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Showing content with the highest reputation on 24/01/21 in all areas

  1. You are arguing with a Medical Professional, stop pretending you know everything there is to know about everything that has ever been because you spent a few years at Uni studying fucking History.
    18 points
  2. There will never be widespread civil unrest in the UK. We are a tubby compliant mass of blobs for the most part. If you can still get a Chinese delivered on a Saturday night to have while you watch Strictly Celebrity on Ice then that will do for most people.
    14 points
  3. Telling a medical professional how to treat patients is a punchy call - even for this thread.
    14 points
  4. Mechanical ventilation means using a machine to breathe for the patient. This can be done in a number of ways. What most people would call ventilation is what we would call invasive ventilation: a tube in someone's windpipe either through the mouth/nose or a hole in the neck. Invasive ventilation can be used to fully take over someone's breathing (mandatory ventilation) or to help/support their own attempts at breathing (assisted ventilation) Other types of ventilation would be classed as non-invasive. This would include face masks and hoods, often called NIV. These methods cannot (or perhaps should not in normal circumstances) be used to fully take over someone's breathing, but are used to assist breathing. Options like CPAP and high-flow oxygen are not types of ventilation as they don't assist with breathing, they are just a way of providing more oxygen. Invasive ventilation is only done (in ideal circumstances) in the intensive care unit. Non-invasive ventilation, CPAP and high-flow oxygen can and is often done in medical wards. This is one of the changes we've seen in the first wave - where the evidence from Italy was that we should rapidly intubate and invasively ventilate patients, whereas we now see that many can be managed with non-invasive techniques. There will be some patients who are invasively ventilated that are rapidly weaned and come off ventilation. However, for the majority, this is a very slow process. This is the backlog we see in ICU that patients take a long time to get better. ICU care is also not just about ventilation. Very sick patients develop muliple-organ dysfunction and often need advanced support for blood pressure, kidneys and other organs, even if their lungs are better. Since we're managing more patients on the wards, the patients that get admitted to ICU are by definition sicker, as they're often the ones that fail ward management and are a self-selected group.
    14 points
  5. It’s the ding-dong in the Kingdom. Tensions were rising, callouts were issued and accepted. The Cat Canelo is a p4p great. The hound, less so. Round one and already Muffy makes a mockery of Renton’s reach advantage, landing a double paw jab then crashing a solid left into the chest. The beat down is only just starting and Muffy lands the classic jab, hook, bite. Renton has a great chin but his shots are hitting fresh air as Muffy crashes a right to the throat touches the body then lands an overhand right to the head. Renton looks to his corner and the referee calls it off as Muffy tries to remove a leg. The hound, crushed, is sent back to his sofa as Muffy retains the WBC (windowsill boxing championship) belt
    13 points
  6. Rees-Mogg was mistaken; this is not a happy Fish.
    10 points
  7. Because before we start firing random drugs into critically unwell patients, we need to know if they're effective or not. Not all morbidity and mortality in Covid is caused by inflammation and not all "anti-inflammatories" work in the same way and some could potentially cause worse outcomes. There's no point in a drug reducing your risk of dying from Covid if it increases your risk of dying from something else. For example, we used to give anti-arrhythmic drugs to everyone who had a heart attack, because we knew that many people who died later died because they had an arrhythmia. This was common practice, but we stopped when someone actually did a randomised trial and we found that you actually had a higher chance of dying if you were given the anti-arrhythmic than not. Just because there's plausible reasons why something might work, doesn't mean it will in practice. It's the same issue in Covid. Lot's of drugs have potential benefits, but they need to be actually studied properly. There are massive trials going on at the moment, like the RECOVERY trial (https://www.recoverytrial.net/) which has recruited and randomised tens of thousands of patients (an amazing achievement in the current circumstances) and has given us great data on what is and isn't effective. Things like dexamethasone (effective), convalescent plasma (waste of time), azithromycin (no benefit), hydroxychloroquine (more likely to kill you than save you).
