- Joined
- Dec 10, 2019
Will we be getting halal certification on this sped? I’m not an Imam so I’m not sure if they/she (???) meet/meets (???) the qualification standard.
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I'll look at responses to my posts in particular to be a bit more brief.
The paper you linked is on medrxiv, this is essentially a pre-print archive, this means it isn't peer-reviewed yet. This isn't necessarily a bad thing, all papers go through pre-print, but this means you should be more cautious about them.
Looking at the paper itself it states within the Findings section near the start that NAbs and spike-binding antibodies were significantly higher in elderly patients and the middle-aged compared to young patients. This paper states this may be as the result of a strong immune response within older patients but it's not sure if this actually has a role in preventing progression into worse states. It also states it couldn't get samples from patients in severe or critical conditions as they received passive antibody treatment before sample collection (would heavily bias samples from these patients). It seems like in patients that can rapidly clear CoV-2 the immune system doesn't particularly bother with NAbs, the paper also states that other immune responses (including T cells or cytokines) may have contributed to the recovery of patients with below detectable levels. The paper also states that the potential of rebound or reinfection should be investigated in further studies, suggesting that this hasn't even been confirmed and that the gun shouldn't be jumped in this regard (which is something you're actually doing, in this case).
With regards to steroid use, I wasn't aware of China's extensive use of them in their treatments. For the concern over suppressing the immune system too hard, this is what doctors are trained for, drugs have what is called the therapeutic window in which below that it does nothing noticeable and above that toxic effects occur. This of course would be used in combination with other treatments available that will help handle the virus itself which should help lessen the risk of any sort of effects caused by trying to dampen the immune system.
We identified 24 clinical trials, involving more than 20 medicines, such as human immunoglobulin, interferons, chloroquine, hydroxychloroquine, arbidol, remdesivir, favipiravir, lopinavir, ritonavir, oseltamivir, methylprednisolone, bevacizumab, and traditional Chinese medicines (TCM). Although drug repurposing has some limitations, repositioning clinical trials may represent an attractive strategy because they facilitate the discovery of new classes of medicines; they have lower costs and take less time to reach the market; and there are existing pharmaceutical supply chains for formulation and distribution.
Of the 114 patients, 43 (37.7%) were found to have osteonecrosis. A total of 145 ARCO stage-I osteonecrotic lesions were detected by T1-weighted coronal imaging. The distribution of the lesions is shown in Figure 1. Of the 43 affected patients, 30 (69.8%) had only one or two areas of osteonecrosis and in these, involvement of the joints was the most common presentation, 53 of the 57 sites being epiphyseal and four diaphyseal (Fig. 2). The other 13 patients (30.2%) had multifocal osteonecrosis affecting between three and seven sites. In this group there were 65 epiphyseal lesions, principally involving the hip, knees and shoulders, and 23 diaphyseal lesions (Fig. 2). Diaphyseal lesions occurred in patients with multifocal osteonecrosis more commonly than in those with uni- or bifocal osteonecrosis (Fisher’s exact two-sided test, p = 0.004).
Intravenous methylprednisolone (40 mg/day to 980 mg/ day) and oral prednisone (2.5 mg/day to 20 mg/day) had been administered to all patients within a mean period of 28.2 days (6 to 72). It was initially given to those who were deteriorating and was stopped when they began to recover. The mean time interval between starting steroid therapy and follow-up was 6.5 months (5 to.
Logistic regression analysis showed that the peak methylprednisolone-equivalent dose was the principal risk factor for uni- or bifocal osteonecrosis (p < 0.05). No risk factor was found to be associated with multifocal osteonecrosis.
The loss of T Lymphocytes would be of course due to the immune system targeting infected T cells which is something I described as what happens, this could be treated with the antiviral side of drugs, which would target things such as the Spike protein. This would help prevent cell entry (or reduce viral load in some other way) and as a result would reduce the number of cells being flagged as infected.
I should have mentioned the elevation of other pro-inflammatory cytokines, but I assumed it was fairly obvious.
