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A quick Guide to Standard Coronary Angiographic Views❣️ #Cardiology #Angiography #CathLab #MedicalEducation #CardioTwitter #HeartDisease #InterventionalCardiology Source:intuitivecardiology.notion.

AbdAllah Othman

5,787 subscribers

23,879 görüntüleme • 11 ay önce •via X (Twitter)

Sağlık & İyilik Bilim & Teknoloji Eğitim #Cardiology #Angiography #CathLab #MedicalEducation #CardioTwitter #HeartDisease #InterventionalCardiology

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🫀 Standard Coronary Angiographic Projections 🔹 RAO Caudal → LM, LCx, OMs 🔹 RAO Cranial → LAD, Diagonals 🔹 LAO Cranial → LAD foreshortening-free 🔹 LAO Caudal → "Spider view" — LM bifurcation 🔹 LAO/RAO 30° → RCA territory #Cardiology #CathLab

🫀 Standard Coronary Angiographic Projections 🔹 RAO Caudal → LM, LCx, OMs 🔹 RAO Cranial → LAD, Diagonals 🔹 LAO Cranial → LAD foreshortening-free 🔹 LAO Caudal → "Spider view" — LM bifurcation 🔹 LAO/RAO 30° → RCA territory #Cardiology #CathLab

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✨Video of the Week: A Giant Right Coronary Artery Pseudoaneurysm Successfully Managed With a Covered Stent ▶️ 库雷志 Dr. Deepak L. Bhatt #cardioTwitter #cardioX #cardiology #interventionalcardiology

Journal of Invasive Cardiology

21,504 görüntüleme • 8 ay önce

TIMI Flow: A Key Indicator of Coronary Perfusion TIMI (Thrombolysis in Myocardial Infarction) flow grading is a crucial angiographic tool to assess blood flow in coronary arteries, particularly after an intervention like PCI. 🔹 TIMI 0 (No Flow) – Complete occlusion; no antegrade flow beyond the blockage. 🔹 TIMI 1 (Penetration without Perfusion) – Minimal flow beyond the occlusion but without adequate distal vessel opacification. 🔹 TIMI 2 (Partial Flow) – Delayed but complete filling of the distal vessel; flow is slower than normal. 🔹 TIMI 3 (Normal Flow) – Full, brisk perfusion with normal distal vessel filling, comparable to a non-diseased artery. TIMI 3 flow is the gold standard for successful reperfusion in PCI, improving outcomes in STEMI and other coronary syndromes. #Cardiology #TIMIFlow #CathLab

TIMI Flow: A Key Indicator of Coronary Perfusion TIMI (Thrombolysis in Myocardial Infarction) flow grading is a crucial angiographic tool to assess blood flow in coronary arteries, particularly after an intervention like PCI. 🔹 TIMI 0 (No Flow) – Complete occlusion; no antegrade flow beyond the blockage. 🔹 TIMI 1 (Penetration without Perfusion) – Minimal flow beyond the occlusion but without adequate distal vessel opacification. 🔹 TIMI 2 (Partial Flow) – Delayed but complete filling of the distal vessel; flow is slower than normal. 🔹 TIMI 3 (Normal Flow) – Full, brisk perfusion with normal distal vessel filling, comparable to a non-diseased artery. TIMI 3 flow is the gold standard for successful reperfusion in PCI, improving outcomes in STEMI and other coronary syndromes. #Cardiology #TIMIFlow #CathLab

CardiovascularCorner

18,450 görüntüleme • 1 yıl önce

🟩TIMI TIMI (Thrombolysis in Myocardial Infarction) flow is an angiographic grading system used to describe the degree of epicardial coronary blood flow after reperfusion therapy (thrombolysis or PCI) in acute myocardial infarction. It was developed by the TIMI study group to provide a standardized, reproducible way to assess coronary perfusion on angiography. TIMI flow grades 🟥TIMI 0: No perfusion There is no antegrade flow beyond the point of coronary occlusion. 🟪TIMI 1: Penetration without perfusion Contrast passes beyond the obstruction but fails to opacify the entire distal coronary bed and appears to stagnate. 🟦TIMI 2: Partial perfusion Contrast crosses the obstruction and opacifies the distal bed, but flow and/or clearance is slower than in normal or non-affected coronary segments. 🟩TIMI 3: Complete perfusion Normal antegrade flow with rapid filling and clearance of contrast in the distal coronary bed, comparable to an uninvolved vessel. Key point TIMI flow reflects epicardial coronary artery patency, not microvascular perfusion. Achieving TIMI 3 flow is strongly associated with better clinical outcomes after myocardial infarction. CardiovascularCorner

🟩TIMI TIMI (Thrombolysis in Myocardial Infarction) flow is an angiographic grading system used to describe the degree of epicardial coronary blood flow after reperfusion therapy (thrombolysis or PCI) in acute myocardial infarction. It was developed by the TIMI study group to provide a standardized, reproducible way to assess coronary perfusion on angiography. TIMI flow grades 🟥TIMI 0: No perfusion There is no antegrade flow beyond the point of coronary occlusion. 🟪TIMI 1: Penetration without perfusion Contrast passes beyond the obstruction but fails to opacify the entire distal coronary bed and appears to stagnate. 🟦TIMI 2: Partial perfusion Contrast crosses the obstruction and opacifies the distal bed, but flow and/or clearance is slower than in normal or non-affected coronary segments. 🟩TIMI 3: Complete perfusion Normal antegrade flow with rapid filling and clearance of contrast in the distal coronary bed, comparable to an uninvolved vessel. Key point TIMI flow reflects epicardial coronary artery patency, not microvascular perfusion. Achieving TIMI 3 flow is strongly associated with better clinical outcomes after myocardial infarction. CardiovascularCorner

