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disident

Posts : 9057
Join date : 2016-03-28

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Post by disident on Sat Jun 20, 2020 10:00 pm

Virus 20200614
Ne nose ni kod mene, glupo im


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Što se ostaloga tiče, smatram da Zapad treba razoriti
Jedini proleter Burundija
Летећи Полип

Posts : 4122
Join date : 2018-03-03
Age : 31
Location : Hotline Beograd

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Post by Летећи Полип on Sat Jun 20, 2020 10:11 pm

Ama ima vizir da se nabavi u svakoj prodavnici HTZ opreme.






A Polipara će digne kredit, pa da sebi uzme:


 Virus BALDER_BH3_SQ913CLEAN_AIR



Em za varenje, em za koronu.


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~Leia, uporno gasis svetlo u sobi razuma! Ne radi se o Jankovicu i njegovim nedostacima (sem ako smelo ne tvrdis da ga je Mile prozreo) vec o prostoj cinjenici da drzavu izjeda rak i da smo dobili priliku da biramo izmedju raka i cistog, nepatvorenog zdravlja!!!~
Marius Lăcătuș

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Post by Marius Lăcătuș on Sat Jun 20, 2020 10:17 pm

pune tribine ludih navijača

Virus Ea-NTECWkAAMa4c?format=jpg&name=large


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Дакле, волео бих да се ЈСД Партизан угаси, али не и да сви (или било који) гробар умре.
rumbeando

Posts : 2439
Join date : 2016-02-01

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Post by rumbeando on Sat Jun 20, 2020 10:22 pm

Virus 1MrRRyS
ficfiric

Posts : 18719
Join date : 2012-02-10

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Post by ficfiric on Sat Jun 20, 2020 10:23 pm

Je li poklanjana torta golmanu?


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Uprava napolje!
Marius Lăcătuș

Posts : 18400
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Post by Marius Lăcătuș on Sat Jun 20, 2020 10:30 pm

Virus Bergam10


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Дакле, волео бих да се ЈСД Партизан угаси, али не и да сви (или било који) гробар умре.
♏

Posts : 3557
Join date : 2016-06-09

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Post by ♏ on Sat Jun 20, 2020 11:02 pm

Talasonov everyday life safety training...

Virus 0ad85bd081ae01380499005056a9545d
beatakeshi

Posts : 12447
Join date : 2014-12-12

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Post by beatakeshi on Sat Jun 20, 2020 11:30 pm

Marius Lăcătuș wrote:Virus Bergam10
Nismo mi te sreće.
rumbeando

Posts : 2439
Join date : 2016-02-01

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Post by rumbeando on Sun Jun 21, 2020 1:08 am

