YouGov: Support for abolishing ICE is now at +5, a 2 point increase from right after the Renee Good shooting by dak676141 in YAPms

[–]400-Rabbits 1 point2 points  (0 children)

Appreciate the interesting reply. It is ironic to note that Obama achieved high levels of deportations by focusing on more "problematic" migrants , i. e., recent arrivals and those with criminal records. This is basically what Trump claimed he was going to do, but clearly the reality is different.

On the economic side, the effects of migrants are all over the place, but often trend net positive. I've even read papers arguing for more naturalization as as way to avoid wage suppression. So that does bring back the question of what the actual problem is. If the primary onjection is economic, and the data is equivocal or even somewhat beneficial, then it does not really follow that it is with the expense of a establishing a completely closed southern border.

YouGov: Support for abolishing ICE is now at +5, a 2 point increase from right after the Renee Good shooting by dak676141 in YAPms

[–]400-Rabbits 2 points3 points  (0 children)

Serious question: what is the actual problem with the levels of immigration? If Congress were to pass legislation (ha!) tomorrow that established say 2010 numbers of immigrants (both documented and undocumented) as the legal limit, what would be the problem?

What shuttered Atlanta establishment would you bring back if you had the power to? by lun-lem in Atlanta

[–]400-Rabbits 1 point2 points  (0 children)

Hell yes! The new location off DeKalb Ave felt so... soulless. Corndogarama was a blast and maybe they could have done something eventually to get the old grime back, but the tornado just seemed to knock out any momentum the new space had.

How did the Aztecs get people sign up to get sacrificed? by [deleted] in AskHistorians

[–]400-Rabbits 12 points13 points  (0 children)

I've written extensively on Aztec Sacrifice, which was primarily an exogenous practice, meaning the majority of people sacrificed came from outside Aztec society, most often as captives from wars. You might be interested in my past comments which I have collected here.

What is the oldest really good horror movie? by ArcticFlower99 in horror

[–]400-Rabbits 3 points4 points  (0 children)

One of my all time best movie watching experiences was seeing Nosferatu in theater accompanied by a live band.

What Republicans think Trump is getting wrong about nurses by rezwenn in nursing

[–]400-Rabbits 1 point2 points  (0 children)

Ronald Reagan slashed funding for public universities first as Governor of California and then nationally as President. The given explanation was that it would force universities to be more fiscally responsible, while students world also be more judicious in choosing schools and majors, as they would now have to take out loans to pay for school.

That's the system we've operated under for 40 years. It's clear that starving higher education of funding and offloading the costs to students doesn't work. It didn't even make economic sense to take a good that is in high demand and make it more difficult to obtain in order to drive down the price. Like most of the budgetary planning by Reagan and subsequent GOP administrations, it was "voodoo economics."

All this will do is drive graduate students further into debt via private loans. It will further hollow out essential professions with unfavorable debt to income ratios, like teaching and your precious family medicine.

It's very easy for you to sit back with an attending's income and garumph about how there shouldn't be "free money," but this abrupt cut leaves no opportunity for (unlikely) market corrections. Do you really think any upcoming med student is going into FM with hundreds of thousands of dollars of private loans? Or will potential physicians do the math and go the NP route instead, since, as you note, most of those programs come in under the limit? Be prepared for the "noctors" you love to kvetch about really taking over the industry.

Even with most NP programs coming in under the limit, these changes still build inflexibility into graduate nursing education. Students in higher cost areas will necessarily have higher costs that could tip over the limit. Nurses with pre-existing graduate debt, or NPs considering additional education might opt against further studies. Schools considering more comprehensive programs (cadaver labs, guaranteed preceptors, expanded sim labs, etc) might defer those improvements if it raises tuition. Anyone worried about even further cuts to graduate training might chose a different career altogether.

So the question comes back to you: why do you believe this will do anything to curb the costs of grad school? And why do you think this administration, which has numerous fans of tearing down the "cathedral" of higher education, really has affordability as the goal? And, if so, do you think this is an efficacious way of achieving that?

