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Cake day: August 15th, 2023

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  • Weekend discharges occur less frequently than discharges on weekdays, contributing to hospital congestion. Artificial intelligence algorithms have previously been derived to predict which patients are nearing discharge based upon ward round notes. In this implementation study, such an artificial intelligence algorithm was coupled with a multidisciplinary discharge facilitation team on weekend shifts. This approach was implemented in a tertiary hospital, and then compared to a historical cohort from the same time the previous year. There were 3990 patients included in the study. There was a significant increase in the proportion of inpatients who received weekend discharges in the intervention group compared to the control group (median 18%, IQR 18–20%, vs median 14%, IQR 12% to 17%, P = 0.031). There was a corresponding higher absolute number of weekend discharges during the intervention period compared to the control period (P = 0.025). The studied intervention was associated with an increase in weekend discharges and economic analyses support this approach as being cost-effective. Further studies are required to examine the generalizability of this approach to other centers.











  • People have been studying the psychology of mass killers since the 70s. Without an actual living subject at hand in this case, it’s hard to do anything more than speculate. I tend to agree that it would be useful to know more about what pushed him to such an act, but how do you suggest going about this? Should we round up and interrogate everyone he knew in his life? Would that even be productive?

    Motive isn’t as mysterious as we like to pretend it is. All it really required was a loss of fundamental empathy for his fellow humans. We see that everywhere these days. He’s not unique in that respect. What’s unique is the lengths he went to to commit this act. He seemed to want the spectacle of it. Like many serial killers, perhaps the idea of murder gave him a rush of feeling he couldn’t find anywhere else in his life, and so he figured why not get as much of that as he could?

    Again, it’s all speculation. And it’s also not hard to trace it back to a sickness eating at the roots of our society. What do you do with that knowledge? What can any of us do but try a little harder in our own lives to be kind to others and generous to those who might be quietly slipping down into the lake of poison seething under the world?



  • CeruleanRuin@lemmings.worldtoNo Stupid Questions@lemmy.worldXXX
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    4 months ago

    But but but why did he spray bullets at a crowd with intent to murder hundreds? Why, man, why? We need his manifesto, his tax records, the political affiliations of his associates and family! How else am I supposed to fit him into my narrative if I can’t prove why he thought to do the unthinkable?

    /s


  • CeruleanRuin@lemmings.worldtoNo Stupid Questions@lemmy.worldXXX
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    4 months ago

    Even if they could, I don’t know why you would jump to that idea when the guy fucking shot 400 people. He clearly wasn’t right in the head. He also had a history of heavy gambling and drinking. I don’t smell conspiracy on this one. This was just a mentally unwell guy who made a decision to murder; it is, unfortunately, a quintessentially American story that keeps repeating.


  • CeruleanRuin@lemmings.worldtoNo Stupid Questions@lemmy.worldXXX
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    4 months ago

    Those gun bans weren’t passed until 2023, which really puts the lie to the assertion that we stopped talking about it.

    Maybe it’s more accurate to say we ran out of new things to say about it, and that’s why it’s not front and center in the news at this current moment. It’s also a hugely divisive issue and nobody seems to have a solution to the problem that doesn’t just piss off a bunch of other people, so in an election year it’s the last thing policy makers want to bring up.