BC HEALTH
Saved by @Alex1Powell

a little thread of stuff that has inspired my thinking this year. 1/

 This paper by Abenavoli was actually pub. in 2019, but I didn’t see it til Jan. My view is that improving outcomes for #devlangdis #DLD requires improved early years provision. However, even for the best programmes, positive effects fade out over time.
https://t.co/w3LClAhU9h
The paper provides a useful summary of why that might be and what we can do to address this – hint: we can’t just focus on early intervention, but need to know what comes next. 3/
This paper was written by some of my favourite people and SCALES collaborators. I like it because it is a rare paper that attempts to understand how differences in school placement might affect outcomes. https://t.co/qq1cWHwDA4 4/
I often get asked about this WRT #DLD, but it is hard to say b/c school places are not randomly allocated – they are influenced by child and family characteristics. Th paper by Simonoff et al. gives me some ideas of how we might approach similar questions in SCALES. 5/
This paper by the FAB @mcgregor_karla is a ‘call to arms’ about how we as professionals can work to raise awareness of DLD. Consistency in terminology and diagnosis is critical as is supporting parents and young people in advocacy. https://t.co/qFozhs3mSz
When I look at what @RADLDcam has achieved I’m immensely proud of how much progress we’ve made in raising awareness. My recent experiences with funders and journals tell me that we still have a long way to go! 7/
I could offer anything by the fab @lervag, but I chose this one b/c we often assume improving lang through intervention will have positive effects on other areas of develop, but few explicitly test this. This paper does so with interesting results 8/ https://t.co/9d6kYpVlde
the good news is that learned skills can transfer to unfamiliar items, but this appears to be fairly limited to similar items within the same domain. And reiterates just how hard it is to affect change in comprehension. Def one to ponder over a minced pie... 9/
Many people see language screening as an unmitigated force for good in tackling #devlangdis. Rarely do we consider or discuss potential neg consequences & it is important to do so, esp given the poor accuracy of currently avail measures. 10/
This paper by @mgtmccartney is not about #DLD, but does raise critical issues re: screening & case finding that are applicable. At the very least, investment in screening should be accompanied by increased investment in clinical & education services 11/
https://t.co/TXkepMesrF
Sometimes a paper doesn’t present new information but packages what we know in such a clear way that it is both a pleasure to read and a useful resource for parents and allied professionals. Few people do this better than @PamelaSnow2 12/
Her paper on the science of language and reading is a joy. The Language House is a smart infographic that I now regularly use in teaching and I’m sure will resonate with many. 13/
https://t.co/ahsq7YWpoW
One challenge for #DLD is the persistent public (& often gen academic) view that lang deficits are caused by ‘environmental influences,’ esp diffs in quantity & quality of parent talk. For sure parent talk assocs w/ child lang, but causal connects btwn them are very complex. 14/
This is eloquently explained by @saraannhart @drElsje & ends w/ a call to take nature more seriously in dev research. I can see import imps for understanding response to treatment & adapting our approach to the needs of parents, as much as the child. 15/
https://t.co/QlJhyVfeWg
A great intervention trial here. The participants are dual language learners, but the prog could be readily adapted for monolinguals with #DLD. 16/
https://t.co/oRadEelHQ2
I really like that it focuses on both language structure, AND broader perspective taking, to enhance social/emotional competence. And uses shared book reading to bridge home and classroom learning. Nicely designed and clearly reported. We need more this. 17/
The next paper has only just come out but many of the thoughts within it have been rattling around my head for some time. I’m hugely interested in whether or not the timing of intervention matters for long term language growth... 18/
...here @rogierK eloquently explains not only why it should, but how one could test this statistically. We are currently looking at our longitudinal data through this theoretical lens and finally submitting this work will be a joyous start to 2021.
https://t.co/YspH80QEbA
apart from @josaul14 becoming DR Jo Saul, the best thing out of the @PALS_SCALES lab this year was this video, co-designed by SCALES participants & featuring insights & words from @julietwri, a young person with lived-experience of #DLD. 20/ https://t.co/qtcXyfYPVA
it is based on papers led by @SarahGriff90 & Dr Shaun Goh & has been viewed 8600 times since Feb. demonstrating importance to young people & families affected by #DLD. It saddens me that funders, editors & policy makers don’t seem to be listening, but we will keep trying! 21/
Finally, I'm not all work & no play - . I love to spend time in the kitchen and I’ve been doing much more of that since lockdown in March. 22/
It was a tough choice, but my fav cookbook of the year is this one. It has it all – bread, cake, mains, salads -all delicious, and the chocolate, banana and date loaf is esp good for fuelling those long cycle rides. 23/ https://t.co/lKGfUTkeCP
So thank you all for feeding my brain & for taking time to cheer me up along the way (I'm looking at you @ReadOxford @Kathy_Rastle @mggaskell & @L_M_Henderson) and huge thanks to my fabulous @PALS_SCALES team - what a year! Enjoy the holidays! END/

More from Health

Marina Amaral
Marina Amaral
@marinamaral2
[Thread]: Old school "medicine" ads obviously created by aliens.

