Discover and read the best of Twitter Threads about #azm

Most recents (8)

ということで、これまで私がどう洋書(児童書)の多読多聴を楽しんできているの、一応のマイルストーンである100万語を通過したので、その過程の試行錯誤も交えてゆーくり話したいと思います。

まず最初に読み始めたのはNate The Great(#NTG)です。対象年齢はネイティブの5,6歳だと思います。

(続く)
これまでそれなりに英語を学習してきた経験があったのと、ネイティブの5,6歳向けの本だということもあり、少し舐めていました。

読み始めてみるとなんか難しい。使われてる単語に馴染みのないものが結構混ざってるのです。ここで馴染みがない単語というのは人の動作や仕草を表す単語や日常単語です。
私の場合は大学受験や英検よりのアカデミックな語彙やTOEIC等のビジネスよりの語彙に偏ってしまっていたようで、日常生活を送る上で当たり前に知っているべき単語がわからなかったのです。

正直児童書難しい…やばい。と思いました。でも安心してください。ここからが多読(たくさん読む)の良さです。
Read 55 tweets
A metal ion orients SARS-CoV-2 mRNA to ensure accurate 2′-O methylation of its first nucleotide
» doi.org/10.1038/s41467…
The #SARSCoV2 #coronavirus is able to utilize the changes in metal ion concentrations to disguise itself in the human host body thus evading immune responses. Image
Efficacy of #clarithromycin on #COVID19 pneumonia without oxygen administration; protocol for multicenter, open-label, randomized-controlled, 3-armed parallel group comparison, exploratory trial #CAMECOVID
» doi.org/10.1101/2021.0…
Japan Registry of Clinical Trials jRCTs071210011 Image
The influence of #HLA genotype on the severity of #COVID19 infection
» doi.org/10.1111/tan.14…
A genetic link has been discovered explaining why some people catch #Covid but don't get sick. The gene is found three times as often in people who are #asymptomatic. Image
Read 199 tweets
🔝5 Concerns about #SARSCoV2 #Biology: A Call to Pause, Deliberate, and Revise Policy─This review is intended both as a basic resource and to initiate an open and critical dialog about SARS-CoV-2 biology for an independent and public call to action. jjcouey.medium.com/5-concerns-abo…
Structural basis of ribosomal #frameshifting during translation of the #SARSCoV2 #RNA #genome
» doi.org/10.1126/scienc…
A unique feature of the SARS-CoV-2 genome controls protein synthesis and presents an "Achilles heel" of the virus. Image
Brainstem neuropathology in two cases of #COVID19: #SARSCoV2 trafficking between #brain and #lung
» doi.org/10.1007/s00415…
Neuropathologic evidence strongly suggests that the pathophysiology of COVID-19 related respiratory failure includes a neurogenic component. Image
Read 213 tweets
Reducing #COVID19 #Airborne #Transmission Risks on #PublicTransportation Buses
» doi.org/10.1101/2021.0…
Wearing of #facemasks reduced the overall particle count released into the bus by an average of 50%, the dispersion distance by several feet and #aerosol particles by 84.36%. Image
🔝#SARSCoV2 Infects Human Engineered Heart Tissues and Models COVID-19 Myocarditis
» doi.org/10.1016/j.jacb…
#COVID19 can kill heart muscle cells, interfere with contraction. Details of how #coronavirus infects #heart: models of tissue damage may help develop potential therapies. Image
High-content screening of coronavirus genes for innate immune suppression reveals enhanced potency of SARS-CoV-2 proteins
» doi.org/10.1101/2021.0…
196 protein products of seven coronaviruses: the genes encoded by #SARSCoV2 are generally more potent immune suppressors than others Image
Read 236 tweets
⚠️#Ocular #MRI Findings in Patients with Severe #COVID19: A Retrospective Multicenter Observational Study
» doi.org/10.1148/radiol…
All patients had nodules in the macular region, 8/9 (89%) had bilateral nodules, 2/9 (22%) had nodules outside the macular region. Screening needed. Image
⚠️🔝New-Onset #IgG #Autoantibodies in Hospitalized Patients with #COVID19
» doi.org/10.1101/2021.0…
An international team of researchers studying COVID-19 has made a startling and pivotal discovery: The virus appears to cause the body to make weapons to attack its own tissues. Image
⚠️🔝Patterns of myocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonance
» academic.oup.com/eurheartj/adva…
Damage to the heart found in more than half of #COVID19 patients discharged from hospital who show raised levels of troponin. Image
Read 235 tweets
17 CORRECTIONS issued to flawed @NEJM Brazil RCT claiming early hosp #HCQ #AZM ineffective—Cavalcanti et al had failed to disclose RCT didn’t exclude pts on #HCQ #AZM in community prior to hosp adm. Renders flawed RCT inconclusive—why isn’t it retracted?
▶️nejm.org/doi/full/10.10…
2/ Important to note that the NEJM study authors concede that community use of #HCQ #AZM was widespread in Brazil, but a specific study exclusion criteria to previous HCQ AZM use was only added 5 days before the last patient was recruited for this Cavalcanti et al RCT.
3/ RCT now based on extremely controversial throw-away line in discussion: "outpatient use of these drugs (before adm) was infrequent.” No reference provided for this pivotal assumption

Additional flaws: only studied mild #COVID19 disease, in those at low risk who presented late
Read 3 tweets
Kerala was one of the first states in southern India to offer its frontline workers #HCQ prophylaxis and implement EARLY treatment with HCQ for #COVID19 patients

COVID19 in Kerala
Cases: 38,018
Deaths: 126

Kerala pop'n 34.7M: 3.6 deaths/1M
Canada pop'n 37.5M: 239 deaths/1M
2/ During my med training in Canada, I was fortunate to have opportunity to do international elective in Kerala. I recently spoke to former colleagues in Kerala. From symptom onset:
-avg 1.5d for COVID19 test result
-avg 3d for #HCQ #AZM admin for high-risk outpatients & hosp pts
3/ Kerala State Medical Board study:
Early #HCQ #AZM treatment "led to decline in fatality rate as well as severity" of #COVID19

"Early admission of confirmed COVID19 pts & admin of HCQ AZM contributed in preventing progress of deadly #SARSCoV2 infection"
financialexpress.com/lifestyle/heal…
Read 3 tweets
1/ Based on WHO website—its global “Solidarity” clinical trials only studying drugs, including #HCQ, in hospitalized #COVID19 pts. Similarly almost all HCQ COVID19 trials on clinicaltrials.gov re hospitalized pts or post-exposure prophylaxis. Some re pre-exposure prophylaxis
2/ 16RCTs re EARLY #HCQ +/-#AZM outpt tx of #COVID19—8 not yet recruiting, 7 recruiting, 1 active but not recruiting. 2 with Zinc

Most completing Late2021 or Early2022, 3 Dec2020, 1 Jan2021

Why isn’t WHO studying early outpt HCQ tx in “Solidarity” trial?
clinicaltrials.gov
3/ Oddly, an international #HCQ RCT “#Hydroxychloroquine in Outpatient Adults with #COVID19” in US, Belgium, France & Netherlands, that had started in Apr2020 & had its completion date in Aug2020, was suspended on June 4 by its #BigPharma sponsor #Sanofi.
clinicaltrials.gov/ct2/show/NCT04…
Read 3 tweets

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