    9 points
  8. A few from a visit to Skye late last year
    9 points
  9. As I said, just because drugs may work in theory does not mean they will work as expected in practice. Aspirin, dexamethasone, colchicine, infliximab, hydroxycloroquine, paracetamol: all anti-inflammatories, all with different mechanisms of action and effects. Inflammation isn't just one entity either, it's a combination of thousands of different physiological pathways, only a small number of which we fully understand. It's usually a protective and beneficial response to illness, it's uncontrolled, pathological inflammation that is the problem*. Anti-inflammatories aren't a homogenous class of drug, they have a myriad of effects caused by a myriad of different (and often not understood) pathways. In your example above, there really isn't a difference between using hydroxycholoroquine (an "already medically tested anti-inflammatory drug") and bleach in Covid. They are both more likely to kill you than benefit you. *gross oversimplification here, but point still stands
    8 points
  10. 8 points
  11. Institut de cardiologie de Montréal (ICM – Montreal Institute of Cardiology) Thank the Lord they translated that, I was struggling a bit.
    8 points
  12. It's amazing the number of people who scoff at 'that Devi Sridhar woman's Covid zero nonsense' also want what a covid zero policy has achieved
    8 points
  13. Don’t worry. You can go upstairs now and tell your mum that’s you’ve won the internet again.
    7 points
  14. Apologies for another intrusion into your thread but thought you might appreciate this. More keepie-uppies and an important message on mental health which I know resonated with me a lot.
    7 points
  15. Man Utd v Liverpool on. Mrs Hill 'some of those players look so young. I don't recognise half of them' Me, after a suitable pause 'do you recognise the other half?' Mrs Hill 'No.'
    7 points
  16. Tried some arty-farty shots last week after the first snowfall. The guy just happened to appear.
    7 points
  17. I'd rather you didn't call anyone anything and just judged their argument purely on its merits or otherwise. If we are considering what to call people though what would you call someone who has been completely wrong about two absolutely fundamental issues surrounding the pandemic, who refuses to consider any argument other than their own and can't see that there are shades of grey? Simps?
    7 points
  18. Btw, hats off (both of them) to John Mcglynn. I always thought he was a great servant at Hearts who suffered from getting the job when he shouldn't have. Because of that it tarnished his image with Hearts fans, but glad to see him doing well, he deserves it.
    7 points
  19. The job JMcG is doing for us is beyond incredible when you think where we were under Locke, Hughes and Smith. If he was younger, full of his own self importance and wore brown shoes, clubs would be lining up to steal him. Thank f**k he’s as humble as they come and prefers the double hat look. He’s an absolute legend.
    7 points
  20. Great Chieftain O' the puddin'-race
    7 points
  21. Just had a listen to fatty.......
    6 points
  22. Todays summary Now accessed the other home nations for the cases per 100K latest. These are a little behind the Scottish cases. England 453.6, Wales 279.1, Northern Ireland 335 all 3 dropping and now roughly in line with Scotland's drop rate. For interest Portugal 725, Spain 502, Czech 500 are the big hitters. Scotland peaked at 301.9 for figures 29th Dec to 4th Jan From 14th to 20th January we were down to 190.9 Todays figure for 15th Jan to 21th Jan is 183.3 Another great single Day drop of 3.98%. Infections have dropped every day (now 17 days in a row) since the aforementioned peak. Total drop is now 39.28% Click cases by neighbourhood to see the spread on the geographical map. Go back to daily drops again to see how the councils are performing recently. I do not think it is harsh to say now that a couple of councils are still stubbornly high even in the height of a lockdown. Some sort of plan needs thrown at these area to allow the likes of Edinburgh with rates 60% lower, to come out of lockdown. https://public.tableau.com/profile/phs.covid.19#!