#Increasing complexity

[drchristophedelongsblog]

The integration of artificial intelligence (AI) into medicine is profoundly transforming practices, and this raises important questions about the ability of geriatricians and general practitioners to adapt.

Here is an analysis of the issues

Growing complexity of medicine with AI

Preventive and predictive medicine

AI can analyze huge amounts of data to identify individual risks and predict disease occurrence.

This requires a deep understanding of algorithms and their interpretation.

Diagnosis

AI helps in interpreting medical images, analyzing biological data and detecting complex patterns.

This requires an ability to validate and integrate AI results into the clinical context.

Therapeutic

AI personalizes treatments based on individual patient characteristics.

This involves knowledge of AI-based therapeutic options and an ability to monitor their effectiveness.

Capacity of geriatricians and general practitioners

Continuing education

Continuing education is essential to keep physicians up to date with advances in AI and its applications in medicine.

Interdisciplinary collaboration

Collaboration with AI specialists, data scientists and other healthcare professionals is crucial for effective use of AI.

Decision support tools

AI can provide decision support tools to support physicians in interpreting data and making clinical decisions.

Specificities of geriatrics

Geriatrics, by its holistic nature, is particularly concerned with the management of multiple pathologies and fragility.

AI can be a valuable asset in synthesizing complex data and personalizing care plans.

The role of the general practitioner

The general practitioner, through regular monitoring of the patient, is on the front line to detect changes and refer to specialists.

AI can help refine its diagnosis and monitoring.

In summary

AI represents a challenge, but also an opportunity to improve the care of elderly patients.

Continuing education, interdisciplinary collaboration and the use of decision support tools are essential to enable geriatricians and general practitioners to adapt to this evolution.

General practitioners and geriatricians will have a key role in using AI as a decision-making tool.

Go further

[utilitycaster]

I think that discussions of TTRPGs would be much more productive if the advocates of moving from D&D could separate out the ideas of "WoTC is part of the massive Hasbro conglomerate which engages in the shady capitalist practices massive conglomerates do"; "D&D is not suited for every single type of story or gameplay style"; and "here's how to pick a different TTRPG that suits you needs" because as I've said many a time like 99% of them are just trying to sell you on their favorite game, which might be out of print, prohibitively expensive, something no one around you is interested in playing, or is just as bad if not worse a fit for what you want to do as D&D.

I also think said conversations would be more productive if acknowledging many people came into TTRPGs via Actual Play but would be willing to branch out if you weren't the world's most condescending dickhead towards them*; if people considered the hard truth that if you're fluent in D&D and own the materials and have a group already the pitch for Pathfinder specifically actually becomes much harder, not easier; and, as always, if people tailored their recommendations. I agree that heists or space operas or low-combat social games don't play well in D&D; they also don't play well necessarily in your favorite game that you recommend for everything that isn't magically better or more versatile just because it's from a smaller company.

Anyway the point is if you just want to whine about D&D being a dominant force be my guest but you will probably lose all but the most impressionable/desperate for the validation of strangers portion of your D&D-playing audience. If you're actually interested in changing minds and not jacking off to how much cooler and better you are be prepared to ask or answer these questions:

Is D&D genuinely a bad fit for what they want to do, or are you just an intrusive hater?

What is the person you're trying to convert interested in doing at the table? This is is a complex question that covers genre and tone; session-to-session gameplay such as combat vs. RP balance but also (for example) granularity of rules; and overall scope of the game (eg: is this something that you can play a long-term campaign in with character progression? Or is it fairly static and intended to be a few sessions at most?)

What games are accessible to them? This means within their budget (unless you advocate for pirating from small indies, which will not really help with the whole WoTC dominance situation); within what they and their table have time to learn (or, if they are looking to get into games in the first place, what they might be able to find a group for); and again, I can't believe I have to say this but I really do because I've seen it multiple times: whether the game is in print.

Have you considered gently directing them to their friendly local gaming store with answers to the second and third questions above and unleashing them upon a person who knows the gaming scene in their area and (while I've dealt with a Comic Shop Guy or two in my time) is less likely to call them a dumb bitch to their face if the answer ends up being "I'll stick with D&D"? Again, is this about them having a good time? Or is this about you?

