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🎯 3 Teaching Pearls from the “Compact Disc” Method for ERCP Cannulation 1️⃣ Visualize the invisible. Imagine stacked CDs inside the papilla to conceptualize the 3D bile duct axis—especially in long oral protrusion (LOP). 2️⃣ Advance gently, not forcefully. Cannulation should feel like passing through the center hole of...

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Turki AlAmri |تُرْكي عبدالله الْعَمريَّ MD

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15,630 görüntüleme • 4 ay önce •via X (Twitter)

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🔴Nice teaching case for the advanced therapeutic fellow ERCP Teaching Pearl 🧠 | Hock-Pull Technique in Supine Position 🛌 Supine patient = altered orientation → technique matters 🔹 Papilla orientation: In supine ERCP, the papilla often appears more inferior/posterior and less en face, with a tendency for the catheter to fall into the pancreatic duct due to gravity and scope torque. 🔹 Why Hock-Pull helps: • Hockey bow redirects the tip upward toward the biliary axis despite gravity. • Gentle pull-back everts and opens the papillary orifice, counteracting the “downward fall” seen in supine cases. • Improves coaxial alignment (~11 o’clock) without pushing. 🔹 Manoeuvrability advantage: • Pulling back stabilizes the papilla against respiratory motion. • Small rotations become effective—micro-adjustments instead of force. • Reduces repeated pancreatic duct entry and papillary trauma. 💡 Pearl: > “In supine ERCP, gravity favors the pancreas—hock-pull brings you back to bile.” #ERCP #SupineERCP #Endoscopy #GI #TeachingPearls #PatientSafety
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🔴Nice teaching case for the advanced therapeutic fellow ERCP Teaching Pearl 🧠 | Hock-Pull Technique in Supine Position 🛌 Supine patient = altered orientation → technique matters 🔹 Papilla orientation: In supine ERCP, the papilla often appears more inferior/posterior and less en face, with a tendency for the catheter to fall into the pancreatic duct due to gravity and scope torque. 🔹 Why Hock-Pull helps: • Hockey bow redirects the tip upward toward the biliary axis despite gravity. • Gentle pull-back everts and opens the papillary orifice, counteracting the “downward fall” seen in supine cases. • Improves coaxial alignment (~11 o’clock) without pushing. 🔹 Manoeuvrability advantage: • Pulling back stabilizes the papilla against respiratory motion. • Small rotations become effective—micro-adjustments instead of force. • Reduces repeated pancreatic duct entry and papillary trauma. 💡 Pearl: > “In supine ERCP, gravity favors the pancreas—hock-pull brings you back to bile.” #ERCP #SupineERCP #Endoscopy #GI #TeachingPearls #PatientSafety

Turki AlAmri |تُرْكي عبدالله الْعَمريَّ MD

26,805 görüntüleme • 6 ay önce

Netanyahu from Hungary: "The Iranian axis threatens not only Israel, but also its neighbors in the Middle East and all of Europe. That's why we are determined to crush the axis of terror!" 🤦🤦🤦
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Netanyahu from Hungary: "The Iranian axis threatens not only Israel, but also its neighbors in the Middle East and all of Europe. That's why we are determined to crush the axis of terror!" 🤦🤦🤦

Sprinter Observer

60,724 görüntüleme • 1 yıl önce

This is the Tianfu Avenue, the only central axis in the world that reaches a length of 150 kilometers and is still extending infinitely. It is the longest, straightest and most beautiful central axis. It is located in Chengdu, Sichuan.
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This is the Tianfu Avenue, the only central axis in the world that reaches a length of 150 kilometers and is still extending infinitely. It is the longest, straightest and most beautiful central axis. It is located in Chengdu, Sichuan.

Zhang Meifang

553,549 görüntüleme • 1 yıl önce

5-axis CNC machining – but different... Most 5-axis machines use serial kinematics: stack a rotary A-axis on top of a rotary B-axis, mount that on linear X/Y/Z stages. Each axis carries the weight of everything after it. Heavy and slow. 🤖 The Sprint Z3 uses parallel kinematics: three linear drives working together to create BOTH the Z-axis motion AND the A/B tilt simultaneously. No stacked rotary joints. No heavy tilting head carrying a motor on top of another motor. The entire barrel-shaped headstock moves as one unit vertically in the column, while the three internal drives handle the spindle positioning and orientation. ⚙️ How it works: Three linear actuators are arranged in a circle, all connected to the spindle platform through pivot arms. - Extend all three equally → spindle moves straight up/down (Z-axis) - Extend them different amounts → spindle tilts (A/B axes) It's using geometry instead of stacked rotary joints to create tilt 🤔 Why this is useful: Way less moving mass than serial kinematics. Less mass = faster accelerations, higher precision, better surface finish. For high-speed machining, dynamics matter more than workspace. Question: Is this a good design or overcomplicated❓
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5-axis CNC machining – but different... Most 5-axis machines use serial kinematics: stack a rotary A-axis on top of a rotary B-axis, mount that on linear X/Y/Z stages. Each axis carries the weight of everything after it. Heavy and slow. 🤖 The Sprint Z3 uses parallel kinematics: three linear drives working together to create BOTH the Z-axis motion AND the A/B tilt simultaneously. No stacked rotary joints. No heavy tilting head carrying a motor on top of another motor. The entire barrel-shaped headstock moves as one unit vertically in the column, while the three internal drives handle the spindle positioning and orientation. ⚙️ How it works: Three linear actuators are arranged in a circle, all connected to the spindle platform through pivot arms. - Extend all three equally → spindle moves straight up/down (Z-axis) - Extend them different amounts → spindle tilts (A/B axes) It's using geometry instead of stacked rotary joints to create tilt 🤔 Why this is useful: Way less moving mass than serial kinematics. Less mass = faster accelerations, higher precision, better surface finish. For high-speed machining, dynamics matter more than workspace. Question: Is this a good design or overcomplicated❓

