Discover and read the best of Twitter Threads about #thrive

Most recents (13)

🇬🇧 has made private finance the driver of climate diplomacy. There’s been a big early announcement from the #GlasgowFinancialAllianceforNetZero (#GFANZ)…
There's much to welcome here but it's also "work in progress" (eg we need 2025/5 yr targets).
Detailed analysis is warranted. But if we zoom out, we can see that the big execution challenge is there’s “near zero” alignment between what humans need to #thrive vs the incentives that drive the *daily* behaviour of the financial sector players who are the BSD’s today 2/15
This is true for ALL the big issues of today: economic, social, environmental & governance. #PrivateVoluntaryInitiatives just aren't fit for purpose when it comes to #systemic threats. For an intellectual deep dive with 11 cartoons (!) see @Duncan_BBR 3/15
Read 20 tweets
Stroke outcome #prognostication

☝️#Stroke clinicians are routinely asked by patients and families regarding prognosis.
🧠The cognitive process underlying prognostication is #complex, poorly understood, and sometime #biased by personal experiences Image

#Fact: Clinicians, even those with expertise in stroke, perform poorly in predicting clinical outcomes
In this case-based study, overall accuracy for predicting death or disability at discharge was <20%😩
#JURaSSIC… Image

☝️Several prognostic #models have been developed to aid prognostication after ischemic stroke
These models #outperform clinician #judgment in predicting stroke outcomes
@GeorgeNtaios Image
Read 12 tweets
The #game of “economic moats” within most public #blockchains has made it hard for people to join in by forcing people to choose between geek and geeker. Go ahead and ask anyone new to #crypto how to get started and its like deer in headlights!

Time for a thread:
2/ Blockchain is a #technology that is meant to bring safety and freedom to you, yet most #dapps today have it's users completely at the control of the company that created it!
3/ When we try to use #blockchain networks, you feel like you are treated like a machine, instead of a person. Making people feel controlled and manipulated through poor system designs that have not fixed the hard part, treating you like a person.
Read 14 tweets
As I embark on #PGY30 , I’m reflecting upon my transition to #Intern year and thinking of the new #Residents starting this week…a short thread 1/

#TipsForNewInterns Image
Don’t listen to the #intern jokes.

You are a doctor now and fully a part of the #HealthcareTeam …a VERY important part! 2/

#TipsForNewInterns Image
Take the opportunity to learn from everyone…especially your #nurses.

Also take note of the ppl who treat other staff and patients rudely.

You’re not too young in the game to gently correct them…as you’ve been part of the #HumanRace for a long time. 3/

#TipsForNewDocs Image
Read 8 tweets
Green Urine: #NEJM
....will be seen in #COVID – Why? Massive use of Propofol. While Green Urine is Benign, effects of prolonged over-sedation & immobilization ++ #DELIRIUM are not 😤 Wake them up & get out of bed. Start w/SAT…#A2Fbundle & #PICS

#medtwitter #nursetwitter
1/ re: SATs to avoid over-sedation in #COVID19 pts, Thx @phanton_icu for Protocol Blindness caution & @Nitkjain reminder “Easier said than done.” I’ve been pondering your comments all day & think them ripe for further conversation on #A2Fbundle

