philpo
@philpo@feddit.org
- Comment on Backup recommendations 1 day ago:
Duplicati is probably one of the easier options.
- Comment on TIL about Wiki.js 1 week ago:
Afaik bluestack is the best option for that but I might be mistaken
- Comment on TIL about Wiki.js 1 week ago:
Tbh: I haven’t found a really good replacement yet (we are simultaneously coming off confluence as well and that is even harder)
What we tried:
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Bookstack: I.can.not.understand.what.people.like.about It.Period. From my point of view it’s one of the worst systems on the market. Why? The fact that it only allows three different levels of hierarchy, the fact that by default all your images are public and their recommended solution is security by obscurity instead of proper handling it(which it can do) or their absolutely abhorent permission handling.
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Xwiki: It’s… Clumsy. Possibly the most capable one, but it’s Java and munshes resources like they are free and it’s bothersome to setup/get working. Once it works it’s extremely capable,especially from a business point of view. It’s one of the close contenders for my confluence customers atm.
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DokuWiki has become pretty capable,but takes a good theme and a few modules to be “up to modern standards”. The second close contender.
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Last but not least outline is also an idea. Currently looking into that.
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For my personal reference,especially for everything self hosted I used to maintain a fairly extensive Wiki.js,but I have found it more and more bothersome as a split between the configuration assets and the wiki was always there. So nowadays it’s often more integrated and stringent to use my GIT repository (forgejo) to keep my documentation as well.
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The same approach is also a nice one for my work and we still discuss if we might “make it work” with our project management (Redmine) and it’s wiki component.
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Lastly for a personal wiki Tiddly might be enough, btw.
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- Comment on TIL about Wiki.js 1 week ago:
Yeah, as many said: It’s dead. I was heavily invested into Wiki.JS but cannot recommend it to anyone anymore due to the antics of the developer. Even if the mysterious new major version that should fix every issue comes out at some point, as long as the development policies don’t change it’s not worth it.
I am currently actively moving everything away from it.
- Comment on good results so far with Elegoo Rapid PETG 1 week ago:
Tbf, I had problems with exactly one brand repeatedly: eSun Of all the brands the one most people consider a safe bet gave me the most hazzle.
I absolutly used cheap brands as well and had no/less isues than with them.
Currenly heavily using Sunlu/Jayo (same brand) for PLA, extrudr , formfutura and black forest filaments for ASA, extrudr for the remaining technical stuff. Whatever’s cheapest for PETG.
- Comment on [deleted] 1 week ago:
Another Healthcare Professional here: I second this healthcare professionals advice.
Don’t get strangers opinions through the internet who’s credentials you can’t verify. See a healthcare professional.
- Comment on Has anyone else experienced these psychological changes after eating meat? 1 week ago:
Please see my edit in case you haven’t before.
And your ancestors were omnivores unless you have a lot of sudden body hair growth on a full moon.
Seriously dude. I know mania feels great. But it isn’t.
- Comment on Filament won't adhere? 1 week ago:
As you have already dried it(which is the most common issue. How did you dry it?) another issue can indeed be your heatsink. Do you have any other filament and does that have the same issue?
- Comment on Filament won't adhere? 1 week ago:
Yeah. That’s not a good idea. Dish soap is actually often putting a limited greasy lawyer on things to protect skin,etc. Isopropanol for the win. A very very small amount is enough.
- Comment on Has anyone else experienced these psychological changes after eating meat? 1 week ago:
Okay, okay. I know it’s a cliche right now, but can we please please please get this guy a brain scan? This sounds like a really good case for a few parasites.
Seriously. You either had a massive massive anemia (red meat can temporarily (!) help then), you are a top shitposter or you have a major issue.
Source: Healthcare professional. Not your HCP.
- Comment on What do ambulances do with patients cars? 2 weeks ago:
Yeah. Here cops are generally the “end of the food chain” legally. Whenever none else is responsible for something or the responsible department is not available they are the ones who sort it out.