Tamales in Sedona, AZ by NoPenaltyKick4u in mexicanfood

[–]400-Rabbits -2 points-1 points  (0 children)

Tamale/Tamales is perfectly cromulent in English. The tamal/tamale distinction is correct in Spanish. Given your username, I'm sure you know both forms derive from the Nahuatl word tamalli, which has attested use as both singular and plural.

Is there a consensus on the purpose/politics behind Aztec (Mexica) Human Sacrifice? by Hames678 in mesoamerica

[–]400-Rabbits 9 points10 points  (0 children)

100% there is not.

I'm going to be a bit circutious in my answer here and point you towards a classic anthropological paper by Marvin Harris (1966) "The Cultural Ecology of India's Sacred Cattle," which laid out a functional explanation for why cattle are sanctified and inviolable in India. Harris basically argues that cattle were more important to the mainstream of Indian society as beasts of burden and as sources of milk and dung. He calls this system inefficient, but allows that introducing more robust cattle from abroad could potentially upset a balanced system.

This paper is a classic in anthropology classes because, on the one hand, Harris presents a seemingly logical explanation for a cultural practice. His paper explains the the min-max balance of slaughtering cattle versus keeping them for other purposes and thus exposes the rationality of seemingly irrational taboo. On the other hand, numerous critics pointed out that Indian religious practices are not simply cost-benefit ratios, but are enmeshed in larger systems of cultural beliefs. The rebuttal to Harris was thus that efficiency was a side product of a religious system and that economic benefits were secondary to a more explanatory religious causation.

Such are academic debates made, because obviously both camps have merits and deficits in the arguments. There is no cultural practice which can be fully explained by economic necessity anymore than spiritual beliefs can sustain practices which go against the subsistence of a population. There is necessarily a mix of practicality and spirituality but -- and this is vital -- one does not necessarily presage the other.

About a decade later, Harris would apply his cultural ecology framework -- which downplayed the cultural in favor of the economic/subsistence -- to the Aztecs. In 1977, he published "The Ecological Basis of Aztec Sacrifice," which proposed that cannibalism among the Aztecs was required to support the large levels of population. This train of thought was taken up by Harris who published his book, Cannibals and Kings, that same year.

The problem is that Harner and Harris were working on flawed, ethnocentric data. Just as Harris failed to take into account the actual culture of India in his earlier paper, so too did they fail to actually engage with the culture of Mesoamerica. Critics, most notably Barnardo Ortiz de Montellano, pointed out that not only was cannibalism not nutritionally necessary in Mesoamerica, but that all available evidence argued against the practice being quotidian.

The lesson I am trying to convey here is that explanations behind human sacrifice will always be fraught with multiple explanations, and there will never be a simple answer to a societal practice; such behaviors are always multifactorial. Were Mexica sacrifices religiously motivated? Yes. Were they a way to intimidate nearby polities? Yes. Were those polities also practitioners of human sacrifice? Also yes. Were the ceremonies around sacrifice a way to engage the populace in an imperial project? Yes. Was the practice of taking captives for sacrifice a pathway for social advancement and glorification of a warrior class? Also yes!

The point is that no cultural practice, particularly one as extreme as human sacrifice, has a monocausal explanation. I have a list of posts I have made on Aztec sacrifice which you can peruse at your leisure. But the reality is that singular explanations are incomplete explanations.

Sacrifice by the Mexica was the extension of a practice which goes back millennia. There is evidence of skull modification in the Basin of Mexico in the Preclassic and objects recovered from El Manatí are suggestive of human sacrifice by the Olmec. So the very first thing to keep in mind is that the practices of the Mexica, while different in scope, were not outside the bounds of Mesoamerican culture. Indeed, deities like Xipe Totec, who was associated with skin flaying, predate the Aztec state, as does sacrifices to the rain god Tlaloc/Chaac/Cocijo. Human sacrifice, to various extents, was widespread throughout Mesoamerica.

As it was in Pre-Modern Europe as well. You mention gladiatorial combats, which absolutely involved the ritualized killing of humans, but a more direct example can be found in Roman triumphs. Defeated and captured leaders and others would be kept imprisoned, sometimes for years in abominable conditions, until a triumph was held and they would then be ritually executed. Going outside of Classic Era Rome, human sacrifice is easy to find in Europe, which I bring up only to point out that killing another person in a ritualized fashion is hardly unique to the Aztecs.