Let's begin with cocaine toothache drops, for only 15 cents.


Dr. Batty’s asthma cigarettes were not recommended for "children under 6.”


Best prescription for malaria, chills and fever: Grove's tasteless Chill Tonic, obviously.

"It is simply iron and Quinine in a tasteless form".


The cheapest specific for the relief of cough: heroin.


There's also Dr Williams' Pink Pills for Pale People.
HEALTH
el gato malo
el gato malo
@boriquagato
this simple, counter narrative fact keeps cropping up all over the world.

hospital and ICU utilization has been and remains low this year.

it's terribly curious that so few of these monitoring tools provide historical baselines.

getting them is like pulling teeth.


we might think of this as an oversight until you see stuff like this:

this woman was arrested for filming and sharing the fact that their are empty hospitals in the UK.

that's full blown soviet. what possible honest purpose does that

this is the action of a police state and a propaganda ministry, not a well intentioned government and a public heath agency.

"we cannot let people see the truth for fear they might base their actions on real facts" is not much of a mantra for just governance.


90% full ICU sounds scary until you realize that 90-100% full is normal in flu season.

staffed ICU beds are expensive to leave empty. it's like flying with 15% of the plane empty. hospitals don't do that.

and all US hospitals are mandated to be able to flex to 120% ICU.

the US is currently at historically low ICU utilization for this time of year.

61% is "you're all going to go out of business" territory as is 66% full hospital use.

can you blame them for mining CARES act money? they'll die without it.
HEALTH
Advertisement
Plum
Plum
@getplumhq
12 things you should look out for before buying health insurance

A thread 🧵

It’s a good idea to make sure your health is protected under an insurance policy so that you don’t shell out large sums of money for hospitalization and treatment. But buying an individual health insurance policy can be daunting in itself.

Websites and policy documents can be overwhelming. There’s a lot of loaded terms, there’s a whole bunch of things that your policy may or may not cover. It’s important to know and understand the details though, so you’re not surprised later.

In this thread, we'll talk about the things you absolutely need to watch out for when buying an individual health insurance policy for yourself or your family members :)

If you take an individual health insurance policy and the insurance company offers to pay up to ₹15 lakhs during the year whenever you’re diagnosed with a disease or meet an accident, that amount is the 'sum insured'.
HEALTH
Momentswithbren Consulting
Momentswithbren Consul...
@MomentsWB
Pathways to Public Policy Careers for those interested and looking for global opportunities

Public policy is made when a governing body attempts to address an issue of widespread public concern, such as health care. The process often runs in cycles and can take years.

■After new laws are created, Policy Implementation occurs, often involving federal agencies, state and local governments, bureaucratic entities, and NGOs. Courts get involved as laws and policies are challenged on a variety of fronts.

■Analysis and Evaluation occurs throughout the cycle and involves many players. Policies may be changed — and the cycle begins again.

What is the best advice for someone pursuing a career in public policy?

People often find their way to public policy careers because of an

interest in a particular substantive area. Public policy work can be found in virtually any subject area.

Your ears should perk up when you hear the words “Center for,” “Institute,” “Association,” and “Foundation” because they represent potential employers.

Public policy majors work in the public, private, and nonprofit sectors, such as a government agency or advocacy group.

Continuing education, such as a certification or fellowship, can also advance your career as someone interested in public policy and politics.
HEALTH
Sumanta Pal
Sumanta Pal
@montypal
It's Monday AM post-@ASCO #GU21 & clinic starts in a couple of hours! Lots to process - I'll try to tackle optimal 1L tx for #kidneycancer. I'll make a case for cabo/nivo, leaning on the beautiful (& timely) tables below from @lalaniMD, @SoaresAndrey & @brian_rini (1/15)


What about IO/IO? We have long f/u w #CM214 data w nivo/ipi, no doubt (@AlbigesL et al in @myESMO Open). And treatment-free interval discussed by McDermott @BIDMChealth is no doubt impt. But we've known data not as impressive for favorable risk (2/15)


And furthermore, as @ERPlimackMD points out in another tweet, impt to look at primary PD rates (seen in @lalaniMD's table) - nivo/ipi at 19%!!! CR rate used to be something we highlighted w nivo/ipi, but now comparable across studies (3/15)


Okay now to the really tough stuff - comparing TKI/IO regimens. Something interesting I will add to @brian_rini @uromigos table above is the HR for PFS by INVESTIGATOR review. If the diff in HR for PFS by IND review caught your eye, this is even more striking (4/15)


I think INV-assessed PFS is impt, but if you're a skeptic, forget that argument. Turn instead to #QOL with axi/pembro. Kudos to @brian_rini @tompowles1 @ERPlimackMD et al for advocating for QOL in KN-426. @crisbergerot et al have taughts us the importance of these metrics. (5/15)
HEALTH

You May Also Like

Patrick McKenzie
Patrick McKenzie
@patio11
So the cryptocurrency industry has basically two products, one which is relatively benign and doesn't have product market fit, and one which is malignant and does. The industry has a weird superposition of understanding this fact and (strategically?) not understanding it.


