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    In the NYT, an expert on intubation explains the new view among New York emergency room doctors on what is killing so many people: silent hypoxia. Those with pneumonia caused by the coronavirus don't have enough oxygen in their blood, but they aren't short of breath until they've had pneumonia for several days, so they...
  • @SimpleSong
    One caveat--as anyone who works in healthcare can tell you, if you put on a pulse oximeter and it's not getting a good signal, it will often basically become a random number generator. So you may have a lot of false positives with this.

    Bad signals take a bit of expertise to troubleshoot, it can be you don't have it on properly, or your hands are extremely cold and have poor circulation, or you are wearing nail polish (even clear nail polish can screw up the signal because it uses infrared as well as visible), or you put it on too large a finger or too small a finger. Anesthesiologists are always screwing with these things during cases, probably more than any other monitor, and they have the really high end ones. So you might get a lot of false positives with this.

    However if you feel sick or you know you have coronavirus and you are weighing whether to go in to the hospital, the false positives are probably worth it.

    Second aside: respiratory phys is interesting--you need your lungs for two things, to eliminate carbon dioxide and absorb oxygen, but the drive to breathe is solely from carbon dioxide levels. The feeling of suffocation or shortness of breath is caused by CO2 alone (specifically, high CO2). If you breathe an atmosphere of pure nitrogen you will feel perfectly fine for a few seconds, then immediately die. On the other hand an atmosphere of 10% CO2 and 20% oxygen will make you feel like you are suffocating, possibly induce a panic attack, but nevertheless could probably be breathed indefinitely.

    Third aside: if the best treatment for this turns out to be oxygenation, that is very, very good news. Because the atmosphere is only 20% oxygen is pretty easy to improve oxygenation, just crank that up to 100% oxygen and now each breath delivers five times as much oxygen. This is technically easy to do and doesn't require intubation or a ventilator. A 4 dollar non-rebreathing facemask can get you well above 50% and basically anybody can use it. Heck people with COPD spend years with nasal cannulae and oxygen generators managing their disease at home.

    Ventilators are required primarily for CO2 elimination (although they also help with oxygenation). While it's easy to increase the oxygen that is inhaled with simple passive measures like facemasks, to get rid of more CO2, you just have to breathe, no other option, so if the patient can't do it you need the vent, with all the complexities and risks associated with that.

    Replies: @ic1000, @RohadtMagyar

    Because the atmosphere is only 20% oxygen is pretty easy to improve oxygenation, just crank that up to 100% oxygen and now each breath delivers five times as much oxygen.

    That’s. Not. How. It. Works. In fact, that is exactly how people die.

    You should look up Oxygen Toxicity and the Bohr Effect.

    • Replies: @Jack D
    @RohadtMagyar

    Oxygen toxicity exists and ideally you give just enough oxygen concentration to keep PaO2 at minimum adequate levels in order to stave it off but sometime the oxygen concentration that is necessary is 100% (and even that might not work). Here is the money quote:


    Life threatening hypoxia must always be relieved even if this requires the use of 100% oxygen for prolonged periods of time.
     
    http://medind.nic.in/jac/t03/i3/jact03i3p234.pdf

    Suffering side effects from oxygen toxicity is bad, but being dead is even worse. Sometimes in medicine you have no good choices and can only choose the lesser of two evils.

  • American Indians have been telling the legend of the eruption of Mt. Mazama in Oregon the formed what is now Crater Lake National Park for 7,700 years, according to Logarithmic History. A new paper claims that Australian Aborigines have kept alive the story of the formation of a few small volcanos in Budj Bim National...
  • The weird thing about Flood Myths is that they appear to be near universal and appear to have a a coherent structure: a flood comes out and washes away the wicked (who have sinned against a good but vengeful God).

    How did the same story become effectively universal in pre-history?

