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Amylin Replacement With Pramlintide in Type 1 and Type 2 Diabetes: A Physiological Approach to Overcome Barriers With Insulin Therapy

John B. Buse
Jul 1, 2002; 20:
Feature Articles




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The Disparate Impact of Diabetes on Racial/Ethnic Minority Populations

Edward A. Chow
Jul 1, 2012; 30:130-133
Diabetes Advocacy




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A Real-World Approach to Insulin Therapy in Primary Care Practice

Irl B. Hirsch
Apr 1, 2005; 23:78-86
Practical Pointers




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Microvascular and Macrovascular Complications of Diabetes

Michael J. Fowler
Apr 1, 2008; 26:77-82
Diabetes Foundation




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Heroic Consciousness: What it is and How to Acquire it

By Scott T. Allison This blog post is excerpted from: Allison, S. T. (2019). Heroic consciousness. Heroism Science, 4, 1-43.   The philosopher Yuval Noah Harari (2018) recently described consciousness as “the greatest mystery in the universe”. What exactly is heroic consciousness? It is a way of seeing the world, perceiving reality, and making decisions … Continue reading Heroic Consciousness: What it is and How to Acquire it




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Mind or Stomach? Imagination or Necessity?

"An army marches on its stomach" said Napoleon, who is also credited with saying "Imagination rules the world". Is history driven by raw necessity and elementary needs? Or is history hewn by people from their imagination, dreams and ideas?

The answer is simple: 'Both'. The challenge is to untangle imagination from necessity. Consider these examples:

An ancient Jewish saying is "Without flour, there is no Torah. Without Torah there is no flour." (Avot 3:17) Scholars don't eat much, but they do need to eat. And if you feed them, they produce wonders.

Give a typewriter to a monkey and he might eventually tap out Shakespeare's sonnets, but it's not very likely. Give that monkey an inventive mind and he will produce poetry, a vaccine against polio, and the atom bomb. Why the bomb? He needed it.

Necessity is the mother of invention, they say, but it's actually a two-way street. For instance, human inventiveness includes dreams of cosmic domination, leading to war. Hence the need for that bomb. Satisfying a need, like the need for flour, induces inventiveness. And this inventiveness, like the discovery of genetically modified organisms, creates new needs. Necessity induces inventiveness, and inventiveness creates new dangers, challenges and needs. This cycle is endless because the realm of imagination is boundless, far greater than prosaic reality, as we discussed elsewhere.

Imagination and necessity are intertwined, but still are quite different. Necessity focusses primarily on what we know, while imagination focusses on the unknown.

We know from experience that we need food, shelter, warmth, love, and so on. These requirements force themselves on our awareness. Even the need for protection against surprise is known, though the surprise is not.

Imagination operates in the realm of the unknown. We seek the new, the interesting, or the frightful. Imagination feeds our fears of the unknown and nurtures our hopes for the unimaginable. We explore the bounds of the possible and try breaking through to the impossible.

Mind or stomach? Imagination or necessity? Every 'known' has an 'unknown' lurking behind it, and every 'unknown' may some day be discovered or dreamed into existence. Every mind has a stomach, and a stomach with no mind is not human.




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Accidental Education


"He had to take that life as he best could, 
with such accidental education as luck had given him". 

I am a university professor. Universities facilitate efficient and systematic learning, so I teach classes, design courses, and develop curricula. Universities have tremendously benefitted technology, the economy, health, cultural richness and awareness, and many other "goods".

Nonetheless, some important lessons are learned strictly by accident. Moreover, without accidental surprises, education would be a bit dry, sometimes even sterile. As Adams wrote: "The chief wonder of education is that it does not ruin everybody concerned in it, teachers and taught."

An example. I chose my undergraduate college because of their program in anthropology. When I got there I took a chemistry course in my first semester. I was enchanted, by the prof as much as by the subject. I majored in chemistry and never went near the anthro department. If that prof had been on sabbatical I might have ended up an anthropologist.

Universities promote lifelong learning. College is little more than a six-pack of knowledge, a smattering of understanding and a wisp of wisdom. But lifelong learning doesn't only mean "come back to grad school". It means perceiving those rarities and strangenesses that others don't notice. Apples must have fallen on lots of peoples' heads before some clever fellow said "Hmmm, what's going on here?".

Accidental education is much more than keeping your eyes and mind open (though that is essential). To understand the deepest importance of accidental education we need to enlist two concepts: the boundlessness of the unknown, and human free will. We will then understand that accidental education feeds the potential for uniqueness of the individual.

