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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

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Douglas G. Adler MD, FASGE, FACG, AGAF

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20,100 Aufrufe • vor 2 Monaten •via X (Twitter)

#gitwitter#surgery
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Coronary fat embolization for late coronary perforation. I did a routine DK-crush bifurcation PCI. 6 hours later, pt is hypotensive with a large effusion. Relook angio showed diagonal tip perforation that wasnt there at the end of PCI. Prolonged balloon tamponade failed. Coils unavailable. Treated with autologous fat embolization, an effective bailout technique. • Small 0.5 cm groin incision • Subcutaneous fat harvested using forceps into small bowl • Fat mixed with saline • Loaded into a 2 cc syringe • Using a microcatheter (Turnpike/Finecross/Export, etc.), to inject fat into the perf site. • Final angiography confirmed complete seal. Join us at TCTME+ in Sep 2026. Will have a lot of great #CHIP and complications discussions. J Aaron Grantham JAG Dany Jacob Altayyeb Yousef Wail AlkashkariFSCAI,FPICSوائل القشقرى🇸🇦🇨🇦🇺🇲 MIЯVΛƬ #IC ༄ ｡° Aref BinAbdulhak MD MSc Amr Mohsen, MD Marwan Saad Abdallah El Sabbagh Musa A. Sharkawi David J. Cohen, MD, MSc Mohammed Qintar, MD MSc Muhammad Hammadah Karim Al-Azizi, MD Adam Greenbaum Mohammed Al-Hijji Emory University Juan Del Cid Fratti MD MSc Anton Camaj, MD Cardiovascular Research Foundation David J. Cohen, MD, MSc Mamas A. Mamas TCTME+ Cardiovascular Research Foundation Hooman Bakhshi Abdelkader Almanfi, MD, FACC, FSCAI إبراهيم الحربي Ibrahim Alharbi

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"It's a good feeling to know that we're able to continue to give advice and informed consent to our patients without having to worry about being prosecuted for misinformation... disinformation... just because we don't agree with the Doctor Fauci's of the world." Tonight, on Real America w/ Dan Ball – Medical Doctor at All Valley Urgent Care Dr. Brian Tyson Brian Tyson, MD 🇺🇸 Watch Real America on OAN Live!
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"It's a good feeling to know that we're able to continue to give advice and informed consent to our patients without having to worry about being prosecuted for misinformation... disinformation... just because we don't agree with the Doctor Fauci's of the world." Tonight, on Real America w/ Dan Ball – Medical Doctor at All Valley Urgent Care Dr. Brian Tyson Brian Tyson, MD 🇺🇸 Watch Real America on OAN Live!

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Dr. Kirk Moore Indicted On Covid Mandate, Top Breast Augmentation Plastic Surgeon In The States Mscs Media #299 Support Dr. Kirk Moore/Team Spotify Dr. Kirk Moore, A plastic surgeon at plastic surgery institute of Utah with a master’s degree. Dr. Moore has been indicted for alleged allegations related to the Covid Vaccine agenda/mandate. Check out Dr. Moore : StandForMoore & FightForMoore Dr. Moore is known worldwide for little to no pain after Breast Augmentation known as rapid recovery procedure methodology. His patients have travel Nationally & Internationally. The US government is going after Dr. Moore for “destroying government property” when Dr. Moore alleges he was protecting his patients during the Covid lockdowns. This is not just about Dr. Moore, this affects every doctor and patient in the states. In this episode, learn about who Dr. Moore is, the allegations brought against him, his reputation, and while defending not only himself but his staff & how this could effect everyone’s relationship with their doctor. After watching and listening to all the facts, please come to your own conclusion. Peter A. McCullough, MD, MPH® Edward Dowd Robert W Malone, MD Upward News

