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Cake day: June 30th, 2023

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  • Very much this. They way it was explained to me was akin to what you are saying, single login, jump servers whenever. In practice it is not that

    I’m a shitty developer by all measures but I assume such a feature would be tremendously difficult to implement especially this late in the game. Maybe I’m wrong but I don’t think so. Like would my username have to be reserved across all instances? Would a new instance have to get some kind of list of known usernames? Where would that even come from? Who knows, not me, that’s for sure

    However if it could be done I think that would be a huge selling point. “Imagine if your server started being a shitty place like facebook and you could just move to another without having to nuke your account” is a pretty big deal



  • Mario games were always kind of tech demos for Nintendo innovation and the innovation is kind of boring now

    In the 90s it was graphical fidelity and gameplay mechanics, smb1-3 on the nes, smw on snes, m64 were serious contenders for “oh my god this shit is crazy and plays like a dream”.

    Sunshine is around where the graphical fidelity started to lag but the physics were still nice.

    Then they started to innovate in other ways and galaxy brought in motion controls which were well done (arguably) and the (by then) distantly lagging graphics were almost a feature

    But odyssey showed that doesn’t work anymore. Everyone has motion controls now, even phones, and they’re often just annoying. The switches innovation isn’t something that really applies directly to gameplay itself, so ultimately odyssey stays just a standard game, with solid graphics thanks to great design but noticeable slowdown in several areas because it’s running on an outdated tegra tablet, and the same old platformer gameplay because there’s nothing new to do with it.

    They did have some cool level design that helped it feel fresh and interesting at times but it ultimately felt like it had similar problems to sunshine: not a bad game, but not an experience the way mario 64, mario world, or mario 3 was. Maybe I’m just too old



  • I’m sorry you had such a bad experience. ABA is just a science though, and it’s the way it’s applied that can be good or bad.

    ABA should not be used to tell someone to not to like the transformers as a teenager. There are clear ethical guidelines about this. But supervision can fail, unfortunately. You could report your practitioners I suppose. But is that what actually happened? Why did they restrict you from transformer movies?

    I have seen unethical practitioners that work with parents who say “this is age inappropriate, my teenager shouldn’t be watching Sesame Street anymore” and try to discourage it. But this is rare these days and the field discourages practitioners from doing this. However, depending on how old you are and where you live and just because shitty people exist this could very well be the case

    But I’ll be real with you: I have seen people who are critical of ABA say things like what you said and it turns out they were not given access to their favorite movies because it was made contingent reinforcement. This is how ABA works, it is operant conditioning. But what these people are leaving out is that they were having major functional impairments that required some kind of enticement and there weren’t many things that motivated them to expend effort. They would only shower or brush their teeth once a week or less, they would not do homework ever to the point of failing classes, they would exhibit violent behavior that was dangerous to themselves or others, serious communication deficits, etc.

    the way we would encourage the behaviors we needed to see more of and discourage the problematic behaviors was through reinforcement based systems. Of course, reinforcement can always feel like punishment when one fails because a true reinforcement system requires one to withhold reinforcement when necessary so the learner can conflate reinforcement with punishment pretty easily

    And I would suggest maybe talking to someone about this, you’ve got a real chip on your shoulder about this. I merely asked you a sentence it and you went into a paragraph long diatribe assuming a great deal about my history. You don’t know me or my experience. You’ve clearly got some trauma, maybe it’s time to deal with that?



  • This was probably all in the phrasing or maybe people just don’t understand the reality of the situation?

    I worked for several years doing mobile therapy that included a significant amount of homeless outreach and crisis management. Everyone deserves to be housed, bottom line, but what it takes for that to happen is a complex situation

    There’s the “xxx,xxx amount of homeless but xx,xxx,xxx amount of empty homes in america” statistic that people throw around. I forget the exact numbers but I’m pretty sure thats the scale, if not the take away is that you could literally give each homeless person a free house and still have millions of empty houses. But this would not solve homelessness, at least in the current system. The overwhelming majority would be back on the street fairly quickly. Even if you eliminate the need for mortgage there’s still the need for property taxation; if you eliminate that then communities start to get real shitty. Even if you eliminate that there’s still utility and food costs. Even if you eliminate that there’s still maintenance and not actively destroying the place.

