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MESSAGE
DATE 2020-05-07
FROM Ruben Safir
SUBJECT Subject: [Hangout - NYLXS] Cadiac Events and Wuhan-19
https://news.harvard.edu/gazette/story/2020/04/covid-19s-consequences-for-the-heart/


COVID-19 may spark cardiac trouble in multiple ways

By Ekaterina Pesheva HMS Communications

DateApril 14, 2020

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This is part of our Coronavirus Update series in which Harvard
specialists in epidemiology, infectious disease, economics, politics,
and other disciplines offer insights into what the latest developments
in the COVID-19 outbreak may bring.

Lung injury and acute respiratory distress syndrome have taken center
stage as the most dreaded complications of COVID-19, the disease caused
by the new coronavirus, SARS-CoV-2. But heart damage has recently
emerged as yet another grim outcome in the virus’s repertoire of
possible complications.

COVID-19 is a spectrum disease, spanning the gamut from barely
symptomatic infection to critical illness. Reassuringly, for the large
majority of individuals infected with the new coronavirus, the ailment
remains in the mild-to-moderate range.

Yet, a number of those infected develop heart-related problems either
out of the blue or as a complication of preexisting cardiac disease. A
report from the early days of the epidemic described the extent of
cardiac injury among 41 patients hospitalized with COVID-19 in Wuhan,
China: Five, or 12 percent, had signs of cardiovascular damage. These
patients had both elevated levels of cardiac troponin — a protein
released in the blood by the injured heart muscle — and abnormalities on
electrocardiograms and heart ultrasounds. Since then, other reports have
affirmed that cardiac injury can be part of coronavirus-induced harm.
Moreover, some reports detail clinical scenarios in which patients’
initial symptoms were cardiovascular rather than respiratory in nature.
How does the new coronavirus stoke cardiac damage?

The ways in which the new coronavirus provokes cardiac injury are
neither that new nor surprising, according to Harvard Medical School
physician-scientists Peter Libby and Paul Ridker. The part that remains
unclear is whether SARS-CoV-2 is somehow more virulent toward the heart
than other viruses. Libby and Ridker, who are practicing cardiologists
at Brigham and Women’s, say COVID-19-related heart injury could occur in
any several ways.

First, people with preexisting heart disease are at a greater risk for
severe cardiovascular and respiratory complications from COVID-19.
Similarly, research has shown that infection with the influenza virus
poses a more severe threat for people with heart disease than those
without cardiac problems. Research also shows that heart attacks can
actually be brought on by respiratory infections such as the flu.

Second, people with previously undiagnosed heart disease may be
presenting with previously silent cardiac symptoms unmasked by the viral
infection. In people with existing heart-vessel blockages, infection,
fever, and inflammation can destabilize previously asymptomatic fatty
plaques inside the heart vessels. Fever and inflammation also render the
blood more prone to clotting, while also interfering with the body’s
ability to dissolve clots — a one-two punch akin to throwing gasoline on
smoldering embers.

“It’s like one big stress test for the heart,” said Ridker, the Eugene
Braunwald Professor of Medicine at Brigham and Women’s Hospital.
Peter Libby and Paul Ridker.

Peter Libby (right) and Paul Ridker have been studying the potential
impacts of COVID-19 on the heart.

Photo courtesy of Harvard Medical School

Third, some people may experience heart damage that mimics heart attack
injury even if their arteries lack the fatty, calcified flow-limiting
blockages known to cause classic heart attacks. This scenario can occur
when the heart muscle is starved for oxygen, which in the case of
COVID-19 may be triggered by a mismatch between oxygen supply and oxygen
demand. Fever and inflammation accelerate heart rate and increase
metabolic demands on many organs, including the heart. That stress is
compounded if the lungs are infected and incapable of exchanging oxygen
and carbon dioxide optimally. This impaired gas exchange can further
diminish oxygen supply to the heart muscle.

Finally, there is a subset of people with COVID-19 — some of them
previously healthy and with no underlying cardiac problems — who develop
fulminant inflammation of the heart muscle as a result of the virus
directly infecting the heart. This type of inflammation could lead to
heart rhythm disturbances and cardiac muscle damage as well as interfere
with the heart’s ability to pump blood optimally.