Mscs Media

775,217 Aufrufe • vor 3 Jahren

"Expert" Adam Langer (3 dogs, 3 cats, never treated a human) of the CDC looks like he is in a hostage video here. Robert W Malone, MD gets it - the wider Hepatitis B vaccine for babies scandal is about society vs individual. The "greater good" is what all tyrannical societies sell. Adam Langer is a veterinarian. He was brought out as an "expert" here to tell you that babies born to hepatitis B negative mothers need 3 doses of a recombinant DNA therapy that has never been tested for long term safety. That might be OK for cats and dogs (who knows) but maybe the CDC should start using actual doctors instead of vets for their "experts". And stop following the Nazi regime's "greater good" philosophy to force medical treatments on babies.
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"Expert" Adam Langer (3 dogs, 3 cats, never treated a human) of the CDC looks like he is in a hostage video here. Robert W Malone, MD gets it - the wider Hepatitis B vaccine for babies scandal is about society vs individual. The "greater good" is what all tyrannical societies sell. Adam Langer is a veterinarian. He was brought out as an "expert" here to tell you that babies born to hepatitis B negative mothers need 3 doses of a recombinant DNA therapy that has never been tested for long term safety. That might be OK for cats and dogs (who knows) but maybe the CDC should start using actual doctors instead of vets for their "experts". And stop following the Nazi regime's "greater good" philosophy to force medical treatments on babies.

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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
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REGENETARIANISM מידת האמת

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🔥🔥"Trust is earned, not mandated." VSRF Board Member Mary Talley Bowden MD has a blunt message for every elected official in America: the path to restoring public trust in public health starts with #AccountabilityNow. The 1986 Vaccine Injury Act has functioned as a legal fortress for Big Pharma, allowing manufacturers to avoid the responsibility every other industry in our country faces. In this clip, Dr. Bowden warns that there’s no returning to a safe and honest system until we remove the shield that protects corporate bottom lines at the expense of our health. As the 2026 midterms draw near, our representatives are finally paying attention to their constituents. We’re calling on them to support the common-sense petition to end this 40-year-old disaster. ✍️ Sign the historic petition at and share this video to help us send a million-strong message to Washington. Thanks LindellTV and Emerald Robinson ✝️ for hosting this important discussion! #VSRF #DrMaryTalleyBowden #EndTheShield #MedicalAccountability #HealthFreedom #InformedConsent #NoLiabilityNoMandate

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for all of the doubters, I know it's annoying to see, but it works. it's a good foundation. a decent place to build from. fully typesafe monorepo with tRPC and Effect. can search through a large database of food, assign it to breakfast, lunch, dinner or as a snack. can set your daily calorie, protein, fat (etc) goals. the fact that this was 99% automated is quite incredible to be honest. I think a lot of people are misunderstanding me though. I didn't just say "build me a calorie app pls" and run claude in a loop, I first wrote a huge .md file, which was split into over 9 highly detailed phases and tasks. 3353 lines long in total by the end. if anyone is interested I don't mind doing a full walkthrough on something fresh.

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🚨 Stage 4 Pancreatic Cancer: From 4 Months to Live to Scheduled for Surgery A man was diagnosed with Stage 4 pancreatic cancer located on the tail of his pancreas, with spread to his liver. He was given only 4 months to live. He began conventional chemotherapy while also following additional protocols. Just weeks later, his scans showed remarkable changes: - No more cancer detected in his liver - His tumor had shrunk from 3.8 cm to 2.2 cm Further testing showed no cancer cells in his abdominal fluid Because of the significant improvement, doctors at MD Anderson scheduled him for distal pancreatectomy surgery on December 16 to remove the remaining tumor. His wife shared that through faith, family support, and consistent treatment, they’ve witnessed what many would consider a miracle. Stories like this continue to give hope to families facing difficult diagnoses. While every case is different, more people are exploring supportive options alongside conventional treatment. If you or a loved one is researching Ivermectin and Fenbendazole as part of a cancer protocol, many people are choosing PharmacyinUSA for clean, pharmaceutical-grade products with worldwide delivery.

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VIDEO | Telangana: It's nearly 3,900 kilometres between Wuhan in China and Hyderabad in India. But this distance disappeared when a senior urologist performed a robotics-assisted tele-surgery from a hospital in Wuhan on a 57-year-old woman in Hyderabad. The procedure was led by Indian urologist Dr Syed Mohammad Ghouse from Hyderabad's Asian Institute of Nephrology and Urology, who was in Wuhan at that point in time. Dr Syed Md Ghouse, Director, Robotic and Minimal Access Urological Surgery, AINU, Hyderabad, said, "It was basically a ureteric reimplantation that was contemplated for a patient who got a ureteric obstruction. What is ureteric obstruction? It is a tube which connects kidney to the urinary bladder and this tube was blocked for this particular patient. This blocked tube was freshly attached to the bladder which is known as ureteric reimplantation. So, this we regularly do in our operation theatre with the robot and console by the side of the patient, but this was extended to Wuhan, because I was called for a conference there ,and there were 4-5 other surgeons, who had done tele-surgery from there to there own countries. I have done from there to this patient and it was done successfully. The patient went home." (Full video available on PTI Videos -

