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Health and Medicine

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  1. "I've always thought this a terrible precedent. Bodily Autonomy, the idea, that you get to decide what happens to your body, is one of the most inalienable rights I can imagine. While this does not completely negate that concept, it introduces the idea that the government now has that right, unless you assert it." comment on:
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    WHY DOCTORS WILL NOT LET YOU DIE IF YOU’RE A REGISTERED ORGAN DONOR THE HIPPOCRATIC OATH: A common abbreviated interpretation of the Hippocratic Oath is “First, do no harm.” In other words, the patient in front of a physician is their top priority. A patient’s death in the ER happens because all ethically possible lifesaving efforts have been made, but the trauma was too severe. THE EMERGENCY ROOM PROCESS: In an emergency, physicians, nurses and other EMS workers don’t have time to even check a patient’s name—let alone their donation registration status, assuming it’s even shown on their ID. They work hard and swiftly to stabilize a patient. That’s it. Further, registered or not, becoming a donor is rare. Less than 1 percent of people who die in a hospital setting are even eligible organ donors since a donor needs to be on a ventilator and die from brain death or circulatory death. DONOR REGISTRY CONFIDENTIALITY AND THE ACCREDITATION AGENCIES: The entire donation process is subject to auditing, on both the clinical and administrative sides. An important factor is the handling of personal information. Therefore, it’s not possible for medical professionals to know with certainty a donor’s registration status until donation is even in the realm of possibility and the donor registry gets involved. COMPATIBILITY COMPLEXITY: Once organ donation is deemed possible, there are countless variables that add to the complexity of realizing that donation for transplantation—from donor to recipient. These variables include clinical and physiologic variables, such as: overall donor health and organ function; social and medical history; size the of patient; size of the organs; and blood type. They also include logistical variables, such as: allocation policies; geography; hospital services; and transportation. TRAUMA DOCTORS’ SEPARATION FROM TRANSPLANTATION AND THE ALLOCATION PROCESS: Assuming somehow, someway a doctor knew your registration status—what good does that do? This doctor has no control in the donation process once you’re declared dead. As stated above, a trauma surgeon is separated from the process of transplantation. They are not involved in organ or tissue recovery, they don’t contribute in any way to histocompatibility testing, and the organ placement is handled by United Network of Organ Sharing (UNOS), a national nonprofit. UNOS is the link between donors and recipients. Following national laws and policies, the allocation of organs is done with the help of a computerized network that identifies transplant candidates in ways that save as many lives as possible. Please register to be an organ donor. On average, 20 people die every day from the lack of available organs for transplant. One deceased donor can save up to eight lives through organ donation and can save and enhance more than 100 lives through the lifesaving and healing gift of tissue donation.
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  2. Australia is the exception though - they’ve taken a zero-Covid approach, where even a single case of the virus will throw an entire city into lockdown. They won’t risk a single case of Covid being introduced from abroad.
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    Apparently they are getting the oxford 'vaccine' (you know, the one that's only 62% effective?).
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    Of course, not everyone who believes in conspiracy theories displays these traits. The strength of the relationships between personality traits and conspiratorial ideation were modest to weak. “A major caveat of our study is that the results are correlational, precluding causal inference. It is still unclear what temporally precedes conspiratorial ideation and what follows from it. For instance, anxious individuals may turn to conspiracy theories to find comfort but conspiracy belief may also increase anxiety. We still need to understand how the pieces come together in a causal framework,” Bowes said. Literally at the bottom of the article
  3. They used the world's first randomized blind testing. TB is extremely good at developing a resistance to antibiotics. Now we have a combination therapy. And once again we see why you shouldn't ignore scientific/medical advice.
  4. Koch got his wish.... his own infectious disease institute. I guess we should encourage this type of behavior. Sigh.
  5. Part 2: "Barrel covers" is a God-tier euphemism. 😀 Unit commander: "NO CONDOMS that's inmoral" Soldiers: "No, you see, this is a protection for OUR RIFLES" commander:"oh ok, then you should practice with them" Soldiers: "Oh we will...practice"
  6. Venereal disease = Disease coming from Venus. LOL Men love to blame women....
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    genetic analyses of the virus have not found any substantial changes which would effectively disguise it from the immune system.
  7. Patterns of Covid-19 Mortality and Vitamin D An Indonesian Study "When controlling for age, sex, and comorbidity, Vitamin D status is strongly associated with COVID-19 mortality outcome of cases."