The benign product is sovereign programmable money, which is historically a niche interest of folks with a relatively clustered set of beliefs about the state, the literary merit of Snow Crash, and the utility of gold to the modern economy.

This product has narrow appeal and, accordingly, is worth about as much as everything else on a 486 sitting in someone's basement is worth.

The other product is investment scams, which have approximately the best product market fit of anything produced by humans. In no age, in no country, in no city, at no level of sophistication do people consistently say "Actually I would prefer not to get money for nothing."

This product needs the exchanges like they need oxygen, because the value of it is directly tied to having payment rails to move real currency into the ecosystem and some jurisdictional and regulatory legerdemain to stay one step ahead of the banhammer.
CRYPTO
Numberonepal
Numberonepal
@numberonepal
1/ Stolen from the greatawakening(DOT)win...

I will only be making one post here. Do not ask who I am. Do with this information as you please.

The Trump Card is being played. It's much simpler than you all realize. Some of you have gotten it right.
TRUMP , THE LAST DAYS IF THE REVOLUTION
Advertisement
Anu Satheesh \U0001f1ee\U0001f1f3
Anu Satheesh 🇮🇳...
@AnuSatheesh5
Thiruvizha Mahadeva Kshetram
#Alappuzha 
#Keralatemples 🚩

Thiruvizha Mahadeva Kshetram is located in Cherthala and it is believed that Prathishta of temple was done by Vilwamangalam Swamy. Paramashiva is Swayambhu here and is worshipped as Kalakandha which means who swallowed


Halahala visham to save the world during Samudra mathanam. 

It is a famous temple where people seek the blessings, for curing the Kaivisham. The poison given by someone to destroy a person is made to vomit here. This is removed by making them vomit the poison by a special


medicine.
The medicine for vomiting is made from a plant near temple by Palodathu family. The milk offered to Bhagwan is mixed with the extracts of the plant.

Story says that once this place was a dense forest, and a woman was looking for the presence of a tortoise in the pond


and the tip of her stick hit the bottom and it started bleeding in the pond. 
Frightened, the lady informed every one and after searching in pond people found Swayambhu Lingam inside the pond. Thus Prathishta was done here.

Om Namah Shivaye
Shambo Mahadeva
🙏🕉🙏
ALL
Andrew Chen
Andrew Chen
@andrewchen
👇 Thread. New deck getting published this week: "Consumer startups are awesome, and here's what I'm looking to invest in at Andreessen Horowitz." If you want to read it, subscribe to my newsletter here: https://t.co/262t8eh0wf


1/ A lot of new consumer technologies have been introduced to US households in the last 100 years. But it's taken many of them - like the telephone - more than 50 years to get to the majority of the US. Why is that?


2/ We had to literally teach people how to use phone. Which end goes to your mouth, which goes to your ear. Say "hello" when people call. The motivation of consumers to talk to their friends has always been there, but we had to teach the behavior


3/ If you compare phones to the latest technologies, there's been a huge shift. Things are being picked up much faster.


4/ Even while there's been all this innovation recently, physically speaking, we are still the same human beings from 100,000 years ago.
STARTUPS
Lindsey Simmons
Lindsey Simmons
@LynzforCongress
Joshua Hawley, Missouri's Junior Senator, is an autocrat in waiting.

His arrogance and ambition prohibit any allegiance to morality or character.

Thus far, his plan to seize the presidency has fallen into place.

An explanation in photographs.

🧵

Joshua grew up in the next town over from mine, in Lexington, Missouri. A a teenager he wrote a column for the local paper, where he perfected his political condescension.

2/


By the time he reached high-school, however, he attended an elite private high-school 60 miles away in Kansas City.

This is a piece of his history he works to erase as he builds up his counterfeit image as a rural farm boy from a small town who grew up farming.

3/


After graduating from Rockhurst High School, he attended Stanford University where he wrote for the Stanford Review--a libertarian publication founded by Peter Thiel..

4/

(Full Link: https://t.co/zixs1HazLk)


Hawley's writing during his early 20s reveals that he wished for the curriculum at Stanford and other "liberal institutions" to change and to incorporate more conservative moral values.

This led him to create the "Freedom Forum."

5/
HISTORY