*the best way to describe this, since I've been talking a lot about people attempting to claim the status of the systemically oppressed, is that a lot of non-D&D/non-AP fans of TTRPGs on Tumblr act like they are an oppressed class and it's like Kevin, you are a white sysadmin Monte Hall Games fanboy, you are not oppressed by the girlies making Keyleth-inspired D&D characters. You are not part of the more popular fandom and indeed dislike it; this does not make you of a lower class.

[arolegos]

what is with this sudden increase in harumi hate . get this shit off my board bruh. i just saw someone say she didnt have a good reason to be a villain. should i kill everyone .

[serpentface]

i really like how this setting has a very well defined history to it, the past, the way it has been described so far, genuinely feels like another place and still one that would logically lead to the present, so i wanted to ask, have you thought at all about this in the other direction? what will the setting look like in 10, 50, a 100 years? just where is this world going exactly?

10 years absolutely. 50 years not so much. 100 years barely. Far future not at all. Here's a summary of the localized 10-15 year outcome (posting the (incomplete, already outdated) map again because it is extremely necessary for the paragraphs to come)

(Titenegal is the star just to the west of Godsmouth, the Mouth is the stretch of sea between Bur and the Wardi empire, the Viper trails off a little off-map to the east, the seas west of the Viper form the Inner Seaway)

I have a pretty solid idea of the next 10-15 years for Imperial Wardin. The former king (technically emperor but the word for 'king' is used for this title) Stavis Amanti honorably and nobly and TOTALLY willingly replaces the destined white calf in sacrifice, and the Odomache takes his dynasty's place as the emperor. As God Itself incarnated, the state is now functionally a theocracy with a god-emperor. The Imperial Wardi faith has always been the greatest unifying factor in an otherwise fragmented imperial entity, and this change results in a greater centralization of power than what's seen in Whitecalf (in which it is essentially composed of allied city-states conditionally loyal to a king, it's integrity is very tenuous in general and actively falling apart in the famine). The city-state of Lobera and Godsmouth both disavow the Amanti dynasty during the famine and the former wholly secedes and declares itself an independent state near the end of the story (the latter re-avows its loyalty to the new god-emperor). Lobera pulls some nearby imperial tributary territories under its protection and and the territorial size of Imperial Wardin is diminished (basically the entire northeast is lost).

The drought DOES end in the same year as the pilgrimage (yayyyy it worked) but actual recovery from a 6.75 year drought and famine, especially in the context of a shift in political power, takes time. The famine cannot be considered to have fully ended for another 4-5 years (conditions just gradually improve until normalization) and this time is spent in with focus being inward and on recovery and reunification. The city-state of Erub in particular fully collapsed by the end of the famine (the Yellowtail river ran Completely dry and tens of thousands of people in that region alone died from starvation and disease) and is never reformed in this 15 year period, though some refugees (and opportunists grabbing lands from dead or fled farmers) start to trickle back in as the land recovers.

The shift in power from a dynastic imperial monarchy to an imperial oligarchy is actually wildly popular among much of the public (the notion existed long before it actually happened, the public opinion on the imperial family is EXTREMELY low during the famine and the pilgrimage is largely a desperate attempt to save face). The social perception that God Itself incarnated and made head of state is what ended the drought and famine is massively beneficial to the new power structure. Imperial Wardin emerges from famine recovery at the most united and centralized in power it's ever been.

A full scale war between Imperial Wardin and Lobera+Allies finally occurs about 6 years out, and lasts a little over a year before Lobera is utterly crushed and re-absorbed. Control over tributary states is reaffirmed, and efforts start to be made to make Imperial Wardi territory fully contiguous (in the map, only the red sections are Fully controlled territories)

Meanwhile Titenegal is more aggressively courted into full alliance with Godsmouth, and the majority of elected officials vote for a merger, which in practice absorbs it into the Wardi empire (while retaining elected officials for local affairs, though these must defer to the emperor). This basically splits the united Burri nations in half (both in public opinion and in a literal territorial capacity) and is extremely contentious. Imperial Wardin is clearly in the process of pulling the old switcheroo and conquering Bur, through diplomacy for the time being.