Health department outside of office hours? Call the cops.
Building is in a possibly insecure state out of office hours? Call the cops.
They can of course get other departments like ambos,firies,etc. to help,but in the end, it’s their job.
Public safety officer is very much part of their job description here.
- Comment on What do ambulances do with patients cars? 2 weeks ago:
Paramedic and former ambulance service director here: In my jurisdiction the car is the sole responsibility of the police - in theory. So basically we call the police and let them handle it. They will decide if it’s safe to leave it where it is (e.g. if it’s on a highway, post accident or otherwise a traffic hazard). They will usually ask the patient if they should call a specific company or,if the car is still roadworthy, if they should call someone like a relative to get it - within certain limits of course, they won’t do that on a highway and if the relative is two hours away the patient is also SOL.
If the car is stationary as in a safe and legal parking spot it’s a bit different, then in theory we could still call the cops,but they would hate us for it when the patient is conscious. In these cases most crews simply lock down the car and give the key to the patient - the same way we lock down an apartment when we leave with a patient.
The only case when we might leave a car unlocked and unattended is an unresponsive patient that has a transport priority,aka we need to go NOW. We will still call the cops (and they will either find a way to secure the car or tow it),but we sure as hell won’t wait. While I might have a minute to spare waiting for the cops for an average unconscious patient e.g. post seizure there are a lot of reasons where I don’t have that - and might not have the time in some awake cases as well. In these cases a car might be left unlocked - especially in times when the key rarely is still required in the ignition anymore where I can easily find it. But in these cases the life of the patient takes priority over any material assets.
(To give you a more practical example: The last guy I left the car unlocked was a gentleman with sudden onset of massive pain between the shoulder blades and a large difference in blood pressure values between the arms - a good sign of a thoracic aortic aneurysm, a very deadly condition. That’s a “fuckfuckfuck we need to go now” condition. I looked for the car key once for around 5 seconds,the car was a mess, I couldn’t find it. Dispatch sends the cops,but they often take a long time here once they know we are no longer on scene. Sadly he didn’t even make it to the hospital alive. But we tried).
- Comment on Microsoft will offer free Windows 10 extended security updates in Europe 2 weeks ago:
Try Nobara as a live system or on a small boot disc you have lying around (ssds go for cheap these days) not that I would recommend it anymore as a distribution (nowadays Fedora is a better choice), but it helps you figure out if your setup will cause issues. (If it works on Nobara it likely will work on fedora)
Personally from a gaming perspective I would advise against Mint.
- Comment on Immich mobile app sync V2 2 weeks ago:
Layer 7 storage servers might be what you are looking for.
- Comment on where to move for cheap VPS? 2 weeks ago:
Another happy Hetzner customer here. They are more than solid.
The only issues I had was with the abysmal performance of the storagebox, but that got better recently.
Layer 7 is also an idea for those seeking storage,but won’t really help OPs case.
- Comment on 2 weeks ago:
In terms of software: Agent NVR is imho currently one of the easiest and most compatible camera software systems available for free. Runs on a pi,even though I would absolutely not recommend one
(Use a proper x64 SBC like the zimaboard. Makes a lot of things easier).
Camera wise Dahua, Hikvison and Foscam are far better than Reolink, imho, but they most definitely need a separate network or a block so they don’t access the internet.
- Comment on Why can't countries with vast deserts make solar farms to power the world? 3 weeks ago:
Yeah, but by now the much lower cost and higher efficiency of panels vs. the drawbacks of the location has shifted the cost/benefit ratio quite a bit.
It’s far cheaper to build the panels where the energy is needed and compensate for bad weather by building more panels (and other sources) instead of having the drawbacks of the north african location. Solar panels in the desert are an issue - as noted here multiple times, sand does not mix well with panels, neither does too much heat. Solar reflector plants have never really taken off due to various issues as well. And transport remains an issue by itself and so does political stability in these countries.