Vasoconstriction caused by angiotensin 2 can be dealt with by vasodilator drugs, or if you want to be more specific you can use angiotensin 2 receptor blockers.
I have mentioned previously that MERS and other SARS viruses are capable of avoiding immunosurveillance in this way too I believe.
You'd likely be looking at combination therapy with an antiviral (to target the virus), a drug that keeps inflammation in check (for obvious reasons) and possibly a vasodilator/ARB to rectify overt vasoconstriction. The excess vasoconstriction is possibly the reason why risk factors such as hypertension and CVD are some of the bigger risk factors in terms of danger.
He genuinely thinks he's some polymath because mom & dad praised his initiative in getting into those sporadic intense interests that autistic children have. He never grew out of it unfortunately.
If you ever worked at DARPA, you would have a totally different set of priorities based on the fact that you would have had to actually learn something in order to get there. You aren't ever going to work at DARPA because you're lazy and stupid, so any scenario that would put you in a position to be enacting your current idiotic opinions is about as realistic as me prattling on about what I'd do if magic were a thing and I were head-wizard at Hogwarts.
What's ridiculous is you think you're qualified to talk about infantry combat loads when you couldn't even lift an M2 receiver.
Do you know you look like a tiny Wayne Knight?
He did kiss Kristen Johnston when she was payed to let him do that.
Have you ever paid anyone to kiss you?
Oh shit, finally some good fucking autism. Drain Tarder, why are you so fat? You sperg in response to everything but only give a one-sentence response to someone asking if you’re going to lose weight. You realize most of the severe cases in young people are in obese individuals because being fat fucks up your immune function, to the point where it’s comparable to someone 20+ years older? You seem to want to cherry pick case studies where the virus is especially severe to rile up the idea that we need to take this more seriously. What you should be doing Pubmed searches on how your Mountain Dew and Cheetos habits are going to fuck you over much harder than a virus will and then make some life changes. But I guess it’s easier to sit there and do nothing about a health problem in your control while obessing over one that’s not.
Also are you a trans-identified individual, or is this just an online persona? Would you describe your relationship with your dad as co-dependent? Did you give in to his pressure to not move out because you’re actually desperately lonely, always online and have no friends, so you cling to the only real human contact you can get?
"Reinfection" may be down to viral RNA still present like you've said, I would not expect reinfection to happen so fast for a disease, I've heard about viral RNA presence long after infection so I'd assume this is the case.Yes. Yes, exactly! There is a possibility that people are still testing positive after the fact because they have latent virus that hasn't been cleared, not because they've actually been "reinfected", of course. Some people who were infected with Ebola had detectable virus in their bodies months and months later.
I think there's some confusion over this "reinfection" business. It needs a lot more study, I agree.
Yep, they used steroids extensively. And TCM. Except Traditional Chinese Medicine is complete nonsense and no amount of bear bile or ground-up rhino horn can help with this virus.
Methylpred was used extensively in the first SARS outbreak, too. It had severe long-term consequences for some of the patients. They developed osteonecrosis of the joints.
My own father has a drug-induced injury. He had a sinus operation and took Levaquin (Levofloxacin, a dangerous fluoroquinolone antibiotic that eventually got a black-box warning from the FDA) to clear up the infection, and you know what? It fucked up his tendons in his shoulders and gave him numbness and paresthesia in his feet. Permanent damage. He should've sued Johnson & Johnson.
God. These poor people.
Yep. Exactly. To sum up what I was saying earlier, these people infected with COVID-19 (the ones with clinical-level symptoms, not the sub-clinical, asymptomatic infections, of course; I don't mean to say that everyone develops these complications, they're actually somewhat rare) have variously developed silent hypoxemia, severe bilateral viral pneumonia and ARDS, myocarditis and pericarditis (with notable arrhythmia), hypokalemia, elevated ferritin, lymphopenia (viral T cell attack), thrombocytopenia (platelets are used up by disseminated coagulation), elevated D-dimer, mild hepatitis (indicated by abnormal AST/ALT levels), possible renal tubular damage, possible damage to the seminiferous ducts and male fertility, possible GI tract involvement, and also, potential neurotropism and viral invasion of the cardiorespiratory center of the medulla, in addition to causing cytokine storms wherever it sets up a site of infection.