CardiovascularCorner

10,986 görüntüleme • 7 ay önce

4 A.M. STEMI call. 45-year-old male with acute anterior STEMI activated through the STEMI pathway. Coronary angiography showed complete thrombotic occlusion of the LAD. Initial ballooning restored flow, and a drug-eluting stent was deployed successfully… or so we thought. Seconds later came one of the true nightmares in interventional cardiology: The stent was physically delivered. Deployment was confirmed. But fluoroscopy showed… no stent in the lesion. The LAD still looked unstented. Immediate full fluoroscopic search of the patient’s body was performed. No lost stent was seen anywhere. The table? Negative. The sheath? Negative. The guiding system inside the body? Negative. Unfortunately, stent boost was unavailable at that moment, and IVUS was not accessible. Multiple vigorous flushes of the guiding catheter failed to reveal the missing stent. At that point, the concern escalated dramatically — embolized stent? Lost in the system? Somewhere unseen? Decision was made to retrieve the entire system and physically inspect everything outside the patient. Still nothing. Finally, as a last attempt, the guiding catheter was carefully cut in small external segments. And there it was. The entire undeployed stent was trapped inside the OUTSIDE portion of the guiding catheter — beyond the fluoroscopy field — firmly stuck despite repeated flushing attempts. The relief in the cath lab at that moment was indescribable. A new stent was then successfully deployed with excellent final angiographic result. Lessons from the night: • Never trust assumptions in the cath lab • Lost stents can hide in unexpected places • Systematic troubleshooting saves lives — and saves operators from panic • Sometimes the solution is not high-tech… but persistence and careful thinking Interventional cardiology continues to humble us. #Cardiology #InterventionalCardiology #STEMI #PCI #CathLab #CoronaryIntervention #LAD #CardioTwitter #MedTwitter #STEMIPathway

4 A.M. STEMI call. 45-year-old male with acute anterior STEMI activated through the STEMI pathway. Coronary angiography showed complete thrombotic occlusion of the LAD. Initial ballooning restored flow, and a drug-eluting stent was deployed successfully… or so we thought. Seconds later came one of the true nightmares in interventional cardiology: The stent was physically delivered. Deployment was confirmed. But fluoroscopy showed… no stent in the lesion. The LAD still looked unstented. Immediate full fluoroscopic search of the patient’s body was performed. No lost stent was seen anywhere. The table? Negative. The sheath? Negative. The guiding system inside the body? Negative. Unfortunately, stent boost was unavailable at that moment, and IVUS was not accessible. Multiple vigorous flushes of the guiding catheter failed to reveal the missing stent. At that point, the concern escalated dramatically — embolized stent? Lost in the system? Somewhere unseen? Decision was made to retrieve the entire system and physically inspect everything outside the patient. Still nothing. Finally, as a last attempt, the guiding catheter was carefully cut in small external segments. And there it was. The entire undeployed stent was trapped inside the OUTSIDE portion of the guiding catheter — beyond the fluoroscopy field — firmly stuck despite repeated flushing attempts. The relief in the cath lab at that moment was indescribable. A new stent was then successfully deployed with excellent final angiographic result. Lessons from the night: • Never trust assumptions in the cath lab • Lost stents can hide in unexpected places • Systematic troubleshooting saves lives — and saves operators from panic • Sometimes the solution is not high-tech… but persistence and careful thinking Interventional cardiology continues to humble us. #Cardiology #InterventionalCardiology #STEMI #PCI #CathLab #CoronaryIntervention #LAD #CardioTwitter #MedTwitter #STEMIPathway

د. ناصر القحطاني Nasser Alqahtani

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My #interventionalcardiology Toolkit 🧰⚙️🪛 No-reflow: distal drug delivery with standard #PCI equipment 🔗 No-reflow is one of the most critical peri-procedural complications and the development of no-reflow can rapidly trigger cardiogenic shock. Emrullah Kiziltunc, Ender Ornek, Adnan Abaci and Mustafa Cetin from 🇹🇷 provide a step-by-step methodology to manage this situation. Reviewed by Manel Sabate. . #CardioEd #Cathlab Chiara De Biase Fadi Sawaya Salvatore Brugaletta

My #interventionalcardiology Toolkit 🧰⚙️🪛 No-reflow: distal drug delivery with standard #PCI equipment 🔗 No-reflow is one of the most critical peri-procedural complications and the development of no-reflow can rapidly trigger cardiogenic shock. Emrullah Kiziltunc, Ender Ornek, Adnan Abaci and Mustafa Cetin from 🇹🇷 provide a step-by-step methodology to manage this situation. Reviewed by Manel Sabate. . #CardioEd #Cathlab Chiara De Biase Fadi Sawaya Salvatore Brugaletta

PCRonline 🫀

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172M views on AI construction reels😭 Int design apps make $300k/mo btw.. I am a victim of this brainrot myself these videos are unskipable, If they added a quick CTA to a vibe coded interior design app They would be printing and even if the conversion rate was low they would still print. 172M views is no joke. and this an easy format to automate I attached a guide below on how to make money in apps with AI content ( its free )

172M views on AI construction reels😭 Int design apps make $300k/mo btw.. I am a victim of this brainrot myself these videos are unskipable, If they added a quick CTA to a vibe coded interior design app They would be printing and even if the conversion rate was low they would still print. 172M views is no joke. and this an easy format to automate I attached a guide below on how to make money in apps with AI content ( its free )

