OHA Public Health Director Rachael Banks during today’s press conference: "I want to give you an overview of the pandemic in Oregon and an update on the progress of our vaccination efforts."

"As @OregonGovBrown said, we just don’t have enough vaccines to immunize everyone. As long as supplies are scarce, we’ll face really tough calls on who to immunize next. There are good reasons to prioritize educators & good reasons to prioritize seniors." https://t.co/VfDH9r4vPj
"The plan is to vaccinate most educators before we start vaccinating seniors on February 8. If we want to give schools a shot at re-opening this school year with a vaccinated staff, this is the time to do it."
"Overall, new cases, hospitalizations and our test positivity rate have all declined. Thank you Oregonians.”
“As of today, we’re adding 877 new cases of COVID-19 in Oregon. There have been 136,839 reported cases of COVID-19 in Oregon to date. During the week of Jan. 11-17, we reported 7,860 new daily cases, a 4% decrease from the prev. week."
"For the past five days, we have seen the lowest daily case counts since mid-November. Between Jan. 13 and Jan. 21 the 7-day moving average of daily cases has declined from 1,308 to 828, a 37% drop. In the past week, Oregon is third-lowest state in the nation in new case rates."
"Overall, since the start of the pandemic, Oregon has the 4th lowest case-rate among states in the United States."
"Hospitalizations from COVID-19 are also declining from the peaks we saw in late December. On January 1, there were 466 people hospitalized with COVID-19. Yesterday there were 329."
"We’re seeing a recent increase in testing: 129,723 COVID-19 tests were admin. the week ending Jan. 16. That increase was accompanied by a sharp drop in + test results, which fell to 5.9%. This decline suggests we may continue to see lower # of new cases in the near-term future."
"However, last week Oregon recorded the highest number of weekly deaths since the beginning of the pandemic at 195, that grim number broke the previous record which we recorded just the week before."
"Today, we’re reporting 22 more deaths. As of today, the toll of COVID-19 associated deaths in Oregon stands at 1,865. We know deaths are a lagging indicator. But each death leaves a hole in the lives of friends, family and neighbors. We are sorry for their loss."
"As of Jan. 20, just over a month after the first COVID-19 vaccines arrived, Oregon ranks 19th in the nation in percentage of vaccine administered at 50% and 20th in the nation in the percentage of population given at least one dose at 4.6%."
"Oregon has vaccinated two-thirds of those in the “Phase 1A” group of health care workers, first responders and people who live or work in nursing homes and other group residences. That’s about a week ahead of schedule."
"Over the past week, Oregon vaccinators met @OregonGovBrown's daily target of administering 12,000 doses per day, delivering a daily average of 12,289 shots. As of Jan. 20th, a cumulative total of 253,711 first and second doses of COVID-19 vaccines have been administered."
"To date, 479,325 first and second doses of vaccine have been allocated to sites across Oregon. Over a handful of weeks, we’ve passed most states in the pace of our roll-out. But it is misleading to judge any state’s effort at this stage."
"Every state is grappling with the same fundamental problem: a shortage of vaccines. Every state is making hard choices about how to prioritize who is eligible to get vaccinated and how we distribute these scarce, precious, life-saving resources."
"Depending on daily data fluctuations, the pace of Oregon’s roll-out is either in-line with, or ahead of, most other states. Every state receives a per capita allocation of vaccines."
"When you read about other states opening doors to all seniors, or bus drivers or people with chronic health conditions, those states are expanding the number of people eligible for a vaccine on top of the same proportionately limited supply of doses that Oregon faces."
"Other states are doing that by either spending second doses for people who’ve received they’re first vaccination, putting people at risk of not getting a booster shot. Or they’re offering the promise of a vaccine to more people than they can actually deliver one to."
"Educators are next-up in Oregon. I know that’s controversial. But if we want to re-open schools this school year, with a workforce of educators that has the confidence to re-enter a classroom knowing they are protected by a vaccine, this is the time to act."
"The size of the educator workforce is manageable enough that the supply of vaccines we receive from the federal government is adequate enough to allow us to vaccinate most educators before Feb. 8th, when we begin vaccinating seniors."
"If we waited to vaccinate educators after seniors, we wouldn’t have enough doses of vaccines to finish vaccinating them until May. Again, the scarcity of doses forces states to make tough calls and hard choices."
"Seniors are our most vulnerable population, along with others we deeply care about. Quickly vaccinating educators adds to the robust safety guidelines for schools and helps to get students back into classrooms, and parents back to work, months sooner."
"Restarting schools mitigates the harsh educational and economic inequities the pandemic has worsened. As @OregonGovBrown stated, Oregon acted early in the pandemic to protect our seniors."
"Oregon has the 2nd lowest COVID-19 infection rate among seniors in the nation. Oregon has the 3rd lowest death rate among people 65 and older."
"Senior vaccinations are already underway: pharmacies have already finished giving first doses for residents and staff at nursing facilities in Oregon. Oregon will open vaccines to all seniors over a 4-week period starting with people 80 and older on February 8th."

