So it's the water coming out of the plant that (sometimes) reaches that level. The actual river has orders of magnitude more flow than that.
So he may have a valid point, but this is obvious FUD.
So in other words, the river itself might have a few tenths or hundredths of a percent of a concentration below the therapeutic MIC (potentially of multiple different antibiotics, depending on what factories happen to be located on that river).
Your interpretation of this is doesn't-matter, therefore FUD. My interpretation of this is enough to exert influence on relative competitiveness within a microbial community, and exert selection for antibiotic resistance.
Long before you reach lethal anti-microbial concentrations, you get subtle changes in growth rate and microbial gene expression. In agriculture, farms routinely use antibiotics at just a few percent of therapeutic dosing, and that is already enough to cause massive changes in the microbial community (with the side-effect of improving the growth rate of the host animal). You don't need to directly kill the microbes themselves, you just need enough to skew the balance of power between the various micro-organisms that are busy competing with each other.
The concentrations in the river may be a fraction below even that, but even slight pressures are enough to alter the course of evolution, when administered over a long enough time period. And "long enough" in this situation is in the context of an organism with 20-minute generation times.
In a statement e-mailed to Polygon, Nintendo of America said that the company's distributor for Latin America would no longer send products to Brazil, but it would continue to distribute Nintendo goods to other parts of South America.
So in other words, Nintendo's legitimate subsidiary cannot compete with gray-market smugglers who evade the tariff to bring in consoles and games from the neighboring countries.
So they're just going to pull out and let the smugglers be their de-facto distribution channel.
Oh sure - if a tiny grain capacitor without marking is failing - I bet the author can't even de-solder it find the same part and solder it back on
same with BGA chip - ever try desolder a 400 balls BGA chip in your gadget and try to find that chip in your radio shack?
There are little repair places in China and Hong Kong that will do exactly that. I've heard it's amazing the kind of repairs and mods you can get done in little hole-in-the-wall shops over there.
So how do I go about setting up a home router with a VPN exit point, for my own personal use while traveling? I've seen some of the various *WRT and other router firmware packages with VPN servers, but I have never managed to get one to work. Couldn't tell if I was messing something up on the router, or on my laptop / mobile phone client, or it was some firewall I was hitting at my hotel or hotspot I was connected to (although my university's VPN usually would usually function properly, so I don't think that was it).
Any cookbook instructions out there that will let me get something working?
an idiotic remark that is inconsequential to anything.
Is it? I'm really surprised that Airbus had the chutzpah (or political naivete).
You see, Airbus gets quite a bit of help from the governments of Europe -- subsidies, contracts; I wouldn't be surprised if they had a major hand in the mergers that formed the company in the first place. Most likely, the lawmaker is thinking of Airbus as being little different from some wayward administrative division in his own bureaucracy, now in need of a rebuke for not supporting the government's agenda.
Hey, you know what else won't be the same? Language!
The Girl-Thing Who Went Out for Sushi would be a good example of a story that pushes that boundary (within the constraints of being able to still communicate with the reader). Not just choosing to invent silly terms for familiar things, but creating a culture-shock effect, where new slang is invented to reflect a new culture.
This seems like canon, I thought all the stormtroopers were clones of Jango Fett
Presumably at some point the clone tanks get blown up, or maybe conscripts ended up being cheaper than clones.
Although it would be more interesting if some random strain of the common flu ended up adapting itself perfectly to that nice monoculture of Fetts, and killed them all off (except for Boba, who got a flu shot).
Practically, the EU branch of their offices needs to be little more than a cubicle with a lawyer and desk.
But oddly enough, on paper it seems a huge portion of Google "exists" in the EU, legally speaking. As far as revenues and expenses go, a huge portion of Google's revenues and expenses are "generated" there, (specifically, Ireland), thanks to an international tax dodge.
No, no. Definitely capable of at least two threads, since when I get a boner my brain still manages to spare processing power to continue breathing. Although if I were to try chewing gum at the same time, there could be trouble.
Any chance we'll be seeing variable frame rate technologies like G-sync / Freesync on the Occulus? There have been some rumors, but I don't think there's been any definitive official announcement yet.
My money is on the sugar/syrup itself, acting through the insulin-like growth factor system. There is substantial evidence that decreased IGF activity lengthens lifespan and reduces cancer risk, while increased activity drives increased cell-division activity and apoptosis.