As we have explained elsewhere, in discussing grand unified theories and imagination, the unknown is richer and stranger - and more contradictory - than the single physical reality that we actually face. The unknown is the realm of all possible as well as impossible worlds. It is the domain in which our dreams and speculations wander. It may be frightening or heartening, but taken as a whole it is incoherent, contradictory and endlessly amazing, variable and stimulating.

We learn about the unknown in part by speculating, wondering, and dreaming (awake and asleep). Imagining the impossible is very educational. For instance, most things are impossible for children (from tying their shoes to running the country), but they must be encouraged to imagine that they can or will be able to do them. Adults also can re-make themselves in line with their dreams. We are free and able to imagine ourselves and the world in endless new and different ways. Newton's apple brought to his mind a picture of the universe unlike any that had been imagined before. Surprises, like dreams, can free us from the mundane. Cynics sometimes sneer at personal or collective myths and musings, but the ability to re-invent ourselves is the essence of humanity. The children of Israel imagined at Sinai that the covenant was given directly to them all - men, women and children equally - with no royal or priestly intermediary. This launched the concept and the possibility of political equality.

The Israelites had no map of the desert because the promised land that they sought was first of all an idea. Only after re-inventing themselves as a free people created equal in the image of God, and not slaves, only after finding a collective identity and mission, only then could they enter the land of Canaan. Theirs wanderings were random and their discoveries were accidental, but their formative value is with us to this day. No map or curriculum can organize one's wandering in the land of imagination. Unexpected events happen in the real world, but they stimulate our imagination of the infinity of other possible worlds. Our most important education is the accidental stumbling on new thoughts that feed our potential for innovation and uniqueness. For the receptive mind, accidental education can be the most sublime.




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COVID-19: Study Reveals A More Accurate Test

A better method for COVID-19 testing than nasal swabs.

Support PsyBlog for just $5 per month. Enables access to articles marked (M) and removes ads.

→ Explore PsyBlog's ebooks, all written by Dr Jeremy Dean:




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Intimacy vs Isolation: Why Do Some People Struggle to Form Intimate Relationships?

Loneliness is a surprisingly common phenomenon in the 21st century. In 2018, a survey conducted by The Economist and the Kaiser Family Foundation revealed that 22% of adults in the United States and 23% of adults in the United Kingdom often or always feel lonely or left out. Interestingly, many people who describe themselves as […]




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Charles Barkley believes in the hot hand fallacy – when it comes to poker, anyway

NBA legend and recreational gambler Charles Barkley is presented with the following hypothetical on ESPN radio: You are winning big at the poker table when a beautiful woman sits down next to you. “Do you stay with the hands or do you leave?” Barkley: “Bro, gambling is so fickle, I love to gamble, when you [...]




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“Mandate-Schmandate,” Rick Perry and the HPV vaccine – by Richard Thaler

Nudge blog note: Last night’s Republican debate prompted Richard Thaler to weigh in on Rick Perry’s handling of an HPV vaccine executive order, but not the policy itself. Also, Thaler recently started tweeting. Follow him. By Richard Thaler In the Republican Presidential debate last night at the Reagan library a question emerged about Rick Perry’s [...]




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5 Secrets to Increase Your Sexual Satisfaction: Tips From a Sex Therapist

As a practicing sex therapist, I often see two partners legitimately trying to bridge a satisfaction gap between each other, but they can’t seem to get the moves just right. If left unchecked, this can lead to resentment and conflict; however, couples who figure out how to speak to each other sexually (both verbally and nonverbally) have the highest success in terms of finding something that works for both of them. Making an environment conducive to this sort of positive growth requires a little bit of effort and the ability to listen. Drawing on my clinical experience, here are my top tips for increasing sexual satisfaction:



  • Sexual Problems and Solutions

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The State of Sex Research Today, According to 4 Sex Scientists

What’s going on in the world of sex research today? What are some of the biggest controversies and challenges? I recently sat down with a few of my colleagues to discuss these and other interesting questions. In the video below, I chat with Drs. Zhana Vrangalova (New York University), Diana Fleischman (University of Portsmouth), and Geoffrey Miller (University of New Mexico).




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Fact Check: Does Pubic Hair Grooming Increase the Risk of Getting an STI?

Sexually transmitted infections (STIs) are on the rise, and many people are curious about the reasons why. While the cause is obviously multifactorial, some have suggested that at least part of the rise in STIs may be due to increasing rates of pubic hair grooming in men and women alike. Given that it’s not uncommon for people to experience cuts and skin irritation from genital grooming practices, it at least sounds plausible in theory that pubic hair shaving could potentially increase infection risk. But what does the research actually say?




