shaokim
shaokim t1_j99heib wrote
Reply to comment by 0oSlytho0 in Can doctors tell when cancer is caused by something specific, such as smoking or chemicals? by [deleted]
To add to this: we can't determine the exact reason why cancers were caused in the great majority of cases. However, there are cases and certain types of cancer where we can determine with great confidence that a certain cause was at its origin.
For example, in cervical cancer, usually caused by a virus called Human Papilloma Virus, that same virus leaves a kind of hallmark when viewed under the microscope called a koilocyte. AFAIK, detecting cancer of squamous cells in the cervix together with koilocytes OR the actual isolation of the virus is pathognomonic for HPV-caused cervical cancer.
For people with familial cancer syndromes, like Familial Adenomatous Polyposis (FAP), if a person comes in at an early age ie. 25 years old, and we see on colonoscopy a colon that is littered with growths, and after biopsy one of those growths comes back as malignant, we can tell with a high degree of certainty that the familial cancer syndrome (the heritable gene defect) was at the cause of the cancer.
Another type is a mucosa associated lymphoid lymophoma of the stomach. If we find a bacterium called Helicobacter pylori in the stomach, together with a tumor we determine to be a MALT lymphoma, and especially if that tumour regresses in antibiotic therapy, we can determine with high certainty that H. pylori caused that exact tumour, IIRC.
Actinic keratosis is a skin condition that's caused by chronic excess UV-exposure (usually the Sun). It can lead to the development of skin cancer. If skin cancer arises from actinic keratosis, we can say with a high degree of certainty that UV light caused it.
There are many more examples: liver cancer in a patient with an alcoholic cirrhotic liver; esophageal cancer on the part closest to the esophagus in know stomach acid reflux, etc etc…
these may not be ‘caused by this definite exact cause’ but ‘caused by this to a high degree of certainty’.
There's bound to be more examples in genetic cancer syndromes (such as Li-Fraumeni, Multiple Endocrine Neoplasia) and infectious cancer syndromes.
shaokim t1_j8mba4c wrote
Reply to comment by TimeTravelMishap in 50 GB of Unreleased Michael Jackson Content Stolen in Brussels by Guybrush_Tripwood
Oh yeah, I forgot about Dre
shaokim t1_j3b0wpr wrote
Reply to comment by Aggressive-Visual-44 in How does the renal HCO3- reabsorption increase blood pH? by HugoBossPT
This picture can be helpful
shaokim t1_j2ecfoa wrote
Reply to comment by [deleted] in Unpopular opinion: I really miss Killzone (and Titanfall) and I want a new game. by [deleted]
Didn't Titanfall 2's launch coincide with Battlefield 1 and one of the CoDs?
shaokim t1_j2eb03e wrote
Reply to Unpopular opinion: I really miss Killzone (and Titanfall) and I want a new game. by [deleted]
Titanfall 2/Northstar is great, but it's definitely showing its age. Still, Respawn is probably making huge cash of Apex
shaokim t1_iy9jasw wrote
Reply to comment by WebW3b in Eli5, how do contracted Blood Vessels lead to Increased Cardiac Preload? by WebW3b
This great page shows factors affecting central venous pressure.
It isn't the arterial vasoconstriction that affects preload, but venous vasoconstriction, that would also occur in the compensation by sympathetic factors (such as circulating adrenaline).
shaokim t1_iy9dq7p wrote
Reply to comment by WebW3b in Eli5, how do contracted Blood Vessels lead to Increased Cardiac Preload? by WebW3b
I have it like this:
There is bleeding. At a certain point, blood pressure measured in the aortic arch and carotid body baroreceptors drops. The body compensates by triggering a release of circulating adrenaline as well as noradrenaline signaling to the sinus node. This will briefly increase contractility of the heart and heart rate, as well as induce peripheral vasoconstriction through signaling at alpha receptors.
All this would serve to compensate for blood pressure loss that goes with blood loss. So if I have that right, in this initial stage of bleeding blood pressure and venous return (preload) could be kept relatively constant by this compensation mechanism.
Over time, the bleeding overwhelms this compensation mechanism, and as intravascular volume drops, blood pressure drops and central venous pressure drops.
At no point, I think, will any of these parameters be significantly increased over baseline: blood pressure and venous return will be compensated (equal) at best, initially, before dropping.
shaokim t1_iy8trca wrote
I'm not sure if your premise is correct. In hypovolemic shock, central venous pressure (which I think is a useful proxy for preload) will decrease or remain equal because of lower circulating blood volume. I'm not sure if your reference to "blood cells" is of relevance in this particular bit of physiology.
Total intravascular volume goes down, therefore preload goes down. I think it's roughly as straightforward as that, in any case I don't think it would increase.
shaokim t1_iy79fmc wrote
Reply to Embrace what may be the most important green technology ever. It could save us all by stepsinstereo
>Imagine producing the entire world’s protein on an area of land the size of Greater London. Imagine rewilding 3/4s of today’s farmland.
Imagine eating guilt-free meat, milk and cheese without ever having killed an animal. Imagine providing abundant food to the world’s poorest.
shaokim t1_ivqcdff wrote
Reply to comment by Bagellord in Russia to withdraw troops from key city of Kherson by NINETY_LIVES
Institute for the Study of War assesses their stockpiles of precision ammunition as dwindling. They seem to be making deals with Iran for increased ammo and drones, in return for cash and captured western/Ukrainian arms technology, as well as potentially help with their nuclear weapons program and geostrategic partnership on an equal footing.
shaokim t1_iujkb18 wrote
Reply to Banff, Alberta Canada [OC] [4032 x 3024] by RadRussian97
Madness
shaokim t1_itulc01 wrote
Reply to comment by Wagamaga in Lowering blood pressure may prevent dementia. The study provides the highest grade of available evidence to show that blood pressure lowering treatment over several years reduces the risk of dementia, and we did not see any evidence of harm by Wagamaga
Isn't that already well established in the case of multi-infarct/vascular dementia?
shaokim t1_itpk4l9 wrote
Reply to comment by _seraphin in how do we feel ab powerwolf by _seraphin
"ab" is an "abdominal muscle"
shaokim t1_itpf3fe wrote
Reply to how do we feel ab powerwolf by _seraphin
*about
shaokim t1_it21bqf wrote
Reply to comment by C1-10PTHX1138 in German leader warns against 'worldwide renaissance' for coal by Wagamaga
Vote accordingly
shaokim t1_j99tlyq wrote
Reply to comment by Ghostfyr in Welcome to the oldest part of the metaverse — Ultima Online, which just turned 25, offers a lesson in the challenges of building virtual worlds by marketrent
I was fascinated by it as a kid, but monthly subscription fees were way outside of my realm of possibilities then.