Jack 🤖

118,947 görüntüleme • 7 ay önce

Situation on Raqqa [17/1/2026]: After capturing Deir Hafer and Maskanah, the STG continued their advance towards the city of Tabqa, opening three other fronts along the N-4 axis. - N-4 axis: the militants continued advancing along the highway until they reached the hill of Rujm al-Khaznah south of Tabqa - Ithriya axis: the militants took the oil wells of Safiya and Thawra, flanking the Tabqa airport, which was completely captured during the night. - Ma'dan axis: With the start of fighting in southwestern Raqqa, Arab tribes and terrorist cells rose up in the towns on the southern bank of the Euphrates, facilitating the advance of the STG and the expulsion of the SDF, which ended up reaching the southern entrance to Raqqa. - Resafa axis: Resafa, its ruins, and surrounding villages such as Jadin Kabirah were taken. The militants advanced to Mansurah, taking advantage of the activation of ISIS cells and the uprising of Arab tribes. The SDF intervened in the town to facilitate the evacuation of its troops to Raqqa and Tabqa. Subsequently, the STG entered Masurah and reached the Baath/Azadî dam. Currently, the SDF only controls the city of Tabqa, which is witnessing street fighting due to tribal and terrorist insurgency, while preparing for the complete evacuation of the west bank of the Euphrates. Map: [ ]
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Situation on Raqqa [17/1/2026]: After capturing Deir Hafer and Maskanah, the STG continued their advance towards the city of Tabqa, opening three other fronts along the N-4 axis. - N-4 axis: the militants continued advancing along the highway until they reached the hill of Rujm al-Khaznah south of Tabqa - Ithriya axis: the militants took the oil wells of Safiya and Thawra, flanking the Tabqa airport, which was completely captured during the night. - Ma'dan axis: With the start of fighting in southwestern Raqqa, Arab tribes and terrorist cells rose up in the towns on the southern bank of the Euphrates, facilitating the advance of the STG and the expulsion of the SDF, which ended up reaching the southern entrance to Raqqa. - Resafa axis: Resafa, its ruins, and surrounding villages such as Jadin Kabirah were taken. The militants advanced to Mansurah, taking advantage of the activation of ISIS cells and the uprising of Arab tribes. The SDF intervened in the town to facilitate the evacuation of its troops to Raqqa and Tabqa. Subsequently, the STG entered Masurah and reached the Baath/Azadî dam. Currently, the SDF only controls the city of Tabqa, which is witnessing street fighting due to tribal and terrorist insurgency, while preparing for the complete evacuation of the west bank of the Euphrates. Map: [ ]

@Suriyak

12,526 görüntüleme • 5 ay önce

the eurovision axis of evil
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the eurovision axis of evil

Gottem

231,721 görüntüleme • 10 ay önce

Today, Axis USDx is born. $10M USDx, minted for the very first time in private beta. This is the first tranche of institutional demand for Axis’ synthetic dollar, capturing performance from our market-neutral arbitrage trading engine. Bringing you access to the world’s alpha.
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Today, Axis USDx is born. $10M USDx, minted for the very first time in private beta. This is the first tranche of institutional demand for Axis’ synthetic dollar, capturing performance from our market-neutral arbitrage trading engine. Bringing you access to the world’s alpha.

Axis

55,770 görüntüleme • 2 ay önce

On the Kupiansk axis, Ukrainian forces reportedly lined the inside of a pipeline with barbed wire to prevent Russian troops from using it for movement or infiltration.
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On the Kupiansk axis, Ukrainian forces reportedly lined the inside of a pipeline with barbed wire to prevent Russian troops from using it for movement or infiltration.

NOELREPORTS 🇪🇺 🇺🇦

50,463 görüntüleme • 9 ay önce

🚨The IDF announced today that it has completed the breakthrough of the Morag axis, the essence of which is to turn it into a corridor similar to the Netzarim corridor in the northern Gaza Strip. In practice, this creates better IDF control over the area. In the video, you can see the area of ​​the axis that cuts through the southern Gaza Strip between the Rafah Brigade and the Khan Yunis Brigade.
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🚨The IDF announced today that it has completed the breakthrough of the Morag axis, the essence of which is to turn it into a corridor similar to the Netzarim corridor in the northern Gaza Strip. In practice, this creates better IDF control over the area. In the video, you can see the area of ​​the axis that cuts through the southern Gaza Strip between the Rafah Brigade and the Khan Yunis Brigade.