    The story of Noah may be part of the Abrahamic canon, but the legend of the Great Flood almost certainly has prebiblical origins, rooted in the ancient civilizations of Mesopotamia. The Sumerian Epic of Gilgamesh dates back nearly 5,000 years and is thought to be perhaps the oldest written tale on the planet. In it, there is an account of the great sage Utnapishtim, who is warned of an imminent flood to be unleashed by wrathful gods. He builds a vast circular-shaped boat, reinforced with tar and pitch, that carries his relatives, grains and animals. After enduring days of storms, Utnapishtim, like Noah in Genesis, releases a bird in search of dry land.

    Yet tales of the Flood spring from many sources. Myriad ancient cultures have their own legends of watery cataclysm and salvation. According to Vedic lore, a fish tells the mythic Indian king Manu of a flood that will wipe out humanity; Manu then builds a ship to withstand the epic rains and is later led to a mountaintop by the same fish. An Aztec story sees a devout couple hide in the hollow of a vast tree with two ears of corn as divine storms drown the wicked of the land. Creation myths from Egypt to Scandinavia involve tidal floods of all sorts of substances — including the blood of deities — purging and remaking the earth.

    from https://time.com/44631/noah-christians-flood-aronofsky/

    —- another ancient historical “event” could be the predation of archaic homo sapiens by Neanderthals. Danny Vendramini suggests a likeness of our former predator (Neanderthals) was encoded into the human genome during our evolutionary past.

    It is this innate ‘predator recognition’ module that is subliminally expressed in art, myths, movies and legends.

    eg Yetis, Big Foot, unstoppable bogeymen etc etc

    See images here: https://themandus.org/them-3/

  • From Reuters: One obvious problem with fixed amount subsidies for children is that they tend to encourage people whose reaction to $11,000 per child is Woo-hoo, we're gonna be rich! On the other hand, wealthy people in these post-2008 days in the U.S. are still pretty good about marrying and reproducing.
  • @Romanian
    @Buzz Mohawk

    Well, we sometimes refer to ourselves as the Mexicans of Europe, though with more of a Romantic soap-opera view rather than informed by reality. And our Communists really sucked and went full throttle on the Socialist views. I blame the Latin mindset and its inclination towards abstractions in elite thinking. We demolished the center of Bucharest in the 1980s out of the same instinct/mindset with which we collectivized agriculture, forbade almost all private enterprise and planned to demolish villages to replace each with 1-2 highrises to maximize cultivated land. With regards to relaxed Romanians, take a look at suicide rate differentials between Romania and Hungary. The artistic temperament of Hungarians may be to blame.


    The story is that the men at Trianon put the line on the map in the wrong place because they didn’t know anything about the area.
     
    Well, Trianon and the Paris Peace Conference before it were a tug-of-war to place the border. It wasn't people randomly drawing lines, Puckoon style, but all-out diplomatic and academic conflict for who gets the best carving. We have a very well appointed Museum of Maps in Bucharest (corner of London and Warsaw streets near Victoria Square, if you are interested) which had a temporary exhibition on WW1 ethnic maps in Eastern Europe from the French, Hungarian, Romanian, German MFA archives, which were used in negotiations. And it was fascinating to see how all sides in the negotiation relied on pre-existing studies (we had great help from French geographers like Emmanuel de Martonne who had specialized in the region and had done studies on the ground in the 1910s). Some of the maps dated back to the 1850s. The negotiators would commission academics to make studies and interpret existing data so as to produce maps strengthening their claims. The exhibition had maps in all relevant languages from every side with detailed descriptions of who compiled them and how they were thought out and how they fit in the negotiations and debates. There was an astonishing array of graphical devices to represent different population proportions etc to make arguments. Simply drawing lines does not do the effort justice. This wasn't the Yalta napkin set.