/vizhome/COVID-19DailyDashboard_15960160643010/Overview North Lanarkshire 298.5 to 297.6 Glasgow City 280.2 to 276.1 Renfrewshire 292.6 to 260.7 Huge 10% drop. East Ayrshire 265.6 to 243.4 Another big drop. East Dunbartonshire 243.9 to 239.3 Clackmannanshire 254.2 to 238.6 Again another good day. South Lanarkshire 230.9 to 233.7 North Ayrshire 249.4 to 233.0 Good day West Dunbartonshire 227.1 to 222.6 Inverclyde 228.8 to 217.2 Dumfries & Galloway 222.4 to 206.2 Falkirk 212.6 to 203.2 South Ayrshire 204.2 to 197.1 Dundee City 195.6 to 182.2 Another great day particularly for size of population. East Renfrewshire 166.4 to 164.3 If this area is "rough" as indicated. Why do they stand head and shoulders above their neighbours ? Aberdeen City 174.9 to 164.0 Same comments as Dundee Angus 154.9 to 155.8 Perth & Kinross 152.7 to 147.4 West Lothian 132.7 to 135.4 Stirling 151.8 to 134.8 Over 10% drop. Scottish Borders 128.1 to 133.3 Fife 135.7 to 128.2 Moray 134.6 to 125.2 Aberdeenshire 122.5 to 117.5 Midlothian 117.9 to 116.8 City Of Edinburgh 117.0 to 110.3 Continues towards Level 2 infection rates. Western Isles 164.7 to 108.5 Barra and South Uist reacted and dropping like a stone. East Lothian 110.2 to 103.7 Highlands 88.6 to 81.8 So low in the table and still with the only area in Scotland over 1000 Shetland Islands 74.2 to 74.2 Argyll & Bute 62.9 to 64.1 Orkney Island 35.9 to 44.9
    6 points
  23. If the ARBITRATION ABBERATION of a few months ago did not convince you, it is now PATENTLY OBVIOUS that a CONSPIRACY against the TYNECASTLE TITANS is afoot. Not only have BOUGHT AND PAID FOR referees taken to awarding a STATISTICALLY IMPOSSIBLE two penalties a game against The Gorgie, it now appears that the DEEP STATE has reached its HENTAI-ESQUE TENTACLES into the HMFC dressing room, and NOBBLED NEILSON. How else, FOLLOWERS, can one explain the PATHETIC management and recruitment that has led to a mere six point (or, as the French would say, SIX POINT) lead for the Capital Colossus in this WOEFUL league? Despite the lack of STYLE AND BOTTLE, I am more confident than ever* that JUSTICE will prevail and the juggernaut will recover from this brief stall to FLATTEN the competition. *because Berra is hopefully out injured for a while
    6 points
  24. Makes you think, mind: things would be very different if Aberdeen had beaten us in the last 16. For one thing, Livingston would be lining up to play Rangers today.
    6 points
  25. Anything that annoys the Taxpayers Alliance is good with me.
    6 points
  26. Pentland Hills panorama yesterday.
    6 points
  27. It's time for the penultimate round, still all to play for, i'm not going to type it all out you can read it a few posts up. @WhiteRoseKillie @Geaky @Arabdownunder @MixuFruit @The Captain @Cardinal Richelieu @gkneil @Aidan @kingjoey @Arch Stanton @The Hologram @Leeds Saint @Bully Wee Villa @NJ2 @Snobot @BigBo10 @mathematics @Jacksgranda @Eednud @MSU @Silky Si McFly @peasy23 @SlipperyP @NotThePars @Blootoon87 @Gaz @jagfox BLM @Rugster @Helpma @alang1993 @German Jag @pleslie99 @LincolnHearts @ArmadaleKillie @Spring Onion @Robin.Hood @CaspianChris @Perkin Flump @Salvo Montalbano @The DA @101 @Ross. @JamesP_81 @The_Kincardine @Genuine Hibs Fan And its the semi of both cup comps Firstly the Beach boys club White Rose Killie v Eednud The DA V Silky Si And in the S Club shield Bully Wee Villa v Jagfoxblm BigBo10 v The Kincardine Can we have all the scores on the door in by 7PM on Tuesday, been a great turnout so far. Thank you for partaking https://www.quizyourfriends.com/take-quiz.php?id=2101240356365888&stp&
    6 points
  28. After the last year I'd take any news coming out of China with a shovel full of salt.
    6 points
  29. I should really get shot of the plant. It has had it’s day.
    6 points
  30. Ach well it looks like you lads are gonna win the league, thank goodness for that. I say that out of no affection for RFC, I'm just delighted I won't have to listen to this 10 in a row pish for at least 10 years. As someone who will very shortly enter his 7th decade Im hoping it's the last I'll ever hear of it with any luck.
    6 points
  31. That's Andrew Neil, hand picked by Murdoch to The Sunday Times, founding chairman of Sky News, chairman of fascist rag, The Spectator and ex-editor-in-chief of *checks notes* The fucking Hootsmon and current owner of a brass neck a mile wide.
    6 points
  32. Another master class from Martindaleho, came out the traps fast and bossed the game till we got a goal, then shitfested our way to the final, deciding he'd game manage the final 80 mins plus 5 mins ET. We had strong attacking options from the bench but didn't see the need to try and get another goal when he could shore it up even more with Fitzwater and Longridge. Some heart in the mouth moments near the end, and not good for the ticker of us Livi fans watching it, but we're in the final and i'm absolutely buzzing.
