User talk:Cool Nerd
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I am not a doctor.
What I do is take a good source, excerpt it, and then summarize it.
For example . . .
- Report Finds Swine Flu Has Killed 36 Children, New York Times, Denise Grady, September 3, 2009:
“ . . . In children without chronic health problems, it is a warning sign if they seem to recover from the flu but then relapse with a high fever, Dr. Frieden said. The relapse may be bacterial pneumonia, which must be treated with antibiotics. . . . ”
- Report Finds Swine Flu Has Killed 36 Children, New York Times, Denise Grady, September 3, 2009:
Okay, Dr. Thomas Frieden was New York City Health Commissioner and then appointed by President Obama to head CDC in 2009.
And plus, this is useful information. This is information which has some texture to it. In poker terms, this is a playable hand!
And these topics are too important to do anything less than our best work. Cool Nerd (talk) 18:38, 23 March 2012 (UTC)
Having Diarrhea, and Drinking Plenty of Fluids to Prevent Dehydration
- THE TREATMENT OF DIARRHOEA, A manual for physicians and other senior health workers, World Health Organization, 2005
http://whqlibdoc.who.int/publications/2005/9241593180.pdf
(page 3)
" . . . Oral Rehydration Salts (ORS) are dissolved in water to form ORS solution . . . "
(page 10)
" . . . By giving zinc as soon as diarrhoea starts . . . "
(page 10)
" . . . The infant usual diet should be continued during diarrhoea and increased afterwards. Food should never be withheld and the child's usual foods should not be diluted. Breastfeeding should always be continued. . . "
- There is also the issue of the 'old' vs. 'new' recipe for ORS.
My first idea was, since I'm not a doctor, and you probably aren't either, is to just present the excerpt 'transparently,' that is, just as it is. But this ran into so much opposition, okay, fine, in the interest of moving forward, we will summarize. Cool Nerd (talk) 00:06, 15 August 2011 (UTC)
in malnourished child, often hard to distinguish between dehydration and septic shock
THE TREATMENT OF DIARRHOEA, A manual for physicians and other senior health workers, chapter 8: “MANAGEMENT OF DIARRHOEA WITH SEVERE MALNUTRITION," pages 22-23 (26-27 in PDF file).
" . . . In children with severe malnutrition it is often impossible to distinguish reliably between some dehydration and severe dehydration.
"Of equal importance, it is also difficult to distinguish severe dehydration from septic shock, as both conditions reflect hypovolaemia and reduced blood flow to vital organs. An important distinguishing feature is that severe dehydration requires a history of watery diarrhoea. A severely malnourished child with signs suggesting severe dehydration but without a history of watery diarrhoea should be treated for septic shock."
re-hydrate a malnourished child slowly to avoid flooding the circulation and overwhelming the heart
THE TREATMENT OF DIARRHOEA, A manual for physicians and other senior health workers, chapter 8: “MANAGEMENT OF DIARRHOEA WITH SEVERE MALNUTRITION," page 23 (27 in PDF file).
" . . . Rehydration should usually be by mouth; an NG tube may be used for children who drink poorly. IV infusion easily causes over-hydration and heart failure; it should be used only for the treatment of shock.
"Oral rehydration should be done slowly, giving 70-100 ml/kg over 12 hours. Start by giving about 10 ml/kg/hour during the first two hours. Continue at this rate or a lower rate based on the child's thirst and ongoing stool losses. Increasing oedema is evidence of over-hydration. . . "
a child who is both malnourished and dehydrated needs ORS with less salt, more sugar, and more potassium
THE TREATMENT OF DIARRHOEA, A manual for physicians and other senior health workers, chapter 8: “MANAGEMENT OF DIARRHOEA WITH SEVERE MALNUTRITION," page 23 (27 in PDF file).
"When using the new ORS solution containing 75 mEq/l of sodium:
• dissolve one ORS packet into two litres of clean water (to make two litres instead of one litre);
• add 45 ml of potassium chloride solution (from stock solution containing 100g KCl/l); and
• add and dissolve 50g sucrose.
"These modified solutions provide less sodium (37.5 mmol/l), more potassium (40 mmol/l) and added sugar (25g/l), each of which is appropriate for severely malnourished children with diarrhoea."
to prevent/treat dehydration, more fluid than usual, both salted and unsalted fluids
THE TREATMENT OF DIARRHOEA, A manual for physicians and other senior health workers, World Health Organization, 2005, page 8-9 (12-13 in PDF).
