BlueMAGA

ABSTRACT

Background

In 2020, the Netherlands adopted an opt-out registration system for organ donation meaning that consent for donation is presumed except when someone actively objects against this. This change in organ donation default policy may change the division of roles between relatives and physicians during conversations.

Objectives

To compare role performance of relatives and physicians in organ donation conversations in the opt-in and opt-out systems.

Methods

We applied an institutional ethnographic approach to compare cases from the former opt-in system in which there was ‘no registration’ to the ‘presumed consent cases’ in the opt-out system.

Results

We audio-recorded six no registration conversations from the opt-in period, and compared these with eight presumed consent conversations from the opt-out period, and conducted sixteen interviews with physicians conducting the conversations. The data show the effect of the system transition on the role division between relatives and physicians in donation conversations. In the opt-in system, physicians and relatives together aimed for a yet to be taken decision, while in the opt-out system, the physicians started the conversation with the registered choice. Ethical deliberation about organ donation is therefore pushed to the background the role of the physician is more tilted to providing relevant factual information and implementing the patient’s choice.

Conclusions

The change to opt-out did likely alleviates the burdensome role of relatives to make morally charged donation choices for their relatives, since organ donation conversations about patients presumed to consent commence with a clear picture of what the potential donor’s wish is.

YT: https://www.youtube.com/watch?v=UhIGCLgo0V4

cross-posted from: https://lemmy.world/post/37860057

Election day is Tuesday, Nov. 4

This November, 17 amendments have been proposed by our legislature (under attack for its similar efforts to kick you out of your own government through racial redistricting) to continue in this strong tradition of taking away opportunity for civic engagement. Don’t let them, and learn what’s on the ballot next month ahead of time (totaling to more than $50 billion in property tax cuts). Fund your public services, and fight back by getting informed on what other unsatisfactory things are going to be added to this work-in-progress document.

Edit:

Here is a collection of helpful guides to the November 2025 Constitutional Amendment election:

League of Women Voters of Texas - 2025 Constitutional Amendment Election Voters Guide

Texas Tribune - 17 statewide propositions will appear on the November ballot. Here’s what Texas voters need to know.

KUT News - Your guide to Texas' proposed constitutional amendments on the ballot this November

Austin Chronicle - Chronicle Endorsements for the November 2025 Election

Lone Star Left - Texas 2025 Constitutional Amendments Ballot Guide And Vote Recommendations

Progress Texas - 2025 Texas Statewide Ballot Guide

🤮

Partly because of your help, I now have a pretty decent HA set-up with lights and motion sensors. I was wondering if I could again pick your brain/ experience with the next step I need to take: add a camera.

A few days ago I bought a TAPO camera, and to my disappointment it was practically impossible to get it working without an app + account. Luckily I could return it.

I now want to avoid making the same mistake 😬 And I would love to hear how you approached this.

Kamala Harris says she is not done with politics and strongly suggested that she is considering another bid for president in a new interview.

In an interview scheduled to air on the BBC on Sunday morning, Harris says that she would “possibly” be the next president, making the clearest suggestion to date that she will make another run for the White House in 2028 despite lagging far behind in the polls.

Harris insisted that she had not yet made a decision, but that she was confident that there will eventually be a woman in the White House and her political career is not over.

meme inspired by this thread

https://lemmy.ml/post/38050710/21858397

Bird flu is spreading rapidly in Europe, with the highest number of countries in at least a decade reporting early outbreaks, raising concerns about a repeat of past crises that led to the culling of tens of million birds and higher food prices.

The spread of highly pathogenic avian influenza, commonly called bird flu, is a concern for governments and the poultry industry due to the devastation it can cause to flocks, the possibility of trade restrictions and a risk of a new pandemic.

The disease, mainly spread by migrating wild birds, caused 56 outbreaks in 10 EU countries and Britain from August to mid-October, mostly in Poland -- the top EU poultry producer -- Spain and Germany, France's animal health surveillance body ESA said.

I'm going round in circles on this one.

What I want to do is:

• serve up my self-hosted apps with https (to local clients only - nothing over the open web)
• address them as 'app.server.lan' or 'sever.lan/app'
• preferably host whatever is needed in docker

I think this is achievable with a reverse proxy, some kind of DNS server and self-signed certs. I'm not a complete noob but my knowledge in this area is lacking. I've done a fair bit of research but I'm probably not using the right terminology or whatever.

Would anyone have a link to a good guide that covers this?

My distro of choice is Debian (I like their philosophy and it works great on my laptop) but I have an nVidia card in my desktop PC, and driver management was kind of annoying. Decided to try Kubuntu, which worked ok, but I didn't really love, and then I didn't update for a bit too long and had some repo issues trying to install updates. I didn't bother digging into what the fix would be, since I had been considering Bazzite for a while, as it has been talked about a lot for gaming.

Knowing literally nothing other than "Bazzite works out of the box with nVidia" I figured I'd give it a go. First off, I was surprised at the size of the image, and how long the install took. I did some reading about atomic distros and began to understand why things were set up that way. Seems pretty cool! I still don't love that as soon as I logged in on my fresh install, Steam opened up and asked for a log in, but that is what I signed up for with Bazzite, I guess. The nVidia drivers out of the box worked fantastic, as advertised, and I love a good KDE desktop, so it's not all bad.

Initially I was frustrated that some things weren't working in the flatpak versions of the app (couldn't get to my 3d printer using the .local address from the browser because flatpak has a bug with mDNS) and layering a package with rpm-ostree seems like overkill and not a good experience. Then I watched some videos on distrobox.

I can just distrobox create --image debian:latest debian-box and then use apt install for whatever packages I want, export them and use them as if they were natively installed on Bazzite??? And this works on any distro??? I have been using Linux exclusively for a few years (and on and off for more years), but I have been totally out of the loop with distrobox and atomic distros. This feels like the same level of magic I felt when I first dual booted Ubuntu back in the Windows Vista days. This seems like it will fix 99% of the issues I run into on Linux.

I know distrobox isn't exclusive to atomic distros, but I wouldn't have discovered it if not for Bazzite.

Anyway, none of this is really new info, but I just wanted to nerd out about it for a bit with people who will know what I'm talking about.