And with the full cross-Mouth unification having occurred, attention is turned back north to Finnerich (which has been fully independent of its tributary status for over a decade now, and has been a major pain in the ass for both Wardi and Burri interests). A much stronger, much more unified, and much more militarized Imperial Wardin starts preparing for another round of invasions, while the self-declared king of Finnerich has been courting historical enemies into allegiance against it. At this point the Wardi Empire is entering a strong expansionist era and trying to conquer the entire Viper Seaway and Mouth, with hopes of finally digging that canal at the end of the Viper (a seaway that peters out about 40 miles from the ocean, many have tried to dig a canal and all have failed) to completely monopolize the eastern tradeways. It has a long way to go to actually get there though.

All this stuff is the political backdrop for Blightseed (the story).

In the LONG and broader term, the only really imminent world-altering scenario would be the greater spread of firearms. At the moment the most complex and powerful firearm being produced is types of flintlocks/matchlocks most comparable to the arquebus (also there's some smaller pistols with similar mechanisms) (I'm also going back and forth on whether I should downgrade the gun tech), but the majority of firearms that exist are more basal fire lances and handcannons (and the VAST majority of peoples have no firearms at all). In the 'contemporary' these matchlocks are only just starting to spread through very powerful states in the Inner Seas tradeway and are generally rare and elite weapons, which are slowly being disseminated through capture and illegal trade and reverse engineered by other people. The spread of relatively efficient and powerful handguns would have profound implications for warfare and the power structures involved in trade networks and will probably be a major contributing force to mass societal changes in the next 100-300 years.

I also haven't provided a good sense of scale via not posting world maps but most of the imperial entities described are relatively tiny on a global scale. There has never been anything in the setting on the scale of the Roman empire or the Mongolian empire at their peaks. Imperial Wardin's total mass of occupied territories (not including claimed but unoccupied land, blue on the map) is a little under the size of the full extent of the Aztec empire (and they have some similarities in being largely composed of a tributary states). It's a world that has heavy interconnection via trade along coasts and seaways, but its societies are mostly (relatively) small in scale. This is a long way of saying I think the mass spread of firearms could result in something closer to that scale of territorial landgrabbing forming.

[charcarts]

dudunsparce segment charm mockup but you have a 1:5 chance of pulling a 3 segment🍡

reblogs appreciated!

[faaun]

ive talked to a lot of ppl who have taken vyvanse now and i think ik a bit more on how i need to live on it

[nihilisticlinguistics]

Since i found out about wicked problems a few days ago, I haven't been able to stop thinking about wicked solutions.

The strategies listed by the wiki article might not be exhaustive and I was only introduced to this concept recently so possibly actual experts are using this framework already, but

have we considered that instead of focusing on solving one social policy problem in its entirety by a given strategic approach, we look for solutions that address bits and pieces of multiple wicked problems, i.e., the wicked solution?

take climate change for example: we look at the wicked problem and say "well we can't fix it all with one solution, let's [focus on reducing fossil fuels/make more energy-efficient products/limit pollution or waste/etc.] all at once until it's fixed, and figure out the side effects as we go." and we end up with EV cars and EnergyStar ratings and reduce/reuse/recycle slogans.

but couldn't we say, "if we want to solve the problems of food insecurity, health outcomes, traffic, and climate change, what can we do about these issues together?"

Can we improve the frequency/reliability of our transit lines, prioritizing the lines that stop near grocers and farmer's markets? -> improved service can incentivize increased use over cars -> less driving = less vehicle pollution -> less pollution = fewer health issues caused by pollution -> improved access to grocers on the prioritized bus lines.

Can we amend zoning laws to encourage/subsidize local grocers in our neighborhoods? -> reduce the size of a food desert -> improve access to healthier foods -> locals cut down on drive/transit since they don't have to go as far to get groceries -> again, less driving = less vehicle pollution.

Can we introduce community gardening or food forest programs that promote climate-resilient edible plants? -> community gardens/food forests = reduced food deserts -> local green spaces and fresh produce improve health outcomes -> climate-resilient, local-sourced foods limit reliance on the global food system and the pollution it causes -> less food shipping and reduced driving to grocers = less traffic on our roads.

