MurphyA/hacker-news huggingface dataset:
by devilbunny | 2025-10-07 01:08:15+00:00
It's even worse, in a way. Mt Sinai uses Epic, as do many (most?) other larger hospitals in the US.

The stops - which in my experience (anesthesiologist, not ER doc, so I don't get sepsis warnings but I do get some of my own) are not popups, per se, but warnings that prevent you from leaving the screen until you have dealt with them. In this case, he could not place an order for at least some of the sepsis bundle of orders without placing all of them or making the sepsis warning go away - permanently. And the inexperienced trainee was told by the experienced supervising physician not to order the antibiotics and x-ray until at least preliminary labs had come back. At least for the antibiotics, this is good stewardship - we don't want to be giving people antibiotics for viral illnesses.

I have fought against incomprehensible ordering systems so much that when I order a chest X-ray (usually to confirm the placement of a large central IV), I have found it best to call the radiology technician and tell them what I want and let them order it under my name, because if I don't, I'll inevitably screw up some minor detail and they will have to re-order it anyway. "Chest x-ray to confirm internal jugular central venous catheter placement" (well, "CXR to check IJ CVC") is what I would have written in a paper chart; now it wants to know vast amounts of detail that I often don't know.
by rcxdude | 2025-10-07 01:08:16+00:00
Lithium ion batteries provide their own oxidiser, removing oxygen won't put them out (though it will probably help stop the fire from spreading). The only thing that kinda helps is removing the heat (with cold C02 or water, the latter not great for an electrical fire and the former only good for pretty small fires), but that's only a temporary fix usually. Ultimately a lithium battery fire has got to burn itself out.
by kstenerud | 2025-10-07 01:08:47+00:00
I've done a binary representation of JSON-structured data that uses unary coding for variable length length fields: https://github.com/kstenerud/bonjson/blob/main/bonjson.md#le...

This tends to confuse generic compressors, even though the sub-byte data itself usually clusters around the smaller lengths for most data and thus can be quite repetitive (plus it's super efficient to encode/decode). Could this be described such that OpenZL can capitalize on it?
by tptacek | 2025-10-07 01:08:48+00:00
A post-auth memory corruption vulnerability scores a CVSS 10. Shellshock got like a 9.5. These scores don't mean anything.

You can imagine a post-auth Redis vulnerability being deceptively well-exposed, because web apps often give partial control of the Redis key space to attackers, and don't care how long you make your strings. But this one is a UAF that requires attackers to send a malicious Lua script.
by andyayers | 2025-10-07 01:09:30+00:00
Sometimes, yes.

Linq contains a goodly number of hand-crafted special-case enumerators for common collections, or collections with certain interfaces, or span projections that are really nice optimizations but can complicate things for the JIT.

Some details here if you're curious: https://github.com/dotnet/runtime/blob/main/docs/design/core...
by moogly | 2025-10-07 01:10:04+00:00
Spotify is the devil. I stream music from my NAS by a Subsonic-compatible server via Wireguard. I'm not going back years in time to connect my phone and control playback via basic Bluetooth like some troglodyte.

Shame Rivian won't be on my list of cars to try due to the lack of Android Auto.

Now, I hope VAG won't carry over the same mistake (actually, I think them trying to use Rivian's software is going to fail spectacularly, and we won't see it happening, but that's for a different discussion).
by measurablefunc | 2025-10-07 01:10:14+00:00
Computers don't "know" anything. Computers are gadgets for executing sequences of arithmetic operations & can be formalized w/ any number of abstractions like Turing machines, lambda calculi, context aware grammars, cellular automatons, stack machines, Diophantine equations, etc. All of these models are equivalent in terms of computational capabilities & none of them can be said to "know" anything.

