skysight-inc/HackerNews huggingface dataset:
Viewpoint from hospital doc internal med.: clinical consequence of COVID19 Test?
I have been living in Germany for about 20 years now, 47 years old, I studied Biochemistry in the UK, did a scientific PhD and I studied medicine in Germany. I am currently working part-time mostly weekend shifts as a resident doctor in the emergency/admissions department in internal medicine in a hospital in southern Germany. I have also been working in various roles in the technology / healthcare/ medical technologgy in Germany for approximately 20 years.
Please also excuse my somewhat akward wording. I am neither a writer nor an orator, I hope that I am well placed to get the message across to you about the drastically deteriorating situation in society from a clinicians point of view.
Please respect that I am no way criticising my current employer and that these views are entirely my own. I do not want my current employer to be identified. In fact, their organising of the very real medical issues has been impeccable to date.
I am reaching out as I feel the test propagators are now in a position of massive personal and professional responsibility regarding the current testing and media situation for COVID19 in Germany and worldwide.
I for example have this news from the British broadcasting corporation BBC:
Seems like a logical decision. Japan has managed to avoid a massive outbreak so far.
You're a nice human. I like this; will try to do the same
I just created an Android Library for the easiest SQL database management
I personally didn't find pass to be minimal enough (not all POSIX-y systems use bash as /bin/sh, after all), which is why I switched to pash [0]. I created some shell functions to integrate it with fzf and support multiline passwords (in which the first line is the password and following lines contain metadata like usernames). The code is in my dotfiles [1].

[0]: https://github.com/dylanaraps/pash

[1]: https://git.sr.ht/~seirdy/dotfiles/tree/master/.config/shell...
You should let people who've trained 10 years and have 20 years of experience deal with this issue.

Focus on other problems that will become issues in 10 years.

I'm tired of this idea that nerds can jump into any crisis, build some stupid app and pretend they save the world so they get likes on whatever social media. People die of tons of diseases all the time. There is slavery in many countries. There are many regions to de-pollute after intensive industrial abuse. There is no shortage of issues to work on.
Not too long ago a headline like this would be absolutely massive news. Now it barely even registers. Crazy times...
Viewpoint from hospital doc internal med.: clinical consequence of COVID19 Test?
Germany's relatively low death rate was largely due to the high number of tests being carried out, said Christian Drosten, head of the Charite University Hospital's Institute of Virology in Berlin.
Assuming that the BBC source is accurate, on which scientific studies is this study based ? As to my own personal anecdotal clinical insight, a number of weeks ago I was documenting the travel histories of my patients in the Emergency/ Admissions department . At this time the Robert Koch Institute which is equivalent to the central health institution in Germany defined only South Tyrol as a risk area in the area closest to my hospital catchment area near the Austrian border. It was apparent to me at this time that the virus was more widespread than this, I was documenting patients presenting with mild or no symptoms with extensive eg. rail journeys throughout Europe, who had had no known contact with symptomatic persons and it was quite clear to me the definition of South Tyrol as a risk area was for clinical evaluation purposes near to meaningless. Yet only now has the Robert Koch Institute dropped this definition of a risk area as having relevance for a risk factor evaluation.
Also I would be very grateful if you could explain what is the clinical significance and what is the clinical consequence of the test? If a patient presents with any of the following symptoms; feeling generally unwell (“under the weather”), Fever (also if measured at home and at time of presenting afebrile), sniffles respiratory symptoms, either mild or severe, due to the widespread nature of the viral spread I assume that this is highly likely a COVID19 presentation regardless of their contact history or lack thereof and must therefore, if an in-patient treatment is required, be isolated as a COVID19 suspected case. Current test time due to the backlog is approx. 3-6 days this backlog of test time changes daily.
Will this be the 'spam' that destroys our civilized world? When we cannot believe our own senses, then our only refuge will be a construct that WE made so we know we can trust it? Will we voluntarily enter the matrix to escape the chaos that we have corrupted our reality into?
Thanks dang. Moderation on HN keeps it an island of sanity. Really appreciate the job you are doing.
I appreciate you making the attempt. Thank you for the kind words.
Probably still can, different markets and all :D
Strictly speaking it's either turing complete already because it implements arbitrary non-acyclic boolean circuits, or it can never be turing complete because it's limited to finite memory, but two things come to mind as very useful for expanding it's practical usefulness that would probably have to done in the memory controller:

Transpose. (Take a bit-parallel array in row 0, columns 0,1,... and place it (bit-serially) in column 0, rows 0,1,... - and preferably do the same for row 1 to column 1, row 2 to column 2, etc simultaneously.)

