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Today's free blinks are on the Epigenetics Revolution (2011) by @NessaCarey
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The human genome project was published in Jun 2000.

I was a final year medical student back then and have vague memories of the announcement in the news.

Epigenetics involves the switching on and off of various genes.
blinki.st/c87019b62fd6?b…
"We overestimated the importance of DNA".

I like Carey's metaphor of DNA being like a script for a play. There is considerable room for variation and improvisation - that's the epigenetics. Genotype is the DNA, phenotype is the epigenetic expression.
Epigenetic modification come through methylation (turning genes off) and histones (which is a little more subtle)
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Carey outlines the implications of the Dutch Hunger Winter. Birth weight was affected, depending on which stage of pregnancy the child was born in.
If the starvation came in the later stages of pregnancy, the child's birth weight was lower. They stayed smaller and were less likely to become obese. If earlier, their birth weight was closer to normal...
Later in life though, those whose mothers starved in early pregnancy were more likely to become obese.

The theory is that environmental factors play a role in development, and epigenetics may be involved.
blinki.st/c87019b62fd6?b…
Sometimes we pass on epigenetic information. This runs contrary to evolutionary theory and DNA dogma. Returning to the Dutch Hunger Winter, the grandchild of a survivor is also more likely to be obese. But is this association rather than causation?
But there is other evidence of epigenetic inheritance. In Sweden, boys who experienced protracted hunger before puberty had sons who were less likely to die of cardiovascular disease. If well nourished, sons more likely to get diabetes.

Long bow to draw based on that info.
Mice studies apparently support epigenetic transmission. This theory was first proposed by Lamarck. en.m.wikipedia.org/wiki/Jean-Bapt…
blinki.st/c87019b62fd6?b…
"Childhood trauma seems to have epigenetic effects." this fits with the adverse childhood experiences study findings, and it might have something to do with cortisol receptor expression (at least in mice).
Here is a relatively recent paper about adverse childhood experiences. sciencedirect.com/science/articl…

I see it very frequently in patients who are referred to the pain clinic, and it's why taking a psychosocial history is so important.
An interesting set of blinks. @threadreaderapp unroll please.

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More from @DrAndrewHuang

9 Dec
blinki.st/c87019b62fd6?b…
Today's free blink is Moneyland (2018) by @OliverBullough. Some of the stuff that people do to avoid paying back to society, and some of the stuff they get away with seems outrageous to me after listening to this book summary.
blinki.st/c87019b62fd6?b…
This book seems to be about how the rich keep getting richer.
blinki.st/c87019b62fd6?b…
After WW2 governments tried to regulate money, but banks and rich people soon found loopholes.

I think this is the problem with laws - people try to break them, especially if they are not invested in the social contract. #capitalism #greed
Read 9 tweets
7 Dec
blinki.st/c87019b62fd6?b…
Today's free Blink. Living Beyond "What If?" (2021) by @DrShirleyDavis.
drshirleydavis.com/about-dr-shirl…
This is her biography from her website. Looks likes she's the CEO of a consulting firm, and used to be head of HR with expertise in diversity and inclusion.
blinki.st/c87019b62fd6?b…
When @DrShirleyDavis speaks, "90 percent of the audience agrees that they would live their lives differently if they could do it again. They’d live purposefully – with more passion and less procrastination."

Less procrastination is so me! I feel seen!
Read 22 tweets
7 Dec
blinki.st/c87019b62fd6?b…
Google Leaks (2021) by @Perpetualmaniac. He was a software engineer at Google and became a whistle blower during the Trump presidency.
blinki.st/c87019b62fd6?b…
Google dominates a lot of our lives - search engines, youtube, gmail.
blinki.st/c87019b62fd6?b…
There are a lot of left leaning people working for Google according to Vorhies' account. He feels that they "lacked a fundamental grasp of civics".

Part of retorts - who says representative democracy is a great way to govern?
Read 16 tweets
7 Dec
Listening to the @UniMelbMDHS Graduate Research Symposium for Department of Medical Education and Department of General Practice students. Cassie McDonald talking about presenting research to an audience.
Wow. She went on radio. Certainly pushing the envelope.
Co design. I like it. Warning, it might not work so well for a PhD though.
Read 4 tweets
6 Dec
blinki.st/c87019b62fd6?b…
How to think more effectively (2020) by @TheSchoolOfLife or maybe @SchooloflifeThe. Anyway, it's interesting authorship.
blinki.st/c87019b62fd6?b…
The authors conceptualise thinking as a skill which you can improve.

Let's see how they recommend improving it.
blinki.st/c87019b62fd6?b…
"Devote more time to evaluating your ideas, values, and goals." They want us to be strategic. This reminds me of planning out your exam answer in a short answer question.
Read 13 tweets
5 Dec
blinki.st/c87019b62fd6?b…
The Contrarian is a book written by @chafkin about Peter Thiel. I had heard of Thiel before - I think in the context of Hulk Hogan.
Yes, definitely Hulk Hogan v Gawker is where I'd heard something.
theatlantic.com/business/archi…
blinki.st/c87019b62fd6?b…
Thiel is described as an outsider who embraced who he was while others who were similarly nerdy would be ashamed.

Thiel also loved fastasy like Dungeons and Dragons and the Hobbit.
Read 9 tweets

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