The propensity of certain viruses to attack the heart muscle and cause
viral myocarditis is well known, Libby said, adding that the most
notorious viral offender has been the Coxsackie B virus. A recent case
report from Italy underscores the notion that the new coronavirus could
also infect the heart and affect heart muscle function in healthy adults
even after the acute phase of the infection has resolved and even in the
absence of lung damage.

“There are definitely some people who develop acute fulminant
myocarditis — in which the virus infects the heart muscle itself or the
cells within the heart — and causes a horrible inflammatory reaction,”
said Libby, the Mallinckrodt Professor of Medicine at Brigham and
Women’s Hospital. “This can be life threatening, and it can happen in
people who don’t have any preexisting risk factors.”

Libby and Ridker, however, say this out-of-the-blue scenario in
otherwise healthy individuals is likely rare relative to the overall
number of people with COVID-19 who experience heart problems.
The frenemy within

For Ridker and Libby, the cardiac involvement in COVID-19 is yet another
striking example of the widespread effects of inflammation on multiple
organs and systems. Inflammation is a critical defense response during
infection, but it has a dark side. Infections can set off a cascade of
immune signals that affect various organs.

Libby and Ridker hypothesize that any infection in the body — a
festering boil, an injured joint, a virus — can become a source of
inflammation that activates the release of inflammatory proteins known
as cytokines and calls up armies of white blood cells and other
messenger molecules that, in an effort to fight the infection, disrupt
normal processes. When these inflammatory molecules reach the welcoming
soil of a fatty deposit in the blood vessel wall — one that is already
studded with resident inflammatory white blood cells — the cytokines can
boost the local inflammatory response and trigger a heart attack.

“Our work has shown that cytokines can impinge on these cells in the
plaque and push it through a round of further activation,” Libby said.
“[Heart inflammation] can be life threatening, and it can happen in
people who don’t have any preexisting risk factors.”
— Peter Libby

The inflammatory chemicals released during infection can also induce the
liver to ramp up the production of important proteins that defend the
body from infection. These proteins, however, make the blood more prone
to clotting, while also reducing the secretion of natural
clot-dissolving substances. The tiny clots that may form can clog the
small blood vessels in the heart and other organs, such as the kidneys,
depriving them of oxygen and nutrients and setting the stage for the
multisystem failure that can occur in acute infection.

Thus, immune-mediated injury to the heart and other organs could be
collateral damage because of the body’s overwhelming systemic immune
response — a condition known as cytokine storm, which is marked by the
widespread release of cytokines that can cause cellular demise, tissue
injury and organ damage.
COVID-19 and blood pressure medications

SARS-CoV-2 invades human cells by latching its spike protein onto the
ACE2 receptor found on the surface of cells in the airways, lungs,
heart, kidneys and blood vessels. The ACE2 protein is an important
player in the renin-angiotensin-aldosterone system, which regulates
blood vessel dilation and blood pressure. Two classes of drugs widely
used to treat high blood pressure and heart disease — ACE inhibitors and
angiotensin receptor blockers — interact with the ACE2 receptor. A
possible concern related to COVID-19 stems from the notion that these
blood pressure medications could increase the number of ACE2 receptors
expressed on cells, possibly creating more molecular gates for the virus
to enter. Some experts have wondered whether the use of such drugs could
render people who take them more susceptible to infection. Conversely,
others have postulated that the abundance of ACE2 receptors may enhance
cardiovascular function, exercising a protective effect during infection.

The answer is far from clear, but a recent review suggests these
medicines may play a dual role in COVID-19 — on the one hand, enhancing
susceptibility to infection and, on the other, protecting the heart and
ameliorating lung damage from the disease.

Libby and Ridker cautioned that patients who take such life-saving
medications should stay on them or at least have a careful discussion
with their cardiologists. This is because these drugs have clear and
well-established benefits in hypertension and certain forms of heart
disease, while their propensity to make humans more susceptible to
SARS-CoV-2 remains speculative for the time being.