    5 points
  33. VT going full on Donald Trump 'swallow anything' approach.
    5 points
  34. Correct. No desire from Goodwin to actually win football matches. Pig sick of it. Goodwin shat it. That was not the line up to play livingston. Go out and try and actually win a game...
    5 points
  35. For me it shows how well he's been backed. Nelms has been pretty clueless overall, including the vote scandal, but he has backed the clowns he's appointed, that's for sure. Would a credible manager of been able to use the same budget to have us competing with the bog standard DAB team last year? We couldnt even muster a challenge. McPake being given a season to bed in is very generous from some fans. Wouldn't it of made more sense for a manager to come in who had the potential to take us straight back up. Saying that McPake was backed to the hilt and the aim was promotion . McPake and his players failed miserably despite some fan leniency. We entered the season with a dreadful Jack Hamilton as our number 1 and the likes of Danny Johnson was used sparingly as McPake couldn't work out a formation for him and Hemmings to play. This year alot of Dundee fans have a defeatist attitude regarding Hearts greater infrastructure and budgets. Why don't they feel the same about Dundee when we're failing year in year out against teams of lower resources. What we need at this club is a manager with no ties to the club. Someone who will come in with no relationships formed with those in the playing squad or a feeling towards the club from playing days. Someone who will rid the club of the likes of Cammy Kerr in an instance. Only then will we improve. At the moment we're wasting time with McPake. I look five years down the line and see us in no better state than we currently are. Most likely we'll be going into his third year in this league next season and we're no better off under him than we wouldve been with McIntyre - someone who has won this league before. That's maybe too much for some to accept but it's true. We need change ASAP, from top to bottom; starting with a cleansing of our current squad. Players who have been part of miserable and failed season after season. Not since Hartleys team of Harkins, Stewart, Hemmings, Thomson etc have I seen a manager trying to build a real identity into their team. Make no mistake Hartley had to go when he did. What was the best we could come up with? Neil McCann the gobshite pundit who wanted us to play champagne football with buckfast players. That's also a big reason why we are where we are today. The club needs reformed from top to bottom. Until it is we're going nowhere. Thank you.
    5 points
  36. You can't go through life worrying about hypothetical future catastrophic events otherwise you'd never leave your hiding place under your bed. Hancock is playing people like yourself like a fiddle with his doomsday ramblings.
    5 points
  37. The most efficient way? A randomised controlled trial. Like the RECOVERY trial, which if you actually go and have a look at how quickly it was set up and how quickly we have got good data about efficacy and safety is nothing short of miraculous. You don't seem to get the fact that if you administer random drugs to patients, with no rhyme nor reason, with no follow-up, with no collection of data, how can you possibly assess how they work? You've changed your tune there. You only mentioned nebulous "anti-inflammatories". The utility of dexamethasone was proven by the RECOVERY trial in a remarkably short time period. No they shouldn't. What works in one population may not work in another, like dexamethasone, which is only of benefit if you require supplemental oxygen. Any "firing out" should be done in the context of a trial. Drugs can have negative side effects when used outwith their indications, which I'm sure you learned in your first-year medical school pharmacology lectures.