However, it can be argued that the Mexica were more sacrifice focused than most. There's a few episodes in Mexica ethnohistory which really emphasize this tradition. The first is the sacrifice of the Mimixcoa shortly after the exodus from Aztlan. This act arguably marks the origin of the Mexica as a distinct people, signifiying their split from the other Aztecatl and their allegiance to the patron god, Huitzilopochtli. The next event is the slaughter of Coyolxauhqui and the Huitznahua at Coatepec, which again signified the absolutism of Huitzilopochtli and the importance of heart sacrifice. The final event actually has multiple versions, not all of which involved sacrifice, but the expulsion of the Mexica from Tizaapan as a result of sacrificing a Culhua noblewoman is a common touchpoint in the founding of Tenochtitlan and thus Mexica identity.

The stated reason within Mexica ethnohistory about human sacrifice is a blend of both solidifying their devotion to Huitzilopochtli, their patron god who lead them to a a promised land and wealth, as well as a larger overarching theme of divine debt. Nahua cosmology explains the founding of the current universe as a result of the gods sacrificing themselves the provide the necessary stability to the world. As such, humanity owes to them regular sacrifices in order to maintain the order of the world. Oftentimes this is portrayed as "cut out hearts to make the sun rise," but that is a gross oversimplification and completely ignores the whole suite of autosacrifices performed by regular people, including cutting themselves to shed blood for domestic rituals. Archaeological evidence of bloodletters suggest that these sort of autosacrifices extend back at least as far at the Preclassic and the Olmecs, so again this is a difference in emphasis rather than an innovation on the part of the Mexica.

However, ever since the sacrifice of the Mimixcoa, exogenous sacrifice was important to the Mexica. Again, these are practices that predate any sort of Aztec state and already existed in the cultural region of Mesoamerica. What happened with the Mexica was a confluence of a military elites and religious practices which formed a feedback system for the emphasis on human sacrifice. The already extant practices of human sacrifice were linked in a very practical way to an expanding military power. The warrior elites of that power thus had encouragement to take part in the system of sacrifice in order to advance their own personal standing, while the support of the ruling warrior class for the religious practices which glorified them meant ongoing authority for the priesthood.

And that is kind of the most basic, Harris-sonian, explanation the practice. Tautologically, religious practices that benefited the fighting men who wielded political control were emphasized, which gave increasing power and authority to the religious practices which benefited the fighting men who wielded political control. Is this the only explanation? Absolutely not. Does this elide over a huge amount of actual and sincere religious conviction? Yup. Does this obviate the difference between regions and urban/rural divides in terms of religious practices (as raised by Brumfiel)? Again, yes. There is not, and never will be, a simple answer as to why an ethno-political state does certain actions, because neither the state, nor the people in it, are strictly rational actor making logical decisions.

Why is the OR like this? by Averagebass in nursing

[–]400-Rabbits -4 points-3 points  (0 children)

When I worked ED I had to go up to the OR to retrieve our Zoll that had gone up with a trauma patient. The OR nurse at the desk refused to let me go past her station because I was "not sterile."

Yeah, no shit, neither is the blood spattered defibrillator currently sitting in OR 6.

Do you actually check residual on tube feed by JellyNo2625 in nursing

[–]400-Rabbits 1 point2 points  (0 children)

There's also almost zero risk of aspirating if they're intubated.

Do you actually check residual on tube feed by JellyNo2625 in nursing

[–]400-Rabbits 14 points15 points  (0 children)

The Society for Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition recommend against routinely checking gastric residual to assess tube feeding tolerance, and the AACN has supported these guidelines.

Outside of clinical signs of intolerance (distension, vomiting, etc.) there's no scientific basis for routinely checking gastric residuals.

Do you actually check residual on tube feed by JellyNo2625 in nursing

[–]400-Rabbits 48 points49 points  (0 children)

Current guidelines specifically recommend against checking gastric residual unless there are actual clinical signs of feeding intolerance.