Random access (Take a bit-serial index N in rows 1,2,... and load or store row 0 to/from row N.)
I use bitwarden too, but I can't figure out how to get the cert to automatically update. I have port 443 served by Caddy2 and use that as a reverse proxy to Bitwarden, but Bitwarden wants to bind to 443 to update the cert. So, for now, it is a case of manually stopping Caddy, updating Bitwarden, and starting Caddy back up. The downtime is only acceptable because I only host personal stuff.
It's definitely not the same, but it's not bad...especially given the times. My friends and I have been trying to do everything we normally do, just online instead. We have happy hours, play jackbox or games on tabletop simulator on zoom/discord (some games like codenames you can just screenshare and everyone doesn't need to own tabletop sim). We also like electronic music and used to go to shows/festivals together...and a lot of DJs have been doing live streams now, so we'll watch them together over Zoom and all dance on a video call.
So just point the screen up at the windscreen and use the reflection as a HUD. You'll need to source a very bright screen for daytime use, just as with any HUD.
I don't know, an all out war on death could potentially work? We won't know until we try? It would have to involve a lot more than "just" living longer. We already have a lot of that effect. So much that migrants have to produce our food. shrug
Viewpoint from hospital doc internal med.: clinical consequence of COVID19 Test?
When a patient presents with more severe significant symptoms such as high heart rate, difficulty breathing, now this is purely based on my own anecdotal observations and the medical literature, typical appears to be a relatively high peripheral saturation without supplemental oxygen, hypoxia low O2 in blood gas and hypocapnia low CO2 in blood gas, and the expected mild respiratory alkalosis in the arterial blood case. Pathognomonic for a severe case appear to be, again, based purely on my limited clinical experience and coverage of the currently available literature, raised LDH, raised CK, Leucopenia, rising C reactive protein, Thrombopenia(low) , eosinopenia (low) and raised D-Dimers. CT and chest X-Ray Imagine show characteristics. Please can you now therefore explain to me what is the clinical relevance of your test when labor and Bildgebung ist pathognomonic ? How is your test contributing to a low death rate? On which scientific data do you base this statement? What is the number of subjects with COVID19 infections that run subclinically and therefore never submit for a test? How do you determine this number? Why are children often not testing positive? Do you think it could be due to lack of cooperation of the child while swabbing the nasal cavities and Pharynx? My limited anecdotal clinical experience would suggest that bacterial superinfection is a contributor to a clinical deterioration and corresponds to the typical chest radiograph/ CT imagery and raised CRP among other common lab markers. How does this relate to your test? Certainly antibiotic therapy appears to have gained widespread therapeutic acceptance. The current backlog for your test is 6 days. Of what clinical consequence is this, when a serious case can be diagnosed with case history, a short examination, lab and Bildgebung? I now see the use of the test as purely a retrospective epidemiological study and for registration cases with the health ministry
Helpful comments only please.
Ed
This seems less "minimalist" than Unix pass[0] - but maybe author has specific issues that are addressed?

I'm curious to see a comparison.

[0] https://passwordstore.org
Fresh yeast is a thing in Germany. In the US, it's dried yeast or nothing.
Not only that but per the article:

"In televised remarks Monday, Newsom said the state will lease beds in struggling hospitals around the state and is eyeing convention centers, motels and state university dormitories for use as hospital wards. One such lease, in Daly City, may cost the state as much as $3.2 million a month for 177 beds."

Making small investments for the future is what economics is all about.
Probably different regions but none of my grocery stores do online like that. They have someone walk the aisles and shop like a regular shopper, and check-out at the cash register like a regular shopper. They will even give you their receipt to verify the order. You're just offloading the risk of infection to someone being paid to grab groceries.
With all these provisions: if you've decided it would be a good idea to do, why not do it now? If it's a good idea now, it's going to be twice as good of an idea in three days. And it's going to be four times as good of an idea in six. Etc. Over and over again the organs of governments announce decisions that would be a good idea today that don't come into effect until a few days from now. Which means that the harm done will be doubled/tripled/... by the time the rule goes into effect.

I mean I don't like this. I think Japan is great and I'm an American so this is a little embarassing. But if the Japanese have decided this is good to do, they should have done it yesterday. The next best time would be today.

(I do wonder if it's not quite a bit too late for restrictions like this to be effective. Japan already has 1200 cases, and I have heard they have a US-like approach to testing -- that is, it's shit. Unless they are magically different from every other country, the disease is already spreading in communities there. They will ultimately be forced to take the same steps that all other countries have taken to stop the virus, and that includes controlling the movements not just of foreign nationals/Americans, but also their own citizens, into and out of the country.)
> How many people were thinking about pandemics then?

Hopefully quite a few, considering the H1N1 pandemic was just two years earlier.