"4.2 Treatment Plan A: home therapy to prevent dehydration and malnutrition
"" . . . Mothers should be taught how to prevent dehydration at home by giving the child more fluid than usual, how to prevent malnutrition by continuing to feed the child, and why these actions are important. . . "
"4.2.1 Rule 1: Give the child more fluids than usual, to prevent dehydration
"" . . . Wherever possible, these should include at least one fluid that normally contains salt (see below). Plain clean water should also be given. . .
"Fluids that normally contain salt, such as: • ORS solution • salted drinks (e.g. salted rice water or a salted yoghurt drink) • vegetable or chicken soup with salt. . .
"Fluids that do not contain salt, such as: • plain water • water in which a cereal has been cooked (e.g. unsalted rice water) • unsalted soup • yoghurt drinks without salt • green coconut water • weak tea (unsweetened) • unsweetened fresh fruit juice. . . "
- So, WHO is recommending a mix of both salted and unsalted fluids. Cool Nerd (talk) 22:07, 8 September 2011 (UTC)
Possible photos:
http://rehydrate.org/solutions/homemade.htm line drawing showing 6 teaspoons sugar, 1/2 teaspoon salt being added to one liter water. (about 2/3's way down)
http://www.walmart.com/ip/Swanson-Vegetarian-100-Fat-Free-Vegetable-Broth-14-oz/15556206 picture of a can of common soup, not so bad
http://www.euroasiafoods.com/Chaosuan_VegetableBroth_pg.html
go easy on sugared fruit drinks (if at all)
THE TREATMENT OF DIARRHOEA, A manual for physicians and other senior health workers, World Health Organization, 2005, page 9 (13 in PDF):
"Unsuitable fluids
"A few fluids are potentially dangerous and should be avoided during diarrhoea. Especially important are drinks sweetened with sugar, which can cause osmotic diarrhoea and hypernatraemia. Some examples are: • commercial carbonated beverages • commercial fruit juices • sweetened tea."
avoid other fluids with stimulant, diuretic, or purgative effects
THE TREATMENT OF DIARRHOEA, A manual for physicians and other senior health workers, World Health Organization, 2005, page 9 (13 in PDF):
"Unsuitable fluids . . . "Other fluids to avoid are those with stimulant, diuretic or purgative effects, for example: • coffee • some medicinal teas or infusions."
Flu
Good work. I think there needs to be a mention that most of the current cases are in Kansai, but i don`t have a reference yet...best wishes andycjp (talk) 16:47, 22 May 2009 (UTC)
That wasn't me. I've undid the IP edit that removed the table. Tim Vickers (talk) 20:45, 26 May 2009 (UTC)
- Yes, I see that it's back.
- In the Swine Flu articles I see a great decline in interest. One aspect of this was maps of which counties in a state had confirmed cases, such as Illinois or others. Someone with the ability to create and edit the maps got all interested and shaded in the inected counties, then lost interest and left an outdated map attached to the article, creating the false impression that only a few counties were affected. In 1918 the first pass of the flu was similar to what we have seen so far, then it came back and killed someone dear to someone who was dear to me. The articles are lacking in state by state updates and in graphics. Much of the information is stale and misleading, thus unencyclopedic. Edison (talk) 04:08, 29 May 2009 (UTC)
Your edits are no longer constructive
Please do not add original research or novel syntheses of previously published material to our articles as you apparently did to 2009 swine flu outbreak. Please cite a reliable source for all of your information. Thank you.
- You are ignoring WP Guidelines and consensus for news compilations and synthesis, and continue to do major structural changes and damage to the article. This is not your personal blog and you must discontinue acting as a self-appointed newscaster. --Wikiwatcher1 (talk) 00:30, 29 May 2009 (UTC)
This is the last warning you will receive for your disruptive edits, such as those you made to 2009 swine flu outbreak. If you vandalize Wikipedia again, you will be blocked from editing. --Wikiwatcher1 (talk) 00:50, 29 May 2009 (UTC)
- Oh, I wish I could claim original research! Oh, just a little bit of work on safe manufacture of vaccine and cut the lead time from four months to three. No such luck!
- What I have done is to create 'Current Situation' and add to it, Southern Hemisphere:Australia, Chile, Argentina . . . Northern Hemisphere: Mexico, United States (the largest number of confirmed cases), Canada (short shift so far), Britain, Japan. Other people, including this guy above, have repeated deleted my work. Oh, My God, it's so much more important that we stay formal than we actually get out helpful information to people.
- The charges are ridiculous in that I have done the opposite. I have directly quoted short and moderate paragraphs from news sources and included the citation. How would you do it? yeah, you could rewrite it in your own words, but that is adding a layer. And it takes extra time finding other information.