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🚨A MOLE? Dr. Robert Malone (Robert W Malone, MD) is revealing that Secretary Kennedy appointed someone to be operationally in charge of ACIP and several other aspects of the CDC who now appears to have been a saboteur. That is the backdrop to everything else happening inside the CDC right now. Malone describes the environment as guerrilla warfare. When Kennedy asked him to stay on, he said no. His assessment was direct: The CDC is not redeemable, and the people still entrenched inside are carrying the safe and effective narrative because many of them have culpability around the COVID crisis - including suppression of information and manipulation of data. As for why he stepped down entirely, Malone was equally plain. Through thousands of hours of work, the 17 highly trained professionals were treated like chattel, told what to say and when to say it, told not to discuss vaccine harms, and told not to recommend pulling PREP Act liability protections. There was mo cover provided when the attacks came. They lost grants, had their careers damaged, and were isolated. "The government's attitude is basically we're expendable." He is done with it. Watch in full at

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“Did a buried study just blow the lid off the vaccine program?” Inside the White House Briefing Room, LindellTV’s Cara Castronuova interviews Del Bigtree on what may be one of the most significant public health revelations in years. They discuss President Trump’s new executive order forcing pharmaceutical companies to disclose all side effects in their advertising - a move that could severely undercut Big Pharma’s influence over mainstream media. Bigtree also reveals a suppressed study from Henry Ford Medical Center comparing vaccinated and unvaccinated children, showing a sharp increase in chronic illness among the vaccinated. With Robert F. Kennedy Jr now leading HHS and calling for deeper investigations into the nation’s food, drug, and vaccine systems, Bigtree says we’re entering a new era of accountability. “This study was meant to silence critics, but instead, it may be the most damning indictment of the vaccine program we’ve ever seen.” Del Bigtree The HighWire Children’s Health Defense The Gateway Pundit Aaron Siri Robert W Malone, MD ICAN - Informed Consent Action Network Senator Ron Johnson Richard Blumenthal HHS Secretary Kennedy Autism Capital 🧩 Elon Musk Autism Action Network Mary S. Holland, Esq. Rita Palma Teachers for Choice Peter A. McCullough, MD, MPH® Dr. Andy Wakefield Jenny McC-Wahlberg

LindellTV

74,323 Aufrufe • vor 11 Monaten

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1:00

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Dana-Farber

60,291 Aufrufe • vor 2 Monaten

"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
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"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 Aufrufe • vor 1 Jahr

*** 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
0:45

*** 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 Aufrufe • vor 1 Jahr

** 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
1:17

** 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 Aufrufe • vor 1 Monat

Please help Cody & Pray for Cody. From a 4.0 college student and 25 mile a week runner college student to this: video taken two days ago- This newest setback is the result of Cody’s 5th stroke and it is accompanied by an additional cerebral infarct that took place on March 1st 2026. Then the hospital found two- not just one, but two blood clots in his heart, leaky valve and Libman sacks endocarditis. Age 26, fighting for his life since 2021 after his Covid-19 mRNA vaccine. All attributed to his C-19 vaccine. Learn more on my pinned and highlighted posts. This was preventable. Mom & Dad did not want him to get the shot. Pray for Cody and the vaccine injured. 🙏🙏🙏 Cody has been hospitalized this time for 16 days. He has been in and out of hospitals for 4.5 years. Please donate and help Cody if you can we have to leave our home and move to Central Florida to get him treatment and he has extensive medical bills. We are completely financially devastated by his extensive medical bills, travel and hospital stays. To help Cody: Dr. Urso Brian Tyson, MD 🇺🇸 Richard Amerling Dr. George Fareed Dr. Lynn Fynn-derella🐭 Dr. Kat Lindley Robert W Malone, MD Pete Parada Kevin McKernan Toby Rogers Steve Kirsch Angela Marie Mila Joy Shannon Joy The Absolute Truth with @EmeraldRobinson Megyn Kelly Mary Talley Bowden MD Dr. Kimberly Biss Sharyl Attkisson 🕵️‍♂️💼🥋 Jimmy Dore Christiane Northrup Jimmy C
1:43

