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Amazing #Flutter UI skills from Kevyn MH 🥦 . Flutter en Español FlutterConf Latam Flutter

18,086 Aufrufe • vor 3 Jahren •via X (Twitter)

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Can serotonin syndrome trigger dancing eyes? Apparently the answer is (rarely) YES. Do you know the 5 'Aspen' tips to differentiate the opsoclonus myoclonus syndrome from other causes ? We frequently think of the syndrome in association w/ autoimmune and also paraneoplastic (causes), however we need to think bigger. A nice reminder provided by Fernanda Lustosa Cabral Gomez and colleagues in Movement Disorders Clinical Practice. Key Points: - Serotonin syndrome: cause is excessive serotonergic activity in the central and peripheral nervous system. - The cause is usually medication use or drug interactions. - The authors show a case w/ serotonin syndrome. - He was on fluoxetine, lithium, amitriptyline, and clonazepam. - Bupropion was then added. - Clues to the underlying diagnosis in this case were "flushing, diaphoresis, tachycardia, tachypnea, opsoclonus, spontaneous myoclonic jerks, and stimulus sensitive myoclonus." - How did they treat it? Stop psychotropic medications and added diazepam. Resolved in a few days. My take: Here are my top 5 'Aspen' tips to differentiate 'dancing eyes' from other syndromes: 1 - Examine the eye movements and remember the eye movements in opsoclonus: Multidirectional → Horizontal + Vertical + Torsional + Oblique; there is no intersaccadic interval (continuous bursts) 2 - Conjugate (no dissociation between the eyes) 3- Eye movements are triggered or worsened by fixation and voluntary gaze holding 4 - Associated neurological signs: myoclonus, cerebellar signs, encephalopathy (paraneoplastic, parainfectious, autoimmune) 5 - Flutter is flat (horizontal); opsoclonus is omnidirectional and ongoing. More tips: Opsoclonus-myoclonus syndrome: look for all the potentially associated features including: myoclonus, opsoclonus, and occasionally ataxia, encephalopathy, and tremor. The eyes are the key: look for saccadic intrusion characterized w/ uninterrupted bursts of conjugate eye movements. The authors remind us to think about the eye movements as "chaotic, arrhythmic, and multidirectional." In young kids think neuroblastoma. In adults think paraneoplastic (automimmune), parainfectious, or idiopathic. Cancers are present in 60% of adults. The authors remind us that "toxins and drugs are rare causes." They also remind us not to forget about "cocaine, amitriptyline, phenytoin, venlafaxine, cefepime, scorpion venom, organophosphates, lithium toxicity and their case that was serotonin syndrome." So when you see dancing eyes, here is the plan: veni, vidi, vici – I came, I saw, I conquered. Parkinson's Foundation Norman Fixel Institute for Neurological Diseases #Parkinson Movement Disorders Clinical Practice

Michael Okun

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"Every sunrise blooms into peaceful countryside magic." Created with Google flow: Prompt: Create a breathtaking 10-second cinematic anime film in a Studio Ghibli-inspired style. Maintain the EXACT SAME main character throughout the entire video: a beautiful young anime girl with expressive brown eyes, long flowing dark hair, fair skin, wearing a simple cream blouse, light green apron dress, brown boots, and the same fluffy white cat. Keep the same cozy countryside cottage, flower garden, fruit orchard, warm color palette, and magical atmosphere. Character consistency is mandatory. Do not change face, hairstyle, clothing, age, body proportions, or environment. Scene 1 (0–3s): Golden sunrise enters her cozy wooden bedroom. She slowly opens her eyes, stretches naturally, smiles warmly, opens the wooden window, and enjoys the fresh morning breeze. Dust sparkles in the sunlight while birds sing outside. Her fluffy white cat jumps gently onto the bed. Scene 2 (3–6s): She prepares breakfast in her rustic kitchen. Fresh eggs sizzle in a pan, bread toasts, tea steams softly. She enjoys a peaceful breakfast while the same white cat patiently waits beside her chair. Scene 3 (6–10s): She walks to the charming wooden henhouse. Opening the small gate, cheerful chickens run into the lush green yard. She gently scatters grain from a woven basket as the chickens gather happily around her. The camera follows with smooth cinematic tracking. Scene 4 (10–14s): She strolls through her vibrant garden filled with colorful flowers and fruit trees. She carefully picks ripe apples, oranges, peaches, and strawberries into a wicker basket. Butterflies flutter around while the same white cat playfully chases them. Scene 5 (14–17s): Back inside the cottage, she tidies the room, sweeps the wooden floor, wipes the table, arranges fresh flowers, washes the fruit, blends fresh juice, and pours it into a crystal-clear glass filled with ice cubes. Scene 6 (17–20s): During warm golden hour, she sits peacefully on a wooden chair in front of the cottage gate, slowly sipping fresh fruit juice. Her fluffy white cat curls up beside her while the chickens happily peck at grain in the background. Trees sway gently in the breeze as the camera slowly pulls back, revealing the beautiful countryside glowing under the setting sun. Style: Studio Ghibli-inspired anime, ultra-detailed, masterpiece composition, cinematic camera movement, realistic animation, volumetric golden-hour lighting, soft depth of field, peaceful countryside ambience, HDR, 4K, 60 FPS, seamless continuation from Part 1, no text, no subtitles, no watermark.

