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Beautiful video: Raptor forceps to remove a plastic biliary stent that migrated & perforated the contralateral wall of the 2nd duodenum. Perforation closed w/ clips & pt treated with oral antibiotics to good effect. #gitwitter #surgery Tamta Chkhikvadze Andy Tau, MD Saurabh Chandan, MD Achintya Singh, MD

20,100 görüntüleme • 2 ay önce •via X (Twitter)

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The so-called "MAHA" movement (for lack of a better term) is a pretty diverse group of people from a variety of places and backgrounds. It includes people from the Regen Ag community, metabolic health community, functional medicine doctors, chefs, some Libertarians incl Thomas Massie , some progressives, some greens, Dems and Repubs, etc. The Regen Ag community just noted above includes farmers, ranchers, scientists, soil health advocates, film makers, chefs, etc from both rural and urban environments from all across the political spectrum since soil, planetary health, human health, etc are all our common ground. Or, as my good friend Gabe Brown says, common ground for common good. So, "MAHA" is a very diverse coalition that's growing larger and stronger every day. It also really has nothing to do with which candidate you support or color tribe you belong to despite RFK Jr's association with Trump. Though there are a lot of efforts to work with both sides of the political aisle to better connect food production & food with better health and environmental health outcomes. To that end, my friend Mark Hyman, M.D. wrote this book, , and has been doing a lobbying campaign for what he advocates in his 13th NYT best seller. He has met with politicians on both sides of the aisle. I helped him a lot with this book particularly the last three chapters that deal more directly with Regen Ag. Anyway, if anyone reading this prolix post has a half hour, please watch and share the attached video, Destination Regeneration. Here's a direct link to share: This video deals with regenerative food production, restoring planetary health and food as medicine. So, there's a growing group of people who aren't looking for more IP controlled silver bullet solutions. These people aren't in anyway "anti-science." Instead through a better understanding of basic biochemistry, soil biology, botany, atmospheric chemistry, microbial ecology, etc., we can all find solutions that better allow us to live in harmony with nature rather than always in opposition to nature. Thus biomimicry rather than dominion and control. cc. Rep. Harriet Hageman Tim Ryan Dr Shawn Baker 🥩 Robert F. Kennedy Jr Ken D Berry MD Nina Teicholz, PhD Nicole Shanahan Dr David Unwin Common Ground (Movie) Kiss the Ground Joe Rogan Max Lugavere Senator Ron Johnson Congresswoman Chellie Pingree Dan Barber Jan Ellison Baszucki Marty Makary MD, MPH Glenn Greenwald Tom Philpott Chris Palmer, MD Nick Norwitz MD PhD Marion Nestle Danielle Nierenberg, Food Tank Civil Eats Austin Frerick Food Tank Perennial Pastures | Regenerative Beef

REGENETARIANISM מידת האמת

85,999 görüntüleme • 1 yıl önce

"People Are Brainwashed Into Drinking Too Much Water." Dr Tel Oren, MD "Water Intoxication Is Diluting Your Electrolytes, Damaging Your Kidneys & Lowering Your Stomach Acid." "20 Years Ago No One Carried Water Bottles Everywhere With Them & No One Had Electrolyte Deficiency." Excessive water intake dilutes electrolytes, strains kidneys & stresses adrenal glands. True cellular hydration happens through metabolism, not just by drinking water. Hydration on a cellular level requires crucial unrefined minerals like potassium, sodium & magnesium to enter the cell wall. Listen to your body—drink when thirsty, including unrefined mineral sea salt to water for proper hydration. Avoid drinking with meals which dilutes stomach acid. Drinking liquids during meals can lead to bloating, indigestion & nutrient malabsorption. Your stomach likes to maintain an acidity level of 1 to 1.5 on the pH scale (2nd highest stomach acidity next to vultures), which break down proteins, stimulates the release of digestive enzymes & absorption of vitamins. But when you drink during meals, you slow down the entire process, water has a pH of 7, which leads to bloating & acid reflux. Too much water creates dilution of your electrolytes in your blood & damage to your adrenals that depend on those electrolytes. So you end up in greater stress & it becomes a vicious cycle for the health 'set point' of your kidneys. Gradually break free from the habit of constant hydration for healthier balance and real cellular wellness. Slowly break your water addiction to whatever your body tells you it needs when you're thirsty. Drink when thirsty & rehydrate with water & crucial minerals during times of high heat & perspiration. 👇Water Intoxication Symptoms & Science👇 👇Too Much Water Causes Heartburn & GERD👇 👇Over Hydration Is Harmful To Kidneys & Heart👇 Speaker: Dr Adiel Tel Oren, MD Video: WR