    This Hungarian blog has an English post on the same subject, just so I can maintain critical distance from the subject. Quite an astonishing collection. https://pangea.blog.hu/2019/04/18/romania_reflected_in_ethnic_maps

    Old example https://theseromaniansarecrazy.tumblr.com/image/160078972322

    From the political/military side, on the ground, our starting negotiating position was on the Tisza, where the Army had reached, though people understood it as untenable, because we were not even a plurality there. It did not stop the Royal Family from commissioning Greater Romania maps with that area incorporated. This also explains our war with the Hungarians and the invasion of Budapest in 1919, though we dressed it up as an anti-communist intervention (it was partly that, our elites were rightly afraid of Communism, though it never caught on internally as in other countries). In my totally unbiased opinion, the border was drawn as finely as possible with respect to the on-the-ground reality of who was in the majority where. By contrast, Bessarabia was much messier, ethnically, after 100 years in the Russian Empire and a portion of it for 150 years under the habsburgs and successors (with the colonization of Ukrainians for labor). Bihor even today is a quarter Hungarian, while the Romanian populations outside of the borders (minus the Moldovan SSR) has dwindled to nothing, through assimilation abetted by our policy of good relations with socialist brothers. Our minorities grew the same as the rest of the population, at least until the short-termist decision to let Germans emigrate to West Germany and Jews to Israel was adopted and they mostly left, of course (who wouldn't). Thank God Klaus remained, amirite? :))

    It is Hungarian.
     
    I take good natured exception to that, but we do share it as people. Given Transylvania's weird status over the centuries, one can make the argument that a Romanian polity has had sovereignty over it for far longer than the Hungarian one, kind of like Mexico and the land it lost to the US. It will be an interesting year in 2020, with the anniversary of Trianon. The tempers flared in 2018 will get even worse in 2020. Our lazy low key nationalism does not really imbue 1920 with a special significance, because the National myth centers on 1918 - the rest is just paperwork, but Mr. Orban will have his work cut out for him trying to ride the emotional wave in a way which benefits him politically (he has a lot of core voters here), underscores his message of national renewal and does as little damage to relations as possible. Btw, did you know that our new Prime Minister is also an Orban? :)))

    Replies: @RohadtMagyar, @Buzz Mohawk

    Uhm….the only reason that Romania had a seat at the table is because they switched sides at the end of the war, and made sure to end up on the victor’s side so they could carve up greater Hungary.

    Once the borders were re-drawn, and Transylvanian Hungarians and Szeklers (as well as the Transylvanian Saxons and other ethnic Germans of various stripes) woke up the next day in Romania, not Austria-Hungary, they were not only ruthlessly persecuted by the Romanians.

    This persecution lasted up until 1989.

    The Saxons and the Hungarians have been in Transylvania for hundreds of years, and literally built it out. Saxons were quite wealthy, Hungarians secondarily so, with Romanians a distant third.

    Romanians are an odd, xenophobic people (as are Hungarians, but less so) —

    • Replies: @Romanian
    @RohadtMagyar

    No, we switched sides in WW2. In WW1, we waited it out while the King and his allies argued for a German alliance and the other elites argued for an Anglo-French one. Story of our lives, really. Entered the war in 1916 because the hour was late and we wanted Transylvania. The total neutrality crowd was also strong. Austria-Hungary as it was then was headed for the trashbin either way, because of demographics and internal nationalism. We in the Kingdom owed A-H and Hungary nothing and work hard at increasing the number of people who think that, because the people who do think they owe you are dangerous.



    I would disagree on the persecution. This does not mean that it did not happen or that we did not sometimes adopt the same policies (for Romanianization) that our neighbors did (we learned a lot from Kossuth early on and his Magyarization). Anti-Hungarian prejudice existed, and of course the self-governing nation system had to disappear. Other than having to choose between citizenships and swearing an oath of allegiance to the state in order to maintain a role in public administration (the optants), there was only one other policy - the land reform which involved expropriation of the large landowners (the "Grof") with 100 tons of gold awarded in neutral arbitration in Paris, which led to land in Transylvania being allotted to 369 thousand Romanian and 87 thousand Hungarian peasants (in addition to being the majority, we were also the most rural, and the poorest). This was a case of disparate impact you could say, but land reform took place everywhere else in Romania as well at the time, but the expropriated ones where Romanians and Greeks, as well as the older land reform of the 1860s, which targeted the Church.