    Institutionalization isn’t necessarily the answer although in extreme cases it can be. We had supported rehabilitation programs that were pretty successful, basically apartments with staff that would keep tabs on you, help you budget, do resumes, help you get to drs appointments, make sure you took medications (but didn’t force you to unless there was a court order/probation situation and even then it wasn’t like a “force” situation although there was inherent coercion as not taking meds would be reported to po/court), apply for section 8, etc. you would stay there for a year or two and then move to a more independent placement once supports were in place.

    There were also longer term programs for people who genuinely struggled and just couldn’t get that step down to work. These were similar but had less focus on connecting to services and were more akin to nursing homes with more psychiatric care

    But then there were also more intensive residential programs we referred to for people with more serious mental illness or addiction issues

    The issue, of course, was funding. We had like 32 beds in the short term and 11 in the long term. Funding was like 50% state funding, 20% grants, 30% donations and fundraising and the budgets were tight. Meanwhile the town probably had 30-50 actively homeless at any given point on top of whoever wasn’t in the program and another 50-100 with insecure housing. Even the intense programs, which generally had more secure state funding, still had an overall lack of beds and would have very long wait lists. Sad stuff.

    That was about a decade ago now, I feel like it has to be worse now post Covid and trump. I can only imagine what the next 4 years will do to their funding



  • quixotic120@lemmy.worldtoPrivacy@lemmy.mlToday I saw hope
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    6 months ago

    Based on a very brief glance at this it looks like I would be reliant on self hosting it to circumvent the need for a BAA (although the hosting company may still need to provide one, unless I literally hosted it from my house or something?) not sure

    Will investigate further, had not heard of this


  • You can replace just the touch bar, I’ve done it, but it’s a nightmare. Much cheaper and less waste though

    That thing is seriously glued on. Like people complain about the battery adhesive but it’s not really that bad, some solvent takes it out pretty quick on most models (though it’s still not necessary and would be much better if it was just screwed into place). That touch bar though, that glue is crazy and any solvent or heat you use has to be super carefully managed because you’ll melt the keys very easily. Some tutorials have you basically just smash the shit out of it and scrape away the resulting shards but that seemed like a bad idea.

    For the record I did heat from the rear and light application of acetone. Took a bit but I was able to pry it up although I did break the first couple. Doesn’t matter really but it can make it harder to prep the space for the new one.

    Also fun times: on some models if the touch bar glitches out it shorts the motherboard and causes random reboots


  • Most people won’t close their facebook account. if it ever does happen it will be because the accounts are purged (highly unlikely given facebooks raging hardon for data) or that the site undergoes a massive transformation after losing a ton of value and rebranding ala myspace.

    That likely wouldn’t happen for many many years until a solid competitor arose that grew enough to overtake them and that’s real challenging given their size. It was one thing when user counts were in the millions or even tens or hundreds of millions but facebook has several billion users. That’s like a sizable chunk of the entire population of earth.

    It would take a very novel approach to overcome those numbers and then you also have to consider momentum: at this point there are a great deal of people who consider facebook “the internet”. Like they open their browser/phone and that’s what they do. It is their habit. Then in second place you have instagram so even if you knocked facebook off meta would still ultimately be ok. And with the incubation period of social media they’d probably have another one up and coming long before your threat became viable that would have the benefit of starting in like 7th place simply because of their massive market share (see: threads). By the time your social network had the 10ish years it takes to get to hundreds of millions of users they’d potentially have that one at a billion, or have pulled the plug and moved on to another trial with a massive head start

    Doesn’t mean to give up on the fediverse stuff, just that the gross corporate social media likely wont go away for a very long time, if ever. Barring outside influence like regulatory change of course


  • quixotic120@lemmy.worldtoPrivacy@lemmy.mlToday I saw hope
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    6 months ago

    It is generally best to keep an entirely separate account for professional dealings so such things are segregated, at least that’s what I do

    Signal as a zoom replacement would be great but a big part of the deal would be the necessity for hipaa compliance. I would imagine a huge part of what keeps zoom alive is financial injections from telehealth provides like myself that need a platform that is hipaa compliant that patients understand. EMR software often comes with a telehealth platform built in nowadays but it tends to not work as well and confuses the tech illiterate who got trained on zoom during COVID years.