    5 points
  38. Week 4 update Two deaths this week. Up first is talented but flawed music producer, Phil Spector: Phil Spector obituary | Phil Spector | The Guardian I also enjoyed this passage from later in the article: Oh and he killed someone too. Spector died at 81 so he's worth 44 Base Points. He was a Deadly Duo pick for @gkneil and @Mark Connolly, so it's 69 points total for both of them. ========================= Up next this week was American television man Larry King: Larry King, talk-show titan who lit up worlds of politics and showbiz | Larry King | The Guardian The thought of being as influential and successful as he was after starting his television career at 52 is quite something. Maybe it's a product of watching a lot of American film and television but I agree with the general sentiment of that article - that he was an interviewer with gravitas and distinction, and that appearing on his show was something to be taken Seriously. Despite this the only thing I really know him for is his two Simpsons appearances. He read the Bible in one of them: King died at 87, so he's worth 38 Base Points for @Bert Raccoon, @doulikefish, @Fuctifano, @Lex and @psv_killie, with a Vice-Captain bonus bumping @amnarab up to 57 points. As a result, the standings look like this: 1. choirbairn 180 2. Ned Nederlander 122 3. Bishop Briggs 105 4. dee_62 101 5. Savage Henry 82 6. gkneil, Mark Connolly 69 8. amnarab 57 9. Bert Raccoon, doulkefish, Fuctifano, Lex, psv_killie 38 14. Everyone else 0 The spreadsheet has also been updated with these scores: https://docs.google.com/spreadsheets/d/1-OTo44wF_W7A4Q0NFnd1sX3qEDdxTLDobvjhhSgnzkg/edit?usp=sharing
    5 points
  39. Just to illustrate this point, with the first penalty... It's the Rovers' right-back, Reghan Tumilty, who starts on the ball. Mackay-Steven appears about half-way through to come and cover the winger, Dan Armstrong, who's hanging in support, which gives a good idea of just how uninterested (by instruction, I'm sure, as above) the Hearts' wingers were in tracking back. GMS must start about 40 yards away from "his man". And then once he gets there, and Kingsley hands Tumilty off to cover Armstrong with the ball, Mackay-Steven half-heartedly steps out to cover the ball back up the line, then switches off as Tumilty goes into the box. If Armstrong isn't fouled and finds the cutback, Tumilty has acres of space for a shot at goal. It feels like a real abdication of sensible management by Neilson. He seems (from the limited exposure I've had to Hearts this season) to be keen on letting his attacking players off the leash, without defensive responsibilities, in order to maximise their impact. But that seems totally backwards to me. If Hearts spent just a little more effort keeping it tight at the back, the attacking quality they've got would absolutely shine through more often than not when they do have the ball. Particularly at Tynecastle, Hearts are always going to have a lot of the ball, and they'll create a lot of chances. They don't need to get into these situations like this, and the Ayr Utd game, where they're trying to outgun teams. Especially with the Rovers well-publicised lack of training, they were never going to have the legs to keep it tight defensively all afternoon. If Hearts were just a wee bit more conservative, they'd have had a much, much better chance of keeping a clean sheet in the first half and then turning the screw in the second. You can see the same thing with the third. When the ball is turned over in midfield, Tumilty and Ginnelly are side-by-side in the top right hand corner here, albeit Tumilty is on his toes because he's going to close down Kingsley. By the time the ball goes into the goal, Tumilty is on the goal-line and Ginnelly isn't in shot, eventually appearing at the edge of the D complaining to the linesman about the alleged handball. When you look at this Rovers team and where they're going to damage you, it's going to come down the wings. Kennedy adds an extra dimension because he's happy to go outside or inside, but broadly speaking we've got inverted wingers and full-backs who are keen to push on. You can't expect your full-backs to defend that on their own, they need support. Neilson totally failing to give his own full-backs any extra protection is naivety in the extreme. If he asks Mackay-Steven and Frear (and later, Ginnelly) to play ten yards deeper and keep an eye on the overlap, Hearts probably still score at least twice - but there's no way the Rovers score three.
    5 points
  40. Renton speed skating on the beach yesterday
    5 points
  41. I believe it’s spelt “Frank conner”
    5 points
  42. Here are this week's RaithTV highlights
    5 points
  43. I’m not sure Jason Kerr is an international quality defender. But then I hear Ryan Porteous being included in Scotland squads, and I think Kerr compares favourably. I’ve put together a simple infographic which rates their respective qualities for anyone interested. It’s fairly basic, but I think it’s quite clear who comes out on top.
    5 points
  44. I've said this before but it is not, and should not, be a case of making comparisons with England as if it is simply a case of being better than them. That's lazy, simplistic and represents everything that is wrong with the Nationalist cause - and I say that as a Nationalist. I don't care what is happening in England, I'm not English and I don't live there. They are doing things in a different way, have different demographics, infrastructure etc. I want to know that the SG are doing all that they can to get as many people vaccinated as quickly as possible. I get why we are doing care homes first, and I get that this can take more time. But if there is enough of the vaccine to simultaneously vaccinate other groups while the care home are worked through then that should happen - dragging our feet while the rest of the population suffer is not acceptable. This is the acid test for the Scottish Government now. Lockdown can be painted as a tough decision made by strong leadership, but that's far easier when it's the only option open to you. Now we have a vaccine that - to whatever extent - can limit the loss of life and accelerate an end to this never-ending nightmare, it is the responsibility of government to do deliver that vaccine as quickly and as efficiently as possible and we should be demanding this of our government.
    5 points
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