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Doc Hawkins
Jun 15, 2010

Dashing? But I'm not even moving!


Marenghi posted:

I remote across servers all day as part of my job. I'd never notice half a second of a delay to that.

ssh is used for a lot more than interactive remote sessions.

e: i cant think of a company ive worked for which didn't use something implemented on top of ssh or libssh for one of deployment, monitoring, or maintenance.

Doc Hawkins has issued a correction as of 04:31 on Mar 31, 2024

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gradenko_2000
Oct 5, 2010

HELL SERPENT
Lipstick Apathy
code:
https://twitter.com/IRC_NIC/status/1774099237032116728

quote:

https://www.sudinfo.be/id814248/article/2024-03-27/le-psy-belge-avait-viole-4-de-ses-patientes-il-exerce-aujourdhui-en-france

"The Belgian psychologist had raped 4 of his patients, he now practices in France"
This story is awful, but BUCKLE UP. 🔽

"In October 2005, the doctor was disqualified following a 40-month prison sentence for four rapes and two indecent assaults perpetrated on his patients. Women treated for rape or incest. The man has always denied the facts."

"This psychiatrist practiced hypnosis to treat his patients but he also became known for having worked on the “Brabant Killers” case. Questioned under hypnosis, the witnesses were allowed to create composite sketches of the perpetrators of these acts."

The guy who worked in the 80s to establish the extremely famous composite sketches of the Brabant Killers is a rapist psychiatrist who uses hypnosis and raped/abused women who were themselves victims of rape and incest. You cannot make this poo poo up.

my bony fealty
Oct 1, 2008

starting to suspect something is up with psychiatry

Marenghi
Oct 16, 2008

Don't trust the liberals,
they will betray you
US psychiatry is a scam to enforce social control.
It's used for political abuse. Black people were diagnosed with mental illnesses for holding outlandish ideas during segregation that they deserved equal rights.

Activists in general are locked away for life through diagnosis.

And the whole MKULTRA thing.

Turpitude
Oct 13, 2004

Love love love

be an organ donor
Soiled Meat

Marenghi posted:

US psychiatry is a scam to enforce social control.
It's used for political abuse. Black people were diagnosed with mental illnesses for holding outlandish ideas during segregation that they deserved equal rights.

Activists in general are locked away for life through diagnosis.

And the whole MKULTRA thing.

Yeah and isn't there a huge ongoing snafu where none of the most influential psychiatric studies could be reproduced? In other words, none of the science holds up?

Real hurthling!
Sep 11, 2001




Turpitude posted:

Yeah and isn't there a huge ongoing snafu where none of the most influential psychiatric studies could be reproduced? In other words, none of the science holds up?

i think that was sociology or psychology but i could be wrong

my bony fealty
Oct 1, 2008

it is called the replication crisis and it affects every single scientific discipline, natural and social

almost as if the foundation of modern day science is a fraud

Trabisnikof
Dec 24, 2005

Turpitude posted:

Yeah and isn't there a huge ongoing snafu where none of the most influential psychiatric studies could be reproduced? In other words, none of the science holds up?

tbf that’s true for neuroscience and most of science in general. Turns out replication is hard when no one will fund it, no one will progress their career doing it, and it runs the risk of making very powerful people mad if you prove them wrong.

Like this https://www.science.org/content/article/potential-fabrication-research-images-threatens-key-theory-alzheimers-disease

quote:

A 6-month investigation by Science provided strong support for Schrag’s suspicions and raised questions about Lesné’s research. A leading independent image analyst and several top Alzheimer’s researchers—including George Perry of the University of Texas, San Antonio, and John Forsayeth of the University of California, San Francisco (UCSF)—reviewed most of Schrag’s findings at Science’s request. They concurred with his overall conclusions, which cast doubt on hundreds of images, including more than 70 in Lesné’s papers. Some look like “shockingly blatant” examples of image tampering, says Donna Wilcock, an Alzheimer’s expert at the University of Kentucky.

The authors “appeared to have composed figures by piecing together parts of photos from different experiments,” says Elisabeth Bik, a molecular biologist and well-known forensic image consultant. “The obtained experimental results might not have been the desired results, and that data might have been changed to … better fit a hypothesis.”

“So much in our field is not reproducible, so it’s a huge advantage to understand when data streams might not be reliable,” Schrag says. “Some of that’s going to happen reproducing data on the bench. But if it can happen in simpler, faster ways—such as image analysis—it should.” Eventually Schrag ran across the seminal Nature paper, the basis for many others. It, too, seemed to contain multiple doctored images.

maxwellhill
Jan 5, 2022
doing science is fine, the concept of peer review is fine. corruption of both with capitalism brainrot and empire-level deception is not, and that's where it has been the entire time. so not fine, actually. so with most science, if you want the job done right, you practically have to do it yourself (see: evaluating the pandemic situation).

mawarannahr
May 21, 2019
Probation
Can't post for 3 days!
it's vibes based medicine. which describes a lot of other aspects of established western medicine too

Marenghi
Oct 16, 2008

Don't trust the liberals,
they will betray you
Is that down to the whole publish or perish culture in western academia.