- Comment on Shh 3 weeks ago:
Tbf, I remember the times we reused everything, even tubes.
And it was a mess and there is so much evidence that the whole process of reusing is even worse for the environment.
- Comment on Between Codeberg, Forgejo, Gitea, etc., which do you prefer and why? 3 weeks ago:
Gitea once now Forgejo.
- Comment on Why is the human body so incredibly bad at responding to colds? 3 weeks ago:
Not really. While COVID does indeed go through the roof atm in the northern hemisphere, bacterial supra infections are fairly common for flu patients.
- Comment on What do you think is the best (and cheapest) way to host a new nextcloud instance and website for my local scouts organisation? 3 weeks ago:
Yeah,came here to say that. I second that.
- Comment on Proton Mail Suspended Journalist Accounts at Request of Cybersecurity Agency 4 weeks ago:
Proton doing another shady thing?
Colour me surprised! Image
- Comment on Proton Mail Suspended Journalist Accounts at Request of Cybersecurity Agency 4 weeks ago:
Mailbox,formerly mailbox.org
Tuta,which is often recommended, is sadly another vendor lock in while mailbox is using industrial standards.
- Comment on Awooga 4 weeks ago:
Well,patients do get asked for consent before these pictures are taken (and usually are again asked for approval again when the whole thing is layouted).
But,tbh, most patient I got to know with similar, rare, cases are often more than happy to help science and help other patients who experience the same right now or in the future.
I personally had a case I worked with peripherally where a breast implant basically exploded after a road traffic accident and the poor, rather young, patient suffered from a catastrophic infection and bodily reaction before that. As in: “She nearly died,was on ecmo, needed her sternum replaced”-catastrophic. (And no, not a cosmetic breast implant, just making sizes equal)
Tbh, despite extensive plastic surgery the final result was…really grim. I have seen third degree burns with a better cosmetic result… Especially for such a young woman. Further correction would need to be done much later, at least 5 years from then. She was nevertheless very keen on appearing in the case report and did willingly take part in photos(and even provided pre incident photos), appeared in front of medical students and interns, etc. It was part of her way of dealing with it,of making sense out of this freak occurrence.
- Comment on Need help with printer recommendations 4 weeks ago:
Look at the Centauri Carbon, the artillery M1 Pro and the Qidis.
The Prusa is overpriced and tbh, despite what the fanboys claim, not worth it at the moment in terms of reliability, technology and quality. But…sadly you already ordered it. Well…
Anyway: Have a look at ASA material-wise. Less toxic than ABS and much better material properties than PLA.
- Comment on emergency remote access 4 weeks ago:
I use an SXT, as I got it cheap, but the wap LTE kits, the LTAPs mini or the hap AX lite should do as well - softwarewise they are all the same anyway.
Sometimes you find decent older ones on eBay as well.
- Comment on Awooga 4 weeks ago:
Shit. That’s a terrifying case in so many aspects.
- Comment on Awooga 4 weeks ago:
My condolences to your spine.
- Comment on Not trying to disparage first responders on 911. Why aren't nurses included with fire and police departments? Did we not take care of people on the backend of the rescuing? 4 weeks ago:
I don’t know where you live,but as you are mentioning 911 I guess it’s the US - there are a shitton of ambulance services that use nurses as BLS or ALS providers around the world. (The netherlands, sweden, Italy, Spain, just to name a few. I intentionally do not name the US here,see below)
For the US, UK and to a lesser extent Germany there is a simple reason: You guys did fight tooth and nail not to do so.
But let’s go back a bit further: If you look into the history of EMS it’s not like that the fire departments were that happy to do so (and to this day I am a staunch opponent to them doing so. It’s an all around bad idea) and in many parts of these countries police, cab services and funeral homes did provide the first ambulances, other than charity organisations.
When it became clear that prehospital care was needed in these countries the fire departments or independent “transport only” ambulance services had become the norm in most areas and there indeed were some people that pushed for nurse staffed ambulances - as nurses during the war had shown to be beneficial in that role.