But what remains speculative today will crystalize in the weeks and
months to come, Ridker and Libby said, because the science is moving
forward rapidly, with new papers coming out daily and a growing pool of
patients to draw observations from.
Related
Ofer Levy an David Dowling.
Global race to a COVID-19 vaccine

Team at Harvard plans to launch clinical trial in fall
Giang Nguyen.
By phone and online, the care continues

Health Services director Giang Nguyen talks about adding remote services
and new resources for Harvard community
People walking 12 feet apart.
Hope for managing hospital admissions of COVID-19 cases

New projections suggest social-distancing measures in state may be
flattening the curve

“In 12 to 18 months we’re going to have a great deal of information, but
right now our job is to, number one, keep people from getting COVID-19
by strict adherence to now-familiar containment measures,” Libby said.
“Then, we need to get people who get the disease through this acute phase.”

The need for rigorous randomized trials done quickly and effectively is
acute, they said. Until the evidence from these trials begins to
coalesce, clinicians will have to navigate the uncharted territory of
delivering cardiac care in the time of pandemic with caution but also
with resolve.

“We don’t have the comfort of our usual databases, so we have to rely on
our clinical skills and judgment. But we have to do so in all humility
because often data don’t bear out our logical preconceptions,” Libby
said. “Yet, we must act.”

--
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that Brooklyn, like Atlantis, reaches mythological
proportions in the mind of the world - RI Safir 1998
http://www.mrbrklyn.com
DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002