Ernesto Lopez

122,096 görüntüleme • 2 ay önce

🔥 4.8 million views and it's only getting hotter More and more guys are quietly getting way better results with these OmeTV options: → 75%+ higher chance with girls → Super simple to jump in → Much smoother matching experience Hit a problem? Free quick guide included. New one attached 👀 DM me if you're interested. #ometv #오메티비

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🔥 4.8 million views and it's only getting hotter More and more guys are quietly getting way better results with these OmeTV options: → 75%+ higher chance with girls → Super simple to jump in → Much smoother matching experience Hit a problem? Free quick guide included. New one attached 👀 DM me if you're interested. #ometv #오메티비

omeTVbreeze

761,452 görüntüleme • 4 ay önce

🔥 4.9 million views… and the game is changing Picture this: You open OmeTV and actually keep matching with way more girls 👀 → 75%+ chance meeting girls → Super simple to jump in → Much smoother and better matching Hit a wall? I’ll send a free quick guide to get you back in fast. Fresh new footage attached 👀 DM me if you don’t want to keep missing out. #ometv #오메티비

🔥 4.9 million views… and the game is changing Picture this: You open OmeTV and actually keep matching with way more girls 👀 → 75%+ chance meeting girls → Super simple to jump in → Much smoother and better matching Hit a wall? I’ll send a free quick guide to get you back in fast. Fresh new footage attached 👀 DM me if you don’t want to keep missing out. #ometv #오메티비

omeTVbreeze

64,877 görüntüleme • 4 ay önce

🫀 Why Photon-Counting CT Is the New Standard for Non-Invasive Stent Imaging Because “Uninterpretable” Should No Longer Be Acceptable For years, coronary stent evaluation by CTA was often dismissed: “Too much blooming.” “Too much metal artifact.” “Just send the patient to invasive angiography.” That paradigm belongs to the past. Photon-Counting CT (PCCT) is changing non-invasive stent imaging from a limitation into a true diagnostic tool. 🧠 Why conventional CT struggles With standard EID-CT: - Metallic struts create significant blooming - Partial volume effects obscure the intrastent lumen - Small stents become nearly unreadable - Motion artifacts worsen proximal and ostial evaluation The result? 👉 Many stents are labeled “non-diagnostic” 👉 Patients are sent to unnecessary invasive angiography ⚡ Why PCCT changes everything -Ultra-high spatial resolution - Sharper visualization of stent struts - Clear assessment of the true intrastent lumen Reduced blooming artifacts - Metal appears closer to reality - Less artificial lumen narrowing High temporal resolution - Better imaging of proximal, ostial, and fast-moving segments - Reduced motion blur around the stent High iodine concentration contrast (400 mg I/mL) - Strong intraluminal enhancement - Better contrast between lumen and metal - Spectral capability Additional confidence separating iodine signal from stent artifact 🎯 The clinical shift From: “Can we read this stent?” To: “We can characterize it with confidence.” - Restenosis - Stent patency - Aneurysm repair - Complex proximal LAD interventions - Left main and bifurcation stents >>>> all become more reliably assessable. From invasive default to non-invasive confidence and convenience. From metallic blur to diagnostic clarity. That’s why PCCT is becoming the new standard for coronary stent imaging. ⚡🫀 #PhotonCountingCT #PCCT #CoronaryCTA #StentImaging #CardiacCT #CoronaryStent #UltraHighResolution #RadiologyInnovation #yesCCT

🫀 Why Photon-Counting CT Is the New Standard for Non-Invasive Stent Imaging Because “Uninterpretable” Should No Longer Be Acceptable For years, coronary stent evaluation by CTA was often dismissed: “Too much blooming.” “Too much metal artifact.” “Just send the patient to invasive angiography.” That paradigm belongs to the past. Photon-Counting CT (PCCT) is changing non-invasive stent imaging from a limitation into a true diagnostic tool. 🧠 Why conventional CT struggles With standard EID-CT: - Metallic struts create significant blooming - Partial volume effects obscure the intrastent lumen - Small stents become nearly unreadable - Motion artifacts worsen proximal and ostial evaluation The result? 👉 Many stents are labeled “non-diagnostic” 👉 Patients are sent to unnecessary invasive angiography ⚡ Why PCCT changes everything -Ultra-high spatial resolution - Sharper visualization of stent struts - Clear assessment of the true intrastent lumen Reduced blooming artifacts - Metal appears closer to reality - Less artificial lumen narrowing High temporal resolution - Better imaging of proximal, ostial, and fast-moving segments - Reduced motion blur around the stent High iodine concentration contrast (400 mg I/mL) - Strong intraluminal enhancement - Better contrast between lumen and metal - Spectral capability Additional confidence separating iodine signal from stent artifact 🎯 The clinical shift From: “Can we read this stent?” To: “We can characterize it with confidence.” - Restenosis - Stent patency - Aneurysm repair - Complex proximal LAD interventions - Left main and bifurcation stents >>>> all become more reliably assessable. From invasive default to non-invasive confidence and convenience. From metallic blur to diagnostic clarity. That’s why PCCT is becoming the new standard for coronary stent imaging. ⚡🫀 #PhotonCountingCT #PCCT #CoronaryCTA #StentImaging #CardiacCT #CoronaryStent #UltraHighResolution #RadiologyInnovation #yesCCT

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19,835 görüntüleme • 4 ay önce

