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Comment Immune response immunity (Score 1) 386

Just because an immune response in the form of circulating antibodies from B cells is seen does not mean infection and replication will not occur when a person is exposed to HIV; most people with HIV have high levels of HIV antibodies circulating in their blood, but the rate at which the virus mutates, as well as the fact that the epitopes the body naturally develops immune responses to are "hidden" by the way in which the viral capsular proteins are folded means that the antibodies do little if anything to halt infection. Furthermore, the CD4+ T cells which initiate a more effective immune response are one of the two types of cells the virus infects (the others being macrophages). At this point, the article gives no further details or useful specifics. If they had said they had generated a cytotoxic CD8+ cell response, or perhaps an immune response against one of the conserved regions of the gp120 or gp41 viral receptors, then I'd be interested. Till then, I am going to be quite skeptical about this until they have some efficacy data. (I am a medical student with an MS in biomedical science)

Comment Re:Some info (Score 2, Informative) 551

1) This is precisely the "best" possible way to induce antibiotic resistance. You are basically selecting out the bacteria which are able to tolerate low doses of antibiotic, which are then able to outcompete their more susceptible brethren. The result is the "normal" gut flora of these farm animals now has a built in resistance to that particular antibiotic. 2) The gut flora of these animals is excreted in waste. The mechanisms by which super bugs are created is through transmission of plasmids, bacteriophages, and naked DNA uptake, which many species of bacteria are capable of. (For a new fun threat, see http://en.wikipedia.org/wiki/Vancomycin-resistant_enterococcus ) 3) There is no "therapeutic dose" for healthy animals. Antibiotics are given to animals to increase the rate at which they absorb food. The "normal" state of the lamina propria and mucosa of the gut is a constant state of low level inflammation, which serves as a protection from any bugs that manage to work their way out of the lumen of the gut. Antibiotic use lowers the amount of gut flora, likely leading to a reduction in this inflammation that results in greater absorption of food. I am not aware of a conclusive proof of this, but animals raised in sterile conditions and fed sterilized food support this hypothesis in terms of weight gain and histologic appearance of gut tissue. 4) You don't need all bugs to become super bugs. The majority of bacteria can become much more virulent and resistant to antibiotics. It really only takes one or two, and there are nearly innumerable options that live happily as commensals in either our or other species guts. 5) This is true, but it's not really going to cheer up someone whose opportunistic infection is resistant to antibiotics. Anyway, see #3 for a good idea of the mechanism. It's not a chemical reaction, its a physiologic consequence. FWIW, I am a medical student finishing up microbiology.

Comment Re:Sense of touch (Score 1) 119

Possibly, but it seems to me the neurosurgery required to do that might be more difficult than implanting electrodes in the brain. In the arm, there are three main branches of the brachial plexus that travel the length of the arm, the median, ulnar, and radial nerves, and they all contain both motor and sensory fibers. Making all the connections necessary for natural movement and sense would be an incredibly long and tedious surgery for the motor part alone. I'm not even sure how you would manage do to the sensory part under local anesthesia. In the brain on the other hand, the motor and sensory cortex are basically mirror images of each other, somatotopically arranged across the precentral and postcentral gryrii, respectively. With the patient awake, the surgeon can stimulate the proper region of each, and place the electrodes quite precisely on the necessary areas. That's my two cents as a med student.
Transportation

Should Cities Install Moving Sidewalks? 698

theodp writes "The real problem nowadays is how to move crowds,' said the manager of the failed Trottoir Roulant Rapide high-speed (9 km/h) people mover project. 'They can travel fast over long distances with the TGV (high-speed train) or airplanes, but not over short distances (under 1 km).' Slate's Tom Vanderbilt explores whether moving walkways might be viable for urban transportation. The first moving sidewalks were unveiled at Chicago's 1893 Columbian Exposition, and at one point seemed destined to supplant some subways, but never took root in cities for a variety of reasons. Vanderbilt turns to science fiction for inspiration, where 30 mph walkways put today's tortoise-like speed ranges of .5-.83 m/s to shame. In the meantime, Jerry Seinfeld will just have to learn to live with 'the people who get onto the moving walkway and just stand there. Like it's a ride.'"
Apple

