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TRAstonDrs

@castltrastondrs

"Not all those who wander are lost" JR Tolkien #Clinicalresearcher #DrugDevelopment #Clinicaltrials & Registration πŸ§¬πŸ”¬πŸ“šπŸ”ŽπŸ¦ πŸ§« πŸ“Œ Melbourne πŸ‡¦πŸ‡Ί Oxford πŸ‡¬πŸ‡§& 🏴󠁧󠁒󠁳󠁣󠁴󠁿 #MedSkyπŸ§ͺ

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Latest posts by TRAstonDrs @castltrastondrs

#MedskyπŸ§ͺ #pedsky #IDsky #Neurosky #publicheath
#Subacutesclerosingpanencephalitis (SSPE) is a rare complication of measles affecting only 1 in 50,000 cases. However, it can be prevented through the MMR vaccine. The legacy of the #Measles remains a concern for unvaccinated children.

07.03.2026 09:42 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

A friend’s father - not biological - was infertile due to mumps, my own father was also affected, but only in one testicle. You would have thought that a US administration that cared about declining birth rates might want to promote vaccination πŸ’‰

07.03.2026 07:36 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
Simba snoring to the moon

Simba snoring to the moon

What’s a perfect job on a Saturday morning❣️
Here you go . Sleep in and relax with Simba .

07.03.2026 08:07 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Good riddance…

07.03.2026 08:03 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
The world awakens to a vibrant tapestry of colours at sunrise.

The world awakens to a vibrant tapestry of colours at sunrise.

There is kindness everywhere
in different proportions, and more
goodness and tenderheartedness
than we read of in the moralists.
Elizabeth Barrett Browning

07.03.2026 08:01 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

Life expectancy is one of the parameters I was keeping an eye on… and warned about years ago before we β€œopened up” in Australia.

We’ll see how this plays here, but I’m very sad for my country of birth.

06.03.2026 11:53 πŸ‘ 146 πŸ” 37 πŸ’¬ 5 πŸ“Œ 0
Preview
The US is using repurposed Iranian drone technology to attack Iran – a military expert explains why Struck by the success of large-scale, low-cost drone attacks, the US made covert efforts to capture Iranian Shahed-136s for technical analysis.

Looking to cut costs in military production, πŸ‡ΊπŸ‡Έ sought inspiration from the Iranian Shahed drone.The story of how one side’s innovation came to be the other’s weapon of choice reveals a lot about the nature of modern warfare. @theconversation.com
theconversation.com/the-us-is-us...

07.03.2026 06:45 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Preview
CDC: Unvaccinated international traveler spread measles to 17 other travelers to, within US The index patient had a fever, persistent cough, cold-like symptoms, and conjunctivitis (β€œpink eye”) during travel.

#MedskyπŸ§ͺ #IDSky #publichealth
Recap: #Measles cases are rising. Multiple measles transmission events are associated with a single unvaccinated traveller arriving in πŸ‡ΊπŸ‡Έ May 2025.
@cidrap.bsky.social
www.cidrap.umn.edu/measles/cdc-...

07.03.2026 06:25 πŸ‘ 11 πŸ” 7 πŸ’¬ 0 πŸ“Œ 0

They also define another case of allelic bias contributing to variable expressivity of an IEI gene.

07.03.2026 05:42 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

associated with inborn errors of immunity that include a component of NK cell dysfunction but may also have other immune or extra-immune dysregulation .
These findings link another member of the core replicative helicase complex to IEI & highlight the sensitivity of NK cells to these variants.

07.03.2026 05:42 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

especially from the Herpesviridae family . Though NKD is rare, 4 members of the CDC45-MCM-GINS (CMG) helicase are associated with NKD, including MCM4 ,GINS1, MCM10 & GINS4
In addition, other genes associated with cell cycle progression & DNA replication have been

07.03.2026 05:42 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

#MedskyπŸ§ͺ #immunosky #publichealth #Casereport #Naturalkillercell deficiency (NKD) is a primary immunodeficiency where natural killer cells are affected in the absence of other immune defects . Individuals with NKD present with malignancies & susceptibility to viral infection,

07.03.2026 05:42 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Quite simply, the disinformation spread by RFK Jr and his fellow charlatan’s will hurt more and more children until the burden of misery cannot be ignored by the policy / lawmakers - and the electorate that empowers them.

07.03.2026 04:16 πŸ‘ 14 πŸ” 9 πŸ’¬ 1 πŸ“Œ 1

#MedskyπŸ§ͺ #Oncosky The study findings suggest that there are therapeutic opportunities to eliminate disseminated tumour cells ( DTCs) , separately from treatments aimed at primary tumours, and GR inhibition is one promising target.
PDF
www.nature.com/articles/s41...

07.03.2026 05:17 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Video thumbnail

You can't force yourself to feel something you don't feel, but you can force yourself to do what's right despite your feelings.
Pearl S. Buck
πŸ”Š

07.03.2026 05:00 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
Nocturnal Mind by Yiruma on AppleΒ Music Song Β· 2019 Β· Duration 3:14

There is nothing certain, but the uncertain
Music is forever certain
music.apple.com/au/album/noc...