🔥 4.9 million views and people are still talking about these OmeTV options Imagine actually getting way more girls on every session 👀 → 75%+ chance meeting girls → Super easy to jump in → Much smoother & better matching Tired of bad luck? I’ll send a free quick guide so you don’t waste time. Fresh new footage attached 👀 DM me if you don’t want to miss out. #ometv #오메티비

🔥 4.9 million views and people are still talking about these OmeTV options Imagine actually getting way more girls on every session 👀 → 75%+ chance meeting girls → Super easy to jump in → Much smoother & better matching Tired of bad luck? I’ll send a free quick guide so you don’t waste time. Fresh new footage attached 👀 DM me if you don’t want to miss out. #ometv #오메티비

omeTVbreeze

26,622 görüntüleme • 4 ay önce

#Fellowbootcamp- Vascular Access! My goals in the Cath lab for a first year: 🛑Safety 🟢Access 😎Getting the RCA In the first couple of months of your training focus on these important concepts. Understand both #RadialFirst and #SafeFemoral ..ultrasound and micro puncture! Keys to access 🔑 Don’t get frustrated 🔑 Understand the anatomy and how to troubleshoot location of vessel 🔑 Don’t rush! 🔑 Don’t be ashamed to ask for help/give up the needle Equipment needed ⭐️ Use a 21G (micro puncture) needle for any access. ⭐️ 21G needle works with an 0.018 wire. Can consider micro wire, nitrex, or platinum plus among others ⭐️ 6F sheath usually used (sheath size is by inner diameter vs guide is outer) hemostasis As a fellow spend at least the first month not only learning access but also HEMOSTASIS Put the radial hemostasis band on yourself. Understand patent hemostasis! Pull the groin sheath yourself. Realize why closure devices don’t always work! all the vascular pros out there (#IC #Vascular, #IRAD) share any advice in regards to access to the residents/fellows out there stepping into the endovascular world #FellowBootCamp #Cardiotwitter #Cardiology

#Fellowbootcamp- Vascular Access! My goals in the Cath lab for a first year: 🛑Safety 🟢Access 😎Getting the RCA In the first couple of months of your training focus on these important concepts. Understand both #RadialFirst and #SafeFemoral ..ultrasound and micro puncture! Keys to access 🔑 Don’t get frustrated 🔑 Understand the anatomy and how to troubleshoot location of vessel 🔑 Don’t rush! 🔑 Don’t be ashamed to ask for help/give up the needle Equipment needed ⭐️ Use a 21G (micro puncture) needle for any access. ⭐️ 21G needle works with an 0.018 wire. Can consider micro wire, nitrex, or platinum plus among others ⭐️ 6F sheath usually used (sheath size is by inner diameter vs guide is outer) hemostasis As a fellow spend at least the first month not only learning access but also HEMOSTASIS Put the radial hemostasis band on yourself. Understand patent hemostasis! Pull the groin sheath yourself. Realize why closure devices don’t always work! all the vascular pros out there (#IC #Vascular, #IRAD) share any advice in regards to access to the residents/fellows out there stepping into the endovascular world #FellowBootCamp #Cardiotwitter #Cardiology

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

35,153 görüntüleme • 2 yıl önce

NEW Totenreich High Round Strat Guide Credit: TheMCZombieSlayer Weapons: SG12 (Deadwire) and 1911s (Fireworks) SG12 Build Code: C05-GVWHX-JMW31 1911 Build Code: P07-AABQ1-587W5-11 **Use rampage inducer to speed up rounds** **MUST HAVE coin flip toss helmet for more drops** **You profit salvage doing this strat** Necessary Augments: Stamin-Up: Guns Up, Hot Foot, Quarterback Jugger-Nog: Turtle Shell, Hardened Plates, Durable Plates Speed Cola: Classic Formula, Fast Pitcher, Quick Swap Vulture Aid: Armor-Matic, Picky Eater, Condors Reach Death Perception: Sixth Sense, Further Insight PHD: PHD Slider, Tribologist Mule Kick: Free Throw, Fully Equipped, Bogo Double Tap: Double Standard, Double Time, Double Caliber Elemental Pop: Citrus Focus, Chill Berry Fireworks: Starburst, Short Fuse, Starlight Deadwire: Chain Lightning, Aftershock, High Voltage I scrapped the previous high round strat video as this one was found just a few days later. So I'll be dropping a full in depth guide on YT for this one soon. Ask me any questions in the comments you guys have!❤️

NEW Totenreich High Round Strat Guide Credit: TheMCZombieSlayer Weapons: SG12 (Deadwire) and 1911s (Fireworks) SG12 Build Code: C05-GVWHX-JMW31 1911 Build Code: P07-AABQ1-587W5-11 Use rampage inducer to speed up rounds MUST HAVE coin flip toss helmet for more drops You profit salvage doing this strat Necessary Augments: Stamin-Up: Guns Up, Hot Foot, Quarterback Jugger-Nog: Turtle Shell, Hardened Plates, Durable Plates Speed Cola: Classic Formula, Fast Pitcher, Quick Swap Vulture Aid: Armor-Matic, Picky Eater, Condors Reach Death Perception: Sixth Sense, Further Insight PHD: PHD Slider, Tribologist Mule Kick: Free Throw, Fully Equipped, Bogo Double Tap: Double Standard, Double Time, Double Caliber Elemental Pop: Citrus Focus, Chill Berry Fireworks: Starburst, Short Fuse, Starlight Deadwire: Chain Lightning, Aftershock, High Voltage I scrapped the previous high round strat video as this one was found just a few days later. So I'll be dropping a full in depth guide on YT for this one soon. Ask me any questions in the comments you guys have!❤️