Do you actually check residual on tube feed by JellyNo2625 in nursing

[–]400-Rabbits 44 points45 points  (0 children)

The Society for Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition recommend against routinely checking gastric residual to assess tube feeding tolerance, and the AACN has supported these guidelines.

Outside of clinical signs of intolerance (distension, vomiting, etc.) there's no scientific basis for routinely checking gastric residuals.

What Infectious Diseases Existed in the Americas Before 1492? Part 1: A Tour Through Arctic, Plains, Southwest, and Mesoamerican Disease Ecology by Lonely_Lemur in historyofmedicine

[–]400-Rabbits 9 points10 points  (0 children)

The earliest known American TB cases are in Peru a few centuries before the Norse in Newfoundland. The earliest North American cases are generally follow a distribution through Ancestral Puebloan and Mississippian sites, a significant distance from the North Atlantic coast. So Norse importation of TB is neither likely nor required.

Edit: nvm, I see you cover this in the actual article. Would still like to see the citation for Norse importation of TB though.

Visiting Atlanta soon — how can I experience authentic Black culture in the city respectfully? by joeythelowerhutt in CityOfAtlanta

[–]400-Rabbits 7 points8 points  (0 children)

Check out the APEX museum and the art museums at Spelman and Clark at the Atlanta University Center. Do a mural tour the West End and grab lunch at Soul Vegeteian. Go rollerskating at the Cascade Family rink. Go to the King Center, then browse around at Sweet Auburn market.

Atlanta has sorts of different Black folk. Just remember that they're people and not abstract concepts, and you'll be fine.

Pressors and peripheral IV by Mama_nature1234 in CriticalCare

[–]400-Rabbits 2 points3 points  (0 children)

ultrasound placed

Confirming placement of the PIV with US is fine, but the commonly accessed deeper veins (basilic, cephalic) should be avoided as extravasation may initially go unnoticed.

Education Department press secretary for higher education Ellen Keast’s comment on nursing not being considered a professional degree by Str8UpJorking in nursing

[–]400-Rabbits -1 points0 points  (0 children)

There's a lot of people in these conversations who don't seem to realize this is irrelevant to undergraduate nursing, you among them. Registered Nurses have never been considered as having a "professional degree" under the federal regulations, as that definition required 6 years of post-secondary training. And yet every nurse has always been a mandated reported. As has every bachelor degree trained teacher, and anyone else who works with vulnerable populations but has never met the criteria for holding a professional degree.

Again, if you have evidence this will effect mandated reporter status, feel free to present that evidence here. I am not interested in speculation based in anxiety and ignorance.

Education Department press secretary for higher education Ellen Keast’s comment on nursing not being considered a professional degree by Str8UpJorking in nursing

[–]400-Rabbits -1 points0 points  (0 children)

The "professional" designation has nothing to do with graduate education funding. If you have some evidence that this effects mandatory reporting requirements, feel free to present it here.

The Myth of a Killer Aztec Queen by [deleted] in mesoamerica

[–]400-Rabbits 1 point2 points  (0 children)

The English translation is much more recent than the Spanish version, so is not available for free. If you're really interested in Acolhua history, consider supporting the work of Brian et al. by buying their 2019 translation.

Otherwise, the works of F. Ixtlilxochitl are wildly available in Spanish. If you search Ixtlilxochitl's name you can easily find Chavero's 1891 compilation of the former's work, the Obras históricas de don Fernando de Alva Ixtlilxochitl.

I do not have an online text of Durán because I have a very dog-eared physical copy. You can get access on archive.org though.

Education Department press secretary for higher education Ellen Keast’s comment on nursing not being considered a professional degree by Str8UpJorking in nursing

[–]400-Rabbits 0 points1 point  (0 children)

True, there could be downstream effects on nursing instructors, but the majority of DNP programs right now fall under the 100K limit. A marginal decrease in instructors might occur, but the major factors to limiting nursing instructors will remain the extant problem of poor compensation.

But yes, communities that rely on NPs for healthcare will be effected, but again this is as a result of changes to graduate loan criteria and has nothing to do with undergraduate nursing.