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Have You Reached Out to or Heard From an Ex During the Pandemic? You're Not Alone

Anecdotally, I’ve heard from a lot of people who have said that they reached out to (or heard from) and ex-partner since the COVID-19 coronavirus pandemic began. But just how many people have done so? And what motivated them to reconnect? Some of my colleagues and I at The Kinsey Institute are currently in the midst of researching how this pandemic is affecting people’s intimate lives (click here if you’d like to participate and learn more about the study), and our preliminary data suggest that reaching out to an ex isn’t a rare occurrence.




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How we could change the planet's climate future | David Wallace-Wells

The climate crisis is too vast and complicated to solve with a silver bullet, says author David Wallace-Wells. What we need is a shift in how we live. Follow along as he lays out some of the dramatic actions we could take to build a livable, prosperous world in the age of global warming.




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The quest for the coronavirus vaccine | Seth Berkley

When will the coronavirus vaccine be ready? Epidemiologist Seth Berkley (head of Gavi, the Vaccine Alliance) takes us inside the effort to create a vaccine for COVID-19. With clarity and urgency, he explains what makes it so challenging to develop, when we can expect it to be rolled out at scale and why we'll need global collaboration to get it done. (This virtual conversation is part of the TED Connects series, hosted by head of TED Chris Anderson and current affairs curator Whitney Pennington Rodgers. Recorded March 26, 2020)




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How we can navigate the coronavirus pandemic with courage and hope | Rabbi Lord Jonathan Sacks

Rabbi Lord Jonathan Sacks offers thoughts on how we can navigate the coronavirus pandemic with courage, hope and empathy. With wisdom and clarity, he speaks on leadership, fear, death, hope and how we could use this moment to build a more just world. Watch for a special, impromptu prayer about halfway through the conversation. (This virtual conversation is part of the TED Connects series, hosted by head of TED Chris Anderson and head of curation Helen Walters. Recorded March 30, 2020)




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A global hackathon to take on the coronavirus pandemic | Marko Russiver

Looking to put your skills to use to fight the pandemic? Consider joining The Global Hack, a virtual hackathon designed to rapidly develop solutions to the coronavirus crisis. Designer and technologist Marko Russiver shares the motivation behind a movement looking to help people build post-pandemic resilience. (This virtual conversation is part of the TED Connects series, hosted by head of curation Helen Walters. Recorded April 8, 2020)




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How the coronavirus is impacting India -- and what needs to happen next | Gayathri Vasudevan

The coronavirus pandemic put India's population of 1.3 billion into an extreme and sudden lockdown. Social entrepreneur Gayathri Vasudevan explains how the situation is impacting the country's migrant workers, who are stuck far from home with limited access to food and shelter, and calls for an overhaul of India's social infrastructure in order to get people the essentials they need right now. (This virtual conversation is part of the TED Connects series, hosted by current affairs curator Whitney Pennington Rodgers. Recorded April 9, 2020)




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The galactic recipe for a living planet | Karin Öberg

Did you know that one of the most notorious poisons is also a key ingredient for life as we know it? Join space chemist Karin Öberg and learn how she scans the universe in search of this paradoxical chemical using ALMA, the world's largest radio telescope, to detect hotbeds of molecular activity and the formation of life-sustaining planets.




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Racism has a cost for everyone | Heather C. McGhee

Racism makes our economy worse -- and not just in ways that harm people of color, says public policy expert Heather C. McGhee. From her research and travels across the US, McGhee shares startling insights into how racism fuels bad policymaking and drains our economic potential -- and offers a crucial rethink on what we can do to create a more prosperous nation for all. "Our fates are linked," she says. "It costs us so much to remain divided."




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How to shift your mindset and choose your future | Tom Rivett-Carnac

When it comes to big life problems, we often stand at a crossroads: either believe we're powerless against great change, or we rise to meet the challenge. In an urgent call to action, political strategist Tom Rivett-Carnac makes the case for adopting a mindset of "stubborn optimism" to confront climate change -- or whatever crisis may come our way -- and sustain the action needed to build a regenerative future. As he puts it: "Stubborn optimism can fill our lives with meaning and purpose."




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How face surveillance threatens your privacy and freedom | Kade Crockford

Privacy isn't dead, but face surveillance technology might kill it, says civil rights advocate Kade Crockford. In an eye-opening talk, Kade outlines the startling reasons why this invasive technology -- powered by often-flawed facial recognition databases that track people without their knowledge -- poses unprecedented threats to your fundamental rights. Learn what can be done to ban government use before it's too late.





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Talking Across Divides And Quashing Conspiracy Theories: The Week’s Best Psychology Links

Our weekly round-up of the best psychology coverage from elsewhere on the web




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Helping Prepare Teachers in Massachusetts for Day One

Massachusetts' new performance assessment for teacher candidates helps boost readiness.