Dkal

33,595 görüntüleme • 3 ay önce

THIS BUILDER JUST DROPPED 256GB OF RAM INTO A MONSTER THREADRIPPER WORKSTATION TO RUN UNFILTERED LOCAL AI Imagine trying to fit a computer setup into a chassis that is basically the size of a mini fridge. That is the Corsair 1000D tower. The builder crammed an ASUS Pro WS WRX80E-SAGE motherboard inside and slapped a 64-core AMD Threadripper PRO 5995WX right into the socket Why go this heavy? Simple. To make sure local open weights models don't instantly choke standard desktop hardware during heavy reasoning tasks Then things get downright ridiculous with the memory configuration. He unboxes eight separate Kingston DDR4 modules, pinning a massive 256 gigabytes of system RAM directly to the board. Having that kind of local memory headroom is an absolute necessity if a team wants to handle massive datasets or run dense training loops without constantly swapping data to the storage drives Speaking of storage, the system relies on two lightning fast 2TB Samsung 990 PRO NVMe drives For the graphics pipeline, he drops in a top-tier ASUS ROG RTX 4090 boasting 24 gigabytes of VRAM. That is pretty much the gold standard right now if you want to run quick local inference cycles and completely stop paying corporate cloud token fees to OpenAI or Anthropic Powering this whole grid requires a monstrous ASUS ROG 1600W Thor Gen 2 power supply. And to prevent the entire workstation from turning into a space heater under full load, the builder went all out with a 360mm AIO liquid cooling setup and an insane cluster of sixteen Lian Li SL-Infinity RGB fans It looks incredibly flashy, probably sounds like a jet engine when the cores push maximum load What to buy for local AI? => my guide below Bookmark this so you don't lose it

THIS BUILDER JUST DROPPED 256GB OF RAM INTO A MONSTER THREADRIPPER WORKSTATION TO RUN UNFILTERED LOCAL AI Imagine trying to fit a computer setup into a chassis that is basically the size of a mini fridge. That is the Corsair 1000D tower. The builder crammed an ASUS Pro WS WRX80E-SAGE motherboard inside and slapped a 64-core AMD Threadripper PRO 5995WX right into the socket Why go this heavy? Simple. To make sure local open weights models don't instantly choke standard desktop hardware during heavy reasoning tasks Then things get downright ridiculous with the memory configuration. He unboxes eight separate Kingston DDR4 modules, pinning a massive 256 gigabytes of system RAM directly to the board. Having that kind of local memory headroom is an absolute necessity if a team wants to handle massive datasets or run dense training loops without constantly swapping data to the storage drives Speaking of storage, the system relies on two lightning fast 2TB Samsung 990 PRO NVMe drives For the graphics pipeline, he drops in a top-tier ASUS ROG RTX 4090 boasting 24 gigabytes of VRAM. That is pretty much the gold standard right now if you want to run quick local inference cycles and completely stop paying corporate cloud token fees to OpenAI or Anthropic Powering this whole grid requires a monstrous ASUS ROG 1600W Thor Gen 2 power supply. And to prevent the entire workstation from turning into a space heater under full load, the builder went all out with a 360mm AIO liquid cooling setup and an insane cluster of sixteen Lian Li SL-Infinity RGB fans It looks incredibly flashy, probably sounds like a jet engine when the cores push maximum load What to buy for local AI? => my guide below Bookmark this so you don't lose it

beamnxw ./

47,366 görüntüleme • 1 ay önce

Still baffled as to why people are sleeping on this. Implementing this strategy is what allowed me to bump my monthly earnings to $13,000 a year ago A simple concept shared by OpenAI co-founder Andrej Karpathy recently exploded to 21 million views. Stop treating AI as just a coding tool and start using it to construct your personal second brain The workflow is seamless. Direct Claude Code to a designated directory, drop in any raw material like a PDF, transcript, or article, and let Claude parse, connect, and integrate it into a dynamic personal wiki. It compounds over time, meaning the system grows sharper the more information you feed it The quick setup guide: Download Obsidian, spin up a new vault, and open it up in Claude Code Feed Claude the document outlining Karpathy's wiki framework and tell it to initialize the system The AI will automatically structure three core folders: raw for source uploads, wiki for your interconnected pages, and CLAUDE to manage the engine Drop new materials into raw and give the command: "ingest this" Search and query your entire accumulated database whenever you want Total setup time is about five minutes, and you will never stare at an empty prompt window again The full walkthrough is linked below. Hit bookmark so you don't lose it

Still baffled as to why people are sleeping on this. Implementing this strategy is what allowed me to bump my monthly earnings to $13,000 a year ago A simple concept shared by OpenAI co-founder Andrej Karpathy recently exploded to 21 million views. Stop treating AI as just a coding tool and start using it to construct your personal second brain The workflow is seamless. Direct Claude Code to a designated directory, drop in any raw material like a PDF, transcript, or article, and let Claude parse, connect, and integrate it into a dynamic personal wiki. It compounds over time, meaning the system grows sharper the more information you feed it The quick setup guide: Download Obsidian, spin up a new vault, and open it up in Claude Code Feed Claude the document outlining Karpathy's wiki framework and tell it to initialize the system The AI will automatically structure three core folders: raw for source uploads, wiki for your interconnected pages, and CLAUDE to manage the engine Drop new materials into raw and give the command: "ingest this" Search and query your entire accumulated database whenever you want Total setup time is about five minutes, and you will never stare at an empty prompt window again The full walkthrough is linked below. Hit bookmark so you don't lose it