The virus uses up ACE2 receptors and prevents the degradation of Angiotensin II, and then, the excess Ang II activates AT1R receptors and has a pro-inflammatory, vasoconstrictive effect.
I was worried that this abnormal hormone buildup may be causing focal vasoconstriction in the alveoli, leading to hypoxemia and starving the organs of oxygen. Another possibility that has been raised is disseminated intravascular coagulation causing clotting that blocks off the capillaries, essentially causing little infarcts everywhere. Some of these people infected with this virus have highly elevated D-dimer levels. Like 1500+. They're clotting all over the place, and then, they suffer heart attacks and die.
I was seeing people on 4chan saying "LOL, this person died of a heart attack and they're counting it as a COVID-19 death! They're lying!"
These people don't understand that COVID-19 causes heart attacks.
At first, they were worried ARBs might have a negative effect. Now, research is emerging that they may have a beneficial effect, which is good news.
There's conflicting data on this. It's an interesting point:
Inhibitors of RAS Might Be a Good Choice for the Therapy of COVID-19 Pneumonia (2020-02-16) [https://www.ncbi.nlm.nih.gov/pubmed/32061198]
ACE inhibitors and angiotensin receptor blockers may increase the risk of severe COVID-19, paper suggests (2020-03-23) [https://www.sciencedaily.com/releases/2020/03/200323101354.htm]
But you see what I'm saying, right?
Come on. I've been getting my ass handed to me, here, @evrae
Very few people understand the biomed terminology, but you do. What do you think? Do I have a point in all this?
This thread has helped me identify some serious holes in my knowledge base.
I think, on the whole, it has been a productive encounter.
Well, shit. Now I guess I'm gonna have to do it. I guess I'm gonna have to work on my education, go to college, and just go fucking do it.
I'm so fucking bored. I wanna create fancy toys and blow shit up on the taxpayer's dime. Come on. Wouldn't you want to? Wouldn't you do it if you had the chance?
Look at those guys shooting that prototype railgun on the range at NSWC Dahlgren. They wake up to the smell of ozone and molten metal.
They're living the fucking dream, while I'm just lubricating boats and licking doorknobs. Fuck.
My last day of work, I lifted a Class 150 bronze check valve with a 6" flange right off the deck. Those weigh about twice as much as an M2 receiver, like 130 fucking pounds. I lifted it and walked it several feet so we could get it up a flight of stairs. The guy I was working with, his eyes got wide and he was like "holy shit".
I do shit like shooting .308 rifles one-handed like pistols, for fun. This idea that I can't lift is ridiculous. I have plenty of muscle.
Here, for a laugh, watch my fat ass make a fool of myself and brass myself in the face with my .50 AE Deagle, leaving a perfect Hornady headstamp mark stamped right on my forehead.
I don't know why it's doing that. I don't think I'm limp-wristing it. It just seems to be ejecting right over the top of the slide for some reason. I think I need to take apart the bolt and replace the extractor and ejector springs.
The AR pistols have Kentri short buffers from Pantheon Arms. Those are kinda silly because you have to unscrew the end cap of the buffer tube and pull the guts out to pivot open the action, otherwise, you can't open it to clean it.
![]()
Kentri Short Buffer System - SB Tactical | Pantheon Arms
The product has been discontinued. Replacement springs will continue to be available. With the Kentri short buffer system you make your AR rifle or pistol more compact, and still have the option to use a pistol stabilizing brace, without breaking the bank. Made from type III hardcoat anodized...www.pantheonarms.com
Will we be getting halal certification on this sped? I’m not an Imam so I’m not sure if they/she (???) meet/meets (???) the qualification standard.
Milking a cow takes real patience, lest you end up being milked instead.I can't believe some of you have the patience to read through his pointless paragraphs of garbage.