The general confusion about AI stems from the fact that people are unwilling to learn the bare minimum amount of computability theory to make sense of abstract algorithms & their physical instantiations on computers. There are no ghosts in the machine, there is no spooky self-awareness that arises from a large enough number when it is interpreted as the code for some algorithm on some machine. What's happening here is that there are common statistical patterns in benchmarks that Anthropic has inadvertently encoded into their neural networks. They didn't have to train on benchmarks but they did & now the regular statistical patterns of benchmarks are biasing whatever computation they are doing to certify their software for "safety" (or whatever is the latest euphemism for not telling people how to make nukes).
by silicon5 | 2025-10-07 01:10:49+00:00
The Crunchyroll/Funimation merger was a really bad deal for fans, in that a huge number of series were never ported over to Crunchyroll before the Funimation shutdown.

Initially, the two had a deal where Funimation would allow subtitle-only versions of series to appear on Crunchyroll, while Funimation would focus on the dub audience. In November 2018 some corporate hijinks happened, and the alliance was considered no longer viable. Funi pulled about 240 series from Crunchyroll, amounting to nearly 20% of Crunchyroll's library at the time.

When the merger happened in 2024, Funimation's shutdown FAQ implied that Funimation's content would be available on Crunchyroll, and even encouraged users to cancel their Funimation subscription and subscribe to Crunchyroll going forward. However, there are still some 182 series which never made it back to Crunchyroll, even though they had been there before. There are just a bunch of anime that aren't legitimately available on any streaming service any more.
by chimeracoder | 2025-10-07 01:11:04+00:00
> Many trans men who go on testosterone report reductions in suicidality. If the theory is that gender dysphoria related to hormonal incongruence causes depression, then the data from trans women taking the medication supports the theory that cis men might really struggle with it.

This is a really weird argument because it gets so many basic facts wrong. The most fundamental of which is the idea that taking finasteride means lower testosterone levels - it doesn't!

And I'm not even going into the issues with all the other confounding variables at play here, such as the motivations and dosing schedules for HRT being substantially different from other uses of finasteride.

I really don't know why you're bringing up data about HRT for transgender people that's nearly a century old in an article that's not about HRT, when we have plenty of data that's not only far more recent but far more germane to the topic at hand.
by cfu28 | 2025-10-07 01:11:07+00:00
Yes, really. I’ve had to restart my Citrix session to make it go away or dismiss it like the writer did.

You’ll get something like “sepsis criteria triggered by wbc 13, cr 1.5, hr 101, rr 22.” And that’s it - usually in the middle of a night on a new patient I just got a page for. Can’t open documentation to see the patients med history. It’s ridiculous. I’m not using Epic but I am using a major EMR.

To be fair I’ve written almost exactly what you mentioned out of sheer frustration once or twice but it’s not ideal
by sert_121 | 2025-10-07 01:11:16+00:00
It's interesting to see how chatgpt is becoming more and more of a starting point of the web exploration, at which they're like, why even bother searching at this point, we'll just have default workflows for maps, buy (integration of stripe already marks it), booking airlines etc, which covers so much basic stuff people would do anyways.

The biggest bottleneck for this for the past two years imo wasn't the models, but the engineering and infra around it, and the willingness of companies to work with openaio directly. Now that they've grown and have a decent userbase, companies are much more willing to pay/or involve themselves in these efforts.

This has eventual implications outside user-heavy internet use (once we see more things built on the SDK), where we're gonna see a fork in the web traffic of human centric workflows through chat, and an seo-filled, chat/agent-optimized web that is only catered to agents. (crossposted)
by zdc1 | 2025-10-07 01:11:44+00:00
When I got it prescribed (in AU), my doctor told me he had many patients taking it with no side effects, and he also pointed out that the 1mg I was taking was much smaller than the 5mg some took for prostate enlargement. I also did some reading and never noted any links to depression. It just doesn't seem to always come up.

I think many men would also (naively) be happy to risk depression when confronted with impending hair loss. Ironically, maybe more happy chemicals are what's actually needed so we can feel like losing our hair is not the end of the world.
by windows2020 | 2025-10-07 01:12:12+00:00
Not sure Microsoft realizes the damage they're doing to the Windows brand. My first experience with Windows 11 was figuring out some dumb workaround to use a local account.

When I think back to Windows 7, the good feeling isn't nostalgia. It was the last user-focused Windows.

