The thread about Holly was centred mainly around a single story frame where she’d expressed frustration at something her youngest child had done. ‘Someone had taken one moment of my life, quite literally a feeling that had lasted a few minutes, and turned it into something so dark where I hated my child, wasn’t a fit mum, didn’t know what I was doing.’ This kind of trolling can be disguised as concern, but it rarely is.
The impulse when someone misrepresents you is to defend yourself, but in the case of online harassment or internet trolls, there are only so many rebuttals to be made. As sad as it seems, the people behind the anonymous accounts and the burner email address and the gossip threads are finding enjoyment in what they’re doing. It’s a leisure activity, something to do with their evenings or commutes to work.
In the years since that first flush of trolling, I’ve dealt with death threats, scores of unsolicited dick pics, people trying to find out where I worked and lived and anonymous accounts reaching out to exes to ask if they would sell intimate photos of me. I’ve had my face photoshopped onto images of naked women and have been called a stupid bitch in at least six languages. It’s been exhausting, even when I’ve managed to laugh it off in the moment.
while continuing t use social media. You can also change your notification settings on various sites to only allow prompts and messages from certain people- e.g. followers or mutuals, or users who have confirmed their phone number and email address.I believe it’s naive to talk about the internet as though it exists somewhere outside of reality.
Since changing my settings and deciding no longer to engage with internet trolls, my user experience on social media has been much more pleasant, and my mental health has benefitted. I’ve even started telling jokes again on Twitter.
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Obesity and critical care nutrition: current practice gaps and directions for future research - Critical CareBackground This review has been developed following a panel discussion with an international group of experts in the care of patients with obesity in the critical care setting and focuses on current best practices in malnutrition screening and assessment, estimation of energy needs for patients with obesity, the risks and management of sarcopenic obesity, the value of tailored nutrition recommendations, and the emerging role of immunonutrition. Patients admitted to the intensive care unit (ICU) increasingly present with overweight and obesity that require individualized nutrition considerations due to underlying comorbidities, immunological factors such as inflammation, and changes in energy expenditure and other aspects of metabolism. While research continues to accumulate, important knowledge gaps persist in recognizing and managing the complex nutritional needs in ICU patients with obesity. Available malnutrition screening and assessment tools are limited in patients with obesity due to a lack of validation and heterogeneous factors impacting nutrition status in this population. Estimations of energy and protein demands are also complex in patients with obesity and may include estimations based upon ideal, actual, or adjusted body weight. Evidence is still sparse on the role of immunonutrition in patients with obesity, but the presence of inflammation that impacts immune function may suggest a role for these nutrients in hemodynamically stable ICU patients. Educational efforts are needed for all clinicians who care for complex cases of critically ill patients with obesity, with a focus on strategies for optimal nutrition and the consideration of issues such as weight stigma and bias impacting the delivery of care. Conclusions Current nutritional strategies for these patients should be undertaken with a focus on individualized care that considers the whole person, including the possibility of preexisting comorbidities, altered metabolism, and chronic stigma, which
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Beth Mead: Our fight for girls' football in schools has been pushed back, but we won't give upIn an exclusive interview with i's Sam Cunningham, the Arsenal and England star talks Euros glory, her mum's terminal cancer diagnosis and equality for the next generation
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