Found it: http://ajph.aphapublications.o... "Soda and Cell Aging: Associations Between Sugar-Sweetened Beverage Consumption and Leukocyte Telomere Length in Healthy Adults From the National Health and Nutrition Examination Surveys"
Objectives. We tested whether leukocyte telomere length maintenance, which underlies healthy cellular aging, provides a link between sugar-sweetened beverage (SSB) consumption and the risk of cardiometabolic disease.
Methods. We examined cross-sectional associations between the consumption of SSBs, diet soda, and fruit juice and telomere length in a nationally representative sample of healthy adults. The study population included 5309 US adults, aged 20 to 65 years, with no history of diabetes or cardiovascular disease, from the 1999 to 2002 National Health and Nutrition Examination Surveys. Leukocyte telomere length was assayed from DNA specimens. Diet was assessed using 24-hour dietary recalls. Associations were examined using multivariate linear regression for the outcome of log-transformed telomere length.
Results. After adjustment for sociodemographic and health-related characteristics, sugar-sweetened soda consumption was associated with shorter telomeres (b=–0.010; 95% confidence interval [CI]=0.020, 0.001; P=.04). Consumption of 100% fruit juice was marginally associated with longer telomeres (b=0.016; 95% CI=0.000, 0.033; P=.05). No significant associations were observed between consumption of diet sodas or noncarbonated SSBs and telomere length.
Conclusions. Regular consumption of sugar-sweetened sodas might influence metabolic disease development through accelerated cell aging. (Am J Public Health. Published online ahead of print October 16, 2014: e1–e7. doi:10.2105/AJPH.2014.302151)
It also means that for those that are infected, there's so little chance of survival with "traditional" treatments that they have very little to lose by trying something experimental. Even if a treatment gives them cancer, or HIV, or leaves them with something like chronic fatigue syndrome, they're still going to enjoy quality of life better than they would if they're dead.
I would posit that the problem is not that the currently infected individual faces any fate worse than death.
The problem is that lack of high-quality data may forestall the development of more effective therapies, which means you are condemning people infected in the future to death. This latter group seems abstract and hazy, compared to the concrete suffering we can see before us, but eventually the future becomes the now, and we'll have to deal with it.
Researchers may well end up heading down blind alleys, trying to optimize ineffective strategies that end up sucking up resources (money, scientists, labs, mindshare). The history of medicine is full of useless or even harmful therapies that were developed without the benefit of rigorous clinical trials -- difficult to treat conditions like cancer were especially prone to this phenomenon (for instance, the radical mastectomy procedure for breast cancer -- painful, disfiguring and debilitating, developed during an age of heroic surgery... a "gold standard" treatment yet much much later proven to offer no survival benefit in the majority of situations).
It has been done during the 1995 Kikwit Ebola outbreak in Zaire. They tried it on eight patients and only one died. I have found no indication that any health care workers were infected.
Between 6 and 22 June 1995, 8 patients in Kikwit, Democratic Republic of the Congo, who met the case definition used in Kikwit for Ebola (EBO) hemorrhagic fever, were transfused with blood donated by 5 convalescent patients. The donated blood contained IgG EBO antibodies but no EBO antigen. EBO antigens were detected in all the transfusion recipients just before transfusion. The 8 transfused patients had clinical symptoms similar to those of other EBO patients seen during the epidemic. All were seriously ill with severe asthenia, 4 presented with hemorrhagic manifestations, and 2 became comatose as their disease progressed. Only 1 transfused patient (12.5%) died; this number is significantly lower than the overall case fatality rate (80%) for the EBO epidemic in Kikwit and than the rates for other EBO epidemics.
Neither the summary or the linked article use the term, but what they're using is known as "convalescent serum". As the parent poster stated above, it's been in use for over a century now, but has only fallen out of fashion in modern times -- mainly because it has been superseded by vaccines and anti-infectives that are cheaper, more reliable, more convenient, and easier to mass-produce.
Trivia note: While Type-O may be the universal blood donor, the ideal serum donor is Type AB.
Couldn't this approach be used for any infectious disease for which there's no effective cure but there are some survivors? Are there just no Western diseases that fit the profile? I suppose you need both a person sick with a deadly infection and a recent survivor of a same infection (with the same blood type). So it may just be the case that we simply don't experience that scenario enough to develop this solution. But I'm curious if this approach has been used outside of Ebola in Africa.