Would all of these options work as proposed? IDK, I don't actually work in policy. That's the part where you do huge statistical modeling and stuff, or pilot programs, and all that jazz. but are we exploring the possibility at all?

if one solution can't solve the whole wicked problem, can one solution address small pieces of multiple wicked problems? And when we're pitching our policy solutions, are we actually considering the possible positive side effects, and how we can tweak policy proposals to maximize those positive side effects?

[overly-hubristic-mad-scientist]

One thing about Dr. Daniel Cain is that he’s gonna be positively shit at his job

[uncanny-tranny]

Healing can look and feel a lot like pain, so it's hard to imagine this being a good sign. However, I think feeling like it's getting worse can be a sign that you're healing and you're making progress.

I've been noticing in myself that I feel a whole lot worse ever since I actually... acknowledged I have a lot of healing to do and that I am unwell. I actually allowed myself to entertain the idea, and it's opened the floodgates to me finding out just how bad it got. I'm grateful in a way that I'm getting worse now because I have the ability to heal.

If it feels like it's gotten worse, maybe it could be because you're making your way out of the storm. It's going to be okay.

[drchristophedelongsblog]

The integration of artificial intelligence (AI) into medicine is profoundly transforming practices, and this raises important questions about the ability of geriatricians and general practitioners to adapt.

Here is an analysis of the issues

Growing complexity of medicine with AI

Preventive and predictive medicine

AI can analyze huge amounts of data to identify individual risks and predict disease occurrence.

This requires a deep understanding of algorithms and their interpretation.

Diagnosis

AI helps in interpreting medical images, analyzing biological data and detecting complex patterns.

This requires an ability to validate and integrate AI results into the clinical context.

Therapeutic

AI personalizes treatments based on individual patient characteristics.

This involves knowledge of AI-based therapeutic options and an ability to monitor their effectiveness.

Capacity of geriatricians and general practitioners

Continuing education

Continuing education is essential to keep physicians up to date with advances in AI and its applications in medicine.

Interdisciplinary collaboration

Collaboration with AI specialists, data scientists and other healthcare professionals is crucial for effective use of AI.

Decision support tools

AI can provide decision support tools to support physicians in interpreting data and making clinical decisions.

Specificities of geriatrics

Geriatrics, by its holistic nature, is particularly concerned with the management of multiple pathologies and fragility.

AI can be a valuable asset in synthesizing complex data and personalizing care plans.

The role of the general practitioner

The general practitioner, through regular monitoring of the patient, is on the front line to detect changes and refer to specialists.

AI can help refine its diagnosis and monitoring.

In summary

AI represents a challenge, but also an opportunity to improve the care of elderly patients.

Continuing education, interdisciplinary collaboration and the use of decision support tools are essential to enable geriatricians and general practitioners to adapt to this evolution.

General practitioners and geriatricians will have a key role in using AI as a decision-making tool.

Go further

[poetryqueer]

the absence of horatios in hamlet adaptations somehow feels gayer than their presence

[toesuckler]

im truly not exactly convinced about the male loneliness epidemic yet.

[givemethesleep]

Explaining to my parents why I need subtitles when watching movies/TV and my mother just looks at me and sighs and is like. Maybe we should have you tested. Immediately offer to write her a list and she's like do you have a spare 3k. (No. All my money is going towards getting out of this house)

But I think it's safe to say that your daughter who struggled socially her whole life, can't sleep without the Right Amount of noise/clothing/temperature, and had to be banned from talking about Wizard101 in the house because it was quite literally the only thing she enjoyed, might have been eligible for some sort of evaluation when she was still a child. Instead of using it as a funny haha we don't really care joke now that she's struggling with various different things as an adult.

[fujii-dlc]

WHAT DO YOU MEAN THATS WHY BONNIE STOPPED TALKING TO SIFFRIN AS MUCH??????

[howtotrainyouragents]

I keep joking that this show is gay, and it keeps proving me not wrong

[stadam]

your muses should toootally try to bargain with adam for extermination immunity teehee :3