The article mentions this was also for earthquake preparedness, which any California government should be thinking of.
This presumes all of these measures are highly effective, which is far from certain or obvious.
Wax on, Wax off Why going remote could be the best thing that ever happened
It works pretty well!
One thing that really helped the extroverts on our team was a regular team-wide happy hour. We pulled 35-40 minutes on the calendar at the end of a day, everyone grabs a drink, and then we open the video chat and let people talk about anything and everything NOT related to work. By the end of it, everyone's a lot more relaxed, the tension seems a lot lower, and the extroverts are in much better shape. The introverts on the team are encouraged to attend; when I'm feeling more introvertish I'll leave my video feed off and hack a little bit while listening with my mic muted. :)
Ask HN: Is There an HN for Gardening?
With the pandemic in full swing, I'm entering into the world of gardening with some milk crates, landscape fabric, potting soil and green bean seeds. I've never grown/gardened before.

What's the best resource for gardening for newbies? Something similar to HN?
Reconsidered my opinion:

I agree with a reply below. The primary determiner of how well a place responds to Covid seems to be their experience with SARS, and possibly other infectious respiratory diseases like TB.
There are bits and pieces, but not a complete tool that gathers all the same functionality (that I'm aware of, there could alays be something new that's not well known yet).

The main selling point of Maltego is the large amount of plugins and data sources that you can integrate with it.
The early modems required acoustic coupling, so the two functions were built into the same device. Because of that it was common to use either term to refer to the same device. It was only later when US federal law was changed that modems could connect directly to the phone line without requiring acoustic coupling.
I have a very bad feeling that Japan is going to be ravaged by this pandemic.

https://mobile.twitter.com/motokorich/status/124383121986899...

"Abe: “If an explosive spread of infection is already occurring right now, we cannot tell immediately. By time we have numbers in 2 weeks time, speed of rise in number of patients could no longer be controllable.” Yet he announced no specific measures to prevent this scenario."
Scary thought - but a practical question is how will deep fakes influence video as courtroom evidence? Some countries have laws that only approved recording devices are acceptable for recording such evidence, but is this the end of phone recorded evidence?
> how do you know you are not breaking the speed limits

Drive a safe speed for the given road conditions. Match speed of other drivers. Not hard to do.
Not much help in an emergency, though.
>The restriction applies even to Japanese nationals returning from the United States.

That's probably the answer. Some amount of heads-up is owed to Japanese nationals. A Taiwanese friend was in a similar situation w.r.t. Taiwan closing borders. Uncertainty of timeline and parameters can be incredibly disruptive for citizens trying to travel back to their home country. They might not have permanent lodging in the U.S. (students, tourists, visiting scholars/scientists and more).
I like to think of it as a good indicator that people do often consider the circumstances rather than just have a knee jerk reaction.
Not counting the Private Use Area, there are 146,038 assigned code points.

This leaves us with 830,606 to work with. Is that really such a 'huge mistake'?
Neither nuclear or coal is price competitive anyway with wind/solar or gas turbine, and they are falling behind with every successive year of developments in wind/solar
I would think the only people traveling to Japan these days are Japanese people. I wonder if the ban would also include people with Japanese passports.
If you disagree or downvote, please explain. I'd like to hear reasons and evidence.
These guys aren’t doing oil runs. In this area, the rail traffic for oil pretty much died last year.
> why not do it now?

I'm guessing to give people time to alter their plans etc.

> Unless they are magically different from every other country

They seem to be! Nobody really knows why, but even if their testing is inadequate you'd still expect to be seeing a lot more deaths if the virus was rapidly spreading. More info: https://www.japantimes.co.jp/news/2020/03/20/national/corona...
If you have reasons or evidence, please explain.
Effective C: An Introduction to Professional C Programming
solar/wind is cheaper than coal. In fact it is cheaper to build a new solar/wind farm than keep an EXISTING coal factory running.

When solar/wind pass natural gas, which hopefully happens in the next few years, a glimmer of hope to stabilize global warming sparks.
Last I checked (I suppose this was in Windows 7), it's trivial to write a Windows desktop app that can directly control the mouse and keyboard input without even requiring admin permissions.
“Definite” vs. “indefinite” optimism as a false dichotomy
Sounds like zoom happy hours is a thing. It takes BYOB to a new level
lol. shouldn't you first present evidence and reasons as opposed to ideology?
I presented as much reason or evidence to support my post as you did.
Now I'd like to hear if anyone has any tips on how to go from the "Alloc. Size" sorted heap dump where you can clearly see a huge array of waste, to the actual location/initialisation point of the array in your code base. Trivial when you have one file and two external libraries, maybe not so trivial when you have hundreds of files and hundreds of libraries.
Doesn’t logic dictate that all international travel time and from all countries be stopped for a few months?
I might be projecting; but there is probably a fair amount of overlap between people who are in favour of enacting good emergency preparedness are the same sort of people who like balanced budgets (whether by raising revenue or decreasing costs). Those sort of people seem to struggle in US politics and the electorate doesn't seem to prioritise that sort of thinking.

