT as Students, Colleagues, & I tweet - #OURcrisis

#MEDeD #RecoveryMonth
1️⃣0️⃣0️⃣ MS3 #Students

6️⃣0️⃣ Faculty/Facilitators

3️⃣0️⃣ Clinical/Non-Clinical Depts

#OURcrisis @ZuckerSoM

@GIMaPreceptor @DrYili @MartinsWelchMD @JoeCMD @medicmin911 @ektrenchard @ethanfried @ginofarina @LindaWDeMasi @AFornari1 @joemd @DrAhuja @santhoshpaulus6 @TomMcGinn4
#Strategic Full Circle
1. from Health System (need)
2. to School of #Medicine (access)
3. to Health System (access/mission)

Our #OpioidEpidemic themed week is part of a 30+hour 4-yr longitudinal 'Addressing #SubstanceUse' curriculum
#OURcrisis #MEDeD
🔗: sgim.org/File%20Library…
Read 28 tweets
I’ve had an incredible week, working with incredibly talented people around #Oxford, stimulating new ideas for #research, practice and #engagement. This thanks to a #KnowledgeExchange Fellowship funded by @TORCH @UniofOxford. This week… (thread)
I met Bevan:does brilliant work engaging hard to reach teens in special school in the county. Told me his mum (also works there) is a unrecognised legend. We must value people at the coalface of work with young people,even when not qualified social workers/teachers @PopulateCoop
Spoke @LancasterUni about importance of stability for #education of YP in #care @ReesCentre. Really interesting presentations by @MElliott57, @MattJayResearch & @stefdoebler please look up their important work #ECRFriday. Thanks @DrLCusworth and @ChildFamJustice for the invite.
Read 18 tweets
[THREAD] En quoi le mouvement des #GiletsJaunes est-il un symptôme d'une fin de la "grande classe moyenne"?

Nouvelle note de Jérôme Fourquet de l'@IfopOpinion pour la fondation @j_jaures "L'adieu à la grande classe moyenne".

ifop.com/publication/la…
Les #GJ sont composés des nouveaux segments fragilisés de la classe moyenne.
D'abord, les salariés de l'étalement urbain, dépendants de la voiture pour travailler, sensibles au prix du carburant : 64% des actifs travaillent en dehors de leur commune en 2013 contre 44% en 2013.
Les #GiletsJaunes, issue d'une révolte contre la taxe carbone, sont ainsi particulièrement représentés parmi les personnes très dépendantes de la voiture.
Read 12 tweets
#Panel discussion on "What is the new normal for #CESEE?"
@wiiw_news #wiiwSpringSeminar
Vizek: "Very strong public sector, lot of informal economy. Croatia experienced slow growth before, so new normal not really new. But political willingness to reform very low."
Zubovic: positive trends in #Serbia: - rapid #growth in #IT sector over last 3/4 years w/ 3% to 6% share of GDP - Huge Chinese #investments, but with #externalities - Macroeconomic #stability, no fiscal #deficit anymore - foreign #debt declining - Substantial growth of #GDP
Read 14 tweets
Marketing #fail of the month: I visited the big @TMobile store in Burbank, CA - planning on getting the new @oneplus 6T, but the @petelau2007 @JohnLegere love-fest is going to go sour very shortly, if my experience was any indicator.
Staff not only had zero product knowledge of the phone, but clearly didn't even care. I casually asked what the phone specs were (storage, camera), and the store associate begrudgingly took out his own phone to research the answer via the Web.
There were no specs displayed beside the only 6T in the store, shoved in a back corner. There was no @oneplus product-specific signage whatsoever. A basic rule of product marketing & sales is that you have to both #Know about your product, and #Care about it.
Read 5 tweets

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