It's not used much today, because we've largely conquered the disease agents that such an approach works against. Typically, it works well against infectious agents which are highly vulnerable to a Humoral (antibody-mediated) immune response. Co-incidentally, this also means most vaccines work extremely well against those same disease agents. Unfortunately, Ebola doesn't yet have a commercially available vaccine, but I would expect such a vaccine to work well.
There are only a few examples in the West where we still use this approach -- one that I can think of, is the use of anti-HepB sera in infants born to infected mothers, and for emergency prophylaxis of needlestick injuries involving Hepatitis B exposure. For the bulk of the population, Hepatitis B vaccination works well enough (and is far cheaper).
What it doesn't work well against, are infectious agents that don't respond well to natural antibody defenses. For instance, most anti-HIV antibodies do not defend well against HIV, anti-HepC antibodies do not protect against Hepatitis C, nor do anti-TB antibodies protect against Tuberculosis. For those agents, an effective response depends on cell-mediated immunity.
If you follow the money, it'll lead back to a grant funded by the Federal government (in this case, both the U.S. and Canadian governments).
Ebola therapeutics were (and probably still are) anticipated to be a profit-less product segment, as far as the civilian commercial market is concerned. The affected population can't afford any resulting product, plus previous outbreaks were sporadic with small numbers of fatalities. The only potential "customers" -- at the time research was initiated over a decade ago -- were governments who might be interested in stockpiling treatments for future bio-defense use.
Now, a few of the large pharmaceutical companies still maintain and fund tropical-diseases divisions, despite the lack of profitability (for instance, Glaxo's division is largely a legacy of British Colonial days, which they've carried ever since). But I highly doubt a small biotech like Mapp Biopharm would ever do so without being paid most of the cost up-front.
According to this data chart [kff.org], about 30% of physicians are female.
As time go on, this will even out. While the ranks of older physicians are male-dominated, females make up just slightly under half the medical school class in the US. In parts of Europe, they already make up the majority:
women make up 54 percent of physicians below the age of 35 in Britain, 58 percent in France and almost 64 percent in Spain, according to the latest figures from the Organization for Economic Cooperation and Development
Because women who want go into medicine end up nurses instead of doctors. This is the result of stereotypes, peer pressure and a largely male establishment.
In 2011-2012, women represented 47.0% of entering students entering medical school, and it's been hovering at just below half (around 47-49%) for the past decade. This value has also been approximately proportional to the gender mix of applicants, which was 47.3% female in 2011-2012.
Modern strains of Mycobacterium tuberculosis from the Americas are closely related to those from Europe, supporting the assumption that human tuberculosis was introduced post-contact. This notion, however, is incompatible with archaeological evidence of pre-contact tuberculosis in the New World. Comparative genomics of modern isolates suggests that M. tuberculosis attained its worldwide distribution following human dispersals out of Africa during the Pleistocene epoch, although this has yet to be confirmed with ancient calibration points. Here we present three 1,000-year-old mycobacterial genomes from Peruvian human skeletons, revealing that a member of the M. tuberculosis complex caused human disease before contact. The ancient strains are distinct from known human-adapted forms and are most closely related to those adapted to seals and sea lions. Two independent dating approaches suggest a most recent common ancestor for the M. tuberculosis complex less than 6,000 years ago, which supports a Holocene dispersal of the disease. Our results implicate sea mammals as having played a role in transmitting the disease to humans across the ocean.
While the clinical picture and timing suggests the possibility, it's far from certain that this was a primary infection stemming from his home fecal transplant. I would have liked to see an analysis of anti-CMV IgM titers, although in this case it's also possible that his case was recognized too long afterwards to determine whether or not it was an actual primary infection.
So it's the water coming out of the plant that (sometimes) reaches that level. The actual river has orders of magnitude more flow than that.
So he may have a valid point, but this is obvious FUD.
So in other words, the river itself might have a few tenths or hundredths of a percent of a concentration below the therapeutic MIC (potentially of multiple different antibiotics, depending on what factories happen to be located on that river).
Your interpretation of this is doesn't-matter, therefore FUD. My interpretation of this is enough to exert influence on relative competitiveness within a microbial community, and exert selection for antibiotic resistance.