06.03.2026 08:18 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Morning a view from the window

Morning a view from the window

A morning run to get ready for takeoff.

A morning run to get ready for takeoff.

Before the rain, the sky was so blue.

Before the rain, the sky was so blue.

The colours of the morning.

The colours of the morning.

The greatest obstacle to living is expectancy, which hangs upon tomorrow and loses today. The whole future lies in uncertainty: live immediately.
Seneca

06.03.2026 08:12 πŸ‘ 5 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
Preview
A prospective observational study of post-COVID-19 chronic fatigue syndrome following the first pandemic wave in Germany and biomarkers associated with symptom severity - Nature Communications Some patients experience long-lasting symptoms after coronavirus disease (COVID-19). Here the authors report the clinical and laboratory parameters in patients with post-COVID-19 syndrome from a prosp...

pmc.ncbi.nlm.nih.gov/articles/PMC...
@thelancet.com

www.sciencedirect.com/science/arti....

@nature.com
www.nature.com/articles/s41...

pmc.ncbi.nlm.nih.gov/articles/PMC....

06.03.2026 08:01 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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(PDF) The fatigue spectrum in a community-based long haul COVID cohort PDF | Introduction In a Long Haul COVID referral clinic we describe the primary presentations of fatigue according to the CDC 2015 criteria for myalgic... | Find, read and cite all the research you ne...

often preventing them from returning to full-time work.
- Risk Factors: Significant predictors for persistent fatigue include female sex, older age, high BMI, and the presence of comorbid depression or anxiety.

www.researchgate.net/publication/...

06.03.2026 08:01 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

-Psychiatric Comorbidity: Anxiety and other psychiatric diagnoses are significantly overrepresented in those meeting ME/CFS criteria compared to those without fatigue (58% vs. 38%).
-Functional Impact: ~ 33% of these patients experience significantly restricted physical functioning,

06.03.2026 08:01 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

πŸ”‘ Findings
-Prevalence: In referral clinics, roughly 73.5% of LC patients present with fatigue as a primary or co-primary complaint.
-🧠Fog: Unlike many other symptoms, "brain fog" does not exclusively map to the severity of fatigue; it is present in ~ 52% of patients across all fatigue categories.

06.03.2026 08:01 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

-Stepwise Symptom Progression: Memory disturbances have been identified as the only trait showing a significant "stepwise" ⏫️ in severity across the no-fatigue, non-ME/CFS fatigue & ME/CFS categories.

06.03.2026 08:01 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

-Non-ME/CFS Fatigue (79% of fatigued patients): These individuals report moderate-to-severe fatigue but do not consistently meet all auxiliary criteria for ME/CFS. Their symptoms, like PEM or memory disturbances, are often less intense or frequent.

06.03.2026 08:01 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Sleep & Breathing and have categorised this spectrum based on the CDC 2015 criteria:
ME/CFS Phenotype (21% of fatigued patients): Characterised by the three core symptoms,persistent fatigue, PEM) & unrefreshing sleep,plus either cognitive impairment or #orthostaticintolerance.

06.03.2026 08:01 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

of fatigue meet the full diagnostic criteria for ME/CFS, mwhile the remaining 79% experience a fatigue phenotype that, while severe, lacks the consistent presence of all ME/CFS-defining symptoms
Studies published in early 2026, such as those in

06.03.2026 08:01 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

#MedskyπŸ§ͺ #Neurosky #IDsky #publichealth Recap: In a community based cohort of LC patients, #fatigue is a clinical spectrum ranging from general persistent tiredness to a debilitating syndrome meeting the criteria for ME/CFS.
Study indicates that ~ 21% of LC with a primary complaint

06.03.2026 08:01 πŸ‘ 4 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Preview
The Curious Case of the Disappearing Data Last night I tried to access a dataset I’ve used many times before.

A good documentation of COVID history preserving data for posterity before it is vanished substack.com/home/post/p-...

05.03.2026 22:17 πŸ‘ 63 πŸ” 25 πŸ’¬ 3 πŸ“Œ 5
Preview
Screw Covid, I'm going to Sturgis. Troy Tassier is a professor of economics at Fordham University and the author of The Rich Flee and the Poor Take the Bus: How Our Unequal Society Fails Us during Outbreaks.

So @troytassier.bsky.social has written up the results from my @yalesph.bsky.social colleague @rafalpx.bsky.social's brand new paper in PLoS Comp Bio. Read it. With a guest appearance by #KristiNoem. troytassier.substack.com/p/screw-covi...

06.03.2026 01:11 πŸ‘ 53 πŸ” 18 πŸ’¬ 0 πŸ“Œ 2

providing a microstructural explanation for #hyposmia seen in patients.
The study also found that reinfection resulted in significantly lower neural damage vs to primary infection & initial exposure provides some level of immune protection against subsequent neuroinflammatory responses

06.03.2026 06:25 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

-White Matter Integrity: Diffusion Tensor Imaging (DTI) showed reduced fractional anisotropy (FA) in the #corpuscallosum & #hippocampus, signifying axonal damage & #demyelination.
-The XBB.1 variant caused significant disruption to the olfactory bulb and entorhinal cortex,

06.03.2026 06:25 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0