Recent comments in /f/askscience

UpsideVII t1_j21g6nj wrote

The market does set the (long-run) price for money.

The price of money is the real interest rate which is the nominal interest rate (managed by the fed) minus inflation (determined by the market). If the fed tried to perpetually lower the nominal rate, this will lead to higher inflation (assuming nothing else is changing) as the market restores the "natural" real interest rate.

The reason we do this is because highly variable inflation in very costly. For example, it makes it risky to lend money (as you don't know if the money will be worth much less when you get paid back due to a large bout of inflation) which makes it costly for businesses to raise capital and depresses the economy.

By manipulating the nominal rate so that it "absorbs" all the market fluctuations in demand for money (which cause variation in the real rate), the fed is able to maintain a low, stable inflation level and eliminate this problem. This is why you will sometimes hear about the fed's "inflation target" and why we find it optimal to have an entity managing the money supply.

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MrMobster t1_j21es5j wrote

Quite possible. Deictic reference (words that refer to people or places related to some universal viewpoint, usually the speaker) is central, very commonly used function of the human language. It would make sense that the language started with the desire to express these kind of relations.

Of course, there is no way to prove it as we have no way of knowing what the earliest languages looked like. I’m sure however it had a word that sounded something like “ma” or “pa” and referred to a close person or group of people.

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MrMobster t1_j21dvb7 wrote

Neither “dialect” nor “language” are strictly defined concepts in linguistics. The classical criterion of recognizing dialects is mutual intelligibility (the varieties are clearly different but people can understand each other), but it’s not entirely unproblematic. “Language” is usually recognized on the basis of some political, cultural or historical significance.

The current approach in linguistics is to leave these things somewhat ambiguous and just note different varieties and their relationship between each other (approach that glottolog takes). Some have been advocating for “doculects” - identifying a variety on the basis of the publication or data that describes it. In the end, one can come up with multiple different measures for what’s a dialect and what’s a language, many of them useful in own way. ,

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Exceedingly t1_j21dkte wrote

Economics question on the current levels of inflation around the world: Milton Friedman once gave this response to the cause of inflation, stating it primarily caused by governments printing money via central banks.

> "Consumers don't produce it, producers don't produce it, the trade unions don't produce it, foreign sheikhs don't produce it, oil imports don't produce it. What produces it is too much government spending and too much government creation of money, and nothing else."

This makes sense to me as printing money dilutes the value of currency, making everything more expensive across the board rather than one specific sector.

Covid caused massive turmoil in March 2020 where indexes dipped more than in 2008, but it only lasted 1.5 months opposed to 2 years because this time governments started printing money to support markets, buying up bonds and other assets.

If you look at the balance sheets of these central banks it shows that they all printed hundreds of billions or even trillions of dollars just after March 2020, presumably to keep the markets afloat. Those balance sheets now show a strong correlation with current global inflation levels, just skewed a year or so.

So is that it? Is the main cause of all this inflation just the knock on effect of governments spending their way out of a crash during covid? And if so, it's my understanding that the only way to truly reduce that inflation is to remove the printed money back out via a "market correction" period, aka a crash. Is that right? Insight from experts in the field would be welcome.

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jbeansyboy t1_j21b0ez wrote

I tend to agree with most of what Vanilla says. I’m a relatively new private practice general surgeon and I’ll tell ya, I wish I had more time in residency, or at least more time for what I do.

I trained in the days of the “80 hr work week”. All the older folks say they are much better than us because they worked 120 hrs, etc. I think they may have graduated slightly better at overall surgery because they didn’t have to deal with as much administration as we do and most things were operative back then, AKA trauma solid organ injuries, AAAs, or intraabdominal abscesses are a few quick things that come to mind vs now we nonop most of those things.

Additionally I think they had the confidence to think they were good to go after residency because they had more autonomy back then. Most hospitals require attendings in the room now vs back in the older days, residents could operate alone. The ACGME leaves it up to the attendings to allow residents to operate alone but the hospitals have rules that supercede that if more conservative.

This all being said my 80hr work week was never such. Always in the high 90s and on transplant in the low 100s. But we log it as 80. Because we don’t want to get in trouble or losing credentialing.

I would be in favor of lengthening residency with the last year kind of a…. Pseudo attending year where you can operate alone with someone in the hospital in case you need it. You run your own clinic, take your own call, etc. and then having less hrs per week.