Valerie Anne Smith

1,229,709 görüntüleme • 1 yıl önce

*** Parodius Demo Update *** After seeing my good friend Pyron amazing Parodius artwork , I could not let that go to waste. Its a crying shame Konami's shooters did not make it to MD at the time , time to rectify that (in time). The video shows some of the progress so far. Stage 1 scrolling using the streaming scroller from lufthoheit to automatically manage the tile management for the scrolling rather than using different sets etc. Its great when I can grab bits of code and apply them to new projects, it speeds things up !! Lufthoheits new stage is coming along well also and has its first enemies in , hopefully show something of that soon. The VRAM view is to the right , we will have plenty of vram left for objects without resorting to much manual management it seems. ~ 1/2 vram left. It looks like the biggest challenge for this level is the Cat Ship mid boss - the end boss seems easier in comparison for a few reasons. I've analysed the way it was done on PCE and SNES and will come up with the best option for MD. More to come on that soon. At present we will target mainly assembly , so performance won't be an issue . I'm not sure we need a sprite multiplexor for > 80 sprites , but we will use one anyway just to not have regrets/changes later on and for the Hint color effects the multiplexor can do also. We have an A level musician volunteering also for those concerned about the audio side of things - it wont dissapoint I'm sure. As this is now my 3rd / 4th project it will be done as time permits so no gaurantees on timelines sorry - we are all hoping to do well by the community however. #SGDK #Konami #Parodius #MegaDrive #SegaGenesis

Shannon Birt

12,526 görüntüleme • 1 yıl önce

** Sega Genesis 3D Engine Update 8 ** Significant improvements all round as you can see and hear from the last update !! Foremost - A huge thanks to Toni Gálvez - Megastyle - BG. who has joined the project to create a bit of 16bit low poly magic. Toni's an Amiga fan but also crazy about game dev in general, he's worked on GBC, GBA, PC, MD, PSP, C64, CPC, MSX... and others. Gaming titles include War Times, Metal Gear, Rocketman, Tintin & Asterix to name a few. He's provided the great new ship model you see on screen - new striped buildings, all the backgrounds / palettes etc. There's a lot of models he's given me which need to be added, also he will be planning a lot of the level design. Very happy to have him help me turn this into something more than a tech demo as I have my hands tied pushing the MD as far as it can go haha - there is no cpu cycle to be spared. Also many thanks to my good friend CYBERDEOUS - Crouzet Laurent for the Music for this showing , I wanted to have the music load occurring so we have a realistic benchmark for performance and he was only too obliging. If you're into MD chiptunes check him out !! Since last update : New player model , substantially more detailed than the Arwing. Last update had a 23 triangle Arwing , this update has a 39 triangle custom model from Toni. We had several to choose from , others will be used for enemies . 3D Buffer size increased 25% to 256x160. This was quite tricky as I'm close to the DMA limit even with an extended vblank . Spent a few days thinking of how to do this as like anything retro every solution has a drawback, finally got a workable solution. It makes a big difference to have a bit more vertical height . Z Rotation added ( the screen tilting left to right ) , small hit to vertex transform on cpu thanks to look up tables doing the heavy lifting, saving 4 multiplies per vertex. Multiple speed ups in rendering code. Onscreen paths with no range checking used until Z is close enough to cause clipping , partial onscreen drawing pathes that need to check boundaries, quad rendering completely rewritten - was very very painfull to get right . I found out the hard way that things are great when they are not rotating in the Z axis haha . Partial buffer draw optimisations - which have helped with the massive dma load , sending up to a 20kb buffer in a single frame needs a lot of optimisation. Min / Max tile lines are analysed and only sent if dirtied , reducing most buffer swaps substantially. Still some issues to sort out , at times you can see the flicker near top of screen when frames are near full height . I need to optimise that a bit. Due to the onscreen buffer system a full Sprite background had to be implemented almost Neo Geo style. This flips the usual MD rendering system on its head as it uses both foreground and background layers for a foreground 3d plane and sprites for the background. This presents a few issues, one is to get a tilt effect on the background by using narrow sprites (16x32) we run out of sprites when trying to cover the screen. Thankfully the MD is not limited to 80 sprites, to fix this a 114 sprite multiplexor is used to draw the background, its completely made up of 16x32 sprites ! Why do things this way ? speed . Its the interleaved foreground/background layers that allow a double buffered ram system writing to write to vram using dma in a completely linear fashion - virtually no tile translation needed. The negative is you have no planes for the background, that's where the sprites come in . Thanks to H40 mode we still have a few sprites we can use for effects in the forground also . Thankfully we can implement a fairly good tilt still for the background using sprites, in future updates this will be able to move horizontally also and a bit of vertical movement. XGM1 music driver in use to simulate music cpu load, XGM2 unfortunately with the massive DMA needed to shift the 3d buffers would slow down at times rendering it unusable, XGM1 plays at full speed - albiet with a bit more of a cpu hit. Together with the sprite multiplexor and the music driver active theres a 10 % hit to cpu so I've had to play around with draw distances / object heights and other optimisations to offset that. Not to mention the larger buffer takes more cpu to fill also. Everything is placeholder so will be changed with proper stage design. We are averaging 20 FPS in the current video, I'll push for more as always !! Progress continues on my other projects , updates soon on those - retirement can't come quick enough . #SGDK #SegaGenesis #SegaMegadrive

Shannon Birt

34,361 görüntüleme • 1 ay önce