Long before you reach lethal anti-microbial concentrations, you get subtle changes in growth rate and microbial gene expression. In agriculture, farms routinely use antibiotics at just a few percent of therapeutic dosing, and that is already enough to cause massive changes in the microbial community (with the side-effect of improving the growth rate of the host animal). You don't need to directly kill the microbes themselves, you just need enough to skew the balance of power between the various micro-organisms that are busy competing with each other.
The concentrations in the river may be a fraction below even that, but even slight pressures are enough to alter the course of evolution, when administered over a long enough time period. And "long enough" in this situation is in the context of an organism with 20-minute generation times.
In a statement e-mailed to Polygon, Nintendo of America said that the company's distributor for Latin America would no longer send products to Brazil, but it would continue to distribute Nintendo goods to other parts of South America.
So in other words, Nintendo's legitimate subsidiary cannot compete with gray-market smugglers who evade the tariff to bring in consoles and games from the neighboring countries.
So they're just going to pull out and let the smugglers be their de-facto distribution channel.
Oh sure - if a tiny grain capacitor without marking is failing - I bet the author can't even de-solder it
find the same part and solder it back on
same with BGA chip - ever try desolder a 400 balls BGA chip in your gadget and try to find that chip in your radio shack?
There are little repair places in China and Hong Kong that will do exactly that. I've heard it's amazing the kind of repairs and mods you can get done in little hole-in-the-wall shops over there.
So how do I go about setting up a home router with a VPN exit point, for my own personal use while traveling? I've seen some of the various *WRT and other router firmware packages with VPN servers, but I have never managed to get one to work. Couldn't tell if I was messing something up on the router, or on my laptop / mobile phone client, or it was some firewall I was hitting at my hotel or hotspot I was connected to (although my university's VPN usually would usually function properly, so I don't think that was it).
Any cookbook instructions out there that will let me get something working?
China wouldn't need to DDoS North Korea's internet link
They do, if they want to have plausible deniability.
an idiotic remark that is inconsequential to anything.
Is it? I'm really surprised that Airbus had the chutzpah (or political naivete).
You see, Airbus gets quite a bit of help from the governments of Europe -- subsidies, contracts; I wouldn't be surprised if they had a major hand in the mergers that formed the company in the first place. Most likely, the lawmaker is thinking of Airbus as being little different from some wayward administrative division in his own bureaucracy, now in need of a rebuke for not supporting the government's agenda.
Hey, you know what else won't be the same? Language!
The Girl-Thing Who Went Out for Sushi would be a good example of a story that pushes that boundary (within the constraints of being able to still communicate with the reader). Not just choosing to invent silly terms for familiar things, but creating a culture-shock effect, where new slang is invented to reflect a new culture.
This seems like canon, I thought all the stormtroopers were clones of Jango Fett
Presumably at some point the clone tanks get blown up, or maybe conscripts ended up being cheaper than clones.
Although it would be more interesting if some random strain of the common flu ended up adapting itself perfectly to that nice monoculture of Fetts, and killed them all off (except for Boba, who got a flu shot).
Practically, the EU branch of their offices needs to be little more than a cubicle with a lawyer and desk.
But oddly enough, on paper it seems a huge portion of Google "exists" in the EU, legally speaking. As far as revenues and expenses go, a huge portion of Google's revenues and expenses are "generated" there, (specifically, Ireland), thanks to an international tax dodge.
Ever try debugging without having something like a log-file available?
... the answer is one.
No, no. Definitely capable of at least two threads, since when I get a boner my brain still manages to spare processing power to continue breathing. Although if I were to try chewing gum at the same time, there could be trouble.
Any chance we'll be seeing variable frame rate technologies like G-sync / Freesync on the Occulus? There have been some rumors, but I don't think there's been any definitive official announcement yet.
Sodium benzoate
My money is on the sugar/syrup itself, acting through the insulin-like growth factor system. There is substantial evidence that decreased IGF activity lengthens lifespan and reduces cancer risk, while increased activity drives increased cell-division activity and apoptosis.
1) What is the name of the paper?
Found it: http://ajph.aphapublications.o...
