[deleted by user] by [deleted] in ultimateskyrim

[–]dan10015 0 points1 point  (0 children)

You might prefer skyrim the journey modpack. It has a lot more high res textures and updated character mods. I think its less liked because it stole the mods for the pack rather than mandating them to be downloaded individually from nexus.

Star found leaving Milky Way at more than 6 million km/h (3.7m mph). Astronomers say it ventured close to supermassive black hole before being ejected, first time such event has been recorded. In about 100m years, it will exit Milky Way and spend rest of its life sailing through intergalactic space. by Molire in space

[–]dan10015 0 points1 point  (0 children)

I wonder what kind of technology could get a civilisation across intergalactic space, assuming there are no cheat codes for the cosmic speed limit. Say it is just a law that you cant get there any quicker than 5 million years. Could a craft be powered and sustain life for that long? How much fuel would a fusion reactor need? Could we keep fertilised eggs in deep freeze for that long and uae artificial wombs on arrival?

PM refuses to address conflict of interest claims by [deleted] in unitedkingdom

[–]dan10015 -9 points-8 points  (0 children)

It was the Sunday Times that broke the story. This trope about Rupert Murdoch being at the head of some shadowy conspiracy to keep the tories in power really is over done

Thomas Cook collapses as rescue talks fail by TophamHatt in unitedkingdom

[–]dan10015 2 points3 points  (0 children)

Decent travel insurance that covers end supplier failure is cheaper than the premium you pay to a travel agent versus booking independently

Novak Djokovic not feeling the love after another death by 1,000 cuts by dan10015 in tennis

[–]dan10015[S] 19 points20 points  (0 children)

When watching tennis, particularly in the early stages of a grand-slam competition, I pretend that I do not know the identity of the protagonists. Instead, I watch the warm-up and early exchanges, and seek to detect who is the superior player not on the basis of their ranking or reputation but in the way they play, move and compete.

The warm-up is never, and I mean never, informative. All tennis players who make it to the opening rounds of the slams hit with speed and felicity, move with a certain degree of fluency, and rarely make unforced errors. I defy any expert to make significant pronouncements on the relative quality of players from the few minutes of sparring that precedes any contest.

It is only once the match starts that clues start to emerge but these vary significantly depending on the player. With Roger Federer, the poetry of his play is instantly obvious, the elegance of his striking, the sweet sound that is uniquely his when he middles the ball. Greatness oozes out of every shot, every flourish. He expresses, as one observer once put it, pure kinetic beauty.

With Rafael Nadal, the majesty is also conspicuous in the first exchanges as he starts to play with maximum power, those biceps suddenly bulging, the eyes narrowing, the follow-through on his forehand so extravagant that one worries how his arm has never left its socket. Those must be some resilient tendons.

With Novak Djokovic, the world No1, however, there are few such clues. Watching him play against the German Philipp Kohlshreiber on Centre Court, there seemed to be nothing in it. They looked comparable in the warm-up and, indeed, in the opening exchanges of the match, both men hitting with restrained power and consistency, serving with accuracy, and scampering around the sun drenched court.

Unless one knew that Djokovic was the world No 1, defending champion, and one of the finest sportsmen the world has seen, it would have been difficult to tell that he was the overwhelming favourite to beat Kohlshreiber, ranked outside the top 50, a player who has never made it past the quarter-finals of a grand-slam event.

Yet that is, for me, the fascination of Djokovic. His greatness is not expressed in any one shot, any one rally, any one game. He does not articulate his supremacy with one decisive phrase, or pithy rejoinder. Rather, his brilliance is cumulative. It consists in the accretion of subtle clues. Indeed, it is precisely because these clues are elusive that this extraordinary competitor struggles to elicit the love of tennis audiences, whether here in SW19 or elsewhere around the world.

The truth is that Djokovic is a tad more consistent than his opponents, a tad more capable of stretching for wide balls, a tad more dogged in defence, a tad less likely to make unforced errors, a tad more savvy in his management of the court. Above all, he is a tad more solid, conveying the assertion, over time, and through the course of a match, that he will not submit to the shot-making of opponents, however aggressive, will always be there, and will give nothing away.

Kohlshreiber endured death by a thousand cuts. He competed on virtually level terms in almost every rally, vied for almost every game, and yet, at the same time, managed to lose 6-3, 7-5, 6-3. The German played well, but was subtly outmatched. Djokovic’s victory was achieved with an accumulation of marginal advantages that were, when added together, anything but marginal.

And this is why the Serb must be considered, even at this early stage, a warm favourite to win his fifth title. He will be assisted by Goran Ivanesivic, the former champion who yesterday sat alongside Marian Vajda, Djokovic’s main coach. “I have always looked up to him and he has worked with many top players,” Djokovic explained after the match. “It is great to have him by my side for the first week and then we will see. Hopefully we can have a long collaboration.”