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How Massachusetts Is Building Capacity of Educator-Preparation Programs

Research findings on the implementation of a new teacher candidate performance assessment in Massachusetts inform the development of additional supports for educator preparation programs.




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ESSA Forces Uncomfortable Conversations in Massachusetts Over School Spending

Relying on newly available data under ESSA, a local advocacy group found several districts that spend more money on wealthy students than poor students, despite the state's intentions.




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Educational Opportunities and Performance in Massachusetts

This Quality Counts 2019 Highlights Report captures all the data you need to assess your state's performance on key educational outcomes.




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Massachusetts Ranks Second on Quality Counts Annual Report Card

The state, which earned a B-plus, led the nation in K-12 achievement rankings and outperformed other states in several key academic indicators, but fell short on funding equity.




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AFT President Endorses Warren: 'It Would Be Great to Send a Teacher to the White House'

American Federation of Teachers President Randi Weingarten endorsed Massachusetts Sen. Elizabeth Warren's presidential campaign Saturday, acting in her personal capacity.




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This State Leads the Pack in Nurturing Most Students. Can It Help the Rest?

Massachusetts ranks high in laying the groundwork for moving through its educational system, but officials are keenly aware that children in poverty, those with special needs, and English-learners can fall short.




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Massachusetts Moves Equity to Forefront of Aspiring Superintendent Program

The state's "Influence 100" project includes a leadership development program that will give aspiring district leaders a hands-on opportunity to work through an equity issue in their home districts.




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The Success of Social-Emotional Learning Hinges on Teachers

Too often, teachers are asked to use SEL practices without enough training and ongoing support, tanking the effectiveness.




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Educational Opportunities and Performance in Massachusetts

This Quality Counts 2020 Highlights Report captures all the data you need to assess your state's performance on key educational outcomes.




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Massachusetts Gets Green Light to Pilot Innovative Science Assessment

Massachusetts is the fifth state to join the Innovative Assessment Demonstration Authority created through the Every Student Succeeds Act, which allows states to experiment with new forms of testing.




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Massachusetts schools to stay closed; virus deaths hit 1,961




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Schools in Massachusetts to Remain Closed for Rest of Year

School buildings in Massachusetts will remain closed through the end of the academic year, but remote learning will continue, Gov. Charlie Baker announced Tuesday.




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North Carolina Teachers Turn Out in Droves for Daylong Protest

A sea of red-clad teachers took to the streets around North Carolina's legislative building in Raleigh to fight for higher pay and more school funding. See photos from the event.




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New Study Shows 1-to-1 Technology Improves Student Achievement in Math Over Time

A new study published in the Educational Evaluation and Policy Analysis journal found that there is potential for 1-to-1 technology programs to increase achievement in the short term, but more so in the medium term.




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Elementary School Teachers in North Carolina Turn Attention to Cursive Writing

Cursive writing is experiencing a resurgence of sorts in North Carolina elementary schools thanks to a state law that was passed in 2013.




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Hidden Segregation Within Schools Is Tracked in New Study

When schools reduce racial segregation between schools, racial isolation within the classes inside those schools goes up, according to an analysis of 20 years of North Carolina data.




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Next Stop for Widespread Teacher Activism? North Carolina

Thousands of North Carolina teachers will take leave on May 16 to protest at the state capitol, forcing some school districts to close.




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The Latest in a Season of Protests: N.C. Teachers Will Rally on Wednesday

Thousands of teachers will head to the state capital on Wednesday to call for a nearly $10,000 raise over four years and an increase to per-pupil spending.




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North Carolina Teachers Say Conditions in Schools Are 'Unacceptable'

North Carolina teachers had press conferences in seven locations across the state to criticize education spending levels.




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A RedForEd Wave: Teachers in North and South Carolina Leave Classrooms in Protest

A sea of red swept the capitals of North and South Carolina on Wednesday, as thousands of teachers turned out to demand higher pay and more school funding.




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Two More Statewide Teacher Protests Are on the Horizon

Teachers in North Carolina and Oregon plan to walk out of their classrooms in protest in May.




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North Carolina Awards $12 Million Dollar Grant to Improve Literacy Instruction

A $12.2 million dollar grant from the state Department of Public Instruction will go to a program based at North Carolina State University to provide additional training literacy training to teachers in 16 high-needs districts across the state.




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Despite Fierce Teacher Opposition, West Virginia House Votes to Allow Charter Schools

The West Virginia House of Delegates passed its version of a sweeping education omnibus bill, which would allow the state's first charter schools.