Bober_smart

23,803 görüntüleme • 5 gün önce

An educational rota burr entrapment case. When a burr is stuck, we pull on the burr. If that doesn’t work, then we think of complex manoeuvres: cutting the burr, removing Teflon sheath, guide extensions, parallel wiring/ballooning and ping pong guides etc… But we often forget the simple stuff. The 0.014 tip of rotawire is larger than 0.009 shaft that contains the burr. This prevents distal vessel injury but can help retrieve a stuck burr. If wire is intact, bring wire back to burr, but this can only be done with brake defeat on (this is often forgotten!!!). Once the tip is at the burr, just pull! Works in many cases of stuck burr. Here a case of LAD rotablation. Unrecognised calcific distal LMS disease, led to burr advancement and entrapment. Tugging the burr didn’t help. So brake defeat on and then pull the rota wire. Burr came out. Then rewired with new rotawire and used same burr to finish the job. #Cardiology #cardiotwitter #PCI #complexPCI #rotablation #complications CanCTO EuroCTOClub Sanjog Kalra Dr. Bill Lombardi Darshan Doshi, MD, MS Kambis Mashayekhi Stéphane Rinfret, MD SM Mihajlo Kovacic 🫀📕/🔋🕹️ Pierfrancesco Agostoni Neisser M Gregor Leibundgut Allison Hall Elliot Smith Luiz Fernando Ybarra Rustem Dautov Abdul Mozid Mohammad Almutawa Basem Elbarouni jcspratt Tom Kaier Anja Øksnes Raja Hatem Lorenzo Azzalini jedicath աǟզǟʀ.ǟɦʍɛɖ Tsutomu Fujita MD Farouc Jaffer MD PhD Mohaned Egred Stefan Harb Edney Boston-Griffiths Amir Ravandi Dr Imran Hanif Hashmi Omer Goktekin MD Maksymilian Opolski Kalpa De Silva Kalaivani Mahadevan Faurie Benjamin Michael Megaly Ignacio J. Amat Alex Truesdell Ziad Ali Ricardo Santiago sharmainethiru Jack Hall Salman Arain Mauro Carlino yasser sadek Masahiko Ochiai MD, FACC Sarah Fairley Margaret McEntegart

An educational rota burr entrapment case. When a burr is stuck, we pull on the burr. If that doesn’t work, then we think of complex manoeuvres: cutting the burr, removing Teflon sheath, guide extensions, parallel wiring/ballooning and ping pong guides etc… But we often forget the simple stuff. The 0.014 tip of rotawire is larger than 0.009 shaft that contains the burr. This prevents distal vessel injury but can help retrieve a stuck burr. If wire is intact, bring wire back to burr, but this can only be done with brake defeat on (this is often forgotten!!!). Once the tip is at the burr, just pull! Works in many cases of stuck burr. Here a case of LAD rotablation. Unrecognised calcific distal LMS disease, led to burr advancement and entrapment. Tugging the burr didn’t help. So brake defeat on and then pull the rota wire. Burr came out. Then rewired with new rotawire and used same burr to finish the job. #Cardiology #cardiotwitter #PCI #complexPCI #rotablation #complications CanCTO EuroCTOClub Sanjog Kalra Dr. Bill Lombardi Darshan Doshi, MD, MS Kambis Mashayekhi Stéphane Rinfret, MD SM Mihajlo Kovacic 🫀📕/🔋🕹️ Pierfrancesco Agostoni Neisser M Gregor Leibundgut Allison Hall Elliot Smith Luiz Fernando Ybarra Rustem Dautov Abdul Mozid Mohammad Almutawa Basem Elbarouni jcspratt Tom Kaier Anja Øksnes Raja Hatem Lorenzo Azzalini jedicath աǟզǟʀ.ǟɦʍɛɖ Tsutomu Fujita MD Farouc Jaffer MD PhD Mohaned Egred Stefan Harb Edney Boston-Griffiths Amir Ravandi Dr Imran Hanif Hashmi Omer Goktekin MD Maksymilian Opolski Kalpa De Silva Kalaivani Mahadevan Faurie Benjamin Michael Megaly Ignacio J. Amat Alex Truesdell Ziad Ali Ricardo Santiago sharmainethiru Jack Hall Salman Arain Mauro Carlino yasser sadek Masahiko Ochiai MD, FACC Sarah Fairley Margaret McEntegart