But they were basically scolded, often even publicly insulted, by nursing associations:
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Nursing back then was far from an independent profession like it is today. Back then actual medical skills were largely dependent on doctors orders with very little leeway for interpretation. (From a nursing book in 1958 “if the blood pressure of a patient is too high or too low must,under all circumstances,be decided by the doctor and it’s not upon the nurse to decide this.”) Asking someone who is fully dependent on another profession for decision making to now make independent decisions without that profession and in the worst possible environment and use skills that the same person wouldn’t be allowed to use in their regular workplace understandably was a major cause for concern, dissent and resentment back then. And to some extent this is understandable.
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The second factor was based on the issue of gender and “morals”. Nursing back then was a mostly female profession. Putting them to the scenes ambulances need to respond to (brothels, crime scenes, etc.) would, according to a female nursing director in a UK hospital “corrupt my girls”. Additionally, due to the fact that heavy lifting would be required(see below) and the ambulances would need to be driven by someone, the “poor nurses” would need to work alongside male ambulance drivers and that would also lead to immorality. (Their words, not mine. In case of the UK somewhat insulting to their Queen,imho)
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Another factor was surely the fact that “transport only” ambulances already existed and that (also due to the lack of proper equipment) it was (rightfully so) considered backbreaking work - patients did need to be lifted far more than today, lifting equipment was primitive and medical equipment was far heavier. (I remember defibrillators that had 40kg…and I am not that old). So adding a third person would mean extra cost while you still need men (according to their reasoning back then). And as the first paramedic provides little more than BLS+ it was not that resource intensive to teach the people already doing the job.
Nowadays nursing has developed a lot. But so has paramedicine and it is an independent health care profession in the more professional systems (CAN,UK,IR,AU,NZ,GER,POL,etc.). Because skills,mindset and approaches towards patient care are different. The US with it’s abhorrent EMS system uses nurses in some roles,but tbh, the main reason is a lack of proper paramedic training standards, standardisation and oversight and the results are, well, underwhelming.
And why are nurses not named in line with other first responders in the US and similarly in a lot of other countries?
Because they aren’t first responders. The issue with being a first responder is not the level of care, it’s the “unknown”. Hospitals are, to a certain extent a controlled environment. Even in the ED you most of the time know what’s happening next, even if the next patient is a multi system trauma and comes in without prior notification it’s still your playing field. You have light, it’s warm/cold, you are rarely alone, you have your equipment where it was the day before and the day before. On scene it’s different. The next call might be a mansion. Or in a ditch. Or a methlab. It’s the same people you see in the ED, but now it’s their home turf. I have resuscitated an almost naked 12 year old in -20° C alone (as a in “single responder”) in a park known for it’s shady people. That’s different.
Don’t get me wrong: Nursing has it’s own challenges - I worked both sides long enough to know that I sure as hell won’t ever work another hour in nursing. As a para you have 1 patient most of the time. Not 25. Once you know your call,you can be almost sure that you won’t have another patient until you complete the call there won’t be another patient suddenly taking away your attention. You can leave the patient after like an hour max. And you rarely see them again.
All these things are different in nursing. Multiple patients, changes in priorities, seeing patients day after day - it is its own beast. But it’s different.
I am happy for everyone who does nursing. So am I for every midwife. Or every guy and gal that takes up paramedicine. We all have our place in this hellish trade.
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- Comment on emergency remote access 4 weeks ago:
I use a cheap Mikrotik LTE Router as a second route. It has the smallest data plan my provider offers - but it’s enough for maintenance and if I need more due to the main line being faulty it’s the same provider’s fault and they pay the bill anyway.
It mainly goes into the OPNsense as a second gateway,but it also allows me to VPN in and reboot the OPN if needed.
If the OPN would be fucked totally in theory I could run the network directly over it,but that would be nasty.