Please help Cody & Pray for Cody. From a 4.0 college student and 25 mile a week runner college student to this: video taken two days ago- This newest setback is the result of Cody’s 5th stroke and it is accompanied by an additional cerebral infarct that took place on March 1st 2026. Then the hospital found two- not just one, but two blood clots in his heart, leaky valve and Libman sacks endocarditis. Age 26, fighting for his life since 2021 after his Covid-19 mRNA vaccine. All attributed to his C-19 vaccine. Learn more on my pinned and highlighted posts. This was preventable. Mom & Dad did not want him to get the shot. Pray for Cody and the vaccine injured. 🙏🙏🙏 Cody has been hospitalized this time for 16 days. He has been in and out of hospitals for 4.5 years. Please donate and help Cody if you can we have to leave our home and move to Central Florida to get him treatment and he has extensive medical bills. We are completely financially devastated by his extensive medical bills, travel and hospital stays. To help Cody: Dr. Urso Brian Tyson, MD 🇺🇸 Richard Amerling Dr. George Fareed Dr. Lynn Fynn-derella🐭 Dr. Kat Lindley Robert W Malone, MD Pete Parada Kevin McKernan Toby Rogers Steve Kirsch Angela Marie Mila Joy Shannon Joy The Absolute Truth with @EmeraldRobinson Megyn Kelly Mary Talley Bowden MD Dr. Kimberly Biss Sharyl Attkisson 🕵️‍♂️💼🥋 Jimmy Dore Christiane Northrup Jimmy C

Heather Hudson

12,654 Aufrufe • vor 5 Monaten

Dr. Robert Malone - Unraveling Vaccine Science - 5th Generation Warfare - Industry 4.0 - America's Secret Censorship Mscs Media #304 Full Ep:Spotify : Robert W Malone, MD | Dr. Robert Malone, the inventor of 9 original mRNA vaccine patents. Author Of Lies My Gov't Told Me We discuss Industry 4.0 - The Fourth Industrial Revolution (4IR) is a term used to refer to the next generation of technological advances; where it is anticipated that the differences between physical, digital, and biological technologies disappear. America's Secret Censorship-Industrial Complex, A highly-organized network of U.S. government agencies and government contractors, that have been creating blacklists and pressuring social media companies to censor Americans, often without them knowing it. We go through the development, safety, and efficacy of COVID-19 vaccines, public concerns, and misconceptions. 5th Generation Warfare, Dr. Malone has done 2 rap videos in an effort to get the message out.Dr. Robert W. Malone, my good friend:⁠ Lies My Gov't Told Me: And the Better Future Coming: Hi-Rez The Rapper : A Rap Video featuring Dr. Malone: What's The Truth? | 2+2=5: #drmalone #drrobertmalone #rwmalonemd #HiRezTheRapper #4IR #vaccine #mRNA #censorship #trade #farmers #COVID19 #warfare #mscsmedia #mscsmediapodcast
5:01

Dr. Robert Malone - Unraveling Vaccine Science - 5th Generation Warfare - Industry 4.0 - America's Secret Censorship Mscs Media #304 Full Ep:Spotify : Robert W Malone, MD | Dr. Robert Malone, the inventor of 9 original mRNA vaccine patents. Author Of Lies My Gov't Told Me We discuss Industry 4.0 - The Fourth Industrial Revolution (4IR) is a term used to refer to the next generation of technological advances; where it is anticipated that the differences between physical, digital, and biological technologies disappear. America's Secret Censorship-Industrial Complex, A highly-organized network of U.S. government agencies and government contractors, that have been creating blacklists and pressuring social media companies to censor Americans, often without them knowing it. We go through the development, safety, and efficacy of COVID-19 vaccines, public concerns, and misconceptions. 5th Generation Warfare, Dr. Malone has done 2 rap videos in an effort to get the message out.Dr. Robert W. Malone, my good friend:⁠ Lies My Gov't Told Me: And the Better Future Coming: Hi-Rez The Rapper : A Rap Video featuring Dr. Malone: What's The Truth? | 2+2=5: #drmalone #drrobertmalone #rwmalonemd #HiRezTheRapper #4IR #vaccine #mRNA #censorship #trade #farmers #COVID19 #warfare #mscsmedia #mscsmediapodcast

Mscs Media

2,717,549 Aufrufe • vor 3 Jahren