Srđan Lukić
an hour ago, 13 tweets, 3 min read

Prvi susret sa praktičnom problematikom medicinske etike imao sam na predavanju iz sudske medicine kada nas je profesor Dunjić pitao: "Imate tri respiratora na kojima se nalaze tri pacijenta, i dolazi vam četvrti koji je takođe za respirator. Šta radite u toj situaciji?"
U praksi sam se kasnije mnogo puta susretao sa tim. Jednom su tehničari ventilirali pacijenta ambu-balonom par sati dok se nije oslobodio respirator. Nekada pak pacijent koji je u najboljem stanju bude odvojen da bi teži bio priključen. Pa se rotira. Dovoze aparati iz sale. Itd.
Nekada uopšte i ne reanimiraš pacijenta. Jeste, niste pogrešno pročitali. Reanimirati pacijenta u terminalnom stadijumu bolesti je stručna greška. Vitium artis. Osim ako nema neko potencijalno reverzibilno stanje, što je retko. A (virusna) infekcija je jedno od tih stanja.
U svim ovim situacijama odluka se neće doneti sama. Odluku lekar donosi na licu mesta. Često u veoma kratkom roku. I posle živi sa tim, ali dobro, lekari su sami izabrali da se time bave, to je odgovornost koja ide zajedno u paketu sa lepim stvarima koje idu uz lekarski poziv.
Zašto vam sve ovo pišem? Zato što verovatno niste čitali jedan poduži tekst o COVID epidemiji (postavljao sam ga ovde na tw) gde se pominje i to da su italijanski lekari u jednom momentu morali i ovakav etički odnos da izmene, i da ga sa patient-based promene u community-based.
Šta sad to znači? To znači da se u odnosu na pristiglog pacijenta nisu više fokusirali (samo) na njegov benefit već su morali da razmišljaju šire i da vrše procenu da li će pacijent zauzeti respirator a ima male šanse za preživljavanje i tako onemogući da ga dobije neko sa većim.
Kao što rekoh - infekcije, pa i COVID, su potencijalno reverzibilno stanje, i svaki pacijent, pa i onaj u terminalnom stadijumu bolesti, zaslužuje šansu da se izbori sa njim. Mnogi koji čak nisu ni bili toliko hronično bolesni nisu dobili tu šansu. Da bi je dobio neko izgledniji.
U prvom talasu države koje su preduzele mere su toliko dobro ovladale epidemijom da su kapaciteti u bolnicama ostali nepopunjeni do kraja. Zbog toga sada mnogi misle da se u drugi nalet može ući lagodno i da će zdravstveni sistem to izdržati. To je bukvalno kocka - sve ili ništa.
I ovde nije samo reč o respiratorima. Reč je o svemu - o kapacitetima, krevetima, sestrama, lekarima, pomoćnom osoblju. Šta je glavni problem kod lečenja COVID infekcije? Kada lečite teška stanja, nakon što rešite inicijalni problem (infarkt npr.) pacijent uglavnom ide na bolje.
Kod COVID infekcije, pošto ne postoji način da delujete na virus, pacijent se postepeno pogoršava danima. I vi morate non-stop da ga monitorišete. I to je izvodljivo ako imate jednog lekara na par pacijenata. Ako imate jednog lekara na 20-30 pacijenata, to je neizvodljivo.
Što je više pacijenata to ih je teže lečiti jer prosto ne postoji toliko lekara i sestara da ih sve kvalitetno prate 24h dnevno. Makar ih sve primili u bolnicu. Makar ih sve nakačili na respirator. Makar im svima dali sve moguće i nemoguće lekove.
I zato je oslanjanje i računanje isključivo na zdravstveni sistem, makar bio i najbolji i najbogatiji na svetu, pogrešno. Zato je najvažnije da se što manje ljudi razboli. Jer - porast apsolutnog broja obolelih dovodi i do povećanog procenta smrtnosti zbog svega gore navedenog.
Zbog toga su najvažnije jebene epidemiološke mere koje su toliko lake i proste u poređenju sa svime ovde navedenim da je prosto nezamislivo da neko nije u stanju da drži minimalu distancu, ne ide na masovne događaje, stavi masku, onu običnu, i održava higijenu ruku.
A opet eto.
https://threadreaderapp.com/thread/1274467809368641536.html
Mór Thököly

Posts : 18060
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Location : Nándor fehérvár

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Post by Mór Thököly on Sun Jun 21, 2020 1:41 am

nezamislivo da neko nije u stanju da drži minimalu distancu, ne ide na masovne događaje, stavi masku, onu običnu, i održava higijenu ruku.

Ne moze. 70% naroda su budale. i to skoro bilo kog naroda. i to je optimisticna procena. prvi faktor je - nece valjda. drugi faktor je - ma sta sad oni meni tu. treci faktor je - apsolutno nepoznavanje funkcionisanja zaraze i velike epidemije posto niko to iskustvo nije imao u zivotu (mislim to da ako se ti zarazis, umrece otac tvog ortaka). I cetvrti faktor je, u vezi sa prethodnim - jbg, svako mora da misli na sebe, a mene (prvi faktor) - nece valjda. I zato je apsolutno jedini nacin drzavna represija. I u Srbiji, i u Spaniji i u Engleskoj i bilo gde. Ne postoji drugi (efikasan) nacin.
avatar

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Post by Jyrki Juhani Järvilehto on Sun Jun 21, 2020 1:46 am

Narod je prvo, zbog neznanja kukao na sve surove epidemioloske mere i kad je prestalo vanredno stanje svi se ko pusteni s lanca. Sad vec isti kukaju sto se ne uvedu mere dakle, kako god bude nece valjati .
Ovaj put nisam siguran da ce zdravstveni sistem izdrzati
Mór Thököly

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Location : Nándor fehérvár

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Post by Mór Thököly on Sun Jun 21, 2020 1:53 am

Jyrki Juhani Järvilehto wrote:Narod je prvo, zbog neznanja kukao na sve surove epidemioloske mere i kad je prestalo vanredno stanje svi se ko pusteni s lanca. Sad vec isti kukaju sto se ne uvedu mere dakle, kako god bude nece valjati .

