60°C for one hour is usually enough for roughly a 5-log reduction in PFU terms in CoVs (see my post above).
Hence, starting with >100,000 viral particles could still allow infecting cells afterward.
@vikramml@RealVladivostok Gross appearance need not be altered during thermal inactivation, which involves thermal denaturation of key proteins.
90°C for 10 minutes reliably inactivates CoVs, including SARS-CoV-2.
@vikramml@RealVladivostok I am unsure why the article even bothered mentioning that the Spike protein wiggles. All proteins wiggle.
Spike count varies. The D614G mutation increased it by roughly a factor of 5, increasing infectivity. It is now carried by the majority of SARS-CoV-2 samples.
It is true that SARS-CoV-2 is particularly compressible and elastic. Influenza viruses are somewhat similar, but stiffer (more internal reinforcement).
@vikramml@RealVladivostok It isn't clear what practical significance this may have, if any, and it isn't apparent whether this is any different from any other coronavirus. I doubt it.
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- decide what the word "evidence" means:
a) "clinical results with appropriate sample(s) and endpoints"
b) "what huge lumbering institutions claim ex cathedra with no citations"
c) "what gilead et al. claim"
d) "peer best practices"
- take low-risk bets
If in doubt, *ask the patient*.
People have a fundamental right to participate in their own health-- *they already do so 99% of the time anyway*.
'This might help with X; it's a bit less certain; may cause Y side effects; studies say usually well-tolerated; do you want to try?'
The continued failure to trial or use ITPP in critical care is an indictment against the regulatory and productive institutions of our supposedly-advanced (increasingly just shorthand for 'gridlocked') economy.
Thousands of people already use it for athletic activities.
It has no side effects, is safe at huge doses in animal studies, and has never had a serious adverse event reported in the community ('that's informal' it's post-marketing surveillance..).
The fact that we are jamming tubes down people's throats before giving this, or for that matter even giving cyproheptadine, absolutely disgusts and appalls me.
>Oh that isn't proven
Yes. It. Is.
READ A BOOK; THEY ARE BOTH LITERALLY BASIC PHYSIOLOGY.
>One hope is that the efficacy of the Johnson & Johnson vaccine could rise if it is given as a two-dose regimen.
Obviously, yes! This is much more promising.
Single-dose frankly seems gimmicky, in a very specific sense:
This is effectively just offloading the debate about whether to halfway-dose existing vaccines to a new vaccine candidate instead-- one that has actually been trialed in this dosing schedule.
A couple things about which I would like to be clear, from the now-big account (likely smaller over time):
1) do not ever @/DM to ask where I am or act like I owe you something-- pay me a bitcoin if you want that kind of attention, I know that is pocket change to some of you
2) I have a life outside of COVID-19 and a very, very detailed post history that is approximately two clicks away, depending on your choice of platform access method: search feature, "__ice9 <whatever topic>" papers generally do not become 'out of date' and a result is a result
3) I am frankly a bit bored. The acute disease was obviated months ago by dual entry inhibition. Not my problem if the west ignored it because it came from Iran, or due to statistical illiteracy or vile conflicts of interest (hi Gilead puppets 🎭). Fluvoxamine looks great too.
Side note: strangely demanding PK study; very rigorous protocol. Hope participants were at least paid well. But they got us a number so I am pleased.
NAC may not have a large impact in monotherapy, given only EC50 is hittable (not EC90 except perhaps IV) and gappiness in plasma concentration peaks even q.i.d. (slightly compensated by permanent nature of damage done to exposed Spike copies).