It isn't surprising that the government would be caught flat-footed by anything that wasn't needing a regular response. Long-term thinkers only get voted in by accident; the public prefers charisma.
Packages have signatures on Linux. They're validated during install rather than execution, but validating them on execution wouldn't cause meaningful problems as long as the device owner can install additional signing keys. Not being able to do so is what causes your consternation with Catalina.

Whether the applications are well-packaged is a different matter, and that's the place where apparmor does get into trouble as well. In theory the packager describes things the application should never do, but if they're sloppy then it actually requires some privileges they didn't grant it, and then you have users mashing every available button to turn off all the security because their application isn't working.

This is the constant battle in security. You have false positives and false negatives. You can't err on the side of false positives or people will stop using your system because it constantly gets in their way. You can do a lot of hard work to reduce both false positives and false negatives, but that's a lot of hard work.

Or you can err on the side of false negatives, which is nice and easy and doesn't interfere with people using the system, except that it's insecure and then systems eventually get compromised. This turns out to be the one that people tend to prefer in practice. Oops.
Personally, I struggle finding decent advice by reading such books. What I do instead, is I am building my own product. This surfaced quite a few personal limitations - one being focus. There is no amount of times one can read Deep Work to cover for that moment when things click in your head. By all means read books but practical experience is what wins for me.
You could definitely achieve something like that with a solderless breadboard, and a raspberry pi with some breakout boards! Maybe an external USB or HDMI display?

I wonder if you could use something like this [0] and feed info from the pi over OBD using some sort of OBDII breakout board or OBDII <-> USB device.

[0] https://www.aliexpress.com/item/32966911948.html
Not anymore. Tokyo is already [edit: entered the hockey-stick part of] an exponential trajectory as of around 5 days ago.

https://stopcovid19.metro.tokyo.lg.jp/en

Every press conference ending with Koike (Tokyo governor) or Abe (PM) babbling along with no material countermeasures being announced has been making me feel all the more dreadful. They needed to have already shut down everything long ago. We will be joining the world's other major outbreak cities in a week or two.
My only question is: "Why hasn't the world done this two weeks ago?"

The US is failing to test on a massive scale, and the outbreak has been growing exponentially, week after week. Control measures are being taken, but on an inconsistent, fragmented basis.
If the host plans ahead and brings some cheap cardboard cartons, they can tell guests to take what they like before leaving. Maybe in some places regulations or liability wouldn't allow this, but I've seen it done and it results in very little food being thrown out.
Covid-19 SBA $2M loan for startups
https://www.sba.gov/page/disaster-loan-applications If our fundraising options were destroyed by covid-19, does that allow us to borrow money for our startup?

Anyone try this? Any advice?
People are probably downvoting you because it's generally frowned upon to make baseless "just-so" claims, especially in something as difficult to make credible claims in as geopolitics, and especially when it asserts the superiority of some groups over others (or appears to.)

That all being said, there have been studies of how "meritocratic" different societies are (albeit I don't know how that is operationalized) and there will be very quantitative measures of how well each country weathers the pandemic; someone could certainly (when the data is in) check to see how those features tend to relate.
I wonder if this pandemic will have long lasting effects on international travel. It seems possible that going into the future stricter health screening may become routine and certain travel restrictions may stay in place for a prolonged period of time. Same goes for certain other measures I guess.
Could you elaborate what you mean by transactions?
I'm not sure how you came up with this, Singapore and Hong Kong meritocratic? They're both oligarchies where all the land and influence in the city is owned by a few powerful families. Also the fact that excluding Vietnam all of these countries are either islands or have a single land border (don't think a lot of people are coming into South Korea from North Korea?) probably makes controlling the disease a lot easier.
Anyone know what Japan's policy is regarding U.S. military service members stationed / on shore leave in Japan?

That seems like a potentially serious back door for covid-19 spread. Especially given the tight quarters on naval vessels.
hypocritical is the word you're looking for.
Meh, we've been in this predicament since we could communicate. The kind of falsehoods that we already spread are already a problem. Simple HN comments go just as mentally viral yet it wasn't until the recent "fake news" meme and deepfakes did people begin acknowledging the broader problem.

Deepfakes are just another prong on the same trident. I don't see how they are any worse than the screenshots of bullshit headlines that already go viral on Reddit/Twitter.

Hell, just think of all the suffering that's been caused by people believing in some random stuff written by other humans in an old religious book without questioning it. And people think it's deepfakes that might be civ-ending?
Previous experience with SARS is a better candidate for "primary determiner."
I dont think we should - COVID does. People are forced to stay in their own countries due to travel restrictions. And it is likely this pandemic will last for a while, and with summer coming, people might just as well work locally until this nightmare is over.
That's a week old story. Now it seemed to be not the case.