#medtwitter #pulmcc #nursetwitter
2/ Remember, protocols like #A2Fbundle are guides & not “1-shoe-fits-all pts.” Correct, we must deviate when needed. However, these 6 principles (ABCDEF) are derived from 35 NEJM, JAMA, Lancet papers +400 others & now >25,000 pts of data. Not chump change.
Read 10 tweets
1/ During the final session of the 2020 Religion News Association Annual Conference, I made this statement. What follows is my statement on the #abortion debate. #rna2020virtual Image
2/ Whoever builds the house sets parameters for possiblities within. Burned by gains of #CivilRights, seething from Supreme Court anti-segregation ruling (Bob Jones vs USA), southern White men constructed #abortion debate framework in 1983 as staging ground for cultural warfare.
3/ Pro-life vs Pro-choice is an inhuman frame, meant to draw battle lines, meant to set the stage for winners/losers. It is so last-century. And it is inaccurate. Those who built the pro-life frame have proven beyond a shadow of doubt, what they really cared about is white life.
Read 12 tweets
1/ Over the last several weeks, I began journaling my response to the murders of #GeorgeFloyd, #AhmaudArbery and #BreonnaTaylor. My world is uniquely intertwined to the present challenges.
2/ As an African-American father of 3 boys, I am a son of Ghanaian heritage, and married to a beautiful scientist of Ghanaian-American descent. I have the privilege of co-pastoring a multi-ethnic church in the Boston area.
3/ All of my worlds are affected by the brokenness of racial injustice.
Read 8 tweets
Prophetically speaking, the church needs to help people learn how to process loss & grief. As a nation, we have experienced so much loss and eventually this will catch up with us. We need to learn how to heal through healthy processing of our pain. #thrive #Covidcreate
While re-opening reflects the economic reality of loss of work, could it also be our attempt to avoid processing our pain as a nation? #thrive
From a pastoral care standpoint, the hardest time is not right after the shock of the loss of a loved one. It is in the moments that everyone is gone and we are alone by ourselves trying to wrestle with pain. The time after the funeral is the loneliest.
Read 7 tweets
Aquí comienza su andanza el Grupo Itaca, nuestra idea es unirnos todas aquellas unidades o servicios con programa para S Post-Cuidados Intensivos, poner en común nuestros avances, nuestras dudas y tratar de perfilar, entre todos,el mejor abordaje de esta patología
Si queréis incorporaros os invito a leer el post y mirar la web…
Nos reuniremos 1 vez al mes por videoconferencia y una vez al año, presencial, este año la tarde previa a la Jornada del S Post-Cuidados Intensivos, el 26 de Noviembre! Image
Read 4 tweets
Today, in the 34th National Congress of Clinical Nutrition and Metabolism Society @SENPE_ , celebrated in Santiago de Compostela. I’ve talked about the importance to follow-up our ICU patients and the nutrition support in Post-ICU patients.

#SENPE2019 #THRIVE #PICSyndrome ImageImageImageImage
Nutritional scores and Muscular US in the Post-ICU clinic ImageImage
Conclusions Image
Read 3 tweets
🗣️And it is finally out!

👉Amazing shared forum from @OPENPediatrics about #PedsICU rehab and patient (family)-centered care

👉Please share/RT this paradigm shift lecture

#thrive #ICUrehab @McMasterU

@karen_choong from 🇨🇦…
🗣️Al final llegó!

👉Increíble foro compartido desde @OPENPediatrics sobre rehabilitación en #PedsICU y cuidados centrados en el niño y su familia

👉Comparte/RT esta charla sobre cambio paradigmas

#thrive #ICUrehab @McMasterU

@karen_choong from 🇨🇦…
Thread/Hilo (🇬🇧🇪🇸)

Epidemiology has changed. New children population: SURVIVORS
La epidemiología cambió en #PedsICU : nuevos niños: SOBREVIVIENTES

Cambio el patrón de MORTALIDAD
Read 16 tweets
Today 9:45 a.m. room 33 @SCCM #ccc48

"Bringing Meaning & Life Back to Survivors of Critical Illness"

I'm looking forward to a great session with @ICU_Recovery + @JulieRoganCNS

Here are my slides to give you a sense of what the conversation may be about. Join us!
Mark Mikkelsen and I have been deeply influenced by Creditor's classic article

These graphics hopefully forthcoming from Oxford Textbook of Medicine edited by @icuresearch

@SCCM #ccc48
Recovery-focus means thinking about preventing long-term harm, but also realizing critical illness is bad and some damage will occur given the limitations of our science and art

We need to help patients + families rehab but also ADAPT

@SCCM #ccc48
Read 9 tweets

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