    We too had our fascists and attitudes hardened after the Diktate of Vienna, when our ally, Nazi Germany, gave our ally Hungary Northern Transylvania, where followed a quite brutal period for all involved on the ground. We did not have much love for either afterwards and switching sides was the whole point of the coup which replaced Antonescu (whom we shot, shamefully). But the story of the evolution of the population levels for the minority, even under a totalitarian state which moved hundreds of thousands of people on a developmental whim, the maintenance of its concentration and language in the heart of the country in the three central counties (urbanization policies meant that the cities everywhere rapidly increased their Romanian proportions) show that the government was at least careful and its rhetoric emphasized the maintenance of language and culture for minorities. Neither do our other minorities claim that they were especially targeted for persecution, other than the general awfulness and arbitrariness of the Communist period which hit all of us. This is a book written by Hungarians and published by our Institute for the Study of minorities - The Magyar Minority in the Communist Period. Maybe you can find it in Hungarian. I would not be surprised if it was published that way. https://www.academia.edu/2574842/Minoritatea_maghiar%C4%83_%C3%AEn_perioada_comunist%C4%83

    The evolution since, with the extraordinary permission for the creation of an ethnic party and its continuous presence in government coalition with high level positions does not imply love, but neither does it show marginalization. On the contrary, the Hungarians have been kingmakers in Romanian politics far out of proportion to their numbers.

    One would have appreciated the chance to help build out Transylvania, but I would remind you that another word for serfdom there is "rumanie". The status of the Romanians as a "tolerated nation" not equal to the three other nations, as affirmed in the documents of the era, made it quite hard to develop in ways similar to the others. No Romanians in towns, no stone buildings, no political rights unless one turned Catholic or protestant (which then led to assimilation). Even today, the ideal Transylvanian home is the Saxon fortified dwelling. The famously narrow minded and rigid Ardelean (internal prejudice, my Southerners are supposedly all gregarious thieves) is what you get after a few centuries of boiling off the assimilable. The Romanians there have always looked towards Vienna for amelioration of their status and to play off against Budapest. They finally got the right to an Orthodox bishop by 1759, freedom from serfdom by the early 19th century. However, it was only in 1902 that the first Romanian cathedral was built in Sibiu (Hermannstadt) (mind you, a multi-ethnic team effort). As for being there for hundreds of years, I would remind you that such a nice place was hardly empty when you arrived. But even that is a ethnic group mistake. Most of the people in Transylvania, regardless of ethnicity, derived from the people already there, and ethnic sorting took place after, aside from a small number of mobile elites and well known colonization policies for frontier defense (involving Germans).

    As for our xenophobia, it is quite an odd one indeed - with guaranteed representation in Parliament for all historical minorities, with a re-elected German President, a Half-Hungarian Prime Minister right now, our Half-Hungarian first European Commissioner, a Turkic Muslim PM candidate that almost made confirmation (Klaus rejected her) and a wide array of high officials who have been German, Hungarian, Jewish, Armenian, Gypsy, even the odd Arab (no Russians, I'll give you that), including those in critical functions like head of the intelligence service and head of the anti-corruption directorate. And an allegedly xenophobic left-party (PSD) which instructed its voters to vote for the Hungarian party so it can make the 5% cut-off for being in the European Parliament and to sign lists for Kelemen Hunor to be able to run as President (thousands of signatures in counties with fewer than 10 Hungarians). And with no appeal to quotas or distributive justice, only cold hard politics and one's personal capacity for sociopathy and manipulation that makes a "good" politician. Not to mention how early on we allowed double citizenship (as opposed to your other neighbors), which turned Hungarian politicians' electioneering here into a perennial irritant and tightrope act.