- An encyclopedia is defined by breadth, not formality. A public health crisis, even a potential public health crisis, is emphatically a time to relax wiki rules. So we have running news stories on top (after very small intro) and more constant information below. Again, how would you do it? Not include the up-to-date because it's . . messy (not near as messy as the baseline of 35,000 people who die each year in the United States from flu and the 500,000, and this thing may not get any worse than the baseline. But as I understand it, every person who gets the currently mild version is a lottery, if it hits negative, you get the mutation where it's more fatal. Even the awful Spanish Flu of 1918 had a mortality rate of "only" 2%, but so many people got it)
- Consensus? Just use common sense. If an article has a dozen footnote references, it's considered pretty well cited. This one has 187, most of them over the last month. Imagine, an article with 187 different news sources and all of them nicely used as part of an ongoing, evolving, and growing article, with a table of contents, and clear organized structure, so readers can go to a subject directly. The "average" reader doesn't want to read that a 10-year-old girl in Tonga has a suspected case of swine flu. The average reader goes to Wikipedia for the "big picture," with detailed sources for more depth, not the minute minute-by-minute news from the web. They can get that stuff on their own. --Wikiwatcher1 (talk) 01:34, 29 May 2009 (UTC)
- The harm is trying to turn an article into a news bulletin board. There are 83,000 recent news articles about the swine flu anyone can read on Google News. The problem is that 82,999 of those posts are put there by companies selling advertising, and know that the typical TV watcher, radio listener, and web news scanner, gets attracted to "Breaking News" bulletins, and needs those instantaneous sensationalism fixes to keep feeding their habit. The kind of news candy you're trying to add will create a lot of brain cavities since people will get too wrapped up trying to make sense of factual jelly beans. (Can't help it, I'm a metaphor nut ;-) --Wikiwatcher1 (talk) 01:59, 29 May 2009 (UTC)
Hey
thankssss.... Yess!!!... with SOURCES, I want to tell the world what's happening with the flu here in Argentina, what She and He don't want to tell. :D BUT ALWAYS WITH SOURCES --190.50.114.22 (talk) 01:41, 29 May 2009 (UTC)
Yes, xD... you're from Argentina too?... ey ... Argentina on this map should be with another color ... +50 --190.50.114.22 (talk) 01:47, 29 May 2009 (UTC)
May 2009

{{unblock|Your reason here}} below. At 2009 swine flu outbreak, per a complaint at WP:AN3. EdJohnston (talk) 03:18, 29 May 2009 (UTC)

Cool Nerd (block log • active blocks • global blocks • contribs • deleted contribs • filter log • creation log • change block settings • unblock • checkuser (log) • SI)
Request reason:
I have stayed polite throughout. The article has to stay easily updatable on a chronological basis, or else it's not useful. And most of all, Swine Flu 2009 is a potential public health crisis, so far merely potentially.
Decline reason:
Doesn't cover what's typically expected in a well thought out request (there's a guide linked to in the block template). But regardless this is a short block, so take the time to gather your thoughts and ensure you have a grasp on the policy. Nja247 07:37, 29 May 2009 (UTC)
If you want to make any further unblock requests, please read the guide to appealing blocks first, then use the {{unblock}} template again. If you make too many unconvincing or disruptive unblock requests, you may be prevented from editing this page until your block has expired. Do not remove this unblock review while you are blocked.
Comment by blocking admin
Cool Nerd has been trying to change the article to adopt a more news-like format. In the thread where this was clearly discussed on the Talk page, a majority were against this change. Hmwith, Wikiwatcher1, Tim Vickers, Leevanjackson and LeadSongDog were against the change, and only you spoke in favor of it. I have no objection to another admin lifting the block early early if you agree to stop trying to change the page format without getting consensus on the Talk page first. I won't be available for a few hours so can't address the matter till then. EdJohnston (talk) 05:49, 29 May 2009 (UTC)
Can we adopt to changing circumstances?
Discussion pages are typically cul-de-sacs. It's where people discuss things, sometimes very thoughtfully, and then no one ever responds to them. Usually.
So, I skimmed the comments, made a brief comment and that was that. People seemed to be making the argument
including news item --> problem
including news item --> imperfection
Well, what about the problem of not including it? Namely, that we are going to fail to communicate with our readers--when we easily could. My method is transparent. The chart and the map are not. Those take a heroic effort to keep up. And even then, it is not obvious what is up-to-date and what isn't. My method is also easy. It invites new readers to participate.