Bilal Iqbal

11,353 görüntüleme • 1 yıl önce

The secret to a high-end garden isn’t expensive plants or professional landscaping. It’s all about the edge definition. When grass creeps into the flower beds, a garden instantly looks unfinished and messy. Creating a crisp, clean border between the lawn and the soil is the single most effective way to elevate an outdoor space from amateur to luxury level. Here is the step-by-step breakdown to achieving a flawless, professional look with minimal effort: 1. Slice, Don't Tickle Grab a half-moon edger or a sharp spade. Instead of just skimming the surface, slice straight down vertically. The goal is to create a clean, distinct break in the soil that separates the green grass from the brown earth. Placing a long, straight wooden board along the edge can act as a perfect guide for a laser-sharp line. 2. Form a Physical Barrier Remove the cut clumps of grass and dirt to create a clean, shallow trench. This empty space isn’t just for looks—it acts as a physical barrier that stops aggressive grass roots from invading the flower beds for weeks to come. 3. Clear and Cleanse Weed the actual garden bed thoroughly. A pristine backdrop of smooth, dark soil provides a striking color contrast against the vibrant green of a freshly cut lawn. That contrast is what makes the entire garden visually pop. 4. The Perfectionist’s Polish For the final touch, use a pair of long-handled lawn shears to trim any stray blades of grass hanging over the new edge. A quick pass with a leaf blower to clear away any loose debris will leave the border looking absolutely immaculate. Pro-Tips for an Even Better Result: The Mulch Trick: After defining the edge, add a fresh layer of dark hardwood mulch to the flower beds. It suppresses weeds, retains moisture, and deepens the color contrast for that ultra-luxurious feel. Maintain the Angle: When cutting the edge, a slight inward angle (about 80 degrees) toward the flower bed helps the lawn retain its structure and prevents the edge from collapsing during heavy rain. A Weekly Touch-up: Running standard lawn shears along the established trench during the weekly mow takes less than five minutes but keeps the border looking razor-sharp all season long. A tiny bit of extra effort yields a massive return in curb appeal. Turn a chaotic yard into a manicured masterpiece this weekend.

The secret to a high-end garden isn’t expensive plants or professional landscaping. It’s all about the edge definition. When grass creeps into the flower beds, a garden instantly looks unfinished and messy. Creating a crisp, clean border between the lawn and the soil is the single most effective way to elevate an outdoor space from amateur to luxury level. Here is the step-by-step breakdown to achieving a flawless, professional look with minimal effort: 1. Slice, Don't Tickle Grab a half-moon edger or a sharp spade. Instead of just skimming the surface, slice straight down vertically. The goal is to create a clean, distinct break in the soil that separates the green grass from the brown earth. Placing a long, straight wooden board along the edge can act as a perfect guide for a laser-sharp line. 2. Form a Physical Barrier Remove the cut clumps of grass and dirt to create a clean, shallow trench. This empty space isn’t just for looks—it acts as a physical barrier that stops aggressive grass roots from invading the flower beds for weeks to come. 3. Clear and Cleanse Weed the actual garden bed thoroughly. A pristine backdrop of smooth, dark soil provides a striking color contrast against the vibrant green of a freshly cut lawn. That contrast is what makes the entire garden visually pop. 4. The Perfectionist’s Polish For the final touch, use a pair of long-handled lawn shears to trim any stray blades of grass hanging over the new edge. A quick pass with a leaf blower to clear away any loose debris will leave the border looking absolutely immaculate. Pro-Tips for an Even Better Result: The Mulch Trick: After defining the edge, add a fresh layer of dark hardwood mulch to the flower beds. It suppresses weeds, retains moisture, and deepens the color contrast for that ultra-luxurious feel. Maintain the Angle: When cutting the edge, a slight inward angle (about 80 degrees) toward the flower bed helps the lawn retain its structure and prevents the edge from collapsing during heavy rain. A Weekly Touch-up: Running standard lawn shears along the established trench during the weekly mow takes less than five minutes but keeps the border looking razor-sharp all season long. A tiny bit of extra effort yields a massive return in curb appeal. Turn a chaotic yard into a manicured masterpiece this weekend.

PeachProof

443,454 görüntüleme • 3 ay önce

CAC Coronary Artery Calcium Scan: New Heart Disease Test Causes Cancer. Major Organizations Warn Public Against It... 42 Of Every 100K Patients Develop Cancer From Ionizing Radiation. Radiation Dosage Varies 10X From One Hospital To Another, Causing 5,600 New Cases Of Cancer. The American Heart Association, American College of Cardiology & the United States Preventive Services Task Force do not recommend the use of heart CT scans for patients with a low or high risk of heart disease because CT scans could be more harmful than beneficial due to the relatively high dose of radiation. "Tens of millions of adults would be exposed to relatively high levels of radiation through this procedure. Doctors still have not established a standard dose of radiation to be used for heart CT scans & doses for this test vary from one hospital to another, with some patients getting 10X the amount of radiation as patients in another hospital." A 2009 study showed that one heart CT scan for the 50 million Americans who would receive the average radiation dose, these scans would result in 5,600 new cancer cases. The number of new cancer cases would be even higher if individuals were screened more than once in their lifetime. Radiation from CT scans is even of concern to the FDA even when the CT scans are necessary. On October 9, 2009, the FDA announced that it was notifying healthcare professionals that 206 patients who were being tested for stroke received CT radiation doses that were 8X the expected level at one particular medical facility. While this event involved a single kind of diagnostic test at one facility, the FDA warned that “it reflects more widespread problems with CT quality assurance programs.” Each year, over 600,000 Americans die from heart disease even though heart disease can be prevented. Although heart CT scanning may be a useful tool in detecting blockages in heart arteries, there is not enough evidence to show that this test is worth the risks, especially compared to traditional risk factor assessment. For this reason, the Cancer Prevention & Treatment Fund of the National Research Center for Women & Families agrees with the U.S. Preventive Services Task Force that heart CT scans are not recommended for screening for heart disease. 👇CAC Screening Radiation 10X Cancer Risk👇 👇Ionizing Radiation Risk From CAC Test👇 👇Cancer Risk From CT Scan Radiation👇 Video: Dr David Alfrey