    Mind you, I do not much care for the issue one way or the other. The Romanians in Transylvania are the ones who express gratitude for Austrian administrative competency and an appreciation of the Hungarians and their qualities every chance they get. But its their grandparents who got the shit kicked out of them in 1939 and who got new documents from the Hungarians military administration calling Stefan Istvan, so they started giving their kids the freakiest possible names to stave off Magyarization (I've heard Romeliu, Flavius). They remember that too, and getting stuck with them in some sort of autonomous arrangement is not something conducive to peace.

    Replies: @AnotherDad

  • Do creative individuals have better ideas or just more ideas than not so creative individuals? The Coen Brothers acted out this old question in The Hudsucker Proxy: The Coen Brothers' most widely hated movie is their 1994 big business satire The Hudsucker Proxy, with help from their friend Sam Raimi. Shot in the style of...
  • @Sean
    @Intelligent Dasein

    You cannot help noticing that Napoleon was a Corsican and Hitler was an Austrian. There are many other examples of outsiders who led.

    Wagner in interviews seems to oppose Trump's policies, but for the best research team recipe Wagner is more an advocate of the interdisciplinary than multicultural or multiracial.

    Replies: @RohadtMagyar, @Desiderius

    I too have noticed this.

    In Hungarian history, there are more than a few examples of the semi-outsider becoming a leader.

    The great Hungarian reformer of the 19th century, Stephen Szechenyi, spoke German like a Viennese, and only re-learned Hungarian in adulthood.

    His contemporary, Alexander Petofi, the firebrand Hungarian poet-patriot, had a father who was either Slovak or Serbian and his birth name was Petrovich (Peterson) — later Hungarianized to Petofi.

    It may be related to the phenomena of the outsider becoming more X than the X, as George Sand said of Chopin, “He is more Polish than the Poles.”

  • Do creative individuals have better ideas or just more ideas than not so creative individuals?

    100% both. Their ideas are better and they can generate more of them. Ask any ad agency director for whom they look to hire.

    Truely creative people are like Don Mattingly combined with Babe Ruth — they’ll always get on base, but they’re always aiming to hit it out of the park.

    But even if they don’t grand-slam it, their base-hit is still 100x better than the average person could muster.

  • Does anybody notice that African refugees tend to be funneled to the most climatically absurd destinations in the U.S., such as Minneapolis, Lewiston, Maine, and now Missoula, Montana? The population of the Congo is currently said to be 87 million and growing two or three million per year. (Of course, in reality, nobody has much...
  • Off Topic — but very iStevey:

    MEXICAN workers in HUNGARY are protesting working conditions. They look to be doing similar work as they do in the USA ie landscaping, construction etc etc

    “Mexikói zászlóval vonulnak rejtélyes munkások a fővárosban, a mexikói nagykövetség nem nyilatkozik”

    Translation: “Mysterious workers march with Mexican flag in the capital. The Mexican Embassy has no comment.”

    “A MAI NAPON MEXIKÓI MUNKAVÁLLALÓK KERESTÉK FEL A NAGYKÖVETSÉGET, AZZAL A CÉLLAL, HOGY PANASZT TEGYENEK AZ ŐKET FOGLALKOZTATÓ MAGYAR CÉG BÁNÁSMÓDJA ELLEN.”

    Translation: Today Mexican workers paid a visit to the Embassy with the goal of registering a complaint at how they’re treated by their Hungarian company employer.”

    https://index.hu/mindekozben/poszt/2019/10/31/mexikoi_zaszloval_vonulnak_rejtelyes_munkasok_a_varosban_a_mexikoi_nagykovetseg_nem_nyilatkozik/

    https://index.hu/gazdasag/2019/10/31/mexikoi_munkasok_a_rossz_munkakorulmenyek_miatt_tiltakoztak_budapesten/

    • Replies: @anon
    @RohadtMagyar

    Translation: Today Mexican workers paid a visit to the Embassy with the goal of registering a complaint at how they’re treated by their Hungarian company employer.”