Maybe someone will develop a new user-focused OS that's somehow compatible with Windows programs. Or better yet, maybe Microsoft will realize very important parts of Windows are going downhill and remember what made Windows great.
by riknos314 | 2025-10-07 01:12:23+00:00
The real issue is the administration of the hospital sees every minute the doctors spend taking better records instead of seeing another patient as a loss of ability to bill someone's insurance for that time.

I'm sure there's many doctors who would like to take better notes if they were allowed the time to do so.

Maybe the case for better records reducing costs to insurance by assisting in prevention / early intervention is a path forward?
by CraigRo | 2025-10-07 01:12:47+00:00
When banks created derivatives that could only be fairly valued by the bank, with 5% profit margins built in, it got them a trip to Congress.

SGPs have margins that would make options traders blush and were sold to people with no financial sophistication whatsoever. These things turn your phone into a vampire, and have no socially redeeming value. Please ban them!
by Veedrac | 2025-10-07 01:12:51+00:00
There are a few exacerbating factors.

The first is that IIUC, CFCs release chlorine atoms which catalyze ozone, whereas aluminium oxide catalyzes the creation of chlorine atoms from chlorine reservoirs, which then go on to catalyze ozone. I loosely believe at this point after some sketchy research and maths that this makes it around two orders of magnitude more potent.

The second is that these particles are produced directly in the upper atmosphere. I couldn't give you a number for how much that changes things, but I assume it's nontrivial.

The final point I've noticed is that mass to orbit has been increasing at a rapid exponential rate recently, and it would not surprise me at all to soon see an extra order of magnitude on it.

Worst-case, that could change your 5,000 year figure to just a couple. I don't think it's that bad, I'm not overly concerned about this issue, but given ozone depletion is a legitimate existential threat and the numbers don't immediately make it seem impossible, I think it's worth paying attention to.
by Fischgericht | 2025-10-07 01:13:12+00:00
I do remember to have read a couple of years ago that the Windows Ui team got replaced and now only consists of Mac users, never having used Windows themselves.

If that is true, it's now wonder that they do not understand all the value that Windows NT has brought, why having a standard on menu structure, a standard for all UI controls etc made sense. And to understand that while Apple's mission is to provide a walled garden, Windows has been and is used in a million different scenarios. Taking away options will ALWAYS hit some of your customers. And there are a gigantic amount of applications where you want local system accounts only. Yes, Dear Microsoft, computers without an Internet connection do exist and are a common thing.

For us it's Win10 IoT LTSC so we have updates for a couple of more years, and by then hopefully the last remaining software and hardware we have will be usable with Linux.
by inemesitaffia | 2025-10-07 01:13:15+00:00
An even simpler answer is Starlink is available in locations too far from ground stations.

Ergo they are served via laser.

Cook Island

Ascension Island

Iran

Venezuela

Cuba

Galapagos/Easter Islands

Vanuatu

Eastern Ukraine

Syria

Lebanon

Iraq

Iqaluit

Antarctica, as South as the South Pole

Tristan de Cunha

The range of the ground stations are under 1500 miles and I really don't know where people are getting the idea that the lasers don't work.
by chimeracoder | 2025-10-07 01:13:29+00:00
> I take dutasteride (even stronger form of finasteride) and have been personally fortunate to not have any side effects in ~8 years.

Dutasteride is not a stronger version of finasteride. It's a more effective DHT blocker, but it works differently.

The side effects are also different and not easy to predict. Some people have terrible side effects from finasteride and none from dutasteride. Some people have the opposite. And some people can tolerate either one. We don't have a way at the moment to reliably predict which one will work better or be better tolerated for a given individual.

Anyway, I'm glad it has worked for you, and I also would not want to prosecute people who've created a medication that's one of the most effective and well-tolerated around.
by hatefulmoron | 2025-10-07 01:13:54+00:00
There's probably a difference in degree, however. Alopecia Areata is much more uncommon, while regular male pattern baldness is very common.

There's also the fact that Alopecia Areata is actually more common in women, which I imagine exaggerates the distress compared to the more run of the mill MPB.