As far as being in a minority, it doesn't particularly bother me. Okay, Ed, you have to work quickly and make a decision on the base numbers. That's fine as far as it goes. And yeah, it's only 24 hours. But I am hoping that at a certain point you, if you have an real interest in Swine Flu 2009, or other people will look at the actual content of the arguments.
So, far, the conversation has been a largely disconnected.
I say, 'Hey, our current rules don't really helpfully apply to this current situation . . .'
Someone else says, 'The current rules are . . . '
Maybe that's the beginning of a conversation. Or maybe not even that.
I would rather have goals than rules. 'We attempt to give the complete story with references.' What is wrong with that?
And we are going to not give people complete and up-to-date information because it's somehow messy or disorderly?
The real rules of wikipedia seem to be "formality," "stilted," and "we're practicing for school (and/or the corporate world)"
Rules that are useful are distillations from experience. And even then, we have to adopt to changes in circumstances, changes in technology, etc.
So, what I'm going to do is to attempt to find some teammates. I'm guess I'm going to attempt to find some fellow radicals. Although I think of myself squarely as a middle-of-the-roader, maybe things are so formal . . . that perhaps I am a radical.
And where people really talk are in the short comments in the history section. This is a pretty good current practice. I think we should roll with this. Perhaps try to augment it with other avenue, but keep it as one good option.
Swine Flu is a rapidly evolving story that could break bad at any time. Hopefully, it won't. But it could. Cool Nerd (talk) 21:14, 30 May 2009 (UTC)
Not without its irony!
Neuraminidase inhibitors
Yes, that is right, tamiflu is a transition state analogue of sialic acid so inhibits cleavage of these sugars and prevents viral release from infected cells. However, that is nothing to do with the human immune response to influenza since, although neutralising antibodies are produced to both neuraminidase (N) and haemaglutanin (H), amino acid substitutions that confer resistance to the drug would be in the active site of neuraminidase, not on the surface of the protein, and would be unlikely to change the antigenicity of the protein. Tim Vickers (talk) 22:34, 3 June 2009 (UTC)
Long section title
The section title in Talk:2009 swine flu outbreak#Victoria, Australia has stopped widespread testing. And this part deleted, but our article depends so heavily on numbers is very long. It can cause the title to appear distorted on low resolutions and makes the TOC really wide. It makes it easier and neater to just use short titles, then just elaborate in the text of the section. hmwithτ 20:57, 7 June 2009 (UTC)
Good article
Unprotection
Sure, let's give it a go and see what happens. Tim Vickers (talk) 02:15, 11 September 2009 (UTC)
Welcome
Here are some good links:
|
H1N1
The only thing I really had issue with was the statement that not taking it "right" somehow causes resistance. Even though this is a persistent belief there does not seem to be evidence.Doc James (talk · contribs · email) 00:40, 18 November 2009 (UTC)
- Concerned about the source. Anything better to reference it too?
- Also this sort of stuff belongs on Wikinews rather than Wikipedia. Do not like the extensive use of quotes either.
- I can give you a one month access to uptodate if you send me an email. This is a much better source for finding information.Doc James (talk · contribs · email) 02:01, 23 November 2009 (UTC)
- Hey CN I have a few concerns about your additions. We do not give medical advise per say. We might be able to create a page along the line of when to seek medical help. This issue does not apply just to influenza by the common cold, ear aches, eye infections, and many others. Not at all happy however having a section in the front about recent news.Doc James (talk · contribs · email) 02:27, 23 November 2009 (UTC)
- Would support the creating of a section called public health recommendations around the prevention section that could contain the CDCs / WHOs other places recommendations wrt when to go to the ER, when to stay home, etc. We must keep this referenced to major national and international health organizations not to new papers.Doc James (talk · contribs · email) 02:31, 23 November 2009 (UTC)
- Hey CN I have a few concerns about your additions. We do not give medical advise per say. We might be able to create a page along the line of when to seek medical help. This issue does not apply just to influenza by the common cold, ear aches, eye infections, and many others. Not at all happy however having a section in the front about recent news.Doc James (talk · contribs · email) 02:27, 23 November 2009 (UTC)
(undent) the info on when to go to the hospital is on the treatment sub page.Doc James (talk · contribs · email) 03:07, 23 November 2009 (UTC)
flu pandemic
I do very much endorse including good info from the WHO in the article, but could you please summarize rather than adding long direct quotes? Also, the WHO doesn't necessarily need dedicated sections just for its comments on stuff. --Cybercobra (talk) 02:34, 23 November 2009 (UTC)
Proposed deletion of Swine Flu, Current Situation

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Speedy deletion nomination of Swine Flu, Current Situation

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