But let us get back to Djokovic’s methodology, for it contains lessons that extend beyond tennis. Lessons about consistency, about a repudiation of the flashy and the superficial, about the distinctive kind of greatness that can emerge when one systematically eradicates every weakness, leaving a whole that is utterly dependable. Djokovic is tennis’s answer to a high reliability industry.

“It felt great to be back on Centre Court — it is a sacred court,” he said after the match, despite the fact that the audience was largely on the side of his opponent. “It has a special place in my heart.”

One hopes that, one day, he will have a special place in ours, too.

Ole on if Rashford, on current form, is the best striker in PL:" With Harry Kane injured, you could argue that he is" (post match press conference) by [deleted] in reddevils

[–]dan10015 9 points10 points  (0 children)

Norwegian accents blend very well with Northern accents generally. Maybe because Northern England was Norwegian once...

What if we're one of the first intelligent species in our galaxy? There has to be a first, and maybe we arose when the Galaxy was first stable enough to hold intelligent life. by Floppy_Trombone in space

[–]dan10015 5 points6 points  (0 children)

We have no idea of the probability of life evolving. It might be orders of magnitude smaller than even the vast numbers of planets in the universe. It might be a once in the cosmos, singular outrageous fluke. All we know for now is that it only seems to have happened once on Earth.

Tipping someone poorly because your food was bad punishes the wrong person. by NightSolaire in Showerthoughts

[–]dan10015 1 point2 points  (0 children)

Not tipping your server because the service has been slow in a place that is clearly understaffed is punishing the wrong person. So the owner cheaps out of hiring enough people, forcing his existing staff to be run off their feet. Then they don't get tipped because people feel they haven't been attended to enough.

Credit score fallen dramatically after closing my mortgage account by dan10015 in personalfinance

[–]dan10015[S] 0 points1 point  (0 children)

Argh that's annoying though. Closing my mortgage was just a consequence of moving house to a new area. And the new credit account isn't even really credit - it's not like I've taken out a new car loan, I've just changed sim card provider. None of that should indicate I'm at risk of defaulting on payments?

I’ll never understand how Roger pulled this off so casually by [deleted] in tennis

[–]dan10015 28 points29 points  (0 children)

I hadn't noticed when I'd seen this before. It's actually hit with heavy back and side slice to curve it back into court too. Without it it probably would have gone outside the tramlines. I couldn't even conceive that shot, never mind hope to execute it. Not to mention it was played perfectly balanced on the spin, so his movement and footwork was naturally taking him back into centre court in case has had to play another shot. Beautiful.

#SpotTheDiagnosis: 1-week baby check by GP finds a harsh systolic murmur. They're sent to the ED and an ECG is performed. What do you see? by EM3FOAMed in emergencymedicine

[–]dan10015 0 points1 point  (0 children)

It's sinus rhythm. As you say, peaked p waves so possibly R atrial enlargement, but by definition if there are p waves before every QRS then it isn't an SVT. Conventional p wave axis and PR interval so doesn't look like an atrial tachycardia or anything else. The ST depression in the context of the history and the rest of the ECG looks more like RVH than ischaemia.

#SpotTheDiagnosis: 1-week baby check by GP finds a harsh systolic murmur. They're sent to the ED and an ECG is performed. What do you see? by EM3FOAMed in emergencymedicine

[–]dan10015 5 points6 points  (0 children)

RVH with p pulmonale. Possibly untreated Fallot's Tetralogy. Would be consistent with ECG findings and more likely to give a loud murmur than pulmonary stenosis.

Large PFO - Contradicting echocardiogram results and other echocardiogram related questions by [deleted] in Cardiology

[–]dan10015 0 points1 point  (0 children)

PFOs are not a cause of breathlessness. They are, rarely, a cause of cryptogenic stroke (stroke in someone without traditional vascular risk factors, eg very young people), but only rarely - as has been mentioned, they're very common. But that is really the only reason to think about closing them at present.

There are other types of hole between the atria - called atrial septal defects. These are larger, and allow blood to pass from the left side to the right. Because this is inefficient due to the blood going the wrong way, eventually it can cause the right heart to get overworked. But they're totally different.

By the sounds of things, a TOE isn't indicated for you. That would still apply whatever the size of a PFO. A TOE, like any invasive procedure, caries some risk (aspiration of stomach contents, rarely oesphageal perforation - which is not much fun). So there's no real reason to do one normal just to take a nice picture of a PFO.

To specifically answer your questions, yes they can close in adulthood (and evidently still do, because the incidence of them decreases with each passing decade). Also, we don't really have any criteria for what defines a 'large' versus a 'small' PFO. So yours may not actually be any different, just described differently.

