libera/##covid-19/ Tuesday, 2022-04-05

BrainstormUpdates for United Kingdom: +603 cases since 3 hours ago00:04
BrainstormUpdates for Germany: +62697 cases, +150 deaths since 17 hours ago01:00
BrainstormUpdates for Cook Is.: +230 cases since 12 hours ago02:03
BrainstormUpdates for Samoa: +173 cases since 12 hours ago — Canada: +868 cases, +83857 tests since 9 hours ago02:59
BrainstormUpdates for New Zealand: +14183 cases, +23 deaths since 23 hours ago06:01
BrainstormUpdates for Kentucky, United States: +1317037 cases, +15068 deaths since 2 days ago — Unknown, China: +26917 cases since 2 days ago — South Australia, Australia: +11218 cases, +4 deaths since a day ago — Tasmania, Australia: +2432 cases since a day ago08:06
BrainstormUpdates for France: +11 deaths since 12 hours ago11:01
BrainstormUpdates for Germany: +167264 cases since 18 hours ago12:10
BrainstormUpdates for Canada: +1404 cases, +2 deaths since 20 hours ago17:05
BrainstormUpdates for Germany: +139353 cases, +256 deaths since 17 hours ago18:07
BrainstormUpdates for Singapore: +6341 cases since 13 hours ago19:10
* LjL-Matrix is mad abour19:25
LjL-MatrixAbout*19:25
LjL-MatrixUh Element isn't sending, weird, it locked up and failed to send and got the phone all warm on the other phone too19:26
LjL-Matrixpwr22 @pwr22:shortestpath.dev: has Element been sending files alright and otherwise behaving okay for you past couple of days?19:27
* LjL-Matrix uploaded a video: (5187KiB) < https://libera.ems.host/_matrix/media/r0/download/matrix.org/TCVQNORWafmPMwbkGxsbLEqX/VID_20220405_192430.mp4 >19:27
pwr22LjL-Matrix: Yeah, as far as I know19:30
LjLde-facto, do you remember anything about aspirin doses that are supposed to be helpful and ones that are suspected to be harmful?19:48
de-factohmm not sure, it depends on the condition i guess?20:06
LjLde-facto, for COVID :P20:06
BrainstormUpdates for Japan: +40316 cases, +64 deaths since 13 hours ago — Israel: +10540 cases since 21 hours ago — Italy: +88914 cases, +194 deaths, +588576 tests since a day ago — United Kingdom: +50624 cases, +368 deaths, +2162835 tests since 20 hours ago20:07
LjLoh my :(20:07
LjL%cases japan20:07
BrainstormLjL: Japan has had 6.8 million confirmed cases (5.4% of all people) and 28396 deaths (0.4% of cases; 1 in 4435 people) as of 40 seconds ago. 43.9 million tests were done (0.3 per capita, 15.4% positive). 101.2 million were vaccinated (80.3%). +40316 cases, +64 deaths since 13 hours ago. See https://covid19japan.com/20:07
de-factoLjL, I'd take things against C☼V:D20:09
de-factonot sure, if anti-coagulation is the main purpose it depends on age and body mass20:10
de-factoiirc the "baby Aspirin" of ~100mg is not really having such a big effect for normal weight adults20:10
LjLit's not me so i shouldn't recommend things that are too weird. but... yeah the thing is he actually found a study saying that *higher*-dose aspirin may be harmful and instead ~100mg may be useful for COVID20:11
LjLso now i'm confused whether he should take the 500mg pill or much less20:11
de-factowas it more like 300-500mg? but then it also got other side-effects20:11
LjLwell not a study, he was quoting from wikipedia20:11
LjL"The studies examining aspirin in COVID-19 have not used high-dose aspirin which has potent antipyretic and anti-inflammatory effects. High-dose aspirin can be potentially detrimental in COVID-19 patients. First, aspirin in doses of 160 mg per day and above inhibit COX-2 in endothelial cells and inhibit synthesis of prostacyclin [27], further aggravating endothelial dysfunction, a hallmark of COVID-19. Second, aspirin dose of 81 mg per day but not higher is most20:11
LjLeffective in stimulating synthesis of resolvins [20], the potent anti-inflammatory lipids that could prevent or mitigate the long COVID syndrome. Third, gastrointestinal toxicity by high-dose aspirin could promote risk of bleeding especially in patients receiving anticoagulants."20:11
LjL"potentially detrimental" doesn't sound like something i want to be recommending20:12
LjLactually it's from here https://www.tandfonline.com/doi/full/10.1080/13543784.2021.195068720:12
de-factoyes bleeding in stomach or brain could be dangerous actually20:13
de-factoe.g. stomach bleeding almost can not be stopped and if bleeding in the brain would occur it obviously would be very bad, thats what my MD warned be about when i revealed to her that i was on 100mg per day (without having COVID)20:14
