Paola Cubillos
@paolacubillosr.bsky.social
1.1K followers 480 following 2.4K posts
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paolacubillosr.bsky.social
my life in research ethics 👇😵‍💫
arghavansallesmd.medsky.social
Dr. Arthur Kleinman explains that the “quality of care” metrics used by hospitals are usually actually measures of cost and efficiency and have nothing to do with quality of care. What is quality?

-time spent
-quality of judgment
-quality of communication

We don’t measure any of these, though
Photo of Dr. Kleinman standing in front of a red slide with white font:

Measuring Care
• Most claims of high-quality care are based on substituting measures of cost and efficiency for direct measures of care.
• Today, there are no direct measures of care.
• To measure care directly we would need to measure the following dimensions of the patient-doctor, family member-doctor, and/or patient-family member relationship:
• Time spent together
• Quality of interpersonal relationship
• Quality of communication, including listening, explaining, and following up
• Quality of history taking and the physical exam
• Quality of clinical judgment
*Al may be able to help us measure these core aspects of quality care
Reposted by Paola Cubillos
bermaninstitute.bsky.social
America Is Heavily Reliant on China for Raw Materials in Medicines: A new analysis found that nearly 700 drugs approved for use in the United States depend on chemicals solely produced in China. www.nytimes.com/2025/10/15/h...
America Is Heavily Reliant on China for Raw Materials in Medicines
www.nytimes.com
Reposted by Paola Cubillos
mrsbettybowers.bsky.social
We are living in one of the stupidest times in history.
paolacubillosr.bsky.social
😂😂🔥🔥
zohrankmamdani.bsky.social
tfw your 1,000-word tweets aren't working
paolacubillosr.bsky.social
preferable to do this than to actually slow down climate change?
Reposted by Paola Cubillos
jemmaforte.bsky.social
1970's: CEOs earn 20 x more than average worker
2025: CEOs earn 122 x more than average worker
The richest 1% own 50% of entire country's wealth.

Obscene inequality has been normalised.
paolacubillosr.bsky.social
no words. Our Venezuelan sisters and brothers don't deserve this.
propublica.org
After signing up for self-deportation, Emily and Deybis sold their car and moved to an unfinished basement. But DHS never sent them the promised plane tickets.

Now they worry about surviving winter. Weeks ago, they sold their daughter’s bed to pay rent.

➡️ Read more: https://propub.li/4ohnDm6
Article excerpt: Emily said she made clear the family didn’t have Venezuelan passports but was told that wouldn’t be a problem; the U.S. government would procure any necessary documents for them. They said the operator gave them an Aug. 1 departure date and told them to expect their plane tickets by email.

Emily and Deybis sold their car and moved with their children to Columbus, Ohio, where Deybis’ nephew let them stay in his unfinished basement apartment until their departure. The plane tickets never came.

Then the nephew was detained in a traffic stop and deported. Panicked, Emily and Deybis said they called the toll-free number again and again, leaving messages that went unanswered. Emily submitted a new application and sent more emails. Article excerpt: ...They found travel agencies that offer to procure travel documents at a cost but said they were told the Venezuelan government requires an arrival date and proof that plane tickets have been purchased. Emily and Deybis can’t afford them.

“Thank you so much for your patience and we understand your frustration,” they heard back in another email. “Wait for new instructions from DHS.”

As they wait, they worry about how they’ll survive when winter comes. Most days, Deybis visits local food pantries and looks for discarded items in alleys and on street corners that they can resell. A few weeks ago, they sold their daughter’s bed to help pay the rent.

“We’d rather be in Venezuela with our family than suffer here,” he said.
Reposted by Paola Cubillos
carlbergstrom.com
Sam Altman: "Now that we have been able to mitigate the serious mental health issues and have new tools, we are going to be able to safely relax the restrictions in most cases."

I'd like to know what they've done to mitigate AI-induced psychosis, which I think is far more common that reported here.
Can AI chatbots trigger psychosis? What the science says
Chatbots can reinforce delusional beliefs, and, in rare cases, users have experienced psychotic episodes.
www.nature.com
paolacubillosr.bsky.social
Lol this 🇨🇴🇨🇦 friendly and virtually everyone in the stands is wearing a yellow jersey

(Will ICE be outside the stadium waiting?)
paolacubillosr.bsky.social
May this be the only legit 🇨🇦🇺🇸 conflict where USA prevails 🥲
rollingstone.com
"Drake lost, but artistic freedom won last week when a federal court in New York dismissed the rapper’s case against UMG Recordings."

The case against UMG over Kendrick Lamar's diss track 'Not Like Us' rested on rap lyrics being seen as facts. Artistic expression won out in the end.

Commentary ↓
The Courts Finally Get It Right in Drake v. Kendrick: Rap Lyrics Aren't Evidence
bit.ly
paolacubillosr.bsky.social
This cant be interpreted in any other way that the government having malicious intent.

(lets see them start selling you CGM 🤡)

So very sorry for everyone in the USA.
Reposted by Paola Cubillos
kcklatt.bsky.social
MMWR stole the show in the first round of headlines about CDC cuts but in the chaos, many missed that the NHANES mobile team remains RIF'd. This is the backbone of this key survey that contains some of the only representative anthropometric, biochemical, clinical and dietary data on the country.
statnews.com
Protecting the nation’s public health demands data, whether it be new measles cases, a surge in ER visits, or shifting patterns in obesity. The most recent job cuts at the CDC threaten the mostly unseen foundation of that research enterprise.
www.statnews.com/2025/10/14/c...
CDC team running top survey on health and nutrition is laid off
NHANES has collected data on eating patterns, diabetes and other common diseases for decades. The CDC team that runs it has been fired.
www.statnews.com
Reposted by Paola Cubillos
walkerbragman.bsky.social
Did Fox News host Emily Compagno just suggest that I am a self-hating Jew?

I think she did.
justinbaragona.bsky.social
Fox News host Emily Compagno claims that the backlash to Bari Weiss being named CBS News editor-in-chief is due to her being Jewish:

"This kind of thing would make me laugh if there was not an antisemitic thread in there."
Reposted by Paola Cubillos
helenbranswell.bsky.social
This is not how science is supposed to work: @lizzylawrence.bsky.social interviews #FDA staffers on how the agency is being asked to investigate issues of interest to Health Secretary Kennedy. “It’s like the tail wagging the dog.... Go find data to support this." www.statnews.com/2025/10/14/f...
Inside FDA, career staffers describe how political pressure is influencing their work
Current and former FDA staff said the level of involvement of political officials in nitty-gritty regulatory matters is unprecedented.
www.statnews.com
paolacubillosr.bsky.social
May your country be blessed with many more Mamdani's. Your people and the world need it!
jamellebouie.net
we’ll see how his mayoral tenure shakes out but i am convinced that Mamdani has the juice. not just the charisma to win an election but the temperament to govern and the measured pragmatism of someone who genuinely believes what they’re saying and wants to accomplish real things.
Inside the Improbable, Audacious and (So Far) Unstoppable Rise of Zohran Mamdani
www.nytimes.com
Reposted by Paola Cubillos
unrwa.org
🔹 On 10 October, a ceasefire entered into force across the Gaza Strip.
🔹 Since the olive harvest began on 9 October, Israeli settler attacks on Palestinians and their farms in the West Bank have continued unabated.

Our latest report on #Gaza and the #WestBank:

www.unrwa.org/resources/re...