    I’m sure there’s a ton of stuff they have to do on their end to be hipaa compliant that I’m ignorant of but the primary thing is that they have to share a document called a business associate agreement (baa) with me that essentially says they will take meaningful steps to appropriately safeguard any protected health information and makes zoom liable if a breach of their systems exposes PHI.

    This is why telehealth can’t (technically, people still do it) occur over teams, skype, discord, facetime, hangouts, etc. google, apple, microsoft, etc have no interest in taking on that liability.

    The difficult piece will be challenging zooms pricing. They offer healthcare zoom for $15/mo with BAA. There are better deals though, doxy.me does it for free (they claim this is subsidized by paid account which I believe because they are substantially more than zoom starting at 35/mo).

    Would be a great way to get them a revenue stream too. I don’t know anyone who practices heavily telemedicine that relies on free solutions; the only ones I know that utilize the bundled emr components or the free doxy.me service are clinicians that mostly practice in person and only do a small handful of telehealth sessions a month, like under 10% of their total billing. For people like me where it’s 50-100% of their billing it’s almost always a paid subscription. more reliable, tax deduction, and access to support


  • Every manga here is great these are all iconic yuri series

    Also you don’t have to be gay to enjoy gay media. I suppose some people need to know that it’s safe for non gays to read it but I feel it’s awkward to be like “as a non lgbt person this was good”.

    Also the author of “my lesbian experience with loneliness” has several other works in the same vein that have been translated and are solid, my solo exchange diary, one about alcoholism where the name escapes me, etc

    And a question: I do like “the guy she was interested wasn’t a guy at all” but what’s with certain yuri having color tones? That’s the green yuri, but there’s also orange yuri (an ol at her limit and and a college girl), red yuri (boyish girlfriend), and blue yuri (lilium terrarium)

    There’s also way more: donuts under a crescent moon, adachi and shimamura, a tropical fish yearns for snow, after hours, how do we relationship, she, her camera, and me, throw the suit away together, soulmate (webtoon), the moon on a rainy night, etc. there’s also toxic yuri like my girlfriends not here today, destroy it all and love me in hell, and kitanai kimi ga ichiban kawaii (ranked from toxic to utterly destructive and you’ll feel gross after reading) if you’re into that




  • quixotic120@lemmy.worldtomemes@lemmy.worldJust Say No
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    6 months ago

    I agree with you in that it wouldn’t stifled the same way but I still think it would be an inherently flawed measure in determining the true number of cases, which is probably impossible. Going back to my original post even if you allowed anonymous reporting I’m betting a lot of partners would still not speak out due to intimidation and you would probably get some false positives (though admittedly this is probably significantly less of a concern)

    Doesn’t mean it’s not worth doing as it would probably get you something closer to an accurate number but the accurate number is likely impossible to measure


  • quixotic120@lemmy.worldtomemes@lemmy.worldJust Say No
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    6 months ago

    In response to this I would say that the studies here overrely on self report, which is inherently flawed when asking someone to report on a character flaw

    I go back the philosophical question: if you beat your partner would you reveal this to an academic who is going to put it on the record?

    Some may, but a lot won’t. Inherently flawed.