Pa zato postoji vlada, zato postoji vlast. Narod se pita na izborima (kada, je li, oni imaju nekog smisla) a day to day politics ne vodi narod, nego vlada (sa strucnjacima, itd). Oni, svi zajedno, moraju da znaju bolje. Ovo je bukvalno isto ko rat (koji takodje ne vodi "narod"). Sta je drugo nego kao rat kad Americi umre 100k ljudi. To je to.
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Post by Jyrki Juhani Järvilehto on Sun Jun 21, 2020 1:58 am

Pa pritisak utiče na vladu jel. Misliš da 100 najjačih privrednika ne utiču ilinpad prihoda ilibisplate nobe socijale - nema to mnogo veze s izborima
Mór Thököly

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Location : Nándor fehérvár

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Post by Mór Thököly on Sun Jun 21, 2020 2:00 am

Jyrki Juhani Järvilehto wrote:Pa pritisak utiče na vladu jel. Misliš da 100 najjačih privrednika ne utiču ilinpad prihoda ilibisplate nobe socijale - nema to mnogo veze s izborima

ali ja uopste ne govorim o tome. govorim o maskama, distanci i okupljanjima
rumbeando

Posts : 2439
Join date : 2016-02-01

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Post by rumbeando on Sun Jun 21, 2020 8:16 am

We Will Be Living With the Coronavirus Pandemic Well Into 2021

Most experts believe a vaccine won’t be ready until next year. It’s time to reset our expectations and change our behavior.

By Michelle Fay Cortez
June 18, 2020, 5:00 PM EDT Updated on June 19, 2020, 5:28 AM EDT

The virus is winning. That much is certain more than six months into a shape-shifting pandemic that’s killed more than 454,000 people worldwide, is gaining ground globally and has disrupted lives from Wuhan to Sao Paulo.

While promising, fast-moving vaccine projects are underway in China, Europe and the U.S., only the most optimistic expect an effective shot to be ready for global distribution this year.

If, as most experts believe, an effective vaccine won’t be ready until well into 2021, we’ll all be co-existing with the coronavirus for the next year or longer without a magic bullet. And this next phase of the crisis may require us to reset our expectations and awareness and change our behavior, according to public-health professionals.

In their view, success isn’t defined as returning to life as it was in 2019. Rather, it’s about buying time and summoning the staying power and policy flexibility to limit the destructive capacity of an expanding pandemic, which may result in global deaths of more than one million according to one estimate, until there are medical tools to effectively treat and immunize against the virus.

“People are fatigued. They mistakenly feel that things were going away,” said Cameron Wolfe, an infectious-disease doctor and associate professor of medicine at Duke University. “We’re going to have to figure out a way to live with this.”

Complicating matters, the perceived threat varies from neighborhood to neighborhood, let alone country to country. Much depends on the severity of local outbreaks and the effectiveness of testing, contact tracing, social distancing, hospital systems and public-health messaging that is free of political shading.

Leaders such as U.S. President Donald Trump, British Prime Minister Boris Johnson or Brazilian President Jair Bolsonaro have seen their poll numbers crumble at least in part because of high infection rates and deaths from Covid-19, the disease spawned by the virus. In many instances, messages from the top have seemed to conflict with the advice of experts, or drowned out the guidance of government agencies. That has created confusion and mistrust and invited people to view public-health information through a partisan lens.

Not all the news is grim. In the first half of the year, governments worldwide resorted to emergency measures like forced business closures, stay-at-home rules and bans on large gatherings. The moves slowed infection, saved lives and gave leaders time to stockpile medical equipment and supplies.

Yet that progress came at the cost of economic contraction, soaring unemployment and trillions of dollars in fiscal and monetary stimulus measures. Governments are likely to be reluctant to resort to wholesale lockdowns again in anything short of a catastrophe.

Instead, the biggest economies seem intent on reopening, even if the pace varies. That, in turn, means more social mobility and more opportunities for the virus to spread. Already, scientists who track virus trends are seeing signs that re-opening is leading to a spike in cases.