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but incompatible with living as a free human being. -RI Safir 2013
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  77. 2020-05-07 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] Fwd: Excellent Overview. Fwd: Covid-19
  78. 2020-05-07 From: "American Museum of Natural History" <learn-at-amnh.org> Subject: [Hangout - NYLXS] There is Still Time to Register for an Online
  79. 2020-05-07 From: "Xavier B. via artix-general" <artix-general-at-artixlinux.org> Subject: [Hangout - NYLXS] [artix-general] Bash prompt
  80. 2020-05-07 Christos Nouskas via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] 686 support?
  81. 2020-05-07 The Hebron Fund <info-at-hebronfund.org> Subject: [Hangout - NYLXS] Hebron is Always Mother's Day, ZOOM Backgounds,
  82. 2020-05-07 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] masked
  83. 2020-05-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] this largely sounds like some of out forums
  84. 2020-05-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] How can one fight a epidemic with a collapsed
  85. 2020-05-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Monarch Butterflies
  86. 2020-05-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Snoden Interview
  87. 2020-05-07 Ruben Safir <mrbrklyn-at-panix.com> Subject: [Hangout - NYLXS] monarchs
  88. 2020-05-07 cl <kerens3ts-at-aol.com> Re: [Hangout - NYLXS] sars-cov2 info
  89. 2020-05-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] check out this boy genius...
  90. 2020-05-03 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] Jon tennant and OpenScience
  91. 2020-05-08 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] For my sister who questioned if this is a power
  92. 2020-05-08 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] The Times dedicated to keeping very one shut
  93. 2020-05-08 From: =?utf-8?Q?Zo=C3=AB_Kooyman=2C_FSF?= <info-at-fsf.org> Subject: [Hangout - NYLXS] LibrePlanet 2020 audio now available online
  94. 2020-05-09 Kevin Zheng <kevinz5000-at-gmail.com> Re: [Hangout - NYLXS] [crossfire] The problem with Valkyrie
  95. 2020-05-09 Kevin Zheng <kevinz5000-at-gmail.com> Re: [Hangout - NYLXS] [crossfire] The problem with Valkyrie
  96. 2020-05-09 From: "[RSS/Feed] nixCraft: Linux Tips, Hacks, Tutorials, Subject: [Hangout - NYLXS] nixCraft Linux / UNIX Newsletter
  97. 2020-05-09 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] This does not look like a man who is following
  98. 2020-05-09 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Employee surveillance because of COVID-19
  99. 2020-05-10 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Israel.pm] Perl on YouTube
  100. 2020-05-10 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Paying your con-ed bill now requires child
  101. 2020-05-10 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Paying your con-ed bill now requires child
  102. 2020-05-10 Ascent - Rabbi Shaul Leiter <director-at-ascentofsafed.com> Subject: [Hangout - NYLXS] Lag Ba'Omer Prayers
  103. 2020-05-10 Kevin Zheng <kevinz5000-at-gmail.com> Re: [Hangout - NYLXS] [crossfire] The problem with Valkyrie
  104. 2020-05-10 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Perlweekly] #459 - Perl on YouTube
  105. 2020-05-11 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] pterasuars - great lecture
  106. 2020-05-11 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Fwd: Re: turning authentication off in apache for
  107. 2020-05-10 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Perlweekly] #459 - Perl on YouTube
  108. 2020-05-11 From: "Xavier B. via artix-general" <artix-general-at-artixlinux.org> Subject: [Hangout - NYLXS] [artix-general] Re Bash prompt
  109. 2020-05-12 Ruben Safir <mrbrklyn-at-panix.com> Subject: [Hangout - NYLXS] Israeli Tech Market is dieing up leaving its
  110. 2020-05-12 John Darrington <jmd-at-gnu.org> Subject: [Hangout - NYLXS] Using proprietary software [was: Re:
  111. 2020-05-11 From: "Kaz Kylheku (gnu-misc-discuss)" <936-846-2769-at-kylheku.com> Re: [Hangout - NYLXS] one-paragraph comments on s/w freedom being
  112. 2020-05-12 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Movie for the lock out -- see it
  113. 2020-05-12 Jean Louis <bugs-at-gnu.support> Re: [Hangout - NYLXS] Using proprietary software [was: Re:
  114. 2020-05-13 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Captain Ryan was burried today at the Greenwood
  115. 2020-05-12 James E Keenan <jkeenan-at-pobox.com> Subject: [Hangout - NYLXS] The Conference in the Cloud
  116. 2020-05-13 Luis Falcon <falcon-at-gnuhealth.org> Re: [Hangout - NYLXS] [Health] Cleaning up openSUSE-Repositories
  117. 2020-05-12 From: "Dr. Axel Braun" <axel.braun-at-gnuhealth.org> Subject: [Hangout - NYLXS] [Health] Cleaning up openSUSE-Repositories