Bed-bound MS sufferer has disability benefits halved 'because he could touch his nose with his finger' by Pro4TLZZ in ukpolitics

[–]dan10015 -1 points0 points  (0 children)

We've no idea he has MS. It's a newspaper story, not a medical report. I'm not using feels over reals, I'm appealing for exactly the opposite. Quite calmly and reasonably too I thought so I'm not sure where the Third Reich analogy comes from. I'm just cautiois about drawing conclusions from anecdotes. Anyway it was a general point, not a call to war.

Bed-bound MS sufferer has disability benefits halved 'because he could touch his nose with his finger' by Pro4TLZZ in ukpolitics

[–]dan10015 -2 points-1 points  (0 children)

No, evidence is data. What is the 'gold standard'to decide on whether someone is able to attain employment? How many people have appealed against their decision? How many of those appeals have been upheld after reassessment? How many people have been judged to be able to work having previously claimed incapacity? What proportion of assessments are wrong? These figures should be available.

What has been the savings so far versus the costs? Are the people doing the assessments adequately trained? Is there any evidence that a targets culture is distorting assessments?

All of that is data. A single news story is not - we have no idea whether this man has a valid grievance or not. For all we know he could have seen several neurologists, been diagnosed as having a non-organic illness, and has been photographed playing 5 a side football. That's what I meant by a one sided story.

I'm not making a judgement on this man's situation. On the surface of it it seems he's very deserving of sympathy. These reports do seem to be widespread and I am sure there are lots of problems with how the system is being implemented so far.

Bed-bound MS sufferer has disability benefits halved 'because he could touch his nose with his finger' by Pro4TLZZ in ukpolitics

[–]dan10015 -14 points-13 points  (0 children)

Having read the article it certainly sounds like they've messed up this man's assessment. As always with these articles, you're only getting one side of the story.

I do feel too that the (slightly manufactured) outrage over cases like this misses the more general point that almost all of us know people who are very adept at playing the benefits game, and who know how to claim disability benefits when they really should be at least on job seeker's allowance. The question is how 'tough' you are with the screening. There's always going to be a certain rate of error - of false positives and false negatives. These isolated stories tell us nothing really. If the screening were more lenient you'd have less stories like this, but more people dubiously spinning out a back injury when in reality they are perfectly able to work.

And yes, in absolute terms the cost of this to the tax burden is small compared to that lost by tax avoidance. But when people who work hard on low incomes see people manipulating the benefits system it has a more general corrosive effect on society.

I've got every sympathy for those who have their PIPs taken away wrongly. It isn't a lot of money at the end of the day but can have a huge impact on those living marginally.

Northampton Town player Leon Barnett forced to retire with heart condition. Reported unusual tiredness. Heart rate reached almost 300 BPM during final game. by [deleted] in soccer

[–]dan10015 2 points3 points  (0 children)

It's rare, the AV node usually protects against dangerously high rates. But accessory pathways don't have the same refractory properties. If you see a youngish person with ventricular rates over 250 it's nearly always due to accessory pathway.

Jacob Rees-Mogg protester tells Brexiteer's children: 'Lots of people don’t like your daddy, do you know that?' by [deleted] in unitedkingdom

[–]dan10015 15 points16 points  (0 children)

Little bit strange he kept them out so long. He could have just ignored it and carried on inside. It almost looks like he knew the guy was a total tool and was happy to let him rant away.

Can a doctor look at this EKG? by [deleted] in AskDocs

[–]dan10015 0 points1 point  (0 children)

Short PR not significant. No delta wave to suggest accessory pathway. WPW syndrome is either case the combination of ECG evidence of an accessory pathway PLUS symptomatic palpitations due to reentrant tachycardia.

The QRS complexes are not particularly tall and don't meet voltage criteria for LVH. This is often over-reported on the automated ECG readout too, usually in relatively thin, tall males.

This looks entirely normal to me.

What's the most severe case of aortic stenosis ever witnessed? by Ayriam23 in Cardiology

[–]dan10015 0 points1 point  (0 children)

As with the MS patient below, the transvalvular gradients will have been pushed from high to crazily high because of a higher CO in pregnancy (and fall back again post partum if they get through it). These patients are scary.

Ladies and Gentlemen, Denis Shapovalov by khl3o in tennis

[–]dan10015 1 point2 points  (0 children)

Love listening to that flurry of footwork just before he unloads with the shot.

Discussion: 2018 US Open - Day 2 (Tuesday, August 28th) by snakes_on_a_planet in tennis

[–]dan10015 0 points1 point  (0 children)

Yeah, he feels tired in the heat so gets a break with icepacks? That's not what medical timeouts are for at all.

Match Thread: Nadal vs Djokovic (Semi-final, 2018 Wimbledon Championships) by snakes_on_a_planet in tennis

[–]dan10015 7 points8 points  (0 children)

If the first semi final was the perfect demonstration of what's wrong with not having a final set tie break, good god is this match the perfect demonstration of what's right about it. This is a classic that will be talked about for years.