The Apple Two 643

theodp writes "Over at Slate, Tim Wu argues that the iPad is Steve Jobs' final victory over Steve Wozniak. Apple's origins were pure Woz, but the Mac, the iPod, the iPhone, and the iPad are the products of the company's other Steve. Jobs' ideas have always been in tension with Woz's brand of idealism and openness. Crazy as it seems, Apple Inc. — the creator of the personal computer — is leading the effort to exterminate it. And somewhere, deep inside, Woz must realize what the release of the iPad signifies: The company he once built now, officially, no longer exists."

Comment Re:HFC (Score 1) 542

I never said it was or that I did. All I did was originally point out how fructose was absorbed by the alimentary tract. I probably should have been more specific when I offhandedly remarked that it is metabolized similarly to sugar, regardless of where that metabolism occurs, it follows similar pathways and utilizes similar enzymes to result in identical metabolites. In any case, fructolysis in the liver yields glycolysis intermediates, which in a normal meal from a person not suffering from starvation would then be likely to undergo gluconeogensis and be either stored as glycogen or released into circulation as glucose, or incorporated into fatty acid synthesis.

Comment Re:HFC (Score 2, Insightful) 542

The point is that glycolysis and fructolysis both yield a relatively insignificant amount of ATP, not enough to provide enough for normal cell function. Their metabolites are basically the same though, and enter the TCA cycle and then undergo electron transport in the mitochondria, in an identical manner, yielding 16 times as much ATP as the original 6 carbon sugar hydrolysis. Their breakdown pathways, while slightly different (and if you want to be REALLY technical, hexokinase CAN phosphorylate fructose in the same way it acts on glucose, and then it does follow the glycolytic pathway, identically from that step forward), are very, very similar, involving many of the same enzymes, as opposed to protein or fatty acid metabolism.

Comment Re:HFC (Score 5, Informative) 542

I am a (stressed out) med student studying for a GI physiology exam. Sugars must be broken down in the small intestine to monosaccharides to be absorbed, so sucrose becomes glucose and fructose, lactose (if you're not lactose intolerant) breaks down to glucose and galactose. Glucose and galactose are absorbed via co-transport with sodium via transport proteins. This requires a standing Na+ gradient in the cell, maintained by the Na-K pump, which requires the expenditure of energy. Fructose on the other hand enters the cell by simple facilitated diffusion through the GLUT-5 protein, meaning its transport out of the intestinal lumen requires no energy expenditure. Biochemically it it can enter the glycolytic cycle and is rapidly metabolized in much the same way as glucose.

Comment Re:Others disagree. (Score 1) 2044

None of those cited criticisms is at all recent. 1975 was 35 years ago. Litigation against D.O.s ended in the 60s.

Wait times vary considerably from practice to practice. Emergency care will usually pre-empt patients coming in for routine visits, just like triage at a hospital will code someone having a myocardial infarct before someone who crushed their hand in a hydraulic press. Please, find me a citation saying 1/2 of all us docs are millionaires. Dermatologists and radiologists are near the top of the pay scale, and their average salary is quite good, when they finish the 4 years of medical school and 3 years of residency where you make less than minimum wage. These are the most competitive specialties to get into, and they in no way constitute anything close to even 10% of doctors, let alone half. But internists, family medicine and pediatrics are at the bottom of the pay scale, making on average about 165,000 a year. Which is nothing to sneeze at, but hardly millionaire status, especially considering the fact that if you only look at the cost of medical education, not undergrad, they are finishing school with an average debt load of about $150,000. Personally, if you are a pediatric neurosurgeon, who has completed 4 years of medical school, followed 5 years of surgery residency, and an additional 2-3 years of fellowship where you make around $50,000 annually and work about 80 hours per week, I don't a salary of upwards of $350,000 a year is out of line. Then again, ask the parents of the kid who had a life threatening brain tumor removed if they feel differently.

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