I realize you didn't mean to use a study on Alopecia Areata, but the difference in degree could be quite large.
by SJC_Hacker | 2025-10-07 01:14:18+00:00
> Directly doesn't work over the internet, because the internet doesn't work like that. You'd be restricted to bluetooth, wifi direct or similar.

That is how "the internet" has worked forever.

People have been running servers on their own home machines, for a long time. If you really want you can setup a webserver/sshd/etc. on your own machine and access it from the outside if you don't care about DNS and static IP. Will also probably need to port forward at the router, though.

Its less common nowadays due to the cloud, and security issues, etc. sure. And I'm not sure to what extent its possible over mobile.

But for two people who are on PCs/Macs, it should definitely be possible. And it would be much lower latency because you don't have to bounce it off another server.
by Theodores | 2025-10-07 01:14:37+00:00
This type of minimalism is not to be confused with 'frugalism'. It has nothing to do with treading lightly on the planet and more to do with blasting the upper atmosphere with jet engine exhaust as often as possible.

For me a bicycle is crucial for getting out and about, and I have done some long distance trips across continents with big mountain ranges to get over, with stove, tent and sleeping bag. This opens up a whole new level of 'minimalism'. Where possible, every item has to be 'dual use' to some extent, so that fleece hoodie doubles up as a pillow. Furthermore, every stupid travel gadget has to go, so no water purifier, no first aid kit, no 'stuff sacks', no special toiletries bags and no evening-only leisure clothes/shoes.

But this is luxury! The real pros are refugees. Imagine walking from Iraq to France, having to avoid every border guard, with no food in your stomach and just the clothes you wear as belongings.

In all fairness to the author of the article, the abundance of tech can be fully justified if he is a web developer and needs to make sure everything works on all of the devices that matter. That doesn't explain the Kindle, however, books (reading matter) has to be a priority item. From past experience, I would get rid of pretty much everything before getting rid of the reading matter.
by dcchambers | 2025-10-07 01:15:17+00:00
Well the site is blocked on my company laptop (reason given: newly registered domain), so it will be a rocky start for them. I love a good vanity domain but using a traditional .org domain probably would have been better, too.

My 2c is that 95% of ruby developers aren't aware of the drama going on around Rubygems.org right now. They have probably seen emails from Ruby Central but largely ignore them and move on with life. Most people have no idea there are issues and they will just continue using Rubygems.org. Getting a project like this to critical mass is incredibly challenging.
by acidburnNSA | 2025-10-07 01:15:35+00:00
A lot of the corporate IT workforce is heavily invested in Microsoft systems. It creates somewhat of a co-dependency.

I only run Linux at home. My mom also runs Linux, though she doesn't really know a lot about it. If I could I would have run only Linux at my previous corporate jobs. But the IT people balk: how will windows defender work in Linux? At one point they did install windows defender on Linux and it ground a fine machine basically to a halt.
by wildzzz | 2025-10-07 01:15:59+00:00
Audacity is fine for quick editing and merging tracks together but it's not ideal for more professional applications like music and narration production. It certainly could be used for those things but you're going to be stumbling over a lot of obstacles that have already been solved. Obviously you don't need anything like Ableton but there are other FOSS digital audio workstations that offer exactly what you'd need for editing audiobook narration. You're trying to layout a novel with a text editor.

Linear vs non-linear is kind of hard to describe in the modern era, we aren't splicing tape anymore, the original audio is still safe on the disk unless you overwrite it. It's really just that Audacity doesn't give you the kinds of features that a true non-linear DAW has. There's no reason why it couldn't have those features, it's just not the focus of what Audacity needs to be (simple audio recording and editing).
by StoneAndSky | 2025-10-07 01:16:42+00:00
It exists: XMAG https://finance.yahoo.com/quote/XMAG/

> The index aims to provide a comprehensive and balanced representation of the U.S. equity market by including the largest 500 publicly traded equity securities, while specifically excluding the seven largest technology companies commonly referred to as the “Magnificent 7”.