  • quixotic120@lemmy.worldtomemes@lemmy.worldJust Say No
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    6 months ago

    Statistics are hard to determine on domestic violence

    The “40% of cops beat their wives” probably comes from this:

    https://files.eric.ed.gov/fulltext/ED338997.pdf

    A congressional hearing where a professor testified that officers were asked if they had “gotten out of control and behaved violently towards their spouses or children within the last 6 months” and approximately 40% said yes. This is vaguely worded and while acting violently towards your family is shitty regardless there are a number of ways to interpret that question (beat them regularly, slapped them, yell at them, berate them, isolated incidents vs consistent campaigns, etc)

    There is a concept in experimental design called an operational definition, that a behavior should be defined in such a way that observers trying to measure the variable are clear in what they are trying to measure. “Self injury” is poor on its own, but saying “hand to head hits with closed fist” is quite a bit better (though still can be problematic because sometimes intensity can be a problem but I digress)

    https://policing.umhistorylabs.lsa.umich.edu/files/original/5528df2d5b5c33cfeaa930146cfe20ccb5cad0cd.pdf

    Neidig study also found a rate of around 41% and is cited to support the claim but if you read the methodology it’s flawed to do this: the operational definition is much improved but the data for 41% includes violence initiated both by cops and by their spouses. If you only include violence initiated by cops it’s closer to 28%. However this does indicate they create toxic relationships based around violence and mutual violence is not uncommon in domestic abuse. There’s a lot more to dynamics in domestic violence (including power dynamics when the police don’t take dv very seriously and power dynamics when your partner is a member of the police who are supposed to respond the arrest them for doing dv)

    So that leads to other experimental design issues here. For one, these are self report and this is likely a huge flaw. Think about it, if you were a person beating your spouse, would you be down to admit that to an academic who is absolutely going to document it?

    So there have been other studies to address this that look at crime rates via police reports rather than self reports. These show relatively low rates of about 17%. However, this suffers from the power dynamic flaw above. I worked in domestic abuse support for years and several women I worked with were spouses of police (and firefighters too fwiw). Per these people their spouses were never charged and often gloated about this; the cops were called often and would do anything to resolve the situation except arrest them. They would drive the spouses somewhere else, the would take the cop out drinking (great idea), etc. I do wonder if a report only gets filed when the damage from dv becomes impossible to ignore; when the cop beats their partner or child so badly they requires intense medical attention or the scene becomes so intense it is a public spectacle

    The initial research is from the 90s and not much has been done since, likely because working around these design issues is extremely difficult. I genuinely do not know how one would do it in a way that would not introduce a ton of bias and error. The only thing I could even think is that you could interview spouses but that is almost as flawed as the officer self report. I would imagine there is a culture of intimidation there preventing open dialogues plus there is always the chance for false positives I suppose.


  • Work in healthcare and while there are just so many dark sides a big one that’s not talked about enough:

    The foundational model for our healthcare system is called fee for service medical billing. This means what it says, a fee is payed for a service.

    I work in mental health so for me it works like this: I see you for 53 minutes, I can bill for an hour of psychotherapy service, cpt 90837 which gets me paid a certain amount. But let’s say you are not able to effectively communicate and need a third party to assist in your communication. I need to read your non verbal language and decipher any utterances you make while also communicating with this third party who acts as a liaison for you. I can add code 90785, interactive complexity.

    This is a limited example because outpatient mental ultimately has a limited amount of billing codes. But if I am an orthopedic surgeon all of a sudden I have thousands of billing codes to utilize. Now I might pull a splinter from your hand and pad this bill with 19 services. Many doctors, especially in large healthcare networks, have either no idea this is even happening (billing is generated from their notes) or they are heavily pressured to do this by owners that are increasingly profit driven

    This is not to suggest mental health is exempt because of a lack of billing codes either. You may be doing fine. Or I may have reached the limit of what I can offer you with my skill set. Yet I still schedule appointments with you week after week after week because you consistently show up. I need a paycheck, a great deal of mental health workers are contract employees that are only paid when they actually render a service, they aren’t paid nearly as well as you think, and they get no benefits whatsoever

    This illustrates the point I am making. Fee for service billing encourages dishonesty and unethical practice. Other countries that utilize it have similar issues and when they adopt it they see healthcare costs and utilization begin to rise rapidly. China is transitioning away from the fee for service model for this reason. Unfortunately transitioning away is difficult because both healthcare networks and practitioners are incentivized to fight to keep it. Pay for performance, diagnosis related groups, etc reduce healthcare spending (sometimes substantially) but any time healthcare spending is reduced earning potential for healthcare networks and practitioners is threatened so there will be pushback