“I understand there is a perception of the need to balance on these economic considerations,” said Ada Adimora, an epidemiologist and professor of medicine in infectious diseases at the University of North Carolina School of Medicine. “But to the extent that we open up society and have people going to restaurants — you can’t wear a mask while you eat — you are not really working to control the threat of the virus.”

The ability to co-exist with SARS-CoV-2, as the virus is known, will increasingly ride on how individuals assess risks and make decisions.

“No activity will be without the risk of coronavirus,”
said Amesh Adalja, a senior scholar at Johns Hopkins Center for Health Security in Baltimore. “It’s just how much risk people think is worth assuming.”

Trouble is, the virus is stealthy. Countries like China and South Korea that contained their local outbreaks have seen secondary flare-ups. Beijing this week closed its school system and limited international flights after a new outbreak spread to neighboring provinces. In Germany, which has kept its death toll below that of other large European countries, new clusters of infection emerged in a slaughterhouse and a Berlin apartment block.

In the U.S., the pandemic has made inroads into Sun Belt states like Florida, Texas and Arizona after hard-won gains taming it in New York. Latin America, spared early on, is now getting walloped. Brazil, home to densely populated urban centers and rural areas with weak health-care systems, has become a new epicenter.

The resurgence in cases in China and the U.S. shows what can happen when regions start to lift restrictions, according to Seth Berkley, chief executive officer of Gavi, the Vaccine Alliance. The nonprofit is part of a global effort to deploy coronavirus vaccines equitably.

“Clearly it isn’t over anywhere,” Berkley said in an interview. “We need to have some humility in how we manage this thing going forward. Obviously if we were to just throw open the gates and try to go completely back to normal, we would see continued spread of the virus.”


While the virus ebbs and flows regionally, it’s on the march at the global level, where there are 8.5 million confirmed cases and the pace is accelerating. At the start of May, the daily tally of new confirmed cases was running at about 88,000; now it’s 139,000, according to data compiled by Johns Hopkins University. Some experts say the global death toll will top one million.

“We’ll go well over a million,” said Eric Topol, director of the Scripps Research Translational Institute in California. “I wouldn’t be surprised by 2022 if we go into a couple million or more, knowing that there are so many people out there who are vulnerable.”


Reopening campaigns in the U.S. have prompted the University of Washington’s Institute for Health Metrics and Evaluation to increase its U.S. death-toll forecast for the start of October by 18% to 200,000. As of June 16, Covid-19 has resulted in 118,000 lost American lives.

“I’m not sure how you prepare for something of this magnitude and severity,” said Carissa Etienne, director of the Pan American Health Organization. “It’s almost difficult to conceptualize.”

A reprieve from the pandemic that Trump and other experts had hoped would come with the arrival of warmer weather hasn’t yet materialized and may not ever, according to to Davidson Hamer, a professor of global health and medicine at the Boston University School of Public Health and School of Medicine. If people feel a false sense of security, they’re less likely to wear masks and avoid large gatherings.

“The real worrisome time will be this fall, when we are reopening universities and returning to work, with more people inside and cooler temperatures,” Hamer said. “It’s the perfect storm for a resurgence of disease.”

The high number of asymptomatic infections is having a huge impact, according to Topol. “This is the worst pandemic in 100 years,'” he said. “1918 didn't have 30% of people who were infected who didn't know it. It’s the stealth infection thing that adds to the mix.''


Drug developers are racing to find effective treatments and a vaccine. This week, University of Oxford researchers reported that a low-cost, widely used anti-inflammatory drug called dexamethasone improved survival in Covid-19 patients, the first treatment to show life-saving promise months into the pandemic.

U.S. officials and scientists have launched an accelerated program that aims to have a vaccine to prevent Covid-19 by the first half of 2021, but White House health adviser Anthony Fauci has cautioned that it could take longer.

Promising candidates include shots being developed by biotechnology company Moderna Inc.; several Chinese programs; and a partnership of the University of Oxford and AstraZeneca Plc projecting a vaccine as early as September.

The World Health Organization hopes there will be about 2 billion doses of a handful of effective vaccines available by the end of next year, Chief Scientist Soumya Swaminathan said at a briefing this week. But that’s enough for less than one-third of the world’s population.

Future vaccines that do arrive on the scene may not provide long-term immunity. If SARS-CoV-2 is like other coronaviruses, including some that cause the common cold, individuals may need annual booster shots to ward off subtle changes, Fauci said in a recent interview.