There's no benefit to replicating existing studies. Also negative results don't get published as much.

Mr. Lobe
Feb 23, 2007

... Dry bones...


mawarannahr posted:

it's vibes based medicine. which describes a lot of other aspects of established western medicine too

The main thing western medicine has going for it is that it's basically the least vibes-based medicine there has ever been in all of history, it's just that this isn't saying as much as one might hope, given that you don't have to go too far back before it's all vibes based the world round

DJJIB-DJDCT
Feb 1, 2024

I don't know how true that actually is. Galen and Plutarch were both obsessed with study and observation, but because they were natural philosophers, and not "scientists" as we'd conceptualize it, what they weighed as proof was different. For example, literary evidence was held to be superior to experimentation, because of the importance of literary authority in their cultural milieu.

Still, if you've read Quaestiones Naturales, rather than vibes, Plutarch is very clearly trying to reason (rather than experiment) how the world works, to understand his observations (or observations he has read about).

FirstnameLastname
Jul 10, 2022


got me 50 ounces out a bird in this bitch
psychiatry works in that having a person you can talk to about whatever who will remember it but won't have consequences in any other area of your life is helpful and if they get how whatever issue you're having works then that's even better, probably half of the people going to psychiatrists just don't have a person in their life they can really express themselves to bc American culture is shattered into nothing. thats still important to have tho
but
it's a total diceroll and they don't necessarily have to do any of that and are often placed in positions of immense power around extremely vulnerable people and can cause tremendous harm without even meaning to but especially if they're acting with malice & if they're even a little clever about it they'll never ever see consequences for it

they're like mechanics don't implicitly trust them, make them show results & if they are throwing meds around like they're nothing dont trust them at all

DJJIB-DJDCT
Feb 1, 2024

FirstnameLastname posted:

psychiatry works in that having a person you can talk to about whatever who will remember it but won't have consequences in any other area of your life is helpful and if they get how whatever issue you're having works then that's even better, probably half of the people going to psychiatrists just don't have a person in their life they can really express themselves to bc American culture is shattered into nothing.

Hmm... if only there was a way... to confess what's bothering you... in total confidence... and be reconciled...

mawarannahr
May 21, 2019
Probation
Can't post for 3 days!

Mr. Lobe posted:

The main thing western medicine has going for it is that it's basically the least vibes-based medicine there has ever been in all of history, it's just that this isn't saying as much as one might hope, given that you don't have to go too far back before it's all vibes based the world round

true, but a lot of it is still stuff they don't understand the MoA for, or things based on one study in 1935 with 4 people, or case reports. think about like the 6 foot rule, or the idea of this thing which was assumed gospel truth for decades.

Avoidance of β-blockers in patients who use stimulants is not supported by good evidence

www.ncbi.nlm.nih.gov posted:

2022 Jan 31; 194(4): E127–E128.
#### KEY POINTS

  • Patients who use stimulants such as crystal methamphetamine and cocaine often have cardiovascular conditions for which β-blockers are part of the standard of care.


  • Many clinicians are hesitant to prescribe β-blockers in the setting of active stimulant use owing to a perceived risk of “unopposed α-receptor stimulation.”


  • Evidence does not support a high risk of harms from the combination of β-blockers and stimulants, and the best available evidence suggests long-term β-blockers are safe in the context of stimulant use.


  • Until there is clear evidence of harm, patients with stimulant use disorder and concurrent cardiac comorbidities deserve to be offered the standard of care, including discussion on the risks and benefits of β-blocker therapy.


Physicians often hesitate to prescribe β-blocker therapy for patients who actively use stimulants, even for indications such as heart failure with reduced ejection fraction and tachyarrhythmias, worrying that potentially harmful interactions will outweigh well-established benefits.1 The American Heart Association guidelines for the management of non–ST elevation myocardial infarction (NSTEMI), published in 2014, advise against using β-blockers in acute myocardial infarction with signs of acute stimulant intoxication, unless patients are also receiving a coronary vasodilator.2 Outside of acute stimulant intoxication, however, these guidelines state that patients presenting with NSTEMI and recent stimulant use should receive the same care as patients who do not use stimulants. A Canadian guideline on heart failure makes no specific recommendations for or against the use of β-blockers in patients who use stimulants.3 We argue that in the absence of guidance to the contrary, doctors should reconsider their tendency to withhold β-blockers from patients who use stimulants.