More from Health

1/
Remember woman who tuk multiple @SriSriTattva products 4 range of problems frm diabetes 2 gas 2 liver disease & developed liver failure, listed for liver transplant?
Here is original thread:
https://t.co/PXxI1Slyv2
23 samples, Analysis results
#MedTwitter #livertwitter


2/
Before I go into results, I must say this was overwhelming. There was SO MUCH the lab identified, impossible to put everything here. So I made a summary. At the end of this thread, I have linked a full analysis described in Excel format. Some results were VERY concerning

3/
How did we analyse?
Here R links 2 methods
They R high end, done under strict protocols
Frm Ministry of Forest, Environment, Climate / NABL approvd Lab
ICP-OES https://t.co/O1CLhqVQAu
GC MSMS https://t.co/zRJoXyWQIr
FTIR https://t.co/goAembQ08p
Here is list V analysed 👇


4/
Sample names written on top (each column).
First 5 samples: C what we identified in #Ayurveda #medicines
Antibiotics
Steroids (anabolic/synthetic)
#NARCOTICS - LSD, Morphine
Blood thinners (possible reason Y bleeding tests were off the roof in the patient)
Heavy metals!


5/
Next 5 samples (total 10 now)
Mercury is clear winner. Almost all samples
See controlled substances - Butyrolactones https://t.co/CPz0FwPEOm, methylamine https://t.co/OZnXY7U9UQ
Alcohols, industrial solvents
Rare metals - cobalt, lithium
Again lots of blood thinners
#Ayush
1/15
Why can cefepime cause neurological toxicity?

And why is renal failure the main risk factor for this complication?

The answer requires us to learn about cefepime's structure and why it unexpectedly binds to a certain CNS receptor.

#MedTwitter #Tweetorial


2/
Let's establish a few facts about cefepime:

🔺4th generation cephalosporin antibiotic
🔺Excretion = exclusively in the urine (mostly as unchanged drug)
🔺Readily crosses the blood-brain barrier (so it easily accesses the brain)

https://t.co/rjYG1BfGPR


3/
The first report of cefepime neurotoxicity was in 1999.

A patient w/ renal failure received high doses of cefepime and then developed encephalopathy, tremors, myoclonic jerks, and tonic-clonic seizures.

✅All symptoms resolved after hemodialysis.

https://t.co/u7JLVitQpp


4/
Cefepime neurotoxicity is surprisingly common, occurring in up to 15% of treated critically ill patients (w/ symptoms varying from encephalopathy to seizures).

💡The main risk factors = renal failure and lack of dose adjustment for renal function.

https://t.co/nxbnzSq8AR


5/
What about cefepime induces neurotoxicity?

One clue is that it's not the only antibiotic that causes neurotoxicity, particularly seizures.

This actually is a class effect w/ other beta-lactam antibiotics (including penicillins and carbapenems).

https://t.co/Lf4BhON9IY

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A THREAD ON @SarangSood

Decoded his way of analysis/logics for everyone to easily understand.

Have covered:
1. Analysis of volatility, how to foresee/signs.
2. Workbook
3. When to sell options
4. Diff category of days
5. How movement of option prices tell us what will happen

1. Keeps following volatility super closely.

Makes 7-8 different strategies to give him a sense of what's going on.

Whichever gives highest profit he trades in.


2. Theta falls when market moves.
Falls where market is headed towards not on our original position.


3. If you're an options seller then sell only when volatility is dropping, there is a high probability of you making the right trade and getting profit as a result

He believes in a market operator, if market mover sells volatility Sarang Sir joins him.


4. Theta decay vs Fall in vega

Sell when Vega is falling rather than for theta decay. You won't be trapped and higher probability of making profit.
हिमालय पर्वत की एक बड़ी पवित्र गुफा थी।उस गुफा के निकट ही गंगा जी बहती थी।एक बार देवर्षि नारद विचरण करते हुए वहां आ पहुंचे।वह परम पवित्र गुफा नारद जी को अत्यंत सुहावनी लगी।वहां का मनोरम प्राकृतिक दृश्य,पर्वत,नदी और वन देख उनके हृदय में श्रीहरि विष्णु की भक्ति अत्यंत बलवती हो उठी।


और देवर्षि नारद वहीं बैठकर तपस्या में लीन हो गए।इन्द्र नारद की तपस्या से घबरा गए।उन्हें हमेशा की तरह अपना सिंहासन व स्वर्ग खोने का डर सताने लगा।इसलिए इन्द्र ने नारद की तपस्या भंग करने के लिए कामदेव को उनके पास भेज दिया।वहां पहुंच कामदेव ने अपनी माया से वसंतऋतु को उत्पन्न कर दिया।


पेड़ और पौधों पर रंग बिरंगे फूल खिल गए और कोयलें कूकने लगी,पक्षी चहकने लगे।शीतल,मंद,सुगंधित और सुहावनी हवा चलने लगी।रंभा आदि अप्सराएं नाचने लगीं ।किन्तु कामदेव की किसी भी माया का नारद पे कोई प्रभाव नहीं पड़ा।तब कामदेव को डर सताने लगा कि कहीं नारद क्रोध में आकर मुझे श्राप न देदें।

जैसे ही नारद ने अपनी आंखें खोली, उसी क्षण कामदेव ने उनसे क्षमा मांगी।नारद मुनि को तनिक भी क्रोध नहीं आया और उन्होने शीघ्र ही कामदेव को क्षमा कर दिया।कामदेव प्रसन्न होकर वहां से चले गए।कामदेव के चले जाने पर देवर्षि के मन में अहंकार आ गया कि मैने कामदेव को हरा दिया।

नारद फिर कैलाश जा पहुंचे और शिवजी को अपनी विजयगाथा सुनाई।शिव समझ गए कि नारद अहंकारी हो गए हैं और अगर ये बात विष्णु जी जान गए तो नारद के लिए अच्छा नहीं होगा।ये सोचकर शिवजी ने नारद को भगवन विष्णु को ये बात बताने के लीए मना किया। परंतु नारद जी को ये बात उचित नहीं लगी।