  118. 2020-05-13 From: "American Museum of Natural History" <email-at-amnh.org> Subject: [Hangout - NYLXS] Online resources to explore with your students
  119. 2020-05-13 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] At Host testing for Wuhan-(covid)19
  120. 2020-05-13 mike via Health <health-at-gnu.org> Re: [Hangout - NYLXS] [Health] Cleaning up openSUSE-Repositories
  121. 2020-05-13 From: "Odile C. Kamno" <christelia3-at-hotmail.com> Subject: [Hangout - NYLXS] [Health] party.party error message "you cannot
  122. 2020-05-13 From: "Dr. Axel Braun" <axel.braun-at-gnuhealth.org> Re: [Hangout - NYLXS] [Health] Cleaning up openSUSE-Repositories
  123. 2020-05-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] 9 of 10 on vents don't make it
  124. 2020-05-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] 35 deaths of Wuhan(covid)19 on 5/11
  125. 2020-05-14 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] [Docs Discussion] This does not look like a
  126. 2020-05-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Online education is bullshit and defeats the
  127. 2020-05-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Time to end the lock up..
  128. 2020-05-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Wuhan(Bailout) reaching trillions
  129. 2020-05-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Suprise billing?
  130. 2020-05-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] hystreria on the Hill: Vaccines
  131. 2020-05-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] nobody is working and economy collapses
  132. 2020-05-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] baill outs
  133. 2020-05-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] 3,000,000,000,000
  134. 2020-05-14 The Billie Holiday Theatre <info-at-thebillieholiday.org> Subject: [Hangout - NYLXS] DRUMROLL . . . 50in50 Writers Announced! Special
  135. 2020-05-14 Armand MPASSY-NZOUMBA via Health <health-at-gnu.org> Re: [Hangout - NYLXS] [Health] party.party error message "you
  136. 2020-05-14 From: =?utf-8?Q?Zo=C3=AB_Kooyman=2C_FSF?= <info-at-fsf.org> Subject: [Hangout - NYLXS] Remote education does not require giving up
  137. 2020-05-14 From: "Speaker Corey Johnson" <SpeakerJohnson-at-council.nyc.gov> Subject: [Hangout - NYLXS] =?utf-8?q?COVID-19=3A_Weekly_Update_=26_Resour?=
  138. 2020-05-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Raffles - and Mitzvots
  139. 2020-05-14 From: "Coursera" <no-reply-at-m.mail.coursera.org> Subject: [Hangout - NYLXS] Free course: COVID-19 Contact Tracing from Johns
  140. 2020-05-11 From: "Xavier B. via artix-general" <artix-general-at-artixlinux.org> Subject: [Hangout - NYLXS] [artix-general] Re Bash prompt
  141. 2020-05-13 Dudemanguy via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] GNU Shepherd init
  142. 2020-05-12 Chris Cromer via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] GNU Shepherd init
  143. 2020-05-12 Dudemanguy via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] GNU Shepherd init
  144. 2020-05-12 Dudemanguy via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] system not
  145. 2020-05-12 Javier via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] GNU Shepherd init
  146. 2020-05-12 Javier via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] system not
  147. 2020-05-15 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] [artix-general] GNU Shepherd init
  148. 2020-05-14 Dave Bort <dbort-at-dbort.com> Subject: [Hangout - NYLXS] How to tell if an emulated aarch64 CPU has
  149. 2020-05-15 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Economics is not a science - Edo-Med and
  150. 2020-05-15 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] 10% of the total population now on unemployment
  151. 2020-05-15 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] 10% of the total population now on unemployment
  152. 2020-05-15 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] WTO head resigns... now it gets interesting
  153. 2020-05-15 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] To take you mind off the pandemic,
  154. 2020-05-15 Axel Braun <axel.braun-at-gmx.de> Re: [Hangout - NYLXS] [Health] Tryton-server
  155. 2020-05-15 From: "Odile C. Kamno" <christelia3-at-hotmail.com> Subject: [Hangout - NYLXS] [Health] Error Message: "There is no "account
  156. 2020-05-15 Axel Braun <axel.braun-at-gmx.de> Re: [Hangout - NYLXS] [Health] Error Message: "There is no "account
  157. 2020-05-15 Axel Braun <axel.braun-at-gmx.de> Re: [Hangout - NYLXS] [Health] Tryton-server
  158. 2020-05-15 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Death by going to the beach
  159. 2020-05-15 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Jail extended another month
  160. 2020-05-15 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Chinese wet markets just continue
  161. 2020-05-15 From: "Odile C. Kamno" <christelia3-at-hotmail.com> Re: [Hangout - NYLXS] [Health] Error Message: "There is no "account