Hesitancy to prescribe β-blockers for patients who use stimulants is primarily informed by our understanding of pharmacodynamics. Cocaine and crystal methamphetamine promote release of neurotransmitters such as norepinephrine and epinephrine. Subsequent stimulation of β-1 receptors increases heart rate and cardiac contractility, and β-2 receptors promote smooth muscle relaxation. Alpha-1 receptors, on the other hand, induce vasoconstriction.1,4 Until recently, experts have opined that in the context of stimulant use, β-blockers may lead to “unopposed α-receptor stimulation,” which could result in vasoconstriction with no compensatory smooth muscle relaxation.1 This in turn could lead to cardiac ischemia, hypertension and subsequent cardiovascular complications.

Concerns about unopposed α-receptor stimulation were originally supported by a small study published in 1990, in which 15 participants underwent cardiac catheterization and were given intranasal cocaine followed by intracoronary propranolol.1 The authors observed increased coronary artery vasoconstriction after administration of propranolol, but no change in systemic blood pressure. A single patient developed acute ST elevation and symptoms of myocardial ischemia, which were reversed with sublingual nitroglycerin. The generalizability of this study was limited by its small size, the use of the nonselective β-blocker propranolol (which is infrequently prescribed for cardiac conditions) and its intracoronary administration. In a follow-up study, 15 participants underwent cardiac catheterization and were given intranasal cocaine followed by intravenous labetalol, a β-blocker with additional α-blocking properties.5 In this study, no worsening coronary vasoconstriction was seen and, in fact, labetalol decreased systemic blood pressure.

Since this initial experiment, several other studies have looked at both the treatment of acute stimulant toxicity and long-term β-blocker therapy in patients with ongoing stimulant use. A 2016 systematic review that included 50 studies comprising 1744 patients examined the treatment of acute hyperadrenergic symptoms from cocaine with β-blockers.6 Only 7 cases of potential adverse drug effects, including changes in blood pressure or new cardiac symptoms, were identified in this review; however, the causal association with β-blockers was unclear. No adverse events were attributed to β-blockers with α-blocking properties such as carvedilol or labetalol. A 2018 systematic review identified 5 retrospective cohorts examining 1794 patients presenting to the emergency department with cocaine-associated chest pain.7 There were no differences in the rates of in-hospital all-cause mortality or nonfatal myocardial infarctions associated with the prescription of β-blockers to people using cocaine.

Less information exists related to amphetamines. A 2015 systematic review of the treatment of amphetamine toxicity identified 19 studies with 227 patients, 3 of whom experienced possible adverse reactions: 1 patient had a transient, mild elevation of blood pressure, and 2 experienced recurrent chest pain.8


Mr. Lobe
Feb 23, 2007

... Dry bones...


DJJIB-DJDCT posted:

I don't know how true that actually is. Galen and Plutarch were both obsessed with study and observation, but because they were natural philosophers, and not "scientists" as we'd conceptualize it, what they weighed as proof was different. For example, literary evidence was held to be superior to experimentation, because of the importance of literary authority in their cultural milieu.


How is that not a vibes based way of going about making an epistemology of medicine

I'm not saying nobody ever tried to be empirical or employ reason, but when the foundations still amount to appeals to cultural authority you wind up with things like the 4 humors and miasma theory of disease enduring for millenia

polycritical
Mar 7, 2024
The secret that many academics won't tell you is that most research is trash, pumped out because only some of the other scientists can tell

You can find papers published this week about cold fusion.

I can't tell you how many times smart and driven engineers bring up a paper they're trying to replicate to a scientist who is an expert in the papers field, they read it, and after a first read come back with "this is physically impossible, and will not replicate" . And this is just in the physical sciences of "I want to precipitate rock"

Trabisnikof
Dec 24, 2005

Part of the pernicious strength of claims of “value free analysis” that many positivists make, is that it allows implicit systems of values to interject themselves in ways that are harder to notice, interrogate, and challenge.

So if the “numbers can’t lie” crowd is crowing about how HOAs are better than small government or black people should get lower payouts for wrongful deaths, they get to forego making explicit that money is the way all things should be valued. It is just silently assumed.

tristeham
Jul 31, 2022


Turpitude posted:

Yeah and isn't there a huge ongoing snafu where none of the most influential psychiatric studies could be reproduced? In other words, none of the science holds up?

the vast majority of psychological research belongs to the bin lol

Doc Hawkins
Jun 15, 2010

Dashing? But I'm not even moving!


where are all these over-prescribing psychiatrists hiding, it took me almost two years to get a prescription for my bullshit, and i frequently have to wait weeks for a refill

maxwellhill
Jan 5, 2022

tristeham posted:

the vast majority of psychological research belongs to the bin lol

no, we're lucky some of it missed the bin un-burnt for the Church Committee to find

DJJIB-DJDCT
Feb 1, 2024

Mr. Lobe posted:

How is that not a vibes based way of going about making an epistemology of medicine

I'm not saying nobody ever tried to be empirical or employ reason, but when the foundations still amount to appeals to cultural authority you wind up with things like the 4 humors and miasma theory of disease enduring for millenia

I would submit to you that the miasma theory of disease would have effectively responded to the coronavirus pandemic, as opposed to what our superior scientific method got us now: economic analysis, followed by manufactured consent, then a shrug.