But I don’t think I would be in favor of tacking on more years for that. I’d like to get rid of some of the basic science in medical school. I spent a year relearning basically everything I learned in undergraduate courses. That I never use now. I’d just put those things as prerequisites to medical school.

I’d also like to see more direct pathways to specialities ~5 years if one chooses. I do private practice MIS/gen surg. I spent many many many hours and days helping with liver and pancreas transplants that I do not feel help me on a regular basis, or ever. Maybe see a few but not spent 20 weeks on the service. That time could have been seeing and doing more bread and butter surgical cases. Same with endovascular and etc. vascular and CTS are moving toward this.

For those that aren’t sure what they want to do they would have to finish formal residency and then do fellowship like we currently have.

For things like family medicine, emergency medicine, peds, and derm, it already seems very doable how it’s set up. They didn’t seem to work many hrs at all given how their speciality. Good for them!

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JewishSpaceTrooper t1_j218mko wrote

ABSOLUTELY 💯 agree!!! The for-profit institutions, specifically the Nurse Practitioner schools, that, for the sake of aforementioned profit, have dropped pre-requisite skills and experience, to virtually the bare minimum. And, let’s not mention the ONLINE education slide (of abomination) from BSN to NP…how the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN) signed off on this is beyond me. Soon enough, the poor people in this country, will only see a physician very rarely….while NPs already handle cases far too complicated for their expertise. What a time to be alive

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Kael_Doreibo t1_j216kom wrote

Your biggest problem with this, particularly in the emergency departments, is the sudden onset of emergencies, their scale, and the time needed for certain surgeries/procedures. There are times when you, as a medical practitioner, need to be on for the entire period that it takes to resolve the onset of cases before you because any switch-over will result in loss of information and potentially death. With so many emergencies happening all the time in a larger population/operational radius of the hospital it become untenable to keep to that kind of schedule consistently and any inconsistencies results in a cascade effect across rosters/schedules.

It's good to at least attempt to keep to that kind of schedule and it makes sense to try it at least but ultimately it is impossible to just say "this is the solution" for every scenario.

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KWillets t1_j2163iy wrote

Yes, second language learning difficulty is measured relative to the first language.

The US DLI and state department difficulty rankings are based on the number of hours for an English speaker to learn the target language; it's different for speakers of other languages. For instance Korean speakers have little trouble with Japanese, despite these being category IV (hardest) on the DLI scale.

Factors that make languages easy or hard are vocabulary, grammar, reading and writing system, and cultural cues (and a few others that I can't recall at the moment). Category IV languages have differences from English in all of these categories.

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JewishSpaceTrooper t1_j215fpa wrote

1.) TRIAGE: complicated emergency cases, that may need long-haul surgical intervention, get triaged to the best equipped hospital (often a teaching facility) with lots of highly experienced staff. 2.) these large institutions, each State usually has several large medical teaching hospitals, don’t just employ General Surgeons. These lovely places will provide several sub-specialty doctors depending the need and often include vascular surgeons, orthopedic surgeons (often with a sub-sub specialty in pelvic or shoulder injuries), plastic surgeons, neurosurgeons and the list goes on and on. I’ve literally seen long-haul surgeries that necessitated 5 different surgeons to go in, with two scrubbing in, and one finishing up his/her part. 3.)Surgical techs/nurses usually work on strict 12 hour rotations, especially if they’re unionized. So these guys/gals are never really ever in need to work to sheer exhaustion. Well, at least time wise….I’ve seen some nurses/techs literally be stomped into the ground by dipshit surgeons, but that’s another story.

So, in today’s environment, the overworked-heroic surgical staff trope, isn’t a thing any more. You have to be in extremely remote places where even helicopters can’t triage an unfortunate soul. Lord have mercy in most places if Dr. “Neurosurgeon” is going to miss his soirée or golf game due to an unforeseen complication….Anyways, all of the above are good things! You DO NOT want anyone performing surgery for longer than 8 to max 10 straight hours. Even Mr. Big Brain Neurosurgeon with his/her extra-long fellowship declines rapidly after 7 hours. Disclaimer: Yes, yes….this Redditor may be partial toward the great field of Neurosurgery, and the big-headed minions that staff this hallowed field.

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