Thank you that’s reassuring. The chisels say “Hardened, tempered chrome carbon-steel” but not impulse, so I think they’ll be fine. The other thing I’m trying to find is a manual hand brace drill but the only new one I could find was from France and about $160. I’m thinking of just finding an okay one on eBay and seeing how it does.
If you have any other suggestions for whetstone liquid or wood glue, it would definitely save me some searches.
I have a few ideas. My first one will probably be making a workbench haha. Then some small stuff like a tea box and a wooden mallet.
I’m not sure what kind of lumber yet. Whatever I can find for cheap and my family friend’s Amish guy.
So this is pretty interesting, because in nursing school it is taught to use a 1” needle on most adults and 1 5/8” needle for persons over 200lb. The US CDC does indeed recommend men over 260 and women over 200lb to get a 1 5/8” needle for deltoid vaccines. The International Health Care Worker Safety Center guidelines from 2003 that the CDC references on that guide have similar recommendations, but nothing about the efficacy of different needle lengths.
I did a quick search on scholarly databases and there are essentially no studied to be found that different needle lengths impact the efficacy of an intramuscular vaccine. One in-depth study from Rahamimov et al. (2021) used ultrasound to measure the depth of injection using the “pinch” method, in which the vaccine administrator squeezes the arm. That did lessen the amount that reached the deltoid muscle and is not recommended, but did not mention any effect to the efficacy of the vaccine. Likewise, Chhabria and Stanford (2022) had similar recommendations based on BMI.
It appears that the CDC is citing studies and studies are citing the CDC, but there are no sources found that actually measure the lessened absorption of using a shorter needle and not fully penetrating the deltoid muscle and effects of efficacy. This would be a great study for a pharmaceutical research group to pursue.
tldr; There is no actual evidence of lessened effectiveness for not using longer needles for persons with higher BMI, so carry on everyone.
I’m sad to hear that had to happen to you but from the sounds of it, you were fortunate enough to have a graceful passing with her. Do you have someone that you talk with?
I’m doing okay overall. My new job is neat but overwhelming to learn. I was lucky enough to take a trip to a beachside state and it really made me reevaluate my entire life like every day haha. It got me really into the Blue Zones books again, and now I see that there is a video documentary series. It has slowly become more clear to me the the US (among other countries) have an out of whack work/life balance expectation and the many of major mental health issues we are faced with is due to this. I’m on a journey to keep trying to find that balance and ask what I really need in life. The most consistent things I notice from the Blue Zones are a sense of community and a sense of purpose, which help the people not have less stress, but rather experience stress in a more tolerable and productive way.
That, and I’m learning how to play pickleball.
I think this one is pretty good. I think the middle line of the A should be longer though, and am a little confused on the jagged line on the inner part of the right line of the A. I think if it retained more of an A shape and had the mountain theme filled in like you have it, that would be great. Just my thoughts.
I think I would agree. The behavior seems to be more dismissive than gaslighting (manipulative). I think a patient doubting their own knowledge or experience definitely happens, but it is a secondary effect from the dismissiveness from the medical provider and not usually the intention.
Unless, we consider it intentional so they need to do less work. Considering a person’s subjective information to be fully true and including that in the plan of care takes more effort, versus following the script you know.
This is part of a larger discussion that one of my classes is covering: “Traditional versus Collaborative Care.” Personally, I think the word collaborative gets tossed around too much and English needs more synonyms for it, but the theories kind of make sense. Traditional approach is basically “I’m the doctor, so I know what is best. If you don’t take these meds, you’re being non-compliant.” While the Collaborative approach is more like “What are the goals for your care?”
Some people don’t care what the provider thinks they care about, or aren’t communicating in a way that connects to the patient enough. A relevant podcast I listened to a while ago mentioned that most disagreements are caused by a difference in expectations. If the medical provider is expecting a “compliant” patient with no questions, they are going to be upset when someone is disagreeing with them. And if a patient is expecting a medical provider to listen to them, but the provider ignores them, they will probably be frustrated, belittled, etc.
Sorry, lately the download link has been the only way to retain full resolution. I usually just opt for “View” instead of “Download” and download it from the browser. I’m not sure if it gives you that option on the browser you use. Thanks for giving the other link.
I had uploaded the images directly to Lemmy, but the file sizes are also reduced then too. 😬
I’ve never heard of those. I looked them up and they look super fun! Like a skateboard and rollerblades had children.
…and he says, “I can bearly stand up!”
I think the performance is better on most things after this last update, but scrolling still seems slightly “laggier” than when I first downloaded the beta.
As a side note, I would love to have Color Schemes one with dark grey and darker grey (as opposed to straight OLED black), and a “sepia” with font as dark brown and the background as beige/off-white. They are easier on the eyes for some reason.
And thank you for all of the hard work on this project.
I remember a podcast on NPR a few years ago mentioning something similar. The psychologist that was on the show was discussing how doing something that does something that requires your full attention reduces anxiety. It’s interesting to see that this can also be applied to reduce PTSD.
I especially like the different sepia options. I think that reader accessibly options often get overlooked. This looks so much nicer on my eyes. I would love to see a bold toggle and some custom apps (which look like they’re in the works).
The groups (aka multi-sub) was very welcomed to see.
The performance still seems great too. I know Apollo really set a high bar, but I like to try and think of Lemmy and the new apps people are working on as their own. For me, they don’t need to be an exact copy of Apollo.