Marenghi
Oct 16, 2008

Don't trust the liberals,
they will betray you

DJJIB-DJDCT posted:

Hmm... if only there was a way... to confess what's bothering you... in total confidence... and be reconciled...

If only

Mr. Lobe
Feb 23, 2007

... Dry bones...


DJJIB-DJDCT posted:

I would submit to you that the miasma theory of disease would have effectively responded to the coronavirus pandemic, as opposed to what our superior scientific method got us now: economic analysis, followed by manufactured consent, then a shrug.

Bold of you to assume the government and business would invest in ventilation as opposed to just spraying everyone with cheap perfume and sending them back to the workplaces to die in droves

yum
Oct 27, 2005

Only good things will come
to someone like
you.
replication of previous research does happen but it’s also inherently vibe based bc no one repeats the exact same experiment. You’re trying to replicate the findings, not the method, so it’s calvinball in terms of how you get there/approximate previous methods. And you also have to find/make up something “new” as well. At least that’s what i’ve seen in the social sciences.

Jose
Jul 24, 2007

Adrian Chiles is a broadcaster and writer

tristeham posted:

the vast majority of psychological research belongs to the bin lol

thats a mirror

Paramemetic
Sep 29, 2003

Area 51. You heard of it, right?





Fallen Rib
as with all things capitalism hosed it up and there's no profit motive in replicating a study so there's no funding for it and if you're a student or tenure track replicating a study won't be considered adding to the body of knowledge if it's not novel in some way so won't be accepted by advisors or chairs so nobody has any reason to do it right

hilariously because it's all so controversial and because it has to be able to stand up to extreme criticism more so than other fields parapsychological research since like the 1980s is probably one of the most robust fields of research and almost certainly one of the most rigorous

Zodium
Jun 19, 2004

Dokapon Findom posted:

Yeah but I don't buy the villain edit that Jolly West gets itt. Killing the elephant is really the only bad thing he's done

he's my hero

Jose
Jul 24, 2007

Adrian Chiles is a broadcaster and writer
edison is right there if killing elephants is what you're after

strange feelings re Daisy
Aug 2, 2000

Edison, George Orwell, and Jolly West went to the special zone in hell reserved for elephant killers

Zodium
Jun 19, 2004

Jose posted:

edison is right there if killing elephants is what you're after

i'll betray you all in a heartbeat for unlimited funding and no oversight. cia hmu

Jose
Jul 24, 2007

Adrian Chiles is a broadcaster and writer

strange feelings re Daisy posted:

Edison, George Orwell, and Jolly West went to the special zone in hell reserved for elephant killers

Yeah it'll have trump jr in it too lol

slave to my cravings
Mar 1, 2007

Got my mind on doritos and doritos on my mind.

Paramemetic posted:

parapsychological research since like the 1980s is probably one of the most robust fields of research and almost certainly one of the most rigorous
what does this mean

RandolphCarter
Jul 30, 2005


Edison didn’t kill the elephant, his studio just recorded it.

DJJIB-DJDCT
Feb 1, 2024

Paramemetic posted:

as with all things capitalism hosed it up and there's no profit motive in replicating a study so there's no funding for it and if you're a student or tenure track replicating a study won't be considered adding to the body of knowledge if it's not novel in some way so won't be accepted by advisors or chairs so nobody has any reason to do it right

hilariously because it's all so controversial and because it has to be able to stand up to extreme criticism more so than other fields parapsychological research since like the 1980s is probably one of the most robust fields of research and almost certainly one of the most rigorous

Someone told me British universities invented insane metrics for teaching positions, to get some sort of quotient of how novel your research is on a quarter to quarter basis?

In Late Antique and Religious Studies?

:psyduck:

Laterite
Mar 14, 2007

It's Gutfest '89
Grimey Drawer
lol

https://twitter.com/steakwilson/status/1774805679665971486

e: wrong thread but gently caress it

genericnick
Dec 26, 2012

Zodium posted:

i'll betray you all in a heartbeat for unlimited funding and no oversight. cia hmu

ah, a fellow academic

lumpentroll
Mar 4, 2020

lol

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selec
Sep 6, 2003

it was revealed to me in a dream that Terry Davis and Jeff Epstein were hatched from the same batch

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