Without a vaccine in place, countries are doing the best they can to contain the virus with contact tracing and targeted quarantines. Testing is crucial, and many countries still haven’t ramped up their capability sufficiently to identify outbreaks when they’re still small enough to bottle up, said David Heymann, professor at the London School of Hygiene & Tropical Medicine, who led the WHO’s response to severe acute respiratory syndrome in 2003.

“It’s all trial and error but if you know the epidemiology and where transmission is occurring you can do a more tailored response,” he said.

As the pandemic rolls into the summer, this much is clear. The virus will not “fade away” even without a vaccine, as Trump predicted this week.

“This was never something that would be containable or would disappear,” said Adalja at Johns Hopkins. “It spreads too efficiently between humans. That’s all it needs to do.”


— With assistance by Jason Gale, Corinne Gretler, John Lauerman, and James Paton

https://www.bloomberg.com/news/features/2020-06-18/we-will-be-living-with-the-coronavirus-pandemic-well-into-2021
Sotir

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Post by Sotir on Sun Jun 21, 2020 10:07 am

Прича ми један другар (иначе двометраш) гледа пре неки дан пециво у Лидлу, а неки чича му вири преко рамена. Другар је иначе и пре проглашења епидемије носио алкохол у џепу, и после руковања одмах прао руке - да се зна његов однос према вирусу.

Елем, каже оном чичи да би га откачио да је боље да му не прилази, јер има температуру. У то му прилази на 30цм од лица супруга од чиче, која креће да му објашњава да је он прележао вирус и једва претекао. Другару после радио живац у оку сваки пут кад би их после видео у радњи.

Ја га после зезао да му је то као у оном вицу кад напише на кригли "пљунуо сам у пиво".
Vasa Čokrljan

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Post by Vasa Čokrljan on Sun Jun 21, 2020 11:53 am

Moji koronaši drugari su se uglavnom oporavili i sad se zabavljaju time što zvrckaju ljude iz glasačkog odbora i ispituju ih zašto ne šalju komisiju za glasanje od kuće. "Postoji odluka da ne mogu zaraženi..." "Odluka nije starija od Ustava i zakona, hoću da na papiru obrazložite zašto odbijate da dođete". I tako svakih sat vremena.


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Nothing says romance like a 24 horse circus tent.
Marius Lăcătuș

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Post by Marius Lăcătuș on Sun Jun 21, 2020 11:55 am

A jel mozemo mi koji za sada nemamo pozitivan test da ih isto tako smaramo da dodju po precrtan listic?


_____
Дакле, волео бих да се ЈСД Партизан угаси, али не и да сви (или било који) гробар умре.
Sotir

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Post by Sotir on Sun Jun 21, 2020 12:58 pm

Ја сам већ почео да спремам вокабулар за оне слине од струке кад изађу из смрдљиве рупе за који дан, да нам кажу како нисмо били довољно дисциплиновани.
Мнијем да би то могло да буде већ у уторак-среду.
Marius Lăcătuș

Posts : 18400
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Post by Marius Lăcătuș on Sun Jun 21, 2020 1:25 pm

meni iz doktorskih krugova receno da nove mere od srede na snazi. sta to znaci ne znam...


_____
Дакле, волео бих да се ЈСД Партизан угаси, али не и да сви (или било који) гробар умре.
Sotir

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Post by Sotir on Sun Jun 21, 2020 2:04 pm

Значи да ће конференција за штампу у уторак бити излив фекалије и драмосерања.
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Post by Jyrki Juhani Järvilehto on Sun Jun 21, 2020 2:06 pm

Groblja će biti puna..
Vasa Čokrljan

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Post by Vasa Čokrljan on Sun Jun 21, 2020 2:34 pm



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Nothing says romance like a 24 horse circus tent.
Bendegúz Somogyi

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Post by Bendegúz Somogyi on Sun Jun 21, 2020 2:45 pm

Virus EbCH2fUXkAMobWg?format=jpg&name=medium
Erős Pista

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Post by Erős Pista on Sun Jun 21, 2020 2:50 pm

Virus 3579118792


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"Oni kroz mene gledaju u vas! Oni kroz njega gledaju u vas! Oni kroz vas gledaju u mene... i u sve nas."

Dragoslav Bokan, Novi putevi oftalmologije

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