You have more self discipline than i
That descriptionHere, for a laugh, watch my fat ass make a fool of myself and brass myself in the face with my .50 AE Deagle, leaving a perfect Hornady headstamp mark stamped right on my forehead.
"Reinfection" may be down to viral RNA still present like you've said, I would not expect reinfection to happen so fast for a disease, I've heard about viral RNA presence long after infection so I'd assume this is the case.
I also agree that TCM is a load of shit, I've seen papers stating some TCM works as a treatment against CoV-2 and I highly doubt those papers are actually true.
The vast number of clinical symptoms is likely due to the infiltration of multiple different cell types, the virus itself isn't doing shit other than getting cells flagged as infected by the immune system.
This goes in line with the large degree of inflammation and immune cell infiltration in organs seen in patients.
Furthermore, a recently concluded study showed that severe and critically ill patients with COVID-19 had a higher prevalence of hypokalemia that resulted from renal potassium wasting. This can be explained by downregulation of ACE2 following viral intrusion resulting in decreased degradation of angiotensin-II, increased aldosterone secretion and subsequent increased urinary potassium loss. Infact early normalization of serum potassium has been proposed to be a predictor of good prognosis in COVID-19 [16]. Thus, ACE2 overexpression, while facilitating entry of SARS-CoV-2, is unable to protect against lung injury as the enzyme gets degraded by the virus (see Fig. 1) .
Interesting to see the conflicting reports regarding ARBs, it'd further support the need for some sort of antiviral in any treatment involving ARBs, but that should be a given.
It's not the virus, it's the virus making the immune system flip its shit everywhere in the body.
The more I read, the more I suspect means of preventing cell entry would be the most crucial aspect of treatment as it'd prevent it from entering cells and causing the immune system to essentially do its job for it. You'd then need something to keep the immune system in check as patients taken to the clinic will likely have this happening, and then treatments for other issues such as excess angiotensin 2.
By this end, I'd assume in patients with strong immune systems, it just simply gets cleared before it starts infiltrating all over the place, but in those with worse immune systems it is given the chance to do so, leading to what you see in the clinic.
To summarize:
Strong immune system sees virus -> clears it up before it can do much -> Nothing really happens
Not so good immune system can't clear it fast enough -> CoV-2 infiltrates various cell types, can't actually do much within them and instead gets the cells flagged as infected -> Immune system shits a brick, the noted cytokine storms and various clinical symptoms occur
The recent emergence of the novel, pathogenic SARS-coronavirus 2 (SARS-CoV-2) in China and its rapid national and international spread pose a global health emergency. Cell entry of coronaviruses depends on binding of the viral spike (S) proteins to cellular receptors and on S protein priming by host cell proteases. Unravelling which cellular factors are used by SARS-CoV-2 for entry might provide insights into viral transmission and reveal therapeutic targets. Here, we demonstrate that SARS-CoV-2 uses the SARS-CoV receptor ACE2 for entry and the serine protease TMPRSS2 for S protein priming. A TMPRSS2 inhibitor approved for clinical use blocked entry and might constitute a treatment option. Finally, we show that the sera from convalescent SARS patients cross-neutralized SARS-2-S-driven entry. Our results reveal important commonalities between SARS-CoV-2 and SARS-CoV infection and identify a potential target for antiviral intervention.
Dude, you really need to tone it down. Getting into internet fights on this autistic site isn’t worth it. This is the equivalent of screaming into a void.Sperging
Also, post more about yourself and less about the coof. We all already know about the latter.
"No comment" on a silly question makes my antennae vibrate. Enhance.
There is a distinct lack of nudes there.I'm a lonely, ugly, pimply, spergy, masochistic, gorilla-shaped sack of lard who writes My Little Pony fanfics. Not a winning hand in the game of love, by any stretch of the imagination.
There is a distinct lack of nudes there.
I'm not impressed by self-deprecation, aboleths, or garbage dumps.No nudes! You don't wanna see my backne, anyway. It looks like I was run over by Junkrat's RIP-Tire.