de-factoi did not continue Aspirin, but rather take a pill of Ginkgo now everyday, because i feel good with that20:14
de-factoalso it never should be taken on empty stomach or such20:16
LjLhere's a metareview https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8556685/ but many of these things don't mention doses, being reviews20:16
LjLwell baby aspirin can be useful to take as prophylactic but 1) for people with known conditions, not just for you if you're fine and 2) i think the trend lately is for using it less20:17
de-factoi remember a meta study that concluded i would have had to take 300 and something mg for it to be effective20:18
LjLbut, another thing is taking it for a short period when you know you have covid20:18
de-factobtw that one is published20:19
de-factothe one you linked20:19
de-facto%title https://cegh.net/article/S2213-3984(21)00191-3/fulltext20:19
Brainstormde-facto: From cegh.net: The effects of aspirin on the outcome of COVID-19: A systematic review and meta-analysis - Clinical Epidemiology and Global Health20:19
de-factobut LjL i guess it also depends on severity, e.g. if SARS-CoV-2 would be able to spread to multiple organs with a severe progression or mainly would get eliminated on surface of mucus or such20:21
de-factohence my initial remark about the condition, e.g. spectrum of symptomatic trajectory20:22
de-factoyet that paper you linked also mentions other than anticoagulation for  platelets20:23
de-factoso maybe it also is somewhat helpful in mild cases?20:24
LjLuhm this meta-review https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8556685/ is positive for dosages around 80-100mg, but it's all retrospective studies, with the patients taking aspirin having a lot more circulation issues in the first place... they adjust for that, but i still don't like the method20:33
LjLsurely there is a proper double blinded study20:34
de-factoyeah if the choice to take Aspirin was already made before getting contaminated with SARS-CoV-2 and developing COVID its a special (biased) selection of people20:35
de-factobest surely would be to have something like a double blinded study comparing placebo with verum for different severity and age groups20:36
mrdatasome people take 81 mg aspirin daily21:24
mrdatasurely some of these got covid21:25
mrdatayou can compae this population to the general population21:26
mrdata*compare21:26
de-factowhat i meant was that those people that already got a reason to take Asprin prior to getting COVID had a reason to take it that distinguishes them from the majority that does not take Aspirin (without COVID)21:48
de-factohence its biased selection that way21:48
BrainstormUpdates for France: +203101 cases, +131 deaths since 23 hours ago21:59
ArsaneritHow did Swedens score drop from 5.2 to 0.5 in a week?  https://www.ecdc.europa.eu/en/covid-19/country-overviews22:03
de-factooh finally they begin to realize that long COVID could be a national problem22:31
de-factohttps://www.reuters.com/world/us/white-house-launches-national-plan-address-long-covid-2022-04-05/22:31
de-facto%title22:31
Brainstormde-facto: From www.reuters.com: Biden launches U.S. plan to help Americans struggling with long COVID | Reuters22:31
LjLmrdata, that's pretty much what those studies in the meta-reviews did. however the problem is that the population that already takes aspirin daily is different from the ones who don't (tend to be older, have cardio-vascular issues, etc)23:02
de-factoin addition ot that their bodies may have adapted somehow to longterm Aspirin exposure, not sure that that means though, maybe upregulated/downregulated pathways to counterbalance those affected by the longterm Aspirin exposure?23:08
de-factoLjL, did you disable Brainstorm feeds?23:10
LjLnot on purpose, but i may have broken it23:11
LjLyeah i broke it while trying to disable the gray coloring in ##EU23:13
BrainstormNew from WebMD: White House Announces Long-COVID Action Plan: The National Research Action Plan on Long COVID will gather experts from various agencies to expand existing long-COVID clinics and broaden ongoing research on symptoms of the virus that persist long after infection. → https://www.webmd.com/lung/news/20220405/white-house-announces-plan-for-long-covid23:31

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