"Soda and Cell Aging: Associations Between Sugar-Sweetened Beverage Consumption and Leukocyte Telomere Length in Healthy Adults From the National Health and Nutrition Examination Surveys"
Objectives. We tested whether leukocyte telomere length maintenance, which underlies healthy cellular aging, provides a link between sugar-sweetened beverage (SSB) consumption and the risk of cardiometabolic disease.
Methods. We examined cross-sectional associations between the consumption of SSBs, diet soda, and fruit juice and telomere length in a nationally representative sample of healthy adults. The study population included 5309 US adults, aged 20 to 65 years, with no history of diabetes or cardiovascular disease, from the 1999 to 2002 National Health and Nutrition Examination Surveys. Leukocyte telomere length was assayed from DNA specimens. Diet was assessed using 24-hour dietary recalls. Associations were examined using multivariate linear regression for the outcome of log-transformed telomere length.
Results. After adjustment for sociodemographic and health-related characteristics, sugar-sweetened soda consumption was associated with shorter telomeres (b=–0.010; 95% confidence interval [CI]=0.020, 0.001; P=.04). Consumption of 100% fruit juice was marginally associated with longer telomeres (b=0.016; 95% CI=0.000, 0.033; P=.05). No significant associations were observed between consumption of diet sodas or noncarbonated SSBs and telomere length.
Conclusions. Regular consumption of sugar-sweetened sodas might influence metabolic disease development through accelerated cell aging. (Am J Public Health. Published online ahead of print October 16, 2014: e1–e7. doi:10.2105/AJPH.2014.302151)
It also means that for those that are infected, there's so little chance of survival with "traditional" treatments that they have very little to lose by trying something experimental. Even if a treatment gives them cancer, or HIV, or leaves them with something like chronic fatigue syndrome, they're still going to enjoy quality of life better than they would if they're dead.
I would posit that the problem is not that the currently infected individual faces any fate worse than death.
The problem is that lack of high-quality data may forestall the development of more effective therapies, which means you are condemning people infected in the future to death. This latter group seems abstract and hazy, compared to the concrete suffering we can see before us, but eventually the future becomes the now, and we'll have to deal with it.
Researchers may well end up heading down blind alleys, trying to optimize ineffective strategies that end up sucking up resources (money, scientists, labs, mindshare). The history of medicine is full of useless or even harmful therapies that were developed without the benefit of rigorous clinical trials -- difficult to treat conditions like cancer were especially prone to this phenomenon (for instance, the radical mastectomy procedure for breast cancer -- painful, disfiguring and debilitating, developed during an age of heroic surgery... a "gold standard" treatment yet much much later proven to offer no survival benefit in the majority of situations).
It has been done during the 1995 Kikwit Ebola outbreak in Zaire. They tried it on eight patients and only one died. I have found no indication that any health care workers were infected.
Just in case anyone is curious, here is the actual paper: http://jid.oxfordjournals.org/...
Between 6 and 22 June 1995, 8 patients in Kikwit, Democratic Republic of the Congo, who met the case definition used in Kikwit for Ebola (EBO) hemorrhagic fever, were transfused with blood donated by 5 convalescent patients. The donated blood contained IgG EBO antibodies but no EBO antigen. EBO antigens were detected in all the transfusion recipients just before transfusion. The 8 transfused patients had clinical symptoms similar to those of other EBO patients seen during the epidemic. All were seriously ill with severe asthenia, 4 presented with hemorrhagic manifestations, and 2 became comatose as their disease progressed. Only 1 transfused patient (12.5%) died; this number is significantly lower than the overall case fatality rate (80%) for the EBO epidemic in Kikwit and than the rates for other EBO epidemics.
Neither the summary or the linked article use the term, but what they're using is known as "convalescent serum". As the parent poster stated above, it's been in use for over a century now, but has only fallen out of fashion in modern times -- mainly because it has been superseded by vaccines and anti-infectives that are cheaper, more reliable, more convenient, and easier to mass-produce.
Trivia note: While Type-O may be the universal blood donor, the ideal serum donor is Type AB.
Couldn't this approach be used for any infectious disease for which there's no effective cure but there are some survivors? Are there just no Western diseases that fit the profile? I suppose you need both a person sick with a deadly infection and a recent survivor of a same infection (with the same blood type). So it may just be the case that we simply don't experience that scenario enough to develop this solution. But I'm curious if this approach has been used outside of Ebola in Africa.