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  8. 80 percent of workers would not feel safe if their state reopened now, survey reveals
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    "...the team used human blood stem cells and triggered mutations in the PARN gene that give rise to dyskeratosis congenita. These were then implanted into mice that were treated with the compounds, with the team finding the treatment boosted TERC, restored telomere length in the stem cells and had no ill effects on the rodents. “This provided the hope that this could become a clinical treatment,” says Nagpal. The team will now continue its work in an effort to prove these small molecules are a safe and effective way to apply the brakes to dyskeratosis congenita, other diseases, and possibly aging more broadly. “We envision these to be a new class of oral medicines that target stem cells throughout the body,” Agarwal says. “We expect restoring telomeres in stem cells will increase tissue regenerative capacity in the blood, lungs, and other organs affected in DC and other diseases.”
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    Over the past century, the opinion that Vit-C can be used to treat cancer and viral infection has shown promises and controversies. There are cases where high dose Vit-C has shown benefits. In some cases, there have been no benefits. However, new knowledge regarding the pharmacokinetic properties of Vit-C, and recent preclinical studies, have revived interest in the utilization of high-dose Vit-C for cancer treatment [[132], [133], [134], [135], [136], [137], [138], [139], [140], [141], [142], [143], [144], [145]]. Similar is the case of using IV Vit-C as antiviral, especially for the recent Covid19 [[146], [147], [148], [149], [150]]. It is believed that IV Vit-C has been particularly effective by inhibiting the production of cytokines storm due to Corvid19. Covid19 pneumonia is an extremely rapidly developing disease with a high mortality rate. The main pathogenesis is the acute lung injury that causes ARDS and death. Antioxidants should have a role in the management of these conditions. Appropriate clinical studies and reports demonstrate that a timely administration of high dose IV Vit-C improves the outcome of Covid19 infection. Additional studies detailing the use of IV Vit-C for the treatment of severe Covid19 infected pneumonia are definitively warranted. Covid19 may continue to happen in the future. Since the development of clinically active vaccines or antiviral drugs targeting specific diseases may take a long time to develop, the use of IV Vit-C as a universal agent for ARDS may have benefits behind Covid19. Additional clinical studies of the IV Vit-C and oral VC (such as liposomal-encapsulated VC) targeting other situations through different mechanisms are required to develop as soon as possible.
  9. My opinion is that you keep the correct levels of vitamin D in your body. Now a days, due to staying indoors, it is possible that you will develop the deficiency of vitamin D. Get this checked by your doctor and use the correct dose to stay healthy. Here are my notes: Daily 10 microgram or 400 IU/Day Lippincott’s Biochemistry Review 4th Edition. Page 388 Daily 5 mg of cholecalciferol or 200 IU of Vitamin D. However, 800 IU/Day is shown to reduce the incidence of osteoporotic fractures. 800 IU/Day recommended by the Institute of Medicine to maintain bone health. Frank deficiency is when the levels of 25-hydroxycholecalciferol (25OHD) is less than 20 ng/mL (50 mmol/L)
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    ... No consensus that the oral vitamin D supplements are helpful Ergocalciferol from plants is called Vitamin D2 Cholecalciferol from the animal tissue is called Vitamin D3 7 deidro-cholesterol to (UV light) to cholecalciferol (D3) to 25 hydroxylase in liver to 25 OH D to -hydroxycholecalciferol 1-hydroxylase in kidney to 1,25 DiOH D3 Vitamin D Receptors are abbreviated to VDR in the notes. These are cytosolic receptors.
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    ... Deficiency of vitamin D makes people more susceptible to respiratory tract infections. Vitamin D supplement can reduce these infections by 12% Keep in mind, this is for those who are deficient in this vitamin. If you are not deficient, then it will not make a difference. Because, you are already good. Evidence is not sufficient to say that vitamin D helps prevent respiratory infections. 2018 Study
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    ... People with autoimmune diseases commonly have hypovitaminosis D What are cathelicidins?
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    ... What are beta defensins?
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    _... 2011 Study
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    ... Activation of TLR and PAMPs on macrophages increases the production of 1, alpha hydroxylase and the VDR. This in turn causes more production of cathelicidine and beta defensins 4. Vitamin D also affects monocytes to reduce production of IL1, IL6, IL8, IL12, and TNF. Regulating the immune response. Vitamin D acts on the dendritic cells to inhibit/reduce their differentiation and maturation. It reduces their MHCII expression, co-stimulatory molecules like CD40, CD80, CD86, decreased production of IL-12 etc. 2013 Study
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    ... Vitamin D improves immune system by helping produce cathelicidine and by helping modulate inflammatory cascade. Especially for the respiratory infections. It also helps produce NFk-B (nuclear factor kappa light chain for activated B cells.) ( Notes about the NFkB
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    Helps with cytokine production and cell survival. NFk-B factor becomes active when T and B cell receptors become active. Its activation causes the gene expressions that allow T cell development, maturation, and proliferation. T and B cells have Vitamin D receptors that help them produce NFk-B ) Continuing the notes from the study: In pulmonary infections. Lung epithelial cells are able to convert inactive vitamin D to its active form. This active Vitamin D then helps produce cathelicidine. Which helps kill the pathogens. Vitamin D seems to favor TH2 and TH17 cell activation which is anti-inflammatory profile. Vitamin D seems to reduce the activation of TH1 cells which are pro inflammatory by their IFN-gamma action. A deficiency of vitamin D may dysregulate the inflammatory response of the body. Vitamin B also increases the IkBa. This leads to inhibition of NFkB. This helps reduce the production of IL6 and IL8 by inhibiting the production of NFkB.