Erica Ryan

22,519 Aufrufe • vor 24 Tagen

Seedance is absolutely insane for animation. Made in Runway Full Prompt: 15-second cinematic animated short, premium stylized 3D feature-film quality, charming rounded character design, expressive faces, snappy timing, fluid body motion, polished bedroom environment, warm natural window light, soft bounce lighting, realistic cloth and hair motion, shallow depth of field, cinematic lensing, playful magical tone, clean composition, strong silhouette posing. character: Hero Bread boy SHOT LIST WITH TIMING 0.0 - 3.0 sec Medium shot. Interior bedroom. 8-year-old boy sitting on bed, arm stretched forward, palm open toward a single pen on desk in front of him. He strains hard trying telekinesis. Face tense, eyes squinted, body shaking with effort, subtle bed bounce. Audible grunts. Camera slowly pushes in on boys face. 3.0 - 5.0 sec Cut to wide shot of full room. Bed on one side, desk with a pen on it. Posters, books, scattered toys, lived-in kid bedroom. Boy continues forcing powers toward pen. Curtains flutter slightly. Camera locked with slight handheld energy. Pen in foreground with the boy out of focus in the background. 5.0 - 7.0 sec Cut to close-up of boy’s face. Extreme concentration. Teeth clenched, cheeks puffing, eyebrows compressed. He gives one final powerful grunt. Tiny facial tremble, comedic over-effort. 7.0 - 8.5 sec Cut to macro close-up of a pen on the desk. Silence beat. Then the pen nudges forward only a few centimeters with tiny scrape sound. a small movement. 8.5 - 11.0 sec Cut back to medium shot of boy. He notices tiny movement but interprets it as failure. Expression falls. Long disappointed sigh. Arm drops limp. He flops backward onto bed dramatically, mattress compresses and rebounds. He stares at ceiling. 11.0 - 15.0 sec One beat of stillness. Then sudden fast crash zoom backward from boy, through bedroom, smashing out the window in one continuous camera move. Pull rapidly into huge exterior reveal: the entire house is floating 20 feet above the ground, gently hovering in the air above the street of houses which are on ground level. Trees and yard below. Subtle debris drifting downward. House tilts slightly. Golden sunlight. End on wide heroic comedic reveal. STYLE NOTES Fast readable cuts, strong anticipation and payoff, expressive animation arcs, clean eye lines, comedic timing, whimsical realism, smooth camera transitions, polished render quality. NEGATIVE PROMPT text, watermark, logo, extra limbs, creepy face, broken anatomy, jittery motion, flicker, noisy render, dark scene, horror tone, low detail, stiff animation, warped room geometry, duplicate objects, camera stutter. #seedance #AIart️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️️ #madewithrunway

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An Eyelash and 3 Dandelions In Room 8, my eyelash fell upon my father’s face, resting upon the bridge of his nose, as I held his hand and whispered into his ear, “I love you. I love you. I love you.” I repeated the words he had said in life: “Salam. Shalom. Shanti.” Peace. Peace. Peace. “Salam. Shalom. Shanti.” And, transcending identity, he responded: “Shanti.” Peace. Soon after, my father, Mohammed Zafar Alam Nomani, 93, a man of faith, humanity, humility and love, took his last breath. Through the dark of the night, his son and grandchildren whispered into his ear, his wife of 64 years held the hand that had just months earlier given her three dandelions on the banks of the Monongahela River. There is nothing that prepared me for this sheer loss unimaginable of a father’s breath that had again become my own, just as it had been when I lay upon his belly as a girl, delighting in stories of the kings and queens of India. “Noorjehan,” he told me when I asked which queen he told me about. Bedside these past weeks with my family as my father battled life-threatening pneumonia and lung disease, I inhaled these last weeks beside my father’s ear to guide him to breathe deeply and exhaled softly onto his neck to synchronize our breaths and try to bring him back to good health. These past weeks, my father gave us the gift of being able to serve him as an expression of love. In Room 8, I fell in love again with my father as I had as a girl upon his belly. I learned from the softness of his grandchildren serving him, my niece tucking and retucking his blanket. We knew his white blood cell count and his respirations per minute. We discovered his playful wink. We recited the first chapter of the Quran to remain on the straight path, and I heard him say again and again “Alhamdullilah,” praise be to God, because he had gratitude in even obstacles, as his granddaughter observed in him. With each gesture of care for him, he whispered, “Thank you,” with a beaming smile. I heard him express his mantra: “Think good. Do good.” “Serve humanity.” A a twin who lost his brother soon out of the womb, a child of British colonialism, a survivor of the manmade Bengal Famine of 1943, he taught by example, eschewing grievance and cherishing life. Every moment from our lives together flashes before me. My father who drove me to the Pittsburgh Airport so many times over to allow my wings to fly in this world. Who ferried his son, wife and grandchildren to help them pursue their every dream. My father who drove me to Andrews Air Force Base in the dark of the predawn for me to board a plane to Guantanamo Bay — on a round trip ticket. My father who taught me how to ride a lawn tractor. My father who read my books’ every words and wrote notes in the margins. My friends tell me that experiencing a parents’ death leaves a hole in the heart, shepherding a parent’s care at end of life leaves a trauma invisible and surviving a parent in the normal cycle of life is an unspoken soul-crushing grief. In Room 8, I have confronted very intimately the social reality of a grief even more painful in a society that appears to too often devalue the “elderly,” coax the vulnerable without treatment to unwanted “hospice” or medically-assisted suicide and “slow code” the elderly to death, responding slowly to emergency. We couldn’t save my father but I am keen to investigate the dynamics of ageism that too often become a barrier to treatment. My father always encouraged me to draw lesson for society from suffering. Please write to me or reply with your family’s story? I will strive to honor his life. And thank you for honoring him by absorbing the details of his life, down to the flutter of three dandelions in the wind and the drop of an eyelash upon his skin.

Asra Nomani

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