Up 12% in the last year. Unfortunately, it's ten times as expensive (0.35%) as a straight S&P 500 ETF (e.g. VOO, 0.03%).
by defrost | 2025-10-07 01:17:20+00:00
Forget The Grayzone, the story was first broken by:

Dr. Jack Poulson ... completed his PhD in Computational and Applied Mathematics at UT Austin in 2012 before serving as an Assistant Professor of Computational Science and Engineering at Georgia Tech then as an Assistant Professor of Mathematics as Stanford University. After two years as a Research Scientist in Google’s AI division working on recommendation systems and natural language processing, he resigned in protest of the company rolling back its international human rights protections and transitioned (back) into the nonprofit sector.

~ https://tcij.org/person/jack-poulson/

who commented upon

A widely noted dataset of purportedly leaked emails from former Israeli minister of defense Benjamin Gantz appears to show that David Ellison, the new head of media conglomerate Paramount, was coordinating with the recently retired commander-in-chief of the Israeli military on a nascent campaign to sabotage critics of the Israeli military’s activities in Palestine. The previously unreported emails appear to show David Ellison being recruited in December 2015 as a core American supporter of a nascent Israeli government effort which Gantz labeled the “Counter-BDS Initiative.”

~ https://jackpoulson.substack.com/p/david-ellis-benny-gantz-a...

The questions to be asked are

1/ whether Israel would fund and seek coordination to push back against the BDS movement, and

2/ whether this email trove is credible.

The first is a no brainer, the second requires a deeper dive than mere off hand dismissal.
by lmm | 2025-10-07 01:17:37+00:00
> Corporate America seems ready to spend real money on AI, at least for now. This money being spent today doesn’t come close to recouping the investment OpenAI et al have made, but the trickle’s begun. The money’s not all imaginary.

It's still pretty funny money. Companies are buying those subscriptions to show their shareholders how trendy they are, not because they're useful to them. And the subscription price points are widely speculated to not even have positive gross margin, yet alone starting to recoup any investment. It's far from clear that there's any kind of viable business here.
by ggm | 2025-10-07 01:18:01+00:00
I brain coded a very similar click minimising gallery also in perl, in the early 2000s. The model of "click on image to go to next image" is what reminded me of my own.

I think my last iteration added fake film sprocket decor to the thumbnails. I enjoyed doing that. No idea what I did with the code, Loved seeing this and I am sure the OPs version is both better, more supportable, and very probably more performant and less bug ridden.
by waterheater | 2025-10-07 01:18:09+00:00
This is a bad idea. Now, with that established...

Microsoft has many intelligent people who work there and certainly do many risk vs. reward calculations for each modification to Windows. From Microsoft's perspective, they have much more control over the OS when everyone's linked to a cloud account. I morally disagree with that approach, but the security issues with Windows come from unpatched systems. They tried to win over software developers by creating WSL, but the privacy- and security-minded software developers never really bit.

Also, consider that Microsoft's future is obviously pivoted toward cloud infrastructure. Yes, they smartly have other ventures, but all those ventures will rely on Microsoft cloud infrastructure in some way. Server farms are a much better business model, from Microsoft's perpective, especially because it pulls Microsoft into the domains of true wealth: land acquisition, energy production, and data mining.
by hansvm | 2025-10-07 01:18:53+00:00
You don't need fully broken encryption to gain useful information. Knowing how much data is transferred, to which servers, and when (especially with details like how various endpoints will inadvertently chunk up HTTPS requests based on the details about the content or how interactive sessions will have certain back-and-forth transmit patterns) is sufficent to generate a traffic "fingerprint" which you can correlate to other users, to automated traces crawling those same servers, and otherwise get a very good sense of what a user is up to online even above and beyond just knowing which IP is being queried.

Toss that into any sort of "anomaly detection" or other such nonsense, and it's easy to create rare edge cases at an ISP level.

It's somewhat analogous to how you can sometimes "reverse" hashes like SHA256. E.g., suppose the thing you're hashing is an IPV4 address. There are only 4 billion of those, so a pre-image attack just iterating through all of them and checking the forward direction of the hash is extremely effective. TLS makes that a little more complicated since the content itself is actually hidden, but time and space side-channels give you a lot of stochastic information. You might not be able to deduce somebody's bank password, but you can probably figure out where in the bank's login flow they are and approximately what they did once they logged in.