  10. New Coronavirus (COVID-19) Drugs: Remdesivir, Tocilizumab (Actemra), and Leronlimab | New Coronavirus Treatment Remdesivir, Tocilizumab, and Leronlimab are new medications against Coronavirus (COVID-19) that are being explored. Besides hydroxychloroquine, these are other medications being investigated in the context of a clinical trial and some for compassionate use to treat coronavirus (COVID-19). Remdesivir, developed by Gilead Sciences Inc., is an investigational broad-spectrum antiviral treatment that was previously tested in humans with Ebola and had shown promise in animal models for treating Middle East respiratory syndrome (MERS) and severe acute respiratory syndrome (SARS), which are caused by other coronaviruses. Currently Gilead Sciences has made Remdesivir available for coronavirus clinical trials and to more than 1800 people on a compassionate use basis. The hope is that the results from the phase 3 clinical trials will be available by the end of May, 2020. Tocilizumab is a monoclonal antibody that competitively inhibits the binding of interleukin-6 (IL-6) to its receptor (IL-6R). And by inhibiting the entire receptor complex, you block the signal to induce more inflammation from coronavirus. In a recent study from China, researchers noted Tocilizumab appears to be an effective treatment option in COVID‐19 patients with a risk of cytokine storms. And for these critically ill patients with elevated IL‐6, the repeated dose of the Tocilizumab is recommended. Leronlimab, made by the Canadian pharmaceutical Cytodyn, is a CCR5 reecptor inhibitor drug that was developed to treat HIV. The CCR5 receptor stands for “chemokine receptor type 5” and is expressed on t-cells, macrophages and even on breast and prostate cancer cells. By blocking this receptor, the principle is that you are block cytokines that direct cell movement for coronavirus (COVID-19). And by blocking the movement, you don’t bring immune cells to the site of infection from coronavirus (COVID-19), thus decreasing the risk of a cytokine storm. While there are many more drugs still in the pipeline to treatment COVID-19, these are the new drugs I feel have the most promise and are moving along to phase 3 clinical trials and onto the consumer market. - Dr. Yo.
  11. So these were pictures of people collapsing were posted on social media in the past few days til yesterday (2/23) but no mention in the news. This makes sense because there is no freedom of press in South Korea and everything gets censored. (I know this first-hand because I worked in public radio for half a year in Seoul) The situation may be even worse than what is reported considering these photos are all in very recognizable spaces in Seoul, not Daegu. What's crazy is that I have personally walked by all of these areas shown on this pictures as have most people from Seoul. As of this moment only 31 people are confirmed to have SARS-COV-2 in Seoul. West Seoul Incheon Airport In the middle of Gangnam station area (One of the busiest areas in Seoul)
  12. In the US pneumonia is the most common cause of hospitalization other than giving birth. Pneumonia is the #1 most common reason for US children to be hospitalized. Half of all non-immunocompromised adults hospitalized for severe pneumonia in the US are younger adults (18-57 years of age). Half of the deaths from bacteremic pneumococcal pneumonia occur in people ages 18-64. Pneumonia is the most common cause of sepsis. After developing pneumonia, it often takes 6-8 weeks until a patient returns to their normal level of functioning and well being. Pneumonia can have longer term consequences. Children who survive pneumonia have increased risk for chronic lung diseases. Adults who survive pneumonia may have worsened exercise ability, cardiovascular disease, cognitive decline, and quality of life for months or years source
  13. I thought this was pretty interesting, as I was unaware of how common pneumonia really is:
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    Given that there are about 1.86M emergency room encounters with pneumonia per year, consider that everyday over 5000 patients show up with pneumonia in US ERs. Goes to show how difficult it must be to separate signal from noise when it comes to early detection of COVID19 cases in the absence of mass testing! Further, I was unaware of how deadly regular non-COVID19 pneumonia already is, with 5%-10% of all hospitalized patients dying:
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  14. Welcome to the Royal Caribbean, Such a lovely place (such a lovely place) Such a lovely face. Plenty of room at the Royal Caribbean, Quarantines are here (this time of year) you can find it here Last thing I remember, I was Running for the door I had to find the passage back to the place I was before 'Relax' said the CDC man, 'We are programmed to receive. You can check out any time you like, But you can never leave!'
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