CAC Coronary Artery Calcium Scan: New Heart Disease Test Causes Cancer. Major Organizations Warn Public Against It... 42 Of Every 100K Patients Develop Cancer From Ionizing Radiation. Radiation Dosage Varies 10X From One Hospital To Another, Causing 5,600 New Cases Of Cancer. The American Heart Association, American College of Cardiology & the United States Preventive Services Task Force do not recommend the use of heart CT scans for patients with a low or high risk of heart disease because CT scans could be more harmful than beneficial due to the relatively high dose of radiation. "Tens of millions of adults would be exposed to relatively high levels of radiation through this procedure. Doctors still have not established a standard dose of radiation to be used for heart CT scans & doses for this test vary from one hospital to another, with some patients getting 10X the amount of radiation as patients in another hospital." A 2009 study showed that one heart CT scan for the 50 million Americans who would receive the average radiation dose, these scans would result in 5,600 new cancer cases. The number of new cancer cases would be even higher if individuals were screened more than once in their lifetime. Radiation from CT scans is even of concern to the FDA even when the CT scans are necessary. On October 9, 2009, the FDA announced that it was notifying healthcare professionals that 206 patients who were being tested for stroke received CT radiation doses that were 8X the expected level at one particular medical facility. While this event involved a single kind of diagnostic test at one facility, the FDA warned that “it reflects more widespread problems with CT quality assurance programs.” Each year, over 600,000 Americans die from heart disease even though heart disease can be prevented. Although heart CT scanning may be a useful tool in detecting blockages in heart arteries, there is not enough evidence to show that this test is worth the risks, especially compared to traditional risk factor assessment. For this reason, the Cancer Prevention & Treatment Fund of the National Research Center for Women & Families agrees with the U.S. Preventive Services Task Force that heart CT scans are not recommended for screening for heart disease. 👇CAC Screening Radiation 10X Cancer Risk👇 👇Ionizing Radiation Risk From CAC Test👇 👇Cancer Risk From CT Scan Radiation👇 Video: Dr David Alfrey

Valerie Anne Smith

117,092 görüntüleme • 1 yıl önce

BEST Kowakujō High Round Strat Guide: Guns: 1911 (Shadow Rift), Cat Wonder Weapon 1911 Build Code: P07-AABSS-N7SI7-11 Necessary Augments: Stamin-up: guns up, hot foot, quarterback Quick Revive: dying wish, slow death, emergency medical kit Jugger-Nog: turtle, hardened plates, durable plates Speed Cola: classic formula, fast pitcher, Prestidigitation Vulture aid: armor-matic, picky eater, condors reach Death perception: sixth sense, birds eye view, further insight PHD Flopper: gravity md, stuntman, eod technician Mule kick: free throw, fully equipped, plate hunter Deadshot: dead head, dead break, dead heat Double tap: double standard, double time, double caliber Elemental pop: imperil peach pineapple blast, refresh mint Wisp Tea: mask of benevolence, extension, haste Fire works: Starburst, short fuse, starlight Brain Rot: Pheromone, haste, extension Shadow Rift: Gravity well, supermassive, haste Light Mend: Booster shot, mitosis, extra strength Dead wire: chain lightning, aftershock, high voltage Napalm burst: firebomb, contact burn, backdraft Cryo freeze: ice cloud, liquid nitrogen, freezer burn Shatter blast: blast repair, blast boost, blast through Important notes: - Don't S&Q at all until you get all your perma perks because tedd trials no longer spawn in after S&Q. - This strat does not need any doors closed, as all doors open once you S&Q. This is currently the fastest strat on the map by far, with all doors open. - S&Q after every assault wave in order to get drops back in your game. Drops will no longer be in your game after assault rounds. S&Q fixes this. - To get the shield bubble im using, upgrade the toy cat used to craft the wonder weapon. I'll have a full in depth guide out once I reach 999. If you guys have any questions, you can ask me on my live streams, I'll be streaming every day on YT/Twitch/Kick/Tiktok: itsDkal❤️

BEST Kowakujō High Round Strat Guide: Guns: 1911 (Shadow Rift), Cat Wonder Weapon 1911 Build Code: P07-AABSS-N7SI7-11 Necessary Augments: Stamin-up: guns up, hot foot, quarterback Quick Revive: dying wish, slow death, emergency medical kit Jugger-Nog: turtle, hardened plates, durable plates Speed Cola: classic formula, fast pitcher, Prestidigitation Vulture aid: armor-matic, picky eater, condors reach Death perception: sixth sense, birds eye view, further insight PHD Flopper: gravity md, stuntman, eod technician Mule kick: free throw, fully equipped, plate hunter Deadshot: dead head, dead break, dead heat Double tap: double standard, double time, double caliber Elemental pop: imperil peach pineapple blast, refresh mint Wisp Tea: mask of benevolence, extension, haste Fire works: Starburst, short fuse, starlight Brain Rot: Pheromone, haste, extension Shadow Rift: Gravity well, supermassive, haste Light Mend: Booster shot, mitosis, extra strength Dead wire: chain lightning, aftershock, high voltage Napalm burst: firebomb, contact burn, backdraft Cryo freeze: ice cloud, liquid nitrogen, freezer burn Shatter blast: blast repair, blast boost, blast through Important notes: - Don't S&Q at all until you get all your perma perks because tedd trials no longer spawn in after S&Q. - This strat does not need any doors closed, as all doors open once you S&Q. This is currently the fastest strat on the map by far, with all doors open. - S&Q after every assault wave in order to get drops back in your game. Drops will no longer be in your game after assault rounds. S&Q fixes this. - To get the shield bubble im using, upgrade the toy cat used to craft the wonder weapon. I'll have a full in depth guide out once I reach 999. If you guys have any questions, you can ask me on my live streams, I'll be streaming every day on YT/Twitch/Kick/Tiktok: itsDkal❤️

Dkal

30,444 görüntüleme • 2 ay önce