  162. 2020-05-16 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Old News
  163. 2020-05-15 Dudemanguy via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] GNU Shepherd init
  164. 2020-05-15 Javier via artix-general <artix-general-at-artixlinux.org> Subject: [Hangout - NYLXS] [artix-general] [s6] not mounting root directory
  165. 2020-05-16 Javier via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] not mounting root
  166. 2020-05-16 Javier via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] not mounting root
  167. 2020-05-15 Javier via artix-general <artix-general-at-artixlinux.org> Subject: [Hangout - NYLXS] [artix-general] [s6] not mounting root directory
  168. 2020-05-16 Ruben Safir via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] GNU Shepherd init
  169. 2020-05-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] long analysis of the epidemeic
  170. 2020-05-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Job training - contact tracing class.
  171. 2020-05-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] i want out ...
  172. 2020-05-17 nipponmail-at-firemail.cc Re: [Hangout - NYLXS] i want out ...
  173. 2020-05-17 nipponmail-at-firemail.cc Re: [Hangout - NYLXS] Job training - contact tracing class.
  174. 2020-05-17 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] Job training - contact tracing class.
  175. 2020-05-17 shulie <shulie_release-at-optimum.net> Subject: [Hangout - NYLXS] Enjoy some spring baseball
  176. 2020-05-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] i just hate this guy..
  177. 2020-05-17 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] i want out ...
  178. 2020-05-17 Yusif Suleiman <yusifsuleiman-at-hotmail.com> Subject: [Hangout - NYLXS] [Health] Fw: Tryton-server
  179. 2020-05-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Woodstock during the last Pandemic
  180. 2020-05-17 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] whatever.. babyboomers suck
  181. 2020-05-16 Ruben Safir via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] GNU Shepherd init
  182. 2020-05-16 Javier via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] not mounting root
  183. 2020-05-15 Javier via artix-general <artix-general-at-artixlinux.org> Subject: [Hangout - NYLXS] [artix-general] [s6] not mounting root directory
  184. 2020-05-18 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Perlweekly] #460 - Online Perl Resources
  185. 2020-05-18 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] What pandemic...
  186. 2020-05-18 Armand MPASSY-NZOUMBA via Health <health-at-gnu.org> Re: [Hangout - NYLXS] [Health] Error Message: "There is no "account
  187. 2020-05-18 Armand MPASSY-NZOUMBA via Health <health-at-gnu.org> Re: [Hangout - NYLXS] [Health] Error Message: "There is no "account
  188. 2020-05-18 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Perlweekly] #460 - Online Perl Resources
  189. 2020-05-18 From: "Odile C. Kamno" <christelia3-at-hotmail.com> Re: [Hangout - NYLXS] [Health] Error Message: "There is no "account
  190. 2020-05-18 Armand MPASSY-NZOUMBA via Health <health-at-gnu.org> Re: [Hangout - NYLXS] [Health] Error Message: "There is no "account
  191. 2020-05-18 Yusif Suleiman <yusifsuleiman-at-hotmail.com> Re: [Hangout - NYLXS] [Health] Fw: Tryton-server
  192. 2020-05-18 Kelly <kelly-at-transformativecontractors.com> Subject: [Hangout - NYLXS] Re-opening guidelines, Tempatures taken everywhere
  193. 2020-05-18 Armand MPASSY-NZOUMBA via Health <health-at-gnu.org> Re: [Hangout - NYLXS] [Health] Fw: Tryton-server
  194. 2020-05-18 Ruben Safir <mrbrklyn-at-panix.com> Subject: [Hangout - NYLXS] =?utf-8?q?Fwd=3A_Online_Ordering_Now_Available?=
  195. 2020-05-18 CovidHealth Initiative <covidhealth.initiative-at-broncosliveradio.com> Subject: [Hangout - NYLXS] Quick, painless,
  196. 2020-05-18 Axel Braun <axel.braun-at-gmx.de> Re: [Hangout - NYLXS] [Health] Error Message: "There is no "account
  197. 2020-05-18 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] the greatest painting on social distancing ever
  198. 2020-05-18 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] the greatest painting on social distancing
  199. 2020-05-19 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] The resistance to DiBlasio is growing
  200. 2020-05-19 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Jerusalem archeology
  201. 2020-05-19 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Effects of wearing N95 and surgical facemasks on
  202. 2020-05-19 Armand MPASSY-NZOUMBA via Health <health-at-gnu.org> Re: [Hangout - NYLXS] [Health] Error Message: "There is no "account
  203. 2020-05-19 Luis Falcon <falcon-at-gnuhealth.org> Re: [Hangout - NYLXS] [Health] Error Message: "There is no "account
  204. 2020-05-19 Luis Falcon <falcon-at-gnuhealth.org> Re: [Hangout - NYLXS] [Health] Error Message: "There is no "account