Raylan Givens

79,622 görüntüleme • 1 yıl önce

the axis occupation of paris (1940-colorized)
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the axis occupation of paris (1940-colorized)

COKA

20,982 görüntüleme • 1 yıl önce

🚨Iraq: Widening protests against Israel and the US, with the participation of Shiites, pictures of the IRGC's "martyrs" and the axis of evil.
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🚨Iraq: Widening protests against Israel and the US, with the participation of Shiites, pictures of the IRGC's "martyrs" and the axis of evil.

Eli Afriat 🇮🇱🎗

18,720 görüntüleme • 1 yıl önce

Petro Andriushchenko, head of the Center for the Study of Occupation, reported that Russian occupiers are transferring military equipment through Mariupol toward the Huliaipole axis. According to him, more than 40 trucks with ammunition, 10 platforms with armored vehicles, and over 35 personnel carriers with troops were moved yesterday from the Rostov region through Mariupol toward Nikolske.
0:19

Petro Andriushchenko, head of the Center for the Study of Occupation, reported that Russian occupiers are transferring military equipment through Mariupol toward the Huliaipole axis. According to him, more than 40 trucks with ammunition, 10 platforms with armored vehicles, and over 35 personnel carriers with troops were moved yesterday from the Rostov region through Mariupol toward Nikolske.

WarTranslated

51,298 görüntüleme • 2 ay önce

With SPH if you scale the repulsion so it's stronger on the y-axis than x-axis while keeping the attraction radial you get some similar tendril behavior.
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With SPH if you scale the repulsion so it's stronger on the y-axis than x-axis while keeping the attraction radial you get some similar tendril behavior.

Grant Kot

10,454 görüntüleme • 9 ay önce

New work: The Value Axis 🎯 How do LLMs choose which path to take mid-task? We find they internally track the chance of reaching their goal along a linear axis, akin to a value function in RL. We show it modulates confidence in math & coding and can be reshaped with DPO and SFT.
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New work: The Value Axis 🎯 How do LLMs choose which path to take mid-task? We find they internally track the chance of reaching their goal along a linear axis, akin to a value function in RL. We show it modulates confidence in math & coding and can be reshaped with DPO and SFT.

Nick Jiang

25,071 görüntüleme • 9 gün önce

The precision and efficiency of the Mazak Integrex i150, advanced 5-axis CNC technology for turbine blade manufacturing.
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The precision and efficiency of the Mazak Integrex i150, advanced 5-axis CNC technology for turbine blade manufacturing.

Massimo

83,092 görüntüleme • 2 ay önce

⚔️DOBROPILLIA-POKROVSK AXIS⚔️ The Armed Forces of Ukraine have liberated villages of Zatyshok, Sukhetske, are fighting in Fedorivka, advancing near Nove Shakhove and Kucheriv Yar! 🇺🇦The enemy has been pushed back from the village of Bilytske!! However, the enemy managed to penetrate the city of Pokrovsk, and urban fighting is ongoing.
0:11

⚔️DOBROPILLIA-POKROVSK AXIS⚔️ The Armed Forces of Ukraine have liberated villages of Zatyshok, Sukhetske, are fighting in Fedorivka, advancing near Nove Shakhove and Kucheriv Yar! 🇺🇦The enemy has been pushed back from the village of Bilytske!! However, the enemy managed to penetrate the city of Pokrovsk, and urban fighting is ongoing.

Cloooud |🇺🇦

93,076 görüntüleme • 8 ay önce

one QOL setting i would love in Blender is to display the rotation values on the axis instead in the top left corner of the window. just like this:
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one QOL setting i would love in Blender is to display the rotation values on the axis instead in the top left corner of the window. just like this:

Pilgrim

48,257 görüntüleme • 1 yıl önce

Mount Kailash, the spiritual axis of Mahadev’s divine power and the vastness of creation. Har Har Mahadev!
0:15

Mount Kailash, the spiritual axis of Mahadev’s divine power and the vastness of creation. Har Har Mahadev!

Akanksha Parmar

71,990 görüntüleme • 1 yıl önce

An optical illusion. It looks like the character is running forward but they are stationary along the x-axis.
0:15

An optical illusion. It looks like the character is running forward but they are stationary along the x-axis.

Jonathan Nash

132,735 görüntüleme • 2 yıl önce

Mount Kailash, the spiritual axis of Mahadev’s divine power and the vastness of creation. Har Har Mahadev!
0:16

Mount Kailash, the spiritual axis of Mahadev’s divine power and the vastness of creation. Har Har Mahadev!

Akanksha Parmar

164,500 görüntüleme • 1 yıl önce