5 de setembro de 2019

What I learned from reading “The importance of sharing clinical information.”

Filed under: Saúde e bem-estar — Tags:, , — Yurinho @ 15:26

“The importance of sharing clinical information: the case report of an adverse reaction” was written by Alexandra Cadete, Lara Sutil, Carine Silva and Joana Simões. Below, what I learned reading this text.

  1. A doctor may employ a treatment even when there is no consensus on the safety and effectiveness of its use (not that it’s always a good thing)…
  2. When applying antiemetic therapy, it is necessary to choose well which medicine to use, since the incidence of adverse reactions can reach 25% if the subject undergoing therapy is a child.
  3. The extrapyramidal effect, which may be caused by metoclopramide, may be reversed with biperiden.
  4. Metoclopramide can cause a dystonic crisis even without overdose.
  5. If a child is vomiting and an antiemetic must be used, ondansetron or domperidone are better choices, but not metoclopramide.
  6. Antiemetic therapy is used when a vomiting crisis begins to cause dehydration.
  7. A dystonic crisis can occur up to two days after metoclopramide use.
  8. Such reactions are characterized by abnormal postures, spasms and twisting movements.
  9. This effect is more common in children and the elderly, but rare in young adults.
  10. If these effects appear without the subject taking antidopaminergic medication, the patient may have tetanus or a disorder that causes seizure.
  11. An extrapyramidal reaction may be reversed with anticholinergics or benzodiazepines.

11 de fevereiro de 2018

“Demons”, by Huib Kort and G. G.

Filed under: Notícias e política, Organizações — Tags:, , — Yurinho @ 11:26

“Demons: the utopian dream of safety” was written by Huib Kort and G. G. Below are some paraphrased thoughts found in their text.

  1. Our society has a series of problems, such as crime and violence, which seem to be isolated issues.
  2. But what if something in our society is fundamentally wrong, which makes all those “symptoms” point to a bigger, underlying evil?
  3. What if some of the things that our society fights against aren’t really problems?
  4. Pointing out specific problems and attacking them is an attempt to distract the population, so they don’t see that it’s our society’s model that is actually decaying.
  5. We, as society, feel scared, but that’s not the first time it happens: we felt scared during the second world war, we felt scared during the cold war, we feel scared now for other reasons.
  6. Fear is a common emotion when society is conservative.
  7. Anyone can lose the happiness they acquired with hard work, anyone can lose it at any time, that causes insecurity.
  8. People often carry an amount of fear that is not proportional to the reality of crime.
  9. No crime happens without a reason.
  10. But people are afraid of being at the wrong place, at the wrong time.
  11. People are also scared of the unknown, specially if “unknown” means “immigrants”.
  12. The reasons to fear immigrants often lack solid empirical foundation.
  13. The violent sexual crimes against children are also rare, compared to other crimes, but the effort that is spent into combating that problem also isn’t proportional to the issue.
  14. Disproportional fears exist in all of us, regardless of our level of education.
  15. Those fears are often centered in current affairs, such as nuclear threat.
  16. The lives of many are led by fear.
  17. There’s “press” for the elite and “journalism” for working classes.
  18. Media plays a role in instilling fear.
  19. The media must inform people, but media also needs money, so it turns news into entertainment, which keeps a good cash flow.
  20. That also causes a quality drop in TV shows, including a drop in their ability to inform (but a increase in their ability to gossip).
  21. A candidate that manages to lure people into thinking that he is capable of ending violence once and for all can get a lot of votes, because people have the feeling that politics is the way to completely end violence.
  22. The atmosphere of fear and political impotence, leveraged by media’s selective information, makes people do their own justice (“mob justice“).
  23. And media loves mobs, because that means more stuff to report on TV.
  24. Politicians often promise things that are not allowed by the local democratic system, causing the population to confront them with their broken promises.
  25. Media is not impartial.
  26. Some laws are written after generalizing few examples.
  27. That’s a sign of opportunism and a sign that the population can’t see very far, when it comes to their history and consequences of a law.
  28. Hysteria can cause more damage than the event that originates it.
  29. Any single person who commits a hideous crime becomes the single “model” to be taken in consideration (for example: a teen commited a mass murder in school, that means that all teens are capable of that and must be controlled).
  30. If the person who committed the crime was an immigrant, for example, their behavior will be generalized to all immigrants, which is unfair.
  31. Suddenly, all men are pedophiles.
  32. Our society is parmenidic: it either is or not, with nothing in between.
  33. That’s seen as good.
  34. Whoever points out that not even half of men are potential rapists, that there are muslims who aren’t terrorists, and things of that nature, is also demonized.
  35. Society becomes a battle between good and evil, with both sides viewing themselves as the “good” side.
  36. “Rapist”, “molester” and “pedophile” have become the same thing.
  37. Further repression is demanded.
  38. Nonetheless, repression is not working.
  39. The actual goal is protecting status quo, which is profitable, from social change.
  40. It’s the status quo (politics, media and prevailing ideologies in society) that is fundamentally wrong, with everything else being symptoms of that bigger problem.
  41. A possible exit would be allowing dissenting narratives to flourish.
  42. It’s possible to think without aid of mass media.
  43. Everyone says that media is manipulative, but few are willing to take a critical look at the media they consume.

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