  205. 2020-05-19 Dudemanguy via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] not mounting root
  206. 2020-05-19 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] coronas racism
  207. 2020-05-19 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Latest City rates
  208. 2020-05-19 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] now in other pharmacuetical news - the bizzarre..
  209. 2020-05-19 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Getting untangled from the Chinese supply line
  210. 2020-05-19 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] UAE to Israel- direct
  211. 2020-05-19 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Speakeasies and Social Distancing
  212. 2020-05-20 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] I found a perfect present for my grandson
  213. 2020-05-19 Dudemanguy via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] not mounting root
  214. 2020-05-19 Javier via artix-general <artix-general-at-artixlinux.org> Re: [Hangout - NYLXS] [artix-general] [s6] not mounting root
  215. 2020-05-20 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Stay at Home Orders effectiveneness
  216. 2020-05-20 shulie <shulie_release-at-optimum.net> Subject: [Hangout - NYLXS] Let the Fur Fly - Eseentail Businesses
  217. 2020-05-20 From: "American Museum of Natural History" <email-at-amnh.org> Subject: [Hangout - NYLXS] Online resources to explore with your students
  218. 2020-05-21 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Generics and Computational power - the 21st
  219. 2020-05-21 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Jamacia Bay as a nature lab
  220. 2020-05-21 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] COVID-19 Case Tracing Class
  221. 2020-05-21 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Now I am just like Andrew
  222. 2020-05-21 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Your favorite Jewish Lady in America
  223. 2020-05-21 Fusion Technology <sales.fusiontdl-at-gmail.com> Subject: [Hangout - NYLXS] Fwd: Mastering Oracle Database 19c Part 1:
  224. 2020-05-22 From: "Pat Schloss" <pdschloss-at-gmail.com> Subject: [Hangout - NYLXS] [mothur] Upcoming mothur and R workshops (with
  225. 2020-05-23 Axel Braun <axel.braun-at-gmx.de> Re: [Hangout - NYLXS] [Health] Fw: Tryton-server
  226. 2020-05-23 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Dieing to get into the Pharmacy
  227. 2020-05-24 The Billie Holiday Theatre <info-at-thebillieholiday.org> Subject: [Hangout - NYLXS] Actors Jason Dirden, Roscoe Orman,
  228. 2020-05-24 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Most incredible map of NYC
  229. 2020-05-25 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Perlweekly] #461 - How to find a new job?
  230. 2020-05-25 Ruben Safir <ruben.safir-at-my.liu.edu> Subject: [Hangout - NYLXS] Fwd: VimConf 2020 is Canceled
  231. 2020-05-25 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Check this out - Fishing on the East River in
  232. 2020-05-25 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Anyone remember what this is?
  233. 2020-05-26 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] this is what is essentially fucked up about the
  234. 2020-05-26 Ruben Safir <ruben.safir-at-my.liu.edu> Subject: [Hangout - NYLXS] Fwd: Analyzing cBioPortal in Bioconductor on
  235. 2020-05-26 Miss Belmar Princess <missbelmar-at-aol.com> Subject: [Hangout - NYLXS] ANOTHER EXCELLENT DAY OF FISHING!
  236. 2020-05-26 From: "Pharmacy Times Continuing Education - PTCE" <ptce-at-pharmacytimes.org> Subject: [Hangout - NYLXS] COVID-19 Live Webinar Series Part 2 takes place
  237. 2020-05-26 From: "Dana Morgenstein, FSF" <info-at-fsf.org> Subject: [Hangout - NYLXS] =?utf-8?q?Don=E2=80=99t_miss_your_chance_to_wi?=
  238. 2020-05-28 From: =?utf-8?Q?Zo=C3=AB_Kooyman=2C_FSF?= <info-at-fsf.org> Subject: [Hangout - NYLXS] FSF gives freedom-respecting videoconferencing to
  239. 2020-05-27 The Hebron Fund <info-at-hebronfund.org> Subject: [Hangout - NYLXS] =?utf-8?q?Amazing_Hebron_News_=E2=80=93_Cave_O?=
  240. 2020-05-27 NCPA eCommunications <ncpa.ecommunications-at-ncpanet.org> Subject: [Hangout - NYLXS] New Hampshire includes pharmacists in COVID-19
  241. 2020-05-29 ronald munjoma <simbiso-at-gmail.com> Subject: [Hangout - NYLXS] [Health] 3.6.3 to 3.6.4 Database upgrade step
  242. 2020-05-30 Axel Braun <Axel.braun-at-gmx.de> Re: [Hangout - NYLXS] [Health] 3.6.3 to 3.6.4 Database upgrade step
  243. 2020-05-30 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Man Bites Dogs - FBI - GUILTY
  244. 2020-05-30 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Itka working on aptent law
  245. 2020-05-31 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] itka on patent reviews

NYLXS are Do'ers and the first step of Doing is Joining! Join NYLXS and make a difference in your community today!