It's not used much today, because we've largely conquered the disease agents that such an approach works against. Typically, it works well against infectious agents which are highly vulnerable to a Humoral (antibody-mediated) immune response. Co-incidentally, this also means most vaccines work extremely well against those same disease agents. Unfortunately, Ebola doesn't yet have a commercially available vaccine, but I would expect such a vaccine to work well.
There are only a few examples in the West where we still use this approach -- one that I can think of, is the use of anti-HepB sera in infants born to infected mothers, and for emergency prophylaxis of needlestick injuries involving Hepatitis B exposure. For the bulk of the population, Hepatitis B vaccination works well enough (and is far cheaper).
What it doesn't work well against, are infectious agents that don't respond well to natural antibody defenses. For instance, most anti-HIV antibodies do not defend well against HIV, anti-HepC antibodies do not protect against Hepatitis C, nor do anti-TB antibodies protect against Tuberculosis. For those agents, an effective response depends on cell-mediated immunity.
ZMapp is produced by a private firm
If you follow the money, it'll lead back to a grant funded by the Federal government (in this case, both the U.S. and Canadian governments).
Ebola therapeutics were (and probably still are) anticipated to be a profit-less product segment, as far as the civilian commercial market is concerned. The affected population can't afford any resulting product, plus previous outbreaks were sporadic with small numbers of fatalities. The only potential "customers" -- at the time research was initiated over a decade ago -- were governments who might be interested in stockpiling treatments for future bio-defense use.
Now, a few of the large pharmaceutical companies still maintain and fund tropical-diseases divisions, despite the lack of profitability (for instance, Glaxo's division is largely a legacy of British Colonial days, which they've carried ever since). But I highly doubt a small biotech like Mapp Biopharm would ever do so without being paid most of the cost up-front.
Even though 4Chan can rightly be considered the black hole of the internet
That's actually pretty generous. Usually I hear 4chan referred to in the context of it being another kind of "hole" of the internet.
Are Mastercard paying for the privilege?
I wouldn't be surprised if they are. Of course, they are likely also anticipating that long-term, the flow of cash will turn the other way around.
According to this data chart [kff.org], about 30% of physicians are female.
As time go on, this will even out. While the ranks of older physicians are male-dominated, females make up just slightly under half the medical school class in the US. In parts of Europe, they already make up the majority:
women make up 54 percent of physicians below the age of 35 in Britain, 58 percent in France and almost 64 percent in Spain, according to the latest figures from the Organization for Economic Cooperation and Development
http://www.nytimes.com/2011/03...
Because women who want go into medicine end up nurses instead of doctors. This is the result of stereotypes, peer pressure and a largely male establishment.
In 2011-2012, women represented 47.0% of entering students entering medical school, and it's been hovering at just below half (around 47-49%) for the past decade. This value has also been approximately proportional to the gender mix of applicants, which was 47.3% female in 2011-2012.
Source: https://www.aamc.org/download/...
Oh, here it is: Pre-Columbian mycobacterial genomes reveal seals as a source of New World human tuberculosis (Paywall -- free Nature summary article here).
Modern strains of Mycobacterium tuberculosis from the Americas are closely related to those from Europe, supporting the assumption that human tuberculosis was introduced post-contact. This notion, however, is incompatible with archaeological evidence of pre-contact tuberculosis in the New World. Comparative genomics of modern isolates suggests that M. tuberculosis attained its worldwide distribution following human dispersals out of Africa during the Pleistocene epoch, although this has yet to be confirmed with ancient calibration points. Here we present three 1,000-year-old mycobacterial genomes from Peruvian human skeletons, revealing that a member of the M. tuberculosis complex caused human disease before contact. The ancient strains are distinct from known human-adapted forms and are most closely related to those adapted to seals and sea lions. Two independent dating approaches suggest a most recent common ancestor for the M. tuberculosis complex less than 6,000 years ago, which supports a Holocene dispersal of the disease. Our results implicate sea mammals as having played a role in transmitting the disease to humans across the ocean.
While the clinical picture and timing suggests the possibility, it's far from certain that this was a primary infection stemming from his home fecal transplant. I would have liked to see an analysis of anti-CMV IgM titers, although in this case it's also possible that his case was recognized too long afterwards to determine whether or not it was an actual primary infection.