    Talk about a problem with an easy solution. How many airliner flights to Mexico City would it take? Not that many, I wager.

    Replies: @Achmed E. Newman

    , @The Anti-Gnostic
    @RohadtMagyar

    Everywhere in the world must be made to be like everywhere else.

  • Parasite is an acclaimed film by the most popular movie director in South Korea, Bong Joon-ho, who has made The Host and Snowpiercer. The trailer makes it appear to be a horror movie, but it's not. This movie is about a very poor but close family of four in Seoul. The son fakes his way...
  • @Romanian
    @RohadtMagyar

    The dubbing craze is catching up in Romania. We used subtitles exclusively until a few years ago. Now, they are dubbing movies for children (which is very bad for any incipient English language skills).

    Replies: @RohadtMagyar

    Dubbing is a terrible thing. It really hurts English acquisition.

  • @Bardon Kaldian
    Steve- any many other anglophones - extrapolates their culture's markers on other cultures. I don't know about Korean, but in most central & east-European languages there is virtually no "class difference" in speaking a national tongue. Except for a range of vocabulary, workers speak more or less the same as top politicians.

    Replies: @Romanian, @Anonymous, @RohadtMagyar, @RohadtMagyar, @syonredux

    Any Hungarian speaker can hear the difference between Kate McKinnon rapping very well (phonetically) about Budapest’s 8th District. The proletarian accent is distinct.

    While Admiral Horthy speaks perfect yet German-tinged Hungarian (an upper-class accent) here:

  • @Bardon Kaldian
    Steve- any many other anglophones - extrapolates their culture's markers on other cultures. I don't know about Korean, but in most central & east-European languages there is virtually no "class difference" in speaking a national tongue. Except for a range of vocabulary, workers speak more or less the same as top politicians.

    Replies: @Romanian, @Anonymous, @RohadtMagyar, @RohadtMagyar, @syonredux

    No class difference? No way.

    That’s certainly not true in Hungarian or German, and I doubt it is true elsewhere in CEE.

    You can tell if someone has been educated or grew up with a Buda accent in Hungarian in how they conjugate the “-ikes” verbs. That’s a very distinct marker.

    Also, there is also a distinct countryside accent, often typified by dropping, for example, the “L” in a word like bolt (English: store) — so it sound like boat.

    Hungarians like to watch dubbed (instead of subtitled movies) and when they dub, they miss out on a lot of meta-data like class or nationality.

    I’ve watched many a Hollywood movie with the actors speaking in various accents, standard American, lower-class Scottish and South African etc etc — all of which signal this sort of meta-data to Anglophone audience — and it is lost when it is dubbed all in Standard Hungarian.

    • Replies: @Reg Cæsar
    @RohadtMagyar


    Also, there is also a distinct countryside accent, often typified by dropping, for example, the “L” in a word like bolt (English: store) — so it sound like boat.

     

    I was told-- by none other than the Joseph Pearce of the video above-- that the ultimate expression of this is in Millwall, or "Miwwwaww", of the notorious football hooligans. I replied that Brazilians do the same-- "Braziw", "Portugaw". But it's been standardized there.

    Although Rio shares the sounds of the poor, black northeast, it was long the capital, and is still the cultural capital, and Carioca has some prestige. Whereas São Paulo and even more so the mostly-white south have phonemes a bit closer to Spanish. (Which defeats the whole point of Portuguese, doesn't it?)

    Is there anywhere else in the world where the upper- and lower-class accents are closer to each other than to the middle-class's?
    , @Romanian
    @RohadtMagyar

    The dubbing craze is catching up in Romania. We used subtitles exclusively until a few years ago. Now, they are dubbing movies for children (which is very bad for any incipient English language skills).

    Replies: @RohadtMagyar